HomeMy WebLinkAbout1993-005147 - deck PEI�MIT
� CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: `=�i=��}��i i���
Orono, Minnesota 55356-0815 S j�?�''�'�''
(612) 473-7357 Date Issued: �^;c;;�;r��:;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ��j vL� aJV
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FEE SUMMARY:
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CONTRACTOR: OWNER: -- �:���:=1 ��:.:r�:. —
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--- =--- - — -- -- -_-_____ 'y-`�
APPLICANT/P ITEE SIGNATUF� � !SSl �i[�` , , . �
/ _.
----------- --- z�—
' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
' FOR OFFICE USE ONLY
�iDDRESS OR LEGAL: s ZJ � �U✓�-��r�'� � pID:
DESCRIPTION OF WORR: R�t �-�E� ���
-------------------------- --------------
ZONING REVIEW BY:_ _ DATE APPROVF.D: S-/7- f 3
BIIILDING REVIEW BY: DATE APPROVED: S"�- � �_ -`i�
------------------- ------
��S Z.p Bg ��- Misc. Fees Calculated By:
PERMIT Yes �-'� No -
PLAN REVIEW Yes � No SEWER CONNECTION
�TATE SURCHARGE Yes � No WATER CONNECTION
":WESTIGATION FEE Yes No � PAR.R FEE
�,C ' Yes No ✓��- SITE INSPECTION
�umber of SAC Units OTHER (specify)
--------------------------------------------
'ONING CHECR LIST Zonir�g District:
�
� � ��� � �� ',�ch �� Di ri�C�:
ire Department� � i� � ost ,�bffic : � ' �
� �" �- ��� � �
.ot Area: � �--='Width:� ��'�P'�n=
�
Survey Submitted: Yes�_ No Date of Survey:
�----__b►'� t=�Ll�
?roposed Setbacks:
Front (�-a-�c�� : h1�11 Right Side:
Rear (�*') � /l��/`}� Lef t Side:
�5 AN►„G tA S S 1-+�C2�
Adjacent Structures: �4-�7�-�z.� Wet and: ���
\
3uil.ding Height: Def. Hgt. ' P ak Hgt.
�1.
�<�g. Setback: L Cov�rage:
Exist' g Propo�sed / .
;
� � �'� � �
':ardcover: 0-75 ' f �
�
75-250 ' % �
, ,
250-500 ' /�� /
� : j �_ ---_----
500-1000 ' � i
�:ardcover Varian �e �equirec�: Y�s o�� Date of C�ouncil Approval:
9 ,
�_�rading: Staff App�oval Da��te: i� B�: Co�ncil. ApprovaJ. Date:
,
� i � ,
i
�eptic: Staff Ap�roval Da�e: i By:_ _
�
Zoning File:� �es lutio � #: Resol.ution Date:
REMARKS (in h¢nse) : `
( ; �
BIIILDING REVIEW CHECR LIST - + . :
IIBC: �Y IZ.`} CONSTRIICTION TYPE: ��'
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor X =
Znd Floor x =
Garage X =
�-Ze�L I 5�' x ,�(Ss-. o� = I��-{'j D — ���C� �.e�L
TOTAL
0
$sti.mated Construction Valne: $ I ,(��a°
,
Inspections Required: Work Reqniring Separate Permi.ts:
Site � Plumbing Grading/Filling
�Footing Mechanical. Fire
�Framing Septic Water Connection
Insulation Firepl�ace Sewer Connection
Wa]�I. Board (Masonry) Lawn Irrigation
D�Final (Mfg.) Other
Other Wel J. (State Permit)
Electrical (State Permit)
------------------------------------------------------------------------------
REMARRS (IN HOIISE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing ' New
Access Approval: Date By:
-------�----------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
i
!
,
, . .
513.04 RIGHTS OF SIIB.TECTS OF DATA .
Subdivision L Type of data- The rights of individu8ls on whom the data is .
stored or to be stored shall be es set forth in this section. �ked to
_ to be given individuaL An.individuel
g�d. Z. Information required
� ' su ply private or confidentiel data concernina amWithin the collecting stat agency,
P
purpose and intended use of the requested
(b) whether he may refuse or from his
political subdivision, or statewide system; �own consequence arising
required to supply the requested date; (�) 8nY . �d (d) the identity of
in or refusing to supply private or confidentiel data,
supply' g state or f ederal lew to rece�vest e at ve datA,
other persons or entities authorized by
requirement shall not epply when an in tlola l8W en orc�mentuofficer. g
pursuant to section 13.82, subdivision 5,
T
he commissioner of revenue ma lace the no�c�e��ructions1insteadho5
subdivision in the individual income tax or ro ert tax re
on those orms. . - � --- -- - " .
Subd. 3.
