HomeMy WebLinkAbout1996-006953 - deck PERMIT
CITY OF ORONO PERMIT TYPE:
2750 jelley Parkway- P.O. Box 66 E:i 1 I Ly I NC;
t Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: 02/06/96
SITE ADDRESS:
440 OLD LONG LAKE RD
LSV
P . I . N. : 6--11 '-2 3--34--0015
DESCRIPTION:
DECK
Building Permit. Type SF-ADD/REMODEL
Building Work Type DECK
vac Occupancy R-3
06nst•ruct•ion Type VN
Census Code 434 ALT . RESIDENTIAL
REMARKS:
WORK '=TARTED WITHOUT PERMIT .
FEE SUMMARY:
VALUATION $4, 500
Base Fee $99 . 75
Plan Review $64. 84
surcharge $2 .25
Investigation
�L
Total Fee
CONTRACTOR: - Applicant - ST . LIC . OWNER:
THORNTCON °# ASSOCIATES INC 1' 4'3'-_3 () SUNDAY MICHAEL
A768 HALLMARK DR 440 OLD LONG LAKE RD
EDEN PRAIRIE MN 55346 ORONO MN 55356
(612) 949-2920
THE UNDERSIGNED HEREBY'REQUESTS <PERM I SS I ON TO MAKE THE REAL INPROVEMENTS
SPECIFIED AND AGREES P DO `ALL WORK IN
STRICT MPLI# WITH ALS: ITV
L_ ORONO ORDINANC:ES AND LTATE.`G MINNESOTA BUILDI CODE REQI EMEt T$
/
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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uu.:misnts incli.,ling items nct st,uclficully notert u, it,i.. ruvlo.
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Total Fee: $ 004 t 94 .2 ' DateReceived:
Date Approved:
Entered By: Permit#: /a y
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: /4/Q /L7k G 1 icJ ZIP: .55 ,JZ.
NAME OF OWNER: �/'�G1/1���/ PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
ZcZO
y4— MOW
CONTRACTOR fv6(r,‘/ -r ikrOe 'f g-ii� PHONE: giirrOgra4443elie
MOBILE PHONE/PAGER:
MAILING ADDRESS: 6z,e J/ 1c 2) a CITY: a ZIP: ""3 e/,‘
STATE LICENSE: # 0
ARCHITECT/ENGINEER: ao-i PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail):
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /( spa
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.
L /�1 '✓- a'�' `�
APPLICANT'S SIGNATURE: �„- DATE: �`/ ?
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.
9
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: </YO O c.0 6-O`"5 UC PID:
DESCRIPTION OF WORK: 0 LIQ
ZONING REVIEW BY:. (` `� ( DATE APPROVED: S- • 9 - 5 S
U
BUILDING REVIEW BY: 661.--- DATE APPROVED: 5
_ c7_ qs-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ' No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes 77--- No WATER CONNECTION
INVESTIGATION FEE Yes c-No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
t--
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: , Z,3cw s`1 6- Width: (2-3 f�v- Depth: /00
Survey Submitted: Yes 7< No Date of Survey: 3-23-`t5
Proposed Setbacks :
Front (Lake) : Right Side:
o.k (Z&$oc.,-n-o'-
Rear (Street) : Left Side: ft g`tfS 4
Adjacent Structures: /1-7 .14-C1J Wetland: 4/61-
Building Height: Def. Hgt. Peak Hg .
Avg. Setback: of average: e)•K
Exist'n• Proposed
Hardcover: 0-75 ' /
75-250 ' al
250-500 '
500-1000 '
Hardcover Variance •equired: Ye o Date of Council Approval:
Grading: Staff Ap• oval Date: :y: Council A•oproval Date:
Septic: Staff Ap•roval Date: Ir By:
Zoning File: #
Resolution # : Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: 12-5 CONSTRUCTION TYPE: '�L•1
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
oE1
Estimated Construction Value: $ `1, 5-0°
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Q(Footing Mechanical Fire
Framing - Septic Water Connection
Insulation - Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
pi-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) : U..3 0 RIc & S7AO--ru-e u,40 Pei
CITYof ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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 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.
41;Zoff,t5 S. 14 lzx
First Middle Last
10.!
Address
9 ,7frr ,. s'3 414
City Zq.20 State Zip
Phone
I understand my rights as stated above.
Sig iia ure
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
S13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision I. Type of data. The rights of ection.viduals on whom the data is
stored or to be stored shall be as set forth in this
Subd. 2. Information required
to be given individual. An.individual asked to
•
• supply private or confidential data concerning himself the be
informed
state agency,
PP Y requested
purpose and intended use of the (b) whether he may refuse or is legally
political subdivision, or statewide system;
required to supply the requested data; (c) any known consequence arising from his
d
) the
f
supplyingor refusing to supply private or confidential data;
w to rnde(de the data.identity
of.
state or
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply investigative data,
pursuant to section 13.82, subdivision 5, to a law enforcement officer. under this
The commissioner of revenue ma .lace the notice required
subdivision in the individual income tax or •ro•ert tax re and instructions instead o
on those orms. —
Subd. 3.
Access to data by individual. Upon request to a responsible
authority, an individual shall be informed whether
privatethe
or confidential.stored
Upon his
individuals, and whether it is classified as p lic data on
further request, an individual who is the subject of a toe prihimavnatte if or
peub
desires, shall
individuals shall be shown the data withoutof that data. After an individual has been
Se informed of the content and meaningthe data need disclosed to
shown the private data and informed of its meaning, neednot beels section is
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been
eenr public created.eddatoruere bye
mayrequire the
responsible authority shall provide copies ofthe p
the individual subject of the ache tual.costs of responsible The aking, certifying,,and compiling the
requesting person to pay
copies. y ssible, with any request
The responsible authority shall comply immediate) , if po
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
ossible. If he cannot comply with the request within that time, he shall so informtthe
P have an additional five days within which to comply
individual, and may el holidays•
request, excluding Saturdays, Sundays and legal
Subs. 4. Procedure when data is not accurate or complete. An individualTo
contest the accuracy or completeness�pnot� or nriwritu�theconcerning
espoiisible authority
exercise this right, an individual authority shall within 30
describing the nature of the disagreement. The responsible
days either: (a) correct the data found to be inaccurate datao incomplete
pians named by
to
notify past recipients of inaccurate or incomplete
the individual; or (b) notify the individual that he believes the data to be correct.
t.
Data in dispute shall be disclosed only if the individual's statement of disagr
is
• included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the
provisions of the administrative procedure act relating to contested cases.
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6.53
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Certificate of Survey for •
Tom Thornton
of Lot 8 , Block 1 , SUMMIT STATION .
Hennepin County , Minnesota
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CITY OF ORONO
SITE PLAN GRADING PLAN
L6 APPROVED
❑ APPROVED WITH REVISIONS
6 B DISAPPROVED
DATE u S--ci-9,5"
LEGAL DESCRIPTION OF PREMISES :
Lot 8 , Block 1 , SUMMIT STATION
This survey intends to show the location of an existing house
and deck in relation to the boundaries of the above described
property . It does not purport to show any other improvements
or encroachments .
Bearings shown are based upon an assumed datum .
tr
I hereby certify that this survey was prepared by me or under may direct super- DATE 3-$3-ff
I\ & GRONBERG, INC. vision,and that I am a duly registered Civil Engineer and Land Surveyor under ,
i.
.t the laws of the State of Minnes vta. .•tir '
'!"*.....0. ,s2 I
s' tamamir,AN, nuc • Long Lake,\iN s-,37
b12-471-4141 7Ate. JOB. I1
Mark S. Groriberg Ota License N 12755 .