HomeMy WebLinkAbout1991-003610 - sun room •
PERMIT
CITY OF ORONO PERMIT TYPE:
Ea.JILE)I
1335 Brown Rd. South • P.O. Box 66 Permit Number: OUSE.10
Crystal Bay, Minnesota 55323 Date Issued: 04/C17/91
(612) 473-7357
SITE ADDRESS:
625 FERNOALE RD N
LSV
P. 1 . N. 35-118-23-11-0021
DESCRIPTION:
SUN ROOM
Bu ildi ng Perm i t Type SF-ADDIREMODEL.
Bu i I di ng Work Type ADDITION
UBC Occupancy 88 R-3
Cons tr uc ti on Type VN
coning RR-18
REMARKS:
FEE SUMMARY:
VALUATION $12, 800
F.AUTIE
Base Fee $144. 00
Plan Review $93. 60
a 144.00
Sur c har...ge
Total Fee $244. 00 42k 93.60
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CONTRACTOR: Applicant. — OWNER:
PLEKKENF'OL BUILDERS INC 18882225 BAST I AEN OU I LLAUME
8609 HARRIET AVE 5 FERNDALE RD N
BLOOM I NTON MN 55420 ORONO MN 65391
(612) 88 -2225. (512)475-0550
- - ititacix „;4
AFA,
THE UNDERSIGNED HEREBY REQUESTS PERM'S._ E RAL rMPROVEMtNTS
SPEC1FIEq AND A6REES Ti DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO OrD' NANCES At;I ATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
L_ 141b
APP I, ANT/PERMITEEVIGvATURE 111F ISSUED BY SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee : $ 1-7/4/ (-6 Date Received: ��9,/
Date Approved:
Entered By:
Permit#: (C-
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed )
THE APPLICANT IS: (circle one ) OWNER o CONTRALTO
JOB SITE ADDRESS: <,2,L, e/w—/'7 /f_ . ZIP:
(work)
NAME OF OWNER: (c-z(/ r PHONE: (home) j
t
MAILING ADDRESS: , �' �= ' �`
(3-‘72::-: f�"eCt �'r% CITY: , ZIP:
CONTRACTOR: /-Ir y1 Lx) ., ( PHONE:
y
MAILING ADDRESS : 'A CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration ;<, Renovate Land Alteration
PROPOSED WORK (describe in detail) : , ;r
STORIES: SQ. FEET OF EACH FLOOR: ei
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
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 ac • dance with the approved plan.
y/APPLICANT'S SIGNATURE: � ;1tz • / DATE: /
tE
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
CIF
CLOIG 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.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
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
data thin tself he collecting state agency,
be informed of: (a) the
purpose and intended use of the requested
political subdivision, or statewide system; (b) whether
che a may
refuse
rarisromhis
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 or federal lao w to reyinvetthe data data,
This
requirement shall not apply when an individual is
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
tice
uird
is
The commissioner of revenue maoe Qroperty tax replace the ound instrouctionsuinsteadhoi
subdivision in the individual income tax
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 subjectr o nt storedf Upon on
individuals, and whether it is classified as public, private
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
Se 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 adispute has been collected or action pursuant chis section
ctio iss
pending or additional data on the individualpublic data upon request by
d. The
thee
responsible
thauthority l subject of the provide data. The
The of hore private responsibleauthority mayo require the
individual
requesting person to pay the actual costs of making, certifying, and compiling the
copies. ssible, with any request
The responsible authority shall comply immediately, if poe
made pursuant to this subdivision, or with li five df si of the teat o e of th ce eisqu est,
excluding Saturdays, Sundays and legal
possible. If he cannot comply with the request within that time, he shall so inform the
within which to comply with the
individual, and may have an additional five days
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate
or complete.
a lete. An concerning ii selfvidual may
y
contest the accuracy or completeness of public or private
exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement. The
naccura a oor in incomplete and attempt to
authority shall within 30
days either: (a) correct the data found to be
inotify past recipients of inaccurate orincomplete
that he believesdthe rdataito be correct
named by
the individual; or (b) notify the individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
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.
C1CA4 LE., el 1/
CHECK OFF LIST FOR ISSUANCE OF PERMITS
//,,, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (0(5 (A-)0 - L dot& C1PID:
DESCRIPTION OF WORK: ,5(/N/260tr..
ZONING REVIEW BY: � DATE APPROVED: 2..c7
�1
BUILDING REVIEW BY: Com.--- DATE APPROVED: y - Z `i t
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yesy- No--- WATER CONNECTION
INVESTIGATION FEE Yes No om,. PARK FEE ,
SAC Yes No—77- SITE INSPECTION
Number of SAC Units OTHER (specify) DDnn
ZONING CHECK LIST Zoning District: N`"l/3
Fire Department: L•L-- -t� Post Office: (,UA 7, -fey School District:
Lot Area: /5-3/70o s1 t '►`Width: 300_t Depth: S70
Survey Submitted: Yes LY No Date of Survey:
Proposed Setbacks:
Front (Lake) : /(M Right Side: 45.6_:t_
Rear (Street) : /S3 '
-tLeft Side: ((' fi
Adjacent Structures : ( ; � � 1±, � Wetland: (�
Building Height: Def. Hgt. 1O t Peak Hgt. (b±'
Avg. Setback: 1t(4-1- Lot Coverage: A4(14
Existing Proposed
Hardcover: 0-75 ' '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No pC Date of Council Approval:
Grading: Staff Approval Date: //` - By: Council Approval Date:
Septic: Staff Approval Date: /14 By:
Zoning File:# Resolution #: - Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UB(: CONSTRUCTION TYPE: —4011.1
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $
0
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing - Mechanical Fire
Framing - Septic Water Connection
NInsulation - Fireplace Sewer Connection
*fall Board (Masonry) Other
pCFinal (Mfg. ) Well ( State Permit)
Other Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
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•
CITY OF ORONO -----.
• 711411SPETTOR ........1411.1.•••0414.01•11
1
.._,...--
-,
11 APPROVED AS SUFHTTi...L
_
„ciiir APPROVED \16TH C 0 T.--(iT:F_C.:7.I 0 I\I c'-; /°-.S i\IC/71:
r--", i NOT APPROVED -- CO 7[V.IC F &
u--.
These comments are f.i.rr *- .:: . ., : . . . :‘,:' v. A•t•-. -.:-: 1 bo 33,-,,... ,
in full compliance with .-...1: L.PP, _: _ - , • zor ft:7, code re- ,
Quirements including it..rnr, . u•,_ s:_,--.:,r'1,,-._1: ; r....,-.:(! in thls p.tview
KEEP THIS PLAN SET ON SITE AT ALL TIMES
I - , _ .,_____f_ •
...
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• " BOLTS-REQ kulk g"
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LT... :;•:7---. P EKKENPOL BUILDERS ---------
---44 ULIP--C-ItN/
80C9 HARRIET ANYENUE SOUTH —3 -7K ..-",,1
/ / Cifil_a V:a" z--
BLOOM , NIN 5:3120 i / ,..'
833 2225 ' ' • ' ; • -..'
o 4. .
1;2
,
— . . ._
- 42" MIN Frost Foot iv:
7i)
Dom+ TIME
CITY OF ORONO CALLED IN its �1l
INSPECTION NOTICE � SCHEDULED ? /" Ca)
PERMIT NO. - COM LE ED I I b(
ADDRESS � � /�c7 (.1/7 C1G1- C_
OWNER ACA--•�-IICL--r) CONTR. Pi-6_0 ,.ir/
TELEPHONE NO. ? 3 a c
• DESCRIPTION ,i02�-Y7t)C
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
CO
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 • 12 WATER HOOK-UP 34 TREE REMOVAL
• FI13 METER SET/TURN ON 17 SITE INSPECTION
• 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
▪ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LU09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
W
a
CC
O
CC
O
U.
W
CC
W
W
CC
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
El 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/Contr or c n site:
Inspector. al
White Copy/Inspector'sl/ File Canary Copy/Site Notice
4- ' - DATE l TIME
CITY OF ORONO CALLED IN 970
INSPECTION NOTICE, SCHEDULED e/-ii-4%)/ ///,'
PERMIT NO. 3��!b COMPLETED tt
ADDRESS r // i •
OWNER CONTR. die / /<•er ft) /
TELEPHONE NO. U " — 6z/ - 0 cr 41
DESCRIPTIONi-_-
Lu 0 a• 1 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
v, 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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
T09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
n e1ct P. -- st-tvta,
I
CC
CC
W
JIWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr�r qn site:
r.
InspectovdA�
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 9/
INSPECTION
9/
INSPECTION NOTICE SCHEDULED elt—a--g/ 1/ 36
PERMIT NO. 3(P IO COMPLETED K tc2...‘02)
ADDRESS LP S Nom-t-)-4--el �J
OWNER CONTR. /12- 24y
TELEPHONE NO. Ykef' Z2�
DESCRIPTION
`01 FO TING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 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
44 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
9, COMMENTS:cc
�e
c &W e_264`L Of(
0
cc
0
U-
CC
12
W
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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 next inspection 24 hours in advance.473-7357
Owner!Contract n ite-
Inspector. — .
White Copy/Inspector's File Canary Copy/Site Notice