Access to data by individual• tiPon request to e responsible
authority, an individuel shall be informed whether h�VBteeor confidentiaLe Upon his
individuels; and whether it is classified as public, p ublic data on
further request, an individual who wi hout any charge to himriande if he des�res, shall
individu81s shall be shown the �� of that data. After an individuel hes been
�e informed of the content and meaning t� �� need not be disclosed to
shown the private dats and informed of its u���BcUan pursuar►t to this section is
him for six months thereafter unless e �sP �
� ending or additional data on the individu e h�ateQor publie datarupon request by
� p require the
responsible authority shall provide copies o t p o�ible authority may
the individuel subject oftrie actual�cos h of making, eertifying, and compiling the
requesting person to pay -
copies. ssible, with any request
The respensibls authority shall comply immediately, ii po
made pursuant to this subdivision, or within five days of the date of the request,
excluding Saturdays, Sundays snd legal holidays, if immediate compliance is not
ossible. If he cannot comply with the request within that time, he shaIl so in�orth the
P hsve an additional five daYs �►ithin which to comply
individuel, and may S��� �d legal holidays•
request, exeluding Saturdays,
. Subd. 4. Proced�e when data is not a occura ivate datla lconcerning himself• To
contest the accuracy or completeness�of publ�c 1� �i� the respensible authority
exercise this right, an •individual shall notify
describing the neture of the disagreemen� Tnaccurpa e or in omple e and att pt to
days either: (a) correct the data found to be
notify past recipients of inaccurate or incomp�t�e t�e esdthe rdatalt� be �orrecty
the individuel; or (b) notify the individu�t eement is
Data in dispute shall be disclosed only if the individusl's statement of disa€�'
• included with the disclosed data• � 8ppeeled pursuar►t to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
�
CITY of ORON�
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� - � � On the North Shore of Lake Minnetonka
DATA PRNACY 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
Zicense 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 information may be shared with other iocal, state or
federa]. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. 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. Yaur full name is e uired to process this applicatian or
permit.
� � - 1 � K.�.
� b �
First dd3.e ast
� �o�Ua.r �-� •
- o
'�- • �
A dress
� � � _ �
City tate Z
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Phone
I understand my t as ted ve.
,
Signatur ,
BUILDING&ZONING—473-7357 • ADMIIVISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING °
CITY OF ORONO - BIIILDING PERMIT APPLICATION •
Total Fee: $ Date Received:
Date Approved:
Entered By: ' Permit#:
AI�L INFORMATION MIIST BS SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WIr'I' B$ STARTED
(See Check-off List Enclosed)
-------------------------------------
THE APPLICANT IS: (circle one) OWNER o CONTRACTOR
JOB SITE ADDRSSS: lO �Var - ZIP:
(work)
NAML� OF OWNER: � l.t \� P ONE: (home) rCa C
1�SAILING ADDRESS: C�� a � , CITY: �-Bl: ZIP: �-�� l �
CONTRACTOR: �� l G. PHONE:
MAILING ADDR$SS: \ ` CITY: ZIPz
STATS LICENSE: $
ARCHITECT/E�IdGINEER: PH�NE:
M�IILING ADDRSSS: CITY: ZIP:
Np��: RSGISTRATIOH �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
ED WORR cribe i.n detai ) : l�1 � ` ` ��-� C'�
PROPOS �
�t - c��.Q.�
STORI$S: SQ. FE$T OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET.
O'd
ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ `�d�- -
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 I
understand this is not a permit d work is not to start without a permit; and
that the work wiI 1 be in acco an wi h the p ov p an. �
�- � �--
APPI�ICANT'S SIGNATIIRL�: DATE:
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DATE TIME
CITY OF ORONO CA�LED IN � 9�
INSPECTION NOTICE SCHEDULED .�.�.�G��'i.� �� ;4�'
PERMIT NO. '�'�'� 7 COMPLETED Ir �'I
ADDRESS ����' �l'r�iz.�i/L-�-�✓)�-�'�
OWNER ,�_�✓'��� CONTR. ��<��-
TELEPHONE NO. �7/ -J�� �
� DES TION ���r.�
� 1 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q RAMING 11 MECHANICALFINAL 18EXCAVIGRADINGIFI�LING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUM8ING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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d �ORK SATISFACTORY:PROCEED �i PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �. CITATION ISSUED
i� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContra o 'te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
t/
DATE TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOTICE SCHEDULED � � % "��-'
PERMIT N0. -�/�/ 7 COMPLETED � �,
ADDRESS ���'I G ������.,,-� ��
OWNER /-G�' ���✓ CONTR. �
TELEPHONE NO. � � � " ���� �
� DESCRIPTION �'u�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/F�REPLACE 19 LAKESHORE/WETLANDS
� 04 WA D. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q OS FINAL` 13 METER SET(TUFN ON 77 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTiC INSTALL. 22 FOLLOW-UP
J 10 PLUMBiNG FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� WORK SATISFACTORY:PROCEED OJECT COMP�ETE
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� C]CORRECT WORK 8 PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY
� BEFORECOVERING PERMANENT
� C7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
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