HomeMy WebLinkAbout1996 - 008111 - addition & porch PERMIT
CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway - PO. Box 66 BUILDING
Permit Number
Crystal Bay, Minnesota 55323 00811 1
Date Issued:
(612) 473-7357E-11
SITE ADDRESS:
1155 BROWN RD S
JB
P . I . N . : 10-117-23-24-0007
DESCRIPTION:
AnnITI0N & PoRcH
Building Permit Type SF-ADD/RFMODEL
Building Work Type ADDITION
URC Occupancy R-3
Construction Type VN
Census Code 434 ALT . RESIDENTIAL
REMARKS:
SEPARATE STATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION $7,000
Base Fee $124 . 75
Plan Review $81 . 09
Surcharge
Total Fee $209 . 34
CONTRACTOR: OWNER: - Applicant -
STEINMETZ JOHN
115.5 BROWN RD S
ORONO MN 55391
473-5549
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDItir- --ri, STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
(11111L 616,41-7-7
A• ATURE ISSUED BY:SIGNATURE
+ CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE, USE ONLY
ADDRESSOR LEGAL: //SS- BA)w'I /( S PID:
DESCRIPTION OF WORK: 4.0o-i e N t /Jiz-
ZONING REVIEW BY: 4(� '---_ DATE APPROVED: Co - `t4.
BUILDING REVIEW BY:. c� ('Qt;,. DATE APPROVED: t, . ztr cti _
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v, No
PLAN REVIEW Yes 4---- No SEWER CONNECTION
STATE SURCHARGE Yes v" No WATER CONNEC'T'ION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No 4------' SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: A R .. 1 Shoreland District : Ye-3
Fire Department: C_-C-- Post Office: C..•(-• School District: p2A .+o
Lot Area: Sq.ft. I'It i3 2,-1 Acres • y( Width iflita4oLirk. Depth
Survey Submitted: Yes Of- No Date of Survey: /-/4 `el q
Proposed Setbacks:
-ELi): Z 5/(...) Right Side: 1 .1 '0(6
Rear-(Street): -I B.S S(c Left Side: y 3.1 pJ ILA)
Adjacent Structures: 4-r 4 Wetland: /J Os
Building Height: Def. Hgt. NO CA.4.4refre2t Peak Hgt.
Avg. Setback: fit/ fra- Bluff Setback: /✓ Lot Coverage:E- 47. 3 P/t*t_o<:oJ #`-j•2"7o
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' 2-o.0 b 21. 1
Hardcover Variance Required: Yes No .,Y.- Date of Council Approval:
Grading: Staff Approval Date: N //4 By: Council Approval Date:
Septic: Staff Approval Date: /V ( A By:
Zoning File: # ZEYS Resolution: # 5 9$ Resolution Date: -
REMARKS (in house):
26
• •
BUILDING REVIEW CHECK LIST
UBC: 4 - CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x _
Garage x
x =
TOTAL
Estimated Construction Value: $ � o'`�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
$- Footing Septic Sewer Connection
"-Framing Fireplace Lawn Irrigation
D( Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
pc Final Grading/Filling c< Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
27
=Total Fee: $ cA aq.3 Ci Date Received:
J Date Approved:
Entered By: Permit#: i////
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OWNERR CONTRACTOR
JOB SITE ADDRESS: 1 ... : ‘, r` . t 'i i7") c-, - ZIP:
NAME OF OWNER: _ '" ' '_' PHONE. (home) l • •., .-....,c( _4
(work)
MAILING ADDRESS CITY: ,}i- i' ZIP: s,
CONTRACTOR: PHONE:
MOBILE PHONE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCH1'1'ECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition X Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describeindetail): (,,,`,,C I --2._ -+.`1._,L, r u 'r..,,j '�c; ' .. =r---,`
STORIES: SQ. FEET OF EACH FLOOR: ':;` . F
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ j ~~ '1 (,C
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 inaccordance with the approved plan.
APPLICANT'S SIGNATURE: ___ac� DATE: 4,//9/74
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
0A
O O
CITY of ORONO
A ;', ' Municipal Offices
�' :y •_ F`� Post Office Box 66
:` C) Crystal Bay,Minnesota 55323-0066
L�kESHD4�
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 (see following page) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
--A CAA. (Al \)1•-k.lere t,LN Sit tOIJZZ-1 2,
First Middle Last
1
Address
City State Zip Phone
I understand my rights as stated above.
