HomeMy WebLinkAbout1995-007027 - porch/deck PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number: L
Crystal Bay, Minnesota 55323
Date Issued., 0 tj
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: 1, 1 T
_4 OWNER:
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THE UNDERS I GINED HEREBY REWESTS PERMISSION TO M A V*E- THE REAL YMPROVE,MENT'!,;`
SPECIFIED AND AGREE'-3 TO DO ALL WORK ,IN STRICT COA,t MPLI .' ICE WITH. ALL CITY
1JF
ORONO ORD INANCIE�.--:; AND STATE OF MINNE33OTA e0VILDING CODE REQ1J1RQ1ENTS.
V APPLICAIT,,PERMITEE SIGNATURE ISSUED BY:SIGNATUR
CITY OF ORONO - BUILDING PERMIT APPLICATION
�_ �2 Date Received:
Total Fee: $ �
Date Approved:
Entered By: ' Permit r: `n"? 7
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:
(work) Qr*j L5-
NAME OF OWNER: } T -�� PHONE: (hcme)473-8014
MAILING ADDRESS: 744r-> CITY: ZIP: 9,s-�>S(o
CONTRACTOR• �'`��� �15�( l 7 ('�, PHONE:
MAILING ADDRESS:
CITY:_ ZIP:
�j 3Z
STATE LICENSE: - �
ARCHITECT/ENGINEER: �Il� PHONE:
;SAILING ADDRESS
CITY: ZIP:
NAME. REGISTRATION A
TYPE OF WORK: New Addition Accessory Structure
Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
_� SQ. FEET OF EACH FLOOR: 44
`��- T �� X
STORIES..
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. —
ESTIMATED CONSTRUCTION VALUATION (excluding land) :
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
anc
understand this is not a permit and work is not to start without a permit;
that the work will be in accordance with the approved plan.
4 DATE: �zc
APPLICANT'S SIGNATURE:
�� , - r�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
CITOF
O FI 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
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
S 36 T3�-
Address
De5-6-� t^IA 5532-8
City State Zip
`I z-(oozes
Phone
I understand my rights as stated above.
Signature
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
Sbd, 2. Information required be given individualed himself shall be informed of: (a) the
supply private or confidential data concerning
and intended use of the requested data within the collecting ustate eg�y,
purpose tem; (b) whether he ma„
political subdivision, or statewide system; }mown consequence arising from his
required to supply the requested data; (a) any
or refusing to suof
pply private or confidentialdata;
law to receive the data.itThis.
) the ident
supplying state or f
other persons or entities authorized by supplyinvestigative data,
requirement shall not apply when an individual
law enforcement offier.
pursuant to section 13.82, subdivision 5,
tice
uired under
The
commissioner of revenue ma place tax re°und instrouctionsnsteadhos
subdivision in the individual income tax or property
on those orms. ---
Subd. 3. Access
to data by individual. Upon request to a responsible
authority, an individual shall be informed whether h ris the subject 0ntial.e Upon his
d data on
auth y, classified as public, P public data on
individuals; and whether it is class
e to him and, if he desires, shall
further request, an individual data is the without any chargect of e
private f hedes has been
individuals shall be shown the of that data. After an individual
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its mei
pursuant to this section is
him for six months thereafter unless a dispute n request by
or additional data on the individual has nate or p blic dataupon
req The
pending provide copies of the private require the
responsible authority shall p responsible authority may din the
the individual subject ofthe ache tual.costsThe
of mking, certifying, and compiling
requesting person to pay
copies. y possible, with any request
The responsible authority shall comely immediately,
if P° request,
pursuant to this subdivision, or within five days of the date of the
made p Sundays and legal holidays, if immediate compliance is not
excluding Saturdays, with the request within that time, he shall SO inform
the
the
possible. If he cannot comply within which to comply
individual, and may have an additionalendlegalidholidays.
ve
request, excluding Saturdays, Sundays
to or complete. An individual To
Subd. 4.
procedure when data is not areata himself.
the responsible authority
contest the accuracy or completeness-of public oripri}v�al�to concerning
exercise this right, an individual shall notify nsible authority shall within 30
describing the nature of the disagreement.
The respo late and attempt to
days either. (a) correct the data found to be inaccurate or incompng lete
Tents named by
notify past recipients oncnacethe ndivie or dual that he believes lete data, dthe data to be correct.
the individual; or (b) y Bement is
Data in dispute shall be disclosed only if the individual's statement of disagreement
included with the disclosed data. ealed pursuant to the
The determination of the responsible authority to contested cases-
provisions of the administrative procedure act relating
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
Z
ADDRESS OR LEGAL: `t y O V� 1F�'C2'CPc9 —PID:
DESCRIPTION OF WORK: __ ____ _
------------------- ---- --------------DATE APPROVED: ---
ZONING REVIEW BY:
K ?
BUILDING REVIEW BY: oil
DATE APPROVED:
_ -----
------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓• No
PLAN REVIEW Yes � No SEWER CONNECTION
✓ No WATER CONNECTION
STATE SURCHARGE Yes No PARK FEE
INVESTIGATION FEE Yes SITE INSPECTION
SAC Yes NO OTHER (specify)
s ecif )
Number of SAC Units -------------------------
-----------------
Zoning District:
ZONING CHECK LIST
(Z- 1
Fire Department: LL
Post Office: L L School District: on,c�ro
Lot Area: 1 fs.o O Sti :1r. Width: ) ny Depth: Iwo
Survey Submitted: Yes_ A No Date of Survey:
Proposed Setbacks: fi 1'J��"Right Side: �Z
Front (-La4ee+= �
Rear (Street) :
Al Left Side:
Adjacent Structures: /0
' Wetland:
Building Height: Def. Hgt. O
Peak Hgt. �• �
Avg. Setback: of Coverage
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varianc IB Requi ed: Y s No ate o oun it Approval:
Grading: Staff A royal D te: By: Council pp
royal Date:
Septic: Staff Ap roval Dat
Zoning File:# Re lu 'on i Resolutio Date:
REMARKS (im hous ) :
BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE.: -
Sq Footage $ Per Sq Ftg
Basement x -__
1st Floor x _
2nd Floor x -_
Garage x -
x -
TOTAL
ov
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
<Footing Mechanical Fire
Framing Septic Water Connection
4Insulation Fireplace Sewer Connection
Wall Board —(Masonry) Lawn Irrigation
Final (Mf g.) Other
OtherWell (State Permit)
DtElectrical (State Permit)
-------------- ---------------------------------------------------------------
REMARKS (IN HOUSE) :
---------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
Certificate of Survey
for Walter T. Ellis
of Lot 9, Block 3, Daniels Long Lake Heights
3 � Hennepin County, Minnesota
ORL? Tff1ILIS
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a '1 .;
(80.0 ko-i 1-79.70 —eks. -i
s ' - 98.(. -
,� r ,n
d - w
ion a: . 30 d
Exisf in g' .�: (d Proposed
A)J �Aez
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0L � Exis�iHg N 1 ♦J
W i-1 o u s e. rv-J5-r ri d
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ISO
VJATERT0W �0A,D s
CITY OF ORONO
—V- RITE PI AN GRADING PLAN
I9 APPROVED
0 APPROVED WITH REVISIONS
- CJ DISAPP OV D
BY
DATE G- s:5 -!9
3 s6g5oma' 0f2'C4 - +."
I hereby certify that this is a true and correct representation of
a survey of the boundaries of Lot 9, Block 3, Daniels• Long Lake
Heights, the location of all existing buildings thereon, and the
proposed location of a proposed garage . It does not purport to
show other improvements or encroachments .
COFFIN & GRONBERG, INC.
Date : 8-8-85 Mark S. Gronberg Reg. No. 12755
Scale : 1 " = 40 ' Gordon R. Coffin Reg. No. 6064
o Iron marker Engineers & Land Surveyors
Long Lake, Minnesota
BRUNO COPY
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GUARDRAILS
36" MIN. HEIGHT
" MAX. OPENINGS I ��>a4
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CITY OF oftorioP
MtiiLDiNti P'e TT Pi.AN R6It'1 '
aNr n t r-*A
ATE S^ —5 PERMIT NO. � _D DLG LL ,�
APPROVED AS SUBMITTED 4M � I/ �•�
APPROVED WITH CORRECTIONS AS NOTED
,x NOT APPROVED — CORRECT & RESUBfMiT
(hese comments are for your informstion. All work shal4 be djw-
f fait compriance with au applicable building 6 zoning v*. m
- -wlrrwwnts including items not speefficaily noted in ,his rw.
'r=t- THIS TAN SE'T '_)rpt SITE AT 411_
STAIRS
8" MAX. RISER 9" MIN. TREAD
' J,
AT LEAST ONE HANDRAIL REQUIRED
4 �
GUARDRAIL OPEN Se1ES
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CITY
-
II#1LA N R `
sr
PERMIT Np. 4-
APPROVED AS SUBMITTED
APPROVED WITH CORRECTIONS AS NOTED
NOT APPROVED — CORRECT & RESUBMIT f�-T CW
n se comments are for your information. All work shrii ,,,,/
cor;piiance with ail ap,4ica+tole buI4r4 & be dc,a �A Z Ct�ST 'Jjq\11-Tc�:
mc!u,. 20AH� yk '�vIL �••• 1'1I�C� \M�{..V`•_.n,
ems rat soecificatly noted in this ro�Po.
' '' 'i. •. � =yli�- �i t ��'-ry`1 '�c�� r� _ •� <� p�i�:I r . 1�, �=-t����'�. 1:7
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /D:�
PERMIT NO. 702: COMPLETED L)
ADDRESS -,�/VzZtO - 7 ��
OWNER 60',L -s CONTR.,._
TELEPHONE NO. 2-7-2-(�oO.L
DESC N
�
FOOTIN 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
CC
W
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CC
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CC
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W
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W
cc
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W ❑WORK SATISFACTORY.PROCEED PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. F_ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
Owner/Contra sit
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED 9J_
PERMITNO. 'ZC27 COMPLETED
ADDRESS �`f
OWNER CONTR. ir�lir,
TELEPHONE NO. 7.2 —(,,OZ
DESCRIPTION y - 0�. ,•4��
LL 0101 FA4 11 CHANICAL RI —� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
0-
cc cc
J
O
a
cc
O
U.
W
cc
Q
Z
W
Z
W
cc
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W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
Qc CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO RANGEACCESS.
CalWhite
t ins ction 24 hours in advance.473-7357
Owner/Cosite
Inspector. aim
y/Inspector's File Canary Copy/Site Notice
D E L� TIME
CITY OF ORONO CALLED IN S
INSPECTION NOTICE SCHEDULED _ a � GQlrj
PERMIT NO. I D 13L 7 COMPLETED
ADDRESS p a qU b,
OWNER CONTR. 1LdJ-/( "OSA o f d
TELEPHONE NO. -2,-2 - -i6,0 o2 S
DESCRIPTION
F 11 MECHANICAL RI f 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0505 F�i 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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
Q. a�o e., Acwl Cwt
ac
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CC
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W
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CC
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LLJ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ORRECT WORK&PROCEED LlISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
r. CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance.473-7357
Owner/Contra t n it
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice