HomeMy WebLinkAbout1996-008525 - deck � � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;l_i�;.,,fi�;�[;
Crystal Bay, Minnesota 55323 Permit Number: {_}i�;_�;Y�
(612) 473-7357 Date Issued: }f.a.;:�;� �y��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - r;F�F��. ;=ci;t- - 't�� . �_�:r: OWNER:
f'i I LLE�i :Ti�:lEF'H 1��'�;;:51 i:�, t:+i ii i��.?:y H�ii t i :�f�:t}
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PLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE � ��,
� ! •
Total Fee: $ a�- �� Date Received: 10 �z.3/9�
Entered By: Permit#: �5a�
CITY OF ORONO - Bi.TII,DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforncation)
THE APPLICANT IS: (circle one) OWNER OR`ONTRACTOR
JOB SITE ADDRESS: � �..v� �c,w�. Z:��¢ ZIP:
NAME OF OWNER: �`��nn� ��w-c. t�8�w�. PHONE: (home) 4�2- 34�I
(work)
MAILING ADDRESS: � I.,�eu. �a,�•a,. i�'c1�i,2. CITY: O�o +^-d Z��
CONTRACTOR: �os� '�. ��(I�r PHONE: �t2- ��o,�'
CONTACT PERSON: MOBILE AGER: Ur4�-S[co9
MAILING ADDRESS: l���� .�P Av� lkU,� CITY: Lak�v�ll c. ZIP: 5�c� 4
STATE LICENSE: #c�o s i�v
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#{
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: ���,i� �/��a
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �p oop
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.
APPLICANT'S SIGNATURE: DATE: lo-23 ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
6
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Sec.13.04 RIGH'TS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The righcs of iadividual on whom the data is stored or to be stored shall be as set focth in this secdon.
Subd.2. Information required to be given individual. An individual asked to supply privau or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,po6acal subdivision,or stacewide system;
(b)whe[her he may refuse or is legally roquired to supply the requested dara;(c)any lmown consequence arising from his supplying or refusing to supply
priva[e or confidendat data;and(d)[he idendty of other persons or endaes auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigadve dara,pursuanc[o secdon 13.82, subdivision 5,to a law enForcement officer.
The commissioner of revenue mav place the norice reauired under chis subdivision in the individual income tax or propertv tax refund
instrucrions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her it is classified as public,private or co�dential. Upon his further request,an individuai who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and:if he desires, shall be informed of the content
and meaning of that data. After an individuai has been shown the private data and informed of i[s meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this secrion is pending or addidonal dara on the individual has been collected or creaced.
The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsibte authoriry
may require the requesting person to pay the actuai costs of making,cerdfying,and compiling che copies.
The responsible authoriry shall comply immediacely, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Satutdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques�
within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himse►f. To exercise this right,an individual shall norify in writing the responsible authoriry describing the nature of the disagreement.
The responsible aurhoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempt to nodfy past recipienrs of
inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he betieves the data to be correct. Dara
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinarion of che responsible authoriry may be appealed pursuant to the provisions of the administraave procedure act relating to
contested cases.
DATA PRIVACY 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 pemut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You aze notified that:
1. The information you fumish will be used to detemune 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 local, state or federal agencies to the eztent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�'�-�u�i• "� �'t',��`'1l'
First M�ddie Last
I�-I�I -f-�a.�u �C�V�.
Ad��.J�«d in'I�/ 5�44 �12- 5105�
C�h, State Zip Phone
I understand my rights as stated above.
.
Signa
, �
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �� tr,�.`c� �;�v� P����,
PID:
DESCRIPTION OF WORK: ���i�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEVy BY: �- �. 2,, ��ry�,�-. DATE APPROVED: (� • � 7-�(..
BUILDING REVIEW BY: _ ,,,,,�t,� DATE APPROVED: f v >�—�'�,
----------------------------------------------� ---------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-------------------=---------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: `'.�:-r�
Fire Department: � � Post Off ce: �,�1v,%� School District: ��e s t-u�:;ir�`r
Lot Area: Sq.ft. �;J �;.iFr!lr���Acres �— Width — Depth '—
Survey Submitted: Yes �` No Date of Survey: f�c�- `1 - ��
Proposed Setbacks: �
Front(Lake): JDG� '� Right Side: 3� � +�+
Rear (Street): ,5 Z� '�' Left Side: r `��-'� �
Adjacent Structures: /�T'T7}c�l�C:�?a Wetland: �f,e2
Building Height: Def. Hgt. �t.�/�'F-- Peak Hgt. /L'/�
Lot Coverage: /���1
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: #� Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
n J ,� • Hardcover: 0-75'
� �� 75-250'
250-500'
SJO-IOOO'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
10
, ,
BUII.DING REVIEW CHECK LIST
usc: 2 -� co�rs�rxucTTo�r �E: �(�
Sq Foota�e S Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ fU,Uuv
�-�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal Mechanical Water Connection
__� Footing Septic Sewer Connection
_�o �Fram.ing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
REiI�IARKS(TO BE NOTED ON PERI'�IIT):
27 �
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Rp 5 � � ��►�
I�0
C�
P��,_
___._�. :�� �..z� -�� �� �. .�_ �.
GU�4R�RA[LS -� ���a;�r� �S �����
36" MIN. HEIGHT �����"�:��°1Ei� yv;T��s COR�'Ti4M9 AS NOTED
,�" MAX. OPENINGS � �.`��,+ �:;�����Eu -- cc�€tF�CT � RESu6wtiT
., ..> �_,:�s�...°s �re ficr y�nr it�'crmaE7i�n.AN vrorlc shetl ie IElt�tr
: a�?; c�r:�n?�� thiF�s aPi d�pp�rap�d+e f¢+�;� i Zs�M�!�
Pr o p o s e d :�.a�,.c�s ir�su:�ing ttsms neR �p�dllCallit nb1e� h4 QA�s �pr,
D e� k �F� T'�'S �td�cr �t' ��''! �:A'�' �.� �'M�l�
� ��} � 2x6 Cedar Decki�g
2"x1� T�. Flao� Jo;scs 16" O,C,
�� � � 2 2x10 TR, G;.de�
�� 6x6 TR. Poscs
, 42"x16" Conc�ete Foot;ngs 2500 Ibs
fi � � . � � .
---- -
- ___--
.,-=,:=_-'�-=--:-- -2"z.:TQ"--�--.� Ba 1 scers 4" Spac i�g
. . ----�-- � a
� � G�eam 3�V'jj�;;,�� 36" G�ard Ra i 1
� V V�
O n ��r' �� �
,s. Y'f'O�:7 G S E C7 �;�, Sca I e 1/4" = 1'
[� rn
� � _ Deck \ �
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� ��Beam 10�� � � � + �� ����� �_���J
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Concrac<or'� �
Joseph R. M;11e� ��o�s<, Co. _- ._..._:__
� ��cz i���� L'�`'rl���/,�/,1�z. , _ _
�;���000ss�o �c.� v,>l .�� ssZ,`1y 117 ; �� I � -, �
aho�eu aa�,zs 'q"ztL 57�5`� ' ' � � I
Owner: ' ' ' . . ',
Jim E Jane Holm '�-
95 Luce Lane Ridge Scale'� 1/8"= 1'-0"
Orono, Mn� � - '
i�_—___ --- -- ��,
Phone#47z-3471 � — � ''
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ST/�►l RS
8 MAX. RtS��t 9„ ►�IN. TREAD
„ 6 $„ �,€,,�. N��A���c:�� SP�CtAL NOTE
AT �EAST ��^�� ��:�w���"�- R�=��I�E� 1 c�C� AZ`TA�i-�ED Sa-iEET
:_,�,�;°.'��12:�IL OFEN S�D�S�� 1 �'�R (-IAN�121'�I�—
C�DE REQlJ1REMENTS
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OATE TIME
CITY OF ORONO CALLED IN //5'�
INSPECTION NOTIC� SCHEDULED ,� nr r-3 a
PERMIT N0. � � COMPLETED ��_ ✓1
ADDRESS �
OWNER CONTR.
