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Home My WebLink About1997-009496 - addition PERMIT CITY Or ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 LL Permit Number: Crystal Bay, Minnesota 55323 (612) 473Date Issued.73570/10/c17 SITE ADDRESS: 395UNU L.() DESCRIPTION: (.-11...;DTT Pe.1-mit Ty 51:-A0 /R.E110 Ei ci r ys.AE, D ITION OSC OCC y Tyç- VN Z:nin' R-- C.c2r) US.; C Ci 1:7? ::14 (-7)L. 1 . RES IDE!' TIAL. REMARKS: c:EP A E PERil I TS REQ Li I f--,!ED FOR Me I NG. ANO E CHAN I FEE SUMMARY: tjATT 01,J $E,0 f.) if▪s Fee $574 . 7.5 F-'1 n • c - !;..?Q Total . :34 CONTRACTOR: - I j01t . L. C . OWNER: C ;7: T _ 14723.575 2(.3037250 i\PILAINi....) R.I C! F:1•1 F-4: E r) :::;9.5 R ON M t)N 0 ORONO m 55-..33 (612) .472-S575 002 , . IRE UNDERSIGNED HERESY REQUESTS PERMISSION TO MAKE T OEM.;,IMPROVEMENTS SPEC Ir. ED AND AREES Ti DO ALL-VORK IN, S TR ICTICOMPLI.41' WilkALL CI TY i ORONO ORO I NANCE Al,10 STATE OF M rmgsoTA BUILDING coDE ., •ERU I REISENTS",,' (-2c APPLICAN /PERMITEE SI NATURE ISSUED BY.SIGNATURE y 111111 Total Fee: $ Date Received: Entered By: fig, . Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER ORONTRACTOR JOB SITE ADDRESS: /3 75— O(O is ('> ZIP: 53-39/ NAME OF OWNER: Q,'41e�c Atli- PHONE: (home) 1-i7,- POG Z (work) MAILING ADDRESS: /39' Dsc o Lr CITY: 1JRx24, 4 ZIP: }— CONTRACTOR: C�e ,'�r� /� S PHONE: '/7)- 857)— CONTACT PERSON: 77' /urZ MOBILE A ER: MAILING ADDRESS: S'W S /.•r ?/�( Qc CITY: .,/ck,,t ZIP: 573 6 STATE LICENSE: # ARCHITECT/ENGINEER: 1 L k./ o e PHONE: 93?-0? 75" MAILING ADDRESS: CITY: £ ,-0.1A- ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition ;I< Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail)ff: ,� ,,, CI i, 4 - STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. L.. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ SQA Ooo. 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 ith e approved plan. APPLICANT'S SIGNATURE: DATE: 5'-3o-- 97 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. 9 AlIr • 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 given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state 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 state or federal law to receive the data. This 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. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access 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 informed 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,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 additional 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that 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 determination 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 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 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First _ 11:\ Mi le r t .5-41 V5- 1i L Address ,40 met. 5E-3 6 y V '? City State Zip Phone I understand my rights st a abov . Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: j 3c1 S QfLonip tA,. PID: DESCRIPTION OF WORK: A-001 nom ZONING REVIEW BY: • I, DATE APPROVED: /0. 8 c BUILDING REVIEW BY: 4��, , I,,_ DATE APPROVED: to- 43- S1 4 FEES TO BE CHARGED: Yw Misc. Fees Calculated By: PERMIT Yes &/• No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Ycs No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: LIZ-IA Fire Department: wAy-IA-7W Post Office: v1/4/Aer-4-TY3 School District: pQ?r0 Lot Area: Sq.ft. 37) 250 Acres . (IQ S Width I 2 Depth P Z-6-)•r 7 Survey Submitted: Yes )4- No Date of Survey: 2.-Is-- 893 Proposed Setbacks: Front (Lake): _ •J$Q {= Right Side: 5-1 .f Rear(Street): Zd Left Side: ir8et Adjacent Structures: C70 ' Wetland: N/,4- Building Height: Def. Hgt. 04,L Peak Hgt. — Lot Coverage: (91) -- Grading: ,) -- Grading: Staff Approval Date: AJ/,4- By: — Council Approval Date: Septic: Staff Approval Date: Al(4 By: Zoning File: # /4 64 Resolution: # — Resolution Date: Shoreland District: v e s Avg. Setback: co Bluff Setback: 0• Lot Coverage: Q• l�. Existing Proposed Hardcover: 0-75' 7.51 2.45 Z 75-250' � 5 b 14.72 250-500' `.1.41(/ 41. Y y 500-1000' Hardcover Variance Required: Yes No oC Date of Council Approval: REMARKS (in house): 26 BUILDING REVIEW CHECK LIST UBC: .3 _CONSTRUCTION TYPE: VN Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL to co Estimated Construction Value: $ 57/ COO Inspections Required: Work Requiring Separate Permits: Site /e Plumbing Fire Hardcover Removal A Mechanical Water Connection p( Footing Septic Sewer Connection v.Framing Fireplace Lawn Irrigation Insulation (Masonry) Other os Wall Board (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 PERMIT): 27 DATE TIME CITY OF ORONO CALLED IN /6 /6 -9 INSPECTION NOTICE SCHEDULED /0 -L7 7 PERMIT NO. '7 ! COMPLETED [� ADDRESS / 9 S ..-A41-722O�GL OWNER CONTR.abdru.L �AQ_ TELEPHONE NO. ?'�" 377 3 DESCRIPTION (TG 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL �+ 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W a 0 cc 0 u_ W cc W Lu cc O WORK SATISFACTORY:PROCEED CC COMPLETE W ❑CORRECT WORK&PROCEED '1 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 ext i spection 24 hours in advance.473-7357 Owner/Contract sit 7 Inspector. LEcCg White Copyllnspector's File ( Canary Copy/Site Notice DATE /gyp TIME CITY OF ORONO CALLED IN /-lc' /D INSPECTION NOTICE SCHEDULED 3e PERMIT NO. '/ "9&' COMPLETED �' • r �1 ADDRESS // 3 9s- AA-a-7 u. ,"4_. OWNER -174-z-,---ea----- CONTR. CYh,t t,t.A.4.- --(1-4.4.._.-- TELEPHONE 1 /LTELEPHONE NO. y7,2___ '4)",5"-- 7,S.— DESCRIPTION SDESCRIPTION atelA—i 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT tQ 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO P,, COMMENTS: cc W Q. cc 0 >. fr 0 4. W CC Q LU LU CC ORK SATISFACTORY:PROCEED W PROJECT COMPLETE W [ CORRECT WORK&PROCEED L-, ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED E INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractorjr� Inspector. Allte White Copy/Inspector's File Canary Copy/Site Notice DATE / T M CITY OF ORONO CALLED IN % ` Q 01 INSPECTION NOTICE SCHEDULED / .'u, -4 Lie PERMIT NO. 7 / / COMPLETED-, ADDRESS J / � OWNER fir( CONTR. /646, TELEPHONE NO. DESCRIPTION 4. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG h 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS INSULATION_- 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS E` 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 J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc O cc O ti W CC W W Lu O 4ORK SATISFACTORY:PROCEED -. PROJECT COMPLETE • ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 ins ction 24 hours in advance.473-7357 :::; 1tt01 /Coracn te: tor. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN G— a-- it c7 INSPECTION NOTICE SCHEDULED PERMIT NO. I Lf 'J COMPLETED It ADDRESS /�(3?5 o _ OWNER K) CONTR. Citi >t b.Amixt, TELEPHONE NO. S 75 • DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 `05 FINAL 14 SEWER HOOK-UP 06 PROGRESS l` 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LLI 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc w a cc J O a CC O W CC 12 W W CC j „IfORK SATISFACTORY:PROCEED eefitOROJECTCOMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED Li INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contrac on te• Inspector. wti _ White Copy/Inspector's File Canary Copy/Site Notice 04-12---'7---- 0 p y ,...1.1.•:it�': %31'',d 1-11;471 1 i1 yin ,� '� �"'�Yr/ y '4it 4 Fi,,,itik',4.1 �a1 Ingarerreisilyr.rrimufenogil ..... 51. gRoNo COPY CERTIFICATE OF SURVEY • FOR RICHARD F. NOLAND /� OF LOTS 7 AND 8, wHOMES ON BROWNS BAY" c. . .t1 ",t yy,w,1. y HENNEPIN COUNTY, MINNESOTA n ;:� �'� t! 1, Cw- x) -J 'I,cia/L4n�nronk I �.1).- 11• Is '�� is-d.qy , v � 0 No;/ l�' 0.4'. 6A"'�'l l,^e/ 4 1 v • ' � ry p.. ` v �7 V' ,V d '- '►. 01/3 v S/a.dcorcr Ca/ca Al�iint q1. .6 � c �C67 u a" `'`'. �q�i1 D 9111 j1ti'‘�� Z0/10 �nt1 /'Qfrs/ca✓c. 70 V TI�n a <°:\‘' . -- NBoo�/js .� O-7S' /o Soo!Jp.F/. 79otlr,Fr 7.sZ /� ca9 , ,.. f.��,,.. �. •Af. 00- N, • _ i �� r-7s-Iso' 21,500 f;1.F/. 4400 ! .Ff, /7.9e ,, �� • r aj 4.7 ✓ `_4,, _ 2J0-50,02 250 rrp,Fr, /0'0ctp,Fr, 4.49 00 44,11) . ( l r \ a a, �,,�> 44 � atiy� � � 4460 r- 23.3 8 V,06..4 43 (4 2y 500 - is:121 ter 1,, CFTYOFORONO ��, � 4.APPROVED A 0 , )A4J � t) � 4 , Ln( ffOV4WITH REVISIONSx (44-e-___ ti1g; ''t ♦ 1` �� D DISAP OVE�hti // `' BY ‘1•4•1 �- ' N z;.j .3 DATE a-Z-°11 �� 54 t mri SCALE: 1•"'"'=-:-.30""---"' Na 1s�`ry v 1}.I.0 n \, DATE 2-15-88 4• ` '' F1 1 pJ5 h` \ \ 0 Iron Marker set �,,. M a2`L 1� S, ;N v r9•72.i . Spot elevations ^h 0.1 G r 1i /0•t M •5 4.1v,��5,�. DATUM: Mean Sea Level 7a QLL • Iron Marker found -- `r v, v 6• - �` 1 6 ; 1 i r I 1 i fO �.�. •.' ' 1 ' _ • ` - •• ', '✓‘=- — — __ ' —/3 9 ,47•- N 87°1(c "is_E — ' ' . �, —1— — — —' v• , • I ; 1 I , •—,' - -' , itx 1 . l :: 1 '; 'J'•>r I hereby certify that this is a true and t 3 ,3 . correct repro:sentation of :a survey of Ib•� ; �� the boundaries of Lots 7 and 8, "Homes N Y Ni' %•. on Brown's Bay;' and the location of all LI V� 94 � , ••„ t',� existing buildings thereon, concrete • ;m Eft.t�d'f w; \ m slabs, walks and steps. It does not pur- ;5",�; ,.7_�:�..: port to show any other improvements or ,: 83- . encroachments. 0.0 D\5 COFFIN & GRONBERG, INC. I "Zir-_ ---_.<9.-___--4, 4 it Mark S. Gronberg Lic. 12755 44 Engineers, Land Surveyors & Planner Long Lake, Minnesota r ,-„,..„.: !„,,- :"., ,,.,,,•, , ,-,.., ,, :, ,. ,• . .. ,, ..• ." ! .: 0,7 X . . .. . q X',;' . . .. (en_ K--ESO L—ItZ 1-(11 Ci BY ._.. . _____ _. ----- Dr�r�: _____T1--'7-` ?) ..