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HomeMy WebLinkAbout1994-006551 - convert 3 season pch ,� � PERMIT � ClTY OF ORONO PERMIT TYPE: � 2750 Kelley Parkway- P.O. Box 66 `�i��.� �.{=; � Permit Number: ''�,`3;-:+=�-;� �{� Crystal Bay, Minnesota 55323 _ � � :� � - (612) 473-7357 I Date Issued: _ SITE ADDRESS: i � :''_i i_�:_3� i'!��'�t�t-i . .±;, .. .�,s ' _ . . • � - - � .:. _. . '.,_._. _..._.—'�_•'_ �_d;_'I DESCRIPTION: '.^'€"i1:�.Li'.. _. �.'�..i"�`,_'��3. . ��i•F� t-;?.�'. ��?i�'� r=�l'ii'3 i �. ':{r==:: :_�j—'��i_=�f/?tl:i'!�_!'}�-'•._ . r �:'��f S: i ::7 s t� G.z.'i=.t"F: t :�=r? C::�-$r��r•}�, _._. . __ . , , : _.i'',L.•."e -—ti 4.�����1:�-`;a..'�'- i: _ _:�����•-;i:.F���:�.i_:_::;: �i �E�:�:� _':-�S � L1! 1 V1T L'tt! lnil! . ��inii.� ���i!•� . f 33T7�TL•L L'!!.L4L 1 n�1fJ2 V Vililf} uvv � i%i" f 7�' �-� :_,; ui�! :t�.'vv _���i%i i:�i�v��t • • _ . r��i "- c� . tl�.l VL1T sj{='y J J i c.c`�:.:,::�i.%v{r�%v i i i i'�;si ? — VS VLIt �,;•��jLi f.tLi�i.ii: tj �..... . ,i i t,+• �;ti} REMARKS: 1;`��y:i1�';-��:;;� ;��.0 N+.J.I.V:';���,� 41.���5 /1V3 /2\'��, J.L'f�d�1.%j� FEE SUMMARY: . :�:;_�_�.�.� �i i�� . . ::}-,�:, '.��_�: �=._ _ �.°_=�_� . �:,:_� ,!�"� E rI)�� i'i F''Y�r_�§� r• �' ' '" .. ��'_;3''�i�t�?3';_,t. `"�- �€�; "' ........_"'__.«_._._a'.fa�: � _i��;,�f�. � '3-_+, -��.1:� . _=� CONTRACTOR: OWNER: -� Fa:��`�. =;n��i=. - . �..��,..v:;.�:a � i�,"�w_�- _ - ;;y -s ,;-.� �,;, __ ._W _ _ _. _.._r��,... . .__ '•��`:�'.;�?E`•�s�� ��F�� , _ �`�<. f' —i:=.t 7 i ,._ _ _ _.-+ ._ . _ � . f s�'*i '� a_" 1 t e 5 ! .-3 j.�y� ���,�.:;.. L. -r�.�� ���;���:;;I��i�I��� r��..,-:�.�: 4 E{��.��_;T:� ��.�t1 f _�:'�,��.� i;�; ��i=;:� �l��.. ,�.��"a�:. I3�4 �$��,�' 3��t�'i..., �.;�=°��:t�I��`i ��� ��;��:�� '����� C�ii ��..� 4��.���: ��� .-;`��t�::� :r:�_#M. L_��:£�.'t:�: W�Ti�: r'�t..L �..1'�`*� i��' F}:i�i��!_? �.��` 3 �� '`' ��'�� '`�� !�. �:�� ���`}���`= `s �$"! �' t,�,::; �"�" � ; zr` + -r_- .�::_ .�t��`+i�t��..�-+ €�.a •_ i , �...--��» �� '� �.c _�._ .C,. _ E.�'_��. . . . _ _-. .... .._. ._.. . , _ . � ` � � APPLI T%PERMITEE SIGNATURE ISSUED BY:SIGNATURE�'.�'� ; r � CITY OF ORONO - BIIILDING PER�LIT APPLIC�TSON g � ` ,S� �� Date Received: Total Fee: $ � � Date A�proved: � Entered Bv: ���-t' Permit�: (OJ � � - _: � - - � pg,MATION MIIST BS SUBMITTED IN FDLL BEFORE PLAN RE�7IEW �'1u�I+ BE Sg�R�F.17 � �'Z � (See Check-off List Enclosed) � ----------- ���PL=C�T Ig: (circle one) OLr7NER r CONT.QACTOR � ' ZIP: �._�_ � �> � d/.l F . ,. �� .���� Jos sz� AnD�ss: g �� �C� �r �� o -�7G - �� �7 (wor}c) � �n�_� i -1- i�i� � i'Yl�� n vt PHONE: (home) � 7/ �a 5�7 ri�ME OF OWNER= ` � CITY: J��.%Q �� �r cL ZIP: -s_'� 3 `1�_ MATZ,ING AD)R.ESS: �5L� U c u c_ PHONE� CONTRACTOR: C=�: Z IP: MATT•ING ADDRESS: STA�E :LICENSE: � PHONE= ARCHITECT/ENGINEER: CITY: ZZP: MATI.ING ADDRESS: R.EGISTRATION z NAME: Additian Accessory Structure Move �E �g wpRg: New Renovate Land Alteration D�o Re.*nodel/Alteration r �C � x �'S �� , SC; /' e � PROPoS� WORK (describe in detail) : �' ` �, �c� �o 3 S �tt s�;.. r c_ STORIES: S4• FEET OF EB.C� FLOORs NO- OF BEDROOMS: G�RAGE STA7,T.g. ATT. DET. Ia.nd 1 : $ � G' D L> ESTIMA�E� CDNS2'FZIICTION VALIIATSON ���lud�g oW i eage that the inf ormation I hereby apply for a building permit and I ackn that the work will be in cflnfo�Code;�1thathe � above is complete and accurate; and with the State Building e�it; and � ordinances and codes of the City understand this is not a permit and work is not to start without a p � that the work will be ia accordance with the approved pZ�- _ • � � DATE s �0. r � , � ,,�� > �z��', .. APPLIC�NT'S SIGNATDRE: `, . ♦ . � � (��[��" o� ���NO Post Office Box 66•CrYstal Bay,Mirsaesota 5a3�•M"�ap��� � On the North Shore of Lake Minnetorcka - • ' • � DATA PRSVACY A��TISORY at our request for a permit or Sa accordance with M.S. 13.Ou`thub y 2' "Rights of subjects �e data", we would like to inform Y° of its departments may requi license from the City of Orono or any you to furnish certain private or confidential information. You are notified that: 1, The information you furnish will be uuested, aetermine your qualification for the per•nit or license req � 1 data, but refusal may require that 2. You may refuse to supp Y the City deny the permit or license. 3. The information may be snared with oth=Ce scthe permit or f ede=al agencies to the extent necessary to p license. our requested permit or I.icense rern�yres Councii ac��o% a, If y become public. to approve, some information may �. You have certain rights under M.S. 13.04 to review priva�e data on yourself. 6, your full name is required to procsss this application or pe�-;nit. � � e"� Middle Last First 0�1 �-�o � � c�,�--c— — Andress ma�I�� a t w Z1P— ity State '`� 7 / - 0 .38:� - � 7/ -oso7 Phone I understand my rights as state,d above- � € � �_ . , � . S gnature � BUILD[NG&ZONING-473-7357 • ADMINISTRATION&FiN.�NCE-�73-7358 • PUBLIC WORKS-473 7359 ASSE3SING �. CHECK OFF LIST FOR ISSDANCE OF PERMITS FOR OFFICE USE ONLY , � ADDRESS OR LEGAL: ZZ�{O n'c� aE�C-�f (�'°A� PID: 02�,-, -� �c �5�,� Po�G,� DSSGRIPTION OF WORR: SCl�� P ---------------------------------------- ZONING REVIEW BY: J'(��A _ DATS APPROVED: � BIIILDING REVIEW BY: (- fit.w� DATE APPROVED: !�' Z/'S� _ _. . FESS TO BE CHARGED: ^ Misc. Fees Ca�culated By: PERMIT " Yes No PLAN REVIEW Yes��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 CHECR I.IST Zoning District: Fire Department: Post Office Schoo District: Lot Area: Width: Depth: Survey Submitted: Y s No Dat of S rvey: Proposed Setbacks: Front (Lake) : Ri ht Si Rear (Street) L ft Sid : Adjacent Str cture : Wetl d: Buil.ding Height: Def. t. P ak Hgt. Avg. Setback: L t Cov rage: Exi ting Propo ed Hardcover: 0-7 ' 75-2 0 ' 250- 00 ' ' 500- 000 ' Hardcover V riance Requi ed Yes Date of Council pproval: Grading: S aff Approval a e: By: Council� App oval Date: Septic: S aff Approval. D BY= Zoning F le: # esolution #: Resolution Date: RE�SARRS (in house) : NO r�S Td K-p'�P BDILDING REVIEW CHECR LIST ,► IIgC: fZ-�'j CONSTRIICTION TYPE: VN � � Sq Footage $ Per Sq Ftg Basement -x = lst F�oor x = 2nd Floor x = Garage X = � x = TOTAL $sti_mated Construction Value: $ 7,ppp� Inspections Required: Work Requiring Separate Permits: Site Pl.umbing Grading/Fil7�ing 'Footing Mechanical Fire _�Framing Septic Water Connection Insu�ation Firepl.ace Sewer Connection Wa1J. Board (Masonry) Lawn Irrigation �Fina 1 (Mf g.) Other Other WeJ.� (State Permit) Electrical (State Permit) ------------------------------------------------------------------------------- �tRMAUKS (IN HODSE) : ------------------------------------------------------------------------------- REVISW BY OTHEI2S: . DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------- REIKARRS (TO BE NOTED ON PERMIT) : ./ DATE TIME CITY OF ORONO CALLED IN —� �— INSPECTION NOTICE SCHEDUIED ��— � /l '�`� PERMIT N0. �J�� COMPLET ADDRESS � �� � � OWNER OiM CONTR. 0.�'��o�n� TELEPHONE NO. � DESCRIPTION � Ot FOOTiNG 11 MECHANICAL RI 18 D(CAV/GRADING/FIWNO � 2 F MING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATiON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v �Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W ` � S S � � O a � O � W � Q � Z W � W � j d L' W RK SATISFACTORY:PROCEED .— PROJECT COMPLETE W � CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor si�: Inspector. White Copyllnspector's File Canary CopylSite Notice D TE TIME CITY OF ORONO CALLED IN �S INSPECTION NOTICE SCHEDULED 5'�� ��� 36 PERMIT NO. li�SS l PLETED �_ �� ADDRESS �� � OWNE CONTR. �� TELEPHONE NO. �� � 'OS C� r7 � DESCRIPTION �?,.,�����-i LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FiREPLACE 34 TREE REMOVAL Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � O-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU: YES_NO Z � COMMENTS: � w a � J O � � O � W � Q � Z W � W � � WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W �! CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in ction 24 hours in advance.473-7357 Owner/Contrac r sit : Inspector. White Copyllnspector's File Canary CopylSite Notice