TELEPHONE NO. R 7�- 'SiO�
� DESCRIPTION �-h�
� �� 11 MECFUWICAL RI 18 IXCAV/(iRADINCiIFIWNQ
�Q 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHORENVETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FlREPUCE 34 TREE REMOVAL
Z 04 WALL BD. 12 WA7ER NOOK-UP 17 SITE INSPECTION
tiQ p5 fl� 14 SEWER HOOK-UO OB PRO(iRESS
J 07 pEM�SITE 27 SEP71C MAINT. 21 COMPWNT
�Q 07 DEM�FINAL 15 SEPTiC INSTALL 22 FOLL01N-UP
= OB PLUMBINO RI 23 SEPTIC FlW1L 35 HARD CpVER REMOVAL
v 10 PLUM&NQ FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTAACTOR TO MEET YOU: YES_NO
y COMMENTS:
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d �WORK SATISFACTORY:PHOCEED �PHOJECT COMPLETE
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� �CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advanoe.473-7357
OwnerlContra e:
Inspector: �
Whib Copyllnspector's File Canary CopylSite Notk:e
� �� � ys ��� �� ��
6io8o � 004- 4�� �3�
SURVEY FOR: �. A . CAf2C.S01�! I�ONIES Pre ar �� � � �
...� ., p ec� By. ���� ���� ���� �����
` SGH4ELL & MADSON, IN�R������
_.-------
. ,,;.,., �, ,,_ '�----�- Engineers • Surveyors • Planners • Soils Testing
` � 10550 Wayzata Boulevard
I � � _. _ �
�o , . � .,_ , � Minnetonka, Mn. 55343
� � • � ��.� ,%lc � Te1. 546-7601
� � - - � ` �`�S���CRIPTION:
I �� `� � � ��3 Lot 2, B ock 1 PAINT
� , 'q3 _ _ _ _ � . ERS CREEK.
o _ _ . :�_�� - �=- -_
� \ �32�. �_ _.._._�� �^ - I - -- -- � BENCNMARK:
. � _�___.._---_______._ ___----.-
� ^ pipe as shown. Elev -
� I � � Top of 1-inch iron ation -
� ' I 1023.3 (NGVD-1929).
NI I I ' GENERAL NOTES:
! I � I •••,M�OjQ 1) o - Denotes i ron monument found.
ev �: .., 2) � - Denotes nail set.
` � ' S= �;��o� 3) ❑ - Denotes wood stake.
4) x1022.7 - Denotes exfsting spot elevation.
� � I � �S9'�•• 5) x(1023.5) - Denotes proposed spot elevation.
1J � ��� 6) • .� - Deno tes direction of surface drainage.
I � ' I �' 7) Proposed top of foundation elevation = 1023.3. �'
8) Proposed garage �a'ti`on���`�'�'�`�,`�;"`"��'"'
,ol �1O �o � /� '••.��� 9) Proposed basemen floor e y'����n '=a� �;'�
f�- . � �� � s> a,y �; . � ������ ��
l � �� /'. � ,i.; � ; __ _ . . �i�'vG h�L/�`� )
� � �`� °'� P_� ,�P���Jt�:�D oCuc I
'�� � o � ���0�4,� � 2�t `_^ �PP�G`k'�D ; -;: ����
' � J . � , . v��/��Q9e ��oZQ�,� �i D!S ��Pad'4`_ ��
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I hereby certify that this survey was prepared under my supervision and that I � � ' o�° � y°� �°� �(j
am a Licensed Land Surveyor under the laws of the State of Min esota. �
\ v / a,`3 � NORTH
Date: October 4, 1988 �
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eo ore emna ° � \ ��o M�
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Land Surveyor MN Lic. No. 17006 �� � G
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