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 �
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: -� Fa:��`�. =;n��i=. -
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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:
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.
� � (��[��" 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)
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�tRMAUKS (IN HODSE) :
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REVISW BY OTHEI2S: . DATE:
Access: Existing New
Access Approval: Date By:
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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
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Z
W
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W
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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