HomeMy WebLinkAbout1993-005422 - deck - -
. , PEI�MIT �
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: F�F�I L-��j 1`�t�
Orono, Minnesota 55356-0815 Date Issued: `?"`'���"�
(612) 473-7357 t��;=;��-r��_;
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: _ ��,�,� 7 r�t�,�. _ :w;-�.. ���-. OWNER:
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PLICANT/PERM EE SIGNATURE ISSUED BY:SIGNATURE ,� .!'._.�j �
CITY OF ORONO - BIIILDING PERrLIT APPLIC�TION
^vt�I r ep: $ <l �' �(�� Date Received:
Date P.��roved:
��tered By: ' l` � .
Pe�it� �`�-'�z
�
A�L INFORMATION MIIST BS SIIBMITZ'�D IN FIJI�L BEFORE PLAN REVIEW WII.L B$ STARTED
(See Check-off List Enclosed)
-----------------
� p,ppyl�� IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRBSS: l��S u`�'�� `�V"��- ZIP:
(work)
�7AME OF OWNER: ������S'��A PHONE: (home)
:iA.ILING ADDRESS: `d�J ����� `'�"� CSTY: O��.'C� ZIP:
CONTF�CTOR: Q�'�-' ��ZC��.P�� PHONE: ""�L (p '" Ccj�,fl�_
�dAII,ING ADDRESS:_y�_�� � � --�� CITY: Q�.Q ZIP: �
STAT'S LICENSE s � :7 up.fl
.�caz�cm/Exczx�: n�1� PsorrE: �7 - ��
'.KASL2NG ADDRBSS: ��2�� �� V �z-- CITY: ZIP:
N�: � RBGISTRATION a
TYPE OF WORR: New �/ Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
�ROPOSED WORK (describe i.n detail) : �'�x L�� ��-�-� -
TORIES: SQ. FEBT OF EACH FLOOR:
<'�0. OF B$DROOMS: C�RAGS STALI�S: ATT. DET.
o� '
�ST�TED CONSTRIICTION VALIIATION (eacluding land) : $ ��
� hereby apply for a building permit and I acknowledge that the information
;bove is complete and accurate; that the work wi11. be in conformance with th�
:,rdinances and codes of the City and with the State Building Code; that I
:nderstand this is not a permit and work is not to start without a permit; and
=�at the work will be in ordance with the approved plan. .
PPLICANT'S SIGNATUFi�: DATEs � `�� 7'�
� �
�.�W
�� ��4s �
��� . +������. -
y :w �I��' of O�O�TO
`* , ,. �'�',�: A.:
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,�'.
"""� � Post Office Box 66•Crystal Bay,Minnesota 5a323•MuniciPal��
=:�-.:
_. ,�;.;
:��-t-� � �
, `� _ o ��, On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of sub e�it or
data", we would Iike to inform you that your request for a P uire
license from the City of Orono or any of its departments may req
you to furnish certain private or confidential information.
You are 'notified that:
1. The information you fu�*nish will be used �to determine your
qualification for the permit or Iicense requested.
2. You may refus'e to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may �enthnecessaryhto processcthe p rmit or
federal agencies to the ex
license.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5, You have certain rights under M.S. 13.04 to review pricat�
data on yourself.
6, yaur full name is required to process this applicatiaa or
permit.
/�-�.� � , ld-ol �1
First
Middle Last
b �J��.�, . . � A-�Y�
.._--,.r
. �
Address
�N� t�r�,� , �S^9'
City State Z1p
���0'� �FJ�O
Phone
I understand my rights as stated above.
S ' ure �
BUILDING&ZONING-473-7357 • ADMINISTRATIO�I&F[NANCE-473-7358
• PUBLIC wORKS-473-7359
ASSESSING
----- . �.
- L
. SI3.04 RIGH1'S OF SIIBJECTS OF DATA ' .
gubdivision L T9F�
of data. The rights of individuals on whom the data is e
stored or to be stored shell be as set forth in this section.
- - gubd. Z. Information required to be given indivi�usL An.individual esked to
- ' su ly private or confidentiel data concernin�tBmWi�n � collec�ting state agency, _
PP uested
purpose and intended use of the req
(b) whether he may refuse or from his
politicel subdivision, or statewide system; �oWn �a�equence arising
required to supply ihe requested data; (c) any
� su I ing or refusing to supply private or confifederai la w c receive the l�tg- tT�- .
PP Y
other persons or entities authorized by state or p �vesti ative dsta,
requirement shall not apply when an indi�via la en orcement offlce:. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue mav aleri tax reound uistructions�nsteadhos
subdivision in the individual income tax or Rr��
on those orms. . - - -- � � .
U on request to e responsible
Subd. 3. - Access to �ata by in�vidusl. P
authority, an indindual shall be informed�h ubuc hprrvateeoruconfidentiaLe P�n �
individuaLs, and v�►hether it is classified p � ublic data on
e ta him and, if he desires, shall
further request, an individusl who is tbe subject of stored private or
individuels shall be shown the data withou�f an���g. �ter an individuel hes be�n
�e i n formed of the content end meaning t he dats need not be disclosed to
shown the private data and informed of iis u�e�BC�on p���t to this section is
him for six months thereefter unless a d�sP
� ending or additional data on the individu e he� a e or pu�li��tarupong equest by
• p require the
responsible authority shall provide copies c t P a�ible authority may
the individuel subject oftrie actuel.cos h o makinB, certifying, and comp�ing the
requesting person to pay -
copies. �omply immediately, if pcssible, with any request
The responsibls authority s�el1 , of the date of the request,
made pursuent to this subdivisidn, or within five days
Sundays and legal holideys, if immediate complianc�; is n9'�
excluding Saturdays, With the request within that time, he shall so inform the
possible. If he cannot comply Wi�� �y�ich to,comply with the
individuel, and may have sn additio� i���ol�days. ` •
reqvest, excluding Saturdays, Sunda3's g ' .
