HomeMy WebLinkAbout1999 - 011504 - rebuild porch PERMIT
r'ITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
EMLDTNG
Permit Number:
Crystal Bay, Minnesota 55323
011504
Date Issued:
(612) 473-7357
OE.,/10/ 9
SITE ADDRESS:
41;E,F= WEST RRANCH RD
CH
P . I . N . : 07-117-73-22-001S
DESCRIPTION:
RFJ_D PORCH
Buildinq Permit Typ,a '.;F-ADD/RFMODEL
Bi4ilding Work Type
UF;;C OCC14panry
Constrf4ction TypP VN
Census Code 424 ILT .
. RESIDENT T AL_
REMARKS:
FEE SUMMARY:
VALUATION $6, 000
Base Fee $112 . 2F,
Plan Review s77 . %
ch.arq,,a
Total
Fe $155 . 21
CONTRACTOR:
OWNER: - Applicant -
STEFFENSON
A:-cr
WFU BRANCH Si:
ORONO MN F,F.264
472 a2
THE UNDFRTGNED HEREBY RFW&M; PERMISION TO MAKE THE REAL TMPROVFMENTS
SPFCIFIED AND At'iREFS TO DO ALL WORK TN !::;TRICT C:OMPLTAWE WITH ALL CITY OF
L
ORONO ORDTNANCP; AND srArE OF MINNFPOTA COOP IE Et
_J
APPLICANT/PERMITEE SIGNATURE
ISSUED BY:SIGNATURE
• Total Fee: $ Date Received:
Entered By: f%A- Permit#: //,gyp
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNR CONTRACTOR
JOB SITE ADDRESS: gat?C ce�.0St .6r c4- ZIP: SS 36 V
NAME OF OWNER: - !V 3}8T PsoSol-, PHONE: (home) 4P/Z..- 3 a/.,
(work) e q- 4 �-1 0
MAILING ADDRESS: CITY: Aon., C1 ZIP: 5 S 36>z
CONTRACTOR: 114V Se if PHONE:
CONTACT PERSON: l MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # 000µq 4 it
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New AdditionAccessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): 7111‹r C"ourh .Q?Ci h ,PCI re I--
fcri yului C fi ro✓c, , O S Pl-w-e. /6/42_"rfrti--
STORIES: ( SQ. FEET OF EACH FLOOR: 1/ Z--
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Co 006
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 .- ordance with the approved plan.
r ,
APPLICANT'S SIGNATURE: - - ' ir.: (�
ATE: 14 7
A P
NOTE! Parade of Homes events require se,i rs ' permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual 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 himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
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(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I underst. d , rights as stated abov-
Signa
6
•
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: '4 e(C w{ Si— 13
PID:
DESCRIPTION OF WORK: G'ro-nizi P
ZONING REVIEW BY: ,St DATE APPROVED: & -0.5 -
BUILDING REVIEW BY: , DATE APPROVED: co •i .
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f' No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: .tam C(1-P+ND.P
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes pc No Date of Survey: o ti (=!u
Proposed Setbacks:
Front(Lake): I t(ot Right Side: I rt o f t
Rear (Street): (,0 f= Left Side: 1 .-
Adjacent Structures: Wetland: /1/4.11A-
Building Height: Def. Hgt. 0%V- Peak Hgt. —
Lot Coverage: 0
Grading: Staff Approval Date: /v By: Council Approval Date:
Septic: Staff Approval Date: /V I IA- By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: AA)
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: lZ- 3 CONSTRUCTION TYPE: V"/
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 6,' /V
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Pt Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
-0RONO-CORY----------
'.z.
- - - - -- - - S88°09' 14 ' 5
Ilorffi line of Nh/%4 of _. /-' z og 75
NWZ.ofSec_7 u1 zj l.. 0. d. I
,. S 88°09,I'4- * I- i
No,339.67 _ `r , ,� 1 1_ ' AllE:
O;
27'9.66 ^� s i i%h .. /-?..r:-.3'1-7 ° O
- i.. ..._y_..,�-, v
600i 6e.00 X38I — ►-
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crry �� me
DI'n;ne�9o.; -ad Ut7,-.11:
i/; / '�,, i:a Imo- Z
�C 3�TE-P(.�' GRADING
�as�n,..,rs�, ; � Q o I I I
@APPROVED �1����e�R�,+NG N �` _ - I 1 CERTIFICATE OF SURVEY
- a' 1�? �I 1 FOR STEVEN J. RICE iY
G APPROVED WITH REVISIONS 6 o �t 41 I AND SCOTT LUSE 3
_ �YDtSA ��ED W�11 I to IN WEST BRANCH HILL & •
AZT.._ -- -
i Ca—60.00-
0 1 stdor I I 0 o SECTION 7-117-23
0 DATE 6,-w-�u P� _ �a., l cc
E.ist,n, int HENNEPIN COMITY, MINNESOTA .,
20.9 0 i-. I iC
Proposed Area._• 8Q /48±so Ft ``� {ici KSll.00' •y.3.1 y• If'-'-' -
/ V I �.c oc -1 .R .-
1,- ' 01- 1-- -19.0-_� o K _ E�c;sl:43 ne¢a :4-3,543;q Fr
„„,..i A5.9 PreA,465. .fA.
I ,y tisligy ! Propose.d ` Efnk;n� erc/..,.8 ro4a!
49 ?r".3/10. 07.7...:41 e �l Garag• on.r a.Lr i, B. '� 1.7-
4. .
�__
5' . d;vid;n line (�S i. -
•
t,Well 9 Smpk;° 208.71 Y.
•
I 1 CXI: : East..-1
i
/ It•S
\ 11-26-85
° I : --- S 88° o9'r.4”W Scale: 1 " = 501.
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1 h- RO8.75 __ 0 Iron marker
7 e. East line o{NW lz of - .
O . 5.f ---1---' '
(028.61 NW%4 o{Sec.7-Il7 Z3
nIG7 .e
�Se�}ic RS 27. _
+o„ SEX,;,;• 1 I hereby certify that this is a true and-correct representation of a survey
40'8. at shed>� d• of the boundaries of Lot 1 , Blotk 1 , WEST BRANCH HILL, and The North' 208.71
(-N N Exis+;riq
shed �emo'cd ksi e feet of the East 208.71 feet of the Northwest quarter of the I or thwest quar-
• `
ter of Section 7, Township 117, Range 23, Hennepin County, and the location
I • m•
I of all existing buildings thereon. It does not purport to show other irn-
�. o provements or encroachments.
-
2 5 ;%
', � - COFFIN & GRONBERG, INC.
ww-
- 154.3' 27T• .2j'7 :� -- — -- —_ -! =/ / / -
60.of _ Par . -roo Coffin Reg.rg es le . Ie/ S
33rz _ rdon R. -in No . 6 4
88° 0g'if" E
8 -- Engineers & Land Surveyors
Fr,-.-. 1.1. ;_,-14Long Lake, Minnesota
NEW LEGAL DESCRIPTIONS
" a.� ,•, A. Lot 1 , Block 1 WEST BRANCH HILL, Except the East 60 feet thereof.
Y i .
\
SIGNATURES ?�\ Qi, `' �^` ISI cc_ - B. The East 60 feet of Lot 1 , Block 1 , WEST BRANCH •
HILL.
-May-May - 1 �t��`�-, 168.71 feet
C. The South
-of the North 208-.7.1 feet of the East 208.71 feet
_
r ,0 �.lrC� .f' of the Northwest r
i - 41—/O quarter o� he :Northwest. quarter of. Section 7, Town-
erk Date ship 117, Range 23, Hennepin County, Minnesota.
1' . tiCGCv �� 71.,1- -e"'6 D. ROAD PARCEL TO BE DEEDED
The North 40 feet of the East 208.71 feet of the Northwest quarter of the
o Northwest quarter of Section 7, Township 117, Range 23, Hennepin County,
Minnesota.
. ,
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V4 lilt C57--ftel_Te4ISort 61951?` (I'Vqo 9,2.-3 Z14,
git (Ai- Brillma _ Ami
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IX q Fc-r --t-.--e_ 0.42 ckl'h
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CITY OF ORONO
BUILDINaVVIT PLAN REVIEW
IN2PECTCR
0.\-7--,__4, •10-ti!! __PERMIT no
XAPPROVED AS S!...43i.,,,;irTED
0 APb=r:-.)VEDWITFi CC1;-',REC;Tia::53 AF NOTES
0 NOT I PERn'v Er.)---Cf.")ERECT
Thess co .ents are rOr your intcrirta14.-..n M
irt t;1'. ceropiiarl-ce-w-f- .!', cpplica,!e 1.,u-'.-:1.1,,'
. Requiraments;nc:Jc.14-0;:,-rns not sr:ID:-,'y'rc,-;:i -1 1;,=,- 'At
-KEeP THIS PLAN SET ON SI 1--E AF ALL 1"1; $
lio
nATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , SCHEDULED
PERMIT NO. /7_3-044 COMPLETED 122(6./—
ADDRESS
'ADDRESS 4,6.5.`..::=01. � �'
OWNER CONTR.
TELEPHONE O. '717.z- 3.2/c.„
DESCRIPTION 7.0-/
LL N 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
ct 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
rr
Be_1� m.r T t30:��,. 0 Y- hale
oFAST (.9 et(
cc A L11 2cP
P
o .
Q 77I-enJ 6. k /00..2
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d L7 WORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE
;Aaft:ORRECT
WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Li CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR D CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor o1 jte-
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
� DATE TIME
^/
CITY OF ORONO CALLED IN -a-c) 5
INSPECTION NOTICE SCHEDULED ?-3 100
PERMIT NO. OHS-6(4 Sa({ COMPLETED
ADDRESS ii (A.) • 6vo'ric k 12a) .
OWNER CONTR.
TELEPHONE NO. eqq." Ltt t 0
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q e2 FRAMING) 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
".t 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Q..
cc
0
cc
0
W
cc
Q
W
W
d �
W ›`WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
WEl CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Od BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
Fl CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins. -0 ours in advance.473-7357
Owner/Contr. tor • site:
• f4���
Inspector. `1W.
ite Copy/Inspector's F - Canary CopylSite Notice