HomeMy WebLinkAbout1994-006240 - addition PERMIT
CITY OF ORONO PERMIT TYPE:
2750 K�Iley Parkway • P.O. Box 815 !=��-��_=-'-���'���
Permit Number: �;;t_,���,�;
C��!)rio, Minnesota 55356-0815 -
(612) 473-7357 Date Issued: :f?/1:::/���
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: ? { ij� T [ "'�'`'f`T
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CONTRACTOR: � �''F°���. �=��+T. -�
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APPLICANT ERMITEE SIGNATURE ISSUED BY:SIGNATURE
CHECR OFF LIST FOR ISSIIANCE OF PEItMITS
. FOR OFFICE USE ONLY
ADDRfiSS' OR Z�EGAL: � ��3 O�" :�t.'�`2:TI-�t�..�-.f'�2� PID: _ --_._..._._ _ .,..�- _ -
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- --:-. . : -. _
�ESCRIPTION OF WORK: ��� S TO�R-'�1 �Tv�z.Ui1 c'�/� .
ZONING REVIEW BY.---- ----- -------- '-DATE "APPROVED:--- � -{ �i• - ' J-- -- ---
_ . :. _ '_DATS .APPROVED: �"~�Z � -
_ .._ _ = � - _.
BUILDING REVIEW BY: �_ _ �
------------------------ ------
FEES TO BE CHARGF.D: � Misc. Fees Ca].culated By:
PERMIT Yes fNo
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/Z._1L� -------------
Fire Department: t'V� Post Office:�»rJd SchooZ District:1/li��}�vc�
Lot Area: N(� Width: � Depth: �
Survey Submitted: Yes� No Date of Survey: S� �`�- �1"�
Proposed Setbacks: , i
Front (Lake) : 35 Right Side: �J
, �
Rear (Street) : �V�` Lef t Side: 13
Adjacent Structures: /1/�� Wetland: /l��/'�
r
BuiJ.ding Height: Def. Hgt. Z 1• S Peak Hgt. 2�
Avg. Setback: ��/'� Lot Coverage: N C
Existing Proposed
Hardcover: 0-75 ' .
75-250 '
�- �•
250-500 '
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date: /'✓��'�' By: Council Approval Date:
Septic: Staff Approval. Date:�f�" BY=
Zoning File:# � //� Resolution � : �- Resol.ution Date: ^
RF.MARKS (in house) :
BDILDING REVIEW CHECK LIST
- _ � . - - �-:
IIBC. �-�_ � CONSTRIICTIONV�TYP$. -Y� ^ _ _ � �,
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. �v—�t�✓��-;��r�v�v w�+.�� _
' ' - ' ' . '- _ . .. . . . ' .. ... _ . .
_ �.":� _gq Footage -� `- $ Per Sg Ftg �-"- _ . _ . -_ : , _ , .
Basement - , �., _ - _ _ v - �.�y:. - .
o :< _� n
..._ �: _._— .��...__ _:�_
,... ,_..:_..�__��:,.___:_ ..___.. _�._.__ _ : : .. ._ ..._
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X _:. ,. __ x ��* -
.-1st"�F�oor` - '_ X . _ , '
2nd�F].00r-:- x � -.- - � -- -_ _ . ,_ _ _- - -- . = -
. � - - �-<�- .� :��, `� ,�
Garage . x � . _ _ _ _- ._
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. X _. _ _ a . ` - - . -- -- -
. . _ , ._, .. : ,
TOTAL
C� p a
Esta_mated Construction Value: $ / S � � �_ -- " -
Inspections Required: Work Reqniring Separate Permits: _
Site � � P�umbing Grading/Fi].Zing
Footing Mechanica�. . Fire
�Framing Septic Water Connection
_�Insulation Fireplace Sewer Connection
_�WaJ.I Board (Masonry) Lawn Irrigation
_�Fina]. (Mfg.) Other
Other Well (State Permit)
OL Electrical (State Permit)
------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
---------------
REI�SARKS (TO BE NOTED ON PERMIT) :
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� �-� -�;-. CITY OF ORONO - BIIILDING PERMIT APPLICATION ,'�
,,�;,
Total �Fee: $ Date Received:
' Date Approved:
Entered By: Permit#:
ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS:�J�J �v�r'�� �ff� �►� ZIP: �S� �y
(work) .S`�y-��9
NAI� OF OWNER: �a`� � e U��P` PHONE: (home) `172- 7`I I S ✓
MAII�ING ADDRESS: /33� �c%-�r, ��, P� ci�: 0��� zzP: �ss3�u
CONTRI�CTOR: o ,n�r pHo�: �'�z-����
LKAILING ADDRESS: ���� /v �f+v� �►'_ CITY: ��cM �/ ZIP: �3� �
STATS I�ICENSE: #
ARCHITECT/ENGINEER: �'j�,,,✓►e( PHONE:
IKAILING ADDRSSS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSED WORR (describe in detail) : I�CFGI' �'►C�/ e��c�G�� D��i��!9. ��./ �mvV� j�,
/1/�`/ ro� �r eX�f2'��c� ��o.r-f��r� �e�rc�� c�;I,n s /'/v;'
STORIES: I '� SQ. FEET OF EACH FLOOR: Z�0 �} $"8'U = I 1 �O ' �'G
NO. OF BBDROOMS:� GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /0- �,S�
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 wil 1 be in accordance with the approved plan.
APPLICANT'S SIGNATQRR: DATE:
♦ ���
. �
. CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
• •
� � � � 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 3.ike 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 wil.l 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 local, state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires CounciZ act�on
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
,�l C��r� �r1 Z� �e�c���1�
First Middle Last
1����( fV �� ��
Address
�'�UYI lI �� ���� Y
City State Zip
y�z - ��J � �
Phone
I understand my rights as stated above.
Signatur
BUILD[NG 8c ZONING—473-7357 • ADMINISTRAT'[ON�&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
♦ .
A
513.04 RIGHTS OF SIIBJECTS OF DATA �
Sub
division L �Ipe of ��- The rights a�f�io�viduels on whom the data is
stored or to be stored shalt be as set forth in this se An.individuel esked to
. to be given indivi�uel-
S�d, 2. Information required
� • rivate or confidentiel data concerning amwitihin the collecting stat agency,
supply p uested dat v refuse or is legally
purpose and intended use cf the req tem; (b) whether he ma„
political subdivision, or statewide sys � gny �own consequence arising from his
1 the requested dat8; ( ) �d (d) the identity of
required to supp y rivate or confidentisl data;
supplying or refusing to supply P State or federal law to rece�veste at ve data
other persons or entities authorized by
requirement shall not apply when an individual is esked to supply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue me lace the notice re uired under this
bdivision in the individuel income tax or ro ert tsx re und mstructions instead o
su .
on those orms. • - -- .
Subd. 3. Access to data �Y
����. Upon request to a responsible
uthorit an individuel shall be informed whe bliC h r vateeor coenfident al.e �P°n �
a y' ublic data on
individuels, and whether it is clessified as p �
data without any charge to him and, if he desires, shall
further request, an individuel who is the subject of stored private orndU� � been
individuels shall be shown the of that data• After an indi
�e informed of the content and meaning t� �� need not be �isclosed to
shown the private date and informed of its u���8ction pursuant to this section is
him for six months thereafter unless a �P n request by
' 'n or additicnel data on the individua1 h� 8teeor public datarupoeated. The
, pendi g ro�de copies of the pri require the
responsible authority shall p �d compiling the
The responsible authority may
the individuel subject of the data• certif 'n
requesting person to pay the actual costs of makinB, 3'i g'
copies. immediately, if possible, with eny request
The responsible authority shall comply uest,
made pursuant to this subdivision, or with lide e,�f Simmediateatcomplian�Q e� the
excluding Saturdays, SundaYs end legal YS
ossible. If he cannot comply with the request within that time, he shall so inforth the
P and ma heve an additional five daYs within which to comply
individual, y �d le al holidays•
request, exeluding Saturdays, Sunda3's g ete. An individuei maY
Subd. 4. Proced�ae when data is not accurate or compl �mself. To
contest the accuracy or completeness�of public or private � the�respo�nsible authority
exercise this right, an individuel shall notify in writing
escribin the nature of the disagreemenL The responsible authority shall within 30
d g lete and attempt to
days either: (s) correct i�c�rate ordincomplete dataeincludingp��lpients named by
notify past recipients of
the individuel; or (b) notify the individuel that he believes the data to b een°ent is
Data in dispute shall be disclesed only if the individual's statement of ��' to the
• included with the disclosed data• � 8ppeeled pursuar►t
' The determination of the responsible authority to contested cases•
provisions of the administrative procedure act relating
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Com�rei;i� art frr � •ur i.. , . �+i; �v�� :. -'":,�" � r
_ .,.� , �;,nce ;.,irr; U� �r,,:::'r , , (_ � c '? �-
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,�<-,y.. .�LIiL ' : Al�i �r � .}�: `'>'�t 1.' �2� r:.�. ��li;^.� 4
PROVIDE ATTIC VENTIlATiON EQUAL Tb
11150TH ATTlC AREA. IF 50% OR
� Y ,1s�,�S,�xa. �.+C►RE IS PROVID�D IN l��P�R PORTi�1N
„A"` '`;� ROC�F AND RE(V!�►IND�R IS P�i(�'�����3
� Provide 2 Layers Of 15LB � �� c�f/`��____ �a-.; ,O�'�17 VENTS, IT MAY BE Fi��E1C�i�
Felt Solid Mopped Togethet aX �Z -ru f���.TH ATTIC ARE�.
C�,.7 24" Inside EX�'. Wall Line �_a��,G __
� 36" For Woad Shingles Or Sh�kes
� 3 �______
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� o� �; , PROVIDE SMOKE DETECTORS
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DATE 1 I Z"""l :,..-�i�:1:'T ^�O. ...._.�......
� APf�'RO'�i�D AS SUBMiiTTEI"� �0��I� '`)�� �"�
�PPFC�'JEi� `r�J�i��! �UK��C � ,� ,� ,� -���
i� � n,�
�I�i{.�� �i�f ;��i��i_V � C�.11'��...�0 r`.✓, �C� ��..�rll� _. .. ._
"these cammcnts are for yo!?r inform��:c�. r+il wvrk shza.N be dc�r•.a
in fut{ co�'npilance w�th aif a�f�c:�ble :,��uc':r!� p acning c.�Oche �•
:tuire:ir,er�ts mcliiding items nat gp^cificalty noted In this•�Vl�+�
KEE,P THl� Pt,4N SrT �)N SCT'E AT 4�L. TiMES.
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DATF_
;� R,PFRO\;�I� �S S1��1�lSTT�,U
��p�'f?OVtD V�'ITH CCRiEG�;`�!�Q �S NOT�ED
0"f APrROVFD - C�)�f�+�-^°lW `` ,
�hes� comment:= ar� tor your iiiformnh:c,� l�ll �`'�,Ting,l�:!ydtf +"�'�
+r� ft.i!f-cempliance ov�!" alI �F^i�ii��i`cifi:,�ify noted in it;is•rvv+��
,tu�rc�ments including iterns not � '
.(EEp THIS PLAN SET JN SiTE A7 A,LL TiMr�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �'�- � � Z��
PERMIT NO. ��y� COMPLETED K �,
ADDRESS ���� ►'u�2 i N �'�CL'v�
OWNER ��>� �����-t=� CONTR. �`-��"��'�
TELEPHONE NO. y �� -�� (s
� DESCRIPTION � � f/t �
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCA /GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d ❑W RKSATISFACTORY:PROCEED � PROJECTCOMPLETE
W
� CORRECT WORK&PROCEED C7 ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContract n i e:
Inspector.
White Copyllnspector's Fi e Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN � n ��
INSPECTION N TIC� SCHEDULED "f M �� /L,� �'
PERMIT NO. ��� � COMPLETED
ADDRESS '� =� ��/
OWNER • CONTR. �'�J
TELEPHONE NO. '����7`�/ S
� DESCRIPTION .�'_P�-<<��/
� 01 FOOTING\ 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q RAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y ULATI V 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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