Subd. 4. Procedia'e when data is not accsaate Qr' co�nplete. An indivi�uel maY
ublic or private data concerning hiras'�• �'°,
contest the accuracy or completeness�of P � �i� �e �pon,sible authority
exercise this right, an individusl st�all notify �ible authority.shall within 30
describing the nature of the disagresmenL The resp°
da either. (8? correct the data found to be inac��ei°cludu�g Teec pients nam dt by
�
notify pest recipienLs of inaceurate or incomPlete ,
the individuel; or (b) notify the individual ���du�,�S�tementof disagreem nt is
Data in dispute shall be disclosed only � the
• included with the disclosed data• ealed unuant to the �
' The determination of the responsible authority to contested cases.
provisions of the administrative procedure act relating
� ' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (O c S C-f N h{N (�rv t, PID:
DESCRIPTION OF WORR: � 2L�� '
----------�-,----/�--------------------- •
ZONING REVIEW BY= C�k-c.�Cl�.I�►�w'� DATE APPROVED st- l6 ``!3
BIIILDING REVIEW BY: ��,R.� DAT$ APPROVF•D: �''(�`5 �
--------------- --
FEES TO BE CHARGED� Misc. Fees Calculated By:
PERMIT Yes�No
PLAN REVIEW Yes �o SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
SNVESTIGATION FEE Yes No �� PARK FEE
SAC � Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------
ZONING CHECR LIST Zoning District:
Fire Department• /jWvn+�.— Post Office: 11/�ov.�.� Schoo� District: ��"�
Lot Area: 30 � 7 Width: g� ' '� Depth: 3 tSlo ��-
Survey Submitted: Yes� No Date of Survey: �{- 2Q '�i�
Proposed Setbacks:
Front (Lake) : Right Side:
Rear (Street) : Left Side:
Adjacent Structures : J�;'�1�.4-FE�� Wetland: NIA
Buil.ding Height: Def. Hgt. p .(�_ _ Peak Hgt.
Avg. Setback: N � �- Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
7s-25o � .)3 23.g °'! o
250-500 '
500-I000 '
Hardcover Variance Required: Yes No cc Date of Council Approval:
B Council Approval Date:
Grading: Staff Appr al Date y=
Septic: Staff Appro a Date: B '
Zoning File�� Re olution Resolution Date:
REMARKS (in house) :
BIIIZDING REVIEW CHECK LIST � , �
IIgC: �� 2- 3 CONSTRIICTION TYPE:�'
Sq Footage $ Per Sq Ftg
Basement X - .
lst Fl.00r X -
2nd Floor X —
Garage X —
x =
TOTAL
Esti.mated Construction Value: $ !,S o0
ov
Inspections Reqnired: Work Reqniring Separate Permi.ts:
Site ' Plumbing Grading/Fil�ing
�Footing Mechanical Fire
Framing Septic Water Connection
Insu].ation Fireplace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other wel 1 (State Permit)
Electrical (State Permit)
-------------------------------------------------------------
REMAFtRS (IN HOIISE) :
-------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
.
Access Approval: Date BY=
-------------------------------------------------------
RF.MARRS (TO BE NOTED ON PERMIT) :
�a �
.. �N • �
. ���
- `F�RDCO`JEP, C�ILCULAJIOy E�OR:SrE�T �v/s�`����� ��
h
ScTBACK LONE: �CFRCLE 0�lE� O-/S� 75-�5�� 25�-5Q0' SO�-1���'
EXISTING_HRRDCOYER_IPa_ZONE O� �
�� ,�._
� � ..-
._ _ ��
. - - SYy, $ S,F, � �
A, HOUSc X
-• L�`16TH WIDTH
. , - 5$. �_ .. S.F.
X _.
� X ' _ �/a S. F.
. � X _ - - - S.F.
X = S. ��
8� GARAGc X = S�F.
- .X _ = aa3'7 s,F.
C, DRIVEWAY -
X - = S� F�
y�. �
' x - ,o , o s. F�
D� . S IDE�fALK
� X = 3�• � � s, F.
x = 16c� b_ 5.�.
E. PAT1�/
DECK . X = 3�.o S.F.
' F, LANDSCAPE X = S�F�
AREAS
UNDERLAIN X = S.F�
BY . '
PLASTIC •
SHEETING X - - _ . S�F�
x = � S.F� -
r���� - � S.F.
G. OTHER X -------- ' ,-
i . .. ' � �f(�$�. /t7 S.F� �
- TOTAL HARDCOVER IN ZONE - .
- /7 `/� S.F. . �
TOTAL PROPERTY AR�A IN ZONE - ,
a3 ..9 �� ----
r1 �7�8, ro ; B r� y ao x 100 = °
DATE TIME
CITY OF ORONO CALLED IN ' g�
INSPECTION NOTICE , (��SCHEDULED � 5-� �
PERMIT NO. `� COMPLETED � �_
ADDRESS %�O
OWNER CONTR. ��=-
TELEPHONE NO. 7�/-Co�70/
� DESCRIPTION,���;� —��o�
� Ot FOOTIN � 11 MECHANICA�RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALI. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED i:, ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr ct r si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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