HomeMy WebLinkAbout1994-006168 - deck PERMIT �/ �
CITY OF ORONO PERMIT TYPE:
2750 Keiley Parkway • P.O. Box 815 Permit Number: ���'�€--�'�•���
Orono, Minnesota 55356-0815 s_�`.a��-�?h,���
(612) 473-7357 Date Issued: ;_;�,j:, 3:�,��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ( L:j uL�' .'S
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FEE SUMMARY: `� `1 ' `�'
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CONTRACTOR: OWNER: — ��=�..:1_ j,r�i'!f. —
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APPLICA T/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
�
' ' CITY OF ORONO -' BIIIi,DING PERMIT APPLICATION -
Total Fee• $ �'� � `'� Date Received: � � � � - yj�
Date Approved:
Entered By: � ,��` �
Permit�: (�:� /�'�
ALL INFORMATION MIIST BB SIIBMITTSD IN FIILL BEFOR.E PI,AN REVIEW WILL B$ STARZ'ED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
Z'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB sz� xnDx$ss: �`�2.� 1� c�, S�U2� ���v t .. Gl�ss�J zzP: S�S�3 y /
(work)
2d�ME OF OWNER:���(�SL� �� �lv �-� PHONE: (home�'7 � �- ! ���
t�.AILING ADDR.ESS: ��}Z.-� ��U. U P�� i-JT�k CITY:l�! G�' � � ZIP: ��,����
:�ONTR�CTOR: PHONS: � ��
MATLING ADDRESS: Z,'���� , CIZ'Y: r. — ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER PHONE:
�ILING ADDR.$SS: CITY: ZIP:
;�IAME: �- RBGISTRATION �
�
: ,
?''YPE OF WORK: New Addition�� Accesso�y Structure Move
Demo Remodel./Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : � � Zs� � � t/�C�< �"//.�%'�/J ` �
��t?1t1 i �r�C:i�l � �6n��/2c� �c � �� f��v c�t/c: �'�%c,v�/��
,
. �
STORIES: SQ. FEET OF EACS FLOOR: ;"
�70. OF BEDRO�MS:, GARAGE STAI�LS: ATT.� DET.
�STIMATED CONSTRIICTION VALIIATION (eacl.ndi.ng land) : $ /,�0 v
z hereby apply for a building permit and I acknowledge that the information
;bove is complete and accurate; that the work will be in conformance with the
�rdinances and codes of the City and with the State Building Code; that I
anderstand 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 SIGNATDRE: � DATE: J`r '��'� ��
CHECR OFF LIST FOR ISSDANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR I�EGAL: ,'� �� � �Zih�� ��1.�`-�c' `��L. PID: L��� �I7 - � 3 �.,13 00/,�
DESCRIPTION OF WORR: � X -� %� � �-��1�
--------------------------------------------------------------------------------
ZONING REVIEW BY: „._. DATE APPROVED: � ���" � ��
BIIILDING REVIEW BY: DATE APPROVED: �v" � � "'�►�
FEES TO BE CHARGED: Misc. Fees CalcuJ.ated By:
PERMIT Yes � No
PLAN REVIEW Yes !/� No SEWER CONNECTION
STATE SURCHARGE Yes �" No WATER CONNECTION
INVESTIGATION FEE Yes No Cr�- PARK FEE
SAC Yes No 4-� SITE INSPECTION
Number of SAC Units OTHER ( specify)
-------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: L/L- �L
, �-.
Fire Department: Po t 0 f,�i � � School District:
% � i
Lot Area: Wid " ` ' epth:
Survey Submitted: Yes� No Date of Survey: �vv4�y ZS` - `�`�
Proposed Setbacks: �
�t (Lake) : I �S Right Side: 39' C.
Rear (Street) : rU �� Lef t Side: Z4 � �c��
Adjacent Structures : /4-�1�(f�,, Wetland: /U�✓�
Building Height: Def. Hgt. /t1�i4- Peak Hgt.
Avg. Setback: D'U �I� Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' /iI '
�
75-250 ' I��� 'l �l .5�6
250-500 ' r�') °��..
500-1000 '
Hardcover Variance Required : Yes NoD� Date o� Council Approval:
Grading: Staff ApprovaS Date: B : Council Approva� Date :
t
Septic: Staff Approv jDate: By:
>
Zoning Fi�e: # solution �� i Resolution Date:
REMARKS (in hou e) : ;� �
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,,,
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BIIILDING REVIEW CHECR LIST
IIBC: 1\ '3 CONSTROCTION TYPE: VN
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Fl.00r x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ /,5����
Inspections Required: Work Requiring Separate Permits:
Site P�umbing Grading/Fi��ing
p�CFooting Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�C Final (Mfg.) Other
Other WeJ.I (State Permit)
Electrical (State Permit)
-------------------------------------------------------------------------------
RffiKARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHEI2S: DATE:
Access: Existing New
Access Approva�: Date By:
-------------------------------------------------------------------------------
RENlARRS (TO BE NOTSU ON PERMIT) :
1�
- � . • . , . , ,
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CITY of ORONO
Post Office Box 66•Cryatal Bay,Minneaota 55323•Municipal Offices
• '
� - � � 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 will be used to determine your
qualification for the permit or license requested.
2. You may refuse to suppl.y data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Zocal, state or
federa]. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or ].icense requires Council. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourse].f.
6. Your full name is required to process this applicatian or
permit.
..��?/3%��� /�• � I� v�'
First Middle Last
��20 /110, e�✓'tdi2C-; �121 Vr
Address
��l, Gi2o�v . ��3��
City - State Zip
4�7�-g��9
Phone
I understand my rights as stated above.
Signat r
BUILDING&ZONING—473-7357 • ADMINISTRATION bE FINANCE—473-7358 • PUBLIC WORKS—473-735� -
ASSESSING :
_.._� -----_____._____ ----� ------------ --- �l
� . - � • � • -
.
513.04 RIGHTS OF SIIB.TECTS OF DATA � .
Subdivision L Tppe of dat�- The rights of individuels on whom the data is
stored or to be stored shall be ss set forth in this section.
- - to be gi�en in���L An.individuel asked to
gubd, Z, Information required
� ' su 1 rivate or confidentisl data concernin g aTnWi�in the ccllect g state agency,
PP Y P
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he ma� refuse or is legally
P the requested date; (�) anY �o�"�n consequence arising from his
required to supply rivate or confidentiel date; and (d) the identity of
supplying or refusing to supply P State or federallaw to ri�envest gat ve data,
other persons or entities autwhen anbndividuel is asked to supp y
requirement shall not apply to a law enforcement officer.
pursuant to section 13.B2, subdivision 5,
The commissioner of revenue ma lart t8X re°und �nstructionsuinsteadh°s
subdivision in the individuel income tax or r• e
on those orms. . - � --- - � .
Subd. 3. �
Aecess to daia by individuaL Upon request to a responsible
authority, an individuel shall be informed wh ublic prieateeor confidential.e �Pon �
individuels; and whether it is classified as p � ublic data on
e to him and, if he desfres, shall
turther request, an individuel whe is the subject of stored private or�du� � been
individuels shall be shown the data witho of�hat da a. After an indi
6e informed of the c�ntent and meaning the data need not be �isclosed to
shown the privete dats and informed of its meanin$, u�uant to this section is
him for six months thereafter unles:5 e diSPute or aetion p
� ending or additional data on the individuel h� 8te or p blic datarupongrequest by
+ p uire the
responsible authority shall provide copies o t e P o�ible authority may req
the individual subject oft�e actual.cos h of making, cartifying, and compiling the
requesting person to pay -
copies. ssible, with any request
The responsible authority shall comply immediatelY, � 'P°
f the date of the request,
made pursuant to t S���l�a legal th lideys�J i� e�8te compliance is not
excluding Saturdays, With the request within that time, he shall so inf�6rth the
possible. If he eannot comply within which to comply
individuel, and may heve an additio� le alho days•
request, �xeluding Saturdays, Sundays g
Subd. 4. Proced�e when data is not accurate or complete. An indi�id�a� m8y
contest the accuracy or completeness�of public or private data concerning
himself. To
ht an individusl shall notify in writing the respcnsible authority
exercise this rig , nsible authoritq shall within 30
describing the nature of the disagreemen� �e r�P° lete and attempt to
days either: (a) correct the data found to be inaccurate or incomp
notify past recipients of inaccurate er incompleterie t�eVesdth rdatalto be correct
the individuel, or (b) notify the individual tha eement is
Data in dispute shall be ciisclosa d en1Y if the individual's statement of disagr
• included with the disclosed da � a ealed pursuant to the
' The determination of the responsible authority may PP
provisions of the administrative procedure act relating to contested cases.
• i . �
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, ! ; , ' � �t1��.D�Na Tf' ��.�+►rt R���
L �, � ; 'I ; uas�+�,,cr�c R
r � i I i , bATE �� PERMIT NO. �,�,.
