HomeMy WebLinkAbout1991-003843 - replace deck . . � �k'ERIiiII�
CITY OF ORONO PERMIT TYPE: �;t=;��,�;i��,��
1335 Brown Rd. South • P.O. Box 66 Permit Number: `'`-j."=''�.;
Crystal Bay, Minnesota 55323 Date Issued: ``' � `��� ��
(612) 473-7357
SITE ADDRESS: ��'i:�, �a,���i�-I ,,��-i+;��;E f?R
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REMARKS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
' '� ' CITY OF ORONO - BQILDING PERMIT APPLICATION
^ Total Fee : $ - - `�` Date Received: �i �
Date Approved: �' � �` ' 7 0�3'9�
Entered By: � ��"`
(. Permit#: �� �3
ALL INFORMATION MDST BE SIIBMITTED IN FULL BEFORE PI,AN REVI�iirl WILL BE STARTED
(See Check-off List Enclosed)
---------------------------------------------------------------------------------
Z'HL APPLICANT I5: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: '-i'�I? � �lv�;1 �-� ��i��=���f= i�r�1;,�� ZIP: �- ,.
;,,
(work)
NAME OF OWNER: r`- �_�.- �.�;.�: �i r t ,q�;', -.��R� N i��.�_, ,:� PHONE: (home) � ����=- >�`,�r
MAILING ADDRESS: ��i'i%_ � "�i ���� o��, `_.�-: ,���_ � CITY: ^���� • ��� �' ZIP: � �; �d
CONTRACTOR: i ,_�'��?:� i-�_�r_„', �� Y_ ; ,,-,�,,� �- PHONE: ��� � - ��1(t
MAILING ADDRESS: yJL���� ��11r9i; ,' �?.�iK t�`(C��4i� CITY• �i/1iNc�i�.�S�t-�i ZIP: `�5 �`-1,�
TYPE OF WORR: New X Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : inf�t'�,A�� EXi`����1C- l�E��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
$STIMATED CONSTRIICTION VALIIATION (excluding land) : $ �,��*d'C'��
I hereby apply for a building permit and I 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 and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
� �� � ... � . ��� . ,� ��� �
.�PPLICANT'S SIGNATIIRE: !�i�� c f�L t_' /1���' �"��• ���-�'_z DATE: �� �;_� .
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�" Post Office Box 66•Crystal Bay, Minnesota 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
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:
1. 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 Iicense.
3. The information may be shared with other Iocal , s`ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii actior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to rev�ew private
data on yourself.
6. Your full. name is required to process this application or
permit.
�
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First Middle ?�ast .
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Address
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City State Zip
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E _ - r', .:� i
Phone
I understand my rights as stated above.
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Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&F[NANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
� ' � a
t �
�.p,4 RIGSTS OF SIIB�7EC15 OF DATA � �
gubdivision L Type of ds�ta- The rights of individusls on whom �e �� �
stored or to be stored shall be es set forth in this section.
gubd, Z. Information required to be g�v� ����' An.individuel asked to
(a) the
� ' supply private or confidentisl data c un�a n�,�mWi.�in the collecting st8te agency,
purpose and intended use of the req
political subdivision, or statewide system; (b) whether he may refuse or is leg y
required to supply the requested date; (�) anY �O� consequence arising from his
to su 1 rivate or confidentiel data; and (d) the identity of
supplying or refusing PP Y P
other persons or entities authorized by st�adu��e�ke�to supplye�v�thg�e ��
requirement shall not apply when an in�
pursua�t to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue ma rolert t� re°und instructio uinsteadhoS
subdivision in the individuel income tax �r
on those orms. . - -- - --�� -
A�� to �� bp ����. IIpon request to a responsible '
Subd. 3.
authority, an individuel shall be informed whether h=vgteeo�eonfidentiaLe IIpon his
individuels; and whether it is classified � P�Ct of stored rivate or public data on
p if he_ desires, shell
further request, an individuel who is the s�j � to him and,
individuals sha]1 be shown the data witho of�hat d�at�a. After an individuel hes been
�e informed of the content end meaning � �� n�d not be disclosed to
shown the private data end informed of Its ut�action pursuar►t to this section is
him for six months thereafter unless a disP �
� pending or additional data on the indi f� � ateeor public dataruponarequest by
responsible authority shall provide copies o p �ible authority may require the
the individusl subje�t of the data. The resgc
requesting person te pay the aetuel costs of making, certifying, and comp�ing the
copies. lmmediately, if pessible, with any request
The responsible authority shall comply ' Qf the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legal holideys, -
pessible. If he cannot comply with the req iest �t wit�lun which toh mply with the
individual, and may have en additional f 315
request, excluding Saturdays, SundaYS and Iegal holidays.
