HomeMy WebLinkAbout1998-010764 - addition PERMIT
CITY OF ORONO PERMIT TYPE:
f750 KeAey Parkway- P.O. Box 66 �:�-'��-'F��y€�
Crystal Bay, Minnesota 55323
Permit Number: �a;4�;�,�,
(612) 473-7357 Date Issued: �_��:�;i;;:,;:�.�;�;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: - �;�:��:�� i=�j�t. - '��i� . L I;:. .OWNER:
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APPLICANT/PERMITEE IG ATURE ISSUED BY:SIGNATURE
T+tal Fee: $ 1 0�9 � S��'/ Date Received:
� Entered By: � Permit#: O 7!0�/
CITY OF ORONO - BUII.DING PERMIT APPLICATION =
All information must be submitted in full before plan review will be started.
(please print all information) �
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB �ITE ADDRESS: �37� �' I�d��� �W N\ ZIP: =S��C..
NAME OF OWNER: �tr(� (�vE(C�� , PHONE: (home)�`7( —Q'�'-� �
A (work) �
MAII,ING ADDRESS: l3�]�-��L�� �tr�r►+-�CITY: �r[���c� ZIP:��j(�,
CONTRACTOR: � � h - (�►J'( ` PHONE: ���F�CQ���p
CONTACT PERSON: i C'✓ OBILE : ��{Q—��-]
MAILING ADDRESS: ^� �, � �`� CITY: ZIP: S S�,� �
STATE LICENSE: �# ,� � j
�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
,
TYPE OF WORK: New Addition� Accessory Structure
Move RemodeUAlteration� Land Alteration
P OPOSE WORK(describe in detai�: ��� �1-�-(.,
�r�
STORIES: ` SQ.FEET OF EACH FLOOR: ��t�,�6
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
��
ESTIMATED CONSTRUCTION VALUATION (excluding land): $�� 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
pemut; and that the work will be ' c rdance with approved plan.
. �
APPLICANT'S SIGNATURE: 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.
5
.
Sec.13.04 RIGIiTS OF SUBJECTS OF DATA � �
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in Hils section.
S�bd.2. TnformaHon required to be given individuat. An i�ividual asked to supply private or co�dential data concerning lrimself
st�all be informed of: (a)the purpose and i�ended use of the requested data within the collecting state agency,poliacal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence azising from tvs supplying or
refusiwg to supply private or confidential data;and(d)the identiry of other persons or entities authorized by srate or federal law to receive the data.
Tiris requirement shall not apply�uhen an individual is asked to supply invesdgative data, pursuant to section 13.82, subdivision 5,to a law
enforcement officer.
The commissioner of revernie mav�lace the norice reauired under this subdivision in the i�dividu�l income taz or nrocertv tax refund
instructions instead of on those forms.
S�bd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is dassified as pubtic,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals st�all be shown the data without any charge to him and,if he desires,shall be informed
of the content 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 ro him for siz months d�ereafter unless a dispute or action pursuant to this secaon is peiding or additional dara on the individual has been
collected or created. The responsble authority shall provide copies of the private or public data upon request by the i�ividual subject of the data.
The responsible authoriry may require the requesting person to pay the actual cosu of maldng,certifying,and compiling the copies.
The responsble authoriry shall comply immediately,if possible,with any request made pursuant W this subdivision,or within five days
of the date of the request,excludi�g Saturdays,Sundays and legal holidays,if unmediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,
excluding Saturdays,Su�ays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
privaoe data co�eming lumcelf. To ezercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsble sudwriry shall widvn 30 days eidue (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipiems of inaccurate or i�omplebe data,including recipienis named by the individual;or(b)notify the i�ividual that he believes the data
to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authority 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 Gity 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 Ciry 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 license.
4. If your requested permit or license requires Council action to approve, some information may become
publia
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.
�-e��� �a�.� �i`5�,��
Fi�� r Mid Last
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Address ���J�� ���
C�ry State Zip Phone
I understan rights stat a e.
Signawre
� 6
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: i 3��: �;i�i:tl�+ �;�:.v.
PID: _
DESCRIPTION OF WORK: ;��,� ;r»�
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ZONING REVIEW BY: f `? �" DATE APPROVED: `�' �� ��
BUILDING REVIEW BY: ' ���� �' ti.._ DATE APPROVED: i;% Z� ��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ,� No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WAT'ERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CI3ECK LIST Zoning Districc: �r -���
Fire Department: /Vl.� �'�'� Post Office: ;Yw,;�rL�1 School District: ;,�,-� -����"
Lot Area: Sq.ft. �t,� C�r�� Acres — Width — Depth —
Survey Submitted: Yes pC No Date of Survey: (� 'L'7 '��
Proposed Setbacks:
Front(L-,a�e�: Z`iu � �� Right Side: ���
Rear (S��eeE): `?� � 'k' Left Side: ���
Adjacent Structures: �T't��i-�c:Y� Wetland: N���
Building Height: Def. Hgt. C>.t� Peal:Hgt. (y ��t
Lot Coverage: U�I�
Grading: Staff Approval Date: /�J�/-�' By: Council Approval Date:
Septic: Staff Approval Date: /`' �/`} By: -
Zoning File: # �`� Resolution: !� - Resolution Date: '
Shoreland District: /VJ
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: f2 - 3 CONSTRUCTION TYPE: 'v/`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 5�, `?v����
Inspections Required: Work Requiring Separate Permits:
Site 'J� Plumbing Fire
Hardcover Removal ,� Mechanical Water Connection
_ p�Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling b�-Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMI'I�:
8
DgAT TIME
CITY OF ORONO CALLED IN �-�J � � L,�'7 Q��
INSPECTION NOTICE �j SCHEDULED ,/�-9-�'.C' �'�
PERMIT NO. � v� COMPLETED � V�
ADDRESS �� �� �� � � ��-
OWNER � CONTR.
TELEPHONE NO. l 3� � 7� «�
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q �0 INSULATIOf�� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD.�`O � 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR C CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Cont t ite:
Inspector.
White Copy/inspector' File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED t ol. 00
PERMIT NO. COMPLETED � �_
ADDRESS � � '!�
OWNER CONTR. �
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING ECHANICAL RI ' 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q
��INSULATION�.��r( �2/WAT/ROH�OOK-UPR/FIREPLACE 3�TE INSPEOC ON
WALL BD. � �1 �6
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,, pHOTO TAKEN
INSPECTOR WILL RETURN
Cl CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContr si e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
��.
DATE TIME
1'�ONO CALLED IN �O �j�
,ION NOT/ICE�7 SCHEDULED � • l� �3 � � �-%
1�NO. / � '/ CC� �� COMPLETED �� �� _
R ESS �3 � C-� ��--�/ � • �,�2�r, , � �
NNER CONTR. �����Q�
TELEPHONE NO. ��� � - �c,� '7 C_
� DC E�91eTION
� �FOOTIN � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ �NSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contrac on sit
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
/ 'D� AT_ E^ � TIME
CITY OF ORONO CALLED IN r�j�r� �i u� �U '.c�c�a,�
INSPECTION NOTICE SCHEDULED ,t 9'� �� �
PERMIT NO._.(:�D 7�a� COMPLETED � � �� k
ADDRESS 3��
OWNER ✓a� � C-K-. CONTR.:�E� ���i���.c�
TELEPHONE N0. LI"� �t - � � � �
� DESCRIPTION Q��, y ��-� �
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
�
O 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contractor o e-
Inspector.
White Copylinspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN /v��✓ ���
INSPECTION NOTICE SCHEDULED j�L-y� / Da
PERMIT N0. � � COMPLETED � �
ADDRESS�� 7� l✓O - C��-� �'J��
OWNER ��t � ���- K CONTR.�.f"��� �.
TELEPHONE NO. -l 7�— � / �i�
� DESCRIPT___ION`
l� "FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SiTE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR i�' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor o�s}te:
< �
Inspector. -+-� '
White Copyllnspector's File Canary CopylSite Notice
.. . .__z.:.,....,�,.,,,.� l� �O �a•-� � ./�%ti
86378 7/117/23 WETMORE � a,-� �,,;r.,�� ��Lb ����3 ' .
i t � 3� 9 " � � ��'��t���% �i d�� �6'r o ii'� i i�i
' � t s '����,;• �r, rf � -
�.�� �� ����� . :, . , . �.. ._�. � � �E,*�
ADVANCE SURVEYING & ENGINEERI x S�TG �1�,4N - GRADING PLAN � � �������.t:�x.� ;p -
NG CO. - ��p���'!�D 'A��t�to,�-� sc.�„� - _
b811 Cedar Lak�Ro�d M'ina�spoW�MN bb416 Pbone(612)642 Ob00 � �-�-� � ��,`r�� F r t�I S'0 N S P`'n-`-� (ror �.,�,��� �-� `
J "r�a.�i � ,. �.. -�� � fi iGY �
SURVEY FOR: QNNETTE WETMORE �. i� DiS��;�;;S��`��=� -�--
BY oC� �1 ; —�s�.�_ : .
pATE SURVEYED: June 20, 1986 DATE DRAFTED- June 23, 1986 IJ�T� `' � ' �` F � r' ;,, �
_ , `�1 �
REVISIONS: � I I • '
I
� I , I .
�,EGAL DESCRIPTTON- ,t : I g�fb -��'�� l.
�' �. � a -
. :: � .
- �.: I 3��
Lots 20, 11, 22, 29, and 20, Block 8, SAGA HILL REVISED, Hcnncpin County, � �` � � �~ '1' �
�� I . .� -- - �c:� . j r
Minnesota. � ` ��' � ,
.�
NOTES � ' , � n+ �
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I i�l
Lejral Destriotion Sounr I ;: • r,
�' I 5f.
�.�
We hava sur�•eyed the sbove described propertr �,hich tlx cTmt daims to own or a � �
PP�� to own from rarioua ,
�overament records. We ms,ke ne repres�atation that Lhe cI'imt does in fact o�va the m 'j I '•. I i
p perty nor that s seareh ot the � ----
- ��
mords has beea made to determine the acteat and nsture of his holdings. If there is aay doubt coneeruin; the .�. � � �
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sccuracy of the legal description�compelent legal counsd ahould be retsined to per[orm s title searcls aad issue s tiile ` ^ �
opinion for onr use in preparin�the surrcy. � � ; I ,;; ����t �� '"
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Easementa: I f �
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We show� onlr those easemeats �rhich the clieat informs ns of or which �re ha �1 � � � -r--J
ppen to beeome aware of through other ("• i � S
�ourcea. The surveq doea not purport to ahow�sll essecaenb and impzoeementa. �� j i � �? 3 ,
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Standatd Svmbols dc Con�entiona• _ . `" � �
✓ � � �
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'o' Denota 1/:' ID pipe writh pla�tic plug bearing State License Number 9235, ut, if'o" is filled in, thw denotes �ti I j �
fouad iron monumeat. I �
I 's
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i
'-f'Denotes cross �h�xled in concrete surfaee. � • � I
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CERT�FICATTON• I i
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I hereby certity thaL this plart, apecificatioa,survey or repott was prep.ared by me or under m direet su �'•�� -
that I am s duly Licensed professional En y p�ryuion and ��
gineer and a Licenud Land Surveyor under the Laws oi the State of ;
Minnesota. ,
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� ea Fi.Patlter P.E.dt L.S.�Minn.Lic.9235� CA No.208 usa�n��� •
� Cour�rry RpAO No I51,
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' � - SCALE: 1 INCH = 6 0 FEET - .� ..