HomeMy WebLinkAbout1990-003463 - rm addn/garage addn z}.�ERIiiII� T
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'�t 1�-�3��'��
Permit Number: f�;�;;�;�,:�;
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 1��'�3��/_�i)
SITE ADDRESS:
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DESCRIPTION:
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APPLICANT'P ITEE SIGNATURE � ISSUED BY:SIGNATURE
CHECR OFF LIST FOR ISSDANCE OF P$RMITS
FOR OFFICE USE ONLY
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�/1 _ � � - � _ ._ � ��'� .�,
ADnR�SS OR LEGAL: ..����C' /Z � ;� ' PID: �
DESCRIPTION OF WORR: ����1 � � �+ ��J�- �� f� y��
,
---------------------�---f----------------------------------------
-----------�
ZONING REVIEW BY: , �f� �`�.�, DATE APPROVED: _1 � ' . •-�
BIIILDING REVIEW BY: DATE APPROVED: `'Z. "�`"�(�O
--------------------- ----------------�------------------y�--- --�- ----------
FEES TO BE CHA.RGED: Misc Fees Calculated B _
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)
-----------------------------------------------------p-,-�-----------------------�
ZONING CHECR LIST Zoning District: /� " '.�'.
Fire Department: � f.�. Post Office: t'" ,'::' � School District: �,�� •''Y� ):`�
►
Lot Area: l"!� �'��> Width: ��� Depth: j��''�
Survey Submitted: Yes � No Date of Survey: �j�- ' �' /~` 7
, , , r
Pr osed Setbacks : �'� ""'4! �'� �� . '�^,'
:�.� Front �-�a.�e-� �f �`•�•'�. ' "�'�3�";" Right Side �� � - � Y � :�� �. �,,�.�j
� ,�,,�1, . (�Y ^' � '�. V ���„(,J`I �"-
� Rear (�---�z-� ��.- . 1 Left Side � - . , ,� ..,'r
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Adjacent Structures :�,'?'T�t=�,r ` , Wetland: r:�:--_—.
Bui lding Height: Def. Hgt.� ���"� � Peak Hgt. f�c` �
� ,, � ,�
Avg. Setback: ��}-�-_ Lot Coverage: =- � �-
Existing Proposed
Hardcover: 0-75 '
75-250 ' � °
� ,
250-500 ' �
500-100� ' s� '
Hardcover Variance Required: Yes No X Date of Council Approval:
11 Council A roval Date: �
Grading: Staf f Approval Date:,/' y �/ -- By:: ;`�`��; PP
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Septic: Staf f Approval Date: ���� By: ��`"v' ?
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Zoning File:# / 1 � � Resolution #: ' r Resolution Date: f�� `' � ��' ;
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RBMARRS (in house) : _ �
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BDILDING REVIEW CHECR LIST
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UBC: �� `� /1 '3 CONSTRIICTION TYPE: �-
Sq Footage $ Per Sq Ftg
Basement `� G?Z x / I. ZZ. _ � , S�I •4a
lst Floc�r (�'1� x y/. It� = Z�� 6�G•oo
2nd Floor x =
Garage �3� x It9. Cx� = 3,36b.00
x =
TOTAL 3�f_'SC9 fl
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Bstimated Construction value: $ 3�,-�b���
Inspections Required: Work Requiring Separate Permits:
Site DCPlumbing Grading/Filling
�Footing �Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
Final (Mfg. ) Well State Permit
Other �Electrical (State Permit)
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REMARRS (IN HOIISE) :
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REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
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REMARRS (TO BE NOT$D ON PERMIT) :
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. , ., , CITY OF ORONO - BDILDING PERMIT APPLICATION
Total Fee: $ ��S' `�Q Date Received: ��� �� ��C�
� Date Approved: �� -��9U
Entered By: /� ��/
Permit#: � / Ln �
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVI�CnI WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR
JOB SITE ADDRESS: � �. � �� �1�Y 5 �4 f �v �. ZIP: �'S 3 Z� .
(work)
NAML OF OWNER: j� u n C c��� : .T u 6� �..3 L. t� � PHONE: (home) I./ 73 ��U yG 3
MAILING ADDRESS: P,U. � � � CIT�=�sT�/(�,� ZIP: �SS31 3.
CONTRACTOR: S �' 4 T� PHONE:
MAILING ADDRESS : CITY: ZIP:
TYPE OF WORR: New Addition�� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ,� �� y ,' � -% � j�_j�d-�✓-!: c�- _ r , ` ,C , � F�!�
�'> ;�_, � '. ,' -� � ��, � - . � -�; ��,.
_�_ �,
STORIES: I SQ. FEET OF EACH FLOOR: / �� ` ' ' `'/ � _
NO. OF BEDROOMS: -� GARAGE STALLS: ATT. DET. ��
�
?STIMATED CONSTROCTION VALIIATION (egcluding land) : $�,� .,� �� = `� �
� hereby apply for a building permit and I acknowledge that the information
�bove is complete and accurate; that the work will be in conformance with the
�rdinances and codes of the City and with the State Building Code; that I
zderstand this is not a permit and work is not to start without a permit; and
:zat the work will be in accordance with the approved plan.
'PLICANT'S SIGNATQRE: .-�-'' ���� � — � �> =�-�� DATE: /��'7'��-,%�G'
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�¢7p,tyY4y4' ,gS ��Y ly�`�� :��e^'�,;..�
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�Y� ��� �"" Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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� � ;�' r,� On the North Slzore of Lake Minnetonka
DATA PRNACY 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
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:
l. 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 iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense 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.
�-� � .i
�� ��; .�c�a � � T � ���� � , � 1 � �
First Middle Last
v. �% ; r�-�x /� 2�
Address
�✓' � S 7"� / �� �� V i2� /7, ,5 5..3 2 .3
Cit State Zip
�--� �:-� _ l��/ � �
Phone
I understand my rights as stated above.
.� ,"' -
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Signature
BUILDING&ZOfY1NG—473-7357 • ADMINISTRAT[ON&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�
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573.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision 1. 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.
Subd. 2. Information required to be g��� ����' An.individuel asked to
� suQply private or confidential data concera a t8mwi hin the collect g state agency,
purpose and intended use of the requeste �b� whether he may refuse or is legally
political subdivision, or statewide system; �oWn consequence arising from his
required to supply the requested data; (c) any
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by statu��easkedlto supplyein est gat ve data,
requirement shall not apply when an individ
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg� rolertv tgX re�und instQuctionsui steadhot
subdivision in the individual income tax •r �
on those orms. . - ---
Subd. 3.
Access to �ata by in�vi�usl• UPon request to e responsible
authority, an individuel shall be informed whether h��ateeor confident elre UP°n �
individuels, and whether it is classified as public, p ublic data on
further request, an individual who is the subject of Se to himrlande if he desires, shall
individuels shall be shown the data withou�t an�y ��tg. After an individual hes been
�e informed of the content and meaning the dats need not be disclosed Lo
shown the private data and informed of its meaning, unuant to this section is
him for six months thereafter unless a dispute or action p
, � ending or additional data on the individuh h� ate or publ c dataruponarequest by
P
responsible authority shall provide copies o t p reauire the
the individuel subject oft�e ac��'cos h of mak ng,l certi yingyand compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comQly
made pursuant to this subdivision, or with lide e,�f Simmediategtcompliance e��.su not
excluding Saturdays, Sundays and legal Y5
P
ossible. If he cannot comply with the request within�i��nt�ch toh omp1Y w�h the
individuel, and may have er► additio� i v�day���,
request, excluding Saturdays, SundeYS g
Subd. 4. Procedia'e �►hen data is not accurate or complete. An individual may
contest the accuracy or completeness of pub� °inrl�ting tthe�responslb e au hor ty
exercise this right, an individuel shall no y
describing the nature of the disagreement. eTnaccura e or in omplet and at pt to
days either: (a) correct the data found to b
notify past reciQients of inaccurate ar incomp�t he believesdthe datalto be correct
the individuel; or (b) notify the individual eement is
Data in dispute shall be disclosed only if the individual's statement of disagr
• included with the �isclosed data. be gPpe�e� p�uant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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EX'CERIOR EN�-E7,OPE AVERAGE "U" COMPU`CATION
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OWNER : � Z✓'G ��7/ �I1iC..� �� ��'�r�
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SI'CE ADDRESS : ����'� ��1`7��1� .�l.�G� -- �E`,y�j�L �/.��; ,(,�"v
CON`CRAC�COR : DA'CE : II lG PHONE :
DE'CERMINE inTORKING SQUARE FOO�CAGE OF EACH:
1 . 'CO'CAI., EXPUSED 4�'A].�1, AREA ' L�l, 7 SQ. F'C. X � l� _ ,�,, Z
2 . '.C(7`CAI� ROOF/CEII�ING AREA ���,G' SQ. F'['. X rl�� = l�� l�
3 . '�C)``CA]� EXPOSED WAI.,I:� AREA CAI,CUI.,A`CIONS :
'Cotal exposed wall ��,
a�:�ea above floo�- �7 ��C�
a ) Total wall window a��ea ���', �;Q.F`C. X "U" r :�� - ��'►�
�
b) 'Cotal doo�� a�:ea ��,7 >Q. F'C. X "U" ,Q] = Z;�
c ) `Cotal slidinq qlass doo�� a��ea ��`.L� SQ . F'('. X "U" r �4 = ���v
d ) `['otal fi.��eplace wall a�-ea C' SQ. F�C. X "U" " _ �
e ) �['otal wall f��ami.nq a��ea ��` ,'� SQ. F'C. X "U" ���� _�
(ave�:�aqe 10%)
f ) `Cotal net wall a�-ea above Z��•� SQ.F'C. X "U" � v7-�J - ��,G'
floor ( i.nsulated )
c� ) ':c�al ��i.m joi st a��ea z�/� Zi SQ.F`['. X ��U�� ; L7� - J�� �
'Cotal foundation a�-ea ,�� ,Q. g��,
(exposed )
h) 'Cotal foundation wi.ndow a��ea � SQ. FT. X "U" �--� = L"
i. ) �['otal net foundati.on a��ea �? SQ.F'C. X "U" � �� = r?, �
above q�:�ade
`CO`['A]:, a ) th�:�ouqh i. ) _ �1� �
If item #3 i.s the same as , o�� less than i.tem #1 , you have met
the intent of 2 MCAR 1 . 16008 A and ().
� 7�,� � ��(c:�2 �
PAGE 1
4 . �CO'['Al.� EXPUSED ROOF/C'EII.,ING CA].,CUI.,A'CIQNS :
`Cotal exposed r.00f/ �'' '�'L} SQ. F`C.
ceili.nc� a��ea
j ) '['otal skyli.c�ht n���ea �y SQ. F`C. X "U" ' _ �
k ) �Cotal �:�oof/ceili.nq 4;�� SQ . FT. X "U" ��'�� _ /.�
f��ami.nq a��ea
(ave�-aqe 10%)
1 ) �Cotal net i.nsulated ��Lj�,�� SQ. F`C . X "U" � �'�L = t J• �
�:�oof/ceilinq a�-ea
4 . TO'['A]., j ) th�-ouqh 1 ) _ '
- I`�� �
If total of #4 is the same as , o�� less than #2 , you have met
the intent of 2 MC'AR 1 . 16008 A and () .
j 5, 3 L ���,� G}��
A].,�CERNA�['E BUI].�DING ENVEI.�OPE DESIGN
`.Co uti.li.ze the total envelope system method , the values
establi.shed by the sum of #3 and #4 shall not be qreate��
than the sum of i.tems #1 ana #2 .
1 . +2 . _
3 . +4 . _
CER'CIFICA'CION
I he��eby ce�-ti.fy that I have calculated the "U" facto��s and
"R" values he��ei.n and that the buildinq he��e desc�-i.bed meets
o�� exceeds the State of Mi.nnesota Ene�:�qy Conse��vati.on Act .
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(Si.qnatw�e
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(Date )
PAGE 2
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE���3 SCHEDULED
PERMIT NO. COMPLETED yL: -� ``�
ADDRESS �1 i�c7 c-r:-��;va� �.�-r
OWNER ✓►n�rc.c-v� Is�'l.vL� CONTR. Gw��,-e-�
TELEPHONE NO.
� [�FOOTING ����f�i�� ❑ MECHANICAL RI ❑ SITE WELL
W ❑ FRAMING ❑ MECHANICALFINAL ❑ WELLTESTPUMP
� ❑ INSULATION ❑ FIREPLA�EIWOOD BURNER ❑ EXCAVIGRADING/FILUNG
�
O Cl WALL BD. ❑WATER HOOK-UP ❑ LAKESHOREIWETLANDS
Z ❑ FINAL ❑ METER SET/TURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
_
� ❑ DEMO—FINAL ❑ SEPTIC MAINT. ❑ PROGRESS
J
W C PLUMBING RI ❑ SEPTIC INSTALL. ❑COMPLAINT
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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O ❑ CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
� BEFORECOVERING ❑ ISSUECERTIFICATEOFOCCUPANCY
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL REfURN
PERMANENT
❑ STOP ORDER POSTED.CALL INSPECTOR
C, INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra�r r}site:
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Inspector. 'C� '
White Copyllnspector's File Canary CopylSite Notice
D TE TIME
CITY OF ORONO CALLED IN .y
INSPECTION NOTICE SCHEDULED 7 /�� // • v �
PERMIT NO. i� �� COMPLETED �� ?� � x
ADDRESS
OWN ER CONTR.
TELEPHONE NO. 'S�7 3 " �`�Cc�
� DESCR PTION ����..��.,
t� 0 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 F AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVA�
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN
INSPECTOR WILL RETURN
f, CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473�73rJ7
OwnerlContracto o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
/ DATE C TIME
CITY OF ORONO CALLED IN 1�-3�- j0 �-3 �
INSPECTION NOTICE1_ z SCHEDULED /- y� 9� 1 3 a
PERMIT NO. ����✓ - COMPLET D � �
ADDRESS � � �
OWNER �c�;..�•u..�. .l�S - CONTR.�,
TELEPHONE NO. y �-3 — � L���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y RAMING.__� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,_ pHOTOTAKEN
INSPECTOR WILL RETURN
f 1 CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-73�J7
Owner/Contr r i :
Inspector.
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