HomeMy WebLinkAbout1991-003893 - replace deck . PERMIT
- CITY OF ORONO PERMIT TYPE:
�' 1335 Brown Rd. South • P.O. Box 66 Permit Number: ��t 1 I L�I�%
Crystal Bay, Minnesota 55323 Date Issued: {�{�=;;=_'�=;
(612) 473-7357 t�:_;;A i/a�.
SITE ADDRESS:
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REMARKS: �::'t„'�'t�' �:::u� �;�'1 =��:�t:
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FEE SUMMARY:
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I CONTRACTOR: OWNER: � F
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LICANT�PERMITEE SIGN URE ISSUED BY SIGNATUR
. � CHE� OFF LIST FOR ISSIIANCE OF P$RriITS
• FOR OF�IC� CSE ONLY
/ ' ��- -' _ � �'�- �
ADDRSSS OR LEG�iL: � � `%'� _ �� rl �%"t �. �� �;���',� PID: l�� I I J - -�� � _'` - � � _'
DESCRSPT20N OF WORR: �-`� �' f� 1 w �'L��'�Z�
--------------------- - ----------------------------------- ---
ZONING RLVIEW BY: DATE APPROVED: 6 ' 3 '�(
BIIILDING REVIEW BY: c`�P�„�(v i�� DATE APPROVED: .S-.. ��' " �� ,
------------------
FEES TO BE CHARG�: Misc. F�es Calculated By:
PERMIT Yes �` No
P�N REVIEW Yes �'� No SEWER CONNECTION
STATE SIIRCHARGE Yes ;� ' No WATER CONNECTION
INVESTIGATION FEE Yes No � � PARK FEE
SAC Yes No—� SITE INSPECTION
Number of SAC IInits OTHER (specify)
--------------------------------N��-----------------
ZONING CHECR LIST Zoning District:
Fire De�artment• o�l�_ Pos� Of�ice: � L- Sc:zool District: ��
Lot Area: f(��� Width: Depth:
Survey Submitted: Yes� No Date of Survev: � 'Z�-'�Zd
Pr000seci Setbacks : r , �
Front (Lake } ; .Q Riant Side: 2�
Rear ( Stre�t) : /l1�/� Left Sice: �C� �
Adjacent St�uctures : � Wet?and: ��/�
Buildina Height: De�. Hgt. it/�/� Peak figt. /��/�
Avg. Setbacx: (� •l� Lot Coverage: N/I`�
Existing PL'ODOSed
Hardcover: 0-75 '
75-250 ' 2 ' , !�
250-500 '
500-I000 '
Hardcover Variance Required: Yesp� No Date of Council Approval:
Grading: Staff Approval Date: � p By: Council Apprvval Date:
Septic: Staff Approval. Date: � BY�
Zoning File:� Ibdy Resolution n: Resolution Date:_
Rffi�RKS (in house) :�. SoL�n o,v �2t�j 't-� � s� rel��� �
" . ' ."'_"' .._ . . _ .�.�.�.. � � - � '- �� i
BIIILDING REVIEW CSECR I.IST � ,
�C: ��/ �� CONSTRIICTION 'I^�PE:�.�_
Sq Footage $ Per Sq Ftg _
BaseTe_^.t x _
1st Floor X _
2nd Floor X
Garage X = �v
�IL 1 l�o x __ s�=oo / -
TOTAL
$stimated Construction Value: $ � f Z 4 U�
red: Work Reqniring Separate Perm3.ts:
Inspections Requi i Grading/FiZling
Site P_umbing
Mechanical Fire
Footing Se�tic Water Connection
�rramina ' Sewer Connection
F�-eplace
Insulation (Mascnry) Other
Wal? Board �Mfg. � Wel? State Permit
_�Final Electrical (State Permit)___
---Otne="----------------------------------------------------------------
REMARRS (IN HOQSE) :
-------------------------------
R�.'VIEW BY OTHERS: DATE:
Access : Exis�ing New
Access Approval: Date - __________________-
----------------------------------------------v-------------
RSMARRS (TO B$ NOTSD ON PERMIT) :
, CITY/OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ 1 �� �"J ,� Date Received: � � �/
Date Approved:
Entered By: � ����� � ->.,�. -
�� Permit#: , `S�� ���?
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WZLL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
Z'HL APPLICANT IS: (circle one ) OWNER or CONTRACTOR
JOB sz� Annx�ss: �r,��c� L���t� L�ti-'��R .��,���.� l�{c��tN�� ziP: =�5�3C �f
(work)
x� oF owu�x: l,z%r"L��iI�N� 1.� , �c�;c��'�l�l-ArJ�:' pHorrE: (home) �17,� �Fl(; t�
MAILING ADDRESS: (O�Q L��-�A- l-I/.���- /�l,�C. CITY: ��Gc:(ti!� ZIP: 5_ 5 3(,�
CONTRACTOR: C'�%/+%�=�� PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure � Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : �C-� Ct����!� IJc=�tlJ�(.� '%G� S�(P�Uf�`%
�� 5C//�C?!� �C���� ,�5 f'zI j%//�C:- �'G%�.�Si/�L=��t /!Ue"��
STORIES: SQ. FEET OF EACH FLOOR: /L:C% S��L�T
NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. �
$STIMATED CONSTROCTION VALIIATION (egcluding land) : $ 3;.�LS
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
that the work will be in accordance with the approved plan.
� �/> J d
APPLICANT'S SIGNATUI2E: �-��C,�:���-- ,�� J�e-�lr DATE: S y��-'[�!
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'� �'``�"'"- Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
a
� � - � . � 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 3.ike 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 confidentiaZ information.
You are notified that:
l. The information you furnish wil.I 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 Iocal , s`ate or
federal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Councii ac�ior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
'�1C.(.C A-H( �� /�;��Ct�/�/L.1/�l
First Middle Last �
l'C"i�� �G�-ll�- L�r�.�l.��l- ,4�vG=. -
Address
l�'�C3 U./J�a /`'�/� � �f� �'-7
City State Zip
�,C��� �1"(,C%
Phone
I understand my rights as stated above.
�� ?. �/_ ����c_���-�>
�.���c��, f�.� � -� _
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATIOIV&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�.04 RIGS15 OF 3IIB.7ECTS OF DATA � �
gubdivision 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.
Subd. 2. Information required to be g��� ����L An.individuel asked to
' su ly private or confidentisl data concerning �msl�n the collect g state gen�Y�
puPrppose and intended use cf the requested data w
tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested dats; (�) �Y
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized bY ividual iseeskedito supplyeinvest gat ve� data
requirement shall not apply when an md
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue me role�� t� re°und lnstructio uinsteadh�s
subdivision in the individuel income tax �r
on those orms. . . ---- - - -
A�� � �� � ����. Upon request to a respcnsible "
Subd. 3.
authority, an individual shall be infor ead�h ublic,pr vateeor confidential-e UPon �
individuals, and whether it Ls classif P
further request, an individuel who is the subject of � to himrlande if heudesires, shall
individuels shall be shown the data with°of�hBL d�ata� After an individual hes been
�e informed of the content and meaning t� �� need not be �sclosed to
shown the private date and informed of its meaninB. ��t to this section is
him for six months thereafter unless a dispute or action p
, pending or additional data on the indi of� h�a e�or p blic datarupon request by
responsible authority shall provide copies P �ible authority may require the
the individual subject of the data. The cespo �n the
requesting person to pay the actual costs of makitig, certifying, ar►d comp g
copies. immediately, if possible, with any request
The responsible authority shall comQlp � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complianae is not ,
excluding Saturdays, Sundays end legal holidays,
possible. If he cannot comply with the req�et �t wit�n w�ch teh mQ1y with the
individuel, and may heve an additio� le ho days•
request, excluding Saturdays, SundaYs �
Subd. 4. Proced�a'e when data is not accurate or complete. An individuel maY
himself. To
contest the accuracy or completeness�of public or p�VBte � the�respo�n.s ble authority
exercise this right, an individuel shall notify in writing
describing the nature of the disagreem io �aC����oren omQlete and at mpt te
days either. (a) correct the data found
notify past recipients of inaccurate or ine�o1mPl�e�t h�belie esathe datal o be correcty
the individuel; or (b) notify'the individ
Date in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. eeled ursuant to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
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- ; _�C Si�� �� i:'�_�iI�J GRADING PLAN
HARDCOVER CALCUTATI�N WORKSNE i � !��`��'��+.,���'�'d.�i
SETBACK ZONE: �CIRCLE ONE) O-IS� JS-?SO� 2SO-SOO� SO IOIIO��`��a ��Ap.r � �`5i;,j� ���;�I,j���S
EXISTING HARDCOVER [N ZONE �-� 'r_iJ.::°i�'`�"i'`'' '' �L�c/f/f�YI--
---a. House :s0, 3--- X 2(0�3 rS��'f�-__S��
LENGTH W I DTH ��?'-�-- -� -��—.?� �
X S.F�
X ' S.F�
X S.F�
X = S.F.
B. GARAGE ZZ•2 X Z� � z�3 S.F. S
, C. DR[VEWAY � X � • v � 5 S.F. C
�_ X � = �y� S.F� D
D. $IDEW„LK � S�F.
�
S,�p S Noa�. x = 10�7 s.F. �
X = S.F.
� E. PATIOI
DECK 8 x Z(� �pO S.F. �
F.LANDSCAPE X S,F.
AREAS
UNOERLA[N
BY X S.F.
� ' PLASTTC . �
SHEET[NG
, X S.F.
�`
X S.F.
G. OTHER X S.F.
---------
TOTAI HARDCOVER IN ZONE - � 2 S.F. ❑A
� T07AL PROPERTY AREA IN ZONE - �� S.F. ❑B
' a f =Q DD X ioa = �3—�
�{ Page 4 of 6
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in ful! �ompllari�e v^ih a1i ap}.-�i�ca�e b�1�;ciing & zonin�; oacfe re•
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