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HomeMy WebLinkAbout1994 - 005970 - addition PERMIT C4TY OF ORONO PERMIT TYPE: Ti DING 2750 Kelley Parkway • P.O. Box 815 Permit Number 00t:qr I+W; Orono, Minnesota 55356-0815 Date Issued: (612) 473-7357 SITE ADDRESS: i ,: i.o WEST `" IPM RD LSV P . E•. . . 77-11 -23-43-0020 DESCRIPTION: ,ADDITION Building uziding Permit ermtTy e puilti q work I {Lc? ADDITION DD' II _ N S8 , _rrla__nfy ( Yitrl[ 1 _ _ i Type VN Zoning '• i°i y11J �_ LR-1A L•1 TY LI ORONO rin,vi'r i"rrCTrr I 1fY177TL•L VI 11LLL. t 1.12 i'1 VVVVV 17 13V1 Vd L162.00 i 3 frit! V4 1A-11 12.,_.VVVVV >) i rA,iVA VLSI 7 rI} L•UL.L•11 1 Ti t.$7.VV r•r rr!OT-TUAElh' ni-L4L 11 I I I Il1/TI1 :VW .,' i!% I} !1f!'I ?yra 7' 1_•1JV.L ItYd !.L IJ IJ REMARKS: Vr+i L"!" SEPARATE PERMITS REQUIRED FOR PIUMBING AND MECHANICAL . STATF PERMIT REQUIRED c UR Fi F.0 I R I Crii . FEE SUMMARY: UATION $1S, 000 ._ ?{=+.:_ Fee 3162 . 00 Plan Re'.i•ew_ $10.5 . =:C, Surcharge $7 . $0 Total Fee $274 . `0 --- App 1 i i r,i% -- .1_622.. THE STRAND I-AND 5+ WEST FARM . .. . HL? THF UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKF THF REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO AL_I WORK IN STRICT f_:I_I1'sF+L_ F.ANCF WITH t !_f,_ CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUIL_DIis G CODE REQUIREMENTS . L I c1 APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ee- i, CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ ?(4. Date Received: ,s3 - /4/ - 6/ V Date Approved: Entered By: Permit#: 5 '1 b ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) TmE APPLICANT IS: (circle one) OWNER or�NTRACTO JOB SITE ADDRESS: /,‘.‘ &. last iAti ii alt //i*a, /RA ZIP: ,ri� 3 ,s-(:: (work) NAME OF OWNER: t 145 4( d S=C12_L S S( Z) PHONE: (home) /TL MAILING ADDRESS: / 12&() LUvc f tin keit= CITY: 201 14 it-- ZIP: CONTRACTOR: ,/�.41p s q c� ‹.-j/c T fli S e S PHONE: 9.3,2 - 96 6, MAILING ADDRESS: P (�, ,B©;c 52 CITY: 1.1!Ay lost.. ZIP: .SS STATE LICENSE: # 27(:)/ e0' / ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition >. Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : i1L Gs,v � t ,j" X /(t `,i A#)1 (r( tics [^ j ncsF C/r7 r- de STORIES: / SQ. FEET OF EACH FLOOR: , NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /5(1Yr, (fl0 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 DATE: 3 /� �l A CITY of ORONO CITY 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. rThAit) a tr First Middle Last ,Q 0, /go x S- 75 Address ��/9 Ov- 55.3> / City State Zip Cdt� - F3 --696 Phone I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING 51.3.04 RIGHTS OF SUBJECTS OF DATA Subdivision 1. 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 ndividu.L An individual asked to • supply private or confidential data concernindg himself the be inform dtate agency, PP purpose and intended use of the requested political subdivision, or statewide system; (b) whether he may refuse or is legally re uired to supply the requested data; (c) any known consequence arising from his q rivate or confidential data; and (d) the identity of otherr heor personsrefusing or entitie supply Ps authorized by state or federal law to receive the data. This.. oteinvestigative data, requirement shall not apply when an individual is asked to supply pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma •lace the notice re•uired under this subdivision in the individual income tax or •ro•ert tax re and instructions instead o on those orms. Subd. 3. Access to data by individual- Upon request to a responsible authority, an individual shall be informedhe blic,hpr vateis esubject of or confidential.e Upon his individuals, and whether it is classified P data on further request, an individual who is the subject of stored hi privatm e ifo hep desires, shall individuals shall be shown the data withoutof any 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 meaning, him for six months thereafter unless a dispute has action pursuantollected oo chs sectio is pending or additional data on the individual ublic data upon request by responsible authority shall provide copies of the private or p may require the the individual subject ofthe actualhe .costsThe of making,responsible certifying, and compiling the requesting person to pay copies. ssible, with any request The responsible authority shall comply immediately, if po made pursuant to this subdivision, or within lids five day si of he datee of the compliance risequest not excluding Saturdays, Sundays and legal holidays, iossible. If he cannot comply with the request within that time, he shall so inforth the P have an additional five days within which to comply individual, and may al holidays. request, excluding Saturdays, Sundays and legal Subd. 4. Procedure when data is not accurate or complete. An individual may completenessa himself. To exerest the accunc�y ar ndvidual shall of pnoti y ublic rinrwri private tthe orespons responsible authority exercisebthis right, an describing the nature of the disagreement. einaccurate The� uate lore n responsible and attempt to authority shall within 30 days either: (a) correct the data found t notify past recipients of inaccurate or incomplete he belincata, lud nghe recipients be correct. by the individual; or (b) notify the individual cement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data. pursuant to the The determination of the responsible authority may be appealed provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY 'ADDRESS OR LEGAL: I C1 6O W e`er7 FAR" glib PID: DESCRIPTION OF WORK: A00 / 1-70A1 ZONING REVIEW BY: C6 DATE APPROVED: 3- 2_ 2- 5"1 BUILDING REVIEW BY: QQQ `��Qo (S2A""e'"- DATE APPROVED: 3- az- II 't� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes of No WATER CONNECTION INVESTIGATION FEE Yes No ✓-- PARK FEE SAC Yes No -- SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: L12.-14 Fire Department: (6,.:) c , Post Office: (.,0,4_, 64f School District: (y1,0NO Lot Area: //0 Cite-AN) Width: ---- Depth: Survey Submitted: Yes X No Date of Survey: Z.ors r,C Ii Proposed Setbacks: i Front (Lake) : /VW Right Side: 7Q ±: 6:1) Rear (Street) : /50' ± Left Side: N4 (.0 Adjacent Structures : /477-AC(l€O Wetland: /I/ 64 Building Height: Def. Hgt. D - lc Peak Hgt. (j. K Avg. Setback: /�/l/ Lot Coverage: /(//4 Existing Proposed 4 Hardcover: 0-75 ' i / / i , 75-250 ' 250-500 ' ; / // 500-1000 ' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approvial Date: By: Council Approval Date: 1 Septic: Staff ApprovalDate: By .,._ / / Zoning File: # Resolution # :,° 7 Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST DBC: • 3 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL o : Estimated Construction Value: $ ) 5, oc)0 Inspections Required: Work Requiring Separate Permits: Site X Plumbing Grading/Filling icFooting pc Mechanical Fire ,(Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Final (Mfg.) Other Other Well (State Permit) / Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : . cioNg copy „AV _. •--587°4 7 '57"E 440.00 --- • • .- - - -_ _17(x. /8 - - •• ��10 r - ,r -._ _ _ _ _ _ ___ _ ,__ _ _ _ _ _ _ _ i O A/ -- O • `. O;/ ,00.4"/: 1 . , (,' (Sign la �- (proinfit140- , ie 0046\ Sign Oral". 1 ,.', ) .l` X x 5Wj$-x x r tr\\rr li • -<:- et \...&1 Barbed wire -fence- / 1 , .. "too I 'na••a H .7 . .).() LAv41321 e....ovp, A0. 0 / ' or . (1 �'1 • CZI ;>'/Z t3: ' I tiko- CITY OF ORONO O r;;;,...1_,0 S T� t� ;�� _.' ._ GRADING PLAN E . . / f i_ r.. i...i .-t 1..EV iONS r DATE,• id, ,,ek--- I 3 -z-a-1.61, __.��._. _ s'9S _ is. , k (Spli• rail ) I omolon.... .....=-- d C ../''. (7;3, r , ( • - 1 . i Ail 11111kk1/4.4, li s'A i I l''' , 4..... .... . i , ., ...... .„.•••••7•4; . 1 - .1'."..• a . % ...• • .611611.r.--lik. pi I-7-7- ' 111:11.1/ it . 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I > ti So mm m m tm -og ,e ... t���Nmo'Z �, pm07DO c ' - -- 1.; ,Dp.. , moo 0 71 E x N iz 5.3 a a V---- \ x": . xP r ' q Ra A— N' L p\ Q o Cf) wInIet., -n 0 a M *-- Lq ,1„,,....1: co cr, Q Z (' 91 X ,1 D C 0 car- o O C. 3 4' t-' -moi ;1� �v •rr, P c> du. rn �z'va�; y� 0 n D H=. �az NQ m' O -- a (I) =r"'.....ca cr. 2 O sWzw 0 a oy cnw -: (''S.... ami 1 h COCO >_ G' G� 7 z o tl T z 1 DATE TIME CITY OF ORONO CALLED IN �/� 9 INSPECTION NOTICE SCHEDULED !� 3o PERMIT NO.--i-q70 COMPLETED 2-8-5`( 2 TO • ADDRESS /96ga 424t; �iCc� OWNER az 20u�i/ter ��CO��NTR. TELEPHONE NO. /4%(d , py- q co 4/ D TION • 01 FOOTTIN 11 MECHANICAL RI 16 WELL TEST PUMP AMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING LI) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 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 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc Lu 61D cDk-,s CC CC W CC Q CC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN r L„ CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contras r n Inspector. o White Copy/Inspector's File Canary Copy/Site Notice