HomeMy WebLinkAbout1997-009409 - deck & gazebo - 1� PERMIT
` CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 -;:=��»',;.}~`=
Crystal Bay, Minnesota 55323 Permit Number: .:_:.:��:4.:5_.
Date Issued: ;:;:_�� � � -:��
(612)473-7357 -
� SITE ADDRESS:
I _ {'4u:�.�;_..=�:��sWt;:i�� �°_;�
I
I DESCRIPTION:
� ... -. - _
.._.;1 � �1 i t'� ;'"��'l'Ci}= _ ( l(='�' M��"'_"�-�Ev'1�r'�;�'i s�_F!..�E=�...
'_.' i i�!t twf'_3 jkirl i'�:, i i�'F1 S.`•�_:.�:.
.��:(_. I i i�C Lif-=.'a t;:�id !;`—.,_;
t.�. ..��_%•'ta�_�.��_��i t ',.•'��f.s ��i:w
w:.=�3?"s 1?�';: i�:i"''.'�.0 iW+
_ :a'E"i'�r:�; f;f,�i�,;�� I'..':�:"1 .'-'���.. . �i;�'` __:1-!'`ti���:_
REMARKS:
FEE SUMMARY:
._��w . _.._ � � �;T- . _-``=
�`1 �.{s-: �:;:-?'� _�.s1� �s;; _.. . "�:
���,;, _ ,��� ______ �=:���.�'t�.'
. w�n:t . __ ^�`_ � . .�`�.
.. .::.: , , , -
CONTRACTOR: OWNEF�:.._.., � ��
. . ._, . _ '_t:ts � .._. .�.�.!`,i
3�'�5'!-` ' ' #-�:i'-'� ![''� .�r't
... _ . . . ! i__... � . . ._.
.�:ty��Fs`x:SYS iei�i_ ���'. ...
- e i . ..._. ._
���., �..�f`'.,.t'_i'}����,�.7i��:%� i:_:'..�.w �� "s....._i P�.._� a t , `d.,..s>.}° �` .:.�i��_ji� _ �f �i: .. �",: i� e iF� _., . . ._
.,. ; _
, � , i... _ .
•M �* a -:
.
��'��;-��=��� ���.:� ���'�'� ' :`� �"��'� _. .. `�1' �`� � .�[�_:: ; �������f�_._. . �._. . ; _.:v �'��'
.. _ _ _ . .. i_. .�. .: := :a ;•'�# 3_ . . ` �:._ � .a � . _,
, -; ,. , .— _ ... _ � ;
r . �,
: , . , .. _ ,: . , ,... t: ��.�- ,
: € : - . -
,: . . � _ _. ; :._. ...' ._�s. .i ._ . ,w�W.�.t� �: . _ . .,� � ..,. �'.. � '� ... . . �� .
L �,..., � � -. .__. �
, j �
APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
� y .
� Total Fee: $ /� �� a� Date Received:
Entered By: ,�Q,�� Permit#: J�'�d 9
CITY OF ORONO - BUILDING PERNIIT A,PPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER CONTRACTOR
JOB SITE ADDRESS: 1�3 (YL,,,�c�'��c,�o�.$ . ZIP: ,S.s�"�l 1
NAME OF OWNER: ��,e✓��� �ho�So�' PHONE: (home) �')�� Z 6g�
(work)�'7�� O�S
MAILING ADDRESS: p X � CITY�r9,�2��,0 _ZIP: 5,�3 �
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
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 detai�: Dc`�L w��'�► � (�o o�' �,N p�t� � �`��
STORiES: SQ. FEET OF EACH FLOOR:
NO. OF BED GARAGE STALLS: ATT. DET.
2 � �ne lJZ /''�(J7��A�� -Y'cd Y. ��'�t�--
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ' '�06 s a � ,,„ �1,� ►Abor.
, 1 rY��
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 accordan with the approved plan.
