HomeMy WebLinkAbout1992-004502 - 4x8 deck -� PERMIT �
• �ITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'�j Z�`�j���
Permit Number: C.�t�q.�tyi
Crystal Bay, Minnesota 55323 Date Issued: i�7tit'y/��i
(612) 473-7357
SITE ADDRESS:
_�E,Sc) L I V I NCi:;Tt�N AVE
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�' . I .N. i 17-117—:�:�,—:;t�—i rCy�_�
DESCRIPTION:
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REMARKS: 1�fL�IPT—�t�,�A' Y�'6'
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FEE SUMMARY:
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E�as� Fe� �1�.�yt;
F'l�cri �;�wi�w �'�. 7�
'=urch�r�3� ------- —�-��i}
T��t•�I F�� �'�'�.�`5
CONTRACTOR: — AFF�1 z c�nt� — OWNER:
'��f I TH C:i�N';Tf�t tGT Z i�N C:�i I NC: 147�i�:�44. H+aGk�:EL. PAT
�.�.i 7t� Ehl�'�HF�NTED DF; _F.�t� L I V I NG'��T��EN AUE
�►it 1ND MiV ��:'E�4 WAY�ATA MIW SS 1'�1
E:�.f t� 47d.—�;t.�t4
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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- CITY OF ORONO - BIIII�DING PER�IIT A..pPI�ICATION
Total Fee: $
�� " Date P.eceived: �>" (�' } �% �Z
Date P.pproved: �
�ntered By: � �
Permit v: ` _���;�---
J�•T• INFORMATION MIIST Bg SIIBMIT'�ED IN F1TI,� BLF�KE PI,AN REVIEW WII�L B$ STARTED
(See Check-off List Enclosed)
--------------------------
� AppI,ICANT IS: (circle one) OWNER o CONT.ZtACTOR �
JOB SITE ADDRSSS: 3<v�� 1-���•�•�.s.+a� _ ZIP:
(work)
N�ME OF OWNER: �A� ���,c`�� PHONE: (home)
:�„A.II,ING ADDRESS: 3�� }-��s`�"°'^ ��': �0."X'"�'��-�� ZIP: SS3`� 1
�S� . �; 3iy
CoxTRAC2'o�z: `�rr� ,-�ti, �. ��•�� '�-��`�• �n �n�- PHoxE: �I�y - i4 ta�\�I
r�zn�c x�DxEss: Wa�o '�_;�.��-.4:.,�:���.. cz�: -('�1'�,..,Y.B._ zzP: :�s�c��t
STATS LIC.ENSE: A o oa sy y �
ARCHITECT/ENGINEER: ma-c•L PHONE:
MATI.ING ADDRBSS: CITY: ZIP:
NAME: RBGISTRATION �
TYPE OF WORR: New Addition Accessory Structure �C Move
Demo Remodel/Al.teration Renovate Land Alteration
PROPOSF.D WORR (describe i.n detaill : �� '� '+- � � �'-��� `�') �`��"'''''' S� °`U'�'� --
�;
STORIES: SQ. FEST OF EACH FZOOR: —_
NO. OF B$DROOMS: CARAGS STALLS: ATT. DET. -
ESTIHA�ED CONSTRIICTION VALUATION (eaclndinq Zand� : $ ��d' ''y
� �
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 and work is not to start without a permit; and
taat the work wil.l be in accordance with the approved plan. . •
A.PPLICANT'S SIGNATDFLE DATE: (o-1 -9�--
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• � �� 1 �v:;,
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y``��� �� � CITY of OR�JN�
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Post O�ce 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 Iike 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 will 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 license.
3. The information may be shared with other I.oca� , state or
federal agencies to the extent necessary to process the permit or
license.
4. If youz requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priLa��
data on yourself.
6. Your fu3l name is required to process this applicaticn or
permit.
��,,�..v,�, �,,,5-4-�,,�,�.�.�-, � . �- - .
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Fi st Middle Last
y`-i r.•� � r"-c�4'...r--� �� -
Address
-�y� 4� --�,� , �3� �
�
City State Zlp
� -7 `� - C�' �'`E�
phone
�
I under d my rights �.s sta ed above.
;
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Signa � re �
BUILDING'&ZONING— 473-7357
• AD'�iItiISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
�- ' �'.
513.0:4 RIGHTS OF SIIB.TECTS OF DATA ' .
gubdivision L Type oi data- The rights eC o�viduals on whom the data is
stored or to be stored sha11 be as set forth in this S
to be given in�vidusl. An.individual esked to
S�d, 2. Information r� �ms� sh� be �formed of: (a) �e
� ' supply private or confidentiel �� �un�ea�ta within the collecting state agency, .
purpose and intended use of the req tem; (b) whether he may refuse or from his
political subdivision, or statewide sgs �o� consequence arising
required to supply the requested date; (a) �Y �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
ther ersons or entities authorized by state or federel law to receive the data. This.
° p 1 when an individual is asked to supplY investigative data,
requirement shall not epp y to a ��„� enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or ro�ertv tax re und instructions instead o
on those orms. . - - -�—� � .
II on request to a responsible
Subd. 3. Access to �a.ta by in�vidual. P
authorit , an individusl shall be informed wh b� h�vate oruconfidential.e UPon tus
y ublic data on
individuels; and w►hether it is classified as p � P
e to him and, if he desires, shall
further request, an individusl who is the subject of stored private orndu� � been
individu8ls shall be shown the data withou�fanh��a. �ter an i��
6e i n for m ed of the content and meaning t he data need not be �sclosed to
shown the private data and informed of its u���gction pursuant to this section is
him for six months thereafter unless a �P
� endin or additienal data on the individuel h� ate or p blic datarupongrequest by
� p g rovide copies of the p require the
responsible authority shall p The res onsible authority may
the individuel subject of the data•
p certif n and compiling the
requesting person to pay the acLuel costs of maldng, Yi g'
copies. 1mmediatelY, it Possible, with any request
The responsible authority stiell comply ' of the date of the request,
made pursuant to this subdivision, or within �����immediate. compliance is not
excluding Saturdays, SundaYs and legel
ossible. If he cannot comply with the request within that time, he shell so infho�rth the
hsve en additienal five daYS within which to comply
individual, and may Sundays and legal holidays.
request, excluding Saturdays,
te or complete. An indi��. To
Subd. 4. Procedia'e when data is not aceura
contest the accuracy or completeness�of public or private da�eon��bi�u�oritp
an individual shall notify in writing
exercise this rig�� nsible authority sha11 within 3 0
describing the nature of the disagreemenL The resP° lete and attempt to
days either. (a) correct the data found to be inaccurate or incomp i�� named by
ngtify past recipients of inaccurats o�rV a�P�t�beiiev�es�e r�ta to be correcL
tfie individuel; or (b) notify the in , eement is
Data in dispute shall be disclosed only if the individual s statement of disagr
• included with the disclosed data• � 8ppealed pursuant to the �
' The determination of the responsible auLhority =o contested cases.
provisions of the administrative procedure act relating
i
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• � � � CHECR OFF I.�IST FOR ISSIIADICE OF PE�iITS
• ' FOR OFFICE USE ONLY
ADDRESS OR LEGAL:C� � �r1 `7� PID: / 7"�/ � "a � 3 �` ooa9
� � .
DES�tIPTION OF WORR: v11 l�l� , e '�
-------�-
-----------------
----------------------- Q l�rv�� DATE APPROVED: '�-(�!-�f �--
Z�NING REVIEW BY:
BIIILDING REVIEW BY: l�1JW`t�-- DATS APPROVED: �-� Y- �Z
------------------
-- -------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ Na �
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHAI2GE Yes� N° WATER CONNECTION
INVESTIGATION FEE Yes No� PARR FEE
SAC � Yes No_� SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECR LIST -----------------Zoning District � /e-lC I
Fire Department:1���r.ieQ_
Post Office• School District: /l/ e
�
Lot Area: /7 S� Width: ,$Zj� Depth: /7� '�' �"�
Survey Submitted: Yes�_ No�_
Date of Survey: �`-t0 `� g
Proposed Setbacks :
Front l��) � �00� # Right Side: ZO�
Rear (�--��t) : l6 fS
� f Left Side: N�/�
Adjacent Structures : �7'TI�GFI��� �^7etland: /i��/�
Building fieight: Def . Hgt. C�•%
Peak Hgt.
