HomeMy WebLinkAbout1996-008056 - deck PERMIT
� CI`�Y OF ORONO PERMIT TYPE: �,���L �-}��,��,
2750 Kelley Parkway- P.O. Box 66 Permit Number: ��;.,;�;{;5�,
Crystal Bay, Minnesota 55323 _
(612) 473-7357 Date Issued: f��,;��;:;�y-,
SITE ADDRESS:
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DESCRIPTION:
CyE�-���:
E=�.�ils�ix��a �='H�,r��it- Ty��� '=��—F�9.i�riF'�tt�+L�EL
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — t��=��� i c�t-t�. —
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APPL ANT/PERMI E SIGNATURE ISSUED BY:SIGNATURE . �
♦ � ��
' DateReceived:
' Total Fee: S ' ��� =��� �
DateApproved:
Entered Bv: f� Permit�: ,��C,�;��
CITY OF ORONO - BUII.DING PER1tiIIT �PPLIC�TION
:�LL �tFORI�I�TION l�1tiST BE SLBv1ITTED Pl 1 FULL BEFORE PL��1 REVIE`V tiVII.L
BE ST�R'I'ED
_. _
------- -------------------------------------- -----------�------------------------------------------------
THE :�PPLIC:�NT IS: (circle one) ",,OWNER�OR CONTRACTOR
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JOB SITE �DDRESS: •
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�T��IE OF 0��,�R: �� �,►��t�5E i ��; �,; - PHONE: (home) `�� // `�C. `i
(work)
�w�� � E� 1� CITY: F;'� , �: �-.-s� ;.
�I�ILL'�G:�DDRESS: l � ��� �/J� _ ZIP:
CONTR�.CTOR: PHO�iE:
v10BILE PHOVE/PAGER:
�IAIL�iGADDRESS: CITY: Z��
STATE LICENSE: #
�C�ECT/ENGLYEER: PHO�TE:
�ZAILLtirGADDRESS: CITY: Zg':
���,�: REGIS'I'R�TION #
T�IPE OF WORK: :ve�.� •�� Addition Accessory S�ucture
Move Remodel/Alteration L.and Alteration
PROPOSED WORK(describe indetail): ' '.`.�� ` �% i -, ` � `'' f ,
,� � -��� �
STORIES: SQ. FEET OF EACH FLOOR:
�10. UF BEDROO�IS: G�RAGE STAI,LS: ATT. DET.
�� .,; � �
ESTL�I�TED CONSTRtiCTION V:�LUATION(escludingland): � `., -
I hereb� applv for a bu:ldin� permit and I acknowledae that the information above is complete
and accurate; that the work will be in conformance with the ordinances and codes of the Ciry
and with the State Building Code; that I u derstand this is o a permit and work is not to start
�vichout a permit; and that the work will � accordance�w�h the approved plan.
i � I
IC��1T'S SIGtiT�TURE: .` �` ' �� DATE: ,.-%J`? �'''�� /�"rt
:�PPL .
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.
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Sec.13.04 RIGHTS OF SLIB.TECTS OF D�TA
Subd. 1. Type of data. The righcs of individual on whom�he data is stored or to be stored shall be as set forrh in chis secdon.
Subd.2. Information reqirired to be given individual. �+a individual asked to suppiy private or coofidenual data conceming himself chall
be informed oF. (a) the purpose and intended use of the requested data wi[hin the collecting'state agency, polidcal subdivision,or s�atewide ryscem;
(b)whether he may refuse or is legally required ro supply the requestEd data;(c)any�o�consequence arising from his supplying or refusing to supply
pcivare or confidendal data;and(d)the identi[y of o[her persons or enddes authorized by stare or federal(aw to receive the data. This requirement shall _.
not apply when an individual is asked to supply invesngaave da[a, pursuant to secdon 13.82, subdivision�, to a law enforzement o�cer.
The commissioner of revenue mav lace che norice re uired under this subdivisio❑ in the individual income tax or orooem rax refund
insavcrions insread of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whecher he is�he subject
of stored data on individuals, and whe[her i[is dassified as public, priva[e or conTidendal. Upon his further request, an individual who is[he subject
of stored priva[e or public data on individuals shall be shown[he data wi[hout any charge to hirn and,'if he desires, shall be informed of the conten[
and meaning of that data. After an individual has been shown the private daca and informed ot iu meaning, che data need no[be disclosed to him for
six mon[hs thereafter unless a dispu[e or action pursuant to [his secnon is pending or additional data on the individual has been collected or crea[ed.
The responsible au[horiry shall provide copies oi the privace or public data upon request by che individual subject of[he dara. The responsible au[hori[y
may require the requesdng person ro pay the actual cosa of making, cerdfying, and compiling the copies.
The responsibfe auchoriry shall comply immediately, if possibie, 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 no[possible. If he canno[comply wi[h[he request
wichin that time,he shall so inform the individual,and may have an addidonai five days within which to comply wich the request,excluding Sa[urdays,
Sundays and leeal holidays.
Subd.�. Procedure when data is not accurate or complete. An individual may con[est the accuracy or complereness of public or priva[e
data concerning himself. To ezercise chis right,an individual shall norify in writing the responsible authoriry describing the namre of the disagreemenc.
The responsible authoriry shall within 30 days either: (a)coaect[he data found to be inaccurace or incomplece and attempt to nodfy past recipienrs of
inaccurace or incomple�e data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correcc. Dara
in dispute shall be disclosed only if the individual's statemen[of disagreement is included with[he disclosed data.
The determinacion of the responsible au�hority may be appealed pursuant to the provisions of the administraave procedure act relating to
contesced 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 furnish 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 pemuc or license.
3. The information may be shared with other local, state or federal agencies to the eztent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
�. 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 applica[ion or permit.
�,
1 �(!;;�( � ''�'L (.i,�' /�(�'�% i� �: ' - � '
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City , State Z1P
I understan� ��ights as stated abov�`.� �
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" CI3ECIi OFF' LIST FOR ISSUAI�i CE OF PERM�rS
FOR OFFICE USE ONLY
�iDDRESS OR LEGAI.: '�bo N��T7-I Sffo� D�L -
PID:
DESCRIP'I'ION OF WORK: L� L�1�
ZOYPtG REV�W BY• DATE APPROVID: �•►3-g4-
BUII.DI�tG REVIEW BY: DATE APPROVID: � -�3-`}�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PI.�N REVIEw Yes v' No SEWER CONNECTTON
STATE SURCHA.RGE Yes —�/ No WA'I�R CONNECTION .
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTE INSPEC"ITON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoni.ng Disuict: LQ-( �— Shoreland District : �•os
Fire Department: �Av^�� Post Office: ,��.�.��-JJ School District: t . ,o S-�-oat�
Lot Area: Sq.ft.,?�'Z,Sa� Acres . '��'�. Width l Et�.5' �¢d� Depch ?ca0
Survey Submitted: Yes �_
No Date of Survey: 6' �' y�
Proposed Setbacks: � d,
Front (�.-aka): N I� Right Side: �i? �
v -�'
Rcar (Strcet): C!6 Left Side: Z��
Adjacent Struccures: A-i77qC�� Wedand: N le�-
Building Height: Def. Hgt � Ha•
Av;. Setback: Bluff S ack: Lot Coverage:
Ezist' Proposed
Hazdcover: 0-75'
75-25 '
250- '
500- 000'
Hardcover Variance Require : Yes No Date o Council Approval: �
Gradin�: Staff A roval D e: By: Council Approval Dace:
Septic: Staff Ap roval Dat : BY�
Zoning File: Res on: # olution Date:
�=;,
� ; ('m house).
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BUII,DING REVIEW CFiECK LIST
UgC: 2- 3 CONSTRUCTTON TYPE: ��
' Sq Foota�e S Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x = '
Garage X =
x =
TOTAL
o�
Estimated Construction Value: S �_2m�
Inspections Required: Work Requiring Separate Permits:
Sice Plumbing Fire
Hardcover Removal �Iechanical Water Connection
Footing Sep�ic Sewer Conneccion
pT�ng Fireptace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_ L Final Grading/Filling Electrical (State Perm.it)
Other
(IN HOUSE):
`�'VV BY OTHERS: DATE: ,
Access: Ezisting New
Access Approval: Date By:
RE1vIARKS(TO BE NOTED ON PER1�iIT):
�:�
_- .
_ 27 .
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DATE /� �TIIyE
CITY OF ORONO CALLED IN -�1� �
INSPECTION N T,!,C� SCHEDULED �o -��-�
PERMIT NO. �"--�� COMPLETED �_ �._
ADDRESS 3��� `� ��-� J�-i
OWNER��-�+ CONTR.
TELEPHONE NO. ��� - �"l Co �1�
� DESCRIPTION /.('_-P ���
� 01 FOOTINd 11 MECHANICAL RI 18 D(CAV/aRADINO/FIWNO
y 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHOREIINETLP�NDS
Q 03 INSULATION 24/25 WOOD BURNEFl/FIREPLACE 34 TREE REMOVAL
Z gp. 12 WATER HOOK-UP 17 SITE INSPECTION
Q ps�I� 14 SEWER HOOK-UO 06 PROGRESS
J 07 DEMO—SITE 27 SEPTIC NWNT. 21 COMPLAINT
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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d RK SATISFACTORY:PROCEED �ROJECT COMPLETE
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� CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t ins tion 24 hours in advance.473-7357
OwnerlContra or 't
Inspector. `
YVhite CopyMapectw's Flle Canary CopyfSke Notice
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LOCATION SURVEY
PREPARED FOR
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SATHRE-BERGQUIST, INC.
150 SOUTH BROADWAY • WAYZATA, MN. 55391 . (6'.2) 476-6000
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DAN HANDLIN
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