Signatu e
TELEPHONE-473-7357• FAX-473-0510
10
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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.
11
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
• 4
EXISTING HARDCOVER IN ZONE
A. House 44Y x /' = 79cg S.F.
Length Width
3a t0 /x 7 S.F.
g x 5/ = -302 S.F.
x = / S.F.
B. Garage l 7 x .J 02 = (�8S S.F.
C. Driveway Fo x /ea = �rrO S.F.
�.R x = 7S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape 0 x = ‘yo S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - zi//ol- S.F. A
TOTAL PROPERTY AREA IN ZONE - /9, oz CO S.F. B
A 47/i/02 — B /9a OO x 10 = ,2 /, y %
PROPOSED HARDCOVER IN ZONE
A. House �.$‘7 x _?� = a 676- S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage o2 V x 301 = 7' S.F.
C. Driveway b x /a = 96 o S.F.
a ED x 46, = 72 B S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x $ = G .Vo S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S// . S.F. A
TOTAL PROPERTY AREA IN ZONE - /4:9/ Q2.oD S.F. B
A IC/AA _ B /y,oz be) x 100 = r,2 Co, b %
14
1
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for John Stoi !inlet z
in Gov ' t . Lot 6 , Sect ion IIl- I I7---23
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��� CITY OF OR�NO
�1 cj GRADING PLAN
7< SITE PLA• N
ti i 1\ffr'L\ir-[�-v `REVISIONS
r
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3
v BY
DATE_-
Loyal I)rs;c•r i pl, i on ( from owner )
That part, of Government hot 6 , Section 111 , Township I I / il(,rl Ir , Pang- 21 West of the
5th Principal Meridian , described as follows : Commencing aI rr pain) in the center l ire
of County Highway No. 87 , which said point is 370 lent southeast et I y along said cen-
terline from a point therein which bears South 41 degrees West from a point in the
East line of said hot 6 , 66 feet South from the Northeast corner thereof ; '> hence
northeasterly at right angles to the centerline of said Highway 216 . 69 I-eet: ; thence
southeasterly at right angles , to the centerline of County iiinhway No . 146 ; thence
southwesterly along the centerline of said County Highway No . 146 to its intersection
with the centerline of County Highway No. 87 ; thence Northwesterly along the center-
line of County highway No. 87 to the point of beginning .
This survey shows the location of an existing house e : Iron marker found
on the above described property . ' i t does riot purport o: I i on marker set
I , to show any other improvements or encroachments . IL Hearings shown are based on
may be necessary to judicially determine the (bound- an assumed datum.
aries because of differences regarding the location
of the northeast corner. of Government hot: 6 .
•
hereby certify that this survey was prepared by me or under my direct super- nnrr.9_ h _9i
{, 4 Corti & GItoNBtRG, INC,� � ► vision and that 1 am a duly registered Civil Engineer and Lanc6Surveyur under
• � Is
.' C,�tt ri ih [MOM m (41111 5flltt'tfi I4,Site i'tiiriters the laws of the State (1( Minnesota. ��
{ SCnI"E I - 30
;' ; ; •f; �� is2 I,mi ir,rck Aventic ; Long 1a1 e,\IN 5335G
• ..1.,.1.',,. Y} 611-471.1111 ��/%Lsu ..,//,4 —4e- --
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rMark S. Gronberg Minnesota License Number 12755 pit No.9'332
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DATE - TIME
CITY OF ORONO CALLED IN 7//'7/7 .
INSPECTION NQTICE SCHEDULED Ali % 9
PERMIT NO. ,Y ///r COMPLETED
ADDRESS `11)--/?t•-7 •-- .
OWNEReC•e19�e- CONTR. t
TELEPHONE NO. /V- _: -
DESCRIPTION -'/,6"; �a
144 t FO0 , e 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
y 02 FRAMING 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
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
h 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 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
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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0=
WORK SATISFACTORY:PROCEED
CCEPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED E 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
El 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!Contracto si
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice