HomeMy WebLinkAbout1992-004697 - add/remodel PERMIT
• CITY OF ORONO PERMIT TYPE: T L r)T N
-1335 Brown Rd. South - P.O. Box 66 Permit Number: &C.;
Crystal Bay, Minnesota 55323 Date Issued
(612) 473-7357
SITE ADDRESS: -7 RE DR
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: Fi P p A, i c '-It
I�ENV`STERN GJRAN T
710 NOR11H E'H'_JRE CAR W1
Mf-11
MN
TNE t T
G N E D I i E IRE C,'': RE Q!U ES']"S I S, >T jDN TO NI f'? E THE REAL TNPRCVENE_N', '_
-T -":-T*V OF
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c"I"E: 1 FTFID HP,F-41[) AGREP PiLl- V.4
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ISSUED BY:S1GNATURE.,6Ve-/--'
APPLICANT/PERMITEE SIGNATURE
• CITY OF ORONO - BUILDING PERMIT APPLICATION
f Total Fee: $ AoDate Received:
Date Approved:
Entered By: A
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
---------------------------------------------------- ---------------------------
THE APPLICANT IS: (circle one) OTINER or COy1NTRAO�
CT
JOB SITE ADDRESS: ��(� /�, Sparc. Or. (�. Mouy10( ZIP:' SSS3 6 y
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(work)
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NAME OF OWNER: raviT R- �2hkS�er✓" PHONE: (home) q qS_xq
MAILING ADDRESS: -71 bt-- W . CITY: MpLkytk ZIP: S7,5-36Y
CONTRACTOR: CK OLV1 PHONE: `4 7 A - qSA 9
MAILING ADDRESS: -71 O A), S Voc z_ CITY: M QLLVkk ZIP: SS 364
STATE LICENSE: # ►V oil C_
CHITECT ENGINEER: fi r C h t+2 t+ PHONE: S `l q 3 �
MAILING ADDRESS: 3 110 I,J t S,e®v,s I n kf, CITY: �r�,�� zip: S S qz 7
NAME: r 12 y\ REGISTRATION # .2, ) a S 8
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : AA /9'x aaiton 4, Som~ Slab c1�
kw` )2r Mo__ ' f r i�edl�oo vlvn acQdC�F:o�n e��2P 6it-, .� 1_arnt �c, !\6`ay+'1
STORIES:_ SQ. FEET OF EACH FLOOR: 8 SS s
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 30 boo
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 will be in accordance with the ap roved plan.
APPLICANT'S SIGNATURE: DATE:
CHECK OFF LIST FOR ISSUANCE OF PERMITS
/ FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 11�' %L ;ulr i.; % '. �/ PID:
DESCRIPTION OF WORK:
-------------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: /O - 9 -5 2-
BUILDING
BUILDING REVIEW BY. 44, DATE APPROVED: /D` 1`'91-a'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes-4z No
PLAN REVIEW Yes (/ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No C7-1' SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: Rk-ld
Fire Department: r1Uo,vJ Post Office: Y7,' WQ vJ- School District: /U/G_
Lot Area: L(22,V00Iz.Ir idth: 338r Depth: 26Y
Survey Submitted: Yeses No Date of Survey: / 0 -6-f7-
Proposed Setbacks:
Front C1 Right Side:--,5- 'AZ
Rear (Street) :— S i4 Left Side: A11A
Adjacent Structures: A-777+c+k-d Wetland: AlloO
Building Height: Def . Hgt. Peak H t.
i
Avg. Setback: to A Lo Coverag _
E i ting Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varia e Required: Yes No Date of C uncil Approval:
Grading: Staff pproval Da B Coun it Approval Date:
Septic: Staff pproval a e: By:
Zoning File: Resol ion # : Re olution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
r
UBC:— '?'!K- R-3 CONSTRUCTION TYPE:,—"VC—
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor kqo x . Z = 3'7, o00
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 37. ocx=1
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
IWInsulationFireplace Sewer Connection
all Board (Masonry) Lawn Irrigation
inal (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
------------------------------------------------------------------------------
REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval : Date By:
-------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
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 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 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 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 action
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.
First Midd st
Address
City State Zip
Phone
I and tand my rights as sta ed bove.
ignature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
x.0.4 RIGHTS OF SUMCTS OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be given indviduaL An.individual asked to
(a) the
supply private or confidential data concerning himself shall be informed of: a enc
purpose and intended use of the requested data
he may refuusse or is legally
political subdivision, or statewide sysyl
. known consequence arising from his
required to supply the requested data, (c) any and (d) the identity of
supplying or refusing to supply private or confidential data; ive the
other persons or entities authorized by state al iseaskedal lto supplyw to ein investigative data,
requirement shall not apply when an individual
pursuant to section 13.62, subdivision 59 to a law enforcement officer.
der
The commissioner of revenue ma ro art tax reAace the oi.und instructionstice-, re''I'luired uinsteadhos
subdivision in the individual income tax or
on those forms. -- -
Subd. 3. Access to data by individual. Upon request to a responsible
authority, an individual sh&U be informed whether h r s �e subjecid f sto a data
tun
individuals; and whether it is classified asp , P aL data on
further request, an individual who is the subject charge to hired m avate or nd, if he desires, shall
individuals shall be shown-the data without
hat daa. After an individual has been
6e informed of the content and meaning the need not be disclosed to
shown the private data and informed of Its meaning,
action pursuant to this section is
him for six months thereafter unless aPThe
pending or additional data on the individual has ateeor public dataruponarequest by
responsible authority shall provide copies of the p onsible authority may require the
the individual subject of the data. The resp and compiling the
arson to pay the actual costs of making, certifying,
requesting p -
copies. , if possible, with any request
The responsible authority shall comply •immediatelyof the date of the request,
made pursuant to this subdivision, or within five days
immediate compliance is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shall soinform
the
individual, and may have an additional five days within which to comply
request, excluding Saturdays, Sundays and legal holidays.
Procedure when data is not accurate or complete. An individual To
Subd. 4.
contest the accuracy or completeness-of public or private data concerning hionsible authority
exercise this right, an
individual shall notify in wr�t li e auth�oripty shell within 30
describing the nature of the disagreement. The responsible
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccuratents named by
e or incomplete hea belie es�the ng dataito be correct.
the individual; or (b) notify the Individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
included with the disclosed data. pursuant to the
The determination of the responsible authority may be appealedP
provisions of the administrative procedure act relating to contested cases.
ORONO-COP-T
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CITY OF ORONO CALLED IN 1011519.2-
INSPECTION
0 /59aINSPECTION NO ICE SCHEDULED 9y G-30
PERMIT NO. 7 COMPLETED it N
ADDRESS 7z,�2 22 ,-J ZA _,'t
OWN ER_,ta4 CONTR.
TELEPHONE NO. X71 !!5�52�
D ION
4- 1 FOOTIN _ 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Q
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWN ERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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Q G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
LCORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
C;STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracttKonite: _
Inspector. `�/ owd
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 16 L/Z 2 '
INSPECTION NOT CE SCHEDULED /c/ -/,2 'Z
PERMIT NO. Z I COMPLETED 'A
ADDRESS _7/L 71�w � L�E L )• 'i
OWNER ���:c/� —Z��� CONTR.
TELEPHONE NO. 6/ 21-2-
DESCRIPTION
/71-2DESCRIPTION
Lu 01 FOOT_ LNjC6_ 11 MECHANICAL RI 16 WELL TEST PUMP
Q Zj2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAI NT 21 COMPLAINT
tul 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COM ENTS:
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O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
[ISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nexiti :
nspection 24 hours in advance.473-7357
Owner/Contract n
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN -13yZ
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED In
ADDRESS ?/d L -e"� A k'1 ab
OWNER W CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMI G 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-FINAL 27 SEPTIC MAINT 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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W �'WORK SATISFACTORY:PROCEED PROJECTCOMPLETE
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. [ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr on te:
Inspector.- 71- am
White Copy/inspector' File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 1.2 = 3a �
INSPECTION NOTICE SCHEDULED j3
'I — • GO
PERMIT NO. 9 7 COMPLETED !/'
ADDRESS b _
OWNER / CONTR.
TELEPHONE NO. �Y
D TION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
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02 NG 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
D
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
C
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the neNtisction 24 hours in advance.473-7357Owner/Contr oron
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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CERTIFICATE OF SURVEY FOR
GRANT WENKSTERN
IN THE SW I/4 OF SECTION 6-117-23
HENNEPIN COUNTY, MINNESOTA
ORONO_-COPY'
I
kJ�st 1;rt� o� the SW 1/4 -� }1-Ae
14 of S ec-'ort
Se�•t;or, �-t11-23
o�' t(ze SW /4 0� f lie SW /4 ^ ?�
o� h` S W 1/4 0 q Seco 23
�'to.31
3N
N 89° 13' 32" W
N;
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kJ�st 1;rt� o� the SW 1/4 -� }1-Ae
14 of S ec-'ort
Se�•t;or, �-t11-23
o�' t(ze SW /4 0� f lie SW /4 ^ ?�
o� h` S W 1/4 0 q Seco 23
LEGAL DESCRIPTION OF PREMISES SURVEYED:
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a CITYPOF ORONOSITGRADING PLAN
(APPROVED
❑ APPROVED WITH REVISIONS
❑ DISAPV
BY eY
DATE io-9-92
4.3 S
0 -SWI,
---- 98,-7 _---
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o.4 -7W 0.2W ,
DAN � 1
�-N t38' 4- 4' 45� o.tN.
Z(o4.00
of {Ike SW l4 0� the SW %¢ 0- Sec -"sort G -"l-23
That part of the Southwest Quarter of the Southwest Quarter of the Southwest
Quarter of Section 6, Township 117 North, Range 23 West of the 5th Principal
Meridian, described as follows: Beginning at a point on the East line of
said Southwest Quarter of the Southwest Quarter of the Southwest Quarter,
330 feet North of the Southeast corner thereof; thence West 264 feet parallel
with the South line of said Southwest Quarter of the Southwest Quarter of
the Southwest Quarter; thence North parallel with the East line thereof to
the South line of the North 33 feet thereof; thence West along the South
line of said North 33 feet to the West line of said Southwest Quarter of
the Southwest Quarter of the Southwest Quarter; thence North along said West
line to the Northwest corner of said Southwest Quarter of the Southwest Quarter
of the Southwest Quarter; thence East along the North line t"ereof to the
Northeast corner thereof; thence South to the point of beginning,
This survey intends to show the boundaries of the above described property,
the location of an existing house and garage thereon, and the proposed location
of a proposed addition. It does not purport to show any other improvements
or encroachments.
• Iron marker found
o Iron marker set
Bearings shown are based upon an assumed datum.
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'5W 4- SW'/4 -V SW
oft' Secy iot-t (0-117.23
N Se44' 45" W
DESIGNED BY REVISION DATE DESCRIMON
I herebv certify that this ,;urvev was prepared by me or under my direct super-
rvision, and that I am a duly registered Civil Engineer and Land Surveyor under
the laws of the State of Minnesota
DRAWN BYoil
Mark S. GronberK Minnesota License tiumber 2755
SCALE
1 so'
DATE
10-(1• 9Z
JOB NO.
9 2-43 9
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LEGAL DESCRIPTION OF PREMISES SURVEYED:
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a CITYPOF ORONOSITGRADING PLAN
(APPROVED
❑ APPROVED WITH REVISIONS
❑ DISAPV
BY eY
DATE io-9-92
4.3 S
0 -SWI,
---- 98,-7 _---
i
o.4 -7W 0.2W ,
DAN � 1
�-N t38' 4- 4' 45� o.tN.
Z(o4.00
of {Ike SW l4 0� the SW %¢ 0- Sec -"sort G -"l-23
That part of the Southwest Quarter of the Southwest Quarter of the Southwest
Quarter of Section 6, Township 117 North, Range 23 West of the 5th Principal
Meridian, described as follows: Beginning at a point on the East line of
said Southwest Quarter of the Southwest Quarter of the Southwest Quarter,
330 feet North of the Southeast corner thereof; thence West 264 feet parallel
with the South line of said Southwest Quarter of the Southwest Quarter of
the Southwest Quarter; thence North parallel with the East line thereof to
the South line of the North 33 feet thereof; thence West along the South
line of said North 33 feet to the West line of said Southwest Quarter of
the Southwest Quarter of the Southwest Quarter; thence North along said West
line to the Northwest corner of said Southwest Quarter of the Southwest Quarter
of the Southwest Quarter; thence East along the North line t"ereof to the
Northeast corner thereof; thence South to the point of beginning,
This survey intends to show the boundaries of the above described property,
the location of an existing house and garage thereon, and the proposed location
of a proposed addition. It does not purport to show any other improvements
or encroachments.
• Iron marker found
o Iron marker set
Bearings shown are based upon an assumed datum.
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$ots'ih84a5t corner off'
'5W 4- SW'/4 -V SW
oft' Secy iot-t (0-117.23
N Se44' 45" W
DESIGNED BY REVISION DATE DESCRIMON
I herebv certify that this ,;urvev was prepared by me or under my direct super-
rvision, and that I am a duly registered Civil Engineer and Land Surveyor under
the laws of the State of Minnesota
DRAWN BYoil
Mark S. GronberK Minnesota License tiumber 2755
SCALE
1 so'
DATE
10-(1• 9Z
JOB NO.
9 2-43 9
ell