HomeMy WebLinkAbout1994-006667 (deck) .� PERMIT �
t CITY OF ORONO � - PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 :�'�,_'=:=i`�`.-;
Permit Number. ��;;`��`:-� �'
Crystal Bay, Minnesota 55323 Date issued: ; ; ;�:�;=�;;�:�r:.
(612) 473-7357 - --. .._._ . _ .
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: l°:`�`:�'�:��':��*
FEE SUMMARY:
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CONTRACTOR: QW.N�R; . _ -- ;�:,.:;�:::�:;. }�:_;._��_ _...
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A ICANT%PERMITEE SIG ATURE ISSUED BY:SIGNATURE
�
CITY OF ORONO - BIIII.DIrkG PERMIT APPLICATION
`' � �' =- Date Received: �
Total Fee: $ � ���� � � �
Date Approved:
Entered By: � ����
� Permit#: ,�G���� �1
AT•T• INFORI�dATION MDST B$ SUBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED
(See Check-off List Enclosed)
------------------------------------------- ----�-_ -------------------------
THE APPLICANT IS: (circle one) O��lNER o ONTRACT �
JOB SITE ADDRSSS: -� �i'� t���11z.1 � u �� �.ti�, =` ��'�r,�� ��ZIP: �i��`� �
(work)
NAME OF OWNER: �C�� � � �" �D�- �G�''�� PHONE: (home)
MAILING ADDRESS- �--I � ��E�rt�t � c� "J Cx...��CITY: (� f�J b� �i:: ZIP: ��� �' �
�o
� �
�+ i O�(�->-��
CONZ'R1�CTOR: ���'�-'� � -� f' PHONE:
MAILZNG ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
N�g: REGISTRI�TION #
TYPE OF WORR: New Addition Accessory Structure Hiove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) :
STORIES: I SQ. FEET OF EACH FLOOR: � � %/
NO. OF BEDROOMS: v�- G�IRAGE STALLS: ATT. DET. � )
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $
I hereby apply for a building permit and I acknowledge that the informatioa�
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 :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. �
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APPLZCANT'S SIGNATIIRE: - � � �, (. ;_ � DATE: I� ' • /
i.
i
� _ . . . .
. _ _ __ _. _ _ . . V
� CHECR OFF' LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�XJ KC/�1W oo f� �U�y PID:
DESCRIPTION OF WORR• (�eC-��-
--------------------- --- ------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: //- Z�s��1Y
� �
BIIILDING REVIEW BY: i� � DATE APPROVED: �l-L�-q`�
FEES TO BE CHARGED: Misc. Fees Ca�cu�ated By:
PERMIT Yes � No
PLAN REVIEW Yes !/� No SEWER CONNECTION
STATE SURCHARGE Yes v'�fNo WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L.%�� (�--
Fire Department: 1 Post ic�:- ' �S oo� District:
i� ,,;
Lot Area: Width: � �� t
Survey Submitted: Yes cG No Date of Survey: v� �=��-�
Proposed Setbacks: �
Front (L��) : ��/1 Right Side: / � � -
Rear (��? : (/S � � Left Side: ,3Y� �
Adjacent Structures: "3S � wetland: N��-
Building Height: Def Hgt. Peak H t
/ �
Avg. Setback: � L Coverag :
E isting Proposed/
l
Hardcover: 0-75 ' j
,
75-250 ' ,-% '�
� � �-- ---
250-50 ' i
500-10 0 ' �
-+- %
Hardcover V�riance equi d: Yes� N Date ofljCouncil Approval :
; � I
Grading: S�aff Appr val. /Date: � , By: Co�tncil Approval Date:
; �
Septi c: S�af f Appr va]. Date: �_ � By: �
; � � �I
Zoning F�i.J�e:# Reso� �tion # : Resolution Date:
� ,' �
RF.MIARRS (lII house) �,� I
BIIII.DING REVIEW CHECK LIST �
DgC: � ' -3 CONSTRIICTION TYPE: �w
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage X =
��c-��- '��= x ��
. 00 = -� �o.�
TOTAL
Estimated Construction Value: $ � �� .�G
Inspections Rern,;red: Work Requiring Separate Permits:
Site PJ�umbing Grading/Fil��ing
_�Footing Mechanica� Fire
_�Framing Septic Water Connection
Insul.ation Fireplace Sewer Connection
Wa�7� Board (Masonry) Lawn Irrigation
�FinaJ� (Mfg.) Other
Other We�� (State Permit)
E�ectricaJ� (State Permit)
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RBMARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
RFMARRS (TO BE NOTED ON PERMIT) :
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' ��� r � � C ITY o� OROl�TO
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+' " y�, �; ' ,.,;,: Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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• _ � � On the North Shore of Lake Minnetonka
DATA PRIVACY AD�TISORY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
data", we would 3ike to inform you that your request for a permit or
l.icense 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 will 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 informatian may be shared with other iocal , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or I.icense requires Councii act�on
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6 . Your full name is required �o process thi.s applicaticn or
permit.
�% �� c_ �— C� ,� ( �� �f/�
First Middle La t
� � 4 �� ���,r, e�s�--r f� �lJ l.�(�—
Address
�S-3 �i �
� r �� �'" ���r'V —
City � State Zip
�t ��� ��� �
Phone
I understand my rights as stated above.
` � �� �
Signat e
BUILDItiG&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�
_...._... __--.�___.--___ ---_ ---- �
. i '
�.04 RIGS'I5 OF SIIBJEC'I'S OF DATA �
gubdivision L T�pe of dats- The rights of individusls on whom the data is
stored or to be stored shall be as set forth in this section.
Subd, 2. Information required to be given in�ri��- An.individuel esked to
� ' su 1 rivate or confidentiel data concerning �mWi�hin the collec�ting state gency,
PP y P uested data
purpose and intended use of the req
political subdivision, or statewide system; (b) whether he ma� refuse or is leg y
1 the requested date; (c) any known consequence arising from his
required to supp y rivate or confidential data; and (d) the identity of
supplying or refusing t� supply p
other persons or entities authorized bndiv dual iseaskedlto supplyeinvest gat ve da a
requirement shall not apply when an
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma rolert t8X re°und instructio insteadhos
subdivision in the individuel income tax •r
on those orms. . - ---- - --- �
Subd. 3. Access to �ata bY
����L Upon request to a responsible "
authority, an individusl shall be informed whether h�VBteeor eonfidentiel.e Upon his
individuals, and whether it is classified as public, p ublic data on
further request, an individuel who is the subjeet of Q to�mrl�ae�he ��res, shall
individuels shall be shown the data witho of�hat data. After an individusl hes been
�e informed of the content and meaning t� �ta need net be disclosed to
shown the private data ar►d informed of its meaninS, ursuant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the individ�h h� a eeor publi�datgrupon8request by
responsible authority shall provide copies of P require the
the individuel subject oft�e aetuel.cos h of making,l certi yingy and compiling the
requesting person to pay _
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lide e,dif Simmediatea compliance eis not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the request within that time, he shall sp in�orth �he
individuel, and may heve an additional five days within which to com ly
request, excluding Saturdays, 3ur►deYS and legal holidays.
Subd. 4. Procedia'e when data is not accurate or complete. An individual maY
himself. To
contest the accuracy or completeness�of publie or private � the�rcespensible authority
exereise this right, an individuel shall notify in writing
describing the nature of the disagreement.
The responsible authority shall within 30
days either. (a� correct the data found to be lete dataeincludingpeec pients namedtby
notify past recipients of ineccurate or incomp
the individual; or (b) notify the individuel that he believes the data to be �o�t�
Data in dispute sha]1 be disc1osed only if the individual's statement of disag'r
• included with the disclosed data. � 8ppe8ied pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested csses•
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� NARDCOVER CALCULATION �WORKSHEET � .
SETBACK ZONE: �CIRCLE ONE� O-�S� �S��SO� ZSO-SOO� SOO-IOOO� �
EXISTING HARDCOVER �IN. ZONE • .
.. A. ' HousE 24•3 X � 24:4 � . s93 S�F�
, �
LENGTH WIDTH � . . �
� � �" � 5 96 T�7A� ,
�,6.• � (,5 • a �3.�. •.
,�_ S�F� �
. . .. • . � =--�_ �
X .a w . . . .. . • .
- � . . , �� S�F. .
' X .. � ' a S�F� ' . ' � . ,�
.. .. x a
. S.F�
, � B. GARAGE _ IZ•7 X 20. 4 � a 25�9 ' S��F� ' �
IS .C� DRIYEWAYC��IJ I°ROA6�ty� X • = ISS � • S.F� �. � , .
. �RR�6,v�x�wHLl� � '� X . . � a .2� S.F. ' . .
D.. SIDEWALK ' ��s � X ' 2�S ' a �'i , S�F. ' .
� . ' 2-` � .� _� �I'o7 = . 214 ' S�F. � . .
0.4 37 . ��:g . ,
.. . �..�.���;� 1 i. .
' Cpn��..(.!/N�� • � O. 7' X . � I 2� a 8.�f- S�F� • ' �
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_ MR.
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C�Ncr2G-rF F. �NDSC E Z,� : X 24�� ' a •- _,. 68 $�F. . „
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�. ToTAL HARaCOVBR; tN ZONa - ���-S i�P� � �A •
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TOTAL PROPERTY AREA IN ZONE� - 12! �42 S.F. �B �
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