HomeMy WebLinkAbout1994-006475 - porch . ERMIT
� CITY OF ORONO PERMIT TYPE: -- . -
2750 Kelley Parkway - P.O. Box 66 �� �3 ' �'•3 ��.;;-
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Crystal Bay, Minnesota 55323 Permit Number: :�:�;_;;;,:+. .:ti
(612) 473-7357 Date Issued: _;:����
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: � ��'�`= i'=:�'��: —
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APPLICANTiPER ITEE SIGNATURE . ISSUED BY:SIGNATURE , `6� � •
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� ' ' CITY OF ORONO - BUILDING PERM_IT APPLICATION
Total Fee: $ /�(/,�
Date Received: `/�i�2 ����
Date Approved:
Entered By: ' ���� � �
Permit�: � �J�
ALL INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI.AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
TSE APPLICANT IS: (circle one) OWNER r CONTRACTOR
Jos sz� AnDx$ss: �, �, ��'��� �'C��� ��;::-l�;� zzP: �GI�(.�a��
��tZ01�lr.� l/�� (work) ��`�J�'`" ��.Q
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NAME OF OWNER: � � � ' ,PHONE: (home) �-t"��,�"���
I�ILING ADDRESS: l"7��J ��Y��{:� -�`17.'v�'� � �'IL CITY: �t�A�U ZIP: C7``7��
CONTRACTOR: ���� -f�� �t/l:% PHONS:
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MATI�ING ADDRESS: ��`'�F:� �,'7 i�'�1��C� CITY: ZIP:
STAT'S LICEIv'SE: $
ARCHITECT/ENGINEER: �>AY�� d�<-� �i��!r"i _ PHONE:
MATLING ADDRBSS: CITY: ZIP:
Np,�: R$GISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�- Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��v�c�, �i1�-��'I���L�� �- ���TC-'" _
� i�CC�,� �k�,�:� E��-�?�.
STORIES: � SQ. FEBT OF EACH FI�OOR:
NO. OF BEDROOMS: �i GARAGB STAI.LS: ATT. DET. �
ESTIMATED CONSTRUCTION VALIIATION (eacluding Iand) : $ ���'� �
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor}c 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 wil.l be in accordance with the approved plan. �
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APPI,ICANT'S SIGNATIIRE �,,, �"� '�; DATE: -l'.��`� -
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:�.
��� t�Y �#�� CITY of ORONO
., ��;
t'��r� .
Post Off ce Box 66•Crystal Bay,Minnesota 55323•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 Iike 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 wil.l 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 Iicense.
3. The information may be shared with other �ocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicer_se requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review prica�L
data on yourself.
6. Yaur full name is required to process this aoplicatian or
permit.
t��.�-`C ��-, l_:,a.::ct-�
First Middle Last
�`�l.0 (�-��� �-�'�''�'' ��.J`TG�V�
Address
�'L?��t.x� U�l'�..1� ��12�-9�
City State Zip
��1. - �z�-{
Phone
I understand my rights as stated above.
, �_.
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Sign�t re )
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FIN,INCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�.0,4 RIGHTS OF SIIB.7ECTS OF DATA
Su
bdivision 1. Type of ��- The rights e ti�viduels on whom the data is
stored or to be stored shall be as set forth ui t�� S An.individual asked to
Subd. 2. Information requir�d to be given indivi�uel.
� rivate or confidential data concerning �amv,hin the collecti g state agency,
supply p
purpose and intended use of the req tem;d (b) whether he may refuse or is lege]lY
political subdivision, or statewide sys ��� any �own consequeace arising from his
required to supply the requested date;
1 rivate or ��orlfedere.11aw to receive the data.1tThis_
supplying or refusing to supp Y P State
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an individusl is asked to supp y
pursuant to section 13.82, subdivision 5, to a law enforesment officer.
T
he commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or ro ert tax re und instructions instea o
on those orms. � - — .
Subd. 3. Access
to �aYa bY in�v��L UPon request to e responsible
thorit an individusl shall be informed Wh bli� h riyateeor confident al.e Upon his
au Y� ublic datg on
individuels, and v+►hether it is classified as p �
� to him and, i.f he desires, shall
further request, �n individual ��a Without any chargtored private or
individuels shall be shown the of that data. After an individual he.s been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action P dgta u n request by
or additional data on the individual has ateeor pu lic ed or �eated. The
, pending rovide copies of the pri require the
responsible authority shall p The responsible authority maY �in the
the individuel subject of the �ta• certif n and comp g
requesting person to pay the actual costs of making, Yi g�
copies.
1 immediately, if possible, with any re9uest
The responsible authority shall comp y
made ursuant to this subdivision, or withi Iida e �f Simmediategtcompliance e�u nhe
p Sundays and legal ho Ys�
excluding Saturdays, �,,iith the request within that time, he shall so inforth the
possible. If he cannot comply within which to comply
individuel, and rnaY ha�e an additio� ie a1���S'�•
request, excludin g Saturdays, Sur►daYS g lete. An individual may
Subd. 4. P��'e �►hen data is not accurate or comP �mself. Ta
contest the accuracy or completeness of public or private data concerning
ht an individuel shall notify in writing the responsible authority
exercise this rig � eement. The responsible authority shall within 30
describing the nature of the disagr lete and attempt to
days either: (s) correct the�cda�a�e ordincomplete datae includ�ng pe talto be correct
notify past recipients of in eement is
the individuel; or (b) notify the individual that he believes the da
Data in dispute shall be disclosed only if the individual's statement of disagr
• included with the �i.sclosed data• be appe8�ed pc�su�t to the
' The determination of the responsible authority to contested cases•
provisions of the administrative procedure act relating
� CHECK OFF LIST FOR ISSIIANCE OF PERMITS
. � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I S�� /��� � !�2 PID:
DESCRIPTION OF WORR: T/��'s �L'�s�� ' "�c l� � ��v-
----- -------------------- -
--------------------- •
ZONING REVIEW BY: DATE APPROVED ,�-2�I � Y
BIIILDING REVIEW BY: ( L���iy�.Gw— DATS APPROVED: - Z-� ��7`'j
----------------------
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 Office: �/ � School District: ��G
S -�-Width: Depth:
Lot Area: / 7, � 5 �5 ,�„
Survey Submitted: Yes� No Date of Survey: �/-��" ��
Proposed Setbacks: , � �
Front (�e) : �O�( % _ Right Side: f�
Rear (�tr.s.et) : �S � "� Left Side: /V d/�--
Adjacent Structures: �2' Wetland: /V��
Bui l.ding Height: Def . Hgt. � �(G- Feak Hgt. � /�-
Avg. Setback: /l� l � Lot Coverage: n� �C
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
�00-1000 ' ��� �`f' L�'�'��
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date:� �i� By� Council Approval Date:
Septi c: Staf f Approva]. Date: N�'g BY=
Zoning Fil.e:# Resolution # : Resolution Date:
REM�I2RS (in house) : ,
BIIILDING REVIEW CHECR LIST < � .
DBC:
- 3 CONSTRIICTION TYPE: �� ,
Sq Footage $ Per Sq Ftg
Basement X
lst Floor � X
2nd Floor X
Garage X =
x
TOTAL
Estimated Construction Value: $ ����oo �
Inspections Rem�ired: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fil.J.ing
Mechanical Fire
pCFooting Septic Water Connection
�Framing Sewer Connection
Insulation Fireplace
�WaJ�I. Board (Masonry) Lawn Irrigation
v�Final. (Mfg.) Other
Wel�. (State Permit)
Other
_�Electrical (State Permit
----------------------------------
�_F.MARRS (IN HOIISE) :
-------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
By:
Access Approval: Date __________________
----------------------------------
RFMARRS (TO BE NOTED ON PERMIT) :
CERTIFICATE OF SUI'.VEY �o ��":� , �:
F � ���
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-fRACT A:
That part of Lot 21 lying East of the West line of Section 8, Township 117, North Range
23, West of the 5th Principal Meridian, except the Easterly 10 feet as measured along
the South line thereof and that part of Lot 20 lying East of the West line of said
Section 8, all in Hickory Hill , according to the plat thereof on file and of record in '
the office of the Register of Deeds, in and for Hennepin Count�, Minnesota.
TRACT B:
Al1 those part of Lots 20 and 21 in Hickory Hill lying between the Easterly line of
Government Lot 5, Section 7, Township 117, Range 23, said Hennepin County, Minnesota
and the center line of the County Road as now opened and traveled near the East line
of said Section 7, according to the plat thereof on file and of record in the office
of the Registrar of Titles, in and for Hennepin County, Dlinnesota.
I I�ereby certify that this plan, survey or JOB ;�
SCNOBORG FePort was prepared by me or under my direct 3SQO
supervision and �hat I atn a duly Registered v
N D SU RVEYI N G Land Surveyor under tt�e laws of the State or eook - Pr�
�NC. Minnesota. 2D '7�
Sca�c
aT. ,.Bo�zae � .,_ 30 �
��2.�22, o�u,.o.MNssaza, Date: o% l 9 Reoistration No. 14700
PRINCIPAL STRUCTURE DEMOLITION PERMIT
�0�� �� ZONING DISCLOSURE $ DECLARATION
s � To the property owner: Demolition of the principal dwelling structure on a property may
`� �� automatically terminate certain rights which may have accrued to the property by virtue of the
��kFSHO� continued existence of that building. This means you may give up some or all of the zoning rights
currently associated with the principal structure (setbacks, hardcover, size of building, etc) with its removal.
• Rebuilding on a substandard lot of record (i.e. a lot that does not meet the zoning district required lot area or width
standards) may, with few exceptions, require variance approval by the City Council, and such approval is neither
automatic nor guaranteed but requires that a practical difficulty be demonstrated.
• Additionally, all current zoning standards will have to be met by the new principal dwelling including setbacks, and
building footprint, hardcover(impervious surface), & height limitations, etc.
• Where municipal sewer is not available, provision of two (2) conforming on-site septic treatment sites is mandatory
for a new dwelling.
• Unless specifically approved by the City, all accessory structures must be removed at the time of principal
�welling demolition. This also applies to seasonal and permanent docks, which may not be re-installed until a new
principal dwelling has reached the framing stage.
The following information is presented for the purposes of advising the property owner of the implications of removal of
the rinci al dwellin on the ro e
1. Property Address: 1510 North Arm Drive PID# 08-117-23-33-0078 / 08-117-23-33-0079
2. Zoning District: LR-1B Required Lot Area: 1 acre Required Lot Width: 140'
Shoreland? Y N Actual Lot Area: .19 &.20 Actual Lot Width: 158.4'
Lot area variance is is not r quired.* Lot width variance is is not quired.*
*according to 78-72(b)(1)
3. Required Setbacks: Front 35' Rear 30' Side 10' Side Street 35'
Lakeshore Lot: Lake (Front) Street (Rear)
Average Lakeshore Setback: must be m is not a licable
4. Massing & Lot Coverage by Structures limited to 15% of lot are does not a I lot area > 2 acres
5. Hardcover limitations: Are NOT applicable — o - Are applicable
Stormwater Quality Overlay District Tier: ]( 2 �i 4 5
Tier 2 hardcover limit = 30% of gross lot area �
6. Municipal sewer is available.
7. According to our wetland map, no wetlands are present
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initia
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Property Owner's Signature Date
(Original: Street File; Copy: Property Owner)
Created: Apri12013
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DATE TIME
CITY OF ORONO CALLED IN / ��
INSPECTION NOTICE SCHEDULED 1�1,L7�� /C� =�c.
PERMIT N0. ��r15 COMPLETED 1� �f i��
ADDRESS �/ �
OWNER .�✓ CONTR�,Ds��
TELEPHONE NO. '�rI�-C%.� ��'
� DESCRIPTION L��� ���
01 FOOTING ' 11 MECHANICAL RI 18 EXCAV/GHADING/FIWNd
y I G 13 MECHANICAL FINAL 19 LAI�SHORENHETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATISFACTORY:PROCEED _: PROJECT COMPLETE
W
� C CORRECT WORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE69V�RINCr �O�P�,v�Q PERMANENT
❑ CORRECT UNSAFE CO DITION WITfIIN HOURS. ,- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra r n site:
Inspector. -
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC �� SCHEDULED � � � � ���
PERMIT NO. COMPLETED
ADDRESS -_��
OWNER CONTR.
TELEPHONE NO.
� DESCRI TION
� 01 FOOTIN /1 MECHANICAL RI 18 EXCAV/GRADINO/FIWNG
N MING 13 MECHANICAL FINAL 19 LAi�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z py yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 74 SEWER HOOK-UO p6 PROGRESS
F' 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
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DATE TIME
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