HomeMy WebLinkAbout1991-003929 - 3 season porch i ,
PERMIT
.
CI�Y OF ORONO � PERMIT TYPE:
1335 Brown Rd. South • P.O. Box �6 Permit Number: �j�j;�;�'��"��'
Crystal Bay, Minnesota 55323 Date Issued: ������x��f���
(612) 473-7357
SITE ADDRESS:
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FEE SUMMARY: i35t�I4�44� ` � �
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CONTRACTOR: -- ���F�� ica��t. -- OWNER:
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APPLICANT/PERMIT� IGNATU � ISSUED BY:SIGNATURE ���1
� � CITY OF ORONO - BII�i�DING PERMIT APPLIGATION
Total Fee • $ � ��. l �' Date Received: � ��� - �� �
Date-Approved: � � Ri / � _�
Entered By: /� �
Permit#: �j`�! �
ALL INFORMATION MIIST BE SIIBMITTED IN FIII,L BEFORE PLAN REVIgW' FiILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------- �-- --------------------------
T� APPLICANT IS: (circle one) OWNER o CONTRACTOR
JOB SITE ADDRESS: ��6��C% �/%F'�--���i'/�� �� ZIP: ��,��/
(work)
NAl� OF OWNER: ��1-� � �C�'�t�F% �� PHONE: (home)
MAILING ADDRESS: �-��'JC.? ✓ .�7Efi.��f.%, ( �d CITY: ��G't,p��'�o,�-- ZIP: �'".�J'� �
1 � -,
CONTRACTOR: � �.I'' ���/U � ��"ii.'�i T. Z/L C PHONE: �%�' �����
MAILING ADDRESS: ,/,�U r.�/i,�"l�Yv/l� �2 �[! CITY: �Gl_ 6 ZIP: ����/
TYPE OF WORR: New Addition Y Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
^ � �,/�,/� I
PROPOSED WORR (describe in detail) : -� ��J��U✓`�a �u�`"�� �� (-�� � �/Di`�
// T
STORIES: ./�=%� SQ. FEET OF EACH FLOOR:
IdO. OF B$DROOMS: GARAGE ST1�LS: ATT. DET.
��
I3STI1�lATED CONSTRIICTION VALIIATION (egcluding land) : $ �-��C,��.
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 approved plan.
l� � � �
APPLICANT'S SIGNATQRE: .� �- � t�z'��/ DATE: fJ �U�� p�
- � CHECR OFF LIST FOR, ISSIIANCE OF P$FtMITS
FOR OFFICE USE ONLY
,� .� � �
ADDRESS OR LEGAL.: ,�,,�Cf� }��L-��-<2�1 �� ��%� PID: ��-//i"� �; '% �3 :-? Gca�; t� -
. . �_ _ ,
DESCRIPTION OF WORR: � �J��ti � �.- , ��-L � � C� ���`�`�� "
------------------ ,p- -- --------------------------�z'---------------------
ZONING REVIEW BY: d J� �. DATE APPROVED: 1 C)- "L-� �
BIIILDING REVIEW BY: �.�� C�����^<�._— DATE APPROVED: � � Z'� �
�������������������-��������������������������������������������������������
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes r/ No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No �% SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District �- �� � I�
Fire Department:�c,��rv� Post Office: �1/�L School District: IU`� _
Lot Area: % f�C� Width: � �'��c�S Depth: � J/�--���S
Survey Submitted: Yes� No Date of Survey: �' �� ~�� �
Proposed Setbacks: . �/�
�t (Lake) : "'T"j � Right Side.
i
�- (Street) : ��Uc� r t— Left Side: � --�
Ad 'acent Structures : ���C.��%" Wetland: /�' `�
J
Building Height: Def. Hgt. �V,�� Peak Hgt. t���f�
J� Lot Coverage: �����
Avg. Setback: 0 • � l.P� 2�:�
Existing ���� � Proposed
Hardcov�r: 0-75 ' 7 30(� %. DE,
.�,�• �d °�a
75-250 ' � �
250-500 '
500-1000 ' �7
Hardcover Variance Required: Yes� No Date of Council Approval: 8' � ��
Grading: Staff Approval Date: �� By: Council Approval Date:
Septic: Staff Approval Date: �/�� BY�
g r Resolution #: ��?���� Z Resolution Date: � ���-��
Zonin File:# i�� �
��KMARgS (in house) :
� - - -- _ . __,:___ . _
. , --_ .
