HomeMy WebLinkAbout1991-004006 - roof over porch . PEIZNIIT
�ITY OF ORONO ` �' PERMIT TYPE: ��t�IL�'���d�:�
1335 Brown Rd. South • P.O. Box 66 Permit Number: i;c�;�.c�is=�<<
Crystal Bay, Minnesota 55323 Date Issued: �.i i;'f�.:'`��
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: ���' ~r'�'� �`��''`� +
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APPLICANT,PERM�TEE SIGNATURE ISSUED BY:SIGNATURE ��u�
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Certificate of Survey
for John Allenburg ,,., � � ,��
of Lot 4 , alock 1 , Knoll M-�nor C�'1��� � r" ' �� ��
Hennepin County , Minnesota
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COUiVTY ���� �°�'y.
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I hereby certify tl�at this survey was prepared by me or urder my direct supervision
and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota .
Scale . : 1 inch = 50 feet COFFIN & GRONQERG , INC .
Date � : 9- 13-89
o : Iron marker ��'�'�� 2',r�, .�.�..t�
Mark S . Gronberg Mn . Lic . No . 12755
Engineers , Land Surveyors and Planners
Long Lake , Minnesota
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� ' CITY OF ORONO - BQIi�DING PERMIT APPI,ICATION
� E i
Tota1 Fee • $ ��-S� �ate xeceived:
�ii���J A f T�L�' 1�������� "
iJdi.G nuuiiUVcu:
�ntered By: �'�
Permit�: `�d� �o
A�.r. II+]PORMATION MIIST BE SIIBMITTED IN FIILL BEFORE P�AN REVIgW WII,L BS STARTED
(See Check-off List Enclosed)�
--------------------------------->"-`_----------------------------------------
� APPLIGANT IS: (circle one) � OWNER�or CONTRACTOR
Jos siTs AnnxEss: /��0 �f�/��c.� �r� /2c� ziP: ��3 a �o
(work)
_
r� oF owrr�: o .� /�e�, L, psoxE: (home) � 7 3 6,�� 7
.'3AILING ADDRESS: /O�6 [Y�i6�l .�/lGcl't.d✓ �.c:� CI : � ZIP: 5����
CONTRACTOR: C�C�1��V� PHONE: �.CZ,`Ytti.L�
MAILING ADDRESS: �E>�-`�s�_ CITY: Z IP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remod�/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : c�.�� c � ��-�- - �-
�I�L - ��-,
STORZES:�_ SQ. FEET OF EACH FLOOR:
NQ. OF BBDROOMS:. GARAGE STALLS: ATT.� DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /SG� '
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
�rdinances 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 SIGNATQRE: �����'� DATE: /D - �`��I/
.� ��1� ��'+� �
,_.�.__,�,_
�� � � o� ���1��
Post Office Box 66•Crystal Bay,Minnesota 55323•Niunicipai t�ihces
•
e � � � 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:
1. The information you furnish wil.l 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 tQ 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:�. 13.04 to review pri�a�e
data on yourself.
6. Your full na�:e is rsq��i�e� to process tnis applicaLion or
permit.
A��"�GtCt r�� ��(�� �
First Mid�le Last
) o �O �i�c� C( u V l:�h b t/� �cL_�_
Address
�-�-c9-v
City State Zip
�{�� �� ���
Phone
I understand my rights as stated above.
Si n ture � .
BUILD[NG&ZONING—473-7357 • ADMINISTRAT10lY&FINANCE—�i73-7358 • PUBLIC WORKS—473-7359
ASSESSING
r� sTd
513.(l.4 RIGHTS OF SIIB�'E�"jj ''v� ::�'y--
S
ubdivision L Z�9pe of �� The rights ction�vi�usls on whom the data is
stored or to be stored shall be as set forth in t�� Se An.individuel asked to
S�d, 2. information required
to be given indivi�ual-
� � rivate or confidentiel data concerning �mwithin the collect g state agency,
supply p v refuse or is Iegally
purpose and intended use of the req tem;d (b) whether he m8, from his
political subdivision, or statewide sys }�own consequence arising
required to supgly the requested date; (�� �Y �d (d) the identity of
supplying or refusing to supplp private or confidentiel data;
ersons or entities authorized by state or federal law to rece�v�e�ve data
other p Z when en individusl is esked to supply g
requirement shall not epp Y to a law enforcement officer.
pursuant tc section 13.82, subdivision 5,
T
he commissioner of revenue ma lece the notice re uired under this
subdivision in the individual income tax or ro�ertV tax re und instructions instea o
on those orms. • - - .
�� by ����y Upon request to e responsible
Subd. 3. Access to n �
horit an individuel shall be informed wh uti c h r vateeoruconfidential.e Upo a on
aut Y� o,, ified es p � P ublic data on
individuels; and wheth_. it is class' .
further request, an individuel who is the subject af stored private if he desfres, shall
etohimand,
individu8ls shall be shown the dsta withc of�hat da a• After an indindual has been
�e informed of the content and mea�g the data need not be disclosed to
shown the private dats and infarmed of its u���8eti�n punuant to this section is
him for six months thereafter unless a �P � n request by
" or additional dst� 4n the in��du� h�a e or p Dlic datarupaeated. The
, pen�ng rovide copies of the pri require the
responsible suthority sha]1 p on,sible authority m8Y
the individual sub}-=*- of ��e �ta• The resp ��rtifying, and cflmPiling th�
requesting person to pay the actusl costs of making,
copies. ' immediately, if possible, with anY request
The respansible suthority sha11 comply of the date af the request,
ursuant to this subdivision, or within five daYs
made p S�d�� �d 1Q� holideys, if immediate complianc� is not
excluding Saturdays, with the
ible. If he cannot comply with the request �t�withintwhich to�comply form t e
P°� have an additicnsl five . ys
individuel, and m S turdays, Sundays and legal holidays•
request, excluding
te or complete. An indi�� mgy
Subd. 4. Procefia'e when data is not accura �mself. To
contest the accuracy or comQleteness�of public or private data conce��i� g�thority
�t � ����� shall notify in writing the resp within 30
exercise this rig � nsible authority shall
describing the nature of the disagresmenL The respe
days
either: (a) correct the data found to be inac��8ei°�u�ngpee�ipi��namedtby
notify past recipients of inaceurate or incomplete �
e individusl; or (b) notify the indivi�uel t��du�,�statementofa tdisagreement is .
th if the indi
Date in dispute sha]1 be disclosed only �t to the
• included with the disclosed �ta• �ible authority may be BPPealed purs
' The determinetion of the respo to contested cases.
provisions of the administrative procedure act relating
. . V�� vil i�iaSi� �vD ivvv��ia��u �i� D�D�yT�`
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I��D �vtD(� 'I�G1M.D/' PID:
s�Lc��`amTr;� nar ;�Tr1R�-
ZONING REVIEW BY: DATE APPROVED:
HIIILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGSD: Misc. Fees Calculated By:
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)
----------------------------------------------------R�-�-------------------
ZONING CSECR LIST Zoning District: - �
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted:� Yes No Date of Survey:
Proposed Setbacks:
Front (Lake} ; ight Side:
Rear (Street) : ft Side: � �� _
Adjacent Structures: Wetiand:
Building Height: Def. Hgt. Peak Hg�.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: BY�
Zoning File:# Resolution #: Resolution Date:
REMARKS (in house) :
BQITDT�+IG �T�l CEFCR T•IST ' '
� COI?STRIICTION TYPE; V� /�
IIBC: M�� ��
Sq Footage $ Per Sq Ftg
Raccmcant Y =
�St F'ZOO�' X —_
2nd Floor X =
Garage X -
x =
TOTAL
$stimated Construction Value: $ �/ �C��
Inspections Required: Work Requiring Separate Permits: �
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)
�MARRS (IN HODS$) :
-------------------------------------------------------------------------------
RLVIEW BY OTHERS: DATE: '. ,
Access: Existing New
Access Approvai: Date BY�
R ------
EMARRS (TO B$ NOTSD ON PERMIT) :
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,� DATE � � `T11�E �`
CITY OF ORONO CALLED IN l� �3 q� "�
INSPECTION NOTI SCHEDULED �� '9 ����
PERMIT N0. 6� COMPLEfED y �=D0
ADDRESS �b � �
OWNER � CONTR.
TELEPHONE NO. �3� � � � �
� DESCRIPTION ��—
� 01 FOOTING 11 MEC ICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 ME ANICAL FINAL 18 EXCAWGRADINGIF�LLING
y 03 INSULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWEfLANDS
Z 04 D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SEf/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4Qi 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR c� CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
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