HomeMy WebLinkAbout1996-008528 - deck �
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� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �:t i I L:k I t�{�
Crystal Bay, Minnesota 55323 Permit Number. i y�;;�,:,.�,r,;
j (612) 473-7357 Date Issued: f {_��:_:i?,i,-;i�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — r�����1 �.c�y-��t. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: $ 1 ���i�' � Date Received: /�' '=>� `" �"
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Entered By: ;'�`� Permit#: , S<�-�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------- -------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
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JOB SITE ADDRESS: 13�IG � � C�r � ��;� ZIP: _� -� , (;, y
NAME OF OWNER: JC\C�f, � C:_ � �'��� � PHONE: (home) � j�"4 1�) (p
(work) � �>C� �'f�'�-I �
MAILING ADDRESS: I �q C � c��, 1� l�.� CITY: � ZIP: �� � ` �
' � �7'�l�':�:r� �',
CONTRACTOR: PHONE:
CONTACT PERSON: 1`vIOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITrCT/ENGINEER: PHONE:
MAILli\tT ADDRESS: CITY: ZIP:
�J�y�; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �c�-�c.�c ����� '1�� C-..� \�����L _
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1C;':.�G; —"
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.
.,
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APPLICANT'S SIGNAT �'� '�(�,:..� �' '�� � DATE: ( �� �C? .�1'(a�
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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
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Sea 13.04 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shail be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning hicnself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shatl
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue mav alace the notice reauired under this subdivision in the individual income tax or propertv tax refund
instn►ctions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuais,and whether it is classified as public,private or confidential. Upon his further request,an individua(who is the subject
of stored private or public daCa on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requestin$person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority 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 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.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, including recipienu named by 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.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested 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 aze 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 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or pemut.
First Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t 3`�� �,4�� ;�:
PID:
DESCRIP'TION OF WORK: �i.C4�
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ZOivING REVIEW BY: �. ,� DATE APPROVED: i c� -3�' • ��
BUILDING REVIEW BY: DATE APPROVED: r v -3�' 'iL
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SUR`I�ARGE Yes � No WATER CONNECTION
INVESTIGATION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: L/�-f Q
A'��� Fire Department: Post O�ce: School District:
V"
�t Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes�� No Date of Survey: � -��'%f.:
Proposed Setbacks: _ ,
Front (Lake): � �i ' Right Side: �l`'�• `r
Rear (Street): �v � Left Side: �''�'��✓�
Adjacent Structures: r'�'r7�L!/�'� Wetland: �'✓ ��
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
�1 Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
� 250-500' 2� .3�`� 23, ��{
500-1000'
Hardcover Variance Required: Yes No� Date of Council Approval:
REMARKS (in house):
� 26
BUII.,DING REVIEW CHECK LIST
UBC: � '� CONSTRUCTION TYPE: `�!�`'"
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
u_.
Estimated Construction Value: $ �,��U
Inspections Required: �Vork Requiring Separate Permits:
Site , Plumbing Fire
Hazdcover Removal Mechanical Water Connection
K Footing Septic Sewer Connection
�Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
c< Final Grading/Filling Electrical (State Pemut)
Other
REMARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS(TO BE NOTED ON PERivIITj:
27
, • HARDCOVER CALCULATION WORKSHEET °��U � P�
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House `� 3,3"� x � (.(� _ �Co 5,�(j S.F.
Length Width
( U x / Cp = I (�O �-' S.F.
x = S.F.
x = S.F.
B. Gazage �-,Z y z � �' _ (.Q � � S.F.
C. Driveway o� y x � C.� � ��S = ��e � 1 � Z�.) S.F. �
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck z = S.F.
x = S.F.
F. Landscape ' x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - �-/3(� �I S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A �t 3 � q = B 1 -7 ,"7 o U x ioo = � y . 3`1 �
PROPOSED HARDCOVER IN ZONE
A. House 3 "�. �3 �'� x ,� [� _ ��S�• S.F.
Length Width
I � X 1 � = j C� U S.F.
x = S.F.
x = S.F.
B. Garage o1 � x �z� = C�`7 �- S.F.
C. Driveway �, �} x 1 C?`�� ,� _ � � .11 ,Zd S.F.
x = S.F.
D. Sidewalk x = S.F.
z = S.F.
E. Patio/Deck / o� x z Z = oZ (� � S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - '-f S 7 3 S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A y� � �, - a l�� `70o xioo = dS:�r %
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DATE � �T ME" �
CITY OF ORONO CALLED IN "� <� U�
INSPECTION NOTICE SCHEDULED /- �-4 �
PERMIT N0. �sa COMPLETED ._1� �-
ADDRESS � C)
OWNER �'�'n CONTR.
TELEPHONE NO. ��a� L/79�
� DESCRIPTION _ (� C-K.
� Oi FOO 11 MECHANICAL RI 18 DCCAW(��RADIN(iIFIWN�
�Q IN�, 13 MECHANICAL FlNAL 19 LAI�SHOREIVVETLANDS
0 03 ULATION 2M25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 FlNAL 14 SEWER HOOK-UO 06 PROORESS
�
J 07 DEM�SITE 27 SEPi1C MAINT. 21 COMPWNT
W 07 DEMO--FINAL 1S SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVEH REMOVAL
v 10 PLUMBINO FINAL 38 FOUNDATION REMOVAL
Z OWNER/CONTFiACTOR TO MEET YQU: YE8_NO
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d RKSATISFACTORY:PROCEED G PROJECTCOMPLETE
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� COHRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.47�73�J7
OwnerlContract o s .
Inspector: '
White CopyAnspector's FlN Canary CapylSite Notio�
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Certificate of Survey �
for Wayne M. Holmes .
of Lots 19 & 20, Block 13, SAGA HILL i: _VISED
Hennepin County, minnesota
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� �FN - CITY 0� ORONO
vF � SITE PLAN ___ GRADlNG PLAN
b�-APPROV�D --� c�4c
� ❑ APFROYED 4'v'lTr� REVISfONS
❑ DfS�P"�C,~�f �;
`°° . B'�' .��
D^TC_ ��__3a - 9c.�,
I hereby certify that this is a true and correct repres� �tation of a su � vey of the
boundaries of Lots 19 & 20 , Block 13 , SAGA HILL REVISED , Hennepin County , Minnesota ,
and of the location of an existing building and of a..pr�� �osed garage in relation
to the North line of said property . It does not purport o show any oth� r im-
provements or encroachments .
Scale : 1 inch = 30 feet COFFIf—����ERG�y INC- ,
Date : 8-15-89� 5-2�-9,� PAo/olFd NouJF INGu.�v //- _ �D� -.
o . Iron marker f�1ark `; . Gronberg Mn. Lic. No. 12755
EnginF� �rs, Land Surveyors and Planners
Long � �ke, Minnesota
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