BIIILDING RL�VIEW CHEGR LIST
- - �.
. f__-- .
IIgC: ll� /L - � CONSTRIICTION TYPE: �--
Sq Footage � $ Per Sq Ftg � �- -
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
X -
TOTAL .
Ssta_mated Construction Value: $ Z r, b00 ��
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
Final (Mfg. ) Well State Permit
Other P�Electrical (State Permit)
RSMARRS (IN HOIISE) :
-------------------------------------------------------------------------- -
RhVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
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RRMARRS (TO BE NOTSD ON PERMIT) :
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CITY of ORONO
Post Office Box 66•Crystai Bay,Minnesota 55323•Municipal Officea
•
� - � � 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
,�� �e /��s �'��� �"� G _
First Middle Last
��v .....5 � v �
Address
�/ � � � /�i� /
City State Zip
-��/ �-�'�y�
Phone � �
_.
I understand my rights as stated above.
� �� .
Si ature
BUILDING&ZONING-473-7357 • ADMINISTRATION�&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING �
--- - __ ` _ :- . `r
513.04 RIGS15 OF SIIBJECTS OF DATA � � � •
gubdivision 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. n.individual asked to
�. to be given in�ividuel. A
- - S�d. 2. Information required
� ' su 1 rivate or confidentiel data concerning 8mW�� collecting stat ag n Ye .
PP Y P uested da
purpose and intended use of the req tem; (b) whether he may refuse or from his
political subdivision, or statewide sys . �o� consequence arising
required to supply the requeste� data, (a) �Y �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other ersons or entities authorized by stete or federal law to receive the data. This.
p 1 when an individuel is esked to supply investigative data,
requirement shall not app y to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The
commissioner of revenue ma lace the nott�i a�tructio uinsteadh°S
subdivision in the mdividuel income tax or ro ert tax re
on those orms. . - �-- � �-- " .
Subd. 3. �
Access to �ata bY i����' IIpon request to a responsible
authority, an individuel shall be infcrmed whe�th�eC h r�ateeor confidentiaLe IIPcn his
individuals; and whether it is classified es p � P ublic data on
ta �im 8nd, if he desires, shell
further request, an individuel Wh° is the subject of stored private or�au� � been
individuels shall be shown the data withou�tfatnh t dat�a. After an indi
6e informed of the content and meaning � �� need not be disclosed to
shown the priv8te date and informed of its u���8ctian pursuant to this section is
him for six months thereafter unless a �P been collected or created. The �
� pending or additienal data on the individusl � u�lic data upon request by
� responsible authority shall provide copies of the P o�ibler authority may require the
the indivi d u e l sub ject of the data. The resp �n the
requesting person to pay the actusl costs of making, certif y i n g, and �°mp g
copies. if possible, with any request
The respcnsible authority sha]1 comQly immediatelY,
made ursuant to this subdivision, or within five days of the date of the request,
p gundays and legel holidays; if �immediate complianas is not
excluding Saturdays, With the request within that time, he shall so in�th the
possible. If he cannot comply Wi�n vy��h to comply
individuel, and may have�; additio� i���lidays.
request, exeluding Saturda S��YS g
te or complete. An ���� m8y
Subd. 4. � Procedia'e when data is not accia�a lvate data concerting himself. To
contest the acaura�Y or comQleteness�of public or p � �e �onsible authority
exercise this right, an indivi� $� notify � ��e Buthority shall within 30
describing the nature of the disagreement. Tr►e respe
da either: (a) correct the data found to be inae��e��u�g reecipi�ts namedt by
�
notify past recipients of inacaurate er incompl
the individuel; cr {b) notify the individual ��du�'�statementof disagre ment is
�f the in
Data in dispute st�sll be disclosed only '
• included with the disclosed dats• ealed ursuant to the �
' The determinetion of the responsible authority �Q �t�ted cases. •
provisions ei the administrative procedure act relating
� DATE TIME
�,�ITY OF ORONO CALLED IN 9 i
'INSPECTION NOTICE q SCHEDULED S'/�/9i
i�ERM1T NO. � �°� ` COMPLETED i� �
�pDRESS "�"
(�WNER � CONTR.
T�LEPHONE NO. '�2 3 - ��_3�
� D� � CRIPTION :-�Y��77��f�
� 01� OTING 11 MECHANICAL RI 18 WELLTEST PUMP
Q 02 , MING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
Q03 IN�SULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHOREMIEfLANDS
Z 04 V�I/#LL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 F�I�AL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 D�MO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 D�NAO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PL�IMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLGtAABING FINAL 23 SEPTIC FINAL
� OWN�F�lCONTRACTOR TO MEET YOU:�YES_NO
� COMI�WIENTS:
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� CORRECI�VNORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT;II�fORK,CALL FOR REINSPECTION TEMPORAHY
V BEFOREC�7VERING PERMANENT
❑CORRECT IINSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPEQ;TOR WILL RETURN
❑STOP ORD POSTED.CALL INSPECTOR � CITATION ISSUED
❑INSPECTIOI�j�iEQUtRED.CALLTOARRANGEACCESS.
Call'f�r the next inspection 24 hours in advance.473-7357
Owner/Con ' site:
Inspector: J
�M�N�te CopyM tor's Flle Canary Copy/Site Notice
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DATE TIME
� �CITY OF ORONO CALLED IN lD!b/9/
;,�',INSPECTION NO CE SCHEDULED i�/�1�, q: 3 0
;IPERMITNO. �aq COMPLETED � �k
�,ipDDRESS
,
'�WNER CONTR. '
'N�ELEPHON E NO. '�7/'D 3 9 C� _
�
� � ESCRIPTION �,�Z�I �� Q-' �' .�n .�-�i �s -�i��J,�.���
� FOOT U 11 MECHANICAL RI 18 LL TEST PUM � ,
Q FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 0$ NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
�
Z 0��fVALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 0�!�INAL 13 METER SET/TURN ON 17 SITE INSPECTION
� O��EMO—SITE 14 SEWER HOOK-UP 06 PROCRESS
Q 07'N�EMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09�I.UMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10��Pu�UMBING FINAL 23 SEPTIC FINAL
2 OM�NER/CONTRACTOR TO MEET YOU:_YES_NO
� CC��IIMENT
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� ,WOqllk SATISFACTORY:PROCEED ❑ PROJECT COMPIETE
W �CO�ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑COR��CT WORK,CALL FOR REINSPECTION TEMPORARY
V BEF I�ECONERING PERMANENT
❑COR�t CTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
I�J�PECTOR WILL RETURN ❑CITATION ISSUED
0 STOP' RDER POSTED.CALL INSPECTOR
❑INSP�ION REQUIRED.CALLTO ARRANGE ACCESS.
�'�,�all for the next inspection 24 hours fi advance.473-7357
Owne Irl�ontra .
Inspect+p'R:
Whits CopyAnspectar's Fl Canary CopylSite Notbe
✓
ATE TIME
CITY OF ORONO CALLED IN 3i 4'
INSPECTION NOTICE SCHEDULED ��� 5'' 3L�
PERMIT N0. " `; COMPLE7ED -T
ADDRESS
OWNER CONTR �
TELEPHONE NO. ?`�� ^ ��5�0
a DESCRIPTION__s�����
�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
= 05 FINAL"� 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTI FINAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN G CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra n site:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice