HomeMy WebLinkAbout1994-006209 - porch & deck PERMIT
CITY OF ORONO PERMIT TYPE:
2750 K'9Iley Parkway • P.O. Box 815L,t t I LD I NG
Orono, Minnesota 55356-0815 Permit Number: ooi•-+;1t 9
(612) 473-7357 Date Issued: 07
/0 i/,:a
SITE ADDRESS:
5215 T1=W`A]vA RD
CH
P . 1 . N. r OF.-1 17—;;' —A1—t)C t;=
DESCRIPTION:
=,!4i 1 dig g 1=`ermit. Type SF-ADD/REMODEL
BL-4i t lei g WrJrk Type, Df= :K
:I_ti"l�t.t S ti t.t l�:t Type 'VIN
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REMARKS: €4nt:' VV
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FEE SUMMARY:
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Tota! fee $41 . 7S
CONTRACTOR: OWNER: - Applicant. -
HOLM ARNE
52S T0NF':€WA RD
i iRON13 MN S 3SG
.li 7 F.-1«.900
;tea
", �D wt . --R - &, : UES '` PERMZ`�' IDN, Teri MAKE THE MAL "" IV -�
N
1 LWORK,-. I N STa tl C L�I"t d :E A :`� OF ,
P-1 IOTA
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE „C�
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ / /. 'J�, Date Received:
Date Approved:
Entered By: ,
Permit#: (10 „?ry
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
Jos SITE ADDRESS:
S-:2 5- TO"AWA- �� ZIP: SS" .57�
tom. (work) �A�_
NAME OF OWNER: 14t, ,S �n��yL�✓f PHONE: (home) 474f__(:=MAILING ADDRESS: SSS^ �- CITY: W86t LAkF_ ZIP: S�5�5_Tb
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION tt
TYPE OF WORK: New ' Addition ✓' Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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 i ac rdance ith the approved plan.
APPLICANT'S SIGNATURE: DATE:
1 '
CITYof ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
- 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.
AR-t,4�—= O LAIF Geo 1-A'1
First Middle Last
Address
Lo#,iQ L. gzv— o
City State Zip
Phone
I under tand my rights as stated above.
Signatu
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 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. An.individual asked to
Subd. 2. Information rid
to be given individual
supply 1 private or confidential data concerning be informed of: (a) the
tamwitlhin the collecting state agency,
purpose and intended use of the requested
he may refuse or is legally
political subdivision, or statewide system; (b) whether known consequence arising from his
required to supply the requested data; (c) anyof
supplyingor refusing to supply private or confidential data; and (d) the identity is
state or federal law to receive the data. This_
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an indiovia law enforcementdual is asked to uofficer.
pursuant to section 13.62, subdivision 59
The commissioner of revenue ma lace the nWumnd
re uired under this
subdivision in the individual income tax or ro art tax rinstructions instead o
on those forms. --- -
Subd. 3.
Access to data by individuaL Upon request to a responsible
authority, an individual shall be informed whetherlit private subject of confidential. Upon his
individuals, and whether it is classified as ublic data on
e to him and, if he desires, shall
further request, an individual who is the subject a stored privy a f he des has been
individuals shall be shown the data without any data. After an individual
Be informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, pursuant to this section is
him for six months thereafter unless a dispute or action
private or public data upon request by
ending or additional data on the individual has been collected or created. e
P require the
responsible authority shall provide copies o P
The responsible authority may din the
the individual subject of the data• certif n and compiling
requesting person to pay
the actual costs of malting, Yl g'
copies. y if possible, with any request
The responsible authority shall comply immediately,
made pursuant to this subdivision, or within,five days of t e date of 1 he eisu not
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so inform
the
P have an additional five days within which to comply
t
individual, and may
request, excluding Saturdays, Sundays and legal holidays.
to or complete. An individual may
Subd. 4. Procedure when data is not accura himself. To
contest the accuracy or completeness of publicor private, theresponsibleauthority
exercise this right, an individual shall notify
eement. The respo nsible authority shall within 30
describing the nature of the disagrincomplete and attempt to
days either: (a) correct the data found to be inaccurate or
notify past recipients of inaccurate or incomplete data, including
rdatalto be correct
ec
the individual; r
or (b) notify the individual that is
Data in dispute shall be disclosed only if the individuals statement of disagreementt to the
included with the disclosed data. be appealed pursuant The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
• CHECK OFF LIST FOR ISSUANCE OF PERMITS
t FOR OFFICE USE ONLY
ADDRESS OR LEGAL: S TpNK��..�A PID'
DESCRIPTION OF WORK: Pd2C/t -t- �LG-lL
-------------------- - ---`-------------------------------- ---------------
ZONING
------------------ ---------------------------
ZONING REVIEW BY: DATE APPROVED: &" 2 -1- `1%
BUILDING REVIEW BY: DATE APPROVED: &
-----------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes >/No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------ -----------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: P st Of ice: School District:
Lot Area: W' th:_ Depth:
Survey Submitted: Yes-y- No Date of Survey:
Proposed Setbacks: N
Front (-Eraice) : S L Right Side: 4(
Rear (,meet) : "3U Left Side: SC' S
Adjacent Structures: p-77T)4C,/-eWetland: /4d 4-
Building Height: Def . Hgt. (9 , 1-- Peak Hgt.
Avg. Setback: Lot Cov rage:
Ex sting Prop sed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance equir d: Yes No Da e of Cou cil Approval :
Grading: Staff App oval D to By: Counci Approval Date:
Septic: Staff App oval Da e: BY=
Zoning File: # Fe olution # • Resolu ion Date:
REMARKS (in hous ) :
BUILDING REVIEW CHECK LIST
1
UBC: or (� - 3 CONSTRUCTION TYPE: N ,
Sq Footage $ Per Sq Ftg
Basement x -_
1st Floor x -
2nd Floor x -_
Garage x -
x
TOTAL
0
Estimated Construction Value: $ /00.9 dr
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
�ina 1 (Mf g.) Other
Other Well (State Permit)
Electrical (State Permit)
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R_EMARKS (IN HOUSE) : DC L 6,vo43 Oi✓ 0��(,��t/�t �� � ��?" �•� i"O
a(�r C..U
--------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT) :
D E TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ,? z0
PERMIT NO. 05 COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION �, �
01 FOOTING 611 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= �EMLITE
14 SEWER HOOK-UO 06 PROGRESS 27 SEPTIC MAINT. 21 COMPLAINT
tQ 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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12
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SATISFACTORY:PROCEEDPROJECT COMPLETE
CCORRECTWORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
WORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL 0 ARRANGE ACCESS.
Call for ex i pection 24 hours in advance.473-7357
Owner/Cont r n si
Inspector.
White CopylInspector's Fiie Canary Copy/Site Notice
SURVEY FOR: Mr. Arnie Holm �im �i�¢o C7 isoeiahxs, �na
DESCRIPTION: Lots 3 thru 8, Block 8, MINNETONKA PROFESSIONAL LAND SURVEYORS
SUMMIT PARK, City of Orono, AND LAND DEVELOPMENT CONSULTANTS
Hennepin County, Minnesota. (612) 421-9126
13621 VINEWOOD LANE DAYTON. MN 55327
o Denotes Iron Monuments
x Denotes spikes set for Bldg. Control i
Y �Yv O r
xxx.x Denotes Existing ground elevations ORONO- Cap
r��Exx.x] Denotes Proposed final radesg y
B.M. Sanitary sewer manhole as shown below o�
aI \
Vp
Jill
P• a�
h ,
q�ti•7 q�q.y - z 4.
(o
• �y 4 q1
�•°1 0
0 90 ti , (9
B.3 o
�9b0
)
t Ex1•s ,•�y � n1
o�
so.o 351i o I
(9g11 2 ,
PROPOSED TOP FOUNDATION ELEV. Jb'o. (,
PROPOSED GARAGE FLOOR ELEV. `)Zo . Z- o
0 PROPOSED LOWER FLOOR ELEV. Z• (o± o V
� I �
I hereby certify that this survey was prepared
by me or under my direct supervision and that I
am a duly Registered Professional Land Surveyor a 3
under the laws of the State of Minnesota. � 41
O Dated August 27, 1993./ / �f5 - �vic, 7— �/-3-9� l,jc �1 --y-
By
Min sota Licnese No. 12267 L
gb�O.2 t�
CI OF ORONO
SITE P AN 0
�� OVE GRADING PLAN
/" ( o �� AFP VED WITH REVISION
P S
1 9 B
DATE
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