HomeMy WebLinkAbout1995-007284 - decks PERMIT
CITY OF ORONO - � PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � _ _y"u�=
Crystal Bay, Minnesota 55323 Permit Number: . _ . .,_ _
(612)473-7357 Date Issued: _ _ -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: QVYN.ER: - � - _ - � - �
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PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
_ * y CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFIC�E USE ONLY
ADDRESS OR I�EGAL: 3'306 IU u4 V tA tZ 2L UA N�'�- pID=
DESCRIPTION OF WORR: t.�-�-fL S
--------------------�--�--,�----------------------- -
ZONING REVIEW BY:__S�J�,� (SJJI�v�,e�._ DATS APPROVED: S - Z� � 4 S
�'
BIIILDING REVIEW BY: DAT$ APPROVED: � ' 2� -4 Y'
------------------- -
F$ES TO BE CHARGF,D: Misc. Fees Calculated By:
PERMIT Yes c/No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes—� No WATER CONNECTION
INVESTIGATION FEE Yes No � PARR FEE
SAC Yes No-v! SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------ •
ZONING CHECR LIST Zoning District
Fire Department: st O �School District:
Lot Area: Depth:
Survey Submitted: Yes�C No Date of Survey: �-Z 5-��
Proposed Setbacks: 9xiv g x'2 9x�� 8 x�'2-
Front (Lake) : 't N Right Side: -Zc� '� �
Rear (Street) : N/�9 $0��' Left Side: S''Z�� 60�- w
Adjacent Structures: ���� Wetland: I'���-
Building Height: Def. Hgt. Peak gt.
Avg. Setback: Lot Covera e:
Existing Propose
Hardcover: 0-75 '
75-250
250-500
500-100 '
Hardcover Vari nce Requi ed: Yes No Date of Co ncil Approval:
Grading: Staff Approval. D te: B : Counci Approval Date:
Septic: Staff pprova]. Dat : BY:
Zoning File:# Re o tion Resolu ion Date:
REMARRS (in h se) :
I
I
BQII.DING REVIEW CHECR LIST • • _� .
t
IIgC: � '� CONSTRIICTION TYPE: V�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor " x =
2nd Floor x -
Garage X -
x =
TOTAL
00
r
$sti.mated Construction value: $ 2, Sa� _
Inspections Required: Work Requiring Separate Permi.ts:
Site ' Plumbing Grading/Fil.J.ing
�Footing Mechanica� Fire
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l Board (Masonry) Lawn Irrigation
ocFina7� (Mf g.) Other
Other Wel l (State Permit)
Electrical (State Permit)
---------------------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------------------------
REVIEW BY OTSERS: DATE:
Access: Existing New
Access Approval: Date BY=
-----------------------------------------------------
REMARRS (TO BE NOTSD ON PERMIT) :
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CITY OF ORONO - BIIIZDING PERMIT APPLICATION
� � Date Received: ,��„z2�j�
Total Fee: $ /�{� ,� y
Date Approved:
yntered By: � �,�,�-
Permit�: ''�,Z�``-f
�L INFORMATION MIIST B$ SIIBMIT'�BD IN FDLL BEFORE PLAN REVIEW WILL Bg STARTED
(See Check-aff List Enclosed)
------------------------------------ -- --------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: � ���CC� � �� ft(z2� 1-:a N �. _ ZIP: `� .�3�1 1
(worx) ���1 l -{%�?-7 3
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:7� OF OWNER• � .� y „p+�c N PHONE: (home) i-I �) �—c�`l�� 3
MATLING ADDRESS: ��EX"� Iv�ctT�f�rt-r; LR-r�E CITY. ` '�/_�'1..�'�►�c; ZIP: �.5 3`�, I
CONTRACTOR: ����,�; ,�,� PHONS: L..� �-� � -c� Z� �
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MATyING ADDRBSS: ��,.�,,� �� --� 8 U��E CITY: ZIP:
STATS I�ICENSE: �
c�RCHZTECT/ENGINEER: PHONE:
MATyING ADDR.$SS: CITYs ZIP:
i1�: R.BGISTRATION �
TYPE OF WORK: New Addition Accessory Struczure Move
Demo Remodel/Alteration Renovate_� Land Alteration
PROPOSF.D WORR (deSCZ'ibe iII detail) : ��i N�.c:v� �k�s i cr-� �crc c> -� �-����
. .___.__
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��l vL�, �- �. ���� L•S-� � r-�� � e i0 �.dt-t.�c- l ,� ; ��-t tv e.L-� �-z �. �L��,
STORIES: SQ. FEBT OF EACH FLOOR:
?70. OF B$DROOMS: GAR�GS STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ � = �'c'�`--
I hereby apply for a building permit and 2 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 an work is not to start without a permit; and
t�at the work will be in accordance�. with the ap roved plan. •
� i �
APPLICANT'S SIGNATOR.E: �/� �-�! O// _ DATE: c�'- z �-���
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�t .�"^���,;
7r� �
,����-°��� CITY of ORONO
Post Office 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
I.icense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. 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 iocal , state or
federal agencies to the extent necessary to process the permit or
3icense.
