HomeMy WebLinkAbout1991-003629 - remod/deck P�PMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66E``1I LCl I Nt�
Crystal Bay, 55323 Permit Number: ;yr;36.29
Cr
Y Y Date Issued: 04/1 1i i191.
(612) 473-7357
SITE ADDRESS:
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P. I . is –.-2 _;I--i)i i 1
DESCRIPTION:
FI"�t1�.iD�`i�EC:i•�:-'r°r��,:��E II
Guildina P -,�ridt• TYPE _F--ADD/R3DEL
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FEE SUMMARY:
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CONTRACTOR: -- App,I ; c a;;t. -- OWNER:
PLc_Ki---:ENP0L r•:R 1CI�LDER' INC 1 ��`'�� FrE:n,11- E I LL
�:i�•,(,1` HARFr''IE ! !-!�i _ ;_%-i•ii rl':i.i• f
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APPLICANT/PERMITEE S NA
ARE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
q FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �c yG W z Ke- ,p
; 'L(d I`�^ PID: S 6 - i/,F -,?,3 3/ 00/1
DESCRIPTION OF WORK: e �� IN'!8�a/VL
ZONING REVIEW BY: cF� �w.- ------DATE APPROVED: 10--�[ -c1 �--------------.
B:JILDING REVIEW BY: DATE APPROVED: -10
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes V0 SEWER CONNECTION
STATE SURCHARGE Yes--5'-10 WATER CONNECTION
INVESTIGATION FEE Yes No::—� PARK FEE
SAC Yes No_1� SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: {(-L. Post Office: �`� School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey: Iii Z
Proposed Setbacks:
Front (Lake) : Right Side: :Jy'O� f'
Rear (S ree 20d '® 4- Left Side: N�/4
Adjacent Structures : All A Wetland: (Co
.Peak H t
Building Height: Def. Hgt. /V�� Hgt._
Avg. Setback: &J 2 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 #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: Old CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
-------------------------------------------------------------------------------
REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access.: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
i
1
r \ CITY OF ORONO _ BUILDING PERMIT APPLICATION
Total Fee: $ / 02� Date Received:
Date Approved:
Entered By: �'-�� � ��
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------------- ---------------------------
THE APPLICANT IS: (circle one) OWNER i<CONTRACTOR
JOB SITE ADDRESS: 1 ZIP: �3
(work)
NAME OF OWNER:- , LO LA V, ('( R PHONE: (home) "��Z
MAILING ADDRESS: a W ALE e 'j a CITY: 0 co m) ZIP:
CONTRACTOR: Ple,,k ki
► r PHONE:
MAILING ADDRESS: ` nrr;gj CITY: 1?1�100rZIP: S :: "qC
TYPE OF WORK: New Addition_ Accessory Structure Move
Demo Remote/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
� c_
1Z LOD, A � � o n�c,.� PHA S� Z
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRtCTION VALTATION (excluding lana) : $
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 c rdance with the approved plan.
APPLICANT'S SIGNATURE: ,�; DATE: �• /
rs
� t
Y
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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.
First Middle Last -
Z> e ks!�n ZPI
Address
City State Zip
93
Phone
I unders my rights tated above.
. cl-�,
�/-"\ -
Signatunfi
,7- (J--"
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
S13.04 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.
Subd. 2. Information required to be given individual- An.individual asked to
supply private or confidential data concerning ihimself
ta i if the collect informedbe state agency,
purpose and intended use of the data,
political subdivision, or statewide system; (b) whether he may refuse or is legally
known consequence arising from his
required to supply the requested data; (c) any and (d) the identity of
supplying or refusing to supply private or confidential data; ive
other persons or entities authorized by state or isaskedlto to re einvestigative data
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
lired der
The commissioner of revenue ma rolert the
re°undi struct onse it -nsteadhos
subdivision in the individual income tax �r
on those fS. -—
Subd. 3.
Access to data by individual. Upon request to a responsible
ect of stored data on
authority, an individual shall be info rmed whether h=vateeor confidential. Upon his
individuals; and whether it is classified as public, p or
blit data on
further request, an individual who is the subject of storedto him and, if h desires, shall
individuals shall be shown the data without any data. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its uie or acton pursuant to this section is
him for six months thereafter unless a P
pending or additional data on
the individual h been
or public data rupon arequest by
responsible authority shall provide copies of P require the
the individual subject of the data. The responsible authority may ilin the
requesting person to pay the actual costs of making, certifying, and comp g
copies. immediately, if possible, with any request
The responsible authority shall comply i f the
made pursuant to this subdivision, or within five daysodate of the request,
f theimmediate compliance is not
excluding Saturdays, Sundays and legal holidays, he
possible. If he cannot comply with the request withithat
th within to which shall so inform wth the
the
individual, and may have an additional fi Ys
request, excluding Saturdays, Sundays and legal holidays.
Jure when data is not accurate or complete. An individual may
Subd. 4. Procedure himself. To
contest the accuracy or completeness al public or private data a responsible authority
t an individual shall notify in writing the respo
exercise this right, iblshall within 30ns
describing the nature of the disagreement.
e respate orincomplette and attempt to
days either. (a) correct the data found to
notify past recipients of inaccurate or income thdea belie es the recipients
be correct
the individual; or (b) notify the individual
thaData in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. ealed pursuant to the
cedure act relating
The determination of the responsible authority to contes ed cases.
provisions of the administrative pro
+ FOR WILLIAM C. & ELEANOR L. FERRIL
LOT 2, BLOCK 1 , WAKEFIELD FARMS SECOND ADDIT
HENNEPIN COUNTY, MINNESOTA
So
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DATE r TIME
CLTY OfrDRONO CALLED IN
INSPECTION NOTICE / SCHEDULEDAl-,42-91 �—
PERMIT NO. lD� COMPLETED _
ADDRESS
OWNER ONTR. K �-
TELEPHONE NO.
DESCRIPTION
W 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMIN 11 MECHANICAL FINAL 18FXCAV/GRADINGIFILLING
O SULATION 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
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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
CO COMMENTS:
cc AAAAA 11,14— iIL
cc
0
W
cc
Q
Z
W
Wcc
W ❑WORK SATISFACTORY'PROCEED ❑PROJECT COMPLETE
cc XCORRECT 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
Ownedor site:
Inspector.
Whiff Capylinspect File Canary Copy/Sib Nodce
4
DCITY OF ORONO CALLED IN
S TIME
INSPECTION NOTICE c� SCHEDULED 3 d
PERMIT NO. COMPLETED
ADDRESS i-e-
OWNER CONTR.
TELEPHONE NO. a?---
DESCRIPTION
---
DESCRIPTION gx__ 't-Oc✓�P
Uj 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
C03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q AL13 METER SET/TURN ON 17 SITE INSPECTION
—
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 6VIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:: \YES_NO
Z
v0, COMMEN
Lau.
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2
W
QC
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2
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W Ilk/WORK SATISFACTORYPROCEED ❑PROJECT COMPLETE
QZ ❑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/Cont ctor site:
Inspector.XibLvi
White Copyfinlacto,.e Fib Canary Copy/Site Notice
New
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IDENTIFICATION OF PREMISES REQUIRED
Approved Addresses Shall Be Displayed,
Plainly Visible And Legible From The
Street Fronting The Property
Z�;TjD-.it-e
STAIRS
W1 MAX. RISER 9" MIN. TREAD
64" MIN. HEADROOM
AT LE1�
�SS ONE HANDRAIL OPENSRD4UIRED
RDRA
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pEGIAt, nt0 ET
S Ep SHE
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- HA�'�JWCK�D FLuv� 11
c ��
FM SEPARATION �� "
;/g" TYPE X WALL, BD-�D FOR
SHEATHLNG• ¢ CEII,INU IS PORTING
FIREWALL THEN —
WALLS MUST ALSO BEPROTECTED�D OR
30INTS TAPED - GA �'► uM��IN�
SOLID CORE - SELF CLOSING-
�.WGAT� GxtST11.lC,
Ft-UCCT - - VCNTAvA. -
d.� qct wcl_K-e- P -j 0( �c� ,
- 4u_ wog -i,< 7t-') 50%. F -FoR.MEJ> I N
1eCC.� `�D�*NG•� W r -T"N �� Lac-h.L.
lS,tJG N CU TCS �A"�i" J WI�s �T fi� l"�
SEE p►TTp' .0 � (�,
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TS
MINIMUM DEPTH Q pE RE�t11REMEN
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.' W1 570"CL.EA� TO r! TNI, C, PECK
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3�x�R FL,LL VIEW _
Wl' H 1
-
f�l Y
c�,,1NrrT�� e
ciTY Of` ORO O
quit-a1NG 'P R IT PLAN
REVINW
pCRMIT NO..�..��
APPROVEC AS SUBMITTES AS NOTEDD
`PROVED WITH CORRECTION & RESUBMIT
NOT APPROVED-- be
Thesa� Mmments 're for your incfoet� a building & zoning shallAll wOri� o
o0de a
in full comoliaince v+t01 ailno speCtficalty noted in iris reVIS1I►
r�ui Ients including N SETs ON SITE AT ALL TIMIE .
KED TI'lla Q ?, t>t'\J'L--V
A-�
PLEKKENPOL BUILDERS
8609 HAPPIET AVENUE SOUTH
BLOOM., MN 55420 888-2225