HomeMy WebLinkAbout1992-004165 - mudroom addn PER1i�IIT
CITY OF ORONO PERMIT TYPE: �� T
•� �':=1 i.i.._i 1 i f�f L�
1335 Brown Rd. South • P.O. Bcx 66 • PermitNumber: �'�-����-��
Crystal Bay, Minnesota 55323 Date Issued: �
ii�'/�iiij,.+"�E.�.
(612) 473-7357
SITE ADDRESS:
���:1 �=i',:=;L:��� F`��It�1T ;;i;
�__t;
r�� s �1 - • a � — - - - _.
!" . 3 . F�4 . � ��i_)—� i . —s..�—�:i —i i`•_�_�r.�
DESCRIPTION:
� r:r:r.ff -� n�.
:'j:l�iF�i_ii_t4 i tf��L?f
r:^..-�>-.
i.:+l.1{1 .i iJ 1;' _- , .�''f`��i 1 t- t`i�°�' �.".'�-il.:'�w'I:':�.i'it.::J':�t_.
I':. ' t.� ! :_ . 'f-. ..ip....,._.•__ _.4
r-,ca.F. �{ i i l.I!'-? ;:.'�_.'p•t:, � j%��}� F-iL?•..�= � _i..;I�
[_i3��t, �i i_!_r..{h`r.�ii+_`i ." _ � . �
i;�_�i`I�.:'�.}'tS[ %.,�,�_ti} i�;r�;�»� :��`�f
:'i it t 1't a�� �.E';._.l''-_•
� '"�« ��'s .�'"�#M�!"�"d��„�4?4��F���r' �
r�,��� �
� .�.„�.�i�� - a �aV��' ,��
f'1 T Y i!t' !if{!eti!
� L•i 7 / L'! L�111JltL'
�f re:'4ht. � 'tL L!1'L
! il�/'!ltuL V/ : 1L•L
iJiill'VVt�V n
1!1 1.7L� 'f��L'Y
i.`��'vi vvvvv n
REMARKS: <<i 4�; ��`•L`�'
lir.ii�t�t�Vi�t� 7
V1 LLi� 1aL�sV
— ry�- - �r
L�LL4! /L t r sLJ
FEE SUMMARY: tsi����;!-���;�;�t ;t,?L'
:..t it'�TT {; �': �`iV�i,.j ii :'h11..'fS !"li!' tJi}7 7et�irl
. :..._�t7i-;2 l ��{IV .i.. f Tf6.J'!1!V 4�!V1 7\Vl I.L1f�L.�V
' V+�.•�i�?%+f L
�si.."�`'�•`..' ��'ai._' i.f�„'-1 (_ti_,F
r, r r... ._ � �.'_'�i , '_�;.
r �.n i"� r:t°v�N�
'._�lJl'C[":•=1,,�y, _��__�_ � t,�.,J
.__�._�,��.
;i�s i.Ls j, =s=.;= �`�:•`? . .,'::s
CONTRACTOR: OWNER: � �=��'r`1 ��� �"L� �'
n ;:};_�=� �';j��
� d7 Q � (�(�n�� � � �I`�� - —� � �-•-•� r�.-•s r.�-,
(� � ;?`.-;f � �.�-i._:t.i i T"�_�i��� f'ii#
� � O �� �U/ 5� �'(/�- � ���'43_t��.ji_I j t`il'''� ����+��j$
/�l�/L._ ll���� �/L� ✓ ��(O� i,i�•�.,,._ i ii i�i.`..._..,_..._
�----------- ------- ' : t�-t_ - �
- -- ;:r-;= _ - - - - =�f� ��,�:' �;`i"! :°+;-=;C,; i�-I�-, i�;:�:;i-;+ E ?"�E-'�SI E'�,�-,'�4=�';� , �"
r k -.r-.::: •� -
Et t� .�i . i��.'.�.��.ii'�ae.� i� �_} I 3 I ___. � _ i^�.�..J.{ . .�. _�{ .. . �.
� P � .. f. ' i i r . . .. . r 1 r .... : T -. . . . ." ' '. .. . . _..
t .' .
,�
.-•,r r- i C_E..: t 3� .i% , ?_ . .C._L.��:� � �»F L. ..'- f:..�, t'-L`•��iii.i�•. .F.i. _. ? i{i i.. � �_s`::i� i�'1��4•� 'c,�.,+�} j : i
,:.:_".;j.. ... .-�-��-• -. . . . ,.-.--:-. .,.E:� ,-. - < T:t�,;�:; _ =,1 iTE F-•• - -�ii-:' (��f�,-�i�i! i"�' _ ��' �`�'�-
�� "�` ' � � ``�-:��i' ��'- Hi;,v� _� ,.. 4�1��ii•,t....•.:i_i , . , sis•:.�:._..1=�'a'.; . -.a,�: .i t'.:� �'
. ..� ,._,:....
F t iE
li._. ._.4`i . v
`st i � �.�i:�_� i•a: :t ._ ._._ 3� : i . , 7 :. . _ ._. _
�
t -
�..
_..._ -- -- ——
APPLICANTPERMITEE SIGNATURE ISSUED BY SIGNATURE G�Q��
- CITY OF ORONO - BIIILDING PERMIT APPLICATION
� • � � 30 - q/
Total Fee• $ '��� � � Date Received: ��
Date Approved:
Entered By: ' �'��'�
Permit�: `f��
ALL INFORMATION MIIST BE SIIBMITT� IN FIIL.L BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER CONTRACTOR�
JOB SITE ADDRSSS: ,�.�`� � C P�. � � �,``r+.r.�r ZIP: S J 3 9 �
(work)
NAML OF OWNER: ��a-} � ''t ,��-�, � �.fl.�a`��` PHONE: (home) ��� I-� 8 ZZ U
I�fATLING ADDRESS: �; a.cv-t::: CITY: C-�c c�r�.�c� ZIP:
CONTRACTOR: W �C�� � n • ,c �.''�-,.� ,`...� ^F c PHONB: 4'L a - �.? '? ;?,
MAIZING ADDR.ESS: �7 �"�� � r 1•,+- �,.� N o CITY: Mc��:;'�c (.,o�cst�: ZIP: "`,�'W:+�`r
�
STATS LICENSE: �
ARCHITECT/ENGINEER: f1 � /!- PHONE:
MATLING ADDRBSS: CITY: ZIP:
N�: RRGISTRATIOA tt
TYPE OF WORK: New k Addition k' Accessory Structure Move
Demo Remodel/Alteration_ �C Renovate Land Alteration
PROPOSED WORK (describe in detail) : R o o r�� � �o M
STORI$S: SQ. FEET OF EACH FLOOIt:
NO. OF BSDROOMS: GARAG$ STALLS: ATT. DET.
ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ 2-� o a�
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor3c 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 SIGNATIIRE: DAZ*E: 1 - .�- 5 - `�7 2
- ` ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
<FOR �JFFICE USE ONLY
ADDR�SS OR LEGAL DESCRIPTION: a-�� �( ( �'��d-�'-c� ���
PID: �-�"I/7- � 3 3/ DOSCo
DESCRIPTI ON OF WORR: `��''C� ��``��"��� ��
-------------------------------------
ZONING REVIEW BY: /� I/9" DATE APPROVED:
, �
BQILDING REVIEW BY: _ .DATE APPROVED: 1- 3a -f2
PERMIT ISSUSD BY: DATE:
------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No SEWER UNIT $
PLAN REVIEW Yes `� No SEWER CONNECTION
STATE SURCHARGE Yes ►� No WATER CONNECTION
PENALTY Yes No v PARK FEE
SAC
Yes No v SITE INSPECTION
OTHER (specify)
----------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth: �"
Survey Submitted: s No D te of urvey:
Proposed Setbacks � �
Front (Lake>� : Right S�de: �`
J
Rear (Str4�et) : ` Left S�de:
Adjacent� Structur s: / %� Wet ���
Ex sting �i Propo �' d
;
�
Hardcover: f�75' '/
75-250 ' ! �
i
1
Hardcove � Variance Req ire : Yes No Date of C uncil Approval:
Grading Staff Approva D te: B : Coun il Approval Date:
Septic: Staff Approval tes BY� ' .
Zoning File: # Resolution #: Resolution Date:
RRMARRS (in house) :
BDIZ.DI3dG REVIEW CHEC� LIST
QgC: g� �Z- 3 CONSTRIICTION TYPE:��
BLDG SIZE: H. L. W.
Sq Footage $ Per Sq Ftg
Basement X -
lst Fl.00r x -
2nd Floor X -
Garage X -
x =
TOTAL
Estimated Construction Value: $ Z 0 Da �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
�Framing Well Water Connection
�Insul.ation Septic Sewer Connection
�oWall Board Fireplace Lawn Irrigation
�Final (Masonry) Other
Other (Manufactured)
REMARKS (IN HOOSE) :
----------------------------------------------------------------
REVIEW BY OTHSRS: DATE:
Access: Existing New
Access Approval: Date BY=
----------------------------------------------------------
REMARRS (TO BE NOTSD ON PERMIT) :
. �
���r�•'��. :?�
� �
,< � �� � �
��:��� � �� -��,� � C ITY of ORONO
s �� �
�� j � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
,�r�.: s,.* ,,
�'
tf'�°".: -�4 f
� - �A��'w�x' 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 Iike to inform you that your request for a permit or
I.icense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish will be used to determine your
qua].ification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or ].icense.
3. The information may be shared with other Iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires CounciZ action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this application or
permit.
m,cN+� L �'a�,v L�eoE►�ti��
First Middle Last
1 � 8 �S� I o 15-� �..�� �o •
Address
rn�\� � �o` � i���� ,� ss-�b�
City State Zip
yZ0 -� � 7 3
Phone
I understand my rights as stated above.
��.
Signature •
BUILDING&ZONING—473-7357 • ADMIN[STRATION&FINANCE—473-7358 � PUBLIC WORKS—473-7359
ASSESSING
573.04 RIGHZS OF SIIBJECTS OF DATA -
Subdivision 1. Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
� . Subd. 2. Information required to be g��� ����`1' An.individuel asked to
� su ly private or confidentiel data concerning 8m�hin the collecti g state agency,
PP
purpose and intended use of the requested da
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply the requested data; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities suthorized by state or federal law to receive the data. This.
1 when an individual is 8sked to supply investigative data,
requirement shall not app y
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma rolert tgX re°und instructeonsunsteadhos
subdivision in the individual income tax •r
on those orms. . - -— -
Subd. 3.
Access to data by individual• Upon request to e responsible �
authority, an individusl shall be informed whether h��ateeor confidential.e Upon his
individusls, and whether it is classified as public, p ublic date on
further request, an individuel who is the subject of Se to himrlande if he desires, shell
individuels shall be shown the data withou�f an�y ��g. �ter an individual h�s been
�e i n formed of the content and meaning t h e data need not be �sclosed Lo
shown the private data end informed of its meaning,
him for six months thereafter unless a dispute�o�r b Qnn c llected or crreatedtioT�e
pending or additional data on the individual ublic data upon request by
responsible authority shall provide copies of the private or p require the
the individuel subject of the data. The responsible�Q=�f°nity�a compiling the
requesting person to pay the actual costs of making, 3'i g�
copies. immediately, if possible, with any request
The responsible authority shall comQly
made pursuant to this subdivision, or with lida e,�f Simmediateatcompliance eisu not
excluding Saturdays, Sundays and legal Y5,
possible. If he cannot comply with the request within that time, he shall sP inforth the
heve an additional five days within which to com ly
individual, and mgY �d le al holidays.
request, excluding Saturdays, Sur►daYS g
Subd. 4. Procediu'e �►hen data is not accurate or complete. An individuel may
himself. To
contest the accuracy or comQleteness of public or private dat�he°res onslble authority
exercise this right, an individuel shall notify in ���e authorty shaIl within 30
describing the nature of the disagreement. The respa
days either: (e) correct the data found to�b� lete dataeincludingreec Qients namedt by
notify past recipients of inaccurate or inc p
the individusl; or (b) notify the individu e ind��dual'slstatemen tof disagreement is
Data in dispute shall be disclosed only if th
• included with the disclosed data. ealed pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
IDEl�TiFICATION 0� P�EMISES REQUfRED �----=�'"' Q
SPE�IAi- N�T�'' RQN
� ��
A�proved Addresses Shail �e Uisplayed, ��E �,,.�,TACH�,p SH
EET ��
i�;�Enly Visible And Legible From The � �i�
Street Fronting The Property FC�R ������q��NTg
CC�C3� '���
��
��
�htE SEPARATIfJ1�S �
�g/g"•rypEX«JALI-BD•u0 p�OR � �r`�� SpA-�.`
SHEATH�NG. IF C��LING IS —z,��o R:.....
FIREW�L�'�L�� S?1PP�RTI`G �5 ,���Pp rr�'�o �(x�f
,..— � ��.�'r�.flT�.��'ED l
WALLS I�/iJ�g :��„�� � „" " 5�P '' M�N� M o
°' '�'��:���i��=�t��R
JJII�'I'S T�':��'�:: -�r� d S � --- --- -
I.I� C^�:;�. - ��:�.i: ify SI:'y.� R� E , ' Ga�.�....,,.��va�
__� �� MP�`.„ ��N. ����a �3�3�5
- — —Sh�\���— — — —! � S� O�� �� �4�� � R��J �
t— ,o �, P gpg � P �
� rn�o�z�o... .� ,�, GUp° �°"� ,� �'�\1
�f' 4L
,.
� zx��, �e` nc .
I t
� (` �T�� LY l�� �
�
�
�
�zn+Gv� ��� y� �- �o� � � g�i
A 5 ttr�T 1 _�� � -- _ /�
J •�
� � � �(
� Q�{!� � �:'� 1 L�l 2��
v«T
� i��`8"� C� �' � ��"��� �'`�
� ���T��L ���''
1 L�3U��D���e � "`�' ��,.,t�:�i ��1�'1�`'�''�
��"�t:�i`?"��! . �,.�. �
f;�a�e,. .�f...._ ...,.�...._���..... ..� .... .....�,� ... �r.;� r��,
,:: ....._..__.n.
�"lra�.\ - , . . .���T'
� � ,�. , � ' . ;�. � :r...�i,�,`d�; �t� ��i.ITr�I
`� i -- . r - •: '.4.��'�?i,�I�.
� . i r . .... ..._. _ _�..�.�.�.�� L. .\C ..._. ,i
. _ . � . _ ;,}.ort. , :do t< ci,:.tl be dons
. ... , _ . _.... ���?�t-,n � enir,y coda ra
r:�Jit' �:.�.`,.-: �.1•..�.�.� ;.. ....,:-�.: � :;:�':. _:.:,,, t - :.�: :r: thrs ror'iL*�t
,7��,,,�:,+L .s._I'i::'._ �`�i�'.:�o aY.:{� l.'i'. ::.1:i_ 11 I fl�.� T����.�1.
✓
DATE TIME
CITY OF ORONO CALLED IN G�-y�
INSPECTION NOTIC � SCHEDULED z�_5� �
PERMIT N0. ���v S COMPLETED lI _�_
ADDRESS a���7� ���' �r" /��
OWNER CONTR. '—
TELEPHONE N0. 7 7 � – �� �"�
� DESC ION
� 1 FOOTI�G'' 7 � 11 MECHANICAL RI 16 WELLTEST PUMP
Q ING� !� 11 MECHANICALFINAL 18EXCAV/GRADINGIFILLING
y LATIOI� 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z �kL-L Bl� 12 WATER HOOK•UP 34 TREE REMOVAL
Q O5 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME
�
a C�� I�C Q
�
� � ,
O
� „ �
� � � `' i�u \
O '
W
�
Q
ti
2
W
�
W
�
�
� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W p CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr ohoj�site:
Inspector. � ':�'�' �
White Copyllnspector's File Canary CopylSite Notice