HomeMy WebLinkAbout1995-007341 (add./remod.) __ ___ _ _ _
� PERMIT
• CITY OF ORO�V� PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _
Crystal Bay, Minnesota 55323 Permit Number: --
(612) 473-7357 Date Issued: _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: - � -
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FEE SUMMARY:
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A ICANT%PERMITEE SIGNATU E ISSUED BY:SIGNATURE �,
• �� CITY OF ORONO - BIIILDING PERMIT A.PPLICATION
r �
1� / �C Date Received: J' �_ `7���
Total. Fee: $ ! ;3� /� �U i
Date P.pprov�d: � /.�� j�5 -
Entered By: � Perlit�: �-3`��
AT.T• INFORMATSON MIIST BE SIIBMIT'�F�D IN FULL BEFORE PL�N REVIEW WI� BS STARTED
( See Check-off List Enclosed)
-----�__"�--------
-----------------
------------------------------
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THE APPLICANT IS: (circle cne ) OWNER a CONTR.AC10
. � i �� ��Zs� �� C � �- zzP: �s3 �/
JOB SITE ADDRBSS:
(work)
� PHONE: (home) � � � � 7�3 1
NAME OF OWNER: � � �- �1"C'L 1;4 S
MATZ,ING ADDR.ESS:
��I�� ( lL S� c�' �TY: �� ZIP: ���/
�e�^-r - PsoxE: �? �G�5�
CONTRACTOR- S �,/
(� ,/ � � �CIZ'Y: ZIP: � ��,L
MATI,ING ADDRESS: .� /lU �
STATS LICZ'NSE: � / X�� �
PHONE:
ARCHITECT/ENGSNEER:
MATL=NG ADDRBSS:
CITY: ZIP:
R.BGISTR.ATIOA a
N�ME:
TYPE OF WORK: New
Addition Accessory Struczure Move
Demo Remodel/Alteration�- Renovate Land Alteration
PROPoSF.D WORR (describe in detail) :
/'T Gt'C%� �lC�S P� i�tin� � l7 it$ ��
,�1� y"lti�'��I �� '7�' �t'�.-- � �U '�".
�
STORI$S: /� SQ. FEET OF EACH FZ�OOR:
NO. �F BEDROOMS' C,A�2AGE STAI�LS: ATT. DET.
� G�J
_ / ��C�
ESTIMA�ED CONSTRIICTION VALUATION (eacluding land) : $
T hereby appl.y for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance W thath
ordinances and codes of the City and with the State Building Co e=�it; an
understand this is not a permit and work is not to start without a p
that the work will be in accor e with the approved plan. .
� .�
APPLICAr7T'S SIGNATURE:
DATE: �
,� _ � CgECR OFF LIST FOR ISSIIANCE OF ����`�5
- FOR OFFICE USE ONLY
(� r % ' PID: .�O //7' �3 �j GC�,:7 „�,S'
ADDRESS OR LEGAL: ��I d � ���-� �'��`'�
� ' � ��;.ti.0 A 1;:.,v
� n,���
�DESCRIPTION OF WORR: --------------------
--�------DATE
------- ---- � Z _ - __
------------- p�PPROVED: � � 5
ZONING REVIEW BY: `
J DATE APPROVED: 7 -i Z -`" �
BIIILDING REVIEW BY: � L�••t�..- --------------------
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---------
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes �N�
PLAN REVIEW Yes ;/' No SEWER CONNECTION
STATE SURCHAFtGE Yes� N° WATER CONNECTION
pARK FEE
INVESTIGATION FEE Yes No � SITE INSPECTION
SAC YeS OTHER ( specify)
Number of SAC Units ---------
--------------------
ZONING CHECR LIST Zoning District:
� Post Off ' ce• School District:
Fire Depa tment: � —
Lot Area :
� Width: D pth:
Survey Su mi ted: Yes
No D te of Survey:
Proposed etb cks: ight Side:
Fron (La e) :
Rear' (Stre\ t) : �.ef t Side:
� ; Wetland:
Adjacent St uctures : �
Buil�ding Height: Def . Hgt t a
Peak Hgt
�
Lot Coverage:
Avg. Setback: � proposed
Existing � ,
i -
Hardcover: 0-75 ' ; i
i
�
75-250 ' ; ,'
i '
250-500 ' �
500-1000 ' �
� Yes No Date of Council A prova�:__
Hardcover Variance Requi e :
Grading: Staff App
roval a e- � By• Council Approval Date:
Septic: Staff Approval Da By=
Zoning Fi�e:#
Re+soluti n �• Resolution Date:_�_
REMAggS (in house) :
BIIILDING REVIEW CHECR LIST • • " r
IIgC: �- " � CONSTRIICTION TYPE: v N
Sq Footage $ Per Sq Ftg
Basement x -
lst F�oor X -
2nd Floor X -
Garage X -
x -
TOTAL
Estimated Construction Value: $ �S i�Ud�
Inspections Required: Work Requiring Separate Permits:
Site _�Plumbing Grading/FiJ.l�ing
A('Footing /�Mechanica� Fire
Framing Septic Water Connection
�Insulation Firep�ace Sewer Connection
Wall. Board (Masonr ) Lawn Irrigation
� (Mf g.) y Other
_�Final Wel� (State Permit)
Other
�Electrical. (State Permit)
--------------------------------------------
REMARRS (IN HOIISE) :
-----------------------------------------------
REVIEW BY OTH�RS: DAT`E:
Access : Existing New
Access Approval: Date BY=
------------------------------------------
�F,MARKS (TO BE NOTED ON PEEtMIT) :
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p Post Office Box 66•Ctystal Bay, Minnesota 55323•Municipai Offices
•
. o - o o 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:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense reguested.
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 �ocal , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signat e
BUILDING&ZONING—473-7357 � ADMINISTRATION&FiNANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
� •. � -
�G� OF ��C� OF DATA
SI3.04
Subdivision L TyPe
of data- 'I'he rights of individuels °n Whom the data is
stored or to be stored she11 be ss set forth in this Section. An.individual asked to
to be given i��ividuel-
gubd, 2, Information r�Qd himself sha]1 be informed �f� �gency,
sugply private or coniidential data concerning Whether he may refuse or is legal.2Y
ur ose an
d intended use of the requested data within the collecting state a�m his
politicel subdivision, or statewide system;c �ny �own consequence arising fro
rivate or confidentiel dats; end (d) the identity of
required to 5L1DQ1}� the requested dat�;
( )
suoplying or refusing to suooly P State or federal law to ricenvest gative data,
other persons or entities authorized by
1 when an ln tola law en oresmentuo i ce:.
requirement shall not app y
pursuant to sec ti o n 1 3.8 2, s u b���ion �� the notice reauired under t his
The commissioner of revenue mav place
subdivision in the individusl income tax
or propertv tax retund instructions instead ot
on those orms. � �
U on request to a resoonsible
Subd. 3. Acc�ss
to �ata by in�vidual- p
' dividual shall be informed whether h=�ateeor confident al.e UPan tus
euthority, an ln ified as publi�� P ublic data on
individuels� e.�d whether it is class
further req e ta him and, if he desires, shell
uest, an individual Wh° is the subject of stored private or
of that �t he datg nesd notvbe �s��ed Lo
individuals shall be shown the data without any c g
�e informed of the content and meaning ��uant to this section is
shown the private data and informed of its u�e o�g��on p
him for six months thereafter �� g �p Q or ublic data upon request by
'tional data on the individual hes been collected or created. T p
� p e n d i n g o r a d� rovi de cop i e s o f t h e p r i v a P r e q u i r e t h e
responsible authority shall P The responsible authority�a compi�ing the
the individual subject of the data• eertifying,
rec�uesting person to pay the actual costs of ma)cing,
y ssible, with anY request
copies. comoly immediatel , if pa
The responsible authority S�or within five days of the date of the request,
made pursuant to this subdivisi�a �eg� holida �s, if immediate compliance is not
s��gys y
excluding Saturda}'s, 1 `,,�ith the request within that time, he shall siln�°rth �he
possible. If he cannot comp y within which to comp y
individuel, and may hsve an additio� le alaho days.
request, excluding Saturdays, Sundays g
te or complete. An individual mgY
Subd. 4. ProcQ�'e when �� � ublic or P ivate data concerning himself. To
contest the accuracY or comoleteness of P in writing the responsible authority
exercise this rig
}�t, an indivi�ual e��n�°tThe responsible authority shall within 3 0
describing the nature of the disagr lete and attempt to
reci ients named by
days either: (a) carrect the data f ound to be lete datae including P P
notify Qast recipients of ineccurate or incomp eement is
' dividual; or (b) notify the individuel thatVh u�telis�gte entof disagr correc..
the ln �f the indi
Data in dispute shall. be discl°Sed only �u�t to the
• included with the disclosed data• ealed p
The determination of the responsible authority may be aPP
provisions of the administ�'ative procedure act relating io contested cases•
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G[nERALCONTP,ACTORS
J�FC Dk'����'�ri�Y
F?t�.E3Cit 245 r SPR1tiG PAFiK, MI�'VNrSUTA 5538r$
DATE � � TIME
CITY OF ORONO CALLED IN � - - 5 _ S .�l ' �
INSPECTION NOTICE `/ scHEou�E� � «- ��f�'C�� ,��,
PERMIT NO. J I �`� 7 r COMPLETED '�
ADDRESS �'�I �� ����'��cr ���=
OWNER �,��iP_Lc..1 CONTR.�1���-�1��_��.�-, �.�
TELEPHONE NO. �� ,'/ � ��� �>�-�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
O
Z 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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W� WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED f, ISSUE CERTIFICATE OF OCCUPANCY
� u CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-73�J7
OwnerlContrac 'te:
Inspector. `
White Copyllnspector's File Canary CopylSite Notice
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DA TI �y,
CITY OF ORONO CALLED IN ' / �` ��L "" 1
INSPECTION NO�ICE _/ scHEou�E� � � • � 'q�2�
PERMIT N0. l� �t f COMPLETED
ADDRESS . "'%�� ��C�/'�C�'� ��l�t�
OWNER CONTR.
TELEPHONE N0. ��y ` =� ��� /� � ""
� DES TION
ly� FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 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
� COMMENTS:
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W ��I�,WORK SATISFACTORY:PROCEED -] PROJECT COMPLETE
WCJ�ORRECT WORK R PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the n�x inspection 24 hours in advance.473-7357
OwnerfContr or on s te�
Inspector. � ��� �����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �C ��
INSPECTION NOTICE SCHEDULED e�/�/G 3" o?=c�c7
PERMIT NO. .�`j� COMPLETED I/t �
ADDRESS �� � �' '
OWNER 1 CONTR.
TELEPHONE NO. ���J �-Z
� DESCRIPTION�v i12.��—CJ
� 01 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 2 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� C CORRECT WORK 8 PROCEED [- ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
Ll I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the r�ext inspe tion 24 hours in advance.473-7357
OwnedContra or o e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �i �-��
INSPECTION NOTICE �/ SCHEDULED i-��%� � � -�
PERMIT NO. ' '� �/ / COMPLETED I1` �
ADDRESS � � =� �
OWNER � ����<<y CONTR.
TELEPHONE NO. ��`"7� � �-� -�--'
� DESCRIPTION l'�%�ir'��-�%
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� WALL BD� 12 WATER HOOK-UP 17 SITE INSPECTION
-05�AL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE
W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
V' PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARR,NGE ACCESS.
Call for the xt in c on 24 hours in advance.473-73�J7
OwnerlContracto o �te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��.� 1,'� c w,��� ����S Ceroral Notaa
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� Cc;t �n Placa Coccr�!e. .�
� „n0 on s,eps shall Ce at rgnt (
�� p^ . ez <o I �ef feot np o foundat'�n e �
� /�'�/t „'�.; wcn an espm . . ;nees gr+�.
��;` ��� ,"j� ID'-o� a_ ,�. � • e�. �0 s oi .ece'ie s ec�ci desgn
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i � �'f:cc;s ��r ]e.e�min�tl_ns ..nd or_a. �
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� ����-egcta fill3r (or sam= sholl be of
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. 1- - - - - -- - - - - -- - I /� ;c y r��n c a re c. . .
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j � � I �7 )oroge, porch, s:oup, and ou,'�a9
� � � s�_�-=ye sichs. sholl hov: 6 < 6 mesh.
. � % � � � , � , � � 3. ac�.`-y Iia��O curm��agent to a�i ga-
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�r�, � _ � ���, { A��ck��tect John Erickson
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COEI.E�N & JP.MES PRAUS
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GENERAL� '"_.:.��LY��� � M..AI� `__'�_ �
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JEFF DANBERFY �'�,�=�.�...., �4y�, � I�
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P.O.BOX 245•SPRING PARK,MWtN�pTq � � 9'I 2-*.. .y..�__... ...� �'�1Nirr Nb: �.,.. �� � a�,.:o/as A . 2 �-
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�,�r ; a�, LLG11L ll�SCRIPTION:
o � �,.�� . Lot 35 and the West 1 /
�'�, flsP �) XY •`;; �' SPRING P11RK. 111so all
�� ��ti o �•�,,• �� between the above desc
• � J�- ! and the shore of Lake
`} v• \ !• the south and between
� r liiie of� said Lot 35 a►
' ,;. � •; � �'" southerly Lo said lakc
:•;�;' ';. o ;::'. � � ing to ttie recorded p-
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SURFIICE 11RE71S: � `�.; , a �v�°/� ;Q,Q, , ��
� �"' / �
1 I�rea = 22, 495 sq. Lt. � \ �%� 1�
� � ON
e = 1511 sq. ft. J, � �oi�\�� �,�/��� � `
k ^/ s ��
tge = GF32 sq. i�. � /�. /��S`n� `�
�rete walks = 6G0 sq. ft. ,,� /� ;`=t�
i 1= ��
iililllOi.IS d3:ive = 728 sq. Lt. � �! " �
I stairs = 204 sq. ft. �
. = 1 7 9 sq. f t. G�NERIIL NOT�S'
o Denotes iron monwiient Prop�sed top of foundation �
��x�� Denotes cross chiseled in concrete Proposed basement floor ele�
x931.3 Detiotes existing spoL elevation Proposed garage floor elev.
987 lleiiotes proposed spot eleva�ioil
—+----- lienotes surface drainag� kI�NCFIMI�RK:
Das;i�d contour lin�� d��ote p�;o��osed f`ca�ures
„ Solid contour lines c�enbt� �X151:ik1� �e��u�e�
r� �
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