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HomeMy WebLinkAbout1993-005486 - addition _ PEI�MIT � , � CITY OF ORONO PE�MIT TYPE: �,,,j y;.��y�� 2750 Kelley Parkway • P.O. Box 815 Permit Number: i ii i�:�.;=;i� Orono, Minnesota 55356-0815 Date Issued: F"t°�:lie.�,.��!=. (612) 473-7357 SITE ADDRESS: ' �.i;�_, 4_+�{tt� Llt�f�:� �i��r �j� �` . ± .!� . . �:f;w:--� �:f—���=�--��•_—3.��;F�r, . �.._, DESCRIPTION: �;CjCI I T I�_!td �:�_ E��_�-�3 F'�_3,fr�it� Ty��� '=�F—i�GDIR�t1�f���L E��.�i 1�_��,�i� �;���3��:: j y�:�� r�C�C��T T T i tt�i EJ���: a-lL f t�;=��t�l�.� �!—'1 t:���t���.t~�.�r:_.j,:W�;� Tyc;� 4'P�I ,���i��t�� ��i-1E: .... . .... _'S L'��L.• ' i';'._...� .:ii " .. .. !T _. _ . .._ ' '�T .L_ . : .._ _t�t il::TJ � __:?. :i � � ;r REMARKS: ,. ,_t:, �: _ :,.:_ - � - -- .; - i—;��L�€.:�_��I��; �Ei��f�:`�:+�:� °=:N�:LL E:E C:i�EMF'L_ETE:C� ��E�i�t�% Ft_i�_��'T N�,� I t�l:_,%'EC:T I.� �' .����'�� i=�EF'!`�I i°=� R�t;�!�I�:�=G �_�,+-:= i•1EL:i�r=?l�f I C:t�L i�N-.� �.L�GI'�I i=�-�L t:=;Tr�TE:� . . FEE SUMMARY: t1�t..1��,T T 3�tlrl �f F., _=�:,�_r ��ct�� ��� �i;�`t:? , i ai:3 �'l�t� Fi�:vi�w �:�. 1 : , t_tt�� '=��arci-��t•�a� ______ ���.�� �I'���..._�1 ��N �=,t�a=, , t#� RQ� ►���;=�1 j[tti��. CQ�T�jL"1l�TQ���" ' 1�.i��7�,=:1 ��N���' �;I;::Hr��'D =�'�.z:} �C::�;� ���'�s`G W 1€_r�,.=: L���t�{F� LI�lC�� A�iE ;jE�t)�ID t�tJ ��:_;�,� s:�fi�a=�tk!�i h3�1 ��_���q. }:= ___.. �Y`�.. -:r_;� �7'� -s�.����.°�=r `° ��� r. �: ),• �, ; ,,��= ,_,r'�- _ _ _ fi� T�' t<< 't:E ". . .._ � .._.. __ . t�t.i'_� �, ��i� E_ �J�l?'•m�I .31 i�..1 1`i;:;,=i=`=:`':' t- � ,;� ; :-: ;-t-�`�'`j�=;'.=;i t f� 3 ,={':: f L;:= :";i `i. r`,1-'�p``�''•_'�A :_._!..• . . . ' - �' `•=���f��.��.�" ���.1 �-i(��} �ii�l"•'t��'.:�; -�,�, i;—� ' i.. 'r!_,�{i��:, �{fY �:l�i��: # l:s_t�'��'�I_ I �;f'vi_.i'. .. ._ . , . . .E._�.._ i;.!.!Y f_i� i�li��sf�lh.�f I 1_IFlt.l��t3�1�!_'t;`.,� :-if�_' _ r ,._. ;a�;,—. I!t j`•�#'•.t�'_��_+r� ��i�I��.1��Ii3 i:f;E�l� +'.':_ _" _� ._-3''i--.� E :� . L -.J APPLICANT/PERMIT IGNATURE ISSUEDBY:SIGNATURE �(�-�, " CHECK OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY �'317DRESS OR I�EGAL: IOS� �� L �N t/> I'g PID: DESCRIPTION OF WORR: 14��01'�1 C'3v� ---------------------------------------------------------------- ZONING REVIEW BY: ,,� DATE APPROVED: BIIILDING REVIEW BY: - DATS APPROVED: 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: C/�'/� Fire Department: �/j�„pvrv�G� Post Office: �'�ov-�� School District:�� . Lot Area:�.°j 8� S. -�. Width: S�� Depth: /f 7# , Survey Submitted: Yes �C No Date of Survey: S'-!/--�i.� Proposed Setbacks : (�� N �ant (Lake) : '7c� �'F' Right Side:_ .�e.ar (Street) : n/ ��,- Left Side: /0� `� Adjacent Structures: /�}-�Fc:-�� Wetland: /1� �/� Buil.ding Height: Def. Hgt. �• << Peak Hgt. Avg. Setback: U A�+�C� Lot Coverage: ( °i �° Existing Proposed Hardcover: 0-75 ' ( 1 •2°Ta 3 '2� o 75-250 ' 9 2 .`1 `'Zo C��'. 5 �o 250-500 ' 500-1000 ' Hardcover Variance Required: Yes .� No Date of Council Approval: -/Z�S3 Grading: Staff Approval Date: �V�/a By: Council Approval Date: Septic: Staff Approva� Date: /U(i8 BY� Zoning File:# 1�3 L� Resolution #: ,33d Z Resolution Date: �-/2-5 3 REMARRS (in house) : BIIILDING REVIEW CHECR LIST � � - �C. �- 3 CONSTRUCTION TYPE: �/ -� Sq Footage $ Per_Sq Ftg Basement X - lst Fl.00r X 2nd Floor X Garage X x = TOTAL Estimated Construction Value: $ _ f�qf9p Bo Inspections Required: Work Requiring Separate Permi.ts: Site ` PJ�umbing Grading/Fill�ing Footing p�Mechanica� Fire Framing Septic Water Connection Insu�ation Fireplace Sewer Connection Wal� Board (Masonry) Lawn Irrigation Fina 1 (Mf g.) Other Other Wel 1 (State Permit) �Electrical. (State Permit) ----------------------------------------- RF.N�ARRS (IN HOIISE) : --------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY= --------------- ------------------------------- REMARRS (TO BE NOTED ON PERMIT) : I`hA�-�/J C��-� �-��dV AL 5 ��`'�- � Q }�0/t.�. �T���SY ` � R � CITY OF ORONO - BIIILDING P�RMZT APPLICATION Total Fee: $ ,3O�• � Date Received: _ Date Approved: Entered By: � � Permit�: 5��6 ALL INFORMATION MIIST B$ SIIBMITTSD IN FOLL BEFORE PI�AN REVIEW WILL B$ STARTED (See Check-off List Enclosed) -------------- T� APPLICANT IS: (circle one) OWNER o CONTRACTOR JOB SITE ADDRSSS: � �� LflM � L/Na/4- '� Z1P= �5��7 (work) N� OF OWNER: f�►Cf�lR�7 �1�/Q�� PHONE: (home) y7pZToGK(� IKAILING ADDRESS:�f�S':� L,�♦4-� �L��D�1-/�-c, cl�: Q,�9�/D zIP: 3� CONTRACTOR:_��� I� UN _ PHONS: �7�TS�� MAILING ADDRBSS:�.1� �,tJ- ZdC�L, ��f/ CITY: �8L(,/l/�i7 ZIP:_���� STATS LICENSE: � �SJOv ARCHITECT/ENGINEEIt: PHONE: MAILING ADDRSSS: CITY: ZIP: N�: RSGISTRATION � TYPE OF WORR: New Addition� Accessory Structure Mone Demo�,_ Remodel/Alteration Renovate Land Alteration PROPOSF•D wo�x (aescribe i.n aetai�) : ��rvi8� �xrSTi.� ��r'� ot Br.�r �� NCc.c1 -.- 6�C tc — e . `�' o n��n>G 2ea�c ' ;c ' � � �C �'f . Lx�ST�n,lC !-��5-�- d �-,�4Q•�96�. STORI$S: SQ. FEBT OF EACH FLOOR: NO. OF B$DROOMS: GARAGB STI�LLS: ATT. DET.�_ ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ �ft�, '�7 a� � 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 accordance with the approved plan. APPI�ICANT'S SIGNAZ'URE: DATE: O ����.� � - CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Of6cea • � - � � 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 3.icense 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 license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. v 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 Counci3. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. 6. Your full name is required to process this application or permit. R r A�x c��c.c_.. t,�A/ First Middle Last ZLG�� ��l �dc� RLJD Address r,��/ S�'36 City State Zip '`�7v?�7��'/ Phone I understand my rights as stated above. � Signature BUILDING&ZONING—473-7357 � ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING � _..___ — . . r � �.p,� RIGH'I5 OF SIIB.TECTS OF DATA � Subdivision L Tppe of dat�- The rights of individuals on whom the data is stored or to be stored shall be es set forth in this section. � - gubd, Z. infcrmaticn re9uir�d to be g�r� ����1" An.individual asked to � ' su 1 private or confidentiel data concerning amWit�h�in the collect g stat agency, . PP Y purpose and intended use of the requested da political subdivision, or statewide system; (b) whether he ma� refuse or is legally the requested dat8; (c) any known consequence arising from his required to supply rivate or confidentiel data; end (d) the identity of supplying or refusing to supply p other persons or entities authorized bYa viduel iseaskedlto supplyeinvest gat ve da a requirement shall not apply when an in pursuant to section 13.62, subdivision 5, to a law enforcement officer. The commissioner of revenue ma role�t taX re°und lnstructionsuinsteadh�s subdivision in the individuel income tax �r on those orms. . - --- - - � _ Subd. 3. � Access tc data bY i����' Upon request to a responsible authority, an individuel shall be informed�h b���hP=vateeor confident al.e Upon his individuels; and whether it is classified p ublic data on further request, an individuel who �s the subject of stored private if he desires, shall individuels shall be shown the data without any charge to him and, � �e informed of the content and meaning of that data. After an individuel has been shown the private data and informed of its meaninB, the da� need not be disclosed to him for six months thereafter unless a disPute or action pursuar►t to this section is � ending or additional data on the individuel hss been �b�c datarupon request by ' P require the responsible authority shall provide copies The hresponsibler authority maY �in the the individual subject of the data. certif 'n and comp g requesting person to pay the actual costs of makinS, Yi g� copies. lmmediately, it pcssible, with any request The responsibls authority shell comply � of the date of the request, made pursuant to this subd�visi�na le with lidays, ify immedi8te complianae,is not excluding Saturdays, Sundays � P ossible. If he cannot comply with the request �t��i��n w��h tohCoR►P1Y w�h the individuel, and may have en additional five ys request, exeluding Saturdays, Sundays and legal holidays.' Subd. 4. Proced�a'e i�rtien data is not accurate or complete. An individuel may contest the accuracy or completeness�of public or private �ata concerning himself. To ht an individuel sha11 notify in writing the respcnsible authority exercise this rig , nsible authority sha]1 within 30 describing the nature of the disagreemen� The respe eie and sttesnPt to days either: (a) correct the data found to be inaccurate or incempl. notify past recigients of inaccurate or incomple t�e t�e esdthe datalto be correcty the individus1; or (b) notify the individual tha � eement is Data in dispute shall be disclosed only if the individual s statement of disagr • included with the disclosed data. � appe�lea pursuant to the � " The determination of the responsible authority may _ provisions of the administrative procedure act relating to contested ceses. - . � � ������ �� �����--� ORONO C PY � . .�r E,;,,����`� �s k`:�:`� �°...l�,l� �2��''�i'i�'� ��d,=F��aG�Fi��..z..��.a£ . y. �M���n�el� ,�,�. � Z r�rrr�- > s' � .rr�r.. � � ,. ,,,,, ....._._. .,....�.�......r. �._.. �.. �`��. � _" �,.. � . ., ... � J4-'�'.� �y � , ' � r �":, i7�'�k� �S NO'T�Cd � �_, ; , , _. -- t } ;� ;;T �: ��:SU3P�^IT r��:.<, ��r;�n�, � _. :_ :��. P,I! work �ahall b� Aorte •, �_ ����;ii, ,.. � �< <„r,�:<. . +!�.ns; & zoning ;uda r�� ���,,.� � _ I ��'�.. _ � __ , i�y rc�'.ed in t•�,i, �Eviq+N. 1��._f:_'r= T l I�.� �-�'i../.!�i ...._. �.���, _� i ti. ,'�I C^,..L i�iti�;:.�.'t_ `C �C�"'�'�� `�'I 1��� ���2L�� `G S`"�" ��jr��? Len:�r�- s'� ���','�`�� `��� �S��4;�.s��TIFI��T�O� Of PRE�ISES �. REQUIREO PROVIDE ATTIC VgNT'tLAT10N EQUAL 1'0 �P�ro;°�d �ddresses Sh�ll Be Dispiayed, 11150TH �►TTIC AREA. IF 50�o OR -� ;`�� ,���i�ly VisiLl� �r,� �enible From The MORE iS PROVIDED IN UPPER POR��1 S�ce€�Frontin� T��roqe�tv OF ROOF AND REMAINDER ,#�S.�O . � �{ IN SOFFIT VENTS, IT MAY ,� UCED � __ � TO 11300TH ATTIC AREA! '���_ . �--f V AR��,'�"'N , �;;,� _ __ �� ` .�= _ __ . _ _ G ,Y �I ...--_. ` �� . � ��� - - _ � _=�� 36„ M��,PE�.,��I�S ! � ; _ „ Mp.X• '-, f �� %, , \\. , � --3 i � ; � � � ��`�C , t�q ' � � ' � i� ' �� � � !; � ' � ' � ��'� � ( � �- ���"' ' �� � ' ' � � � �I� i I�� �� �;; 1�f i � IE ' , _ ' �i � � I i� �I 1 �: ` K-.' 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'�L�� - �I� �� � DESCRIPTION���''��t'!w�� � Ot FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATI�� 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS 04 �D-"-� 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O > � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED �:� PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILLRETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnedContra o ite: Inspector. � White Copyllnspector' File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ����� >� INSPECTION NOTIC� SCHEDULED /D ` �f .� PERMIT NO. -5 `f� COMPLETED '� _�_ ADDRESS �� � d� OWNER f9/�-UO CONTR. �� .L�.�-.� TELEPHONE NO. '��'�'— �s�� � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 ION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � � O a � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance.473-7357 Owner/C o site: Inspector. White Copylinspect s Ffle Canary CopylSite Notice CITY OF ORONO CALLED IN C+j�/DE/�j TIME INSPECTION NOTICE SCHEDULED 9 �� � : U J PERMIT NO. COMP ED � =20 � ADDRESS S � � OWNER S�� CONTR. TELEPHONE NO. "�" 7�' �5�� � D PTION ������ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � Z 04 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 O6 PROGRESS J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED 0 INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContr r qn site: Inspector. � YVhite Copylinspect s Ffle Canary Copy/Site Notice ;i DATE TIME CITY OF ORONO CALLED IN i- � -yj INSPECTION NOTICE SCHEDULED /� 9.` �o PERMIT NO. S U��' COMPLETED �I� �- ADDRESS _ l e 5!� ��''7-i-�C�- �c(c� , OWNER D.�'r� CONTR. � ��'�.t��✓ TELEPHONE NO. `f 7� -- 7��� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � Z 04 W(� 12 WATER HOOK-UP 34 TREE REMOVAL Q FINAL 13 METER SETITURN ON 17 SITE INSPECTION � SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10�L-HR�f�1G FINAL 23 SEPTIC FINAL OWNERI�O�NTRACTOR TO MEET YOU: YES_NO � � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � d �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED I 1 ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINBPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor n ' Inspector. White Copyllnspector's File Canary CopylSite Notice