HomeMy WebLinkAbout1992-004329 - 2nd story deck add PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
NORTH SHs ARE D
CH
F. I . N. , >7-11-7-2-—t{..��— 7C 77
DESCRIPTION:
s'ND CJ CRY DECK ADD
Building Pei-mit Type :=F—ADD/REMODEL
Building Work Type DEC:I•-::
UBC Oc c up-anc y _78 R-?
Cc -f,L4(_t•ic�cn Type t� N
ng LR-1B
REMARKS:
FEE SUMMARY:
VALUATION
Ease Fee $23 . 00
Plan Review $14 . 9S
Surcharge -------- I-5Q
Total Fee $3 . 4S
CONTRACTOR: OWNER: - Applicant -
MCC URDY DALE
4041 NORTH '=;HORE DR
OR►tai I _ MN SS364
THE t ANDER' I CANED HEREBY RE3'�(jE'=.T' PERM I S I�N TO !IAKE THE REAL I MPR+iVEMENT':-
' 'PEC I F I ED AND AGREE T.i Df) ALL WORK IN STR I C,T COMPLIANCE WITH ALL CITY OF
0Ri-�N-1 IRD I NANO:E'S AND STATE OF M I Ni E,Z—J-JTA BUILDING "CODE REQUIREMENTS'.
L_
APPLICAN 'PE EE SIGNATURE ISSUED BY SIGNATURE
I` y �
` CITY OF ORONO - BUILDING PER�LIT A.PPLICATION
Ta-cal Fee• $ ��. �`� Date Received: J'� ' �a" 9 a-
Date Approved:
Entered By: ' ,�iC.� permit�: '� �2 7
AT•T• INFOFtMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WII.L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPI�ICANT IS: (circle one) OWNER or CONTRACTOR
Jos sz� xnDx$ss: a-c �--\ �; � ►=i N S i�t c�`= ��. � v r� zzP: � `�> � �'
(wo rk) v}-12 - �` �= �-I
x� oF owx�z: p � � � �- St-I � : 1_��;� h-� �. Lv;��.� ; PaorrE: (home) �-'7 Z.�- �4-6� 3
�zzx� AnnxEss: �#-c> �i- I n� � . � H � F � DaZ,. cz�: 1�`1 � �i �; ��� zzP: � � �3 � �-
CONTRACTOR: M �'i'� � ;=, L � PHON$:
IKAILING ADDRESS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: ' PHONE:
�iAILING ADDRBSS: CITYs ZIP:
N�ME: RBGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure ��=l{ Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : /�� � L '�.i7 ,� �. � ��- �. G h�,' ti� �'1��
� s"i ;�.. �.� i� s ► � �=� t� � I-i� �,' s� �� ��� �� �X � s i� �; �r �-�� �,' �-,2�"l�
� � \ 1� � ��i� � = G � -.� � ��j� ,? ; P .�i ► � D�� � �'��
STORISS: SQ. FEET OF EACH FLOOR:
NO. OF B$DROOMS: GARAGE STALI�S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaCludiIIg land) : $ �- � �' r-"
I hereby apply for a building permit and I acknowI.edge 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 accordance with the approved plan. � •
APPLICANT'S SIGNATII�L: ` L..��u� f.' � c� DATE: � L �Z -
CHECK OFF LIST FOR ISSUANCE OF PERMITS`'
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 4-0+ �;' S E-}c?('r- �- A 2- . PID:
DESCRIPTION OF WORK: h n 2- (-J TD 2 G' e 7 A r
--------------------,-,pp--------------------------------------------------------
ZONING REVIEW BY: C7 DATE APPROVED: S-1
BIIILDING REVIEW BY: (GUVDATE APPROVED: ,$=/Y'�Z�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: 1-4- 113
Fire Department: A4,6(_,Ad Post Office: "a.-w.0 School District:
Lot Area: 2 S 110 Width: //D.e' 4 f�U-e Depth:- 2_20
Survey Submitted: Yes X No Date of Survey:
Proposed Setbacks :
Setbacks :
F'rN�A
ent (Lake) : IVIA Right Side:
Raa.F (Street) : / 2 2. Left Side: 19, 1 -4
Adjacent Structures: Wetland:
Building Height: Def. Hgt. /0(4 Peak Hgt.
Avg. Setback: /L/�/� Lot Coverage:
Existing Proposeeq
Hardcover: 0-75 ' I ' 13.46 /a
75-250 ' 3$-(0 38"• O%G
250-500 '
500-1000 '
Hardcover Variance Required: Yes_C No Date of Council Approval: $ -72-
Grading: Staff Approval Date: By: Council Approval Date:_
Septic: Staff Approval Date: By:
Zoning File:# /780 Resolution Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST ;
UBC: CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x -
2nd Floor x
Garage x =
7XIb = 112 x �.oa =
TOTAL
o�
Estimated Construction Value: $ (?D O
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
--------------------------------------------------------------------------
REMARKS (IN HOUSE) :
------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval : Date By:
-------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
CITY of OkONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
- OOn 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 supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared 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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
DAL... T^ M D
First Middle Last
+ I N , P-\k-4 1V/I
Address
City State Zip
4- 5
Phone
I understand my rights as stated above.
ti
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
t
513.0.4 MGSTS OF SUBJECTS OF DATA _
Subdivision L Type of data. The rights of individuals 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
• himself shall be informed of: (a) the
supply private or confidential data concerning state agency,
purpose and intended use of the requested data within the collecting or is legally
P subdivision, or statewide system; (b) whether he ma„ from his
1 the re uested data; (c) any known consequence arising
required to supply q vate or confidential data; and (d) the identity of
supplying or refusing to supply pri
other persons or entities authorized by state or yfSeaskedlto supplyeinvestigatiti've date,
requirement shall not apply when an individual
pursuant to section 13.621 subdivision 51 to a law enforcement officer.
der
The commissioner of revenue ma alert tax refund instructions juired uinsteadhos
subdivision in the individual income tax or r
on those orms. --- -
Subd. 3.
Aceess to data by individual. Upon request to a responsible
authority, an individual shall be informed whether he
s the
subject
f sto a
d data on
individuals; and whether it is classified as public, p aL Upon his data on
further request, an individual who is the subject charge to him anc4 if he desires, shall
individuals shall be shown the data without f that data. After an individual has been
6e informed of the content and meaning the �� need not be disclosed to
shown the private data and informed of its uteoaction pursuant to this section is
him for six months thereafter unless a dispute been collected or created. The
° pending or additional data on the individual has ate or public data upon request by
responsible authority shall provide copies of the private
responsible uthority may require the
the individual subject ofthe ache tual costs of The aking, certifying, and compiling the
requesting person to pay
copies. if possible, with any request
The responsible authority shall comply immediiatelyays of Ph date of the request,
made pursuant to this subdivision, or within five if -immediate 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
individual, and may have an additional five days within which to comply with the
request, excluding Saturdays, Sundays and legal holidays.
Procedure when data is not Reamte or complete. An individual may
Subd. 4. Prose himself. To
contest the accuracy or completeness of public or private datng a authority
exercise this right, an individual shall notify in iblle authority shall within 30
describing the nature of the disagreement. The respo to
ns
days either: (s) correct the data found to bmilnate�Lateionclu�g tees pieta named by
notify past recipients of inaccurate or incomplete
the individual; or (b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority be
cases.
provisions of the administrative procedure act relating to
T TIME
CITY OF ORONO CALLED IN '
INSPECTION NOT C SCHEDULED O qZ'
PERMIT NO. �/� COMPLET
ADDRESS `� ,
OWNER CONTR.
TELEPHONE NO.
DESC�,PTION ��
1 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q FRAMING 11 MECHANICAL FINAL 18EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 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
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
OWNER/CONTRACTOR TO MEET YOU:_YES NO
Zt
o COMMENTS:
CC
W
CL
CC
J
O
cc
O
UL
W
Q
2
W
W
CC
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d
W ORK SATISFACTORY:PROCEED L PROJECT COMPLETE
w CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract n it
Inspector.
White Copylinspector's File Canary Copy/Site Notice
4 k;a
DATE ;.,. TIME
CITY OF ORONO CALLED IN 0
INSPECTION NOT CE SCHEDULED !OZ
PERMIT NO. COMPLETED P"
ADDRESS
OWNER �' "LOQ CONTR. '
TELEPHONE NO.
DESCRIPTION ��
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 P G FINAL 23 S PTIC FINAL
OWNER/C TRACTOR TO MEET YOU: YES NO
O
" COMMENTS.
CC
W
a
cc I
cc 7 Q�
O
UL
W
Qc
Q
Z
W
W
cc
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
"C O CORRECT WORK&PROCEED 1, SSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Contr o ite:
Inspector.
White Copylinspector' File Canary Copy/Site Notice
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ORONOCOPY ►
Approved dresses Shall Be Displayed, o /1 / '_
Visible And Legible From The
Plainly g �A
Street FrIting The Property �— G
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STAIR 2— -E9AF- E<L K,
_S /. ! RISER 9” IN. TREAD
6 MIN. HEAD OOM
AT LEAS' ONE HANDR IL REQUIRED 14 o U 5 aC
GYl4RDRAIL OPE SIDES
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- - -- Approved
C l b Wood Of Natural Resistance To Decay-
Treated Wood. `
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