dure when data is not acc�ate or complete. An individuel may
Subd. +�. Proce himself. To
contest the accuracy or completeness�of public oripriWva�tt��e n�pa�ble authoritY
exercise this right, an individuel shall notify ri
describing the nature of the disagresmenL The responsible authority shall witlun 30
days either. (a) correct the data found to be inaccurate or incom Tee�te��namedt by
notifp past recipients of inaec het�o�r� d�p�t �b e es�the data to be correct.
the individusl; cr {b) notify
Data in dispute sha]1 be disclosed only if the individuel's statement of disag�'eement Ls
• included with the diselosed data. ealed ursuant to the
' The determinstion of the responsible authority to contest d csse.s.
provisions of the administrative procedure act relating ,
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`�`= " � : �� �urr,ativn. fltl work shatt be dona
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(f�;c�� � �u,�'�f��� P�IRMiT PLATi
; � �1711_DiN�
e�s��'°�e
�,Z �' PERMIT i�a• �-�'�"
DA";��
--� t,�: SU�f�^1�TED
Ls-� F.;PPC;`�;;_�, ,�..
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APP�'�'��-D vti'ITN C7RRECTIONS AS NOT
� �F;O�J�.� — CORRECT & RESI}BPJIIT
„ U NO i AP�
�nts ar�for your �i cableait�uHGing & 2oning'o�e o°`
j!�ese comm.. �,�it�, =1! �PP'
• _ Ir•, full cenjPiiance '� i`��s not ��itice?IY �teQ in tllis rev�eM
' auiremen:s inc�����a ON SI i E aT ALL TIMES
KEEP TF-;IS Pt�AN SET
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_ -- _ , , C�Cg OFFFOISOFF�CEIUSII oNCLEYOF P�RMITS
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ADDRBSS OR I.EGAL s � � ' �;'� PID:
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DESCRIPTION OF WORS: � �` -�
--------------------------------------------------------
------------------ ��
ZONING RE'VIEW BY: OJ,�,r,��� DATE APPROVED: � 'Z3 `
BIIILDING REPIEW BY:� DATE APPROVED: 7- 2 3 -�l
-------------------- ---
FEES TO BE CHARG�: Misc. Fees Calculated Bv:
pERMIT Yes v No
PLAN REVIEW Yes—t� No SEWER CONNECTION
STATE SIIRCHA.RGE Yes�� No WATER CONNECTION
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No � SITE INSP�CTION
Number of SAC Uni�s OTfiER (specify)
�ONT?dC- C3ECK LIST -----------------Zoning Dist_ict------N�C�
r ,-� �ost o��ice- /� ' scnool Dist�ict: N
Fi�e Depa_ �:nent: C_
Lot Area: C t�� Sb�4� Width: � Depth:
Survev Submitted: Yes� No Date oi Surve��: 5��� -�2(
Pronosed Se��acks . �
^ � (Lake i `'7.� `� � �� �
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-- ���
Rear ( S'- �t N�/� �e�t Side : (c�p r
�re_ )
Ad jacent Structures : /¢7T7�-L�Y�CY We�'_and: /lJ�/�-
Building fieight: Def. Hgt. �/� ��zk �9�• /`�1 �
Avg. Setback: � •1�- DP�1 YYtcKC (,Lot Coverage: N/�
EX1S�1I1C� P'_'ODOS?Q
Hardcover : 0-75 '
�s-25o � Z� o Z3•6 �
250-�00 '
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Sta�f Approval Date : ^ By: Council. Approval Date:
Septic: Sta�f Aoproval Date: BY�
Zoning File : = R lutyo n: Resolution Date:__
R:EMARRS (in house) :
�
-- - -.__. _ _ ___,_ _ -� -,
BIIILDING REVIEFT CH�CK LIST , .
