HomeMy WebLinkAbout1994-006055 - 3 season porch/deck PERMIT
CITY OF ORONO � PEl�MIT TYPE: �
2750 Kelley Parkway • P.O. Box 815 Permit Number: =`�=�` `-�=�` ''-'`'���`
Orono, Minnesota 55356-0815 '-'`-��-�`-%'��
Date Issued: �
(612) 473-7357 i:i�;,�`€:�'r_":,;�'�J:i.
SITE ADDRESS:
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DESCRIPTION: �
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �:�:��_� _; �;-,:. --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO - BUILDING PERI�'�T�APPI�ICATION
Total Fee: $.��'. �Ij Date Received: -,���;/;�/
Date Approved:
Entered By: ,("'�L,
' Permit#: ��^��
ALL INFORMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one) WNER or CONTRACTOR
JOB SITE ADDRESS: 7�'i G Sd• /J /(i�c.t�r�./ �� - �/C U�'(%V ZIP: S ,�� �f�
�rna;l;.�y, � (.t��?yZ.9i�, rn� (work) .��.5- � �.�/`�'
r� .51,, i l/a
rr� oF owN�x: /!amR � .�N �/z r��,c��ti c� PHorrE: (home) 'Y 7�� �,t S",Z
MAILING ADDRESS:��G' ��. /,�? GWy� /(�C-� CITY: (,{i;4 �, 7,����`�ZIP: �J�37i
_ OW �N `� ~��
CONTRACTOR: � " '' Q,.✓ PHONE:
MAILING ADDRESS: >, , ,u,.2 /n . CITY: � ZIP. Ce (��'
STATE LICENSE: '� a �
ARCHITECT/ENGINEER: S�'�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORR: New Addition�_ Accessory Structure biove
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSED WORR (deSCribe iII detlil) : nC'/k.tic/� (%�[� �t'C�IC�i'F�Trrv�S ` Nc'u✓ ''t1 ����'Cofi:cTi.v�
Gln��le2 New :�Seqso� Panch,- 3 SP�3 u.�P�.1c� A'�'=,.� D c'cdC
STORIES:�_ SQ. FEET OF EACH FLOOR: .�SP/�sU,•l PUKC.� Co L3 SA f'% - (J�G� �_,�G�
NO. OF BEDROOMS:�_ GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ / ,,�, U OO., IJCI
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 SIGNATORE:� DATE: y���' ! Y
�
,��
� CITY of ORONO
w'?;,�� � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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• �'
'�''' '°" 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
Iicense 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 wi3.l be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other loca3 , s;.ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Councii actior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
�/�-Urn/� S /C 1J�Gi-f//Y►F
First Middle Last
�CvG So • /J/�Gi.v�✓ �� -
Address
�v as,.�g ,�h„� 553�� _
City State Zip
`� 7 �- G.Z,s �
Phone
I understand my rights as stated above.
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S gnature
BUILDING&ZONING—473-7357 • ADM1tINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�.� �Gg� pg �B.TECTS 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.
, Z. Information reQuir�d to be gi�� ����"bepinformeduof•�(a)dthe
. Subd •
� supply private or confidential data �uest d d tam i hin the collecting state agency,
purpose an d int ended use of the req
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
P the requested dat8; (c) any known consequence arising from his
required to supply rivate or confidentiel data; and (d) the identity of
supplying or refu�ing to supply p State or federal law to receive the data. This.
other persons or entities authorized by �vesti ative data,
requirement shall not apply when an indi�viaig enforcementuof icer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue mg olert taX re�und instructionsunsteadho5
subdivision in the individu81 income tax •r r
on those orms. . -- - .
Subd. 3.
Access to �ata by indivi�ual- Upon request to e responsible
authority, an individual shall be informed�he b�c�Pr vateeor confident al.e Upon his
individuels, and whether it is classified p ublic data on
further request, an individusl who is the subject of Q to�mrl�de if he desires, shall
individuels shall be shown the data withou�fan�y ��ta. After an individual has been
�e informed of the content and meaning the data need not be �isclosed to
shown the private date and informed of its ut�or�action pursuant to this section is
him for six months thereafter unless a �sp
� ending or additional data on the individuh h� a e or public dataruponarequest by
� p uire the
responsible authority shall provide copies o t P n g �in the
the individuel subject of th ac��'costs of mak ng,l cert f �nity and c mp g
requesting person to pay the _
copies. ssible with any re9uest
The responsible authority shall comply immediately, if po �
made pursuant to this subdivision, or wit olide e �f Simmediategt ompliance eisu not
excluding Saturdays, Sundays and legal h YS�
ossible. If he cannot comply with the request within that time, he shall so inforth the
p within which to comply
individual, and may have en additional five days
request, excluding Saturdeys, Sur►daYs and legal holidays.
Subd. 4. Proced�e when data is not accurate or complete. An individuel may
contest the accuraey or comQleteness of publif ° inrwr ting tthe�responslb e aut or ty
exercise this right, an individuel shall not y
describing the nature of the disagreement. Th a�r�P�e ore n omplete and att pt to
days either: (a) correct the data found to be in
notify past recipients of inaccurate or incompleterie bel'evesdthe datalto be correct
the individual; or (b) notify the individual tha eement is
Data in dispute shall be disclosed only if the individuel's statement of disagr
• included with the disclosed data. � BPpe�led pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
� CHECR OFF LI�T FO� ISSDANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �'�C.� Q2(�UJN �/� S v pID;
DESCRIPTION OF WORR: �EG[�s r Scil.t�v �c/LG/-F
-------------- -- -----------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: s' Y- cj Y
BIIILDING REVIEW BY: �' L�� DATE APPROVED: s ' �!�l �
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 � PARK FEE
SAC Yes No �" SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: �� �Post fi e � � �choo� District:
���
Lot Area: �. � idth: Depth:
Survey Submitted: Yes� No Date of Survey: O�+ r'r(,.Ls
Proposed Setbacks : �
Front (Lake) : �� � Right Side: /S"S� �
Rear (Street) : N�/a Lef t Side: �(�
Adjacent Structures: /���uf�=� w�: /Z/� L�4Kt' �!3 �
Building Height: Def. Hgt. U• K Peak Hgt. (���- `��
Avg. Setback: I�/�/f Lot Coverage: (�•Z�o
Existing Proposed
Hardcover: 0-75 ' � ?•� -/� Z�.Z.'�n
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes�C No Date of Council Approval: $-y- 5 3
Grading: Staff Approval. Date: �U � �t4 By: Council Approval. Date:
Septic: Staff Approva]. Date: i/`��1'4 By:
zoning File:# IY42 Resol.ution # : 331y Resolution Date: �<(ig3
REMARRS (in house) :
BIIILDING REVIEW CHECR LIST �
. .
IIBC: /e',3 CONSTRIICTION TYP$:�
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd Fl.00r x =
Garage X =
X =
TOTAL
� $stimated Construction value: $ /2, d 00�'°
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Fil.J�ing
�Footing. Mechanical Fire
Framing Septic Water Connection
_�Insulation Firep�ace Sewer Connection
_�Wa�]. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel 1 (State Permit)
�( Electrical (State Permit)
--------------------------------------------------------------------------------
F�F.M(ARKS (IN HOIISE) :
--------------------------------------------------------------------------------
REVIEW BY OTHEItS: DATE:
Access: Existing New
Access Approva�: Date By:
--------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
� � . � i�
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4���.�� � ����
Certificate of Survey
for Thomas R. Browne �
in the SE'/< of Section 3-117-23r ,� �`�.�`� �T� ���'� �.
� hr �.. r�• .i o
Hennepin County, Minnesota= ����;� ; �,,,, R�-"�' �1
U�� ^- g���n ,{'`'t".�S ;
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I o f S� %o.� 3-i��13
Q � _� : �1S�tTE PLAN GR��.GiNG PLAN �':
, ��:,
N o �.Q � � &�AP�?ROVED '�
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f� d- . e Q�cK t �o�t�� : �'��''F'R0�/ED NJITH y�'`' ��, _ �
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i So.,}l� %¢ Corr,er oC Sa�1�c line ot S.E %4- o�' Se.c� ioh '� - 1\� -23
� � S�c�ion 3-1IZ-23
I hereby certify that this is a true and correct representation of a survey of
the boundaries of the South 396 feet of the West half of the Southwest quarter
of the Southeast quarter of Section 3, Township 117 North, Range 23 West of
the 5th Principal Meridian, EXCEPT the South 93 feet thereof, and the location
of all existing buildings thereon. It does not purport to show any other im-
provements_ or encroachments.
COFFIN & G�OPdBERG; INC.
�?��� ,��.�—�
Date : 7-7-86 '�lar ron erg ic. o. Z7��
Scale: 1" = 100' Engineers & Land Surveyors
o : Iron marker Long Lake, Minnesota
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DATE TIME
CITY OF ORONO / CALLED�N �
INSPECTION NOTICE ' , =�`� SCHEDULED �
PERMIT NO. ��� J OMPLETED �
ADDRESS ��� �_ ���c�Jv� �
OWNER CONTR.
TELEPHONE NO. � 7J '`�oZ�S�
� DESCRIPTION
l� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 O—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
J 10 P�UMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
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� '7 CORRECT WORK 8 PROCEED � SSUE CERTIFICATE OF OCCUPANCY
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Q u CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L; PHOTO TAKEN
INSPECTOR WILL REfURN
C STOP OROER POSTED.CALL INSPECTOR f-' CITATION ISSUED
❑ INSPECTION REQU�RED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContrac n s e
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
'9!"�'°°"'q��r�n.` �`' -a" �
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'_... _ �
DATE p� TIME
CITY OF ORONO CALLED IN �� �� �—(
INSPECTION NOTICE � SCHEDULED /.> - ��--3 �
PERMIT NO. ��s`' COMPLETED � �
ADDRESS�,f �p U - ��-1'�*-'� ���
OWNER ���'�"'R-' CONTR. �—
TELEPHONENO. �J`� �'; �' �
� DESCRIPTION � " ��«�''�
�
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q FRAMING ' 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
O
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 O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P�UMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
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TE TIME
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LL 01 FOOTI 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
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Call for the next i spection 24 hours in advance.473-7357
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White Copyllnspector's File Canary CopylSite Notice