HomeMy WebLinkAbout1993-005304 - 13x14 deck , PEI�MIT
`` CITY OF ORONO
2750 Kelley Parkway • P.O. Box 815 PE�iMIT TYPE:
Permit Number: �'����'�'��`'
Orono, Minnesota 55356-0815 `-��-'�='`-'�
(612) 473-7357 Date Issued: i;7/j:�;:;y.r;
SITE ADDRESS:
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REMARKS: �'"r ' '�
FEE SUMMARY:
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CONTRACTOR: — �:��F�l i c��Et. — OWNER:
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APPLICANT'PERMI SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO — BUILDING PERM.IT APPLICATION
Total Fee: $��/ �� Date Received: � 'oZ/- -�J.3
T
Date Approved:
Entered By: ' ,�'�, permit�: ,�3l,�S�
ALL INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE P7�AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
TSE APPLICANT IS: (circle one) OWNER o CONTRACTO
Jos sz� Annx�ss: .�D ►� �- ��, zzP: .�5-3��
(work)
NA1�II: OF OWDTEEt: �(N� ���-l� PHONE: (home)
MAILING ADDR.ESS: �(e� � �� 72 CITY: ���� ZIP: ���
CONTRACTOR: (�� ���[.ti� PHONS: '�7�-Z.$��/
IKAILING ADDRBSS: Z�oO � - `Z� /�L-(}',J CITY: �-�u-r'•�1� ZIP: S��G
STATS I�ICENSE: � ����
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRSSS: CITY: ZIP:
NA1�: RSGISTRATION �
TYPE OF WORR: New Addition � Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ( �nI S?�t T- � ��� �g�-fS
STORISS: SQ. FEBT OF EACH FI�OOR:
NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET.
ESTII�SATED CONSTRIICTION VALIIATION (eaclnding land) : $ �� ���
I hereby apply for a building permit and I acknowledge that the information
above is coinplete 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 SIGNATORE: r DATE: (Q ��,�
d_
i r,
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Officea
•
� - � � 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 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 furnish wiTl be used to determine your
qualificatian for the permit or Iicense reguested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other �ocal, state or
federal agencies to the extent necessary to process the permit or
license.
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 private
data on yourself.
6. Your full name is required to process this ap�lication or
permit.
�/� /�
1 J�� /�L9�c GJ�c-C._ I�fl ��_�� _
First Middle Last
v��,/��� vJ_ ��c,e �(.-v'D --
Address
�/L1.61 Lt�✓,� i�'�N 5����'" --
City State Zip
�f 7,� -7 �- �'/
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
�_......�.-.�__.,___.__ ___..' _'______.-'_._._._�.__'_ ' __ . . .1 \
�.04 RIGSTS OF SIIBJECTS OF DATA � �
Subdivision L Tppe of date- The rights of individuels on whorn the data is
stored or to be stored shall be es set forth in this section.
Subd. 2. Informatioa required to be giv� �����' An.individuel asked to
� ' supply private or confidentiel data coneernin�8R►Wi�hfn thl e�ueC��g StBt age�,
purpose and intended use of the requested
political subdivision, or statewide system; (b) whether he may refuse or is legally
required to supply the requested �t� ��c nf ent al data;e9end (d)athenldentity of
supplying or refusing to supply private or
other persons or entities authorized by state or federal law to receive the data. This.
1 when an individusl is asked to supply investigative data,
requirement shall not app y to a law enforcement officer.
pursuant to section I3.82, subdivision 5,
The commissioner of revenue ma role�t tgX re°und�nstructio uinstesdh�s
subdivision in the individuel income tax �r
on those orms. . - -- - -
A�� to �� � ����. Upon request to e responsible �
Subd. 3.
authority, an individual shall be intormed whether h�rvateeor eonfident al.e Upon his
individuels; and M►hether it is classified as public, p � ublic data on
further request, an individusl who is the subject of e to himrland, if he desires, shall
individuels shall be shown the data withou�fen����. �ter an indiviauel hes been
�e informed of the content and meaning t� �ta ne�d not be �isclosed to
shown the private dats and informed of its meaning, ��t to this seetion is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the indi oduh h� 8teeor public datarupon request by
responsible authority shall provide copies P require the
the individusl subject of the data. The responsible��=�f�nity�d compiling the
requesting person to pay the aetual costs of makinB, Yi g'
copies. lmmediately, if possible, with any request
The responsible authority shall comply ' of the date of the request,
made pursuant to this subdivision, or within five �Yslmmediate compliance is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shall so inform the
individuel, and may hsve er► additionel five daYS Within which to comply with the
request, excluding Saturdays, Sui►daYs and legal holideys.
Subd. 4. Prnced�e when dsta is not acc�ate or complete. An individuel mgY
contest the accuracy or comQleteness�ef Pnot'��f ° inrlwriting the�respenslb e au hor ty
exercise this riBht, en individuel shall y �ible authority shall within 30
describing the nature of the disagreemenL The respo
days either: (a) correct the data found.tcom lete datae including reec pients namedt by
notify past recipients of inaccurate or in p
the individusl; or (b) notify the individuel ind�v dual'slstate entof disagreement is
Data in dispute shall be disclesed only if
• included with the �isclosed data• ealed pursuar►t to the
' The determination of the responsible authority mo��tested cases.
provisions of the administrative procedure act relating •
: � �
� CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: `�j �'t'� ;�� s�w..y✓l �14 PID:
DESGRIPTION OF WORR: I i.ic L� '�ZC'� 7'�'IL�'�t,f'l7 %"7.Y�7
------------------------- ---------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: [o " z�'—S 3
BIIILDING REVIEW BY: DATE APPROVED: C� ' ZZ �S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes v No SEWER CONNECTION
STATE SURCHARGE Yes �" No WATER CONNECTION
INVESTIGATION FEE Yes No �' PARK FEE
SAC Yes No �� SITE INSPECTION
Number of SAC Units OTHER ( specify)
------------------------------------------------------
ZONING CHECR LIST Zoning District: L /L''l�
Fire Department ost Of c : S oo is ' ct:
�
Lot Area: dth: e h.
Survey Submitted: Yes �� No Date of Survey: Y-L� -S3
Proposed Setbacks: r r
Fr�o�� (Lake) : �O(� -�- Right Side: S �
,
-i�xtr- (Street) : 2 2S ��"' Lef t Side: ��5 'f
Adjacent Structures : �¢�i9-�tf�t� Wetland: �//4
Building Height: Def. Hgt. J(��/Q Peak Hgt.
Avg. Setback: cU•K Pen si� �n�S�e�*-•on� Lot Coverage: N��
Existing Proposed
Hardcover: 0-75 ' �
75-250 ' � Y�� �'
250-500 '
500-1000 '
Hardcover Variance Required: Yes No � Date of Council Approva7.:
Grading: Staff Ap ova� Date: By: Council Approval Date:
Septic: Staff Ap r val Date: BY=
Zoning Fi�e:# R soluti n # : Resolution Date:
�F.MARiCS (in h se) : .
.� � . .,
BIIILDING REVIEW CHECR LIST
IIgC: $� R '3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg �
Basement x =
lst Floor x =
2nd Floor x =
Garag X =
'-�c ��.:� X =
TOTAL
..o,;
Estimated Construction Value: $ /��C%�—
Inspections Rern,;red: Work Requiring Separate Permits:
Site � Plumbing Grading/Fil�ing
�.Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
'Wa�l. Board (Masonry) Lawn Irrigation
_�Fina 1 (Mf g.) Other
Other Well (State Permit)
Electrical (State Permit)
------------------------------------------------------------------------------
��FMARRS (IN HOIISE) :
------------------------------------------------------------------------------
REVIEW BY OT�tS: DATE:
Access: Existing New
Access Approval : Date By:
------------------------------------------------------------------------------
REI�SARRS (TO BE NOTED ON PERMIT) :
. � �� `
�. �" -
HARDCOVFR CALCULATION WORKSNEET '
Sc?BACK ZONE: �CIRCLE ONE) �-75' 75-250' 2��-SQ�' ��Q-1QQQ'
EXISTIP�G HARDCOVER IN ZONE .
--------------------------
� A. � �OUSc � X `7(J = � /6�d S,F� L%
• LFi�GTH W IDTH
�� �_ X --_ = 387- S.F. a
. X = S�F.
� X � = S.F�
� X = S.F� �
B� GARAGc � 2- X Z' " _ ��U S�F��
�. ,/
C. DRIVEWAY ' Z� X � S = 32 Z � S.F� �'"
3 � x � � _ �Z � s:F.�
•I�`EPS d
D�. SIDEWALK X � T = s� S.F� �
/ X !O = �D S.F� -
� X = S.F.
E. ATIO/
�ECK .
• � � X = S.F.
F�LANDSCAPE X = S.F.
AREAS
UNDERLAIN �
BY � X = S.F�
PLASTIC� ' , _ -
SNE�TING
X = S.F.
� X = � S.F�
G. OTHER X • = S.F.
�• -- • . � -- - -
-- TOTAL HARDCOVER IN ZONE - ✓ S.F. � �
- TOTAL PROPERTY AREA IN ZONE � �..���. 9 S.F. Q
q (�G3I. 0 : B - 100 = � ;�
� �SSb� � _ � ti
� , �o
._.L, " ,
• r-
' ~ HARDCOVFR CALCULATION WORKSiiEET �
ScTBACK ZONE: �CIRCLE ONE) �-75' 75-250� 25�-5�0' S��-I���� �
EXISTING HARDCOVER IN ZQNE
--------------------------
� A. HOUSc X = S�F�
• " LEN6TH WIDTH
. , X - . -- S�F�
X = S.F�
' � X = S.F�
x = S.F.
B� GARAGc X = S.F.
C. DRIVEWAY X � = S.F�
X = S�F�
D�. SIDEWALK X = S.F�
� X = � S�F�
X = S.F.
E, PATIO/
DECK - S.F.
. • � X -
� F� LANDSCAPE X = � S.F�
AREAS
UNDERLAIN X = S.F�
BY •
PLASTIC •
SHEETING X = S�F.
X = � S.F. .
G. OTHER X � _ _�____� S.F.
�
ti . • •.. S.F. Q
TOTAL HARDCOVER IN ZONE -
TOTAL PROPERTY AREA IN ZONE - S.F� . �
� !., , -----
A _ g x100 = �
DATE TIME
CITY OF ORONO CALLED IN �=`s�
INSPECTION NOTICE SCHEDULED °�_
PERMIT NO. �3�`� COMPLETED �f t\ �
ADDRESS �.5 CP� ��I CLk�y,-, �Y/�•
OWNER /C?vt ��h.t�/ CONTR. �a� �-9��-�
TELEPHONE NO. 'i�7� - 7 s��
� DESCRIPTION ����
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
0
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SETITURN QN 17 SITE INSPECTION
� 07 DEMO—SITE •14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINBPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlCon n site:
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ''J- a/�-�i'3
INSPECTION NOTICE SCHEDULED �7 `o�'� /�
PERMIT NO. �3 4 � COMPLETED � � '
ADDRESS .5�DO N CZ/vyr�
OWNER �� CONTR. �4� ��`''-�-��✓
TELEPHONE NO. `�7�' '*` 7���f
� DES PTION ��*'�
� 1 FOO� 11 MECHANICAL RI 16 WELL TEST PUMP
Q 0 KAING 11MECHANICALFINAL 18EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
_
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE COND�TION WITHIN HOURS. L pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e nex inspection 24 hours in advance.473-7357
OwnerlContr,�t� r on i e:
Inspector.
. �
White Copylinspector's File Canary CopylSite Notice
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__,_ _ _
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�,; � ���' __..__�., _._._._.,�__ SPECIAL NOT'�
,f'� �� _�_.._ __�_______
�' �;EE ATTACHE,D SHEET
\������ '�� � FOF2 AN1�RAtV NTS
� � � �' � _,.�_._. REQUIREME
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aECKS STAlRS & PORCNES
All Structurat Members Must Be pprpved
Wood Of Natural Resistance To D�cay Or
Treated Wood. j , '
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� � � � � �� �����,� ❑ APf'F;n�/�=D AS �UBNIi�T'ET�
' � ' , (� APPIZC�VEfl �NlTN CC'R�ECT90N'S AS NOTED
. , , C j NOT �P?`F�OVt�7 = C�Rr�ECT & RESUBMIT
. � � fhese commenis'are for your inforrr�atlor�. AH wortc shaA be dons
' , In tui! c�m!�Uance wfth all appiicxb{e buildtng & aoMng aodt tw
. Quirer7en,s induc:int� iterns nct apecificrri{y noted In ttris'revlAOi
. � K��P 1"K�S� ��t.��r� SET Qf� SCT£ AT Al.'L T1ME.�„
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1 hereby certify that this plan, survey or report was JOB� TQ�
SCHOB ORQ prepared by me or unde�my direct supervislon and that I am 4,/3�
N D SU RV EYI N G a duly Repistered Lend Surveyor under the laws ol the State � ,� ^ n -7► C D
ot Minnesota. Book-Pa e /y��rL L /�
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e�qy.raa. 13 SE Date: m d y 2 6 ./9�3 Registratlon No. 14700 / ���� �
972.'�221 DNano,MN 6S32e `.