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HomeMy WebLinkAbout1993-005822 - add/remodel PERMIT «CITE( OF ORONO PERMIT TYPE: ,2750 Kelley Parkway • P.O. Box 815QU I LCA I NG Permit Number: Orono, Minnesota 55356-0815 Date Issued: 00582 t (61 is) 473-7357 12/1 9:r� SITE ADDRESS: 3655 TCjG0 RD CH DESCRIPTION: ADD I s ION Building i,r,tit• T: IN'=*T-� D!Fii�i�t€ilaF!_ Bui ldiitq Wo-r- :: Type ADDITT ON Co—nist ruc t.i on Type VN c,t 1i1.1=a LR-1C ,.IT Y OF ?0jV17 Fig fnl�r€4i , &.. Al rl•Jf il 0,111,1111110 AV .i Lel L7y-!t REMARKS: i'' iti`Ai ;; T7 �!Y L-1 '€ •� V1 LtiA!t 1 jV+ lL __ _ _ itttLVVV1I :- V , •} ,E PE Rm I I RE t)I RED FOR F LE C€R I CAL i.STATE� . {:d L-:' L15 FL g�g+ FEE SUMMARY: _ REIC 1;=T- iiir T 1 VVi �a�(�I_t�F� € diit�l si!:? �f_ii_] �..:%C==i:t ,-::;a i�riqq 7r.t,rr - } sit tuVV i'Vvi }Cvi +Vu•1.81' f`Z ii in- _ e Fee $198. 00 Plah Review S128. 7i_) St-Ai-charge .7-15 Total Fee -$:3::5 . "3 C3 CONTRACTOR: - Applicant - OWNER: NET i33_;=.; JEFFREY 14721960 . EHIDIV H I WITNESSES '4 7 } FAIRVIEW LA :--lelss TOGO R 1-10t jND VIN S5364 ORCIINO NN 55:39 1 r. : �lw �S• Owkb ('� �4 f REQ JESt' I 8141 �n00 TD/ ,M+�y#(yf1 THE *,RtAL � i MENTS SI 0 �Pti st q c i S.O TI�, !l N � .I � , DtORFIr+1�E� �� � �� N � �` R. ���LI��,�t�; dDI�E R �.� t��E�T APP PERMITEE SIGNATURE ISSUED BY:SIGNATURE "r4' y CITY OF ORONO - BUILDING PERMIT APPLICATION 'S�iS' 95 Date Received: I pial Fee: $ � t Date ADDroved: :tered BY:_' (`v P e rrti t� "7y-2 Z "-,L INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ----------------------------------------------------------- APPLICANT IS: (circle one) OWNER or CONTRACTOR J'Yj be r S SITE ADDRESS: (P �j S� ro n !� ZIP (work) 'iE OF OWNER: _ e/I ou d I �1 r, _s s S PHONE: (home) LING ADDRESS: CITY: ZIP' ,.iTRACTOR: y��C_\/ ^• e f a er- PHONE: dL L/ Z ADDRESS: e�y�Q fr,l i r-4 P c.�J hH . CITY: /YlO u H rl- ZIP: 57 S 3� ATE LICENSE: =TECT/ENGINEER: PHONE: _.:LING ADDRESS: CITY: ZIP: `1!E: REGISTRATION t ?E OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration ',OPOSED WORK (describe in detail) : �a✓ i-�� <�`NdC`� �b� �aa�— I )RIES: SQ. FEET OF EACH FLOOR: OF BEDROOMS: GARAGE STALLS: ATT. DET. c-r7 'IMATED CONSTRUCTION VALUATION (excluding land) �reby apply for a building permit and I acknowledge that the information ve is complete and accurate; that the work will be in conformance with the .finances and codes of the City and with the State Building Code; that I erstand this is not a permit and work is not to start without a permit; and the work will be in accordance with the approved plan. DATE: ICANT'S SIGNATURE: ` r n M I CITY of ORONO' Post Office Box 66•CrystaI Bay,Minnesota 55323•Municipal Offices o o o On the North Shore of Lake Minnetonka 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 informationohey° be used to requested, determine your qualification f Permit or license 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information to the extentshared necessarywith local, to processthe permit or federal agencies 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 to review private data on yourself. 6. Your full name is required to process this application or permit. N e t `1" Last First Middle Address L City State Zip tl7a) Phone I understand my rights as stated above. • 2 a �c �W cSSes CS1a BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 PUBLIC WORKS —473-7359 • ASSESSING 1 513.04 RIGHTS OF SUBJECTS OF DATA ls on whom the data is Subdivision L Type of data. The rights of individuar stored or to be stored shall be as set forth in this section. An-individual asked to to be given individual subd. 2. Information requiredstate agency, . ' ate or confidential data concerning himself,shall be informed of. (a) t e supply Priv nested data within purpose and intended use of the req subdivision, or statewide system; (b) whether he may refuse in from his legally political known consequence arising required to supply the requested data; (c) �Y and (d) the identity of ta. This. supplying or refusing to supply private or confidential data; other persons or entities authorized by state or federal law to rice��ee�g�ve data, requirement shall not apply when an individual is asked to supply P ursuant to section 13.82, subdivision 5, to a law enforcement officer. is The commissioner of revenue may place the reound inst°uctions nsteadhof subdivision in the individual income tax or orooerty ax on those orms. responsible Access to data by individual. Upon request bject of a Sub,. 3. Upon his an individual shall be informed whether h r vateeoruconfidential.ed data on authority, ified as public, p public data on individuals; and whether it is class further request, charge to him and, if he desires, shall an individual who is the subject of stored private or , been of that data. After an individual has individuals shall be shown the data without �Hn , the data need not be disclosed to Be informed of the content and meaning pursuant to this section is shown the private data and informed of its oar action p him for six months thereafter unless a disputepublic data upon request by additional data on the individual has been collected or crested. e pending or pr data. copies of the private or P may require the responsible authority shall p The responsible authority y ilin the the individual subject of the data- certifying, and comp g requesting person to pay the actual costs of making, copies. compif ly immediately, Possible, with any request The responsible authority shall c within five days of the date of the request, made pursuant to this subdivision, holidays, if - immediate compliance is not Saturdays, Sundays and legal he excluding 1 with the request within that time, he shall sl with the possible. If he cannot cO Payn additional five days within which to comply individual, and may Sundays and legal holidays. request, excluding Saturdays, to or complete. An individual may Subd. 4. procedure when data is not aha private data concerning himself. To contest the accuracy or completeness of public or p the responsible authority ht, an individual shall notify in cariauthority shall within 30 exercise this rig disagreement. The responsiblelite and attempt to describing the nature of the data lents named by Tete data, including recipients days either: (a) correct the dam to o i to be pinaccurate or incomplete notify past recipients of inaccurate individual that he believes the data to be correct. the individual; or (b) notify the individual's statement of disagreement is Data in dispute shall to disclosed only idled pursuant to the • included with the disclosed data• risible authority may be app The determination of the rpoact relating to contested cases. provisions of the administrative Procedure CHECK OFF LIST FOR ISSUANCE OF PERMITS f FOR OFFICE USE ONLY %DRESS OR LEGAL: �Q,�.S� ,e /�--I�,- PID: �I /�7"' ✓ ©613(v DESCRIPTION-OF-WORK---- � .� ---- �[� � �"t ------------------- ZONING REVIEW BY: - DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: ------------- ----- FEES TO BE CHARGED: Misc. Fees Calculated By: ?ERMIT Yes ✓ No PLAN REVIEW Yes P,*- No SEWER CONNECTION STATE SURCHARGE Yes *--'- No WATER RFEENNECTION AF INVESTIGATION FEE Yes No t/ SAC Yes No ✓ SITE INSPECTION --------------------------------------------------------umber of SAC Units OTHER (specify) -ONING CHECK LIST Zoning District: C_/z -1 L Fire Department: /'(/!> PO4;t l0� School District: ,ot Area: &0'q5-& Width: t6 3.Yl' Depth: 3 y 3•`/ 3 irvey Submitted: Yespe- No Date of Survey: =oposed Setbacks: 1 Front (fie) : log + Right Side: SO Rear (St�t) : ZLIO + Left Side: Adjacent Structures : Wetland: /✓�/g' iuilding Height: Def . Hgt. (, K, Peak Hgt. vg. Setback: Al//0- Lot Coverage: Existing Proposed ardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes NoY- Date of Council Approval:__ trading: Staff Approval Date: By: Council Approval Date:/ � - epti c: S taf f Approval Date:— /'119By: .zoning File:# Resolution 'r: Resolution Date: `IEMARKS (in house) : BUILDING REVIEW CHECK DIST s _ UBC: A 2• ( CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x — 2nd Floor x = Garage x X = TOTAL D " Estimated Construction Value: -5-0 C) �- 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 (Mf g.) Other Other Well (State Permit) Electrical (State Permit) ------------------------------------ REMARKS (IN HOUSE) : ---------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New AccessApproval: Date------------------By------------------------------- --------------- REMARKS (TO BE NOTED ON PERMIT) : HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' J EXISTING HARDCOVER IN ZONE -------------------------- A. HOUSE 32 ' 3 X = ' J' S.F. LENGTH WIDTH I C�.czs Zs, Z C,.yS� S.F. X �( x /� = I2� S.F. X / = ZS Z S.F. D x L-12-0S.F. B. GARAGE !� ZS x 34 2-j S.F. C. DRIVEWAY O X _ I Z ,0 00S.F. x 12,0 S.F. D. SIDEWALK X Z� _ S.F. x = S.F. x = S.F. E, �ATIO/ ECK x = S.F. F. LANDSCAPE x 3�o S.F. AREAS UNDERLAIN c�5 = S.F. BY /� y X PLASTIC SHEETING X 6� = 2—]2 S.F. N S� X = iD S.F. G. OTHER X = S.F. D � b 15� S.F. 7 (63•y� x 3�� � = SZ TOTAL HARDCOVER IN ZONE - + TOTAL PROPERTY AREA IN ZONE - 60,92:7• � S.F. A Z I '2 9,�_ B 6 `I S7 x 100 = 3� 19 HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE -------------------------- A. HOUSE X = S.F. LENGTH WIDTH X = S.F. X = S.F. X = S.F. X = S.F. B. GARAGE X = S.F. C. DRIVEWAY X = S.F. X = S. F. D. SIDEWALK X = S.F. X = S. F. X = S.F. E. �ATIO/ ECK X = S.F. F. LANDSCAPE X = S.F. AREAS UNDERLAIN BYX = S.F. PLASTIC SHEETING X = S.F. X = S.F. G. OTHER X = S.F. TOTAL HARDCOVER IN ZONE - S.F. ED TOTAL PROPERTY AREA IN ZONE - S.F. X100 = o 20 CITY OF ORONO CALLED IN A I j -;�5 TIME INSPECTION NOTICE SCHEDULED PERMIT NO. r�� COMPLETED i z• ADDRESS -3�✓rs v OWNER CONTR. yam, 17 TELEPHONE NO, DESCRIPTION W fJFOOTING 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 41 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z ol COMMENTS: CC cc cc 0 U_ W cc z W Z W cc ;__,'101'W' ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. " PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor onite: Inspector. W e Copy/Inspector's File Canary Copy/Site Notice 2Y• i I f 1 1 t Q r y y � • . # Z�• ,a e i '.t t x � IN y i %fit ^ r •. `.•`�f* gam..i• _- - -... . 71* Cr- I O I °dT T PIZ> Ao i Fmp 4: �Z1, _ • 1 ti 3; r k. Ig" \ yy •( ,`pulp. YT'.�'p. 3'� __ {\�\\ 46t low en lip jR jib CD via { J G o � ! x x Z. M � v . ••\\ 1 w G i L: Im � x r w 0 0 N 00 rN- ;Do vo17 a _ m mo A Z � '�v �s# 200F F�L� c—xr" 'p y V 5-6:Ai i AIR .6 cm g 7_v7-19i, - � 5• g5� o J"0A.)0 -fRuss rn 1,1a I 1 , 5 ' /. SHELF' a Rob SipIVC- hZ j a S/3 a s N-C ff-7;N 1�vG-- R = ?-•o ff �-x6 5 r S �wTv LAN R� - _X s � CITY OR t) R ON BUILDING M - DATE PERMTX NGS. .. ,,,. -0 Tr APPROVED AS SUBMITTED �><6 Tk . C 0 ti C APPROVED WITH CORRECTIONS AS NOTED NOT APPROVED — CORRECT & RESUBMIT -e corn mP�t ;: for your information. All work shall be dont iz rice v;tn al applicable building & zoning code ro. Mems not spedficaify no-ted ire this.revi•6a: a X(D 5 TOle- �t"�� THS PLAN SET ON SITE AT ALL TIMES. .•, ,_�... : _ �– (D x(vxl(, " 13 SLK. _ r f i l i E)( is i I � I 1 ' I � f c,� R j o 0 Pt f I 1 _ . aUiLDtNG ' .: �''Y' *LAN fY. ., /n "NSPEE3T101V '. SATE PERMIT IVO. �..,...�.. —A,Pr-R0'iE U AS SUBMITTED APPROVEf WITH CORRECTIONS AS.NOTED L_l NOT APPROV€.C.". CORRECT &RESUBMIT of LA- N i hese comments are for your information. All brk ghatl be dW. 4 WIN 66mplian6e with all 6ppliceble buMng & lfig mode i'1' •avn'ements including items not specifically noted in this,reviow WFFP TWS PLAN SET ONSITE AT Ada TINIFS