HomeMy WebLinkAbout1996-007834 - deck PERMIT
- CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �:i l��,€�.T f�li;
Crystal Bay, Minnesota 55323 Permit Number: ;•;;°;��;^;._;�
(612) 473-7357 Date Issued: �,,: ;� y l�y�F;
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — ������ i.��;��t. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE . �'C'� -
Total Fee: S DateReceived: �- �- C�'G�
Date Approved:
Entered By: :!'e; Permitr�: '7�p����
CITY OF ORONO - BLTIIIDING PERMIT APPLICATION
AI,L INFORII�IATION MIJST BE SUBiVIITTED IN FULL BEFORE PLAI�t REVIEW WII�L
BESTARTED
--___ ---------------------
TFiE �PPLIC��1T IS: (circle one) OWNER R CONTRACTOR
JOB SITE :�DDRESS: 3775 Bayside Rd Orono __ Z�� 55356
Nr��vIE OF OWNER: Gerald & Candace Rowlette PHOiVE: (home) 476-4156
(work) 4 7 5-110 0
I�IAII.L�GADDRESS: P •�- Box 356 CITY: Long Lake Zjp; 55356
CONTRACTOR: _ PH0�1E: _
- �IOBILE PHONE/PAGER:
MAII.IlVG ADDRESS: CITY: Z��
STATE LICENSE: #
A,RCHITECT/ENGINEER: P����
MAII.,Ti�IGADDRESS: CITY: Z�:
���,�: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK(describeindetail): Replace lakeside deck
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�STL`1�TED CONSTRUCTION VALUATION(escludingland): � 5 , 0 0 0 . 0 0
I hereb�� 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 Ciry
and �,vith 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.
,
APPLIC�NT'S SIGNATURE:�--`--- ----- DA'I'E: ` -
NpTE! 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.
Sec.13.04 RIGHTS OF SITB.TECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forch in this sccdon.
Subd.2. Information mq�red�a be given individual. An individual asked to supply privatP or confidential data concerning himsalf sha11
be informed of: (a)the purpose and incended use of[he reyuested data wichin the collecring'state agency,poGdcal subdivision,or sratewide sysaem;
(b)whecher he may refuse or is legally requued to supply the requested dara:(c)any known�oasequence arising frvm his suppiying or refusing to suPP�Y
privace or co�denaal data:and(d)the idenriry of other persons or entiries authorized by state or federal law to receive the data. This requirement`►+ati
noc apply when an individual is asked to supply invesagaave dara, pursuant co secuon 13.82,subdivision 5, ro a law enforcement officer.
The commissioner of revenue mav lace the nocice re uired under this subdivision in the individual income rax or rocem raz refund
instrucrions instead of on chose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject
of stored data on individuals, and whecher it is classified as public, private or confidenaal. Upon his fur[her request,an individual who is the subject
of stored private or public data on individuals shall be shown the data withou[any charge to him and, if he desires, shall be informed of the content
and meaning of that dara. Aher an individual has been shown the private data and informed of ia meaning,the data need not be disciosed to him for
six monchs thereafcer unless a dispute or action pursuanc to this secrion is pending or addidonal data on the individual has been collected or creaced.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of[he data. The responsible authoriry
may require the requesting person to pay the actual costs of making, cerafying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, 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 not possible. If he cannot comply with the reques[
within thac time,he shall so inform the individual,and may have an additiooal five days within which to comply with the requesc,excluding Sarurdays,
Sundays and legal holidays.
Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the narure of the disagreemen[.
The responsible authority shall within 30 days either. (a)correct[he data found[o be inaccurate or incompte[e and atcempt ro nodfy past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes[he data to be correct. Data
in dispute shalt be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of ehe responsible authority may be appealed pursuant to the provisions of the adminisuadve procedure act relating to
concesced 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 fumish 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. become
4. If your requested pernut or license requires Council action to approve, some information may
public.
j, 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 application or permit.
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Addre s /"!� � (�_ U`7J S�
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State Zip Phone
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I understand my rights as stated above.
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Signature
~ C�,Ck �FF LLST FFICE USE ONI,yOF PERl�II'�'S
FOR O
�DDRESS OFt"LEG:�I_.: >l�� r5�y 5� �`- (�.i PID'
DESCRIPTI01 OF S�'OR�: (.��-�-k
��� I�ATE �PPROVED: `� -`�i � °i !�
ZOV'�G REti'IE�V BY; �� � �, � ,r��� — DATE APPROVED: �t - `� � `��� � �
BL'TLDL�G REti��V BY: � r- �,, � i � �
FEES TQ BE CIi�RGED:
Vlisc. Fees Calculated By:
PER:tifIT YzS '� �o
� –7 Vo S�R CON`i�'�ECTION
PL.�N REVIE�v Y`s T WATFR CONiv�CTION
ST�TE SliRCH.-�RGE Z'z5 �/ �o P 4� �E
I�iVESTIG:�TIOv F�E Z'�S S� �SpECTTON
SAC -Yes No
Numoer of S�C lini�s __.
