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HomeMy WebLinkAbout1999-011627 - bedroom expansion . , � , , � PERMIT � ' CITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: ` _. _. :_. '-,::'i!._�:�;'��1�-� Permit Number: Crystal Bay, Minnesota 55323 Date Issued: '��� �`'''�` (612) 473-7357 :_i�i:,s=';�:;`�:' SITE ADDRESS: ;1��_ �v4 i!.` ( �"'. _,=.`i4_'ii�. 1'•:�`. ,_.�-� DESCRIPTION: _ ._._..-.-=��:E;•� i-:�:.-:'�,:�v�_:;�_��� ��:.�= _�,i n�j .-��,�;,f i r . r�,�, _�;_-�;�:;�;�:;�`�=�=������� 1,;,,-�S J i =.=..l 1 1 7�M� i'.�:i'.:: ? `i�...- F��?�I 3�_ �ih,f ;i`'t. �r.s ��'-'.�-�-;r' �:"_ t_.���+�_, _.1'i!i~# :��'3:: ErC=�� {:`. . _._...-t{__ 1_f�i3rSF=� fi•���^r i'5�.� . F'.?_'xS� {���v?�.�."�?.... REMARKS: - --_ _ _ �. - - T p _ _._. . .-., . . __ . _.". ._ i,.�.`••_'i�!,�`[��� L:r.��� �:.�...�".�� � �;.t=•*-=�_ t.�_+ ! ?� __. . FEE SUMMARY: �v�3+_!_�'r'��I:t�•1 �j..�, . :.;_�;_; -�.�:�_+ j�:''� '���:1. . _'.C .`��.%:.�I �.�''`t'�h'�,t% . _ _ . . -:f ���_t.'i;'t;+;' �_�._......_._ �-`� s� , _'..�� -_-:.� u.,•'3._��w. - - CONTRACTOR: - ��,�,::�; - _ _,-. _ - - _ _ �_��; OWNER: . .!�'=C�i".l�.�1-?i�'=1 1 ,_�•_'_�!,���.!�� _ -.i�.;;�,.��:::�.:'a. t�,..•''�.�' _...___-['t' .I i�F`�Il� _ _ _. ��f` l���,Fi:� ;�+�i�-i �'si% 1�.;'�..`:-. ':w:�ij:;� }� '.-��;i_..�;'� i J`i � 4:�^�.s T{�v'-� i_t�;t ?74�t _ ._ . . =_l�.f_�?`.i!_� . .'•'•-I _ _. .' _. i.r... .«_». . . _ " i ._.l�i.� ' — ' s= . t�1�:�=F-f- ;-t';-{:i;�}-:� +- .•-i j:� - -.i:,� 'Tw'[ �':;;_j TS.:;:�i''•:` _ �._ __. ,. , .'" *Y�:`•= � �"' � " r t ..__:'� . .._ �_ ..._! f �� . _ . _ . .''�.t_ .� . ...._. ..__ . .� .;3 (t+_ ...� .. ,._ .... ...___ ..._. ._ . _ .' ' _ ' t' } ' i, ��:e��{.;��.�. •`_��_._ ._'" _ _._F � . _' � _: ._.C'. _ !_; �',_, .-.._i_ 'a-�_.. .. . f�y _ . . .� _ . _ `� _._. _... �y`i _..._.. _. . . . :_Et" r i_' � _, _ _ .. � ?�r!-s..,�f .t ( , , i �. .,`., . ...f.. .. { � . .-.., �� ...... .1 � . ... _ __._. .... .._ ..._ ..._f E� 7_ ...... ..... . . ... . I _ ...» ;_ , �..., ,'[ ._ _ � � i '; " .�... 0 3, _ . ._. .� ... .. .�'_ . ..: . .' . .. ; } t e"i:: } r �. . �e "r .. � J � APPLICANT PERMITEE SIGNATURE � ISSUED BY:SIGNATURE . -� • ' \ I , Total Fee: $ '5�.�,Z.O � Date Received: �%� �- �� Entered By: �' _ Permit#: //l�d� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------- -------------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTO .�....__ + JOB SITE ADDRESS: o�� i'�� .� � ZIP: NAME OF OWNER � `� PHONE: (home) , �^ (work) MAILING ADDRESS: � `d�.� �� ,CITY: ZIP: .� � CONTRACTOR: �' ! (Al �< PHONE:_ ; .� 'b ` 'r CONTACT PERSON: MOBILE/PA Rr -- MAILING ADDRESS: • � CITY: �� ZIP: � ! STATE LICENSE: # n ARCHITECT/ENGINEER: ,� �f" � �I PHO � MAILING ADDRESS: � CITY: '�� ZIP: l�JAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration � PROPOSED WORK(describe in detai�: � ' �" �,f V STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $���'� ; � 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 pern�it a d aavork is not to start without a permit; and that the work will be in accsard ce wi he ppr d pla �' / ,, APPLICANT'S SIGNATURE: �� � ATE: ��� �1��`� ` _ NOTE! Parade o�Homes events require separate permit ap oval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 I / J o �- . . �+' � , � Sec.13.04 RIGHTS OF SUB3�CTS OF DATA S�bd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in Uus section. Subd.2. Informabton reqoired to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)die purpose and'mteffiied use of�e requested data within the collecting staoe agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)azry lmown consequence arising firom his supplying or refusing to supply private or confide�ial data;and(cn the identity of other persons or emiries authorized by state or federal law to receive the data. '17�is requirement.shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5,to a law enforcement officer. • � Ttte commissioner of revern�e mav nlace the notice reauired under this subdivision in the individual income tax or nroneriv ta�c refund nostrucdons instead of on those forms. Subd.3. Acce�to data by iindividual. Upon request w a respflnsible authority,an individual shall be i�ormed whether he is the sUbject of stored data on individuals,and whether it is classified as public,private or confide�ial. Upon his further request,an individual who is die subject of stored privaoe or public dam on individuals shall be shown die 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 itc meaning,the data need not be disclosecl to him for six momhs theteafter unless a dispute or acrion pursuant to this section is pe�ing or additional data on the individual has been wIlecoed or created. The responsible authority shall provide copies of d►e private or public dala upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The respons►ble authority shall comply immediately,if posst'ble,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays aad legal holidays,if immediate compliance is not possible. If he cannot comply widi the request within that time,he shall so inform the individual,and may have an additio�l five days witLin which to comply with the request, e�ccluding Saturdays,Sundays and legal holidays. Subd.4.•Procedure when data is not accarate or complete. An individual may contest the accuracy or completeness of public or private data concetmng himcelf. To exercise this right,an individual shall natity in wricing the•responst'ble authority descn'bing the nature of the disagreeme�. The respons�ble authority shall withm 30 days ei�er: (a)correct d�e data found to be inaccucate or incomplete and atbempt to nodfy p�ast recipiems of inaccurate or incomplete data,i�lud'mg recipients named by the individual;or(b)norify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statemem of disagreement is included with the disclosed data. The determimAtion of the respons�le authority may be appealed pursuant to the pmvisions of the administradve procedure act relating to contested cases. AATA PRIVACY A►DVISORY 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 informarion. , You aze notified that: 1. The information you futnish 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 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 acdon 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 pro s ' application or permit. . � �� e/ �� r� � , A`�� /���%� ��1/ o��c3�� ������ City State Zip Phone I understan ts as stated e. • Sigffiture . • ' I \ � � � � CHECK OFF LIST FOR ISSUANCE OF PERMITS . FOR OFFICE USE ONLY ADDRESS OR LEGAL: �t�t Z 3 N• S. /J . - PID• DESCYtIPTION OF WORK: (3�rt�ow. �x�.gr�s c u•�J - ZONING REVI�W BY: DATE APPROVED: '�-�-F9 BUII.DING.REVYEW BY: DATE APPROVED: . 7-� -s�1 FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �' No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes -� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �vo Gf�r,�,Q Fire Department: Post Office: School District: I.at Area: Sq.ft. Acres Width Depth Survey Submitted: Yes � No Date of Survey: O/v (��LL Proposed Setbacks: Front(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: Wefland: Building Height: Def. Hgt. Peak Hgt. •_ Lot Coverage: �� �► Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARI�S('m house): 7 I / I ► • . • , � BUII.DING REVIEW CHECK LIST uBc: /L - 3 eorrsrRucTTON�rE: v� - Sq Footage $Per Sq Ftg � B�sement x = lst Floor x = 2nd Floor x = Gazage x = x = TOTAL � Estimated Construction Value: $ /S,dDo � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing Sepric Sewer Connecrion � �Framing Fireplace Lawn Irrigation � �Insulation (Masonry) Other _�Wall Boazd (Mfg.) Well(State Permit) _�Final Grading/Filling �Electrical(State Permit) Other REMARKS(IN HOUSE): � • � REVIEW BY OTHERS: DATE: � Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMII�: 8 �f . 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' 'E'x�;�r� '���.��i�Y,t � �� s�.� . w.�.�:_ ,,,,�., wt ��� ; , � ��p�'r' �c5�'s�r���c?ctt�w ��aaa� � ; ; `''� ('� y.,,, �" '�'.� � 4�5 e 8 � ! � Y'"�,�T� 4 � w �ti�� e . ����� • �.-��,�.�.�. �.r`r�+`' av 4...;,�.» . , �'�C� ��'(+r�CkJ� {�.l.�1A�!.��, � � �� I R � �.:.+c.�r.x:::..:::.::•�r�i+ '4�+"X � ��{"t.Vr�L� ! � ��„ ��p,l ��,�p�� e� ,.. � � ; . � • "'w�,�a t��.��`4.*''°a �rLr r ,�...+.�.__...�. � �� �C� �� ��tl.as• � + �� �_' � �'��-�c.��'t"�► ����.� �P.�.+G.� C�t�C��R , . .��'�.�4R1u�6� ' ��'W �itt� /.,�I!-bL # -; �r � � ! ����� �� f I I � � � I ae •d � ATE TIME CITY OF ORONO CALLED IN g'�b �? : l S� INSPECTION NOTICE SCHEDULED � ���3 � PERMIT NO. �'�,,11 �.17 COMPLETED ADDRESS �-I�{ �3 1�'P. .�V OWNER M�l�I�G� CONTR.��dIC[h TELEPHONE NO. � ��J � � �J �I`7 � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI . 18 EXCAV/GRADING/FILLING � FR I 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��''►n;�j �� 9��'� :%�/`����.1 W a � J O >. � O � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. LPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector.�`��G��fiJ�� White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CA�LED IN $ �''TE�L} TIME / INSPECTION NOTICE SCHEDULED � � PERMIT NO. �� � � 7 COMPLETED ��� ! �v ADDRESS � ��� /� S��'"�- �'�- OWNER .I a-'`� IZI,�-�i-ti CONTR. �,�iNLv-e-h.�tZ^��'� �l� TELEPHONE NO. �G � 3 � � 3�� � DESCRIPTION /����� -- �z G��G��� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPL4CE 34 TREE REMOVAL Z WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMEN : � W a O � � /�'u � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED i= PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ;7 ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnerlContractor on site: Inspector./4I�-l��. ��C3..1/IrS White Copyllnspector's File Canary CopylSite Notice DATE E CITY OF ORONO CALLED IN .�—��-41 y � S� INSPECTION NOTICE SCHEDULED ' � � ����� PERMIT NO. // �'"� � COMPLETED ADDRESS ��0�.3 7�� � ` �`l.l�-cp '��`�.J OWNER C��✓n y%-���21 CONTR.�LGG'r�X�t.�� 1�� TELEPHbNE NO. � �-� � � ���` � DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a �c� , � Oh -�Y '� �c«,���,- j �� O >. � O � W � Q � Z W � W � j d � •�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. 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'� _ ` • � ,� �a �� � � . �. �� . � . � � � ���os��9 �oQ<<.,o,�s , . . ° . .. ��° � C��� ��° ������ � .. . .. . , . �- h �c ��T� ��.���a c���;�iraG �LAN q ►. �A.�'�'���;��«:f� - �r�o,-n on�5 �� - , � ❑ A���'�=��i�ri�,�J 'a''�;";�ia i;cVISlGNS r7,> > r � ❑ �i�,t�� �ili��'u . �Y _ �r— 9 9 � DATE S-� -Q►6 //S`�� 2 .¢Cpry�ovr , � J .//7 LrG11L hI,SCItI�P'.t'ION OI� PRL'MIS�S SURVrXCI): ����. ��hc .`�,o '1'h�r ���rfi �F Government Lot J , 5�ct:ion 7 , 7'ownsh.i.� 1 1 7 � Nortl� , Ranc7� 23 W�st �L tl�e 5th Princa.p�l M�ri.di�ri� c��sr..r..'tl.�ed �s folJ.ows : C�tnmc�ncing at ��n iron ��osr .on L-he �;ho�-e of: i��ike Minnei:onkZ 2G f.e�k WesL-rrly oL rlie intersec�ion. of rhe r�,sr. line ot saicl „Lot, 3 with the shore ot 1��kc� M.innetonk,� ; thcncr_ in �� str��ic�l�� line N�.rthea5l-.er. ly ,+.c� a 'hoaril.�.�,.n. .i�h�'.West. li.ne ot L�L- 1 , 131ock 1 ti , . S�1e��� Ilills Itevi.secl , Ilenne�i.n Co . , M�.nn . wl�.ich a.s 1 �4 . 2 f.eet Sc�uth oF , thr•_ NorrhwesL- corner of s�-►id Lor 1 ; L-I.��nce N�r.th �.l�nq +�I.�e C�7st .tine of said Lot 3 , Sect�.on 7 , ►�c� L-hc-� ric�hF of w�y ot canal caeedecl to S�qa IIi11 1lssoriai�ion; thence Sou��hwesL-c:r.l.y • ��lonh i_►�� I:��ster. l.y .line oL �aa.d riqh� ot w�y 4�3F3 Eeet i.o s��id L�akc� Minnet-onkz i:o � l�oint whicl� is 350 f�et mor� or. lc�s, W�,+;er].y of: t:)�e �o.inL ot beninninR ; t,I��nc� I;asl.�r. ].y �lonc7 I:he �I�or� of- .�i_c] L��.kc� Mii�neL-onk� to t:h� roint ot bchinninc� . � • Note: '1'I�c [�oi.nl: oL Ix�c�inni.nq oL �he ��Ix�vc descril�ec7 �ro��er.ty is v�-ayue I�ecause oC �nxyaSi�i:inq a.long �n everchanqinq sl�oreline ; thereLore sa?� ).ec�al action �iitiiy' have to kie takcn L-o cl�riCy tl.�zs �,�nt. 'i'lia.s sur�ey ir�tends to st�ow �I�e boundari�s oL tl�e Lo:llowi.nq desci-ihed ��ro��crL-y , and • �F. .the location oE �n• exishing �house thereoi� . 'It cloes not pur�orr to show anv oL•her improvemer�ts or •�ncroachments . • • � J hereby cer�i�v L•hat: �:his survey was prc�n��r�d hy me ' ' ' or under my cl�.ree� s��r�r�,�,.i.���, ancl tl»t: i" �-iiii � clul.y , • • � 'registered Ci.�il �nginc�er. �nd L,and Surveya.r under tlic � � taw.s c�C �1�e SL�te �t Minnesota . ' � t'01'I'iN & G1�ON[�I�RG, INC. ' ' " • ' • . ,��C ,d•�-��.. . , y ' M�irk S . Gronl�erq MN � Li.c. No. 12755 � I:riginc�ers , l�nd Sur.veyors , Planner.s ,,,, Scale : 1 incl� = 50 L�eL- � � ' Lqnh L�ke, Minnes�ta [��L-e : M�y 9 , 19�31 • . o . Iron m�,.I-kc�r � . . . 13r.��r.i.nc'Js �liawn .�r :r. 1�ased upon �an � tissumecl d��luiT�. . '/-/SrJ � • . : ..,.. ,. . . •