HomeMy WebLinkAbout1992-004486 - replace deck . � PERMIT
• �CITY OF ORONO PERMIT TYPE: E:I�IL��INf�
1335 Brown Rd. South • P.O. Box 66 Permit Number: {�`-"�'�''�_`
i)?i�?/''�;r'
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: ���.,�.ci k::ELLY AVE
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CONTRACTOR: Q����� .tE�HN
1::F,�.{� E�:ELL.Y AV'E
EXC:EL':Iii� MIV ��:;_�1
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APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
� ' CITY OF ORONO - BQILDING PER2riIT APPLICATION
Tota1 Fee: $
�� ` � � ' Date Received: � rJ�.L.�i L---
� Date Approved:
Entered By: ' c-: � ;
Permit�: �����,
AT•T• INFORMATION MIIST BS SIIBMITTSD IN FULL BEFORE PI,AN REVIEW WILL B$ STAR�ED
(See Check-off List Enclosed)
-------------------------------------------- -_--�--�--------------------------
� APPLICANT IS: (circle one) OWNER or CONTRACT
Jos sz� AnDx$ss:� 1�,4� �� j I`� � �'� n �.t_ zzP: �-�,.5�3� �
t work) LT'�f - �'��l`�
NAML OF OWNER: �j� +�l ����r PHONE: (home) ����
I�iAILING ADDRESS:��( �Z�1 V � CI�: �'�L� n►Q ZIP: 3 3
CONTR�CTOR: PHON$:
MATLING ADDRESS: CITY: ZIP:
STATS LICENSE: �
?�RCHITECT/ENGINEER: PHONE:
MAILING ADDRBSS': CITYr ZIP:
;���: RRGISTRATION n
`�YPE OF WORX: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate� Land Alteration
�
PROPOSF.D WORR (describe in detail) : Q E 1�Q 1�� ��51.,,51i Au vl�r �
� � � � � _
STORIES: SQ. FEST OF EACH FLOOR:
A;O. OF BBDROOMS: GARI�GS STAI.LS: ATT. DET.
:STIIriATED CONSTRIICTION VALIIATION (eacluding land) : $
T_ hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work wil.l be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
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 SIGNA � DATE: � �'���
i
:5, � - ad
�Y��� CITY of ORONO
':�'t` .r,c'� �;���'�'x.��1:.
�`�� ^e:�' +�a� :.
�:�.. �''�,.ehaw �.r�,
�r�" ' '� ' ' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� - � � On the North Shore of 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
Iicense 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.l be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other IocaZ , state or
federal. agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires CounciZ action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Your full name is required to process this appl.icaticn or
permit.
...� 1l� �-t�t
First M Ie Last
�-(� `�( (� i l�.l � V� A u1�
Address
Q�(� r�� �I n� � �� 3!—
City State Zip
��/ � 0 ��L�
Phone
I understand my rights as stated above.
i nature
BU1LDl\G&ZONING—473-7357 • ADMINISTRATION&FI\ANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSIN G
�.0,4 RIGH15 OF SIIBJECTS OF DATA �
Subdivision L Type cf data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
' to be given in���- An.individual asked to
Subd. 2. Tntormation reqiured
� ' supply private or confidentisl data concer a n�am l,�in� �llecting stat gencye
purpose and intended use cf the requeste
political subdivision, or statewide system; (b) whether he ma� refuse or is legally
required to supply the requested date; (c) any knewn consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by steau��e�kedlto supplyein est gat ve data
requirement shall not apply when an indrv
pursuant to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue ma role�t taX re°una�nstructions�nsteadh�s
subdivision in the individuel income tax �r
on those orms. . - --- -- �
Subd. 3.
Access to data b9 ����' IIPon request to a responsible �
authority, an individuel shall be informed whether h=�gteeor confident al.e Upon his
individuels; and whether it is classified as public, p ublic data on
further request, an individual who is the subject of Se to himrland, if he desires, shall
individuels shall be shown the data witho o f an�y��g. �ter an individuel has been
�e informed of the content end meaning t h e d ata need not be �sclosed to
shov+m the private date and informe d o f i t s m e a n i n 8, ���t to this section is
him for six months thereafter unless a dispute or action p
� � pending or additional data on the indiv'if�h h�8teeor p blic dataruponarequest by
responsi b le au t h o r i t y s h a ll p r o v i d e c o p i e s o F
the ind.ividuel subject of the data. The responsible aut hori ty m a y r e q u i r e t h e
requesting person to pay the aetual costs of malcing, certifying, and compiling the
copies. immedistely, if possible, with any request
The responsible authority shall eomQly � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complisnce is net
excluding Saturdsys, Sundays and legal holideys,
possible. If he cannot comply with the re�et �t1u�i��n w�ch toh omply w�h the
individuel, and mey have en additional Y5
request, excluding Saturdays, 3undaYS and legel holidaYs•
Subd. 4. Procedtia'e when dsta is not accurate or complete. An individusl may
himself. To
contest the accuracy or completeness�of public or private � the�responsible authority
exercise this right+ an lnd�v�dusl $� notify in ���e authority shall within 30
describing the nature of the disagreement. The respo
days either. (a) correct the data found_tcom lete dataeincluding pee�Pl�� namedt by
notify psst recipients of inaccurate or in p
the individuel; or {b) notify the individual in��dual's�statementof disagreement is
Date in dispute shall be disclosed only if
• included with the disclosed data. ealed ursuant to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
��
�
' • CHECR OFF LIST F'OR ISSIIANCE OF PERMITS
• FOR OFFICE USE ONLY
ADD�tESS OR LEGAL: �'�,�l� k�L��., � �'= PID:
DESCRIPTION OF WORR: - ' �P(.w, - v ��=-'`�i
--------------------(-�---�----------------
ZONING REVIEW BY: ��" DATE APPROVED: �7-f`-1 -`12
BIIII,DING RL�VIEW BY: � ���`u^-- DATE APPROVED: � -I`f -`� Z
----------------------�- ------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes .�'� ^No
PLAN REVIEW Yes ,,�"r No SEWER CONNECTION
STATE SURCHARGE Yes ,�� No�;- WATER CONNECTION
INVESTIGATION FEE Yes No L' PARK FEE
SAC Yes NoT,-, SITE INSPECTION
Number of SAC Units OTHER (specify)
--�- �
------------------------------------ g :
ZONING CHECR I�IST Zonin District / � I l�
Fire Department: wlauni0 Post Office: IJ % School. District: �"�'��'-
Lot Area: ��� zzi�`1�!�+c�� Width: / 3� � Depth: IGl.b�l A✓'�
Survey Submitted: Yes� No Date of Survey: 6 -16 `� 2-
Proposed Setbacks: ,
Front (-�l�e) : �I/ �A Right Side: yf�
Rear (��e-et) : �{6' Left Side: �, Z '
Adjacent Structures: �i���GHc:� Wetland: � �A
Buil.ding Height: Def . Hgt. i✓�A Peak Hgt. �V'�/a
Avg. Setback: �!�i� Lot Coverage: . /o `���o
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 ' ��� � �'���'
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval. Date: �U �/� By: Council Approval Date:
Septic: Staff Approv3l Date: i�� /� � BY�
Zoning File• # Re��lution # : /�'- Resolution Date:
RRM�ARKS (in house) : .
i
�
BQILDING REVIEW CHECR LIST , .. .
IIBC: �Y fZ - 3 CONSTRIICTION TYPE:,�-
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
Znd Fl.00r X -
Garage x -
�c;�,� �(� � i 3-1 v L� x �,�.o o =
TOTAL
Sstimated Construction value: $ I 66`�
Inspections Required: Work Requiring Separate Permits:
Site Pl.umbing Grading/Filling
�Footing Mechanica7� Fire
Framing Septic Water Connection
Insu�ation Fireplace Sewer Connection
WaII. Board (Masonry) Lawn Irrigation
X Final (Mfg.) Other
Other Wel 1 (State Permit)
Electrical. (State Permit)
-----------------------------------------------------------
�F.MARK$ (IN HOIISE) :
--------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
------------------------------------------------------
REIrlARRS (TO BE NOTED ON PERMIT) :
5:..r;
i,,.:�
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Lar Acz.EA = Z��2Z1 sc�.F`T.
No�-��E _ ►�6a�f 5c.t .F�. �
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_ _ � �
, _ . �
De�vEw c.�( = t95o So.F'T. a �' -r
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?-�r�.�- l-�AR D�c v E Q = Z' /o ��.� � °� ` �3 �j .
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I hereby certify that this is a true and corr'ect representation of a survey o e
boimdaries of: -
Lot 8. Hlock 1� APPLE HII.L�
Hennepin County. rlinnesota_
And of the location of all buildings, if any. yereon•me this6th dayof
�croachments, if any, from or on said land. As sisve ed bY
Jtme, 2- /�' \
� �� C.�, /
� � , .,�' `, � G ���- .�.�
�no�s s. s��.st / ,
Registerea r,ana surveyor' G
f'linnesota Lice�se No- 7725
SCAIE
?�,`p5 S�qYfy I�� .wl
LK•� PREP�RF� FC�=
_° °�, SATHRE-BERG�UIST, INC. eooK IAGE
W � � 108 SOUTH BROADWAY� WAYZATA,MN 55391 F„E� �TO�1 VOLR�R
TELEPMONE872•478-8000 G�3C�_�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ,,� ; � SCHEDULED �-2� `�►Z ��i'''�
PERMIT NO. `� � COMPLETED ' �' I L
ADDRESS Z-��� ��-�+ �'�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q RAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADINGlFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor on site:
Inspector. " �
White Copylinspector's File Canary CopylSite Notice
v
DATE TIME
CITY OF ORONO CALLED IN �J ' �Z J - ! Z
INSPECTION NOTI,C� SCHEDULED 'J � -� � � ` �`"t�
PERMIT NO. `����' connP�ETEo '� � �
ADDRESS�(� �/G' � �/ «<.-
OWNER l.^��� � 1 ��_t�� _CONTR. `
TELEPHONE NO. `� I / -- � � `-��f
� TION �L�' �-C�/�'
lt� 01_FOOTIPIG-' 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATEft HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 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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� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,_ pHOTO TAKEN
INSPECTOR WILL RETURN
'- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr�ctur on�site:
Inspector. ����
White Copyllnspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN g"�b TE�Z '��ME
INSPECTION NOTIC (_ SCHEDULED � ��1�`--��
PERMIT NO. � �" COMPLETED T
ADDRESS a�O�O �
OWNER ����('�U� CONTR.
TELEPHONE NO. �� I ^ � � � �
� DESCRIPTION � C-�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 0 O—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOILOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�,� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ext inspection 2a hours in advance.473-7357
OwnerlContr r site:
Inspector. -
White Copyllnspector' ile Canary CopylSite Notice
ID�I�t1�iC�T��N Of PREM��ES ���
� REQUIRED
NO CO
p� ,��� �j Approved Addresses Shail Be Dispiayed, �
O�O o Pla� ' L
nly V�s�ble And Leg�bie From The p
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