HomeMy WebLinkAbout1991-003930 - 3 season porch/deck PERMIT
CITY OF ORONO �E��n�� -�vP�:
1335 Brown Rd. South • P.O. Box 66 Permit Number: :;�i:'_;!�!'';'�"`='
Crystal Bay, Minnesota 55323 Date Issued: �;_���t?.:�;�,�;;
(612) 473-7357 „ -
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR• --- t��:��:�i ;.c����. -�-� OWNER:
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APPLICANT/PER IT SIGNATURE ISSUED BY:,�,IGNATURE C�j���
CITY OF ORONO - BUILDING PERMIT APPLICATION
,��� , � `� Date Received: ��3 � �/
Total Fee : $ �� -'
. ,� • ' Date�Approved: j" � �� �" � ��,
���
Entered By: �.� � �' � .
,�
Permit#: J / �?�-
ALI� INFORMATION MITST BE SIIBMITTED IN FIILL BEFORE PLAN REVI�1 i�IILL B$ STARTED
(See Check-off List Enclosed)
THE APPLIGANT IS: (circle one) �WNER or CONTRACTOR
JOB SITE ADDRESS: 135 T�ticf�eu LahP Dn,i��v _ ZIP: 55356
(work) 529-9571
NAI� OF OWNER: Pau,2 & Shen.ncf S���a __ PHONE: (home) 473-1�151
MAII,ING ADDRESS: 735 "D�.cf�ecf LaFze �n�.ve CITY: Lvn.a Lah.e ZIP: 55356
CONTRACTOR: Ga.�zf2i, Bnad Can��nuc.t,i.an PHONE: 559-8984
MAILING ADDRESS: 16090 �.em Rd CITY: Map�e Gnave ZIP: 55369
TYP$ OF WORR: New Addition X Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in det�il) : 3 aea�vn pan.ch, �eneen. decf2 and dech
STORIES: SQ. FEET OF EACH FI,OOR:
Ir`O. OF BBDROOMS: GARAGE STALLS: ATT. DET. .
$STIMATED CONSTRDCTION VALIIATION (excluding land) : $
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 SIGNATDRE: DATE: ��� /'r"�
C�� �FFFORSOFF�CEIUSE ONLY�F p�M2TS
.ADDRESS OR I.EGAL: �� � � Gi� � PID: 3 U�l I �j -� 3 ;2 2, COO 6 ��
- � V /.�fl�,/�,
DESCRIPTION OF WORR: � ,E��r�-��'�' G'�
-------------------_-n-p-------
------------ ----- y, �
ZONING REVIEW BY: (TwLO DATE APPROVEDz .S" (
BIIILDING REVIEW BY: � DATE APPROVED: Cl ' S'cll
-----------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes�Na WATER CONNECTION
INVESTIGATION FEE Yes No� PARK FEE
SAC Yes No� SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECR LIST Zoning District ��' I�
Fire Department:
IU�� Post Office• �l�- School District: L
Lot Area: /U C- Width: Depth:
Survey Submitted: Yes� No Date of Survey: y'
Z/ - S�
Proposed Setbacks: Ri ht Side• !$0�`�'
Front (��e-� : N�� g
Rear ( �tt) : Left Side: 80�+ _
Adjacent Structures : i¢T�G�'f�� Wetland: /v��'
Building Height: Def. Hgt. ��� Peak Hgt. /"�/�
Avg. Setback: /Vl� Lot overage.
Existing P oposed
Har3cover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance quired: Yes No Date o Council pproval:
Grading: Staff App oval Date: Y�
ouncil App oval Date:_
Septic: Staff Ap roval Date: BY�
Zoning File:� Resol tion #� Resoluti Date:
R�ARKS (in house) :
BIIILDING REVIEW CHECR LIST -
'�gC: �� � - 3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg � � - � �
Basement x =
lst Floor x =
2-�� 3 scAson, �ff�.sF,�rx .`� _ �. 2-7� .�y
�Q- tcn�CNc.c9 t2y��X 22.15 = Z' �Z�{
�9ec,<< ��T,x d �s.oa = � YY
TOTAL
O6
Estimated Construction Value: $ (�,�0�'"
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing 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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REMARKS (IN HOIISE) :
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REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By=
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REMARRS (TO BE NOTED ON PERMIT) :
� 'M ' • ' '
�I�'Y of O�ONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
• - � � On the North Shore of Lake Minnetonka
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 furnish 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 3.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 Council 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.
P u.P U.2a� 41a n n n
First Middle Last
735 �.i�ch.ey Lahe �n�.ve
Address
Lan.g Lah.e MN 55356
City State Zip
(6121 473-1151
Phone �
I understand my rights as stated above.
Sig ature
BUILDING&ZOIYING—473-7357 • ADMINISTRATIOIV&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
, • � .. .
�_� �G� OF �gJECTS OF DATA �
Subdivision L 'I`ppe of data- The rights of individuals on whom the data is
stored or to be stored s3:e11 be es set forth in this section. n individual asked to
Subd. 2. Information required
to be given indivi�ual- �►
� � su 1 rivate or confidentisl data concernina amwi�in the collecting state agencY,
PP y P
purpose and intended use of the requested
(b) whether he may refuse or is legally
political subdivision, or statewide system; �own consequence arising from his
required to supply the requested date; (c) any
1 in or ref�sing to supply private or confidede�al law to receive the data.1tThis.
supp y g stste or f �vesti ative data,
other persons or entities authorized by
requirement shall not apply when an individual is esked to supply g
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue n►g lgrt tax re�und instructionsuinsteadhos
subdivision in the individual income tax or r� �
on those orms. . --- -� - a
tp �� by ��yl�. Upon request to a responsible
Subd. 3. Access
authority, an individuel shall be informed whe blic hpf vateeor eonfident al.e Upon his
individuels; and whether it is classified as p � ublic data on
e to him and, if he desires, shell
further request, an individuel who is the subject of stored priva e or
individuals shall be shown the data withou�f an�y ��g. �tQr an individual h�s been
�e i n formed of the eontent and meaning t he data need not be disclosed to
shown the private data end informed of Its u���action pursuant to this section is
him for six months thereafter unless a �P
� endin or additional data on the individusl h� at�Qor public dataruQon request by
� responsible authority shall Qrovide c�p1�The hresponsible authority may require the
the individual subject of the data• csrtif n and compiling the
requesting person to pay the actual costs of maldng, Yi g'
copies. immediately, if possible, with any request
The responsible authority shsll comply S af the date of the request,
made pursuant to this subdivision, or within five day
excluding Saturdays, Sundays and legal holidVays�n that t meghe shall so�info m the
possible. If he cannet comply with the request with the
hsve an additional fi�e da}'S Within which to comply
individual, and maY �d le al holidays•
request, excluding Saturdeys, SundaYs g
te or complete. An individual rr►aY
. Subd. 4. Proced�u'e �►hen da� � ublic o�p ivate data concerning himself. To
contest the eccuracy or completeness�ef P in writing the respensible authority
exercise this righi, ar► individusl shall notify �ible authoritq shall within 30
describing the nature of the disagreemenL The respe
days either: (a) correct the data found to be iT�e dataeincluding pee�Pl�� ngm d by
notify past recipients of inaccurate or incomp
the individusl; or (b) notify the individual tn�'v dual's statement of disagreement is
Data in dispute shall be disclesed only if the i
• included with the �isclosed data• be appeeled pursuant to the �
' The determination of the responsible authority may .
provisions of the administrative procedure act relating te contested cases• ,
ATE TIME �
CITY OF ORONO CALLED IN �- ��i"
INSPECTION NOT CE SCHEDULED �/�/�z— // O d
PERMIT NO.�' ' � COMPLETED L( t�
ADDRESS � -�%C�-� �
OWNER ,�1� . s CONTR.
TELEPHONE NO. �.�5 � �'l���
� DESCRIPTION ���.
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 F� 11 MECHANICAL FINAI 18 EXCAVIGRADINGIFILLING
y 3 INSULATIO 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 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
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOf1ECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C'C�TATtON ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra n te:
Inspector.
White Copyllnspecfor' File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO CALLED IN l� '�+�� 4/
INSPECTION NOTICE SCHEDULED /� -,� � �:�0
PERMIT NO. .�a.3 � COMPLETED �� ��
ADDRESS � � � �/�--�-y �����
OWNER �a � CONTR. C>�d./�.e..
TELEPHONE NO. �f� 3 P ��5��
� DESCRIPTION � .d-�-✓
lU 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
yFFAMING � 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4�i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOUFS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContr r oq�ite:
Inspector. ��
White Copyllnspector's ile Canary Copy/Site Notice
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED f/'- 3 v
PERMIT NO. �930 COMPLETED �"� �Q—
ADDRESS � �
OWNER _ CONTR.4�� -c�
TELEPHONE NO. ��.Z� - q5 7�
� DESCRIPTION _ �'����i�--
01 FOOTi{�l 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 ING 11MECHANICALFINAL 18EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor i�
inspector. � �
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White Copyllnspector's File Canary Copy/Site Notice
CERTIFICATE OF SURVEY
FOR PAUL , , _ ,.
OF \COT 3 , BLUCK 2 , RINGERSWOOD
HENNEPIN COUNTY , h1INNESOTA
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I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 3,
Qlock 2, Ringerswood, the location of all existing buildings, if any, thereon, and the proposed location
of a proposed building. It does not purport to show any other improvements or encroachments.
COFFIN & GRONBERG, INC.
Date : 4-21-86 �
Scale: 1" = 50' R ar . �ron erg �n. ic. o,
o : I ron marker .
. � En ineers & La
;j��.8; . Spot elevation . � 9 nd Surveyors
�Datum: Assumed p Long Lake, Minnesota
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