HomeMy WebLinkAbout1994-006149 - deck Pt RMIT
.
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUILDING
Orono, Minnesota 55356-0815 006 1 4`
Date Issued:
(612) 473-7357 06/10/94
SITE ADDRESS:
25 ORONO ORCHARD RD N
.JE
F 1 ='s-11 -0004
DESCRIPTION:
Building 'errrii t• Type SF-ADD/REMODEL
:E i i s t i i ng ... r-k Type DECK
UGC Occupancy R-3
Uccnst.riuct ion Type VN
i'TT'V OF ORONO CI1 / L! IJl1V1lQ
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131-.C100000
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REMARKS: 1222200000
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01 GEN 4•5JV
DECK IL 182•IV
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FEE SUMMARY: 47lsi::s.;6 eil4# }# T - 71
Avl
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VALUAT t ON ' `�,000 06/10/94
Base Fin $108 . 00
Plan Review $70. 20
Surcharge 4
Total Fee $182 . 70
. 7 ,
CONTRACTOR: OWNER: - Applicant -
SPENCER KEITH
5 ORONO ORCHARD RD N
0RON0 MN 55:356
�s1
THE-1.11%)E,RS + NE" . 1 , REQUESTS PERM 18$ION TO " A .E Th `REAL IMPROVEMENTS
`EC I FI E~ '.,` f "`� ALL 'WORK i'"
i� �' I' �:T COMPL VINCE TN 'ALL C=I TY OF
ORONO CRD"I 'NCES -A D $TA.T L3 PSI ETA" X0 0 I N C* E REQUIREMENTS
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APPLICANT PE MITEE SIGNATURE ISSUED BY:SIGNATUR��,
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 6A:11) Date Received: -
Date Approved:
Entered By: q1.1
Permit#: /41
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER �or CONTRACTOR
JOB SITE ADDRESS: CZs IC)VQ 1Vcxj l&Ci ZIP:
(work)
NAME OF OWNER: 4 PHONE: (home)
MAILING ADDRESS: P.J. CITY: las Jake_ ZIP:
CONTRACTOR: ;,j1( PHONE:
MAILING ADDRESS: Ali tcc L 7 CITY: - ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: � i vj / (/6 P-02' e � AM � 37S
p/
MAILING ADDRESS: (oZ4 Cecievt_ �C: k'2 PJ CITY: 5 ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Y Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : DeCk w� <'c -�25 ws4er/'
STORIES: / SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
O G .
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
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 w'th the appr ed plan.
APPLICANT`S SIGNATURE: J — DATE.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: .. Z-C -0 OAlo' 0- - PID �. .::.: �_<,..�,._ _. 4..-�`_- .,.,_...-- ,
DESCRIPTION OF WORK: I3e
- -
_ I " -..._.. ...,:.W> DATE APPROVED: - , --rt
ZONING REVIEW BY:
BUILDING REVIEW BY: DATE APPROVED: -
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes /-7v.-No
PLAN REVIEW Yes z-----No SEWER CONNECTION
STATE SURCHARGE y Yes -No WATER CONNECTION
INVESTIGATION FEE Yes NoPARK FEE
SAC Yes N6-7/ SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: \ / t Office
ri-looE7strict:
Lot Area: h: �- 'epffis
Survey Submitted: Yes / No Date of Survey: - /3 -53
* 0,4 t=c L.0
Proposed Setbacks:
Front ( ) : 3(oC) r ± Right Side: (60 ' 4-
Rear (Street) : /Z- 4) ( +Z- 4) ( + Left Side:
yO r4—
Adjacent
Adjacent Structures: " 47-7-x-C
ftL� Wetland: (5-(. ( 4--
Building
-Building Height: Def. Hgt. /C//f1- Peak Hgt. / ( /4
Avg. Setback: Lot Coveage:
Exi 'ng Proposed
Hardcover: 0-75 '
75-250 '
4111
250-500 '
500-1000 '
Hardcover Variance Required: T'es No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File:# Resolution # : Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: •- -7j CONSTRUCTION TYPE: • `,
•
- :• Sq Footage $ Per Sq Ftg
-Basement ___ .- - x - �.. -
1st Floor x =
2nd_Floor_. _ x =
Garage x = . {
TOTAL •
Estimated Construction Value: $
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) :
•
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CITY of ORONO
CITY
I Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO On the North Shore of Lake Minnetonka
IDATA 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 hat:
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.
l
3. The informatin may be shared with other local, state or
federal agencies t the extent necessary to process the permit or
license.
re l ed permit or license requires Council action
q ues�t
4. If your
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself. I\
6. Your full named is required to process this application or
permit.
I'll
I r 6ift4
„a/..0,
0
First Middle Last /
/i� (eciC / L____
Address
, 4 /6 II
S s--
City State Zip
3.g d ',
Phone
I understand right//s , s stated abo e.
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Signatur- if7
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BUILDING&ZONING—473-7357 • A MINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. 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.• An.individual asked to
Subd. Z. Information required
to be given individual.
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; known consequence arising from his
1 the requested data; (c) any
requireduto supply private or confidential data; and (d) the identity of
other persons refusing itoe supply P state or federal law to receive the data. This.
other or entities authorized by
requirement shall not apply when an individual is asked to supply investigative data,g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the notice re•uired under this
subdivision in the individual income tax or •ro•ert tax re and instructions instead o
on those orms.
Subd. .
Access to data by individual• Upon request to a responsible
authority,, an individual shall be informed whether
hprivatethe
or confidential.stored
Upon his
individuals, and whether it is classified as p public data on
to him and, ifo he desires, shall
further request, an individual who is the subject of stored private or�du� has been
individuals shall be shown the data without any charge at . After an individual 6e informed of the content and meaning the data need disclosed to
shown the private data and informed of its meaning, neednot beeis section iso
him for six months thereafter unless a dispute or action pursuantdata upon request by
pending or additional data on the individual has been
enr collected
blit ed or created. The
P gprovide copies of the private theb
responsible authouity shall requirern the
The responsible authority may
the individual subject of the dam• certifying, and compiling requesting person to pay the actual costs of making, yi g'
copies.
The responsible authority shall comply immediately, if possible, with any request
e
made pursuant to this subdivision, or within five daysf of the
date e of the
compliance risequest,
st,
eholidays,
possible. ot
ocluding Saturdays,canSundays and legal 1 with the
If he cannot comply with the request within that time, he shall so inform the
have an additional five days within which to comply individual, and may al holidays•
request, excluding Saturdays, Sundays and legal
Subd. 4. Procedure when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness of public or nrivvvate data once the concerning
hims authority.
exercise this right, an individual shall notify authority shall 30
describing the nature of the disagreement. The responsiblelate and attemptwithin thint0
days either: (a) correct the data found to be inaccurate or incomplete
ng recipients named by
theify pastivid recipients of inaccurateify diincomplete
dui ghat he believes ata dthe datto be correct.
individual; or (b) notify disagreement is
Data in dispute shall be disclosed only if the individual's statement of
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
%il
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DATE
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