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1991 - 003772 - addn to garage
PERMIT CITY OF ORONO PERMIT TYPE: 133 Brown Rd. South • P.O. Box 66 Permit Number: 003/ r2 Cfystal Bay, Minnesota 55323 Date Issued: 06.121/91 (612) 473-7357 SITE ADDRESS: 199S WEST FARM RD TLN P. 1 . N. ; 27-118-23-43-0013 DESCRIPTION: ADDN TO GARAGE Bui iding Permit. Type SF-ADO/REMODEL Building Work Type RENOVATE/REMODEL UF3C: 0 c cupanc y 88 M1 C:onst.ruct.icn Type VN i rig LR-1A :ITT L.F OWO ..‘1:1•1,7:);,..".,C;OCI ;1 01 .;C:Ai j4.35 REMARKS: 1.1 7Z7 TL 167,10 Tr- 7.1-1.4kiiik. YOU FEE SUMMARY: .7_111,11f :_:01 ::;01 7J8:05 iviAL LiAT I ON $7,SOO J-j,..71;911 Base Fee $99 .00 Plan Review $64. 35 Surcharge Total Fee $147 . 10 Applicant. -- c°%5Ret.979.11 owtp hSTRUCT ON -- 14791834 RICHARD 497 KUNTZ DR 199.5 WEST FARM RD MAPLE PLAIN MN 55369 ORONO MN 55356 (.612) 479-1834 MOOS' XTY OF ' "'" °.,`41C-014',4-1,P,A4'4A4, ` 4444 4% 4 '4 /17 .. a .4'4 #,Lt • APPLICANT/PERMITEE SIGNATURE .i.UED BY S NA URE CHECK OFF FLISTFFOOREISSU OCEY OF PERMITS UNL ADDRESS OR LEGAL: / c we cf Forn-1 ed , PID:,- 7 -/i/ ,�-3 413 oO/3 DESCRIPTION OF WORK: Zp..,47)2__ ZONING REVIEW BY: c90 Com., DATE APPROVED: (,-fib _c/ BUILDING REVIEW BY: �� DATE APPROVED: Cr - 2.v-`-c FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ' No SEWER CONNECTION STATE SURCHARGE Yes ' No WATER CONNECTION INVESTIGATION FEE Yes— No f PARK FEE SAC Yes No ' SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: L & I IA Fire Department: kV/(4L_ Post Office: /VC_C_ School District: /11/C___ Lot Area: /U/L Width: Depth: Survey Submitted: Yes CX, No Date of Survey: 12:22...-W, --(2^, ( Le. Proposed Setbacks: Front -) : .�$ Tt Right Side: 110-L Rear ( `: 2.--2A ± Left Side: NSA Adjacent Structures: /¢-'T'T34-Ll-,4t'7'' Wetland: 41/19- Building Height: Def. Hgt. /1/4 Peak Hgt. Avg. Setback: Lot Coverage: Existing Pro••sed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' /VAIII . Hardcover Variance Required: Yes N� Dat - 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: $ir- tTh CONSTRUCTION TYPE: N Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ -1,s© 60 Inspections Required: Work Requiring Separate Permits: SitePlumbing Grading/Filling Footing _Mechanical Fire Framing - Septic Water Connection Insulation - Fireplace Sewer Connection Wall Board (Masonry) Other $ Final (Mfg. ) Well (State Permit) OtherElectrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : CITY OF ORONO - BUILDING PERMIT APPLICATION JO Date Received: C, Total Fee: $ ���► '�/f/ II Date Approved: (40/ -//cif Entered By: lJ Permit#: 77 ALL INFORMATION MUST BE SUBMIT•rmU IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one ) OWNER or ZNTRACTQ) JOB SITE ADDRESS: / ??..5- l ) c*- Fee r'm Cid ZIP: 37-i 3:5 4> (work) NAME OF OWNER: , ,C/1 v r4 P4 r^r 1 s A. PHONE: (home) Ili/- MAILING ADDRESS: 1915 14JE51 Fir 01 , CITY: Z. L4y�� ZIP: 5:5-3)—<; CONTRACTOR: Aitorter1 L 0r1ej (Jf9S Af'c::rt'Cri l PHONE: q7q- /63el MAILING ADDRESS: hi?J 7 kti,jrz /0r, CITY: A eyvk PI4, h ZIP: S3-3,3 '? TYPE OF WORK: New Addition X Accessory Structure Move Demo Remote/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : 3rd 6 4 Y,r 4 c 5 t-4// a eldhd fl 4.-----x I's titj ', Cq3 v .4.7Y-4-L4 ed Carj t STORIES: O r')E SQ. FEET OF EACH FLOOR: y/6 st. .t NO. OF BEDROOMS: GARAGE STALLS: ATT. X DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 75-00 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 SIGNATURE: A___:__ i M�'lL L� DATE: G //JAY . is--- : -.,,i„ __ .... . CITY of ORONO _ _ Em .. Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF °Row) 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. Jectell-e6 1:) 4,i A!`OrVerl First Middle Last 1/ q7 AlintZ_ Or-, Address a It P/4 M'1 . .. s . 1 City State Zip y7?— l 3 q Phone I understand my rights as stated above. �� 1Si ture BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING S13.04 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 individuaL An.individual asked to • supply private or confidential data concerning taa mes thin tself he collecting state agency, be informed of: (a) the purpose and intended use of the requestedlegally political subdivision, or statewide system; (b) knownrconseauence arising he may refuse or lfrom his required to supply the requested data; (c) any supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by state�iseeskederal lto supplyto invest gat ve data, the data. This requirement shall not apply when an Inde pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the the rnotice i reccuired under this 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 he is the subject ot stored Upon his on individuals, and whether it is classified as public, p nal. data on further request, an individual who is the subject of stored orihim vatend, ifo he desires, shall individuals shall be shown the data withoutoanylcharge. 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 or action pursuant to this sectiThe on is pending or additional data on the individual has beeny Public dataected rupreare created. by responsible authority shall provide copies of privaterequire the the individual subject ofthe actualhe .costsThe of making,responsible certifying, and mayompiling the requesting person to pay copies. y ssible, with any request The responsible authority shall comply immediate) , if poe made pursuant to this subdivision, or within five days i of the immediate o e ofmpth ce request, ot excluding Saturdays, Sundays and legal holidays, 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 °inr writing rivate tthea oresponslb a author ty himself. To exercise this right, an individual shall Yauthority shall within 30 describing the nature of the disagreement.TnaccllrThe ate ore n omQlete and attempt to days either: (a) correct the data found toe inotify past recipients of inaccurate or incomplete he believesdthe ng datalto be the individual; or (b) notify the individual correct.s Data in dispute shall be disclosed only if the individual's statement of disagreement included with the disclosed data. be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. Oetx.,No cc...),pr Certificate of Survey for Landmark Construction of Lot 11 , Block 1 , THE FARM AT LONG LAKE Hennepin County, Minnesota COPY O _,. ,„_,.,..:, , . ,. .(6:: , , 6 6 , Al,.4 �' • �' i. .. O'� o ti p3‘' `' - r ' ::V;;;. .-` CD V�\— N1� 0__, o Zip,\\ / / k t \ / Z5 443.11 •-• / / 04 ,,,,..,1 , , iii - 17° o i t o Scale: 1 "=60' ' .,.. . as OC Date : 11-7-86,rev, '2-i8-8e pm,e0' 1 \ o Iron marker X16.0 q;9S725� (���0 75.0 c �O D Z6 h i°ro�ored 54' N I 1t „ 41.0 Ib' p<< l io Icr- M Q J V." .r.�t9 CD o .:-., j. _ __. . ,_cc_,:._,:„ ,___V":' l ra T o HILL 1 _ i�=C �. Z CITY OF CIBC IC D< SITE PLAN _-_-- '3.7, r, ,.DI NG PLAN 02 ?-, a-,Y4E)510Pi: rs �✓ . r7 ;,, .iv:iJ 0 til CO Ai, :::,f,i . .'Y i °THER< 1r1 i _ _cr M 7 7,1 io Dfa,na eif 66 ! ---- i U- lili ea emenT[ Q c. 01- • -- 274.00 - N 87' 47' 57 "\i\/ - I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 11 , Block 1 , THE FARM AT LONG LAKE, the location of all existing buildings, if any, thereon, and the proposed location of a proposed building. It does not purport to show other improvements or encroachments. g °" ;r, ; a COFFIN & GRONBERG, INC. xSIT, i;I 6.::::,A,',;:., .-.:z _ z. _!/ ../!�/-e----L-f I , P Reg. 'G. 12755 • ,. �� � Mark S. Gronberg _ ^ '- , ' `" ' •'T ` `)1 '^ i '. ...,1. Engineers and Land Surveyors DIS,1-.FPRC'7D Long Lake, Minnesota BY DATE /Z-zzB(e, Y�r/ ✓ rnO`�! 9Y-.iO/� l ,i- ---7,5,..-s. ,..... .,,,, I '' ' f:'; k.,:‘ ' ' - 4v> h iz,s• L 6 v) a, ® 3 ,.., s 0 -c _ o J 7 RING N!IN. W0011 0FIRTI4 g/ock Fat.nete.' CITY OF ORONO BUILDING PERMIT PLAN REVIE.AV INsPEc-roR ATE_ rTrED Li NOT P, Pf..,v./F.D '1LT Thes.," fr: rt„ re. revtlaw, KEEP i;S PL)-\N s t ALL ITV!ES, Remava i 0- F'X1",S7 inq ),,d 4.4..)011 1 1 1. r 11S h G /Ar4�FA11• 1017 Y ,,,,,_.4 _ 1 �s ^ ' 1t'-J'7' ' it r;^i 6 1 ! E:+6 I 6 I 1 t i 9X7 0. N. 0r. 1 ,NN\NNIN sMIT TRUSS DESIGN TO TNSP ' O'' •T FRAMING INSPECTION \\\\ — Pre n14►1GcAG7f4red Tr' SSe.: (liedcvaad S1,1"nj \ / Yr3 A4ke - iX8 Fc 4 ! / 5o.7- f"- f/) CITY OE ORONO - BUILDING `"r=mak' .; F. L AN REVIEW yy/� msvgpVTTOrt 0.-_•.."3--4_,.:--"V., ..._._ r- M1 c -)T7) '1 II .. ° e done LG.L1 EXp05Nre Ly xd' ra .`.. ` s E KV AU,TIMES, /f 1 1 1I2'° ANCH0B�LT MIN -- a x� srti4 d L,,..)4 I/s E 3� Cpncrefe $/4 �'�11'ZPS I coLrse y II aloe ,SCour3€ gff C3/oc k 42" WAIN FrOSt roots g 1 s"X •Q'' .Eorj r j 6SATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 3 777.SCHEDULED �/• Cl )- PERMIT NO. C MPLET D it ADDRESS . , 5 /7-yd OWNER I CONTR. Of - v TELEPHONE NO. DESCRIPTION f�C� IQ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL • INAL 13 METER SET/TURN ON 17 SITE INSPECTION —SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 141 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: cc W a cc O CC O W CC Q W W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY (ZI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contr7 ite: Inspector. White Copylinspector's F Canary Copy/Site Notice DATE / TIME CITY OF ORONO CALLED IN (A—/2D� / INSPECTION NOTICE SCHEDULED � 't 0"0 PERMIT NO. 37 7 COMPLETED 6- z (-c1 j. ADDRESS / 16-7'`" OWNER �� a'�' ' CONTR./ . "u? TELEPHONE NO. 44 7 f /(f 3 7'/ E DESCRIPTION—�- ZL4- s et-of d- W EFOOTINyJ 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING h 03 INSULATION 24125WOOD BURNER/FIREPLACE 19 LAKESHORENHETLANDS 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL 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 LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Cs COMMENTS: cc j ©/L — ( 0 c _ loo u p- c z z cc tj„ ,K)rIK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracto Inspector. White Copy/inspector's File Canary Copy/Site Notice _ PAT' TIME CITY OF ORONO CALLED IN ���� / _ INSPECTION NOTICE 77`) SCHEDULED y g, 3� PERMIT NO. COMPLETED h tf �q ADDRESS t / ? (_)0, ._.-,-F W v ieC`i OWNER -a 2 . C CONTR.� n TELEPHONE NO. ;/ ^ 1 O ci >1. DESCRIPTION /9-cid r0 W 01 FO NCr� 11 MECHANICAL RI 16 WELL TEST PUMP y2 FRA L6 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING /W O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREETLANDS 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 viC LIJ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL <--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc 4. h s �C , S�A � t��ti feo L cc 0 14.W CC Q 2 W Z W Or 2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W //Ei CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN [1 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on s' Inspector. 11S,, White Copy/Inspector's FII Canary Copy/Site Notice