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HomeMy WebLinkAbout1997-009377 - garage/screen porch R . PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: � (612) 473-7357 Date Issued: _ - SITE ADDRESS: .. . ^i 1� -- -- 4°S DESCRIPTION: . .-,f�i;^,�-/:�.i_.h�z__:.... . . _ .._ , . ,�! r�fj �-r 4�F-.-�r- _ , _ . • _:� ,, � .;.; ,�,.•-� .�.-•.,•:.. ; 1 " '" �, f Ji : ..:_i 5. ... ... _. '�,_•f . .,. . ...._ _ �i P't-" jJ� �.�[.'. i�'.t�...!f�_�.'�_� ��'_�, 3?_,i );+J iF;�i�i1'�:� , ���.'f-�? r.)� ! R..T f 37e3 [-'m_•,.. E �_�{v ;1 R�;t� t_:�i t_ _�!i"i i`- i'+:'�:. -:F;�;-f�;�.l'._;t`,�.:.���;;? 3�r �:ti, j;`a i ; i .;,; ,•,.-, -"' , I I I I I REMARKS: � - - : " . : _ . . _ _. FEE SUMMARY: � ...,. _:F l_.�."_�'�{ ' _ e '. ' ' I � I .' �_^i,l i F"��F_t.�,�{_:�ii;� �.-. ... _ .. - _+L - �.z,-i�-.:t. .-. . ' _ . . �.�( i+�i `�+:� .n.•e � :. � ��,::t �..�_�_W..�_�X���� I I CONTRACTOR: OWNER: _ -:;_;;. ; ;;E—= at . ._�'•4�- __ _ :`Y' , . . . _ ' :_;;;t-:s' �`W ..r _„...._,_. _ _ ,._ - . if { .i �: j . ._,_�,.,;a; ""i� �� _ . .�f. ..'��f i _ . . ?t'.r__ . . . . _ E. _ ,,.� . a .. ; � : ' �.... `..'t�..:.._.r•... .- ._.. ..._.._ �. ._F .__._ ...��.�_,�_.. . .. . _..�. . � _ . _�...._..._. ... +_. L.. � :•�J � i .. _ � � t'� . . . . . S � . �' .� 'm f t y.. ` i ,•� -. .� _' ,_•_ i;3 - ° t � ,Ri: _ _, .�"_. ._:t � _ . _ _. +�•.� _.'+.i�°1 i`vi-�;`•=L.:._._� , _� _ . , . . ._ ._. . ._ . ___ ._ �. . ..__ . � _ _ __ . . , � , �� -���"� , L�7 APP�ICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE ' _ � Total Fee: $ ���'� 9� Date Received:'" Entered By: ; �,. � � Pernut#: i','� "'' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: /�Q (�,/�J�a��-� /�'L�� ZIP: ���% NAME OF OWNER: �/�/ p d ��� PHONE: home) �7�i'" � t�`� (work) ��7(p ' 7�:2�� MAILING ADDRESS: f 1�' ��/�C"i��s'�L CITY: L�:yt:E� L(L ZIP: ���� CONTRACTOR: � Q„ � ' PHONE: CONTACT PERSO : `, � MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain:/ap,Ot',�l un.% �� 5����/ �0 � (��cL•-J��- �AR- �`F/�s� � S� C ��€ �7Z! - >u S o "� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����t� 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 a ordance with the approved plan. r� . ` APPLICANT'S SIGNATURE: !'L �� �— DATE. , .S NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 :;� � ��� . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legaily required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenary of other persons or entities authorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement ofFicer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or nropertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individuaf has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional 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 authurity may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request 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 request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed onty if the individuaf's statement of disagreement is induded with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRNACY 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 fumish 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 shared 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. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. R�����.,� �. � ��� First Middle Last �c,? ��fIG—�J�7�" ��f�� . � Add ess �x.�� C� Lfi�-�� �i�-� ��3�, '��� `�5 L�1 City State Zip Phone I under my rights as stated ab e. �..��1�� X' t�,���---------_ Signature 6 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: l�t O C4(�►'v�:.`� Pu�c�. PID: DFSCRIPTION OF WORK: (�0(� i�r-��,�5 (�A RA�c�, F �c�e� eRc,�t 1 ZO'vING REV�W BY: ,^ DATE APPROVED: `�- S-�t7 BUII.,DING REVl�W BY: DATE APPROVED: � - 5- 5 7 F'EES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes (� No PLAN REVIEW Yes � No SEWER CONNECITON STATE SUR`HARCr� Yes ti No WATER CONNECITON INVESTIGAZ'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOi�tING CHECK LIST Zoning District: (ZR• 1� Fire Department: �,v � Post O�ce: ," School District: ���u I�_ Lot Area: Sq.fr. .b�! Acres 2'^1,9 i 3 `Vidth ,�W 2_ Depth (�1 S Survey Submitted: Yes� No Date of Survey: � • 1'+i - $g Proposed Setbacks: Po c.�t Ai c= P�2c.H G A KA�C: Front (Lake): Right Side: 4�d` Rear (Street): 4 b� Left Side: Adjacent Structures: IqTr1�C.t+c;� Wefland: N�(� Building Height: Def. Hgt. � 0.(� Peak Hgt. d,� Lot Coverage: `?°T� Grading: Staff Approval Date: N �I�j- By: — Council Approval Date: � Septic: Staff Approval Date: P�l �Y�- By: — Zoning File: # Z Zl�L Resolution: # �R�{O Resolution Date: 1 • Z� -�1� � Shoreland DisL-ict: IU O Avg. Setback: Bluff Setback: Lot Coverage: '�'1 70 � Ezisting Proposed Hardcover: 0-75' rj.P 75-250' � � 250-500' • 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMA,RKS (in house): • 26 . BUII.DING REV�W CHECK LIST � �C: _ (2-3 CONSTRUCTTON T'YPE: ul�I � Sq Footage $ Per Sq Ftg Basement x = lst Floor x = . 2nd Floor z _ Gazage x _ � z = TOTAL Estimated Construction Value: $ �3,SZ1p°D - Inspections 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) _� F�� GradinJ/Filling _� Electrical (State Perm.it) Other REt12ARKS (IN HOUSE): _�_ -�---- -- - _�__ ---- __-_---------- --------------- RE'VIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; � REMARKS(TO BE NOTED ON PERil�1I1�: ~ ~ � �� . 27 . _ � - ;T: . - ����a `. . Certificate of Surv K,������'�� ��PY for Ronald Hohrman of Lot 4, Dlock 3, SWAN LAY.E ADDITION Hennepin County, Minnesota CI�Y �� O�Q����. � S1�"� P#�AAJ Gri��!t�l� PL.A.� ��� �;-�����i:�ii''��l�G� A,uo sc� � �q,vl�i�oNs '-� , -� R'4'`�R %� H�}�=;'°)`,�t_� ��Jl��!� r�E.�'!�I�NS - �'�, , � SJ����f" 1��.1�d��j r_..._i /� D`� c�' q^� \\ +"��4 0 � V�I L__---�—~---T` ^� � / i -_ ,Ja'E I�3� + , ;I. J .NM �(�I .. ,: , � S� T . "'P�1• ,. � I ,o �,.r. � ��`�` DEsf` I 60 5�a I � /. I��3 c . I �I n I:�� I�e�l,�reV �� � � � � � ` � i � �e�4t1,�� � i C; J � . ��',� � � _ ---- 5 0 �ce� o C� ' �r d°v � � 1 I n ��.� � r—� QJ„ � �d �-ec� I ,a ol I r � „- ,.,j � _ < ��.g Jio. `. un�. i � � . ��r I � ��• I o `� oK..M.f `y �� Z : ° . W! 5{.f'M � a �� I o i'� i. ,.po`� �°, \� i hti --------- ----::,n;��':, , �i__I �. -- 9 7.o [r�•"'.3 �1 � � J . a l�^ � o �.Sri;' ��p I � �+1 �3� ya�.Vs•' � t.i C a fA�w' J8.3 1 ir o✓.�.) � -------"BZ----:_. ' �y N w � '� � , t� c�.. � f� I --� � � --- i 3� �ee�' I � _ I � , I � � I , �—r /Yf AO J4.'n L��i/Jal.� /S'5..74 M/°t. . � I N89'Sl�F � � C' �� __� ��� ` � Leqal Description L�t 4, Block 3, Swan L�ke �r3cli*ion. This survev shows the locar.ion of zn exi.stinq I herehvi cer*ifv rhar_ thi.s survev was house, deck and septir svstem. It does not nur- prepar.ed b�� me �r under my direcr_sup- port to sttow anv other improvemenrs. or encroach- ervision and r.har I am a dulv regisr- ments. ered land surveyor under th� laws of the Sta*e of M.innesota. Scale . 1 inch = 30 feet COFFIN & GRONDERG, INC. Date . 1-14-89 o . Iron markei ��,����yt�� Bearings shown are *.e �,n 7a'�rk�- ron erg n. ic, o. assumea datum. Engineers, Land Surveyors and Planners Long Lake, Minnesota DATE TIME CITY OF ORONO CALLED IN l 1� � ��F INSPECTION NOTICE SCHEDULED /� � PERMIT N0. 37 7 COMP�TEo 1 � ADDRESS OWNE �� r m CONTR. TELEPHONE NO. �7(��- /S (��' � DESCRIPTION `-" ��� � � '�7 - �• FOOTIN 1 MECHANICAL Fil 1 B EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d � i ORK SATISFACTORY:PROCEED PROJECT COMPLETE W CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O �-' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT Ci CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL REfURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED l5 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ect n 24 hours in advance.473-7357 OwnerlContractor on inspector. � White Copyllnspector's File Canary Copy/Site Notice DATE T�ME CITY OF ORONO CALLED IN �� 1 '�C/7 /�• 1 INSPECTION NOTICE SCHEDULED � • �v PERMIT NO. �'''� '1 COMPIETED �-1 � ADDRESS � �7 v 2�� CS�-- OWNER �!�,�r��{}� CONTR., DI�n C}���1�'�/u TELEPHONE NO. ���o�' �-I J(0 7 � DESCRIPTION � 01 FOOT 11 MECHANICAL RI iB EXCAV/GRADING/FILLINO 2 FRAMIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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-UP 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMME T : � "" ( � �.1, CCf�N.S (.0 SP_/ � � O � -- � (S � 1 h. Ct, °LS 0 � W � Q � 2 W � W � � d ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � �ORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W � C CORRECT WORK,CA��FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUEO O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance.473-7357 OwnerlCont�fo3 site: Inspector. White Copyllnspector's ile Canary Copy/Site Notice � a•��7 . . , ----.-. --.�___�_______.___. - ��o�C�� ���-�� - �� _ �- - ��� . , ---_ --- . -- -_ ���. d„ , ��� N w � 4 O' n 4 p►, 1 9(1 C'y�1n�t P1 �,�-� --------- ---- _T.-----...._._--- ------- - ---- ---- - - ----- -- - ` '�"'� 2=�L��;� - N 1D2 . �' - . _ - - - .- -- .._ _---- ---�-- --�- - _ _` --�� �' --� � __ � _ _ _ r ----, _ _ � � . .. x- . �I�;� , � � � �'.2 � ,� . �x� �� _ , �,, � . . 9 � � . i ,- 5_ r�" � �-��x ���1�'�l�i�+1�'�! i _� � , , l-- -,-__ _ _ .__. ._. -- --- --}---�-- -, , ____—_____._---_ —_' _ —� �` �, �,I o - --- �- � � �,f� CP1� Y�.tD-��- "� J; I j � , x - - - � � . �- - ��, - � � � i ��� � ��� I I i I : r y� � ( �] � -'�-'L`` �C'-�Y/`�. 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