HomeMy WebLinkAbout1993-005737 - 3 season porch PERMIT i_
• CIT�( OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 t"���i`�-��=��s
Orono, Minnesota 55356-0815 Permit Number: t�i;c f:J::
(612) 473-7357 Date Issued: � ��j,����;�;
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: n::';�v;r�i' i:i';�� i;�'� ��,�:s�
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CONTRACTOR: ��II��I��s. — ��_�����.;��� --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:fiIGNATURE
� CITY OP ORONO - BQILDING PF.R'�LIT APPLIC�.TION •
�-=1 F'ee: $ J`��- �5 Da�� P.ece�ved:
;�._
- Dat� t�DD:OVeC.:
.�ered By ' ���) _ ; � '
-' - Pe�it� , �J�
:I, INFORMATION MIIST BS SDEMIT'�ED T_'7 FII�Z BEFORE PI.�N R..�7IEW WIIS� BS ST���
(See Chec�-af� List �ncZosed)
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r� �ppZICANT IS: (circle ene) OW�TER ar CONT_RACTOR
�s sz� x�Dxass: .SS ��� ►+� q R K � R 1 �� zsP: S�` �Sk�
(work) �'7�i-8367 1��^�
`� OF O WN�R:
U�I�L. s -�- ��)�lC� � V���.1� PHONE: �ncme) `f7�"�78 �
SI.ING ADDRESS: �S L���'P1'1�K L7 � CI?'Y- O Ri t71�l2� ZIP: �S 3 S 6
NTRACTOR: �j �L � PH�NE: � ��
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zzrx� aDn�ss: `7 ,��'^. G cz�: S ��� zzP: 5 ��
�� zzcExsE: � nra �r � S`� �- !q Sb .v►�►Rt�c�.''
. r� ��,�� µ�P�-c s Ez. P�o�: y�7 ���i zg 1 ��
�TE CT/ENGIN�t.
LI.ING ADI3P,BSS: � ��� CSTY: S� �" � ZIP: S h""�'�_
�_ S �,,,� � REGISTRATIOA = ua NV�
�E OF WORK: New Addition� Accessory Struc�ure MOPP
De:ao Re�cdel/Alteraticn Renovate Land Alteration
)POSLD WORR (describe in detail) : Ij�.� o� � S ���� ���� ����
� S� � � ��/b
)RSES:�_ SQ. FE$T OF EACH �OOR: � �'�
OF BSDROOMS: GARAGS ST�I�Ss ATT.� DP.T.�
-� a"o �,
r�c�('� — - z� ��
'=MgTED C�NS�IICTSON VALUATION (ezcl.uding Iand) : $___�v vv
,ereby aaply foz a building pe�it and I acknowledge that the iar"ormation
�ve is complete and accurate; that the work wi11 be in confor�ance with the
inances and codes of the City and with the State Building Code; that I
erstand this is not a permit and work is not to start without a Fe�it; and
� ttne work wi11 be in accardance with the approved pl�. .
• � DATE: � ' ' �'- 1�
LICANT'S SIGNATIIFL�: �
, CHECR OFF LIST FOR ISSDANCE OF PERMITS
� . FOR OFFICE USE ONLY
ADDRESS OR I�EGAL: SS �-r4�'V 1� t't�1i4(t K �R- PID: �
DSSCRIPTION OF WORR: 3 5 Elq S ON PcuLC.E+
-------------------- ----- -----------------------------------------
ZONING REVIEW BY: DATE APPROVED: !!- �s'' �f.�
BIIILDING REVIEW BY: DATE APPROVED: !(-/S"S,�
FEES TO BE CHARGED: Misc. Fees Ca�culated 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)
--------------------------------------------------------
ZONING CHECR LIST Zoning District: L�� ��
Fire Department: l,ow�, (�k-t: Post Office: � School District: �2c�►'O
Lot Area: � G ff�fU �diC�th: Depth:
Survey Submitted: Yes 0�_ No Date of Survey:
Proposed Setbacks:
Front (bake.) : L7o Right Side: � Z�`�
Rear (S��t) : N (�( Lef t Side: �-Uo` -� �
Adjacent Structures: /4Tt�4�l�t�."� Wetland: dd 2.SU� 'f'
Bui�ding Height: Def. Hgt. 6• � Peak Hgt.
Avg. Setback: Lot Co erage:
xisting Prop sed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varian e Require : Yes No Date f Coun il Approval:
Grading: Staff A proval Dat : B : Council Approval Date:
Septic: Staff Ap roval Date: BY=
Zoning File:# Reso uti n # : Resolu ' on Date:
REMARRS (in hou ) : .
BUILDING REVIEW CHECR LIST •
IIBC: � -3 CONSTRIICTION TYPE: �r � ,,:, ,�:;,��-
_. t �. .�.-�
v ,.;��t��.{.�s. :
Sq Footage $ Per Sq Ftg ' �
.. Basement _.. X _ �ti s ,. r� �,����.. �, � _,�.:-
lst F�oor x = , ,� �_;.�.
2nd Floor X - r-�- �'"`� ~ r`�;v=:
Garage x =
x = .
TOTAL
Estimated Construction Value: $ ?J?
UOao6
Inspections Required: Work Reqniring Separate Perm:its:
Site Plumbing Grading/FilJ.ing
�Footing MechanicaZ Fire .
Framing Septic Water Connection
Insulation Fireplace �Sewer Connection
Wal� Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Wel 1 (State Permit)
�Electrica� (State Permit)
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REMARRS (IN HOQSE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REiKARRS (TO BE NOTED ON PERMIT) :
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Post Office Box 66•Crystal Bay,Mianesota�5323•Muniapal Omces
�
� _ o � On. the 1�Iorih Shore of Lake ��linnetonka
DATA PRNACY ADVISORY
In accordance with M_S. 13.04 , Subd. 2, "Rig:�ts of subjects of
we would Iike to inform you that your request for a per:rcit or
data" , uire
license from the City of Orono or any of its departments may req
you to furnish certain private or confidential intormation.
you are notified that:
1. The inrormation you furnish will be used to determine your
qual.ification for the pe�:nit or licer.se requested.
2, You may reiuse to suppl.y data, but refusal maY require that
the City deny the Ferm'-t °r Zicense.
3. The iniormation may be shared with other Ioca?, sta�e or
federal. agencies to the extent necessary to process the pe="�it °r
Iicense.
g, If your reauested per.nit or license requires Councii action
to approve, some inf or•nation may become public.
5, you have certain rig
hts under M.S. Z3.04 to rev�ew p�ica��
data on yourself.
6, yaur full name is require� to process tnis appi ica�ic� oi
permit.
� �,r�� �--Z` 5 � -�fZ k 1�S'z
First
Midale Las�
S-S �- � 1.� M � t�2.
Address
��� w� �J SS 3 S'�
City
State Z�p
6�2.. �+ 7 S - I � �J.-
Phone �
I understand my rights as stated above.
�
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Signa ure
BUILDING&ZONiNG—473•7357 • AD!NINISTRATj�y 8c FI`Y`�'�CE—;�3-7358
• PUBLIC ti`/ORKS —473-7359
ASSESSING
_.___ , • .. -
. i '
r
. �.0� RIGHTS OF SIIBJECTS OF DATA ' '
�� Ls of individurls on whom the data is �
gubdivision L Type of data- The r:,h .
stored or to be stored shell be es set forth in this section. n ����u� �ned to
to be given indivi�ua1- A
� S�d, 2. Information required ency,
• ' 1 rivate or confidential data concerning ��i��e collec�iing state �g t e
suoo y p
purpose and intended �se of the requested deta
(b) whether he may refuse or is leg y
political subdivision, or statewide system; �own consequence arisi�g Irom his
required to suooly the requested date; (c) �nY �d (d) the identity of
A This.
� supplying or reivsino to suooly private or coniidentiel at8+ cative dats,
other persons or entities authorized by s V�Qu��e�kedlto su_oolye�v�o�ty.
requirement shall not aoply when an inai
pursuant to section 13.8?, subci.ivision 5, to � law enlorc�ment oificer. ed �Qer this
The commissionsr oi revenue mav olece the notice rea�jr
division in the individual income tax ar oroDertv tax retund instructians instea� O1
sub ._.
on those iorms. � . - -- ..
Subd. 3.
. Ac� tD �� by ����' IIPon reauest to a responsible
orit an individual shall be informed Whe blic h r vateeor confidentiaLe IIPan h�s
a u t h y� u b l i c d a t a o n
individuals; and whei her i t i s c l a s s i f i e d 8 S P u �
��aC,ge to him snd, if he desi;es, she11
further request, an individuh �L$ withoutlany t °f stored priva te o r be�n
individuals shsll be shown t of that data• After en individual has
6e informed of the content and meaning the c�ata ne�d not be �sclosed Lo
dispute or aatian Pu-"s�nt to this se_tiaT��s
shown the private data snd informed of its meanu��
him for six months thereafter cuLTess $ �Dlic dat� uP�n request by
� ending or edditional d�tg on the indi��h h�BteQor p llected or create e the
p rovide co i� P refl�r
responsible authority shail p P The responsible authority may
the individual subJect oftrie ac ual.�Ds� of maldng,
cartifying, end comp�g the
requesting person to pay -
it ssible, with any request
copies. s}�, comoly immediately, F° uest,
The responsible authority or �t� five days of the date of the req
made pursuant to this subdivisi�d legsl. hou�YS� � immediate complianc= is not
exc�uding Saturdays, Sundays
' Ie. If he cannot comply with the requ et �� i�n�y�ch toh omolynw n the
possib �Ve � additione1 fi -
ind.ividu�.l, and may Sun�'ays and Ie;el holi�ys.
request, excluding Saturd�ys,
fiae when �ata is not acrs�ate or camplete. An individusl maY
Subd. 4. P� ublic or private �ata concrrning himseif• To
contest the accuracy or completeness�ef Pnotify in wMti� t�e res�°�ble authority
exerese this ng�t+ � in��� S� rLsible authority shall within 30
describing
the n8t�se of the disagreement The resp°
' om Iete data, inciu�ing recipients named by
� either. (8) �a�'ect the data found tc be u�a���'at� or �nc�mplete and attemp o
�
notify past recipients of inac�urate ar � eement is
the individual; or {b) netify the inm�� ��du�,��tem�o��� correc
Data in dispute shall be disclos�d only -
• include� wiih the �isclosed data• �ib1e authority nzaY � BDPesled pursu8.nt to the
' The determination of the respo to �nt�ed cases.
provisions of the adminis'�rative proc�dure act relating
ATE TIME
CITY OF ORONO CALLED IN r� �7 ��
INSPECTION NOTICE 7 SCHEDULED �'/%� %C%��r�
PERMIT NO. >`�� �/ COMPLETED �rFS ��
ADDRESS - "' � -�:�'��- � ^
, " i.
OWNER ���^��r�-� CONTR� � ��
TELEPHONE NO. �r�� ��� , �
� 4�SCRIPTION �� � �ci
� 01 FOOTI,N� 11 MEC! NICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINA� 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �/ORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W �❑CORRECT WORK R PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN � PHOTO TAKEN
❑STOP ORDEfi POSTED.CALL tNSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contrac r on ' e:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTIUN NOTICE SCHEDULED � -/� /� �
PERMIT NO. J�7�� COMPLETED �'� � '
ADDRESS J`�.S (��,,.v����'1;/ttis,/� �/1 •
OWNER 1",Q1��� CONTR.�D
TELEPHONE NO. �7�' ����
� DESCRIPTION
� 01 F NG 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/CRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
�
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
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED f � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REIN3PECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex ,inspection 24 hours in advance.473-7357
OwnerlCon c n i :
Inspector. —
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO /1 CALLED IN ���9�
INSPECTION NOTICE ���j � SCHEDULED 3 ' ��l
PERMIT NO. `Z COMPLETED '�� -G��
ADDRESS 7 -����u�ruk����-'�.
OWNER YO.f.�._.«'� CONTR.
TELEPHONE NO. ���" �"���' �
� DESCRIPTION �(�C.�✓
� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREP�ACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 EMO—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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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�`�Eiden Constructl�n
;FaF Lot 1 ; Olock 2, ��c '
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ilennepin County, blinnesota � ;�-- , _ _ __ �_ _ _ , _ �
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���� l�ereby certlfy that thts is a true and correct representatlon of a survey of the boundarles of Lot .i ,' 01ock 2, tt,1�'S'dE Lnraui
' tlte locat{on oF al l ex[ stIng bui lcJings, i f any, tliereon, ancl tlte proposed locatton of a p�•upased bul Idi�ng. It cJoes no4 ?ur��ort
to show any otlie'r� tmprovements or encroachments.
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���i�' ;� COFFIN & GRONOEIiG, �PlC.
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• � � ' � M,�rk S, Gronberg MN, 1.1c. No. 12155
-� S�ale: 1 l�nch = 100 feet Eiigineers, land Surveyars, planners
;, b��e : . January 23, 19Q9 Long Lake, Mir�nesot�
������ : iron marker '
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