HomeMy WebLinkAbout1995-007318 - addition PERMIT
CTY OF ORONO PERMIT TYPE: _ _
27 0 Kelley Parkway- P.O. Box 66 ' : ' _ r,;
Crystal Bay, Minnesota 55323 Permit Number: -°'_` �`.-; '
(612) 473-7357 Date Issued: -
SITE ADDRESS:
DESCRIPTION:
-
' _ -
1.4z.a...:.V 5
REMARKS:
I'
� - - - -
-.
FEE SUMMARY:
CONTRACTOR:
OWNER:
THE UNDERSIGNED HEREBY REQUESTS T`S PE :C ISSiON TO MAKE TNF REAS.. IMPROVEMENTS
SPECIFIED AND AGREES TO DO .ALL WORK IN STk I C;' COMPLIANCE WITH ALL {I TY OF
ORONO t PDN N E S AND STATE OF MINNESOTA -BUILDING CODE Etat_#I REMENT`
L_ ---
APPLICANT/PERMITEE SIGNATURE ✓ ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
3--7zsrt6&a � '04 PID: r i ��1 � , 60 ; -7
ADDRESS OR LEGAL:
DESCRIPTION OF WORK: ----------------------
DATE
--------- � x• 95
-------------------------- -
-- APPROVED:
ZONING REVIEW BY: zfu
DATE APPROVED:
BUILDING REVIEW BY: ----------------------
______ _ -------------------
FEES TO BE CHARGED: Misc. Fees Calculate
PERMIT Yes No
PLAN REVIEW Yes ✓' No SEWER CONNECTION
WATER CONNECTION
STATE SURCHARGE Yes c/ No PARK FEE
INVESTIGATION FEE Yes No
Yes No SITE INSPECTION
SAC OTHER ( specify)
Number of SAC Units ------------
Zoning District: L&-I<-
ZONING
ZONING CHECK LIST
Fire Department: VYWu,i✓�
Post office: �-• �,y�'T►a- School District: w\aurf4
Lot Area: Width: gj4 Depth:
Survey Submitted• Yes -�,4z No Date of Survey:
Proposed Setbacks : Right Side: /YOB
Front ( /V/&Lake) : /V�
r
Rear (Street) : oz , Left Side: lig
Adjacent Structures :
3o ' Wetland:
Building Height: Def . Hgt• v r�- Peak H
Lo Coverag
Avg. Setback: roposed
Existing
Hardcover: 0-7 '
75-25 '
250-5 0 '
500-1 00 '
Hardcover V riance Re uire Yes No
Date of Coun i1 Approval:__
Grading: S aff Approv 1 Da e: By:
Council pproval Date:
Septic: S aff Approval Da e: By:
Zoning
F le:# esoluti Resolutio Date:_
ggrgARRS (In house) :
BUILDING REVIEW CHECK LIST
UBC: • 3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor ysly x Y4.ZI
2nd Floor Z60 x �lY•ZY = 33. lobo
Garage x =
x
TOTAL
Estimated Construction value:
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
_Footing K Mechanical Fire
_&Framing Septic Water Connection
Insulation Fireplace Sewer Connection
e Wall Board (Masonry) Lawn Irrigation
(Mf g.) Other
o►-Final
Other Well (State Permit)
p<Electrical (State Permit)
-----------------------------------------------------
R_EMARKS (IN HOUSE) :
------------- ------------------------- ---------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
----------------------------------- --
REMARKS (To BE NOTED ON PERMIT) :- A0 C^oogj<
�cx�s nom, r-��N�hT•� �s rtaa�lac.�.c�
CITY OF ORONO - BUILDING PERMIT APPLICATION G
Date Received:
Total Fee: $_
Date Approved:
Entered By: PermitA:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
---------------------------
--------------------- ---------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
' ZIP:
JOB SITE ADDRESS: G
(work)
PHONE: (home)
NAME OF OWNER:
;�� nn CITY: � ZIP:
MAILING ADDRESS: 3 7 7 TOC,o �cX
CONTRACTOR: �'i"h
C• PHONE:
CITY: N ZIP:
MAILING ADDRESS:
STATS LICENSE: A
PHONE:
ARCHITECT/EN EER
GINF 7 !
CITY: ZIP:
MAILING ADDRESS:
REGISTRATION A
NAME:
Addition_x_ Accessory Structure Move
Typg OF WORK: New Renovate Land Alteration
Demo Remodel/Alteration
PROPOSED WORK (describe in detail) :
4 L
Z/jai- 74�6 'I7,16 )
STORIES: SQ. FEET OF EACH FLOOR.
NO. OF BEDROOMS' Z GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
(0)
hereby apply for a building permit and I acknowledge that the informatic:
above is complete and accurate; that the work will be in conformance Code; h
de; th t .
the State Building
ordinances and codes of City
work h
isnot to start without a permit; an,
understand this is not a permit
that the work will be in accordance with the approved plan.
DATE:
APPLICANT'S SIGNATURE:
CITY ®f ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
!►.s •
` s _ 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 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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
a
First
Midd e Last
` .A S b .
Address
a?Z-oma
%A �5�4
City State Zip
Iq7( - Q( 75
Phone
I understand my rights as stated above.
6-e�
Signatur
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
RIGMS OF SIIB�TS GF DATA
513.04 of individuals on whom the data is
Subdivision 1. Type of data- The rights
stored or to be stored shall be as set forth in this section,
to be given individual
An.individual asked to
Subd, Z. Information rid himself shall be informed of: (a) the
ency,
supply private or confidential data concerning v refuse a is legally
use of the requested dat ata
hether he collecting state a
purpose and intendedtem; (b) from his
requested data, (c) any known consequence arising
political subdivision, or statewide system; and (d) the identity of
required to supply the req This-
supplying supply private or confidential a a;
supplying or refusing y .priv by state or federal law to reCenvest gat ve data,
other persons or entities authorized
opl
requirement shall not apply when an5ntoo a law en orcement officer.
pursuant to section 13.8?, subdivision ' the notice required under this
The commissioner of revenue may place
or property tax re and instructions instead o
subdivision in the individual income tax _
on those orms. request to a responsible
b individual' 'Pon
Subd. 3. Access to data Y I7pon his
shall be informed whether h�is
confident al.ed data on
authority, an individual classified as public, P rivate or public data o
individuals, and whether it is class the subject of if he desires, shall
e to him and,
further request, an individu e data is
any chargtore ter an individual has been
individuals shall be shown the of that data- Af disclosed to
the data need not be
Be informed of the content and In pursuant to this section is
shown the private data and informed of its meaning,
or p The
him for six months thereafter unless a disp to or public data upon request by
•
additional data on the individual has been P llected or created.
e the
pending or ad provide copies of the p require
responsible authority shall p The responsible authority and compiling the
the individual subject of the data. certifying,
requesting person to pay the actual costs of making, request
immediately, if possible, with any q
copies. comply request,
The responsible authority shall or within five days of the date of the
if immediate compliance is not
made pursuant to this subdivision, al holidays, he shall so inform the
excluding Saturdays, Sundays and leg
1 with the request within that time, 1 with the
possible. If he cannot comply
individual, and may have an additionald five legaldholidayshin which to comp
indi Saturdays, Sundays an
request, excluding lete. An individual may
duce when data is not accurate or come himself. To
Subd. 4. Prose public or private data concerning isile authority
contest the accuracy a completeness of notify in writing the responsible
within 30
exercise this right, an individual shall responsible authority
describing the nature of the disagreement. The reupo or incomplete and attempt to
to be recipients named by
days either: (a) correct the data found
ardincomplete data,including reci to be correct.
notify past recipients of inaccurateBement t
the individual; or (b) notify the individual
indi �u��state ant of disagreement
is
Data in dispute shall be disclose Y iirsuant to the
included with the disclosed data. appealed p
The determination of the responsible authority to contested cases
provisions of the adm •
inistrative procedure act relating
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED : 3.
PERMIT NO. 73 /9 COMPLETED k
ADDRESS
OWNER CONTR.
TELEPHONE NO. 7�^ -/ 7 s
DESCRIPTIONLL
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FR NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
-j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS-
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
C ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r' PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insAction 24 hours in advance.473-7357
Owner/Contr o site:
Inspector.- — , , \�)rP AAq
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 9//S SS =.30
PERMIT NO. '��� 8 COMPLETED
ADDRESS 6!Z2 S 9e-31-0 �
OWNER^ CONTR.
TELEPHONE NO. 4171- Y17 5
DESCRIPTION L&Zdd &
Ili 01 FO TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
11.
Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc r
Lk - C�
O
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W
cc
Q
Z
W
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cc
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WWO
RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc CORRECT WORK&PROC
W EED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17 PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR 1_'. CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnedContr n i
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE r TIME
CITY OF ORONO CALLED IN i Z L'
INSPECTION NOTICE SCHEDULED / 2 -i I .j 6
PERMIT NO. COMPLETED
ADDRESSl2- 5
OWNER a-7— CONTR. 1
TELEPHONE NO. `�` 71 - ,S"/ 7-5_
DESCRIPTION
W Oi FOOTING_ 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
02 FRAMING , 73 / 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W
07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINSi9l 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
"T OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
cc4
J C) LAWV-
UL
O
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O
W
QC
Q
2
W
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W
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d WORK SATISFACTORY.PROCEED -_ PROJECT COMPLETE
W
❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING 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 omotg,
Inspector. ..
White CopylInspector's File Canary Copy/Site Notice
7/
DAT t TIM
CITY OF ORONO CALLED INJ.
INSPECTION NOTICE SCHEDULED
PERMIT NO. 713/ COMPLETED
ADDRESS > �-
OWNER - ONTR.
TELEPHONE NO. 47 / - ?i 7S_
DESCRIPTION
�
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
ti 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 0S1QS_ULATIO01` 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL
= 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
C
Cr
J
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UL
W
cc
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2
W
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W
�d ORK SATISFACTORY:PROCEED
- PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
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 palit
Inspector.
White Copy/Inspector's Fil Canary Copy/Site Notice
CERTIFICATE OF SURVEY FOR
JAMES BARTH
OF TRACT A, R.L.S. NO. 763
HENNEPIN COUNTY, MINNESOTA
Togo N 99°23'30"E' 244.00 Road 2
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� Existir9
w .0o5e ,
3 CITY OF ORONO
0 0.7. 234 t1.0
t3, � x SITE PLAN APPROVED GRADING PLAN
ad C�
P`Add;tton ❑ APPROVED WITH REV
4. C DISAPP OVE ISIONS
tv o 2q 0
ort BY
PDQ k° DATE -6 -5,-
J It•
E,�isttn9 N
N Existintoo
q /ban-t -
� dr over J'A is Frame o
On/y,n0 roe,F a
2b.2
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S 890 23'30"W 24400
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LEGAL DESCRIPTION OF PREMISES SURVEYED :
Tract A , Registered Land Survey No . 753 , Files +of.. Regrsirar
of Titles , Hennepin County , Minnesota . ,
o : denotes iron marker set N
•: denotes iron marker mound
Bearings shown are based upon an assumed datom . {
!i f A-ew = A T 2 At.
This survev intends to show the boundaries oi ? i'he abovel.-
described
described property , the location of an ex i st rog h 0:u s a�i`d
garage , and the proposed location of a propos.' addition ` s
thereon . It does not purport to show any other" ,improV66eents
or encroachments . f . x
y
1 herehv certifv that this survey was prepared b% rWor:under rine direct.Kurer _. .. DA FF `8-14-95
1 vision, and that I am a duh,registered Civil Engineer and Land Sun eyor under
the iativs of the State of Minnesota. SCALE: I"= ?Q
Mark S. Gronberg Minnesota License Nurril1er 12'155