HomeMy WebLinkAbout1996-007853 (Porch) P�;RMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway-P.O. Box 66 �:tl��,�j���
Crystal Bay, Minnesota 55323 PermitNumber: d'da ;_;._:_;
(612)473-7357 Date Issued: t���,�;_;�,;��,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
:��EF R�'ATE '_�Ts�TE E�E��TF�I S�:AL F'EF��1 I T F�Et•t�T f+E�
FEE SUMMARY:
tJ�LE�t�T T�_t�I ��. ,�.t�t i
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CONTRACTOR: OWNER: — AF�F�1 ;c�i-rt. —
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APPLICANT/PERMITE SIGNATURE ISSUEDBY:SIGNATURE
, _
Total Fee: � ��� � 1 DateReceived:
Date Approved:
Entered By: � Permit#: 7 p� 3
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION i1�IiJST BE SUBi1�IITTED IN FULL BEFORE PLAN REViEW WII.L
BE STARTED
------------------------------
'I'I� A,PPLICANT IS: (circle one) OWNER OR CONTR.ACTOR
JOB STI'E ADDRESS: /� � �a� �'- z�: ���/
NAiI�OF OWNER• o�j� �a°��i�l PHONE: (home) C��-g/`7�-�S�'.�
� (work) �7/-���
MAII.INGADDRESS: l3 �',� ��3�',f� CITY: �`pt-e� Z�:_-'��
CONTRACTOR: P���'
NIOBILE PHONE/PAGER:
MAILING ADDRESS: CTTY: Z�:
STATE LICENSE: #
ARCHTI�CT/ENGINEER: PA��'
MAILING ADDRESS: CITY: Z�:
N��: REGISZRATION #
TYPE OF WORK° New Addition Accessory Struct�ue
Move RemodeUAlteration �C` Iand Alter�tion
PROPOSED WORK(describe indetail): S �
� c,�.��z...�c�zs r°r� �
STORIES: SQ. FEET OF EACH FLOOR
NO. OF BEDROOII�LS: GARAGE STALLS: ATT. DET.
EST��'TED CONSTRUCTION VALUATION(excludingland): $ ✓���
�
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.
APPLICA.NT'S SIGNATURE: � �� DATE: -!"II� `�
1ypTE! Parade of Homes events require separate permit approval by Police Department and
City Council b0 days prior to the event. Non permitted evercts will not be allowed.
r
Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. T'he righcs of iadividual on whom the data is stoied or to be stored shall be as set forth in this secaon.
Subd.2. Informatioa reqirired to be given individual. An individual asked to supply private or confidential data conceming bimseif shall
be informed of: (a)the purpose a�inoended use of the cequesred data within�e collecting§tace agency,political subdivision,or statewide sy�,T.
{b)whether he may refuse or is IegaUy required to supply the re9aested data;(c)aay I�own consequence arising 5rom his supplying or refusing to sapply
private or confidendal data:and(d)rhe identiry of other persons or endties au�orized by state or federal law to receive the data. This cequirement shall
nat apply when an individual is asked to supply investigadve data,pucsuant to section 13.82,subdivision 5,to a law enforcement afficer.
The cammissioner of revenue maY alace the noace reauired under this subdivision in the individual income tax or aroDertv ta�c refund
instrucaons instead of on those forms.
Subd.3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is class�ed as public,private or canfidential. Upon his further request,an individual who is the subject
of stored private or public data oa individuals shall be shown the data wichout any charge to him and,-if he desires,shall be informed of the content
and meaning of thac data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
siz moat6s[hereafter nnless a dispute or action pursuant to this secdon is pending or addioional 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 authoricy
may require rhe iequesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authariry shall comply immediately,if possible, with any reqnest 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 requess
within that time,he shall so inform che individual.and may have an addidonal five days within wluch to comply with the request,excluding Saturdays.
Sundays and legal holidays.
Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To ezercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreemenG
The responsible authoriry shail within 30 days either. (a)correct the data found to be inaccurate or incomplete and auempt to notify pasc recipients of
inaccurate or incomplete data,including recipients named by the individuak;or(b)notify the individual that he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authority may be appealed pursuant to the pmvisions of the administraave procedure act relating to
contested cases.
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 shazed 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.
g. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
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First Middle �t
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Address ��j aI � / !�v�g�l �
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City State Zip Phone
I understand my rights as stated above.
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669671
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CERTIFICATE OF SUR�VEY Fl7R , � �
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� � � � T��G� �MI�TH � � .
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� IN LOT 4, BLOCK 1, MARKVILLE � �
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. � � . HENNEPIN COUNTY, MINNESOTA
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, . 60 , • . �0� 144.16►.,aasurad �
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. i. S 89°20' 30" E 74.58 • ., . 74.58 • - (p
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' -•N 89°20' 30" W 62.53...•:---- - '6?.53 _ ~�r - �
, . CITY 0��� RONO �o
60` _, 1ZS.0(►�easured � SIT��P��1"'� GRADI�PLAN
I 135.0 pla+ �qppROVED-3 s�s� S�q�.ct�
• �''� ��APPROVED �NI•TH•R��WP�tO�NS
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�� � � DIS,�PP,.� V D� ' �
. BY � .
� �ATE �t=i�--�c� �
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LEGAL DESCRIPTION OF PREMISES : � � � �
� • That. part of ' Lot ' 4 , Block 1 , h1arkvi �lle , described as follows :
Beginning at the Northwest corner of said Lot 4 ; thenc� Ea'st
alon•g the �dorth line of said lot to a point equidistant from
the Northwest and Northeast corners of said , La't 4 ; thence
' � Southwesterly to a point in the South line of said Lot 4
� , equi.distant from the � Southwest'� and Southeast corners of said
lot ; th�ence lJest along the South line of said Lot 4 to the
Southwest corner af said lot ; �thence North along the IJes�,. 1 i�ne
of said Lot 4 to the point of beginning•. , - � � � • , � �
. � p��� �
� o: denotes iron. mark�r�
, , , Beari�ngs� sh�own are based upon an assumed datum .� � �
Date of the original survey was 4-7-82 . � . . � . � �
. Additional field work was done on 1 -11,z96 .. • . • ,• .
Th9. s s�ir���y intends to show the boundaries of the above described
' property , and the location of an existing house ther��n . It does
not purport to show any other improvements or encroachments .
� � W.�� . .
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I hereb certif that this surve was re ared b�mr or under my direct su er- DATE4-�-82•o��y.s�.�.,•
Y Y Y P P ) �' r-rr-96.io�.t��s•w��
1 � 1 i vision,and that I a�a duly registe,r�d Civil Engineer and Land Sur<<eyor under -
� � the laws oF the State of Minnesota. Sc,a�e ►"=30'
a y11��� - • �o«rvo. 96-008
9 Mark S. Gronberg Minnesota Licens� Numbrr 12755 . . ,
� 6"008 � � �, � �. . � 4
^. CHECg OFF LIST FOR ISSUANCE OF PERMTrS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I��'� �I��� �
PID: �
DESCRIPTION OF WORK: `3 �� on, �CL�1-�
ZONING REVIEW BY• C� �J�TE APPROVED: �/—��-��
BUIIIDING REV�W BY: DATE APPROVED: �l-16``��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes � No
PLAN REVI�W Yes � No SEWER CONNEC"I'ION
STATE SURCHARGE Yes � No wAT� ���ON
' INVESTIGATION FEE Yes No �' PARK FEE
SAC Yes No � s� INSPECITON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: IZ�`�� Shoreland District: �
Fire Department• f.�as�, �e,C Post Office: ��"I'Z--'�'��' School Disuict: ��/v�
Lot Area: Sq.ft. j'�,5�b.2. Acres •
12� Width �D Depth (c�.`{ B�kn-5>
Survey Submitted. yes ,� No Date of Survey: �-7'`��- ��-�`��
Proposed Setbacks: / �
Front (�Ce): �'f�Il'�' RiP,ht Side: I � � �
t ��,,,�� � + �j
Rear (StFeet)e (D �. ��'�Left Side: �l3
Adjacent Structures: fi4rT�U�=✓� Wetland: a1��
Building Height: Def. Hgt. �9�� Peak Hgt. —
Avg. Setback• Bluff Setback: Lot Coverage: ���`�
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
�\� Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Sepuc: Staff Approval Date: _ By�
Zoning File: # Z ��� Resolution: #
Resolution Date: '�'�(-��
P��y1[ARBS (in house):
' •,
BUII..DING REVIEW CHECK LIST
�C; �.^� CONSTRUCTION TYPE: �N
' Sq Footage � Per Sq Ftg �
Basement x —
lst Floor R —
2nd Floor R —
Garage R —
x =
TOTAL
Estimated Construction Value: $ Q i W�� �
Inspectioas Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�g�� Grading/Filling �.Electrical (State Permit)
Other
P:��VIARKS (IN HOUSE):
REVIEW BY OTHERS• DATE:
Access: Existing New
Access Approval: Date BY�
REi12ARKS(TO BE NOTED ON PERMIT):
27 . .
DATE TIME
CITY OF ORONO CALLEO IN .�a R-�I� ��= �J a r�j
INSPECTION NOTIC���53 SCHEDULED S-�� /��
PERMIT NO. COMPLETED T_ �2
ADDRESS��� �c�� ��
OWNER �t CONTR.
TELEPHONE NO. �7_6 � ��r�S -
� DESCRIPTION ��1CG�'i�7 ��
� 01 11 MECHANICAL RI 18IXGAV/(3RADINCi/FlWNO
�Q 02 FRAMINQ 13 MECHANICAL FlNAL 19 L111�SHORE/WETLANDS
Q 03 INSULATION 24/�WOOD BURNER/FlREPLACE 34 TpEE pEMOVAL
� p4 WqLL Bp. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FlNAL 14 SEWER HOOK-UO 08 PROORESS
�
v 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPWNT
�Q 07 DEMO--FINAL 16 SEPTIC INSTALL 22 FOLLOW-UP
Z �PWMBINQ RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 38 FOUNDATIQN REMOVAL
Z 01WNER/CONTRACTCR TO MEET YOU: YES_NO
c�„ COMMENTS:
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V BEFOREC�NERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �pHOTOTAKEN
INSPECTOR WILL RERJRN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnedCon r o s :
Inspector. �
White CopyMspecior's Flle Canary Copy/Slte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED sD�
PERMIT NO. `T�S� COMPLETED '1 7 l=�
ADDRESS ` 3 �� r�Odr
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION _�Q.�I �o(� �'�' '1-1 ylQ,I
� 01 FOOTINC3 11 MECHANICALRI 18IXCAV/(3RADINCa/FIWNO
�Q 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHOREIV�ETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FlNAL 14 SEWER HOOK-UP O6 PROORESS
�
J 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 28 CEDAR SHINaLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W L CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL REfURN `
❑STOP ORQER POSTEO.CALL INSPECT�R � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto n sit •
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice