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HomeMy WebLinkAbout1997-009161 - addition PERMIT CITY OF ORONO PERMIT TYPE: - �- .- ' 2750 Kelley Parkway- P.O. Box 66 -`�-�.'_!-='a�''``� Crystal Bay, Minnesota 55323 Permit Number. ;�_,;:'f��� ;=_� (612) 473-7357 Date Issued: : SITE ADDRESS: . .. .. .... _ i..i _�i!�'�.�W �3f� ...�. ..� :. . ^.-.: { � — - - ' � �_..�. . :'�:. � ',::'" i i i"'^�.�:�.;` . . _ ' _ _ DESCRIPTION: .,Lir.�F_ . 4 _.i_ . .;I,t {:'i::�:s'_E's�� _;{.�€i �.;�1 i'::� 'i'�'.;:i'!'il I= �`+C�..� `-;i=__; ?, :7 ��1 :s+M �::�t i'�:; } �C::.__` f.:`:.il 7�,���,,,��`.� ±7�;'•._ ;_i�;s�I.ft-'_+.i�3»j !''•'-^ �.i'�1"1�;;i.:'i i�'�.;�r_ :_.� s-`;�a�� i:`:4 �.'r=':l 11=°;, `—rl--,E,'�' — � .�:� • _ r r e.;_. .,� .,.k'i;=.�:J� (.���t it=-= . ..,:�. !=^it... i . .�_. ..c.3�.i'4 � �F�f REMARKS: —�.. .. . _— ._ .,- ;. ; := _ — 4 _ . ._. _ . . . E .._ __ r s r _. FEE SUMMARY: . ..,, - - . . ....__. . . _ _.. . " - • - . E-'-r_1 �-. _ .�i �i:=': "��- t`�•:.=_ .`r';:' ', - -.._. . ..-- .,-- _ �,= •::ij �SC i r!;j `�:;.x`y �y�:t�,` -. _� _ . . _. __-'•1`E_�'i.�l'',=�:--_+ �_..._� �s i �s s��fi..�� .- _._ _�..__�Ri''_.=..+� CONTRACTOR: OWNER: - ; .. - - . - _ _,�,��.._� _ . : ^,;i a:.�j;.f ,�.�;I�,i:;':� — - �t'�..., — ;�: s�� _>:i /.._.__ a`� �_r'�'��' � � .�. 'x �•' 'S��� i E4 i � ^ `"'f .... . ., _ ..5�'. <� �" x.t ( t 3. _, { .�... S .� . ( � '� 4 . - . �'7' ' . ?-.�.. ' , .... ' Fx.,... 4 i..�- y ; : S ,..�_� , ._.__ . _.. .. . ._ . ... . . _ _. f_ '`�r , ___.!.. ._,... . _ , . .._.. ..SA�� _ . ,r � F . . ' '� .�' I �! �- �' " 2 .... ....... .. . _._ ... . .. .... . ._,.. ._ _.._. . » y � ��.. u . �.. .,. �;-� _ � : : � . t..5,ui} rvi i " 4 Sf' . ... , .._.. _ �..�'�� _. . .__...}.a'..:i�..': . _ ....__ _. ..��5. . . . �. . _, .N,. :� � � «; f + � �. . . . . �. . 'r �._ _...,.. .. � : � i .,, ,. ._ ..; � :, _. ., _:__ _ . . .,_. : . _ _. _� � � PPUCANT�PERMITEE SIG ATURE ISSUED BY:SIGNATURE . � Total Fee: $ � y, l7Q.,2/ Date Received: � � `� � y 7 Entered By: �� Permit#: �'��i CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be st�?r'ted. (please print all information) -------------------------------------------------------- ---------------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: �, ���J � , �he�'� �c. ZIP: ��`'.��y NAME OF OWNER: g>Ck,Y4ts ����y PHONE: (home) y 12-$�7� (work) `��2- `��8� MAILINGADDRESS: ���t ,�, S�a:t ��. CITY: �6a��, ZIP: SS�6y CONTRACTOR: S� PHONE: � Z-- I��7 CONTACT PERSON: 1`+�IOBILE/PAGER: MAILING ADDRESS: ��,. CITY: ZIP: �o, STATE LICENSE: # ARCHITECT/ENGINEER: �`-���� K k S PHONE: S�I`� '`��`�� MAILING ADDRESS: CITY: ZIP: Np�ME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration_�� Land Alteration P OPOSED WORK(describe in detai�: �t�v�- �.�iS��� =���'��-��-, `�-s i����,3. oc, �hi.. , �v'T � l� �cv t'a-3+tic�c�..9� �° �pc., e��.s�-c.a�.'�.a�.._ � �- 1<r.r. STORIES: I SQ. FEET OF EACH FLOOR: � �`f 9 NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. �X� 1 S-�y h 9 I�o c }��e.-�• C-�<<-�-G.�, ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 7S, �o 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 ordinanees and codes of the City and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in ordance with the approved plan. , APPLICANT'S SIGNATURE: DATE: �b �!' NOTE! Parade of Homes event�re�iire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be givea individual. An individual asked to supply private or confidential data coaceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by shate or federnl law to receive the data. This requirement shall not apply when an individuai is asked ro supply investigative data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer. . The comarissioner of revenue mav vlace the notice required under this subdivision in the individual income tax or nroaertv tax refund instrucdons instead of on those forms. Subd.3. Acccss to data by indivIdual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall 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 iaformed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority 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 W pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of ihe request,excluding Sahudays,Sundays and legal holidays,if immediate 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, 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 ezercise this right,an individual shall norify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual tLat 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 the responsible authority may be appealed pursuant to the provisions of the administraflve 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 furnish certain private or confidential information. You are notified that: � 1. The information you fumish 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. 3. The information may"be shazed 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. �►�.,s �_�� �1�� First Middle Last ���cf � ,��!n�c� � Address ��� �,�. ��'3LY �f?2- 7�7 ' City State Zip Phone I understand m ri ts as stated bove. Signature . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ON Y ADDRESS OR LEGAL: ��G � ���-� ���L.2�-�_ ��2 PID: DESCRIPTION OF WORK: , --- �_ f/ ] — ,� � �1� G'C��' �'/,�>�3�" ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: � (�y��_ DATE APPROVED: (o- Z3-5� BUILDING REVIEW BY: DATE APPROVED: � - 23-9 7 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEW Yes t� No SEWER CONNECTION STATE SUR`I-�ARGE Yes �� No WATERCONNECTION INVESTIGAT'ION FEE Yes No PARK FEE SAC Y�s � No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: C.R-/� Fire Department: ry(o�,v/> Post Office: ,N�p�y�r�p School District: ���v�'./3 Lot Area: Sq.ft. 3?,i�`7 Acres •�s Width Zvp� Depth (9l •25 �v� Survey Submitted: Yes ( No Date of Survey: �-/1�`l 7 Proposed Setbacks: � Front (Lake): _ 1 LO•S Right Side: `�Y �" Rear (Street): '33•� Left Side: �(3.Z Adjacent Structures: A-Ti"79c-f�f-C� Wetland: nJ(� Building Height: Def. Hgt. Z 1� Peak Hgt. Z,b 5 Lot Coverage: IJ /° Grading: Staff Approval Date: b -Z3-9� By: � Council Approval Date: N l(� Septic: Staff Approval Date: N (f� By: — Zoning File: # � Resolution: #/ --- Resolution Date: " Shoreland Dist:ict: y�5 Avg. Setback: �lJ(.9 Bluff Setback: /�1/9 Lot Coverage: /�•`�� Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' o. 'E Hardcover Variance Required: Yes No < Date of Council Approval: REMARKS (in house): gD`�� o�=A� �y��2�.--� �,,�,•s- �9�rtk-� fl.�c1 v�/t,� � �(.����.� c v.c�3 ,��aP fo A l - f.o T i.s �S"� oF�f A�/c.c.T !nf � oNe �c�.�. �� � 26 ' . BUILDING REVIEW CHECK LIST UBC: R- 3 CONSTRUCTION TYPE: �j nl Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = R = TOTAL o c7 Estimated Construction Value: $ /7�, OQO Inspections Required: Work Requiring Separate Permits: Site .� Plumbing Fire Hardcover Removal _� Mechanical Water Connection _�( Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation _(g_ Insulation (Masonry) Other �_Wall Board (Mfg.) Well (State Permit) o— Final Grading/Filling OC Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS(TO BE NOTED ON PERMIT): , . . , __ . � 27 , ` . . � � � . . . .. . �r .. t . _—_ `.. 3i. � -. •.... . • �� . " f ! . + � , . \� �� . _ � 1 £XTE R 10�" EI.IVELOpE QVERF�CZE.'U Co!-ttntlTA7l�� r'"" �',. . - , . .� --:�, ,- - • , . { �Di�;'�C ` _ . t �. �` � I , O T: O R T�.�.�o �Al-11 LY �.�EL1..I r.1�1 �1�1E� ��. �L��-� �« �::...r,� ,.. �� T���ta 1.1 �14, ���Z'i— ._ : -...: ,: ♦ ,. 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AVCR, '.,c�.. `/ALuE , S'TATE' Cc,+�s�� �J6ddt'6?'.a , • � . � /�VC�, �e Cl�• YA l.tlE t S'�A'C�ti.aCJfl � U1��VF.�1T�I� � � . � ' ) �. ,. , . , ' . , , � ' i j T`�1F�hJ�.��TA �JJ�kC�,i' Co�c NAXt;�-ct�M i'TptS �6'at�.�,1�,�,�� �S1')M1+,T�,1�� , .'` ` �'�� , 'A`�' l.o sS TN�S 13v�l.Sa►IJ c-1 • ' � 'j3TU LOSS : � •; - . . 1�" �~ �' �� iµ S I� � � FT. ��ao�sF �a�,��tc?.1l � ' 32�'oZ_ ' - 5'�: �2�o• - � -,' � . _I�..�l�s4, �T. c�r.�.t wG �`,�d2�._���f- 7�' ; , � �3 � , . ;' ��+?. F't'. UNUEUT C�C�. �. � - � � ---� 't�,-�. ��- ;7_�.Z � L�.,,,' �LS�C�.'"F�' L�MI-�EATE�.F�i, i - � _,�, ' .. ��, � �� " � `�` ' "T°QYq•�.�$"Rl '.Lo����'y{R,f�'t�. �l� • `'� ��r � � ��1' � � J � ""��C}�C� oF."tc:t P.'D�FPEs�E1.iTIA� � - • ; ':' -� � ;fi- s r�:t : . �o �� ' , -r-. '� � ^' ��` �i �:' •i: . � i�. . . l . .t - , . ' t ; ' � 's.f���No� t �: . 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' ., . �.. � f'�v,�l . ,��.r ��;��.� �16}J '�j E UTE.'�7 �,' ,Qr, ` ' ,f� Y_ r��� , . �e�'r+.�t'i�. ._ �.�5}:'.:._�...... _-�.:'.�5..�..._.-,-}�-�:�. .. �..�. r�_ . ...... . .<'�.'a���-'.';:. ++,-r: . ..t;.i,':...:�?',,.'`� ..:. .'°�.�'1�.fM�:!:h a�+..:.:•:1�a'..'a�S�*��9 � iDA� � TIME CITY OF ORONO CALLED IN �°f INSPECTION NO IC SCHEDULED � PERMIT NO. � �l COMPLETED � `� ADDRESS ��� �j__����/J 17� /�J • OWNER CONTR. ����,P TELEPHON E NO. '�7 Z �.-� �7 � � DESCRIPTION � FOOTI 11 MECHANICALRI 18IXCAV/CiRADINQ/FIWNQ � 02 FHAMINd 13 MECHANICAL FlNAL 19 LAI�SHOREJINETLANDS Q 03 INSUTATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 05 FlNqL 14 SEWER HOOK-UP O6 PROCiRESS � v 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER FiEMOVAL v 10 PLUMBINO FlNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � a j Q O >. � O � W � Q � 2 W � W � � . � �ORK 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 WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in �ction 24 hours in advance.473-7357 Owner/Contra n s' : Inspector. � White Copylinspeetor's Flle Canary Copy/SRe Notice o��� ���� 688464 � /� � �iGJ<i�l✓ 1 � Y "��`.`�N � CERTIFICATE OF SURVEY FOR � JAMES M. CLEAR � Y OF LOTS 44-47, "HIGHWOOD LAKE MIN�IETONKA" HENNEPIN COUNTY, MINNESOTA ' , .�. �� co� . �t�, .. . RO4 zo: a . S /Vo. ,, , . . , ,� 69�3''�o•• �9 � . £ .� ?00.00 � � �� 00 � .�' N tq ^O' � -� .. , Q��3 4� � �� � . , � . � , . ,: - �� 4.'�' h� ' oN �'?~ ;�I ,4.1�� �ni . �v0 . �. � , � � A / A A . �^ f> 1Y ��.I�. _ �e'? ..��,���pOS� • � . .} � -. � � '.�o��� b o „�o �• =�, .�Q� � , , • F � o, . �kiST�N oN ' �8° �RqGF ��ss. N � . y CITY OF OR4�1� �o : S 69°3;�� .. 0. ` � ,� . � S1T� PI.AN GFiAl3iN� PI�A�I JA 0 ,, •. . s ,� , ,^ , ,_ ������V��= AOo�'n.on! ;a � �+��'��fi�`��i� �1l�"N ��VIS1{"111�IS � .. ° 1 �,�', _, ,� S 83 40�.5�„ E 5 , ,� � ��4 ��►` , -,,-, / _� _, 4.32 .__ .s �Y . , � � -. �, _ • . � - '`r ' _}:' �-^�'kW V 1 n�5 ` LEGAL DESCRIPTION OF PREMISES: ���--��-� , Lots 44, 45, 46 and 47, "Highwood Lake Minnetonka" �°`'� —x` `"' s�'`�� � .. /}-m9�cf-e� 1� �2�r,v,�,� This survey intends to show the boundaries �of the above�� �+O`'� �'D �`' ��5� described property, and the location of all existing build— �L9��, ings, if any, thereon. It does not purport to show any �� other improvements or encroachments. o . Iron marker Bearings shown are based upon an assumed datum: ° Note: Date of original survey was April 11. 1986 � The proposed house was added to the drawing on� June 13�� 1997 �o�e � ���`3eY'+t-w� F� � � g4V'ti �c\LV•,�.d.� ��S c:.r 4�'.�1 ��:'�s��.:,, 1.J�1ko�sa► 'Q�s..�w�e.w� �\aa!' , , I hereb certif that this surve was re ared b me or under m �direct su er- DATE 4"�/-�(' 1 � ' 1 � ' Y Y Y P P Y y p ?.oPo�ed ho�s� � vision, and that I am a duly registered Civil Engineer and Land Surveyor under '� '9 „i the laws of the State of Minnesota. scnt,E ���=¢O� �� � - % ,- �;%��,;' ,./ /��r .-,�,�. , . Mark S. Gronberg Minnesota License Number 12755 � JOB�'° 97z27 97227