HomeMy WebLinkAbout1993-005601 - roof pitch/dormers �EI�MIT
. �
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 / E��1 I L�a I?�S�
Orono, Minnesota 55356-0815 Permit Number: ✓ �#�4��{��
(612) 473-7357 Date Issued: i {+;i�.�,�,�,_,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: "j" `
FEE SUMMARY:
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CONTRACTOR: — r=:�:���.. ; ;_t�it. — �_,� . ���: .OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. CITY OP OR02i0 - BIIILDING PER.'�iIT APPLIC�iTION
^ct�.
1 ree: $ ��C � �G' Date P,eceived: � /�' " I
' Date P_DD=OVeG� :
:ntered By: " �'� _ - -
Pe_�it�:���/
',.�.I, INFOFZMATION MIIST BB SIIBMIT'�SD IN F�D�L BEFORE PI�AN RE�7IEW WZIS• B$ STAR��
(See Check-off List BncZosed)
_ ---------------------------------------------
:�.; AppLICANT IS: (circle one) OWDIER or CONTRACTOR
,� SI� ADDxBss: 1305 Shoreline Drive , Orono ZIP=�����
(work) 546-9707
�.�: pF owr7�z: Mr and Mrs Wi 1 1 i am Po�p PHorrE: (home) 476- 1061
AILING ADDR.ESS: � �n5 Sho1^P1 i nP �ri vP C=�=_flrnnn ZIP' SS���
�NZ'RACTOH:,_M�,�^n n N i i rl c n n 11 a t h N I I,Il„$���N�T R I I('T T(l AI PH��=�.Q,L�.a�..�?�
_-:.ILING ADDxEss_10220 38th Court No . �_�= Plvmouth , MN ZIP= 55441
-�� I,ICENSE= � #0005194
:3STECT/�7GSNEER: NON ---- PHONE:
wI,ING ADDRBSS: CITY: ZIP:
._.�: RSGISTRATION 4
?E OF WORR: New Addition Accessory Struczure Move
Demo R�*nodel/Alteration�_ Renovate Land Alteration
'POSED WORK (describe i.n detail) : IncrPasi ng rnnf �i trh nn sarri ana hniicac �
six dormers
;?ZIBS: SQ. FEST OF EACS FLOOR:
' . OF BEDROOMS: G�GB ST�iI.I.S: ATT. DET.
'I�SSATED CONSTRUCTSON VALUATION (ezcluding land) = $ ,�, R�n ,�,n
�reby apply for a building permit and I acknowledge that the iaformation
ve is complete and accurate; that the work wi11 be in conformance with the
,inances and codes of the City and with the State BuiZding Code; that I
:erstand this is not a permit and work is not to start without a Fermit; and
::t the work wi11 be in accordance with the approved plan. .
DATE: � ^'
'LICI�NT'S SIGNATD�: �
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L ���g�,'�^; .
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�w�'µ Post Office Box 66•Crystal Bay,Minnesota a-i323•Municipal Ofnces
, s � _
� , _ � a-.; On the North Shore of Lake l�linnetonka
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 Iicense.
3. The information may be shared with other iocaZ , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested perr.iit or Iicense requires Councii. action
to approve, some inf ormation may become public.
5 , You have certain rights nnder M.S. 13.04 to review pri�at�
data on yourself.
6. y�ur full name is required to process this applica�ian or
permit.
First
Middle Las�
Address
City
State Zip
�44 �073 .
Phone .
I understand my rights as stated above.
� Z� _ . `
Signa re ��
BUILDING&ZOlY1NG—473-7357 • ADMINISTRATIOy&FIN�`10E—�73 7358
• PUBLIC WORKS—473-7359
ASSESSING
---- � ,
. � t
. SI3.04 RIGHTS OF SIIBJECTS OF DATA '
gubdivision L TyPe
of data. The rights of individt,� on whom the data is �,
stored or to be stored shell be ss set forth in this section. An ����u� ��ed to
-- Subd, 2. Informatioa r�d
to be given indivi�ual-
. • i� the collecting state agency, .
a t e
su 1 private or confidentisl data concernin�8mw� S� be informed of: �
PP Y
purpose and intended use of the requested
(b) whether he ma� refuse or from his
political subdivision, or statewide system; �oWn consequencP arising
required to supply the requested date; (a) �Y �d (d) the identity of
� supplying or refusing to supply private or confidentiel data;
rsans or entities authorized by state or federal law to rece�v�g�ve da a
other pe 1 �y�en � individual is 8sked to supply
requirement shall not app y to a law enforcement office:.
pursuant to section 13.8.., subdivision �, �
Th
e commissioner of revenue mev olace t� re��d�t°U�tians�i�teadhoi
subdivision in the individual income tax or pro�ertv t
on those orm$. . . . _.—.� -� �
Subd. 3.
. Access tc �ata b9 u����' �Pon request to a responsible
it an individusl shall be informed whethec h�VBteeor confidentisl.e �P°n �
author y, ified as publ� � P ublic data on
individusls; and whether it is class
��rge ta him a.nd, if he desires, she.11
further request, an individual �L8 withoutlany t of stored private or been
individuals shall be shown the of that data. After an indi�idual h�s
6e informed of the content 8nd meaning the data need not be �isclosed Lo
shown the private dats and informed of its u���BC�on P��nt to this section is
The
him for six months thereafter �ess a �P ublic data uPon request by
" 'n or additicnal data on the indiviauel h�ateeor p llected or created.
P�� g rovide copies of the p may require the
responsible authority shail p The responsible authority�d comp�g the
the individual sub7ect ofthe actae�l'costs of making, asrtifyinb',
requesting person to pay - re uest
eopies. immediatelY, it Possible, with any 9
The responsible authority shall comply ' of the date of the request,
ursuant to this subdivision, or within five daYs
made P �d legal holidays, if immediate complianae is not
excluding Saturdays, SundgYs u�t within that time, he shall so inform the
1 with the req within which to comply with the
possible. If he cannot comP Y
individual, and mey hsve en additio� i g����n.
request, excluding Saturdays, Sun�`YS
te or complete. An indivi�ual maY
Subd. 4. � Prxe�'e when data is not ac��ivate data concerning himself• To
contest the accuracy or completeness�of public or p �e r�a��le authority
ht an individual shall notify in w��
exercise this �g � ��menL Tt'►e resP°t�ible Sutholeie and at em t to
describing the nature of the disagi' P
days either. (a) correct the data found to be inae��ei°�u�.�°gPe�Pients named by
notify past recipients of inaccurate or incomp eEment is
' dividual; or (b) notify the individual ��ividusl�s sta emen tofdisag�' �orrect.
the ln lt the
Data in dispute shall be disc1osed only � a�pealed pursuant to the .
• included with the disclosed �ta• to c�ntested cases.
' The determinatio�tro a�e pro��be aCt=elg��g 8y �
provisions of the admin ;
S
' E
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• �
, �,���� STATE OF MINNtESOTA STATE OF MN DEPT. OF COMMERCE
� �, .��, a�� DEPAF.7MENT OF COMMERCE c�•�F5r9T
� °-n 133 East Seventh St 133 East Seventh St �.v ' '� F�
��c.,v •
I � ; y:�3'� St. Paul, MN 55101 St. Paul. MN 55101 � "�..;-�_
��. . = '+�` �' (b I 2) 296-6319 (b i 2) �96-6319 � ; �F ,
�,�,� '-�f��' BUILDING CONTRACTOR BUILDING CONTRACTOR ���;,�;��/
I,.,,*ia5ax
ID#0005194 iD#C�OG5194
RESIDENTIAI. CONTRACTOR RESIDENTFAL CONTRACTOR
i IVD PP.OPR IETOR I ND PROPR I ETOR
, Issued: 03/�7/92 Expires: 03l31/94 � Issued: 03/27/92-03/3119�
.
MYRON H VATH MYRON H VATH
HUDSON CONSTR HUDSON CONSTR
10LG0 38TH CT N 10LG0 38TH CT N
PLYMOUTH MN 55441-1670 PLYMOUTH MN 55441-1b70
CM-00543
. CHECK OFF LIST FOz2 ISSIIANCE OF PERAiITS
' FOR OFFIC� US� ONI,Y
::iDDR.ESS OR LEGAL: I ` ,/ � '�''L" PID: l� � /! � � �-' � `� f�'/ �
1 /�L.�-L(_�l.< 1 L.ti..�"
�
PTION OF WORR: �2C� � �- /�-�-2/ I�i:t"'./`- ..... G i�a�i� �D —
I3ESCRI-------------------------------- ------------------�---
:ONING REVIEW BY: OV I t� DAT`E APPROVED-
'�IIZI,DING REVIEW BY: DATE APPROVED: �d "�l r��1 3
---------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
?ERMIT Yes �No � .
?LAN REVIEW Yes�� No SEWER CONNECTION
STATE SURCHARGE Yes�_ No WATER CONNECTION
TNVESTIGATION FEE Yes No �/' PARK FEE
�AC � Yes No � SITE INSPECTION
�iumber of SAC IInits OTHER (specify)
--------------------------- g
ZONING CHECR LIST Zonin Di trict:
Fire Department: Post Office: School ' strict:
Lot Area : Width: Depth:
Survey Submitte : Yes No D te of Su vey:
roposed Setbac s:
Front (Lak ) : ight Sid :
Rear (Stre t) : Left Side:
Adjacent S ruc ures : Wetland: �
'?uilding Heigh : D f . Hgt. Peak H
�?vg. Setback: ' Lo Coverage
xisting � roposed
�iardcover: 0- 5 '
75-2 0 '
250- 00 '
500-1 00 ' i
:ardcover V riance Re uired: IYes
o ate of Council App val:__
'srading: St ff Approva Date: '
gy; Council Approva Date:
Septic: Sta f Approval. ate: `
�oning Fil :� Res I.ution Reso�ution Date�
?F�tARKS ( ' house) :
BIIILDING REVIEW CHECR LIST � ` 4
ZJgC= R 3 CONSTRIICTION TYPE: VN
Sq Footage $ Per Sq Ftg
Basement X � _ .
lst Floor X -
2nd Floor X -
Garage x -
x =
TOTAL
Esti_mated Construction Value s $ 2� �bC� �'�
Inspections Rem�ired: Work Requiring Separate Permits:
Site � Plumbing Grading/Fil.ling
�'Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
jda1,1. Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Wel 1 (State Permit)
Electrical. (State Permit)
-------------------------------------------
�F.I�ARKS (IN HOIISE) :
--------------------------------------------
gEVIEW BY O�H�2S- DATE:
Access: Existing New
Access Approval: Date
By:
------------------------------------
REI�SARRS (TO BE NOZ�D ON PERMIT) :
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DATE TIME
CITY OF ORONO CALLED IN �� �N�-�r-�
INSPECTION NOTICE SCHEDULED /l�",� `% /� •� -� �'
PERMIT NO. -' �'�� COMPLETED �_ �
ADDRESS �-? �-S� �f'�'�'r� �.-«__ � ^ �
OWNER lL tr�:: r.� ��� CONTR. I�G��2rvr C`e�-yc.-�/�
TELEPHONE NO. � ��- �`C � ?
� DESCRIPTION �`;l — ��'`� :.�ti- ��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q CQ2 FRAMING7 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBiNG FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContract �:
Inspector.
White Copy/lnspector's File Canary CopylSlte Notice