HomeMy WebLinkAbout1992 - 004527 - new porch/deck PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 BUILDING
I Permit Number: {_}r}45��7
Crystal Bay, Minnesota 55323 Date Issued: 07/31/92
(612) 473-7357
SITE ADDRESS:
2760 WHITE OAK dIR
CH
P. I . N. : 04-117-23-42-0018
DESCRIPTION:
NEW PORCH/DECK
Building Permit. Type SF-ADD/REMODEL
E:ui Idi ng Work Type PORCH
UBC Occupancy :3:3 R-3
Construction Type VN
REMARKS:
CITY OF 0,q0NO
=TM/41 •C i?CCTi•C
FEE SUMMARY: 1313100000j"" " ' .1"L
VALUATION $+ , 00i_} 01LEN 99.00
13501000 00
/I
Base Fee $99 .00 01 SEN 64.35
Plan Review $64 . 36 ;:2 200000 4
1.i.t Lt.L'V
Surcharge 14sa} }
' 01 SEN 4.00
Total Fee $167 . 35 LULL&. TL 7.35
RECEIPT-TANK V U
424,910 L,001 ,i 01
704:22
{L',f?7
CONTRACTOR: - Applicant. - OWNER:
ROELOFS CONSTRUCTION INC 14718:390 SHANNON JOHN
1 650 SHADYW000 RD 2760 WHITE OAK ;:I R
WAYZATA MN 55391 ORONO MN 55:356
(61 ) 4 I 1-;=:::-:9} 476-4858
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a :417:4;:171:1*'
f, " � �,CITV OF
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--(46"”)
APPLICANT/PERMIT• SIGNA (RE ISSUED BY:SIGNATURE ../..tee."
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /6--; /7.• ? Date Received: '7/023 /9:L
Date Approved:
Entered By: ' ei�' Permit Q: ----5,2-7
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE START
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
%t %`'ik-z /6` ZIP: .�,� .-9,i
JOB SITE ADDRESS: / O h)47 /&
(work)
NAME OF OWNER- C��,C c
• / �/ f/7/o` �// ///r)//J PHONE: (home) -7'/ i �G
MAILING ADDRESS:G2/2 2.<11 /746.; ()„.i, 7,-;'G/ CITY: L/S-"(4)j /4-/i/ ZIP: -.7-5...C.5-2.5:4
CONTRACTOR: j e,/d J -ter C1,--704',172: L2c PHONE: �%;/--�` ✓yU
-�` i ) ,1/ ,2/ CITY: �i5.://-/r7 s/ZIP: : /
`1
MAILING ADDRESS: .� �U /ffi� ..iJe- _ , �l /
l� r,. .l
STATE LICENSE: # A1).5-
ARCHITECT/ENGINEER:
7
ARCHITECT/ENGINEER: ---"-_ PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition z Accessory Structure Move
Demo Remodel/Alteration Jr Renovate Land Alteration
PROPOSED WORK (describe in detail) : :Ct•4/( 4/G''6' /4'�/4-2 ,%� 6e,G4-" ,4C y0 m`1'
?„ c . - 'i T/: r
STORIES: SQ. 1' s'r OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ '61i.
s.
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:t,7),,--,;7//: _ d'"' / DATE:
. • • CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: -2..M..(.7 wti STC DAY- c-kec it PID:
DESCRIPTION OF WORK: PO2C14
ZONING REVIEW BY:
.P
C'� (QOM DATE APPROVED: 730 -ciZ
BUILDING REVIEW BY: DATE APPROVED: 7-30-52--
FEES
-30-5ZFEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes / No
PLAN REVIEW Yes 1/ No SEWER CONNECTION
STATE SURCHARGE Yes j - NoCONNECTION PARK FEE
INVESTIGATION FEE Yes NO
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: W.-1B
Fire Department: (JD"
•'-44/Ce Post Office: CAAJAL- School District: NIC_
Lot Area: /✓/C, Width: tkth_ Depth: A/k_
Survey Submitted: Yes p( No Date of Survey: 6•Z/-499
Proposed Setbacks: Ri ht Side: (0O( t
Front (Lake) : SO g
Rear (Street) : N/6 Left Side: /10/+
Adjacent Structures : Arr 4 4409 Wetland: /V//I
Building Height: Def . Hgt. 0- 14.- Peak Hgt.
Avg. Setback: /V M Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varianc Require. : Ye-
No sate o Council Approval:
Grading: Staff A proval Da e: By:
Council Approval Date:
•
Septic: Staff A proval Dat - : By:
j
Zoning File:# R,so utio- #: Resolution Date:
/
REMARKS (in ouse) : /
/
// /
BUILDING REVIEW CHECK LIST
IIB : R -3
CONSTRUCTION TYPE: 7 -
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =_
2nd Floor x
Garage x
x =
TOTAL
Estimated Construction Value: $ F000
c2a
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
XFooting Mechanical Fire
K 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) :
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.
Subd. 2. Information required
to be given individual An.individual asked to
•
supply private or confidential data concerning
data himself
thebe
inform dtate agency,
PP Y requested
purpose and intended use of the req (b) whether he may refuse or is legally
political subdivision, or statewide system;
required to supply the requested data; (c) any known consequence arising from his
or refusing to supply private or confidential data; and (d) the identity of
supplying state or federal law to receive the date data,
ta. This.
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer. this
tice
d under
The commissioner of revenue oar Rrooerty tax replace the �und instQucteons instead of
subdivision in the individual income tax
on those orms. —
Subd. 3. Access to data by individuaL Upon request to a responsible
f
authority, an individual shall be informed whetherhper is
the subject cont stored Upon his
data on
individuals, and whether it is classified as p public al.
further request, an individual who is the subject of stored private or data on
individuals shall be shown the data without t anh charge to him and, ifhe desires, shall
data. After an individual has been
Ge informed of the content and meaning need not be disclosed to
shown the private data and informed of its meaning, the dataneedto this section is
him for six months thereafter unless a dispute or action pursuantrequest b
pending or additional data on the individual
has been
enr public collected
oruprea . The
require the
responsible authorityushall provide copies The responsible authority may
the individual subject of the data•costs of making, certifying, and compiling the
the actual yl g►
requesting person to pay
copies. ssible, with any request
The responsible authority shall comply immediately, if poof the
made pursuant to this subdivision, or within i five days
of the immediate date
compliance eisquesot,
excluding Saturdays, Sundays and legal holidays,
dayswithin which to comply with the
ossible. If he cannot comply with the request within that time, he shall so inform the
individual, and may
P have an additional f
al holidays.
request, excluding Saturdays, Sundays and legal
Subd. 4. Procedure when data is not accurate or complete. An individual may
To
contest the accuracy or completeness of public or private data conesp ng himself.autTo
exercise this right, an individual shall notify writing
gauthority shall within 30
describing the nature of the disagreement. The responsible
days either: (a) correct the data found to be inaccurate
ior incompleter udinpients anamedttempt
by
to
notify past recipients of inaccurate or incomplete
data,the individual; or (b) notify the individual that he believes the data to be orrect.
Data in dispute shall be disclosed only if the individual's statement of disagr
ement is
• included with the disclosed data. Baled pursuant to the
The determination of the responsible authoritymay
oIotas ed cases.
provisions of the administrative procedure act relating to
. _ .
—.--- _ , _..,
Ab.
. . •
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONOOn 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.
'' ?,r✓"` Last
First Middle
/4(/() J/ri4/ i).'•C 1! �
Address
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Mfyi2,40*ti //7. )/ ,c.:,...--,....../......,7
City/ State Zip
e,,l j,/ - of /U
Phon
s
I understand my rights as stated above.
Sicature /)
BUILDING&ZONING—473-7357
• ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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CITY OF ORONO '''-4' m .._
XC SITE PLAN GRADING PLAN
0 APPROVED
ri APPROVED WITH REVISIONS
El DISAPr' OV&
BY _ � Q
DATE "1 -30-12.
c..
I hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
and thatI am o duly Registered Land Surveyor ALL-METRO LAND SURVEY(
under the lams of the State of Minnesota.
C /1- '!2 2340 Daniels Street, Long Lake , Minnesota 553'
DATE.. 61489
! 89 REG.NO. 17015 Ph: 475 - 1433
f
DATE TIME
CITY OF ORONO CALLED IN 34 21
INSPECTION NOTICE SCHEDULED SI/.31(2 2- _3 3 0
PERMIT NO. Y52 7 COMPLETED t4
ADDRESS(-7? C('
OWNERCONTR. (40--Z /
TELEPHONE NO. 3L /- - 7
DESCRIPTION 4
Lu 01 F arI 11 MECHAN PL RI 16 WELL TEST PUMP
ro FRAMING .) 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 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
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
Lu
0.
cc
O
cc
0
W
W
W
W
CC
SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El
CI 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/Contractor on site:
Inspector. 4-3_ CAdo.
White Copy/Inspector's File "- Canary Copy/Site Notice
V/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 8-3-612 /�f3ii
PERMIT NO.__ 5 21 t�MPLETED�� � M
ADDRESS '27(70 (D��l
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
Lt. 0OOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 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
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
IQ
104 - --(;( ---eir a.ex„._ 0—4.
K
cc Ivo
cc
;j e\Qs �A 0
,L.W
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.:,to
W
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W
CI
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Lu
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑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 ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
Owner!Contrr n site:
Inspector. c'
White Copy/Inspect is File Canary Copy/Site Notice