HomeMy WebLinkAbout1992-004395 - stairs/landing PERMIT �� 1 i� ���
CI��� '�� ORONO
�'ERMIT T1(PE: �:s�ILC�It��
13�t- f Zd. South • P.O. Box 66 Permit Number: t�t iq._;���
Cry�� ' �linnesota 55323 Date Issued: i�r.l�i:y/'i'�
(612j ;;�-,.;�7
SITE ADDRESS:
,?:�� F�iRE'=�T AF�'t�'=� L�
L'=�V
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DESCRIPTION:
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FEE SUMMARY: �� : . _�> r��,:=f ;,;;; ;� ;- ,
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Tat-�i F�e �°�i� .•��
CONTRACTOR: — A��� ����t� — OWNER:
A'=:FEN LAND'�C:AFE INC: 147����757 '��C:HNEEELE F'A�1L
F' . ���. E���K c��:.�4 _:'S F��F�iE:=:T RRNl:�, LA
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________ _
_ _ _ _ __ _ _ _ __-------_
TNE ��haD��s°�I Gfi�iEE7 'rlEREE�Y REra�k tE`_-t'�_; �='E�t�l I'=,'_,I i��l T�� !�#AI�':E i"HE �iEAL I t�IF'R���VEh1E#�ET:<
'r��'4t�I�I ECs �`it�C� RC�c�'�: TCF C3�ki G�LL �a1�wtF;k:: I?�! `�;Th I�:T i:���i��'L I At��:E W I T� �?LL ��I T Y �=�F
i�!;���l�l�i �E���I Nf�t��i:E°�: �h�IL� :�Ti�T� �wti= t1 I t�lt���:=���Tt� ��EJ I�C�I Nt,� �:���DE ��{�!.�I�iEtrlEt�IT_� .
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APPLICANTPERMITE SIG ATURF ISSUEDBY:SIGNATURE
' tii �/ �� -�' �//�
! CITY OF ORONO - BIIIZ.DING PERMIT APPLICATION
Tota�l Fee- $ `'/0 �.� 5 Date Received: �� � `� r / ��
Date Approved:
Entered By: � ��-ti"� �
Permit�: ��%� �S
AT•T• INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WI7�L BS STARTED
(See Check-off List Enclosed)
-------------
THE APPZICANT IS: (circle one) OWNER or ONTRACTO
JOB SITE ADDRSSS: g�J �OVP,� t"�vvY1� Iit"l, ZIP:
�4 �-
(work) a333
q�2-
N� OF OWNER: �ixU� ��16������ PHONE: (home) 40q-4-
MAIZING ADDR.ESS: �/PcM� CITY: �rOYlO ZSP: 553�(�
CONZ'R�CTOR: ��t'�P 1�l l��v��� I V1f�. PHONS: ���J -� ( �1
MATI�ING xnDx$ss: PO Cbu��� cz�: ( ,��n.rza�oc Z1P: _ �?�� I
STATS LICENSE: u J�p} I��eec�2�
ARCHITECT/ENGINEII2: L/ NOC��aeYl �f�Y�C.F�I�PHONE: �P�1"��
MATLING ADDRBSS: ^ CITY: — ZIP: —
NAME: RBGISTRATION � �
TYPE OF WORK: New Addition Accessory Structure� Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : � �� (,�ic�e X `�� �22C� ��'`�2S O� S��
`eQ��ncx �r��� � Y���1 "�"c> �rnm ,���rl nc �>� X 1�� �cl��n�j/
�OWn ` ���1.
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: — GARAGE ST�LLS: ATT. 1 DET.
. �b �
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ 2.� •
I hereby apply for a buiZding 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 SIGNATURE: DATE: �T(��E' 4 �I�
�
� � CHECK OFF �,IST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:_,� � � �[^�1' �S� ��'� j h1t_ PID: � " I� - / -�
DESCRIPTION OF WORR: KC S��2 S
----------------------
-----------------------------
ZONING REVIEW BY: �/j�n.�,— DATE APPROVED: ,��, '�" � �-
BIIII,DING REVIEW BY: �� DATE APPROVED:�GQ' �2-
--------------------- --------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes r/ No SEWER CONNECTION
STATE SURCHARGE Yes WATER CONNECTION
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------
--------------
ZONING CHECR LIST Zoning District: L/L��Q
Fire Department:�?,c,.�n.,/� Post Office: �wAyZ,n^I� School District:
� De th: ��o � �
Lot Area : 5 z,Zoc��t / �7��'� Width: /ys "� P
----r
Survey Submitted: Yes ,�C No Date of Survey: � •22 -g�
Proposed Setbacks: r
F�eat (Lake) : -7� Right Side: �t� fi
�� ( Street) : N�� Lef t Side: �� �fi
Adjacent Structures : �� ��' _ Wetland : �I�A
Buil.ding Height: Def . Hgt. �//A Peak Hgt.
Avg. Setback: �✓�/} Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' O �
75-250 ' �m 4��'
250-500 ' �` ��
500-1000 ' -
Hardcover Variance Required: Yes No p� Date of Council Approval:
Grading: Staff Approval Date: By: ounciJ. Approva� Date:
Septic: Staff ApprovaJ. Date: Y=
Zoning File•# Res lu ion #' Reso�ution Date:
�
REIKARRS (in house) : �-!{�
�
i �
�
� , -
i
,
�'
BUILDING REVIEW CHECR LIST '� '
�,
�c: g� 2 -3 CONSTRQCTION �$:� ,
Sq Footage $ Per Sq Ftg
Basement X -
lst Fl.00r X -
2nd Floor X -
Garage X -
X =
TOTAL
$stimated Construction Value: $ Z, Sop �� ,_
Inspections Rem,;red: Work Requiring Separate Permits:
Site � Plumbing Grading/Fi1.J�ing
�Footing MechanicaJ. Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l Board (Masonry) Lawn Irrigation
��'inal (Mfg.) Other
Other WeII. (State Permit)
Electrical. (State Permit)
--------------------------------------------------------------
F�F.MARTC$ (IN HOIISE) :
--------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
-------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
�,
�::�.:
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F�� � CITY o� ORONO
x�_ - .�
Post Office Box 66•Crystal Bay, Minneaota 55323•Municipal Of�ices
•
� - � � 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
Zicense 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.I be used to determine your
qualification for the permit or Iicense 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 pri�a��
data on yourself.
6. Your full name is required to process this applicatian or
permit.
C��t-ifZ -�i�OP�-I�--- I�n1��Ic:F ��C��
First Middle Last
�S��{- � �ICQ{(1 �`J� �"
Address
��o,o\e p\a�� M,N 5��5�1
Ci� State Zip
G1�q - �o�a
Phone
I understand my rights as stated above.
�-
Signature
BUILDING& 7.ONING—473-7357 • AD!vtINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
�
513.04 RIGH'I'S OF SIIBJECTS OF DATA
Subdivision L Type of date- The rigfits 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 given indivi�ual- An.individuel asked to
su ply private or confidentiel data concernina tam�sit�h�in the collecti g state gency,
P uested
purpose and intended use of the req
(b) whether he may refuse or is leg y
political subdivision, or statewide system; �own consequence arising from his
required to supply the requested dat8; (c) any
su lying or refusing to supply private or confidential data; and (d) the identity of
PP
other persons or entities authorized by staau��e�kedlto supplyin est gat ve data,
requirement shall not apply when an mdiv
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ms le�t taX re°und instQu�te°5u,ateaahos
subdivision in the individual income tax or r�
on those orms. . --- - .
Subd. 3.
Access to �ata by indivi�ueL UPon request to a responsible
authority, an individusl shall be informed�he b�c'prrvateeor confident al.e Upon his
individuels, and whether it is classified p ublic data on
further request, an individuel who is the subject of SQ to himrlande if he desires, shall
individuels shall be shown the data withou�fan�y ��a. After an individual hes been
�e informed of the content and meaning the data need not be disclosed to
shown the private data snd informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
ending or additional data on the individu e h� ateeor p bli t dataruQon request by
P require the
resoonsible authority shall provide copies o t p
the individuel subject oft�e actual�co ts of mak ng,l aert fYingy and compiling the
requesting person to pay -
copies. ssible with any reques�
The responsible authority shall comQly immediately, if po ,
made pursuant to this subdivision, or wit oiida e �f Simmediateat ompliance e��.su not
excluding Saturdays, Sundays and legal h YS�
� within which to comply with the
ossible. If he cannot comply with the req ive within that time, he shail so inform t e
p have an additionel f Y5
individual, and may �d le al holidays.
request, exeluding Saturdays, SundaYs g
Subd. 4. Proced�u'e �►hen 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 individuel shall notifh � SWr�bi�tauthorty shaIl w thin 130
describing the nature of the disagreement. T P�
days either: (a) correct the data found to be lete dataeincludingree�pi�� ngmedtby
notify past recipients of inaccurats ar incomp
the individu8l; or (b) notify the individual t��dual'slstatementof disagreementc s
Data in dispute shall be disclosed only if the i
• included with the disclosed data. ealed ursuant to the
' The determination of the responsible authority may be app P
provisions of the administrative procedure act relating to contested cases.
�
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Certificate of Survey �'���z : , s =;y ���� �� �
. ,� � �
st` ,� a i' �' ��� . �
for Gregory Price �� � ---_��_�� �
of Lot 4, Block 2, Forest Arms �
Hennepin County, Minnesota �
�
' '33 � O f,
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'��,� �a,,,� � �� ��°� ❑ a,��a����v�
e�� BY ,
� �Y, DATE ' - o -z
"��a ��� Prt,��os-�� � K,E s-rt�r 2s
� °1 �,;r�c.a
\ �_S'`rs''� r-f.ni� «�';::��'�� Scale: � ii _ 6��
` \ ���rj;c� 'i j' j• � -,wy}J Date : 0-22-86
,�y � �_ ;:` , �
`�,:,;��,,���;;�,;;��y`^,..�'-� � • jro� Marker
,�� �.`�_
� y''.�y 1 i+,w.� .
rv :�
I hereby certi;y that this is a true and cprrect representation of
a survey of the boundaries of Lot 4, Block 2, Forest Arms. It does
not purport to show improvements or encroachments.
COFFIN & GRONBERG, INC.
r/.-. �. .�„� ��"' � "'i� �
. _.. � _1 .�f �
, � "
Mark S. Gronberg Lic . :12755
�� � � � � �En��ineers, Land Surveyors, Pl�nners
--- _:'�,i� �
Long Lake, hlinnesota
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wood.Of �Jatural Res�stance lo Dec y ��t : �G��,�be ly �
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[__ P�'�RO`.'ED A� SUBh�11TTED
I-= f;f'Pi OVFiJ 1'JITf l CURR�CTIONS AS NO7�D
�_- f�!t�l' P,P�ROVED — CORftECT & RESUBh11T
�� c_.: canmr.nts ar� for y�our iniormation. AII work sh.ill he don�
L� ti��l c•�rnp!i,n-e •::ith all appl!cable bui�ding & zuning ccd�! v+a•
F ZX Z ���ue�: ���iC in:.�;. t::•^, i•`.c;n� nUt ypaCificalty neted in thi� rCvre�#
� - y:�"��j' "fF�)S E':_AN �E_T C)fd SITE .A-I� ALL TIP;�S�
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[_� �.��'I�OVFU F�S SU�Il41Tl-�D
., ��',:'i'i�l�'r't._t7 }:`�IT�I CORR�C'i'IO;VS AS NO7ED
, ��_1 �lO1- �,Pf='RO';'ED — �pr��?,_�.7� & RESUBh1lT
il���::� � �,r:irrier�;; arz for}'our inforn�ation. AI! •rork stu�ll 6e dont
'r� .'u4 ru��;��!i,?ncc .�itt� all 7ppllc:t�[ti� bnilGlr� � zoMr1R o0c1e ���
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t�<<.r� -rt-±ls F=i.hr� sFT Cr�� S;'►F nT Atl 71rriE�.
DATE TIME
CITY OF ORONO cA��E�iN ��� '��= `�=�-
INSPECTION NQT C� ,_. - scHEou�E� '7/. J 9:� �,,.�-� •
P�RMIT NO. �'� ��' '��' coMP�ETE� �
ADDRESS� �_"� � � _ �- t ��'1 � �'�= �� , ����:_
- �
OWNER -�i`' �� %�:-� CONTR.���.:,��
r
TELEPHONE NO. �����%';� � ' % -�
� DESCRIPTION �,�-�^�� >_���,<z- >-
� 01 FOOTING 11 MECHdNICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL� 13 METER SETITURN ON 17 SITE INSPECTION
��T6EM0—SITE 14 SEWER HOOK-UP 06 PROGRESS
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