HomeMy WebLinkAbout1990-003490 - fam room addn PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Fermit Number: ��t���-d�r��
Crystal Bay, Minnesota 55323 Date Issued: ""•���=��}
(612) 473-7357 1:�l�1/'�C}
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ;L�c�;1;'__t��4R,�r;' r`L'L'
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FEE SUMMARY:
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F�l��� F��v i�w �7��. �y�
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T���tal FeN ��19�_ .���
CONTRACTOR: OWNER:
-- �t�'F'I i c a�i�t• --
�lA�I 33aiV �'1 I t�:t�Ahi�
'�f_c� �.TH A4'E P�[
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�Q-�� i a-i 9- ��
. _ _. - -- ---- -- - -
�.= _. - ,
CHECR OFF LIST FOR ISSIIANCE OF PSFt1�iITS
FOR OFFICE USE ONLY
�nxEss oR �c�: ,��,_3 `-,� ��� �` /�i� /� �iD: 2� -- /1 g- 2 � � l C�D��-`
DESCRIPTION OF WOR�:��.'ti�� .� 7,7r,� ` I��('�-'y - I L�X I�v �iA�"^ �C t�•.
!
ZONING REVIEW BY:--,����-------------DATE APPROVED:-�2. -�`�-1�------------
BQILDING REVIEW BY:� nnn,r,,,_ DATE APPROVED: I Z-1-7 -4 a
e
-------------------- --------------------------------------�1---------------�
FEES TO BE CHARG$D: Misc. Fees Calculated By: �'� �
PERMIT Yes�VC' No
PLAN REVIEW Yes ✓ No SEWER CONNECTION ��
STATE SURCHARGE Yes� No WATER CONNECTION .-
INVESTIGATION FEE Yes No � PARK FEE .--
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify) ..�-
------------------------------------------------------------------------------�
ZONING CHECR I,IST Zoning District: �12 - � �
Fire Department: L L-- Post Office: � �- School District: ����"^"�� °�'
,� � , � � r� t
Lot Area: � C c" � Width: -- _� - Depth: y;% � �
Survey Submitted: Yes� No Date of Survey:� Z- �o `g� �'-`�-`�``���'�''� "� j
Proposed Setbacks : Q ' � � � 1
Front (�a�) : � ( 0 � Right Side: � •
, ,
Rear (-�==='�) : �� � - Left Side: } � "� `
Adjacent Structures : �'� /'��-�E-�'('� wetland: �'iJoN�``
, � �
Building height: Def. Hgt. �Z - Peak Hgt. �LI
Avg. Setback: � Lot Coverage: �J�,
-E isting Proposed
Hardcover: 0-75 '
75-250 '
�
f �
250-500 '
500-1000 ' `
xardcover Variance Required: Yes ~ No� Date of Council Approval:
/ '`) ;
�rading: Staff Approval Date: �UON�`' By:•�I��..; Council Approval Date:
��., ,�7 � 1•'..�
�
::eptic: Staff Approval Date: �����►-�'`a ��r � - By:�" ^ l�t_ -
--- __..
�oning File: # Resolution #: "! Resolution Date: �
• � f
�tEMARRS (in house) : �
I
1
- - - �--- -..,._.. ___._.�. _ _ _ _ --`-ti ' •
BDILDING RLVIEW CHLCX LIST
QBC: �� �'3 CONSTRIICTZON TYPE: ��
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x = +"' -' __
2nd Floor x = - '
Garage x =
x =
TOTAL _ ,. _
Bstimated Construction Dalue: $ ��� �L��� - " .- �
.
-. . .._,,,,7 .� -
. . -.
._-- -;:- ;.-� . _
Inspections Required: Work Requiring Separate Permits: - � -- - �
Site Plumbing Grading/Filling
�Footing �p Mechanical Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
p Wall Board (Masonry) Other
�X Final (Mfg. ) Well State Permit
Other �Electrical (State Permit)
-------------------------------------------------------------------------------
REMARRS (IN HOOSE) :
-------------------------------------------------------------------------------
Rh'VIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
RFMARRS (TO BB NOTED ON PERMIT) :
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. _ I
., - " CITY OF ORONO - BIIII,DING PERMIT APPI,ICATION
rotal Fee: $ � 4 0' �� � Date Received: , ,��� ����
� Date Approved: �c�-f�- � �
�atered By: �. �
Permit#: ��� 7
3LI. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIB�1 i�iIL.L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
I'H� APPLICANT IS: (circle one) �OWNER ,�br CONTRACTOR
TOB SIT$ ADDRSSS: �� ��7 ��L 4�� L ZIP• ����� �
(work)
�
ZAML OF OWNER: �C�.L� � �, �-1 ( G�r1 PHONE: (home) �t���I ��' �
SAII,ING ADDRESS: �� � ��� ��C� 6Zc� (� CITY: �..(,'�1���i L/"�� ZIP: ����Z�
f
:ONTRACTOR: �-'�'`M`c:.,�"-' PHONE:
1P,ILING ADDRESS: CITY: ZIP:
'YPE OF WORR: New v Addition � Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
�ROPOSED WORK (describe in detail) :
TORIES: SQ. FEET OF EACH FI�OOR:
O. OF BBDROOMS: GARAGE STALLS: ATT. DET.
STIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ��� L���Z.i
hereby apply for a building permit and I acknowledge that the information
bove is complete and accurate; that the work will be in conformance with the
rdinances and codes of the City and with the State Building Code; that I
nderstand this is not a permit and work is not to start without a permit; and
hat the work wil 1 be in accordance with the approved plan.
� ,
PPLICANT'S SIGNATQRE: �-<1,���-�--E'� �J I C� ��v�--- DATE: �'� � ��l G
I
1
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneeota 55323•Municipal Offices
, ..:..
•
� - � a On the North Shore of Lake Minnetonka -�
DATA PRIVACY ADVISOBY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike 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
gualification for the permit or Iicense 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some infarmation 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.
1C��1(t-b � �� l-CM
First Middle Last
a ��� �U � �
Address
l,P�((`� �., � 3� �
City • . State Zip
��3��t c� I - -�
Phone �
I understand my rights as stated above. -
. . ;� _. . _ •
�
�-, _ __ . .
Signat re .�� �_ ; _
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473•7358 • PUBLIC WORKS—473-7359
ASSESSING , . �
- . . , ` �
�.p,4 RIGHTS OF 3IIB.TEC'T5 OF DATA . -_- .
' ision L Type of da�- The rights of individue�s on whom the data is
Subdiv
stored or to be stored shall be es set forth in this section. An ���d� �ked to
to be given individuaL
�� gubd. Z. Information required �ms� S�� be informed of: (s) the
� ' supply private or confidentiel data �un�ed �� within the collecting state agency, .
purpose and intended use of the req tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys �o� consequence arising from his . _
required to supply the requested date; . (�) anY . w�d (d) the identity cf.:
1 or refusing to supply private or confidentiel data,� `
�pp �g entities authorized by state or federal laK► to ri��v�g�e' ��
other persons or
requii'ement shall not applq when an ind��vla�W en orcementuofficer.
pursuant to section 13.82, subdivision 5, �
The commissioner of revenue ma laQQ tax re�und instru t�ons��te8dh°s
subdivision in the individuel income tax or ro ert
on those orms. • - � -�— ' .
Subd. 3.
Aecess te data bY i�����' �Pon request to a responsible
authorit , an individuel shall be informed wh b�c h r vateeorueonfidential.e Upon his
y fied as p � P u�u� data on
individuals; and whether it is elessi
further request, an individual who is the subjeat of e to himrland, if he des�res, shaIl
individuels Shall be shown the dat8 with°of�hat datga. Atter an in���u� � been
6e informed of the content and meaning � �� need not be disclesed to
shown the private data and informed of its m tean�BBC�on p�rs�t to this section is
him for six months thereafter unless a �P n request by
endin or additienal data on the individuel h�a eeor pu lic datarupoeated. The
� responsible authority sha11 provide copies of the P o�ible authority may require the
the individuel subjeet of the data• The �P certifying, and �°mP�ing the
requesting person to pay the actual costs of making,
copies. immediatelY, it pessible, with any request
The responsibls authority shall comQly ' of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legal holidsys,
ossible. If he cannet comP1Y With the request within that time, he shall so in�� the
have an additienat five days wititin which to comply
individual, and �Saturdays, Sundays and legal holidays.
request, excluding
d�e when datn is not acc�ate or comPlete. An in��� may
Subd. 4• p� rivate data conceraing lumself• To
contest the accuraeY or completeness�of publie or p �e ���e authority
exercise this right, an individusl shall'notify � ��
describing the nature of the disagreemeriL" Z'1�e resP°nsible authority shall within 30
da either. (s) correct the data found to be inacaui'ate or incomplete end attempt to '
� reci ients named by
notify past recipients of inaec het in�v�dcu81 pthat he tbelievles�tt►e data to be correc�. �
the individvel+ or (b) notify eement is ;
Data in dispute shall be disclosed only if the individual's statement of disagr ;
• included with the diselosed data. ealed pursuant to the � !
' The determination of the respcnsible authority may be aPP ;
t� contested ceses. __.. _
provisions of the adrninistrative procedure act relating - , ;
�
' l' � DATE . TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE ���/�i� � scHEou�Eo ��i 7- �/ a? .3�
PERMIT NO. � ` �`� COMPLETED q lI
ADDRESS �`�.3.� �-� /� ' �'
OWNER �..�'�-���-�`'� CONTR.
TELEPHONE NO. ��7.� �� ���
� D �TION ��Q�'
01 FOOTI� 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 MING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAI 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W� ❑yVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W y��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r site:
Inspector.
White Copylins tor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � - ��-9/
INSPECTION NOTICE G�� SCHEDULED �--a�g/ 1��
PERMIT NO. COMPLETED �_ �=-�
ADDRESS a � 3 � � �d • �0
OWNER �a-��� -It'S a'►'� CONTR. �� " 1<c�.(l e+"c�
TELEPHONE NO. �� -3 �l ��
� DESCRIPTION -
l� 01 F TING 11 MECHANICAL RI 16 WELLTEST PUMP
� FRAMING D, 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
Q
QSULATION D 2M25'WOOD BURNER/FIREPLACE 19 LAKESHORENVEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN 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
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMME S:
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� CORRECT 1NORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOFiECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call fw the t inspection 24 hours in advance.473-7357
Ownerl or site-
Inspector. '
White Capyflnapectors Flk Canary CopylSita Notios
� p�T� -9/ T� ,r,l /J�
CITY OF ORONO ALLED IN �l�V=�
INSPECTION NOTI E1 ` SCHEDULED � � - /D: 3v �
PERMIT N0. �l � D COMPL E � •�(
ADDRESS � � ��/ ��
OWNER �l CL �3�Fr�.�► CONTR. L��,�i ��
TELEPHONE NO. �`� ��`� — �� ��
� DESCRIPTION �� �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
5 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� -SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PIUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��„ COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
Owner/Con or site:
Inspector. �
vn,ne coPyn�spec�ors Fl�e Canary Copy/Sita Notks
CERTIFICATE OF SURVEY ����IO �Y
FOR RICHARD C . VALITON
IN THE SOUTI-II�EST 1 /4 OF SEC�i I0N 27- 118-23
HE�NEPIN COUNTY , MINNEOSTA
�-� ennerin Cou:n,fy �oac� � o . �
�} 8Z'28 I S�� �
Z59 .80
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� �"`f�` s�`��� �"Je o� Sec . Z?-118•23 --
of fG�J %4.of Jcc. 27//B-Z,�
BXIST_TNC .R('iAT, DgSCR pTTON
That part of the Southwest Quarter of Section 27, Township 118 North, Range 23 West of the 5th Principal
Meridian described as follows: Commencing at a point on the East line of said Southwest Quarter dista.nt
1705.15 feet North of the Southeast corner of said Southwest 6t�.larter; thence West and parallel with the
South line of said Southwest Quarter a distance of 517.77 feet for a place of beginning; thence continuing
West a distance of 517_77 feet to the West line of thE tract of land described in and conveyed by that
certain deed dated March 2, 1895, made be Catherine Cox (wic�ow) to Lucinda J. Greene, re�ordec? April 27,
1895 in Book 427 of Deeds, page 288; thence Nortll along the West line of said tract a distance of 395.25
feet to the Southerly line of County Road No_ 6; thence Northeasterly on the Southerly line of saic� road
intersecting a point which is 517_77 feet West of the East line of said Southwest Quarter and 469.95 feet u�I
North of �he place of beginning; thence South 469_95 feet to the place of beginning, EXCEI''I' that part of `-
said above described property lying West of a line described as follcws: Commencing at the Southeast cor- ��
ner of said above described property; thence West 20U feet� along the ;�outh line thereof to the point of r�-
beginning of the line being described; thence deflecting right 80 deg�•ees 17 minutes to the North line of -
said property, and there ending_
This survey shows the location of an existing houae and barn in relation to the boundaries of the above
described parcel. It does not purport to show any other improvements or encroachments.
I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly
R�gistered Land Surveyor under the laws of the State of Minnesota_ �
� � �E cOrAP/-
COFFIN & Q20NBfiFtG, INC_ Scale: 1" = 60' ' o�'sw'�4 '
Date : 12-6-�30 �/ f«.
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Mark S. Gronberg Mn. Lic. Na. 12755 Bearings shown are to an assumed datum.
Engineez•s, Land Surveyors, Pla.nners �
Long Lake Minnesota
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IDENTIFICAPO � RF PREMISES REQUIRED �� �x-r. Il..yLJD. V � Ire-
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# :proved Addresses Shall Be Displayed, ' q" e 'r, ir1tt..1L. - bm1L , PAL'f W�rz.Iri 1'LJC4; �LlAe e351 � UGN'r•
Plainly Visible And Legible From This pROVIOE ATTR VENTILATION EQUAL TO n 2" Bm-6u -rop vp ;2x!2. LAM P> vVE11 1�`i
Street Fronting The Property 11150TH ATTiC AREA, IF 50% OR �I �P 9 L� - �-
MORE IS PROVIDED IN UPPER P TION �£a�� �'f?, ets GL.t�s, W/ i x I z i�.= , G.��►'"t R..P41 V_
OF ROOF AND REMAINDER IS P VIDED - .• f x� fi�,S, -!? �-fi lvl;�-� R. unfi-s-rfs
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IN SOFFIT VENTS, IT MAY BE RE % UCED - _ -ir'l P� rwq. LY
TO 11300TH ATTIC AREA. ► izt✓t yr EX T Gf�flrniTY, f..TP44 GLPf IXW A61 Q`N>.-- -+ �Xt ►'G. ir1TL, / 6VE) 1 L —T� Tri
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CITY
CITY OF ORONO -�
:i -�b�J (l�n�ru), v�HT'BUILDING PERMIT PLAN REVIEW
111"113 JIM NQ
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DATE .1iT
92 1'i Tr�a_r".f�
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_ '_ _.- __. L _.' __. _. _ - i .2 gPPROVFL' •AS StJcs �i`TTi D 0A
- .3,APPROVED WITH COR -R TIO iS AS
r.}t,ItrtG, W,e.LI._ ❑ NOT APPPOVED — CORRECT & RCS+ MIT
DRAWN BY
r1S J I JA.L,L. These comments are for your information- All work .a 46� rf � { "?;" �� �PT,�. ��,�•
r r II uil compliance with all applicable building & zon
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ii,'f i} �I� -_ -.- -_ .._.._... SET ON SITE AT ALL IME�S.
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217 14004E i ON KA AVE SC. • WAYZATA. STA 5 + 6 21476-2631 I I