APPLICANT'S SIGNATURE: DAT'E; ���1 J � /
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
5
� _ I
Sec.13.04 RIGHTS OF SIJBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning lumself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or co�dential data;a�(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or nrooem tax refund
instructions instead of on those forms.
Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,ihe data need not be
disclosed to him for six months thereafter unless a dispute or action pursvant to this section is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so infotm the individuat, and may have an additional 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 corcerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the namre of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or ic�omplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disctosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 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 fumish 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 shazed with other local, state or federal agencies to the extent 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.
�v�� � �� s�~
First Middle st
�i U ,/K �.r�l?���" ��,
Address nA�+ ����/ �n� � ,r+�
�-�—�...�� //( � /?l '
v�
C��y State Zip Phone
I understand my rights as stated above.
Signature
6
• CAECK OFF LIST FOR ISSUANCE OF PERiVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �t C� rlitv tZTut.V�a�o� 2�a�
PID:
DESCRIPTION OF WORS: �z� t- <op,-vEQp
ZONING REV�W BY: DATE APPROVED: 9-�2-5 7
BLTII.DING REVIEW BY: DATE APPROVED: S- �z-S'�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �" 1Vo , . .�
PLAN REVIEW Yes � No SEWHR COI�TNECTTON
STATE SUR�HA�LCrE Yes r/ No WATER CONNECFION
INVESTIGATION-FEE Yes No PARK FEE
SAC Yes � No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONIlVG CHECK LIST Zoning District: 2�--�4 � � ~
Fire Department: Post Office: School District:
� Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes c- No Date of Survey: p N ��� .
Proposed Setbacks:
Front (Lake): . Right Side:
Reaz(Street): Left Side:
. Adjacent Structures: /�Tr�o.u-rc_.� Wefland: �Zp' �
Building Height: Def. Hgt. D• 1G Peak Hgt. —
Lot Coverage: N 1 l�
Grading: Staff Approval Date: /J � By: _ Council Approval Date: `
Septic: Staff Approval Date: Af (� By: '- �
Zoning File: # Resolution:� Resolution Date: '
Shoreland DisL-ict:
Avg. Setback: Bluff Setback: LotCoverage:
� � • Exiscing Proposed
� Hardcover: 0.75'
75-250' . . .
Z50-500' . .
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval: _,_,
REMARSS('in house):
• 26 .
BUII.,DING REY�W CHECB LIST -
usc: 2 3 CONSTRUCTION TYPE: vn�
Sq Footage $ Per Sq Ftg
. Basement x _
� . lst Floor � . x _ . .
.. � 2nd Floor . x , _ . . .
Garage x _ :
e�. _3tt�os f x l0� _
y�Y . cu.�.t _�o��
v�� TOTAL
Fstimated Construction Value: $ �,c�c� � � �
Inspections Required: • Work Requiring Separate Permits: -
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection --
9C Footing Septic Sewer Connection
oC�Framin8 Fireplace Lawn Irrigatioa
Insularion (Masonry) Other �
Wall Boazd (Mfg.) Well (State Permit)
-�F� G�d�b���8 Electrical (State Permit)
Other
REI�ZARI�S (IN HOUSE�: �
REY�W BY OTAERS: DATE:
Access: Existing New
Access�Approval: Date gy; �
REMARBS(TO BE NOTED ON PERII�IIT�: •
. . _ 27 , _ � - ". .. ��j
� �
o�� I �
.. 2 (A
, < �
�� Q � � � ��
� � � � � � � �� :
> `'
F- � � W C� n � � �9tl �
� a
� �
� � � �� � p � � � ��
� U� � �. � � � ° ,� � � •
�:�=� � � � � � � °� � � � � ,
� � � � ! x � i � � ��
�'" � ? � Q , : �' �w � C�= '
� t93 i,+J �q„+ ' ry� '�r'�+ a-' f �
� � � � � ! i � � � �� �
�� � � ~ � ( �p a'' � � .
;:> c 1p V7 Q ) ^-� ,
� J � � � � � � �
� - � � o $ � � + � �
� F-- �- - �
4� � � � �
Q � o �
;� � � � O
X
� - -
� _ '- ?ii y
' � � � �
------
�
__ .S
_ �
�'
� �
- �
V
v, ,
.f'''.
W ��
- � �y//CCy�yy �
�\ _ � � ^ � 1A
� � V
_." � y,� �
a
- �
�
� -_ _._ '
�
I— .M.� -
� 3 � M
� � _
� `� � _ �
� �N � R� -- - - _ _ . - ►
�:� - c� �
..� `� ,�
.. tT�:� �
- �
� `- � � -- -
--- ----
'�= Z
� � y 4 �� j U
�..: ��;. � � ` / __.__ i
� ��.� �, � �
�? �� � U � � � `o
(�3 t�. � '' ° �
� . � �� '� � �
� d �
�
,:�
�i
:�,
___ _ �
� �
�
;, � �����
� ,�
� ���� �� �.
;
�
�
o .
„
9� ;
�, ; �
� � 7
c�� N � 1
I •' �
� � �� .s��d h (�'D 31�°d �x�. �,
= �;,
�
I � � ` i�! !
� �,
�-� �:l
_�
1
� ` � � -- - - - --- �i'
�' _ _ -- - � -
,� �
��� �
. �--�\ 4� ,,�
t �o
�
�'�� - }� �o ,�� � r �i- �' �\
G"�G �\ � N
F � � G � � '
.� �� /�1��J, �
��ZZ' r J l �. �
� - �
r"'� � �c� , �•z
\+ �j�v�°�° .�`� \
�y'���Q ti
. � ��� ��
� ►J � r'� ''/
'� Q \} _ � $Z Zo
,,� • � � ' �
N �V' `� � `" ,
.� �.
I ,
/
, IV ��
N �
,
. �
� �
;
� `�) �
O /'I
� �.
\ v
\ � � 3 � ee`'" � �
� °
9,6 0 }..
�/�� , �' �
�/o, f� � -
. . . ,
� _ ,
,,
_._.._�.�.�..�...,�,...,..�,,�,..�,.�.w'""(�
.
, ��� �F �i���o
� ss�r� n�r��; G�ADING P1AN
l.ot 7, alock 1, MYRTLEWOOD '� '��r'��`'`-�jy�`�`' � �� } �����
,r,;_ .�,,. _ -�.., �� ���^1C"�S
�� r,,;�; ;,+�. :�� ',.; �;� ;_,�1�,�� �
. `,�lrt� ,(J�' :�. .
� �111.'i-'� � - �✓
BY N— �
must be checked with approved building [}A'�� 9-I Z- �r
istruction.
xn plata of record or information provided by •y,;
a
, .
i uid correct ropresentatlon of a aurvey ot the ' �
I Isnd and the locatlon o}all bulldln9a and v(s- � . � �'��
r on aald land. Signed ✓�-�
roi October �9 9� aymond A. Prasch Minn. Reg. No. 6743 � �
' r,
DATE � '� T� n
CITY OF ORONO CALLED IN L�� C��� .-�
INSPECTION NOTICE �f SCHEDULED �i' -�>7 10: 0���
PERMIT N0. L D� COMPLETED
ADDRESS �-�
OWNE CONTR.
TELEPHONE NO. `7 �C-� '" �1L���J
� DESC ON �►L�K
� 1 FOOTINCi � 77 MECHANICALRI 18IXCAV/(3RADIN�/FIWNO
� 02 FRAMINQ 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= p5 FINAL 14 SEWER HOOK•UP 06 PROdRESS
~ 07 DEM��ITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�.
�
O
ti
W
�
Q
�
Z
W
�
W
�
�
�d WORK SATISFACTORY:PROCEED
- PROJECT COMPLETE
W ❑CORRECT WORK 8 PFOCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN -
❑STOP ORDER POSTED.CALL INSPECTOR
!:CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra s te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice