HomeMy WebLinkAbout1991-003609 - deck . P•ERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. S�outh • P.O. Box 66 Permit Number: ��ij';�i����
Crystal Bay, Minn�sota 55323 Date Issued: ���,��y� /���
(612) 473-7357
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REMARKS: � �.... . . _. .::.i
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FEE SUMMARY: � _`'`"'''````"`Y
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CONTRACTOR: �-- ��'F�1 i+_��E�� -- OWNER: �
HAh�i'=;+:1r�J Hi:1Wfi�Ru I�.7'��i 1 i i:tJLL��� i*i I��::s-
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
{
� +, ,�. , . _ �'��,-�C�eL- -��� � - �� - -
CHECR OFF LIST FOR ISSIIANCE OF PSRMITS
FOR OFFICE SE ONLY
ADDRESS OR LEGAL:� OC� 1 � � PID:
DESCRIPTION OF WORR: ._...> E ''���:
-------------------:� .��---------------------
------_---�-------_-------------
ZONING REVIEW BY: ��� DATE APPROVED � �� �'�
BIIILDING REVIEW BY:�� DATE APPROVED: � • Z.4 -y (
--------------------- --------------------------------------� ----------------
FEES TO BE CHARG$D: Misc. Fees Calculated By: �
PERMIT xes �/ . No
PLAN REVIEW :Yes� No SEWER CONNECTION --
STATE SURCHARGE Yes� No WATER CONNECTION r-
INVESTIGATION FEE Yes No� PARK FEE --
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: � d�'-- ` � ��
Fire Department: �' r-'�� ��-- Post Office: �=��- School District:�"~�G�°,�l� '-�
:� � �
Lot Ar�a: `� � Width: ���' '� Depth: �CX�
Survey Stzbmitted: : , ,�es� No Date of Survey: .S - 2-`7 -��
Proposed`�'Setbacks : , i �
��o�t- (Lake) : /�j'��� =` Right Side: � �
��r (Street ) :�2 �^ � Left Side: � '� .
Adjacent Structures : — Wetland: --�
Building Height: Def. Hgt. '" Peak Hgt. -�
Avg. Setback: V�t' "'•,'�_t � �� �'' �`�� Lot Coverage:
Existing Proposed
nf
Hardcover: 0-75 ' � � /� f' �� '� �'W �C� "
75-250 ' ' !:/`' �yr11 �^�" � Z�v , � � '� �� �, , � . �,,,,�r `� /��51� S,�n
_ � v �
�. G� ��• 1
�� �, , �' � ;_ �
250-500 ' ! % '" ^
500-1000 '
Hardcover Variance Required: Yes ;"'T No Date of Council Approval: "Y' � '�7
Grading: Staff Approval Date: ' By: - Council Approval Date: `
Septic: Staff Approval Date: By: �`�"
-�' y�`�'l f�` Resolution Date: �`' ` :�� ` ��
Zoning File: #�S Resolution #:
R�iARRS (in house) :
r
, _ ,,,.�.,, �_. .
BIIILDING REVIEW CHECR LIST
____.
pBC: �'�` (;'"'� CONSTRIICTION TYPE: �---
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor X =
2nd Floor X =
Garage X —
x =
TOTAL
$stimated Construction Value: $ `-f� `��
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
c'�.Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
REMARRS (IN HOQS$) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
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Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
� � �
� • o � On the North Shore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 3ike 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 Iicense requested.
2. You may refuse to supply data, but refusal may reguire that
the City deny the permit or Iicense.
3. The information may be shared with other iocal , state or
federa]. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
�. I A r�. �� � ��N
'0 l.'v'/\ IZ� �
First Middl.e Last �
, `'
� � � � ��� A �.IC� ie- � �� �
Addre s
}�}�� � ,� � � ,�� , � � � ��
City State Zip
�{� �' ` �� sl l7
Phone
I understa my rights as stat d above.
1.�� C�'-�L.1L�i/> ...�—�
Signature
BUILDING&ZONING—473-7357 � ADM[NISTRATION�F[NANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�.� �Gg� pg gIIgJECTS OF DATA
gubdivision L Tppe of data- The rights ection.vidusls on whom the data is
stored or to be stored shall be as set forth in thss S
Subd. 2. Information re9uited
to be givea indi�d�' An.individual asked to
� ' su 1 rivate or confidentiel data concerning am 1,�n the c�uecting stat ge��
PP Y P
purpose and intended use of the req�m�d � Whether he may refuse or is legally
political subdivision, or statewide sys �o� consequence arising from his
required to supply the requested date; (c) any �d (d) the identity of
supplying or refusing to supply private or confidentisl data;
other ersons or entities authorized by state or federal law to receive the data. This.
p 1 when an individual is esked to supply investigative data,
requirement shall not app y to 8 �w enforcement officer.
pursuant to section 13.82, subdi�►ision 5,
The commissioner of revenue ma la�t t� re°und�truct�o�nsteadh°S
subdivision in the individuel income tax or r� er
on those orms. - - -— - - .
Ac� to �� � �����, Upon request to e responsible
Subd. 3.
authority, an individuel shall be informed wh ublic h rivateeor aonfidentiaLe �P°n �
individuels; and whether it is elassffied as p � P ublic data on
to him and, if he des�res, shall
further request, an individuel v�►hc is the subject of stored private or desi
individuels shall be shown the date witho of�hat da� After an individual has been
fie informed of the content and meaning t� �� need not be disclosed Lo
shown the private dats and informed of its u���BcUon pursuant to this section is
him for six months thereefter unless a �P n request by
� endin or additienel data on the individuel h�ate or public datarupoeated. The
� responsible authority shaIl previde copies of the pr require the
the individual subject of the data. The respensible authority may �n the
requesting person to pay the actual costs of makitiB. certifying, ar►d �°mp g
copies. immediatelY, if possible, with any request
The respensible authority shall comP1Y � of the date of the request,
made pursuant to this subdivision, or within five �Yslmmediate complianae is not
excluding Saturdays, Sundays and legel holidays, -
ossible. If he cannot comply with the request within that time, he shall so infVorth the
P
and may have en additional five days within which to comply
requestt,excluding Saturdays, Sundays and legal holidsys.
� te or complete. An in��5�. To
Subd. 4. Procefiae when data is not ac�cura
contest the accuracy or completeness�of public or private data conce��e authority
an individual shall notify in writing t�e �P�
exereise this riBh�+ nsible authority shall within 3 0
describing the nature of the disagreemenL The resp°
da either: (a) correct the data found te be ina�c��ei°cludingreeClpl��namedtby
�
notify pest recipients of inaccurate or ineemPle �
the individusl; or (b) notify the individual t��du��,s'S�tementof disagreem nt is
Data in dispute sha]1 be d'isclosed only if the m
• included with the disclosed data• � appealed pursuant to the �
� - ' ' T he de t e r mination of the responsible au�hority to con t e s t ed cases.
- � provisions of the administrative procedure ect relating
' CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ f a )� 0 '� Date Received:
Date Approved:
Entered By: ��`'
Permit#: ����
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIE`W WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one ) OWNER or CONT CTOR
�
JOB SITE ADDRESS: � �Q O � ��l�_� � ZIP:
(work)
i r 4
NAME OF OWNER: l�@ P I,v���� PHONE: (home) � � � � J D 7
MAILING ADDRESS: ��O� 1' Yl C,�'���I�� �, � �,
CITY: V /��r� ZIP:
�
CONTRACTOR: O� W i��2� I ��� 5Q� PHONE: � �� � J � � �
�`7 C `� c �
MAILING ADDRESS: ��� ( �:'lA�� I�it�' ,�J�, CITY: �D(U/V " ZIP: J�J��
�"'"" �___---,,
= Y� ,.
TYPE OF WORK• New \ � dition Accessory Structure Move
Demo __Re lteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �1��� �N �+`����
; �' � �
" `�� �; �-� �r��h �-���:�' ���-►���' �` �e�� �n`�t�- , �D
`� _ �� `
STORIES: SQ. FEET ' � �� " , � �� �
NO. OF B$DROOMS: GARAGE STALI�S: ATT. DET. ,
ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 accor ance with th approved plan.
. ,
APPLICANT'S SIGNATORE: �''.--�. �,�,w'.,:`'-°1-.� DATE: / /� c��'j /!�f I
� C 1�Y v r c� rt v �� v , , , ; �
j ' ; r . f, _y .� �, ,�, l;� ; '��( ' ; '��A�ILIS�NG �� IT PLAN REViEVN
; i�.
,' �, /
t ' �� iNSPEtf70f4 1 — I
t � I �� 'DATE 3•Z �l PERMIT NO. r....�...e , ��'/ �
,l'.' �'�� - / f,° � :r, �-- � I ` ' �'� qPPROVED AS SUBMITTED �
------__.___----
' � � APPROVEa WITH CORRECT�ONS AS NOTED ��, � ' -- �,�*� . ����', ? I � �?��. �, " ''�
\ � NOT APP'ROVED — CORRECT & RESUBMIT - -' ( G' � "'�
' ;� � � ,-,
' These commeMs are for your information. All work sha�i be oM �. 1,��;�'�'� �(.,�c.;�})('>�>�
in full eornpNance witJ� all appliceble butlding &,zonirtg ro• �� ,( I� �
quirements i�cludrr?� i.t�s not �pecificaily noted+in th r ip� '" � , r'{
KEEP_,� IS PtAN SET ON SlTE AT ALI. TtM,, .�„��..� -_,'�- � � ( ,�' c, I�,({' ,� �` ,''r�' �:}' J}l
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�' �' ' ATE C� TIME
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