OTHER (specify)
� Shc�re�and District : __�t�>
ZONI:\G CHECI� LIST ZoninQ District: L-�� ��
� School Disuicc: ciLz�� L -�—
FireDep�*tmenc: C�:NS �q�« "PostOfr;ce: ��_
Lot?.rea: Sa.ft. .>'��=��G� —
Acres , �''� Widta �i�r,Q(,�.�4-r: DPP� .— —
Survey Suomicted: Yes o�
�io Da�e oi Survey: >-��i,S�`
Proposed Sethac!cs:
F���nt (Lal:e): '�ti Rignc Side: /"�d�
P l�, I (�� L.eft Side: =�� ' t-
�-,.�(S[re_t):
�
� � ��i�c`� We:land: !�� !l�
Adjacenc Scrucrures: �!TTYa -
Building Hei¢hc Dei. H�t. �� �n
Peai� Hgt. /l; //3
Avg. Setbacic:
�'�� � /� Bluii Setback: �% �� Lot Coverage: C� (�
Existing Proposed
F�ardcove::
0-75' y �y � ��y
75-�0' _—
250-�OG'
500-1000'
Hardcover Variance Required: Yes x �o Date ot Council Approval: 3 �E- `i� ,
Gcadin�: Stari �pproval Date: /"' �� By: Council �oproval Date: ��'f '�-
� ��� By:
Se�tic: Stafz �pproval Date: /'
1 ?
Resoiucion: � Resolucion Date: ; ��- `/�'
Zonin� File: T �-o�_
��,�5 (in house):
. � 26
BL-II,DL�r'G RE�TE�Z' CF3ECI� LIST
LTsc: i�� ,�
covsrxuc�o�r r�E: ��r�
Sq Foocage S Per Sa FtQ
Basemen� t
lst Fioor t
?r.d rloor �
Gara�e c
- C = ____.--
TOT?.L
Estimated Construction Value:
S �� rnrC7 •
Inspeciions Required• . tiVori: Requirin� Separate Permits:
P!umoin� Fire
Si[e Water Connection
`� Hardcover Removal Mecaanical
Sencic Sewer Connection
� Foocins Fireplace Lawn IrriQacion
i� Framin� (vfasonry) Other
Insulation Weii (S[ace Perm.ic)
Wall Board �f''�
�x Final
GradingiFiliin; Elecrric:l (Scace Pe:mit)
Other _�_
gE�,��� (�1 HOUSE):
______----
REVIEW BY O RS: DATE:
Access: Ezisting
New �_
Access App
roval: Dace B�'
����.5 (TO BE NOTED ONPERti�Il�:
27
J APR �8 "?5 14:��5 ROLJLETTE ASSC. ���� ���'� �21 F�1
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P.�. Box 356 • long lake, minneso#a 55356 � (612} 475-1100
Fax a c;i��k''l:�-2033 ��''�� t� S 1 �
����5, ������ � ����i���
A!I Structural ��zm�;,�� i�;ust 8e Approved
,,� _� 4�ood Of Natural ResistancE To Decay Or
���e ...__..._.�..� �C._�---�-------_�-_..____.�..Treated U�aod.
To_ __ C�c?..��...���_.��_.____..�_____�____�
At tant ion,__� �,�.�______._.�___�.._-----
I�lumber of pages includi�q thi � Gn�______
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DATE TIME
CITY OF ORONO CALLED IN " - �I� � '.�'�>�
INSPECTION NOTICE scHE�u�E� �{�.�L� ���� �
PERMIT N0. "' �.-'- ��
� COMPLETED
/ � �
ADDRESS�, � ��� ���� " �'� � �l
OWNER ���������-��� CONTR.
TELEPHONE NO. � �5 ' �/�t�
� DESCRIPTION � 'y_i- l'_-/�
Q x�1 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FIWNO
G� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINQ RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBIN(i FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
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� CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '-'C�TATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours'n advance.473-7357
OwnerlContractor n si .
Inspector. ` —
White Copyllnspector's File C nary CopylSite Notice