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 priva��
data on yourself.
6. Y�,ur full name is required to process this applicatian o�
permit.
__
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`� _��y� �,-,t,..,, � ���� c tf���,5� �--�--��c�
First Middle Last
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`_�� �.�. �A ,��-r�-RCLt= �r-� ti L.
Address
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City State Zip
,� -� � _ �, 7 �-� �
Phone
I und�/tand �my rights�s�tated above.
, �
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BUILDING&ZONING—473-7357 • ADMINISTRATION&F[NANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
, .
�.04 RIGHTS OF SIIB.TECTS OF DATA �
Subdivision 1. Type of dat�- The rights cf individuels on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required
to be gi�en in���L An.individuel esked to
� ' u 1 rivate or confidentiel data concerning 1um�si�n the collecting state gency,
s PP Y P
purpose and intended use of the requested �ta v refuse or is legally
political subdivision, or statewide system; �b� �ownrcons quence arising from his
required to supply the requested dats; (c) �y
in or refusing to supply private or confidene��Wata�ceive he data•1tT1�-
supply g stete or fed 1 �vestigative data,
other persons or entities authorized by
requirement shall not apply when an indt�viaia en orcement offlcer.
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 ert tax re und uistructions instead o
on those orms. . � --- - .
Subd. 3.
Access to data bY in���' �Pon request to a responsible
authorit , an individuel shall be informed Wh ublic h r vateeorueonfidential.e Upon his
y ublic data on
individusls; and whether it is classified as P ' p if he desires, shall
iurther request, an individuel ��8 Withcut any charge to himrlande or Q
individuels shall be shown the of that data• After an individual h�s been
�e informed of Lhe content and meaning the data need not be disclosed to
shown the private date and informed of its meanin$, u��t to this section is
him for six months thereafter unless a diSPute or action P t8 u n request by
endin or additional data on the individusl hss g e or p blic da °T �egted. The
� P g rovide copies of the p require the
responsible authority shall p The res onsible authority may �in the
the individual subject of the data• P and comp g
requesting person to pay the actuel costs of making, aertifying,
copies. immediatelY, if possible, with any request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, SundgYS and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so inforth the
P hsve an additional five dsYs Within which to comply
individual, and m S t���� 5��� �d legal holidays•
request, excluding
dure when data is not acc�ate or complete. An individual maY
Subd. 4. Proce himself. To
contest the accuracy or completeness�of public or private data concerning
exercise this right, an indi�� S� notify
in writing the responsible authority
describing the nature of the disagreement. The responsible authority sha11 within 30
� either: (a) correct the data found to be lete data�includin6 Peec pients namedt by
�
notify past recipients of inaccurate or mcomp
the individuel; or (b) notify the individuel that he believes the data to beement is
Data in dispute shall be disclosed only if the individusl's statement of �8� to the
• included with the disclosed data• be appealed pursuant
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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� gpECIAL NOTE
( SEE ATTACH'ED SHEET
IFOR �_�o,,.�p(L4�u
I z-z�.a f CODE REQU�RE�ENTS
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. ►,k� NOT� A.f;r^E'crJVY� -- CQF26'eC�T' & RESUBNIIT i
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''ha:,e comments �re tr,r yow in`armatiari- All work shal{re la�R � - - �
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•'. ;r��nts iR�lud+nR items n�t speefficafly noted �n thr� res•Wt� i I; I y EM� �u��N�
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\ ' AT LEAST ONE HANDRAIL REQUIRED
� ._ C =� �`��� � Gt1ARDRAIL OPEN SIDES
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DATE TIME
CITY OF ORONO CALLED IN � / ��
INSPECTION NOTICE, ���'� SCHEDULED 9� �� 3 �
PERMIT NO. � COMPLETED � �
ADDRESS < <
OWNER CONTR.�,,�Z�-�f
TELEPHONE NO._ '��/ -� 7% 3
� ON���
01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR f, CITATION ISSUED
� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract sit
Inspector. `
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN <'O /ic/'% �"
INSPECTION NOTICE SCHEDULED � � y � 1�' -=�'
PERMIT NO. ��.��-�� �� COMPLETED � �
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 95.FINAL,. 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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J
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� CORRECT NiORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th ex inspection 24 hours in advance.473-73rJ7
OwnerlCon a r o si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice