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Home My WebLink About1995-007242 - remodel/renovate PERIVIIT �ITY OF ORONO PERMIT TYPE: . `2750 Kelley Parkway- P.O. Box 66 _ ' �` -�`�� Permit Number. .. �`_'== ` ``"�' Crystal Bay, Minnesota 55323 - - -� (612)473-7357 Date Issued: - - SITE ADDRESS: _. . ._ _ �.?i�a�.'�`t�;��:��3 . .... -{_: DESCRIPTION: _:.. ..._...__.. �'r;��:�'4��:;i"=. _ <<-: ;s-��- __. .. ... ... _. ... � . ...._ _ . - '(`-`''.�I.1� a"iEri�'�{:�'_'...__ �:i.!', ?•:31'i s�^ iL'3=�`. .. ��. � .._ �.1'`.�'s_t•y��`� : i.. . .=��_3i_��._. ,_i� �',{� ;'{wi ' .� � �f. . L�:�. r..:L .L__�_. .. .. ,... .' �.• .,.. . r .s ._�...__.i... .. .. .. .. _ �t . ... �!T - _._7',i" ' � `,-� 1.:.'!t�!`• .. ...t'L'cllV � � !fi � i j.l L' ..i_ ..... ._ . _ .... .`��'_. .,. � REMARKS: � � � FEE SUMMARY: . � ._��,=; - .� ._. _ ��_.. _ _ . .-. -- - - .. . _ � _._ �. ._.:��.._ .-.__ . _`�°J . . _ _,..... _.. ....!j� . ' . ...��.� . "" �___�.�..__�._y�e.L _ CONTRACTOR: ;,-;=:-:_ �s_ �- -:=. _ . _ . ;._T�"; . OWNER: . . ; . ..: : �=;._:=�:� - - - _;t.: - - - - ,�r(.•�;,;; _ _ :"r-! �•t `:}; __ - • - - =:..�r�;_.'�;'i.;;:_�!i�r� ,-;=,i __ ..�C:-... ._..- - - -� 1_I;:'i_ii:i�_< -��'� _. . _ `,-� " . c_° yi r„`' �1�.a..t r:Y�!-is�'..�� t�sb-.. `t; ..� ' �'�. .. _ 3._...�. . f.:.d !`#�s�'�:,t..: t e-iC. ?'sC,F.�j_ 1 ,'r � ;_� _ �. , , :,. ,. - ... .__.� . F . � �. : _: .� ._. . .� .� _ . . � .�:� .,. _ ..:-=��;u` AC��`t ��`�. T�:� �i� ��..�., �J��x .}'. .. . :_?}i�i;:"�' �.::�!''�'=`�.�T.�tI��E ,+�I ; :�: ¢=...s .. _. _. . � F �. i'E t,9��3��'i�5.•�`w+ �� '�4��?� �.�#' �i�`.��t: .:�I . . _ _'��s.��,��.� � _.E�7� �4�F',hF�i ?- �- ,a��: , J �� • � --. � � :� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , � CITY OF ORONO - BIIILDING PERI�LZT APPLICATION �otal Fee: $ ��C'�� G� Date Received: Date Approved: Entered By: ' Permit�: � o� �`�� ALI� INFORMATION MIIST B$ SUBMITT� IN FIILL BEFORE PI,AN REVIEW WILI� B$ STAR�ED (See Check-off List Enclosed) -------------------------------------------------------------------------------- T� APPZICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: r 7 9� J.(rli'kJ,�� /`� ZIP' (work) NAI�: OF OWNER: � P�t-� V �� PHONE: (home) MAILING ADDRESS: �7 '�/o �,�A-�L�-�-�� T�: ��^ ZIP: C��2� CONTRACTOR: \��-a.� �--�•� a �� a%� � � PsoxB: ��Z - 3 3 b 9 �LING ADDRSSS: 2�-4 3 ,�} ;�J� N U � CITY: �=r-�� Z=P: � � �3 STATS LIGENSE: � �'�"�3 �iRCHITECT/ENGINEER: PHONE: MAILING ADDRSSS: CITY: ZIP: N�: RSGISTRATIOH � TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration �r Renovate Land Alteration PROPOSF.D WORK (describe in detail) : j'i�0 �CS� j� � c� �-i.U.C�.g.S,, /tDD Z `"�' 1��r,�3 i� �� ' I`f�.,�o v�' � t�-w �i-C i..63 t�" r ►-� ��e-�m....�t I..�t.� Ch�$«��3 � L'� �izs STORIES: SQ. FEBT OF EACH FLOOR: NO. OF BBDROOMS: GARAGS STA7�.S: ATT. DET. m ' ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ f�--f�m �� -- 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. • � �� -��- 9� APPLICANT'S SIGNATORE: DATE: � . � � � CITY of 4RON4 Post Office Box 66•Crystal Bay,Minn�ota 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 confidentiaZ information. You are notified that: 1. The information you furnish wil.l 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 3icense. 3. The information may be shared with other �ocal, 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 pri�a�� data on yourself. 6. Yaur full name is required to process this applicatian or permit. � � . .� � o�t�-*� -�-0 �,-� First Middle Last 2� 4 3 �9 T�s�, ,.�.L, Address � �=�� M � ..��-313 City State Zip � I Z �� -- 3 3 b�1 Phone I understand my rights as stated above. � .,�1-r-�--� G�"� Signature BUILDING&ZONING-473-7357 • ADMIIVISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING . � M �.04 RIGHTS OF SIIB.TSCZS OF DATA � Subdivision L T�pe cf data- The rights of individuels on whom the data is stored or to be stored shall be as set forth in this section. . Subd. 2. Information required to be gi�� ' An.individual asked to � � supply private or confidentiel data conct a n�gmWi�in the collecting stat agency, purpose and intended use of the reques political subdivision, or statewide system; (b) whether he ma� refuse or is legally required to supply the requested date; (c) any kncwn consequence arising from his supplying or refusing to supply private or confidentiel data; and (d) the identity of other persons or entities authorized by state or federal law to rece�e5te at ve da e requirement shall n13 82 subdivision �ndi�via 1a en orcementuofficer. g pursuant to section , The commissioner of revenue ma rolert t8x re�und u�structionsuinsteadhos subdivision in the individuel income tax •r on those orms. , . . ___ - - Subd. 3. Access tc data by in�viduaL UPon request to a responsible ' authority, an individusl shall be informed whether h�VBteeor confident al.e Upon his individusls, and whether it is classified as public, p further request, an individuel who is the subject of Se to himrlande if he desireds shell individuels shall be shown the date without any ��'g �ter an individuel has been 6e informed of the content and meaning of that data. shown the private data end 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 th o les of the pr vate or p blic dataruponarequest by responsible authority shall provide c p the individual subject of the ��•�os�h of ma�king,i cert fYing y and c mpiling the requ e s t i n g p e r s o n t o p a y t h e a c t u a l _ copies. y immediatel if ssible, with any request The responsible authorit shall comply ' yo f � �te of the request, made pursuant to this subdivision, or within five days excluding Saturdays, SundaysWland �ega1 ��a�l��lthat tim ahe hall so�inform the possible. If he cannot comply q within which to comply with the individual, and may have an additional five daYs request, excluding Saturdays, SundBYs end legal holidays. Subd. 4. Prxedia'e when dats is not acc�ate or complete. An ind�md��. To contest the accuracy or completeness of public or private � the�responsible authority exercise this right, en individuel shall notify in writing describing the nature of the �a�'ou�r�d to be nacciu�pa e or incomQle e and att pt to days either: (a) correct the da . notify past recipients of inaecurate or incomplete data, including recipients named by the individuel; or (b) notify the individuel 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 determinatian of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. i D TE TIME CITY OF ORONO CALLED IN J INSPECTION NOTICE SCHEDULED Q� /E 30 PERMIT NO. �Z' COMPLETED •y ADDRESS OWNER�� CONTR. C� TELEPHONE NO. � � DESCRIPTION�,�� ..,-,,, tL 01 FOOTING 11 MECHANICAL RI/� If 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL �Y�� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL 14 SEWER HOOK•UP O6 PROGRESS � 07 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMB � � 36 FOUNDATION/REMOVAL � OWNERI ONTRACTOR O MEET YOU:(CYES_NO ��., COMME � - W a � � � J c. O �. � O � W � Q � Z W � W � � d W� + ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex�nspection 24 hours in advance.473-7357 OwnerlContractor on s' . Inspector. - White Copyllnspector's File Canary CopylSite Notice