Avg. Setback: ot Covera
x sting Propased
Hardcover: 0-75 '
75-250 '
250-500
500-100 '
Hardcover Var ance Req ired Y s
No Date of Council ApprovaJ.:
Grading: Sta f Approva Da e: By=
Co cil Approval Date:
s� g�,:
Septic: St f Approva Da e:
Zoning Fi e:#
Res ution esolution Date:
REMARKS in house) : ��
BQIZDING RE�7IEW CHECR LIST • -
�C: g� fZ 3 CONSTRIICTION TYPE: -��- �
Sq Footage $ Per Sq Ftg
Basement X - ,
lst Fl.00r X -
2nd Floor X -
Garage X
x =
TOTAL
Sstimated Construction Value: $ Sbc�. t�o
Inspections Re��;red: Work Requiring Separate Permits:
Site � Plumbing Grading/FiJ.l.ing
_�Footing Mechanical. Fi re
p�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wal.l. Board (Masonry) Lawn Irrigation
p�Final (Mfg.) Other
Other Wel 1 (State Permit)
Electrical (State Permit)
----------------------------------------
REMARRS (IN HOIISE) :
-----------------------------------------
REVIEW BY OTI�FZS: DATE:
Access: Existing New
Access Approval: Date BY=
---------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
r
:a:t:
� � ORO : d
NO
�OP
Y
FLASHING
ppR�H'ES
�E��SS1A�RS & �o�ed
bers Must Be ApP
p�1 Structura� M�m Decay Or
Wood Of Naturaa Resistance To
Tr ood.
R��'��N�
GV M�N� pNEN�NC,s
36,. 0
„ Mp,7C.
�
�' e+��`.� � � � ���'�
BUiLDING !�R T PLA� R�WiPJVr
����
DATE �`�M'` �Z PERM77 �10. r..�.�
❑ APPROVED AS SUBMITTED
❑ APPROVEfl WITH CORRECTIONS AS NOTED
❑ NOT APPROVED — CORRECT & RESUBMIT
These comments are for your information. All wo�k shall be dOf1�
in tull compliance with all applicable building & zoning cOde rs•
Quirements inc:::��n, items not specificalJy noted in this reviBY�
KEEP �HJS PLAN SE� �d�l S.17'E AT ALL �.lOAF.�.
�, ��
�°� :��
��� �
42+� M�N Frost Foatinc�s �
��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI � SCHEDULED �-
PERMIT NO. � COMPLETED
ADDRESS `��—� � J � 'c� If•
OWNER CON R.
TELEPHONE NO.
� DESCRIPTION � '�� '�-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 -SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
fl COMMENTS:
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d WORK SATISFACTORY:PROCEED //�OJECT COMPLETE
W
� CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �-, pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CAIL INSPECTOR
L�� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contr t o ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
V
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED ��'-� p�1
PERMIT NO. ���'.2 COMPLETED � �
ADDRESS � S �� --�-c-Y �c�-rL:
OWNER ` ������ CO R. �2u-L���� C��-�i�.T_�
TELEPHONE NO. `� 7 �" G G` ��
� DESCRIPTION ��Z�e-l�—
l� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGfiADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 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
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
J
O
a
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O
�
W
�
Q
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Z
W
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� WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W
� ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
OO Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILLRETURN
C CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex .inspection 24 hours in advance.473�73�J7
OwnerlCo r c r on i e
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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�-r _ I hereby cartify tl�nt Ll�is survey wa9 l�re��ared by me or un��G`~ �'1 � `+,''��
'�' • supervision and that I �m a duly ttegietered Professiocial Larid Survcyort � ^ �
� " -: � ' undor tl�e k oE the 5tate C PI�l11lCSOL'a. UACed this lOth day of July, p _ .�..._„ � .
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\ ; �sy �'�J � ,., tliiine '� �' _ I
� _ � sota Licerise No. 122G7
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