�C: �� ��3 CONSTRIICTION TYPE:`�—
Sq Footage $ Per Sq Ftg
Base�e^t X
lst Floor X
2nd Floor X
Garage X
�.t� $,oo X , K,c�c�-oo =
TOTAL
$stimated Constrnction value: $ 3 2(7U �
Iaspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Filling
�D Footing Mechanical Fire
�r�raming Septic water Connection
�ireplace Sewer Connection
Tnsuiaticn Other
Wal? Board (Masonry)
(Mfg. ) Well State Permit
�<F=�a1 ylectrical (State Permit)
Other ------
---�------------------------�r-----____-
RBMARKS (IN HOIISE) :
-----------------------------------------
REVIEW BY OTHERS: DATE:
Access : Exis�:�Q New
Access An�roval: Date Bv:
------------------------------------
RBMARRS (TO BE NOT'� ON PERMIT) :
� AT TIME
CITY OF ORONO CALLED IN � l�
INSPECTION NOTICE � S� SCHEDULED � r�•' .a `
PERMIT NO. �� COMPLETED N
ADDRESS
' a h����
OWNER m� ��2�Y CONTR. � -ti- �-
TELEPHONE NO. S�( •� 9�I �
� DESC TION �� C-�-
� 1 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN 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 S IC FINAL
� OWNERICONTRACTOR TO MEET YOU:_ ES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra�iqr q�site:
Inspector. �`I-� �
White Copyllnspect r's Flle Canary CopylSite Notice
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DATE TIME
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CITY OF ORONO CALLED IN L' �--"
INSPECTION NOTICE SCHEDULED �� r�
PERMIT NO. " , �� COMPLETED � '
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TELEPHONE NO. . '����_� ' �'�i / (o
� DESCRIPTION ;���, l-�-�l
W 01 FOQT_ING 11 ME HANICAL RI 16 WELLTEST PUMP
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� 2 FRAMIN('r 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
O 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL� 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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�❑�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINS ECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContra o ite:
Inspector. � �
White Copylinspector's File Canary CopylSite Notice
� � ORONO
COP
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Certifi_cate of Survey Eor '
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John Miller
in Gov ' t Lot 3 , Sec . 7- 117-23 �
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�Jr7�� �a��,,fo�r � � DAT E 7 . 23-�i � --
LEGAL nI�SCRIPTION OP' PREMISES SUR�/PYrf�: ���Q. �'ne -`�.o.
`1'hzt F�art of Government Lot 3 , Section 7 , 7'owiishi.� 117
Nort}� , Ranc�e 23 West of the 5th Principal Meridi�n c3�scribed as
follows : Comrnencing at an iron r�ost .on the sho.r� of: L��ke Minnetonka 2f, Le�t Westerly
of th� intersection af the rast line of said , Lot 3 w.itti th� sfiore of- L�kc� Minnetonk�� ; �
th�nce in �� straiqht line No.rthe�ster. ly to a. 'noint=..i.n. +�h� ,Wes+: li.ne ot Lot 1 , T31ock 1 8 ,
Sag� Ilills Revisec� , [Iennepi_n Co. , Minn , wh.ich is 1 �4 . 2 f.eet S�uth of . thc� Northwest
corner of szid Lot 1 ; thence Nor.th alonq t}�e g�-�st .line of sai�� Lot 3 , Secti.on 7 ,
to ttle riqhfi of way of canal c�eedec� to S�qa EIill Associat i.on; thence Southtaest�r_ly �
alonq the F,asterly line of said riqht of w�y 4�38 feet to said Lake Minnetonka to
a noint which is 350 fPet more or les� W�sterly of tJ�e �aint of beqinninq ; thence
�ast_erly alonc� th� shore of_ said L�.ke Minnetonka to t.he point of beginninq .
[�1ote: The point of h�qinning of the alx�ve descril�ed pro�r_ty is v�zgue l�ecause oE measur.inq along
an everchanginq shoreline ; therefore some ].eqal action �inay� have to kie taken to clarify this �int.
This survey intends to show the boundaries of the following descr. ihed property , and �
�f. .the Tocation of an existing house thereon. It cloes not purport to show anv
other improvements or encroachments . �
J hereby certify that this survey was prepared by me ' '
or under my direct suj�c�rvis.i.�n, and that T"� ani a du)_y , • .
registered Civil Engineer. �nd I,and Surveyor under tl�c � �
laws of the State of Minnesota .
t'OrFIN & GRONi3ERG, INC. " � ' ' •
r�1.Ldc.-`�._ �iL.�--�-t-� ' ' �
' hlark S . Gronherq MN . Lic . No. 12755 Scale : 1 inch = 50 feet
� Fnqineers , land Sur.veyors , Planner.s �-� nate : M�zy 9 , 1991
� Lqng L�ke, Minnesota o . Iron ma.rker
� I3earinc�s �i�own �r� .hased upon an
��ssumec� d��tum.
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