HomeMy WebLinkAbout1995-006747 - addition PERMIT
CITY OF ORONO PERMIT TYPE:
2�50 Kell�y Parkway- P.O. Box 66 � - _
Crystal Bay, Minnesota 55323 Permit Number: �= �.�-:- -
i`;:',;�f ,r•`.
(612)473-7357 Date Issued: " . }�
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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_ ._________=.�__:`__
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CONTRACTOR: OWNER: -- . _ � __. .-_ --
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NTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
n CITY OF ORONO - BIIIZ�UING PERM.IT APPI.ICATION
• ' l,�I `�� Date Received: ��� 9- 9�_
Total. Fee: $
Date Approved:
Entered By: � ��i� Pennit�: r���{/
�L INFORMATION MIIST BS SIIBMITTSD IN F�L B�O� P�N ��I� �I`I' BB START�-,D
(See Check-off List Enclosed?
---------------------------
---------
� A.PPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: I 'TO S� �'�` ZIP: SS ���
M (work7
x� oF owx�x.� o �-- �e� a-.1�' C�s
PHONE: (home) d j2-��1-bQ3r
'� � CI�Y: +1 �--� ZIP: `'j s�S�.o
MATLING ADDRESS:�D
psorr�: (rZ-��(9-D o 3 �
CONTRACTOR: �
MATI,ING ADDRESS: I`�o �..e-� -�r _ CITY:���et �� ZIP: S��'�o
STATS LICENSE: ,� .
p� �.� )NE:
lyRCHI'I�ECT/ENGINEER: _ �.P�1 ��/�/
MATLING A.DDRSSS: () �� _.�-, ,��.��` Z1P:
C��-
,c"C, .
H�:
e Move
TYPE OF WORK: New Addition Alteration
Demo Re.*nodel/Alteration
� � ,1�. —(�f�tt�.ln.�
PROPOSF.D WORK (describe in detail) :� � � �O X�`�' nJ"' '
STORIES: SQ. FEBT OF EACH �OOR:
NO. OF B$DROOMS� O GARAGE STALI�S: ATT.� DET.
�STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� � � D
: hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance wi��a�hl
ordinances and codes of the City and with the State Building Code;
�,:nderstand this is not a permit and work is not to start without a permit; and
�hat the work wiI 1 be in accord 'th the approved plan. �
DATE: �� . � � �% �,
A�PLICANT`S SIGNATIIRE: i
��� � ,
• ' ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: / �� • PID: ���//7� �'3 aa d0o fo
�ESCRIPTION OF WORR: G�-e�-�c.'�/Y�.�
---------- --------------------------_---------,�-----------------
ZONING REVIEW BY: �--- -�n,ea_ DATE APPROVED' I- �/- `} _
BIIII.DING RLVIBW BY: � • DAT$ APPROVED: >- `1'9�
------------------- ------
FE$S TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
---------------------------------
ZONING CHECK LIST Zoning District: RI�-1l3
Fire Department: (,AI�(� Post Office: (�-d� School. District: pR-0Na
Lot Area: 28�i na sT '� Width: 1�O� Depth: ZOg �
Survey Submitted: Yes X No Date of Survey: /2�3-69
Proposed Setbacks: � ,� �
Front (Lake) : � 70 � Right Side:
Rear tStreet) : 6S.Y� � Left Side: SZ' t �
Adjacent Structures: i4rrJ9c.trfT� Wetland: �/A
Building Height: Def . Hgt. �j. /L Peak Hgt. �• /�-
Avg. Setback: f9.�c • Lot Coverage: $'•b°��
Existing Proposed
xardcover: 0-75 ' 7.� 7° ° —
75-250 ' 2 . 2S d ZS•68'`�a
250-500 '
500-1000 '
Hardcover Variance Required: Yes� No Date of Counci]. Approva�.: �2-�3�
Grading: Staff Approval. Date: — By: Council ApprovaJ. Date:
Septic: Staff Approval Date: BY=
Zoning File:# /8�' i ResoI.ution #: 337 y Resolution Date: iZ-�3- `1 Y
RF.MARKS (in honse) :
BQILDING REVIEW CH$CR LIST ` + - .
IIgC: Q ' 3 CONSTRIICTION TYP$: �N ` ,
Sq Footage $ Per Sq Ftg
Basement X -
lst FJ.00r X -
2nd Floor X -
Garage 2`1�c3v-7Zo�Z=144D X 15.�3 = 22�eS1.Do
x =
TOTAL
00
$stimated Construction Value: $ �� a5a �
Inspections Required: Work Requiring Separate Permi.ts:
Site � Q' Plumbing Grading/FilJ.ing
_�Footing oC MechanicaJ� Fire
_�Framing Septic Water Connection
�'_Insulation Fireplace Sewer Connection
�_Wal.l. Board (Masonry) Lawn Irrigation
OC Final. (Mfg.) Other
Other Wel� (State Permit)
�Electrical (State Permit)
REMARRS (IN HOIIS$)---EASEmE�T NwsT f3� �x���r�z� �3EF?72� �_ e�i? i3 �S3-�
1���� '
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
----------------------------------------------------
REIrlARRS (TO BE NOTED ON PERMIT) :
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
� - � � 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 will be used to determine your
gualification for the permit or ].icense 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 license requires Council action �
to approve, some information may become pub3.ic.
5. You have certain rights under M.S. 13.04 �o review priva��
data on yourself.
6. Yaur full namP is required to process this appl.icatian or
permit.
�o � �J o w�a.k, J a-.�-`s�es
First iddle Last
� -o L_e a �e�fi
Address
�.o L a�ke sS �S
City State Zip
�0( 2 - ���- 0 �36
Phone
I un erstand rights as stated above.
Signatur
BUILD(NG&ZONING-473-7357 • ADMINISTRATION 3c FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
I ?
513.04 RIGSTS OF SIIBJF.CTS OF DATA
gubdivision 1. Type of data- The rights of individusls on whom the data is
stored or to be stored shall be es set forth in this section.
gubd, 2, Information required
to be giren in���' An.individual asked to
� su 1 private or confidentiel data concernina �amwitlhin the collect ng state gency,
PP y v refuse or is legally
purpose and intended use of the requested �b� Whether he ma�
political subdivision, or statewide system;
re uired to supply the requested date; (c) any known consequence arising from tus
q rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply P state or federal law to receive the data. This.
other persons or entities authorized by investi ative date,
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or ro ert tax re und instructions instead o
on those orms. - --- - .
Subd. 3.
Access t� c}ata b9 in���' UP°n request to a responsible
authority, an individuel shall be informed�he bliC'hpr vateeor confidential.e Upon his
individuels; and whether it is classified p ublic data on
� further request, an individuel who is the subject of se to�mrl�ae if he desires, shall
individuals shall be shown the data withou�f an�y ��a. Af ter an individual has been
6e informed of the content and meaning t� �ta need not be �isclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or action p
e rivate or public data upon request by
, pending or additional data on the indiv�if�h hss been collected or created. e
responsible authority shall provide copies P require the
the individu8l subjeet oft�e actusl•co ts of making,i cert fyingy and compiling the
requesting person to pay -
copies. ssible, with any request
The responsible authority shall comQly immediatelyoff Ph date of the request,
made pursuant to this subdivision, or within five days
excluding Saturdays, Sundays and legal holidays, if immediate complianae is not
ossible. If he cannot comply with the request within that time, he shall sp in�orth the .
p hsve an additional five da}15 �'+iith�n which to com ly
individual, and may
request, exeluding Saturdays, SundeYs and legal holidays.
Subd. 4. Procefi�e when dats is not accurate or complete. An individuel may
himself. To
contest the accuracy or completeness of public oinri�� the�resporislble authority
exercise this right: an individusl shall notify �ible authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found to be lete dataeincludingreec pients namedtby
notify past recipients of inaccurate or incomp
the individual; or (b) notify the individual that he believes the data to beementcis
Data in dispute shall be discl�ed only if the individual's statement of disagr
• included with the disclosed da a. � appe�ed pursuant to the
' The determination of the responsible authority mo contested cases.
provisions of the administrative procedure act relating
._ .�
Cc�rtif_ i_catc� �f Survev
for t)onald J��rnes .
� of `I'ract C, K . L. S . No. 744
tlenne�in C�unty , Mi nraesot� , ,.��.�_.;
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l;xistinq Lc al �escri tion
------_---�--------�—
`t'r-act �', R�c�i.�t�red L�nc� Survey No. 744 , f ile� of R�qi str��r ofi
`i'i t- les, C�unty ot Hennepin .
..._- .e, ..«+.r-...yr.�.�, 1.�
. s"^vsaa�tas�^`a�WiY�II�I�l�� � ��
1
:
� . ���������� �� o�Q��
o: Tron m��rker ( fr�m 12- 3-6y ) ' � ;
I�c�rinqs �hc�wn ��re h��s���3 oi� �n as,ume�cl c�atilm. Q� � ''�1 _____ u=`s;��i�� P��'•i
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I herrby certif}� that this sun�e�� �vas prepared b�� mc�ur undt�r �m�direct supc�r- nATE �•✓ ro-Iz-9�r
�'" � . ` 1 � ` � � ,.�...,.�.�.� .�
vision,and that 1 am a dulv re�;istered Civil EnKin�er and Land Surve��c�r under �-� -
�� i2-�yJ .t�v�tu,
the 1dW5 ()f the Statr ��f hlinnesc�ta. SCALE �u=3d
�...�.�� .�.�..�►�
tilark 5. Gronber� Minnesota L.icense Num�r 12755 �"�j ��� 93` "' -•
; , �,;;� � ;
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VOL )K IL49
I
c1tv, OF 04ZON a
OUIVIDING Tr PLAN RMC
DAYS PERMIT NO.
APPROVED AS SUBMITTED
APPROVED WITH CORRECTIONS AS NOTED
NOT APPROVED — CORRECT & RESUBMIT
rWb tG*ftffltn*,t ire for your information. All work s"ll b# A
lb tW mnomnce with a* applicable bL*dft & XON08 Oft
tants , jjjtjwyng items not specificuft not*d In " r@!V
KEEP. THIS KAN SET ON WE AT XL TIMM
----a: :: _ :. _.___.�_._ "`�.' �."„" ate- -_ .._.. �:?��'i'�}IYVIr� wA
Al -0 saf v�4- -flz
A
�o
} FIRE SEPARATION
MN 5/9" TYPE X WALL BD. TO ROOV
SIMA`HING, Lp CEILING IS USED FOP.
!
E.upPOPMNG
WALLS JWUST ALSO EI: PROTECI
IN S TAPED - GARAGE FIREDOOR
I ,SOUD CORE - SELF CLASR4
of i
� t �
-- �J - c> +2-3- - .
-2- o F-- �, - ,
i,� ry
�z � �; �R�i��
wd y'
� 1
3
� 1 V i_ I
! � i
5W C WS
i�
Z
Uj
0 4�
LU
L_�c- Nit Qr \
1
- FIRE SEPARATIN
MIN 5/8" TYPE X WALL BD. TO ROOF
k ( SHEATHING. IF CEILING IS USED r:, — — — —
\ y FIREWALL THEN S PPO RTyNG
! WALLS MUST ALSO DE PROTECIEED
JOINTS TAPED - GARAGE FIREDOOR
f \ i SOLID CORE - SELF CLOSING
' 1"ound Into R ✓Z-4
��t401 Ig V
T
+
PROVIDE ATTIC VEI+ITILATION EQUAL TO
1/150TH ATTIC AP- 50% OR
MORE IS PRI O D # p R PORTION
OF Ii00F A ..- .,_ ,z�E IS PROVIDED
IN SOFFIT VENTS, IT MAY BE REDUCED
TO 1/300TH ATTIC AREA.
APPROV10 AS SUBMITTED
APPROVED WITH CORRECTIONS AS NOTED
NOT APPROVED — CORRECT & RESUBMIT
(hese comments are for your information. All work shall be dont
th tw compltance- with ail app': a bull"ding & zonlnj code
*renlents including items not specifically noted in this revfM
,s>Qf v e n <4-a cy-^, KEER THIS PLAN SET ON WE AT ALL TIWA.
c�K"3
Provide 2 Layers Of 15LB
Felt Sol -,d Mopped Together
�s ha # t h ► r1 I s 24" Inside EX"`ell Line
r' - ___...n...._...__.-_..._r..�.......zc-
Nka IQ U act ur J 011 la 36" -For Wood Shingles Or Shakes
5 Pitt
Qµ? Sw t °
---�
VEY1 D G -o oG, I
I tri Sht:cI, 3
_ 3f hovI�.-dvl-fta1- i
w ,
RATION 1:25
th — 22
MIN 5/8" TYPE WALL BD. TO ROOF s
SHEATHING. IF CEILING' IS USED FOR
FIREWALL E EIN SUPPORTING ►A c` �r S '
i3E PROiE
WALLS IVI•�TST AI..S�L
JOINTS TAPED - GARAGE FIRL�OOR
1 aor
h' ! i I; SOLID CORE -SELF Ci,OSIN\y
S� 1rt
0oY
hl:l
r �
f
r �n F