HomeMy WebLinkAboutP004394 (Addition) , • _ ,
_ , PERMIT
' CITY OF ORONO PERMIT TYPE: E;�}I�����
1335 Brown Rd. South • P.O. Box 66 Permit Number: C.1cj4:j`�q.
Crystal Bay, Minnesota 55323 Date Issued: (.��,j�;3��/_�i
(612) 473-7357
SITE ADDRESS:
S4t3 BA��:ETT AVE
. .T�
� F'. I .N. , t y:�-I 17-:��=:-':1-CfCy4�.
DESCRIPTION:
C;AfiAC;El�7�EftAGE Rf�t+=�M
�suildin3 P�rmit TyR� SF-ADD�fiEM+fDEL
E:ui 1��ing W��rk. `TYFe . ADDITIuN
t�C�C: +�ccwp�ancy �3�3 R-:3 ;�:11�; ,`::� ��i;'t���;:
��{_�t-��t.rt�rt•i��t't Type VN : :�:;.;�;:�.- ,-:.���:,:-
..� .. . . : 1lTtR11L•L 4't ! .l.L•L
c��n i»� RR-1 B _:-�����l�::•�:f-� �
_�:�L���•��,.•..•�•
� . .. . . .. .. . .. .. .. . 1.'S LLlf 7�.'1•�'V
. . . . . . . .... . . .... �� .�
. . .. .. . .. . .. y .::.',e ie.i.!!ik td
� � 1i's'V.L t'11`JL�L' �
. . . . . .. . . . .. . :..�.�i :�t�:i +ki.
. . ... � . . .. .. ... l'1. !.?t_.!1 i.L"7�1f�.'
.. .. .. . . . . . .. •i",'i'i::':ii}i.•SF}j! i
. � � . . . � . .. . .. .. . . _._�.._._VVVVV Y1
�: ::
. .. . . . . ... � ,7 g j T'iF ! %i{
.. .. .. . .. .. . . IJ 1 :7L1T L! o L'V
. . . .. . . .. .. . . � ��i ir.�.. �. ...,:— ��
:::i' . .
. . . . � � L�L � !L 7TL'�y��J
. .. . . . . . . . �'i'��i'i �. i i�i✓ •�e fl1
.. . . i:LILJ.t lV :1r`!V'll !L'V
. .. . .. . ... . ' 7'.:}�ii "S'f f•i:jry'�
.. .. . . . }ji?"y i�V L•V�.�2 t1�1�1 1 1 V�al 3
� . .. . jV�L'�'1.'!.��fc.
REMARKS:
��EFRRATE F�EF.M I T'=: f,E�tl�I�;ED FOfi f'LEcG, MEC�H, F I fiE�LAC:E, ELEGTfi I C'AL �::�,TATE:3 t�
� �li FF�tM i T F11R i i f1 f;A�ArF
FEE SUMMARY:
VAL�jATICt�i ��.�,i�C���
Efa�Se F�� $4�37 .Cat 1
F��t{� ��V1�'W �+yiL•zF.���
'�:urcharg� -----_ _��:Z..��.t
T�:,tal Fe� ��74�c.5�
����" '�'r`�►.x.�v=�,+�..•';�:.•. Y
�'e S' y� .�.. . �
�l
CONTRACTOR: — AF�1 i c�nt• — =:T. L i C-. OWNER:
D�a �:l�Ni"t�AC:T I NG 147�1�i� :��:�+� JAFFRAY Q�tAFEl�
1:3i� �:YG;l�ET F'L ��.i� E�AF�fiETT AVE
Li�NG LAk::E MN �5:3�� WAY�ATA �1N �5:'�31
[E�i�:� �.7�-1�1� ���—�7tr��
� z�`" ��R���1a�,; me,�w Y ;;' . � �, � ; �
�
� ,� �s� t� ��. ��� � ��r����.�£� m �'� �` �� ��
�,� \�. ��9 x �^ .� � y� 'F ��� N'k�"���� �F� ��� ��`��F!!��i�'�
�l�� �� �s ��1� �� � �� �� i��T1�' �.�. "�CI�`� Q�'
� � w �+��- ���R����'�.
e �. M . P . . �.
g �� �y k ��
`Nk.�. t ',�
� . . . . �� �=�s'4.. .. � ���� t���,.. ..����1�� ��.u�» W 6��C")`��?4+M$. „ ,
! ^
U
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
r-.
�
.fi�,�Y,r.,.a���'���,'�'�.."
��.,�, r
��, "y1:�:.a��'�=•�..d..
" . ��.�.:.�'.. .. . � � . � . , � . _ -
+ CITY OF ORONO - BIIILDING PERMIT APPLICATION
n r/
Total Fee: $ l �� S� Date Received:
Date Approved:
Entered By: '
Permit�: 39 �
AI�L INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE PI.AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
-----------------------------------------------r- -----------------------------
T� APPLICANT IS: (circle one) OWNER or NTRACTOR
JOB SITE ADDRSSS: .��� L�/9iPi��� �(�� ZIP:
(work)
N� OF owrr�: l' �P � ��c,� �f�FF�i/h--c.1 paorrE: (home) �7�`1�35'�
�SAILING ADDRESS: ��� �/�i��� !'�r CITY:_/���,(.)�} ZIP:
CONTR�CTOR: ,� D/C.>7'.f'J�C�I/� e' PHONS: �S-I.�l Cs
MAILING ADDRRSS: �,� �C//��� �`"G � CITY:��iU''� ��_ ' ZIP: .5'S'�S�►
STATS LICENSE: � ��Z.��
ARCHITECT/ENGINEER: ,C� PHONE: O����d R�
MATLING ADDRBSS:�`5� ��� � CITY: ��If j . ZIP:
NAM�: ���� �I,�B� REGISTRATION �
TYPE OF WORR: New Addition� Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
�'I'��� ��S 14 �/3�i�3�� �+ �
PROPOS WORR (describe in detail) : �� !t/l?��'� C1��J�� /��� U��
1
�,�r r�/ �- Sr`�y ,,��n� ��� G��,��
-�� �,/�/,�� �L �f/ , „n FccaR
STORI$S: �rf�` SQ. FEBT OF EACH FI+OOR: �/�1C14(c:�.. 7l�U e � / LG�� l(p� � ?L�S`�
NO. OF B$DROOMS: � GARAGS STALLS: ATT. Z DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding landj : $ ��, �(��
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
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 ac rdance with th appron d plan. � •
�
APPZICANT'S SIGNATIIRE: � DATE:
. � � . CHECK OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: S`10 QARRE.-CT f�V� pID=
D$SCRIPTION OF WORR: /a�'(J ►T� e�
------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: 6'S' SZ-
BIIILDING REVIEW BY: C.V� DATE APPROVED: � -5 -� Z
---------------
FEES 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)
----------------------g---------_-------------
ZONING CHECR LIST Zonin District 21` ),lj
Fire Departrnent: (.L Post Office: t�a9-yz��- School District: /��c.
Lot Area: 3��o a s �r .gt���S Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front (�a3ce) : ZS Right Side: /V
Rear (S�tr�et) : �SZ� � Left Side: � �
Adjacent Structures: � �C;(�e� Wetland: /U/14
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: L t Cove ge:
Exi t ng Propo
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Var' nce Require : Yes N Da e of Council Approval:
Grading: Sta f Approval Da By: Council Approval Date:
Septic: St f Approval Da BY=
Zoning Fil�e:# 1�2f1 Reso�ution #: ? Resolution Date: y���- yZ
REMARRS (in house) : �
BIIILDING REVIEW GHECR LIST � � � .
IIgC: g� �Z•3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement x =
lst F7�oor X =
2nd Floor x =
Garage X =
x =
TOTAL
$sti.mated Construction Value: $ SS" 000'=
Inspections Required: Work Reqnirinq Separate Permi.ts:
Site ` �Plumbing Grading/Fil7.ing
�Footing (�Mechanical Fire
Framing Septic Water Connection
Insulation �Fireplace Sewer Connection
Wall. Board A''(Masonry) Lawn Irrigation �
/C Final ' (Mfg.) �Other ��'
Other Well (State P rmit)
�Electrical (State Permit)
-----------------------------------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access ApprovaJ.: Date BY=
------------------------------------------------------------------
REI�lARRS (TO BS NOTED ON PEItMIT) :
: �= x
�
C ITY of ORONO
Post Office Box 66•Cryatal Bay,Minneaota 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 like 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
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 3icense requires Counci3 action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�c
data on yoursel.f.
6. Your full name is required to process this applicatian or
permit.
-��A��D �:�rl�,� -�t��7`f�!G ld
First Middle Last
�,..' � L�.�i n»FI � � ) �
Address
��,�- �.�._. �-s-�� _
�lty State Zip
�� -�/b�3
Phone
I understand my ights as tated above.
�_
Si nature �
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING -
�.04 RIGHTS OF SIIBJECTS �F DATA �
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, 2, Information required to be g��� ����' An.individual asked to
- ' supply private or confidential data concernin g amwithin the collect ng state agency,
purpose and intended use of the requested d
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply the requested dat8; (��onf=dential ast8 e9e�dc(d)�thenldentity of
supplying or refusing to supply private or
other persons or entities authorized bYaiVidual iseaskedlto supplyeinvest gat ve da a
requirement shall not apply when an in
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg olert tax re�und instructionsunsteadhos
subdivision in the individusl income tax �r r
on those orms. _ - --- - -
Subd. 3.
Access to data bY i����• UPon request to a responsible �
euthority, an individuel shall be informed whether h��ateeor confidential.e Upon his
individuels, and whether it is classified as public, p ublic data on
further request, an individual who is the subject of Se to himrlande if he desires, shell
individuels shall be shown the data witho o��Y t��. After an individuel has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data end informed of its meaning� u�uant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on Lhe individ�h h� 8te or public datarupongrequest by
responsible authority shall provide copies of P require the
the individual subject ofthe actual.costs of mak ng,i certi y�ngy�d compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lida �,dif Simmediatea compliance eisu not
excluding Saturdays, Sundays and legal Ys
possible. If he cannot comply with the requ et �t�wit�ntW�ch tohcomplY w�h the
individuel, and may hsve an additional fi YS
request, excluding Saturdays, SundaYS end legal holidays•
Subd. 4. Proced�e when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness of public or private � the�responsible authority
exercise this right, en individual sha]1 notify in ���e authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found t� b�e i te datae inclucling Pee�Pl�� nam dt by
notify past recipients of inaccurate or incortip
the individusl; or (b) notify the individual that he believes the data to beement is
Data in dispute sha]1 be disclosed only if the individusl's statement of disag'r
• included with the disclosed data. e�ied ursusnt to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases. .
�
OR . .,.m ; .
o� .
0
�
��
CERTIFICATE OF SURV�Y FOR � �
�RAPER M. JAFFRAY .�r ,
"a.,,. y
OF LOTS 18.17,18,19,20�21 BLOCK 14,MINNENTONKA 8 F ";. • ° o�
HENNEPIN COUNtY.MINNESOTA � � �4�� �
I �
60 I . '" I . �
c 1 1z �, •
� �
. , - N se� �f-3" W. I z9.`f$ ,.........w....�.«�.�.�+w��NrN�i�
. � � � ��,�, .--__ -
�
� '' ' � I � o� �����
� � SI � �L N G;P�DlNG PLAN
-- ,: .,' pt�oPo��p GcARAGr� 2�.- A.'��� ���.�� 4 • e --
.. �t J y� r 'rp�1 [;'�q/a�} p�
r----_' ' � �" ��" i���t-,.:.J ��'i� { �! fii..4�il1�IVJ
� ��
'Q ir1 Zz.o i ee L'� L+i+.l�?6"`i''i1Lr'���-!
t . f K
p� � ° � PP1oPO�D A�DIT�ON �`� � _.._
'r� �U � �_q -� 2
' ' �------ �- .--.— �—�-- , ' — — — — — — -QA�E: —
�;,.e�� —, e — , - —
,�� � _.� .
�� f�-ue � '
\ _ lp �
I I�., ' �'^ p��� � _ 1
� � ��.O
__ /f.0 , 11.1 ��� Rp,2 ' 121
. �e? � +�o•� N N tXISTI NC�
'Z r ' � �XI'YfIFJGc 9.�.' ��: �GARACr� :.�za_. �
.�� Y s Hau7G. N
a �x�Yr. o
� ,�; ,�e.s w..
� .._�a.�.,_ � N a� Dt.L
.
. r .�
.,
. . o
� o
, ' • ti
0
� 1�
i' o �
� o
� ' o
0
' '__ � r . . , ^�.. r
�' Q , �Q — — -- — --- -- -- — — — — -- — — — `I.�(
, `� r — —
� ` �' J
Q
� �
Q �j.
� Y
00 ;�3 .� �� -�
� m r
� .
�• o
, �L� �
,
, �� �
•: lron Marker Found
' o: Iron Marker Set
— — �drings shown are
based upon an assumed
datum.
. o i� • I
� �� y
a
�
�
.
. 1 N 88" 48' W �� I
�29,57
. LEGAL DF.SCRIPTION:
I �o� ' �r� Lots 16,17,18,19,20and21, Block .14, Minnetonka Oluffs
This survey shows the location of an existing house,deck
and garage and proposed addition and qarage, It does
not purport Lo show any other imprbvements or '
encroachments. •
ur.ic.Fn nr e��•ic�M nn�� I,i�c i:rrnc+�' ticnLF
� o � I h�•n•hc�rrtil� Ih,if Ihi..unr� ��.n��rr`��rril M mr��r undrr mc du�t t.uE�.r. I'•20'
� o � � �i.nm.anJ�h��l 1 am a dul�n•�;i��rro�l(l�d f n�inrrr,ind I.in�l tiur�ccor unJ�•r
�� th�•I.i�r.ol Ihi•til�it�•�d�hnnc>i�t.� n,�t�
�� � r� '1
I�NA1�\HY
� 1 i���7� � � .. . .... "''.. ._ Il�ll til 1
�
�I,irA} (�nmlvr�;\linnr.��l.�I i�rn.�•\um ?:;; . 92'me
. : b,�,�o ��
E2tERGY CODE DESIGN BY�ACCEPTABLE PRACTICE
To Def.ermine Cor�liance with the Minnesota Energy Cr�de -,z,
(Section 602 of the State Ameru3ed 1983 M°deZ �e=`�Y C°ae)
Zhis for.n is only a�plicabl.e to detached one-and twr�-family dw�llings. The reauirements here�-
are based cn Tab1.e No. 6-11 in lieu of the criteria specified in Sectic�ns 602.2.1, .2 arxl .3.
Bui1d' Address � l� �l�" , �� (J O �!� ►
�9
contract�+r or owner �R.�f FZ NI � �►� A'` ' �W
. � � � ��s-�R . - C,a rJ T I2�c`Co�
"R" Values Area (sa f�) � of E�t. Wa��s
Buildinu Element -
Desi �'fl Req}d �38
Czilings qn ,
' Design2t'� �i'd 20
�,y�],J.S (pXt2LlOL) (w/o fdn)
Floors (ove� unneated spaces) Design�0 _ReQ'd 20
�_ Design�C_Req'd I2
:K.7indc�as (i.n bl�g s w/o �g�a s s) '1�•3 3 M A� 1�n�K-`l �r-'
s�liding glass door)
N�`' Zt 3, '"!'� Design Req`d 10
*Windaas (in bldgs wi'r_h a �SS �9�ass) � �.2,'T11�'(.
sliding glass door)
Four�dation Y�alls Design�'vZReq,d 5 (wizen insul.�ting fu11 depth of
foundatiaz ura11)
• Design��3'd IO (when insu]-atin9 cnly t� frost
depth and �ot�ngs extend below)
Slab-4n�}rac3e �oors Design 2 Req'd (See Figure No. 3)
**Doors (1-3/4" metal faced) Design Req'd 3
* A]1 wirr3aws shall be double glaz� or have storin windaas
** Conventional doors other than metal requue a storm door
. C�2TIF'ICATION
I hereby cer ' that I have leted the above information and that it cca��lies with the
Minnesata e!- od .
D�ate � � � � :�-
Signature
ECSD 3-89 15
CC/�i/6593 � �