HomeMy WebLinkAbout1992-004610 - repair screen porch � � -�� , , PERMIT
��lTY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �;t j,���j����'
Crystal Bay, Minnesota 55323 Date Issued: t����{y�f'�i
(612) 473-7357
SITE ADDRESS:
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F'. I . N. i f_�7—�. �.?—L:_.-44—i ai�t ��
DESCRIPTION:
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FEE SUMMARY:
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F'1=��; F;evicw �1�,, ;��
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CONTRACTOR: OWNER: — y�=�.� �{���t, _
4�I L`=,�lN TE_�t��i Fr;A#d�=:E'�
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T�-i� !.!���J�k'=,I=;�t�EO #-�;��i�E;4' �iE�:�!1�'°_;T°�; �`E�'t�i�_�:;i�?�� T;� i 1r�F�::E Ti-IE R�HL I t�1�='R�=►UEt•1�P�T'�=
=;�'E:C�I�I�:C� ��'�ii� �t�E�;EE�:�� T�„! �it_� F?�_L �:�i��t��;: I t�} :_;T�;T t�:z �,:f���j���_T�;t,�i:E W I�H �tLL i:I T�' #�tF
'� �i�i��i�f i:fF�1��Itt�!�;hli:���; r=jC��!� °=;Tra�'E E�i?= t]iiut�i�'=�!��i'r� C,t_s'i!._�+It�{,� +,�:i;ii�E {�°�t;�zlI�:�C�Ei��T`: .
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
.� `� ` � , CHECR OFF LIST FOR ISSIIANCE OF PERMI7.'S
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: L//S6 I�(6({WOU4/� pID=
DESCRIPTION OF WORR: Q��t+�+(Z. PORLI-I
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ZONING REVIEW BY: DATE APPROVED: �'(- �,/ -�j Z-
BIIILDING REVIEW BY: DATB APPROVED: �j - 4' -�i 2
FEES TO B$ CHARGED: Misc. Fees Calculated By:
PERMI T Ye s (� No
PLAN REVIEW Yes_J�' No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No� SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------g---------_--2_----------------------
ZONING CHECR LIST Zonin District L /Q
Fire Department: /�r��. Post Of f ice: 1V � S chool Di stri ct:
Lot Area: • 2-L Ac2c3 Width: � � Depth: Z SZS
Survey Submitted: Yes � No Date of Survey: 6 - ZS -�2—
Proposed Setbacks:
�`�rnt (Lake) : /1/ �/� Right Side: 2.�
�ear (Street) : � �� Lef t Side: Z-6�'f�
Adjacent Structures : A-7�9e/-f�-� Wetland:
Bui�ding Height: Def . Hgt. O.� Peak Hgt. �j,i'�.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 °
75-250 ' 35• 5��`�° 3`l.S � /n
250-500 '
500-1000 '
Hardcover Variance Required: Yes� No Date of Counci]. Approva7�: 7-Z�-5�
Grading: Staff Approval Date: By: Council ApprovaJ. Date:
Septic: Staff Approval Date: By:
Zoning File: # (7 S� Resolution #: Resolution Date:
REMARRS (in house) :
BUILDING REVIEW CHECR LIST � f�- �,
DBC: ��� (�� � CONSTRIICTION TYPE:��
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd Floor x =
Garage x =
X =
TOTAL
Estimated Construction Value: $ � p�0
Inspections Required: Work Requiring Separate Permits:
Site P].umbing Grading/Fil.ling
Footing Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel� (State Permit)
Electrical (State Permit)
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REMARRS (IN HOIISE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date By:
-------------------------------------------------------------------------------
R1�FdARRS (TO BE NOTED ON PERMIT) :
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CITY OF ORONO - BIIILDING PERMIT APPLICATION
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Total Fee: $ � �J � Date Received: 9�SF�9�--
�/` Date Approved:
Entered By: ' /
Permit#: `1�/(�
ALI. INFORMATION MIIST BS SIIBMITTED IN Fi)LL BEFORE PLAN REVIEW WILL BS STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: �-i-IJ(D � I ���O O� t\� � r W���l��IP= ���� i
(work)
f � ,,/)
NAML OF OWNER: i�pt N� S �l l�C�� � r�� UT PHONE: (home)
� - f �p� 1MOU1�CITY: �(�U� � ZIP:
MAILING ADDRESS: �I.�i � _���1�100� �d
CONTRACTOR:�['�l�C�h� �- VV ����� PHONE: 7' 7�-`��`1'7 - -
MAILING ADDRRSS: ���p �14f�(,()(k1d U��. CITY: �C'u� 1!� ZIP: �s
STATE I�ICENSE: #
ARCHITECT/ENGINEER: PHONE:
__._..
MAILING ADDRESS: ..-_-__._ CITY: ,_-__._--__... _ -ZIP:
NAME: --- -�""`�� REGISTRATION _
�_
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate_� Land Alteration
PROPOSED WORR (describe in detail) : �S d��C/`h�D�� /�V t I�A 1' 1 l���
i 'o � � e — � � ' l �
� � � ������ �
STORIES:�,_ SQ. FEET OF EACH FLOOR: ���� �
NO. OF BEDROOIrIS: GARAGE STALLS: ATT. DET.
-� dD
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $��5���
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that 2
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan. •
APPLICANT'S SIGNATORE: V DATE: `P � ' 7
.�
. / ,
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C ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� � � � On the North Shore oj Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
license from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish wil]. be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Council. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data Qn yourself.
6. Your full name is required to process this application or
permit.
�c�L�Pr� �< < < � � 1 �S l"91�1�
First Middle Last
^ ��
�I��� � yh�uc�d . _
Address
I,rn�u�� �I�nv�- s�s��[��
City State Zlp
� �T��
Phone
I understand my rights �as stated above.
Si nature
BUILDING&ZOtY1NG-473-7357 • ADMINISTRATIOIV&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
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�.p,4 RIGSTS OF SIIBJECTS OF DATA � �
gubdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, Z, Information required to be given in�n�' An.individuel esked to
� ' su 1 rivate or confidentiel data concerning �ms�n t� collecting state agency,
PP Y P
purpose and intended use of the requ em;d (b) whether he may refuse or is lega12y
political subdivision, or statewide sys �own consequence arising from his
required to supply ihe requested dat8; (c) any
supQlying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by stsau��e�ke�to supply invest gat ve� data,
requirement shall not apply when an mdrvi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma rolert taX re°und instruct�o uinsteadhos
subdivision in the individuel income tax �r
on those orms. -- �
A�� to �� � ����, Upon request to a responsible "
Subd. 3.
authority, an individual shall be informed whether h�VBteeor eonfident a1.e UPon his
individusls; and whether it is classified as public, p � ublic data on
further request, an individual who is the subjeet of st to himrlande if he desires, shell
individuels sha]1 be shown the data witho of�hat dat�a. After en individusl 1�e�s been
6e informed of the content and meaning the data need not be disclosed to
shown the private date and infocmed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or action p
t pending or additional data on the indi�f�h h�8 eeor publi t dataruPon request by
responsible authority shall provide eopies o P require the
the individual subject oftrie actual�cos h of making,i cert fyinBy and compiling the
requesting person to pay _
copies. immediately, if possible, with any request
The responsible authority sha11 comply '
made pursuant to this subdivision, or with iide e��if Simmediateatcompliance eis not
excluding Saturdays, Sundays and legal S'S
possible. If he cannot comply with the re fi et dat� withintwhich tohcomplY fw h the
indivic3uel, and may heve en additionel YS
request, exeluding Saturdays, SundeYS and legal holidays•
Subd. 4. Procedtae when data fs not accurate or complete. An individuel mgY
himself. To
contest the accuracy or completeness�of public or private da the�resp�e authority
exercise this right, an individual shall notify � ����e Buthority shall within 30
describing the nature of the disagresment. The respo
days either: (a) correct the data found.too� lete datae includin6 Peec pients namedt by
notify past recipients of inaccurate or in� P
the individual; or (b) notify the individual i��due��l�s statementof disagreement is
Data in dispute shall be disclosed only if
• included with the disclosed data. � 8ppe�ed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating te contested esses.
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DATE TIME
CITY OF ORONO CALLED IN �� , �� ���`'�C��11
INSPECTION NOTICE SCHEDULED �� ���°o �'�
PERMIT NO. `���%� coMP�Er� �+�-
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ADDRESS �`J �n `j�, `� C�,c'�c c�� G
OWNER l�=-'�-�-�sc . � CONTR. G<�%. �.>���—
TELEPHONE NO. � 7�� -.3��r �
� DESCRIPTION ��l'� �1
lu 11 MECHANICAL RI 16 WELLTEST PUMP
__�FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 0 FINA 13 METER SETITURN ON 17 SITE INSPECTION
� EMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED ! PROJECT COMPLETE
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� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-73�J7
OwnerlContra r ite:
Inspector.
White Copylinspector's ile Canary CopylSite Notice