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HomeMy WebLinkAbout1991-003567 - addn/interior finish PERMIT CITU OF ORONO PERMIT TYPE: BUILDING 335 Brown Rd. South P.O. Box 66 Permit Number: 003-1567 02/28/91Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: 115 TONKAWA RD LSV P. I .N . , 06-117-23-14-0021 14-0021 DESCRIPTION: ADCiN/INTEFtIGR FINiSH Building Permit Type SF-ADD/REMODEL Building Work Type ADDITION UBC Occupancy S$ R-3 Const.ructiori Type VN Zoning LR-1A 4L! !yy 1!! jr V! NAJ JJ r Il LAJt 1 tJ 3!r REMARKS: U l V s SEPARATE PERMITS REQUIRED FOR PLUMBING, MECMAN I CAL, E-.;EPT I C h ELE C-T� (STATE PERMIT) APPROVED PER COND IT IrJNS of SOLUT ION 2926 . ti--t rz,q �50,00 " FEE SUMMARY: `"" "'`''`' " Vr^ti_t_}ATIGIiDGC , )i)C3 tiLL•L11 _ l7N1 1W3 rLrtt1:0 --vva A01 it%v� ti 1 ,339 .50 Base Fee ' ' I Plan Review $870.68 'surcharge ____ _1150 s)Q asaa Total Fee $2,360 . 18 CONTRACTOR: -- APF' i c an • -- .JEN`=EN HOMES 14750B4,3 O��TT FRANK; 900WAY�:ATA BLVE E 1�1 S fNC�X AVE S WAYZATA MN SSB' 1 MINNEAPOLIS MN (612:) 47 S-C)S4C; (612)'334-6600 F_ THE • _ I THE G '}��i1 R-_I;�4'�} �"�Ei•sEB s r11E�s°I:r, 1 ._ �'"'i.;i'" I i_i`� T�� ice{�i•.� I }_ _r:�i_ 3 S`j-C _ f ;t__i t W • i Ti F j f `'• 1i rr• r r: r:, r; r. r...., —i r:E f iti �u -_. 1 It.t f^:i_I"', � }r-iF`ii•I_ L4#. !� €�L•I I L Ll H i 11 i j-i f�:g� T_•_'' ! l t.CI i-F r._�._ til_ .f•. T - _ t T_ r! ! i ; 'ti='i =;t_'`. i i _S. _L_Is° �ik• } ' t�tl•12�iI.al J i ;,i}I i a,,{i'• _`._, r si =i r„ APPLICANT/PERMITEE SIGNATURE ISSUE BY:SIGNATURE CITY (OF ORONO - BUILDING PERMIT APPLICATION �j Tot4l Fee: $ 3 �Ci � ( 6 Date Received:— 6;2 �� Date Approved: Entered By: t' Permit#: 3 `5& 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 ONTRACTOR JOB SITE ADDRESS: ZIP: -x'.539/ (work) NAME OF OWNER: Frg„ ,4- Bc n G t!- PHONE: (home) 33 y - .54 o 0 MAILING ADDRESS: /,? 5 ye- 50 CITY: ZIP: CONTRACTOR: c/c h �� ,-� �/o m cs . PHONE: y7-` -05 S/? MAILING ADDRESS: /c/ /a I(G 3hers �lE�+'� CITY: AlIrg ZIP: 5� 3H3 TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration_ Renovate Land Alteration i PROPOSED WORK (describe in detail) : -rn fcii or STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 0 ESTIMATED CONSTRUCTION VALUATION (excluding 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 accordance with the approved plan. ' APPLICANT'S SIGNATURE: DATE: CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices • - ® 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. 4L,." irst Middle ast Address 3537 Cit State Zip y7s -0 98'6 Phone I understand my rights as stated above. S nature BUILDING do ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - M3.04 RIGHTS OF SUBJECTS OF DATA Subdivision L Type of data. The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. gbd. 2. Information required to be given individual An.individual asked to be informed of: (a) the supply private or confidential data concerning himself within the collecting stat agency, PP Y purpose and intended use of the requested whether he may refuse or is legally political subdivision, or statewide system; known consequence arising from his required to supply the requested data; (c) �Y and (d) the identity of supplying or refusing to supply private or confidential data; other persons or entities authorized by state or federal law to receive the data requirement shall not apply . This requirementan individual is asked to supply investigative data,pursuant to section 13.82, subdivision 59 to a law enforcement officer. The commissioner of revenue ma lert tax re°undinstructio nstre uired eaduired under hos subdivision in the individual income tax or r• on those forms. -- - - Subd. 3. Access to data by individual• Upon request to a responsible d data on authority, an individuals be informed whetherublic privateeorlconfident conbject of fidential. Upon his individuals; and whether it is classified as public data on further request, an individual who is the subject charge Sto hired m and, if hdesires, shall individuals shall be shown the data without that data. After an individual has been 6e informed of the content and meaning the data need not be disclosed to shown the private data and informed of Its ut oraction pursuant to this section is him for. six months thereafter unless a dispute n request by ending or additional data on the individual has been er Pblie dataupon req The P require the responsible authority shall provide copies The responsible authority may juin the the individual subject oftrie s dataatual costs of making, certifying, and compiling requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, subdivision made pursuant to this , or within five days of the date of the request, Sundays and legal holidays, if immediate compliance is not excluding Saturdays, with the request within that time, he shall so inform the he possible. If he cannot comply within which to comply individual, and may have an additional five days request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may cerning himself. To contest the accuracy or completeness-of public or private in writing the°nresponsible authority exercise this right, an individual shell notifyauthority shaIl within 30 describing the nature of the disagreement. The responsible to days either: (a) correct the data found to be inaccurate Le data, including�ngpeec recipients namedattempt by notify past recipients of inaccurate or income the individual; or (b) notify the individual that he believes the data to be correct. is Data in dispute shall be disclosed only if the individual's statement of disagreement • included with the disclosed data. be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. A-, 120 P 06 Q3 a � 9 0� 3 ti _ o � r y/6.5 _ _ _ - - - - - -- 'l•�oPiopared?�s f/ok.re ly. - - - - -� - - - - - — I O r I q Zos• 19 Q3 �i e� 0.0 � I zo5. 00 ZSo. /y N By�E �L? CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: N PID: DESCRIPTION OF WORK: AU i T10N A.N Q Z N TizA r e k sq ----------------------------------------------------------------------------- ZONING REVIEW BY: � t �� '�. DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 2 ' Z7' CPf FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes 1,/-' No PLAN REVIEW Yes� No SEWER CONNECTION STATE SURCHARGE Yes-7' No WATER CONNECTION INVESTIGATION FEE Yes Nom PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------------- ZONING CHECK LIST Zoning District: ; -- r' Fire Department: Post Office: School District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake) : Right Side: Rear (Street) : Left Side: Adjacent Structures : Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File:# Resolution #: a `; Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST UBC: fL- 3 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x 2nd Floor x = Garage x = x = TOTAL a Estimated Construction Value: Inspections Required: Word Requiring Separate Permits: Site 06lumbing Grading/Filling OFooting Mechanical Fire Framing -K Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Other _J Final (Mfg. ) Well State Permit Other G Electrical (State Permit) ------------------------------------------------------------------------------- REMARKS (IN HOOSE) : ------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT) : > DTE TIM CITY OF ORONO CALLED INel—q )� 0-" INSPECTION NOTICE SCHEDULED - " PERMIT NO. COMPLETED ADDRESS OWNER ,C/ONTR. f.�.DYI_ -� TELEPHON O. _25' O,S-7 7 DESCRIPTION 01 IN 11 RI 18 EX EST PUMP Q 2 FRAMIN �J 11 INAL 18 EXCAVIGRADING/FILLING y 03 1 TION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS 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 07 DEM —FINAL 27 SEPTIC MAI NT 21 COMPLAINT 09 PLUMBING RI � oJ 15 SEPTIC INSTALL. 22 FOLLOW-UP v 1 INAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z COMME . CL O O cc O W cc Q 10- Z:2 W Z W cc d W WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE r ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 OwnerlContract it Inspector. White Copyllnspector's File Canary Copy/Site Notice ADATE G� TIM CITY OF ORONO CALLED IN 3 '; INSPECTION NOTICES�� SCHEDULED PERMIT NO. COMPLETED N ADDRESS 3is at4_� OWNE ONTR. TELEPHO O. 7 3 S 3 DESCRIPTION Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 11 MECHANICALFINAL 18 EXCAWGRADING/FILLING Q 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS 2 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 v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING Al 15 SEPTIC INSTALL 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL OWNERIC.ONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: Lu C j 0 a cc 0 4. W cc Q z W W cc Lu /XWORKSATISFACTORY PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 OwnedCont S' Inspector. White Copyllnspector's File Canary Copy/No Notice DATE TIME CITY OF ORONO CA7LLED IN - 4-7n I INSPECTION NOTICE SCHEDULED — PERMIT NO. 3Slo COMPLETED �� 44r ADDRESS OWNER ga� CO I TELEPHONE NO. `��— �S DESCRIPTION 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP Q 02 FBAMINPL, 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING Co03 14SULATI N 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 W L 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-FINAL 27 SEPTIC MAINT. 21 COMPLAINT i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a j 0 cc 0 2 W cc Q 12 W W QC ydj WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE c ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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►Contract Inspector. White CopyAnspectoNs Rio Canary Copy/Site Notice ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICES( SCHEDULED .,� PERMIT NO. JJ COMPLETED ADDRESS OWNER C0NTR. TELEPHONE NO. V-7 ` �Lo-� DESCRIPTION Lij 01 FOOTING 11 IJIECHANICALRI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING h03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 12 WATER HOOK-UP 34 TREE REMOVAL 05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION h —SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W 0. O a cc O 0. W cc Q 2 W W W O W WORK SATISFACTORY:PROCEED PROJECT COMPLETE 0` W 11CORRECT WORKS 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 an site: Inspector: T�-%mf— White CopyAnspector'a FlM Canary CopyMe Notice Certificate of Survey i t for Jensen domes !, in Tract C , R . L . S . No . 540 II Hennepin County , Minnesota MIS ase• #V 'J qhs' 4 % H off# CLAN ,8? , At-SD D GLS S � S Gla}e°5 3 9� , E 01 N o � 00 I M �B.S 'o• o 1 _ _ - - _ - - - - - -- -' ti u iso � 11� ;•-1. `b; � r � 0 m � a 8 y o E ZoS. 29 � 1 �j a I � - 3 o �� o N �M 1 r -i s LEGAL DESCRIPTION /CW��,,,��,,� Tract C , Registered Land Survey No . 540 , files of Regi sLrar of Titles , County of _Heennt6FPnt17—e-Z!:-©L4cr EXCEPT the Southerly 132 . 00 feet of the Westerly 205 . 00 feet of said Tract C . /�. & � to 1 hereby certify that Lhis survey was prep- `� ared by me or under my direct supervision / OErl lT.€ and that I am a duly Registered Land Sur- �N veyor under the laws of the State of MJ. nn- esot a0F" Date : 1 - 15-90 Scale : 1 " = 501 COFFIN & GRONBERG , INC . , r/Ir • Iron marker found ii2a`—�"� o Iron marker set LAt-� C't- a r -r o n e r g M n . L i c c . o . Engineers , Land Surveyors , Planners Long Lake , Minnesota 1 �` - er 1 � lr�`� A , i CoP Certificate of Survey for Jensen Homes in Tract C , R . L . S . No . 540Tj �� Hennepin County Minnesota 4 81 w S 7 P�akfob 3 9� 3 , E 0 3� �r a �'p V � h r� r 16' d 3'�' a tee.s d' ii .00 Houft � A �0 1• r o }.. ° all o, I � i N _ 3 0 o N � M oo - - - - - Al 8y�E - LEGAL DESCRIPTION Tract C , Registered Land Survey No . 540 , files of Registrar of Titles , County of Hennepin , EXCEPT the Southerly 132 . 00 feet of the Westerly 205 . 00 feet of said Tract C . 1 hereby certify that this survey was prep- ared by me or under my direct supervision and that I am a duly Registered Land Sur- veyor under the laws of the State of Minn- esota . Date : 1 - 15-90 COFFIN & GRONBERG , INC . Scale : 1 " = 50 ' 0 Iron marker found o Iron marker set Mark ron erg Mn . Lic . No . 12755 Engineers , Land Surveyors , Planners Long Lake , Minnesota