� ' � PPRQVED AS SUBMITTED
r--�,, ��.�� I I I '' �P�PPROVED �NITH CORR��TIONS RS NOTED
� ' �J � �1 NOT APRROdEC — COP,RE+C7 & RESUBMIT
.� / � 'il � '��O , ---___---______.._.� -.--_-_ -�---�^ --�_.._...,.....�...,„._..,.:.t ;g commant� a;e fcr yovr i+iformatfon. All work shail be don�
�p0/� - - --� — � '���� �prfl{�Il�nC� witr. ali appticebie G�I�ing & zonln� c�dB r��
/ ' 'Ftl�rtt� InCl�d�np. it�-ms not �,ecificaliy noted in thfs,re1�ldw,
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C�TY OF ORONO DATE
INSPECTION NOTIC CALLED IN _� _� TIME
PERMIT NO. � SCHEDULED -/� �
ADDRESS .� 01 Q COMPLETED '
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OWNER
TELEPHONE NO. CONTR. —
�7/- C'1���
� DE�ON
� 1 FOOTING
Q 02 FRAMING >>MECHANICAL RI
y 11 MECHANICAL FINAL 16 WELL TEST PUMP
O 031NSULATION 18 EXCAV/GRADING/FILLING
Z 04 WqLL BD. 24�25 W�OD BURNER/FIREPLqCE �g�,qKESHOR
Q 05 FINAL 12 WATER HOOK-UP ��LANDS
� 07 DEMO- 13 METER SET/TURN ON �TREE REMOVqL
SITE 14 SEWER HOOK-UP »SITE INSPECTION
� 07 DEMO-FINq�
? 09 PLUMBING RI 2�SEPTIC MAINT. �PROGRESS
10 PLUMBING FINAL 15 SEPTIC INSTALL. 2�COMPLq�NT
=� 23 SEPTIC FINAL 22 FOLLOW-�p
OWNER/CONTRACTOR TO MEE7 YOU:_YES_NO
� COMMENTS:
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� U�wORK SATISFACTORY:PROCEED
❑CORRECT WpRK g PROCEED � PROJECT COMPLETE
O O CORRECT WORK,CALL FOR REINSPECTION
❑ISSUE CERTIFICATE OF OCCUPqNCY
V BEFORECOVERING
❑CORRECT UNSAFE CONDITION WiTHIN �TEMPORARY
INSPECTOR WILL RETURN --HOURS. ` �-PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR C C TA ION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
DATE TIME
CITY OF ORONO CALLED IN �' "�d—�
INSPECTION NOTICE��� c� SCHEDULED G.���-( � _A_.-�-
PERMIT NO. � COMPLETED "1 �
ADDRESS �`/�v2 C� �,�i rZ�. ��
OWNER ��'� ��ti`�`'�''� CONTR. ICQ�'1 %���� ,-�-��
TELEPHONE NO. ��� — i� '��'
� DESCRIPTION
6��--�'-c1�r—
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q �5 FINA 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAfNT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d Ll V�.ORK SATISFACTORY:PROCEED �'PROJECT COMPLETE
W ;eq CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, 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
OwnerlContrac r o�site:
Inspector. U
White Copyllnspector's File Canary CopylSite Notice
��.�. .s.....L__..__. _
• SURVEY FOR: Mr. Ambrose Kivus
• ' �lm �y�co � �ssoci.aEE�, ��zc.
(�/] PROFESSIONAL LAND SURVE�'ORS
� �/� � � ���� ,{' AND LAND DEVELOPMENT CONSUlTAN75
% �L� 9c�j "��� (612) 4Z 1-91 Z6
13621 VINEWOOD I.ANE DAYTON,MN 55327
r' p . O Q __ I
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P•P - 99�9.¢ - � \ � ; DESCRIPTION:
`�� � The Southwesterly 90.00 feet of that part
J � � of Lot 15, LYDIARD"S PARK, City of Orono,
� Hennepin County, Minnesota, lying
i
� � � southeastelry of a line running noxth-
�(�•�' � easterly at a right angles from a point
� t� in the southwesterly line of said Lot
°' � 15, distant 225.00 feet northwesterly
�' � � from intersection with base line in said
ro �
� plat.
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--- _ _ �, _ _ _�, Total Area including drive, house etc.
r \ �1 i 24,959+- Sq. Ft.
� � -- -
` � r, ----------__�_______._..�- '
��� � — ' Total hard surface area
i i �: 3,664.5+- Sq. Ft.
� �
� � Total Green Area •
^�'e
'` ' � 21 ,294.5+- �Sq. Ft.
� � I ���� --
`�� � ��� oF oRo
�i�T ,-e.o� - `�.8 � �' `• ��� �~ ,�G pL,QN
�z�z � , OC SITE PLAN � -
' ' �APPROVED'
� � a a p� � � I !����;��i
M S-�. .�,. ,,.�ti �Z o� h � � �] APPRQVED W1TH R� � -�
`7 Na�S� ��- �' � ' ❑ DISA R Et�.
1 � � ��
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BY
„_L a• d,,ay� �µ - �,I _,3�
�� �e.s - ��� N � � i ' DAYE
� , Br��l.�., 9 , �
� {V .';, ., � �e. ��'3
� ��h.rs\ ; ' - -
� , ,� SCALE: 1" = 30'
� I��pos-e� � z3 ��c-K . 1
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• W°'�� 1 � � I hereby certify that this survey was
o � prepared by me or under my direct
- � 9� � ,' � j supervision and that I am a duly
�, _;_ _ � ; Registered Professional Land Surveyor
— , �o, 00 _ I under the laws of the State of
� � Minnesota. Dated May, 25, 1994
� �--
o C ' � o '
m -� -_) ^� By
� Min ota License N 12267
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