HomeMy WebLinkAbout1992-004380 (Deck) �1
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, C�TY OF ORONO PERMIT TYPEe
� 1335 Brown Rd. South • P.O. Box 66 . PermitNumber: E�IjTLDT�IG
Crystal Bay, Minnesota 55323 Date Issued: t pt f�.:;c�tj
(612) 473-7357 t)�./e�t�/'�;�
SITE ADDRESS:
��:�5 AC�I tdCaD��h! WAY ,
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�'_ I .RI. : C�L�-11�—:�;'—�::�—�.�t�Ct7 ,
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DE�CRIPTIOIV: �
L�EC:t: AC�E�I T I Cjf� �
�:�il��iti-�� R�r��it Ty�� :=F—ADD/REI���OEL �
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RE�'IARKS: .�,��,,9,��+�i{���s� �,
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FEE SUMMARY: _���z����' �
VAL«ATT�C+�1 �S,:;c_��;� iYjic� t�� �E,�' ����a�
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CONTRACTOFi o _ �F�����,�,� _ i.� ��� OWNER:
E T DEId �:�{h�`�Tf�l1GT T���1 Z iWG 1���g:#��1 e:�c_yty:3;���� WELL� FETE�
� i�.�::�� H I C;H4JAY 5� 4J :�:�=:� A�:T i�t;DC�RI 4JAY
� F'LV�I��I�TH MI� ���.�.�+ LUhICi LAk:E P�fi� 5�:�5�
� c�ii� ����—�y��i �7�.—�:f.�z
THE 1��1DER�:I�iiVED HE�:EEY �E;�+�IE:�T:: �`E�'t�li:=.:=:I�:dhl Ti� h9t�k:E i'HE f'EAG Ii�iFFi��VE�iEidT::
::F'EC:I F�E� A��C� AC;�EE': T�t Q�:� �LL t�+t�t�: I t� �:T�I�:i C:��F1F'L T Af�C.E t�Z TH ALL C:I TY C�F
� C��r�{yi_� !ifiD I h)t�i�GE:� �C�) =�TATE ��F t�I�lt�E'=,�;iTA E:t J T LD I i��"3 C:i+DE C;Es$t 1 I�iEPiE�3fi�. _(,
APPLICANT/PERMITEE SI ATURE ISSUED BY:SIGNATURE �L/-��.�'`�
� CITY OF ORONO - BIIII�DING PERMIT APPLICATION
�
e'�ota1. Fee: $ 1��•�� ' Date Received:�J�..� �9�
Date Approved:
Entered By: ' ����
Permit�:
pT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI�N REVIEFT WILL BS STARTED
(See Check-off List Enclosed)
-----------------
T� APPLICANT IS: (circl.e one) OWNER CONTRACTOR
Jos si� Annx�ss: �.��a � �� N G�t��U 1.��'�' zzp: 5 5 v�Co
(work) '�`���C✓��
NAI�: OF OWNER: �t � ��(�Tl�-- � ���LS PHOITE: (home) ���,�'��a�
]KATT•TNG ADDRESS: ���� (�F�I 1��L�l���'c' cz�: � �. C�/c� - ziP:_���5 (�
cox�.�c�roR: �o N`� l: i ��i� C4 M-�Pct�� paorrs: �5-'�I �Q 25' 1
A�ATLING ADDRBSS: ��� �G t��45N I IZ�� �D CITY:� W�.��! �'l. ZIP:,s��"��
STATS LICENSE: � ��j ZZ� �lUv.r�1�4�'O�i 1���
�RCHITECT/ENGINEER: ��r�- ���� L I� � . p$orrE: .5��-��I �
�ti
MATT•ING ADDRSSS: '� CITY: — ZIP: �
��: �- RSGISTRATIOH � �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detaa.l) : a�cxCJ� �� � �u�'� [J���`� (1 ��-
� �v�. � Ci�- � �Gtl �.C� � r@w �
STORIES:_� SQ. FEBT OF EACS FZOOR: /v�7
NO. OF B�ROOMS:_��" GARAGE STALI�S: ATT.�N�DET.�"
�
ESTIMATED CONSTRIICTION VALIIATION (eaclndinq land) : $ �� �
I hereby apply for a building permit and I ackaawledge that the iaformation
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
�hat the work will be in accordance with the approved plan. �
APPLICANT'S SIGNATDRE: DATE: �� 2�' ��
. . . • CHECK OFF LIST FOR ISSIIANCE OF PERMI`rS
; FOR OFFICE USE ONLY
c AD�RESS OR LEGAL: 228� A41Nfo�Oti1 WAy PID: ��- �/rI s� �S .�� Qf�'1
DESCRIPTION OF WORR: d E�-k Ad d i T10.�1
-------------------------------------------
ZONING REVIEW BY: �i.�o C �►�a-• _ DATE APPROVED: G'Z-�i2
-�
BIIILDING REVIEW BY: DATS APPROVED: � • Z- `�Z
--------------------- --------
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 ✓' PARR FEE
SAC � Yes No � SITE INSPECTION
Number of SAC IInits OTHER (specify)
ZONING CHECR LIST Zoning District: �-1�
Fire Department: (�C,a,C.� Post Office: �tc� School District: �/!c
Lot Area: � ,At�'S � Width: Z SO `Atr� Depth: 3S� � 14�
Survey Submitted: Yes�, No Date of Survey: ?-2£s- ��_
Proposed Setbacks:
Front (bajre� : N�A Right Side: I ll��+
Rear (G'�-��'-'�) = Zu�'+ Lef t Side: I 30�-�
Adjacent Structures: �t�u�+ �� Wetland: n!/A
Bui7.ding Height: Def. Hgt. eak Hgt.
Avg. Setback: Lo Co erage:
Existin ro osed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance quire : es No Date of C uncil Approval:
Grading: Staff App oval D te y: Coun il Approval Date:_
.
Septic: Staff Ap roval D t : BY=
Zoning Fi7�e:# esolu ion : Re o�ution Date:
RF9KARK$ (in nse) : .
BQII.DING REVIEW CHEGR LIST - . , a
pgC_ g� �Z-3 CONSTRIICTION TYPE: �--� � ,
Sq Footage $ Per Sq Ftg
Basement x =
lst Fl.00r x =
2nd Fl.00r x =
Garage X -
X =
TOTAL
Sstimated Construction Valne: $ S,30c7�� _
Inspections Required: Work Reqniring Separate Permits:
Site � Plumbing Grading/Filling
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other �
Other Wel 1 (State Permit)
Electrical {State Permit)
-----------------------------------------------------------------------------
�L1�YIARK$ (IN HOIISE) :
----------------------------------------------------------------------�-----
REVIEW BY OTSERS: DATE:
Access: Existing New
Access Approval: Date BY=
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REMARKS (TO BE NOTED ON PERMIT) :
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CITY of ORONO
Post Office Bou 66•Cryatal Bay.Minnesota b5323•Municipal Offices
•
� • � � 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 privat�
data on yourself.
6. Your full name is required to process this application or
permit.
d � �'�b��i�ff V� �lA.�I;��(3�
First M ddle Last
�-1 (�(a ��r��� l��
Address
v�J� f� �1-�-
City State Zlp
�� � � � I I
Phone �
I understand my right as stated above.
Signature .
BUILDINC&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING -
�.04 RIGHTS OF SIIBJECTS �F DATA � �
gubdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored sha]1 be as set forth in this section.
- - gubd. 2. Information required to be given individuaL An.individuel asked to
• ' su ply private or confidentiel data coneerning himself si�l be informe�ate agency,
puprpose and intended use of the requested data withir► the coV e�ting or � iegalty
tem; (b) whether he ma, from his
political subdivision, or statewide sys �o� consequence arising
required to supply the requested date; (�� �Y �d (d) the identity of
suppiying or refusing to supply private or confidentiel data;
other persons or entities authorized by state or federal le.w to receive the data. This.
requirement shall not apply
when an individual is esked to supply investigative data,
pursua�t to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue m8 lert tax re�und instructio uinsteadh�s
subdivision in the individuel income tax �r r•
on those orms. . - � -— - � .
� �� by ����, Upon request to a responsible
Subd. 3. A��
authority, an iadividuel shall be informed whe b� hpc va eeor1confidentiaLe IIpon his
individuals; and whether it is classified as p � ublic data on
further request, an individual who is the subjecc��ta�mri��� he desires, sha]1
individuels shall be shown t1�e data witho of�hat data. After an individual has been
�e informed of the content end meaning the data need not be c�sclosed to
shown the private data and inf ormed of its u�e�BC�on pursuant to this section is
him for six months thereafter unless a d�sp .
� ending or additional data on the individu e h� ate or public dataruponarequest by
� P require the
responsible authority shall provide copies o t p
the individusl subject oftrie actual�costs of making,ia rt fYingys�d compiling the
requesting person to pay -
copies. if ssible, with any request
The responsible authority shall comply immediately, Po
made pursuant to this subdfvision, or within five days of the date of the request,
S��ys ana legel holidays, if immediate compliance is not
excluding Saturday's, with the
possible. If he cannot comply with the req i et �t��t��w��h tohcomply f orm t e
individuel, and may have sn additio� le al ho days.
requ�t, excluding Saturdeys, SunclaYs g
dia�e when data is not acc�u'ate or cowPlete- An in��� maY
Subd. 4. P� himself. To
contest the accuracy or completeness�of public or private data conce�ble authority
exercise this right, an ind��dual s� notify � ��e a th�y sh� w►ithin 30
describing the nature of the disagresmenL The resP° lete and attempt to
days either. (a) correct the data found to be inaecurate or incomp
notify past recipients of ine.ccurate or incomp�t ��e���e r�talto be correci.
the individual; or (b) notify the individue1 , eement is
Data in dispute shall be disclosed on1Y if the individual s statement of disag►r
• ineluded with the disclosed data. ealed pursuant to the
' The determination of the resgonsible authority to contested cases.
provisions of the administrative procedure act relating
o e r�
��
� Certificate of Survey
�� for Gary Roderick Construction
�
� Block 1 Abin don Glen
of Lot Z, , 9
Hennepin County, Minnesota �
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; .6�a•6S• �3`�,'s;•L`4p g'���a,
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; ,�..:
� w.�� `-��' �9�,�"E 6 "�f�� -a.:�.•�a -
" � 9
3 �
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�E �^` �..�,J"��"..._o ��
` �� ��'�� �
� -� r� o� oRo�O �A�
n° s, �
,; ry � GRADING P
y�,Q �D SITE PLAN .._—
� ,�;;�t�'� .: , �����, �pPPR�VE� ITH RE�ISIONS
'�' �\ -� APPROVED �I
�`' '�r PR VED
� '°':- ,�. _ �, pISA�
� -- o .�
,x 69.o N°�� o ('� .Q ?.
N p�o�.re/�.t�:JL71 w �p-
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. 4:a9.' N66°6� " �_
<.,��,-.:,00 e � �,i3o. H
qo N•
9,? �/8Y kj 90•op Q-�d°R=1S0.00
oUr�oT ,q
I hereby certify that this is a true and correct representation of a survey of
the boundaries of Lot 2, Block 1 , Abingdon Glen, the location of all existing
buildings, if any thereon, and the proposed location of a proposed building. �
It does not purport to show any other .improvements or encroachments.
COFFIN & GRONBERG, INC.
������ � ��
Date : 7-28-86 . ar�. ron erg eg. 0.1�75�-
Scale: 1" = 100' Engineers & Land Surveyors
o : Iron marker Long Lake, Minnesota '
✓
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION N�I SCHEDULED /? �'i �i ;3!�
PERMIT NO. COMPLETED �1� �'�_
�
ADDRESS �
OWNEF����-� CONTR.
TELEPHONENO. `�3 ' 7� 79
� DESCRIPTION�`�p,�2—��� �����'-�� � �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24@5 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 0 D. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINA 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL ?2 FOLLOW-UP ""
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwneriContr r o ite:
1
Inspector. 4
White Copyllnspector' File Canary CopylSite Notice
. - - - — ✓
AT TIME
CITY OF ORONO CALIED IN 6 "�4z
INSPECTION N IT C�j SCHEDULED 9 � ^ ✓
PERMIT NO.�F�d � COMPLETED �
� � .�
ADDRESS v
OWNE�,���� CONTR. �
� TELEPHONE NO. �� " �7'7 9
� D�S,CL,IPTION ��l1J
� 1 FOOTING� 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 IXCAV/GRADING/FILLING
y Q3 IN3lJLATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI�� 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINKt 23 SEPTIC FINAL ,
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO ,
y COMMENTS: •
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT GOMPLETE
� CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING , � PERMANENT
❑CORRECTUNSAFECONDITION WFTHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP(�HDER POSTED.CALL INSPECTOR �GITATION ISSUED
�INSPECTIOIVREQUIRED.CALLTOARRANGEACCESS.
Call for the next i�spection 24 hours in advance.473-7357
Owner/Contractor s't
inspector.
Whlte Copylinspector's Flle Canary CopylSite Not(ce
, . � . .
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EX�S-��o�c,� 1�o�s� � ,
,_ �, ��� Z�� �����ION OF PRE tSES �EQUiR�D -
,� � � , - �. - .�_ It�
��� Approved Addresses Shall Be Displayed,
F1.AS�IIN� � ' � � Plain{y Visible And Legible From 7he �
�X Is E� ,v� �;�r;� � Streei Fronting The Property � oD�
° , pEc� � �
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6 - , �, RO
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,� ?� $�� '����..c i J'� (��Mo�IE G�►STt1��l)
ON L� A�ct��n�i
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. ( V' (,�SF� 2 PEFtMIT id0• --�"'�"� •
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� DATE � �l)P.,P�I�TTE� g NOTED
�PPRov�o � co���.c�ri�r�s �� �vir�r
I I � — 7'� � 1 � — �" �APPROVED '�f1iH �fl���CT � RESt��•
'�1�1f"� "'�. �. Aii�,rorl�s,,aii be dond
pT A�P ��;;���,:ie �t,r,�n���� �
2 3 � _ Z�, Q N ,, .,��e ;or�'nut er,
7he,e commen.5���ith sti ar,�i�c�»`e r���a��r n,�1e3 in ihis r�va�t�
-�_---�-----�---- 1n fuU ��mP�i�t1�., it.ms r�o'� si�-�' .�� �y;_I�1��$s.
awremen:c �nc�u�,�� c���� C�1d �'��� ��
�tEE� �h11� �l.At`1
w 1�L.L..�S ���J��E ��s�G "_ �G�i�,� �$�� 1 1 g��.
22 g� P�r3I��� w4�?� l.o�e� L,�1�i Nt til 35
SCALE: y4tt � (�,roA qpPROVED BY DRAWN BY
� DATE: 5-25-°IZ .Je� 5.u��'��Qv�
�1,-00's �l,-P�N
DRAWINO NUMBER
� 1 �� �
11`18F3'7VUE PpST 18AB-OS -11 x 17
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6UtLDtNG �'� I`f �LA�N REVZ�!
- �.. _._._._.�---_W.____�,._._..�.�....�,�� ►r�spEraror� ,.--
DATE " ' PERMIT T0(O, „��
`�� ❑ APPROVED AS SUBMI7TED
��APPROVED W!�'H CORRECTIONS AS I`�C�'��;:�
❑ NOT APFROVE� — CORREGT L�: �t�4���c:,i:T
7hese comments are for your infn;mation. All v��ork sh:�l; be doM
. in fuA com�tiance wiih aU ap,�;;cable building & zening cpde ro�
' qoiren�ens �n�iu�lin; items no4 spectfically no�ed in thts revfrl►
,�'��. K£EP THJS Pt,AN SEi" QN Sl'i'� AT ALL TlMES
r
GUARDRA[LS
36" M11�l. HlEIGt-1T
,,, MAX. OPE[itilelGS
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