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HomeMy WebLinkAbout1996-008214 - addition � , PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �;E i T�["z�p�t,� Cry�tal Bay,`Minnesota 55323 Permit Number: t.;R-�;-;'i� (612)473-7357 Date Issued: r�?�'_;f�t���� SITE ADDRESS: 14`��i_; L�it�l�� L�t�::E 8�...Vi.� .�E, �' . I . I�f. : ��,-3. �;� �`_;—�::—s'���c_y� DESCRIPTION: t�fy[)�T i:��t� C{a3. i.��3.11�� �'a1'Ci�l.� �y���? '=��—t=iL1.�J/�ttC'��J���� E:��i a.r�i; }-t� W������:: �y��r �C�C}I i Ir�#h[ �3k��� +�ccu��.�z�cY �—:�� �.:��ii��•�•��tr{.i ����i EyF�� ii'l`� �;�niti� LR—l� �::�t►�.��� �::s���:#�: �.:=;�. €���..T . �;��=;I C���i T AL REMARKS: `�=EF'A�'ATE F`E�'t�i I T'=� REt;�I!I�iED F���Fi ��i�i:}-�, �T�'.;::F'i...A�':t '��Tt�TE EL�'C:TR I�=t�L �`Ei�1�1.I T . (�f 1:=.�" �'��€�t T[i�. t iF`C�►;�E�i �=�t}�i�1E`t� ��Ek��:�FfE F Fi�tE"(I t�l?�i I I`d'=�F'Ei.-T I���f�l . FEE SUMMARY: �aAL�1t�7 I i��{ �:;C; ,i,i��� �ct5r? FE.r.� �'!��.. ��� • F'��c!1! .��.'�='V 7.►_'4�I $.,::�t=� , �'�i •_�l,il'CFi�i'�`•� ____....._ ��.��{)i} 7',��t.�1 F�� ��t��r�t�, . :W;q. CONTRACTOR: OWNER: — r;����i ;����t� — Hl�I?�F;';;���N Ti�':i r �.�_=t:� L��►�'�� L�it�:;�' �c�_E'F'y �fh=.T+.t+�,;� C�;t�� ��:�;�t�. :i:'i.'=!—'-::=��,i I Ti-i;� ��i��;.;��r��°r�I+a(,liw�i 1�i��+:E�Y ��E{���t�';T'�; �='��'r;{=�°W;i►��i�? i i-i �,�:_��:::F 7��r� #���ai_. T�<,;=°�;��:�?����E��..�.:_; �- �- . --- ��f: -. . . . _ _ . . . . L_{ '_��`�.��7�'T c..�t G=itvt! �i-i `!-�'=: �t�E )E�f �-4 t t �3! '�•`, �,�'`,� = ? ': E: ! t:t_i;'; 'i j,r.::..E• (a!-7" F�g#...k._ �:.r. � :,1 � . E. _e_.�� . .. ._ �__�"1.._.Y•_. � _. �.. �.._.. i+. ��.- . �i_ . .�" '4 ti_�[ .�. !'? _�� t_!�-ci_{ .f f i�'(��i�it'���:r'.=� �l��i� _��i{i 3� �_��'- �i��`u��,l.�='.��E,,.f!i 7 ��!���._i..�}�'���; i_:;�li.�" i':�!;'!��i''.��'�;:�'•3�'�=� . L i � l ' � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � �. � ���-����' - �''� DateReceived: `7�,Z3 /��� Total Fee: � f DateApproved: Entered By: � � Permit#: '- � �� �' CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORIVIATION I�iLTST BE SLB�tITTED I�i 1 FULL BEFORE PLAi�t REVIEW WII.,L BE STARTED ------------------------------------------------------------------------------------------------------------------- THE APPLIC��iT IS: (circle onej OWNER OR CONTRACTOR JOB SITE ADDRESS: j1I�1 f� L�r�c ,e-�� '���� ZIP: ����;�: NANIE OF OWNER:��c�,, �O�rz..�-;�.,� PHOlV"E: (home) "��I9�9�S'c� (work) '7�.�- I� � VIAILIlV'G ADDRESS: /'�q i�� l�v1�; L�.�. d�,v�CITY: I �.��.c f_c�.l� ZIP:�; S� y��i-9���� CONTRACTOR: � ��.i���2�..,.y ���r,JPHONE: �c%1r� - %�-�z4_� --� vIOB PHO�tE/PAGER: MAILING ADDRESS: L`�'v (.�r�y Lt�I[� ��t CITY:r� ZIP:� STATE LICENSE: # �'��j ���.. �`�3��,, ARCHITECT/ENGINEER: ���� PHO�tE: �,�% - ��/ oL.. MAILI�i tGADDRESS:L'��S �kt ,..w- _ CITY: �,�uvt;.>.��L-, ZIP:<�� ��V�: REGISTRATION # TYPE OF WORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration PROPOSEDWORK(describeindetail): o�� �l/ r� cidc�.. ��„, �/' ':� :�z �y �-/��.. r r`t�L�l.%� ..C' � � .�-�Y`�.1.�Y� Y-�+'t�-_` ` -- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOvIS: GARAGE STALLS: ATT. DET. ESTTi�TATEDCONSTRUCTIONVALUATION(eYcludingland): $ ���L'-{-� ��, �L. 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the wor ill be in; cordance with the approved plan. APPLICANT'S SIG�IATiTRE: ���+, DATE: .-� � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . . �'._, � Sec.13.04 RIGHTS OF SLJBJECTS OF DATA Subd. 1. Type of data. The rights of iadividual on whom the data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individuai. An individual asked to supply private or confidendal data conceming himself 5ha11 be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the�equested data;(c)any imown consequence arising from his supplying or refusing to supply private or confidencial daca;and(d)che idenriry of other persons or enddes authorized by state or federal law to ieceive the data. This requirement shall not apply when an individuai is asked to supply investigadve daca,pursuant to secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or aropertv tax refund ins�ucdons instead of on those forms. Subd.3. Access to data by iwdividual. Upon request to a responsible authority,an individual shall be informed whether he is the subjecc of stored data on individuals,and whecher it is classified as public,private or confidential. Upon his further roquest,an individual who is the subjecc of stored private or public dara on individuals shall be shown[he data wirhout any charge to him and,-if he desires, shall be informed of the contenc and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant[o this secaon is pending or addidooal dara on[he individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the acmal cosu of making,cerdfying, and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or widiin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shatl nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by che individual; or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of[he responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. 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 fumish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, 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 public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. `�'� ���fl ���.,� Fi�� Middle Last �-y9� L��.� �.� ��� Address �1�, /_/� ���So �7 / '��S� Ci�� State Zip Phone I underst my rights s ted ove. Signa � . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /��j 0 C,c9�tIG ��« (�C.V J PID: DESCRIPTION OF WORK: ���pt T'�O� ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEV6T BY: DATE APPROVED: � �-� `��= BUILDING REVIEW BY: DATEAPPROVED: -� 3� `� �= 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 r� PARK FEE SAC Yes No v SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: L�.'-1� Fire Department: �_o��%c �;�; Post Offce: r.�:.�:� ����.� School Districr. ;_�f;��.a: Lot Area: Sq.ft. 3�.;�t�o Acres Width Depth Survey Submitted: Yes �_ No Date of Survey: / � S-S_3 Proposed Setbacks: , Front (�): 3�.; Right Side: ' Rear (St'r�t): �� � Left Side: � �. �'� � Adjacent Structures: �+��-<�--�` Wetland: N \� Building Height: Def. Hgt. c�`%, {C. Peak Hgt. � _(`_. Lot Coverage: �% ��', Grading: Staff Approval Date: �i (i`� By: Council Approval Date: Septic: Staff Approval Date: Tl-� ��� BY� Zoning File: # Zt�l� Resolution: {� Resolution Date: (v ��Y- �f Co Shoreland District: L-=� �� Avg. Setback: Bluff Setback: Existing Proposed Hardcover: 0-75' 75-250' 250-500' SOO-lOOO' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 10 � BUII.DING REVIEW CHECK LIST UBC: �� 3 CONSTRUCTION TYPE: �f 1.�� Sq Foota�e S Per Sq Ft� Basement x = lst Floor x = 2nd Floor x = Gara�e x = x = TOTAL C��� Estimated Construction Value: $ �� �%�`%�% Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �_ Mechanical Water Connection � Footing Septic Sewer Connection � Framing u- Fireplace Lawn Irrigation �� Insulation �(Masonry) Other �Wall Board � (Mfg.) Well (State Pemut) i�` Final Grading/Filling _� Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� ------ --------- RENi�RK S(TO BE NOTED ON PERl�1IT): y�}v,.;=�; (�.��✓1 t v�'���'c�r s.-t-'!''V��'�, (��-��r'�� �'��'1t-w�� i�T l� 27 � , DATE Tr�� E C1TY OF ORONO CALLED IN ��� �"�'T-%� INSPECTION NOTICE � SCHEDULED ��� ;c'i G PERMIT NO. ��f COMPLETED _� � � ADDRESS i �-U t �� � G' � OWNER ���'�-L--.1�=� CONTR. ��� �/�,L�,J���%�.l-�I11 TELEPHONE NO. �7�"� ��� � � � DESCRIPTION .� �_ 01 FOOTIN(i 11 MECHANICAL RI 18IXCAV/OHADIN(3/FIWN(3 � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS Q 03 INSUlAT10N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � OS FINAL 14 SEWER HOOK-UO O6 PROGRESS 2 F' 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPIAINT J � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d �1NORK SATISFACTORY:PROCEED �, PROJECT COMPLETE � i� W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next�nspection 24 hours in advance.473-7357 . ; OwnerlContra(ctp n si � Inspector. � � White Copyllnspector's File � Canary CopylSlte Notice DATE TI � CITY OF ORONO CALLED IN - INSPECTION NOTICE�J SCHEOULED U'�9� /U '3� � PERMIT NO. OO� COMPLETED �( ADDRESS �-D/1 L�. OWNER �� ONTR. TELEPHONE NO. `T`��` �D S� . � DESCRIPTION � � 01 FOO 11 MECHANICAL RI 18IXCAV/(3RADIN(i/FIWNQ �Q IN� 13 MECHANICAL FlNAL 181.AI�SHOREIWETLANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � p5 FIW►L 14 SEWER HOOKd10 O6 PROORESS � v 07 DEM�SITE 27 SEPTIC NWNT. 21 COMPWNT w 07 DEMO—FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PWMBINO FlNAL 36 FOUNDATION REMOVAL Z OWNER/CON7RACTOR TO MEET YOU: YES_NO y COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � / � �'WORK SATISFACTORY:PROCEED C PROJECT COMPIETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORAHY V BEFORECOYERING PERMANENT O CARRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUEO ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor Inspectoe - v�mne coPynnspector.Flle canary copylSia Nouce v DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT N0. COMPL ED � ADDRESS � � U OWNER CONTR. TELEPHONE NO. � DESCRIPTION � �OOTINQ 11 MECWWICALRI 16IXCAV/(iRADINCi/FIWNQ y 02 FRAMINO 73 MECHANICAL FlNAL 19 LAI�SHOREIWETLANDS Q 03 INSULATION 24/2S WOOD BURNEFUFIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � OS FlNAL 14 SEWER HOOK-UO O6 PRO(iRESS 2 F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEMO—FlNAL 15 SEPTIC INSTALL. Y2 FOLLOW-UP = 09 PLUMBINCi RI 23 SEP11C FlNAL 35 HARD COVER REMOVAL v 10 PWMBIN�FlNAL 38 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YQU:_YE8_NO y COMMENTS: � a � � O � � O � W �C Q � Z W � W � � t�y RK SATISFACTORY:PROCEED G PROJECT COMPLETE � CORRECT WORK&PROCEED C ISSUE CERTIFiCATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 OwnerlContra n s : Inspector. o White Copyllnspector's File Canary Copy/Sits NWke a�a»e [ 7`� � l. � �1�-- '�-- ! . ������ �.���� � C'er. !.ificat e of- Survey ,�' for Troy Anders�n �"''�f� •..at Lots 3 & � , Al.hPe ' s I,ong Lake Addition �t: w � • and in Gov ' t . Lot 1 , Section 26-118-23 , Hennep�n County, Minnesota N �6 � �� S� -2 3 , � . , . / . . ....._....-..M'R �A V j'� �. , � 29 ; CITY OF ORONO � � ` ~' � �AFSlTE PLAN GRADING PLAN W , pROV_D ►�-0p�-�c�ti - � I 1 r�APPROVED WITH �iEYISION� � � � � w ; L7 DiSA� 0�� •� aY � , � ' '�. '�' �. ;.. � � `I `� � DATE �- 30-�,c� °--. d" - �n . � Z J I M Oc�N�����( t� �„r �� , _ Z ��S(� c> v�2.y �/(��Uc�� �.P.�� .;' ;'"' —L. ..� ;' ��vv��n�� i�u S�° � 59.?9 �� 1�189 � 4l' -L' � r�Ycxs�.,s,o� o�',�..ff Qt �1� ,` � L✓/y /iwf o/�Lat / � 'f(p V ` �t /�H.I. JKl, /�/0. Zf/ . r�RB A.�-°S l' �d���v v � � '°�Ar� ; �e� , � 1 -n� , ;. .; 8'9 °�' ;' ''' � ., . Cv° 'L ; , I�� ' • J � ` \` 'a` + ;.`', � ` �� � ,�I� N S'`}-�; o0 � �� J'�. ' 2 ) 'd' _ ll,f .�� � `. . ✓ / 4 . � Ex' `�9 . � � ._ ' � ,9, 3� �& �,o �oi;et� z ;�• r j . - ; �i. ., - i b� ? �+ z 1 � � / : 'W � . �.$ _ „ � .. ......._ .. ' X 1I �,� r�� (� �. .. w , n . . � � �O ' , N � .� ' - - - - - - - -ffC- - �7S - - _ �� � � Q o �:�i _ � _ _ _ _ _ , !t/���/i�� u f ../ ^ � , Z J'c�. 2 6 `�r � ' � � O M ' �,�v . —d- �—� �� N z � . `� N 89"4l 'E ' • Sou{'� li►ze of Sac�iar� Zfo � . T 11 a Ir. 23 FXi��inq I.,eq�J. D�scr.ip�.i.on Lots � �n� q , ��h�e ' s 7aong i,zke nddit���n � Hennepin Co��nty� and That art of T��t 1 , S�ct_ion 2F , Tc�wnshin 1 1 R , Ranqe 23 , lvina T:�st af a tine dra.wn ar � Gover.nment F75 fe�+.: ra�t of , m�asureci at r i c t h t a n q l e s t o, t he West line of s�id S ect i�n e26 t�-�nd n� Wes t o f the PxtPnsioil south of t)�e most W e s t e r l y l i n e o f L�t 1 , "Auciitor ' s Subc�ivision N�i m b�r 2 9 1 , Hennenin Coi.�nty, Minnesota . " �. Tha.s s�zrvey �1�iows the lor.ation ot an eicisting house and a driveway serving a arcel . th� »�rth of �he zh�ve described proper.t�y , Tt c�oes not P t� {�rov�m�nt:: or c�ncr.���chments , pur.port to sh�4� any ot�her im-�••--r....vy� � : I.r.on mlr.kc�r. \ �I ! Y �� ������ . l��ar�_ngs shown are hasec� on �n ass��med d�-�tum. � S1TE PI..lON (ar��!�.��t�G PLA�I �PI'RC��Vf�f.) n r.p-r�c>>r�:�:� ►.��,ir��� ;��:;:�:��::�:�r�s � {� ij�r�r . CI DI �AI'�� � . , a B�������.--- DP,"CC_�-iz -�'� --- � � � � � ` , 1 hereby certify that this survcy was preparrd by mc or undcr my direct suPer- i>nT� � _ 5 - 9 3 ��'r�e vision, and that (am a duly rebistcred Civil Cngineer and Land Surveyor tmdcr the 1�14VS 0� flll' Slal�� of Minncsola. �;cn�_r: 1 '� � g-O' �rv�ark 5. Gronberg Minnesota License Number 12755 Jc�f3 No. 9 2. 54�{. �7 _ S'y�� �.� �, l,� �l�� � . , �a� �� - RO�� ���� I�'���`r�I��T��� �� �REMISES REQUIRED� � ���r'�nved Addresses Sha{I Be Displayed, � Piainly Visib�e Rnd Leg�ble From The Street Frontin� The Protx+� .,�,.�;::,.,,, . . ������ �����T ' ' le�i n 2' HT. 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