HomeMy WebLinkAbout1994-006491 - reroof, reside, window PERMIT
CIT t OF ORONO PERMIT TYPE: .
2750 Kelley Parkway- P.O. Box 66 �:��-' !.��=�'�'�
Permit Number: �;,-a�y,;,-€s.�;
C��ystal Bay, Minnesota 55323 - -
(612)473-�357 Date Issued: ; i_�f•;::,;.f;��_�,�
SITE ADDRES�S:
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CONTRACTOR: — ��;=:- � 7��:_t�+t. -- OWNER:
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APPLICANT%PERMITEE GNATU ISSUED BY:SIGNATURE -- J� �
. CITY OF ORONO - BIIILDING PERMIT APPLICATION
, �
Tota� Fee: $ Date Received:
Date Approved:
Entered By:�,� Permit�: ,�;��',
ALL INFORMATION MIIST BE SIIBMITTSD IN FiTLL BEFORE PLAN REVIEW WII�L B$ STAR�ED
� (See Check-off List Enclosed)
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T� APPZICANT IS: (circle one) OWNER or CONTRACTOR
, � >� /' /�
JOB SITE ADDR$SS: O /�%� / � ZIP: ��� �/
(work)
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N�ME OF OWNER: � ' , � ' �{��'� T � �r PHONE: (home)
MAILING ADDR.ESS: ,✓�� 7 /`0)"'.�'r� CITY: �� �GG/ ZIP: .��L,�
CONTRACTOR: s�7 ��(�%7 � �d/✓-S /� �/r/� PHONE: .���"d���
i+tAII,ING ADDRESS:�.� 'c� /[,'O U' C�L CITY:�"� '`" 7 _ ZIP: ���
STATS Z.ICENSE: � /(J���
ARCHITECT/ENGINEER: G�,�,/Jif'/�� PHONE:
MATI,ING ADDRSSS: CITY: ZIP:
g�: RBGISTRATION �
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
� : �
PROPOSED WORR (describe in detail) : ��`"'d0 � ���fCz E �� ������//.//%,.��-�
/
�,/�,�����t�� ; �� <�',;��Ct-1 c�1`. �l/o c�>—'
STORIBS: o� SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS:� GARAGE STAI.LS: ATT. DET.��
�.� ' ,
ESTIMATED CONSTRIICTION VALIIATION (eacluding 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 wil 1 be in accordance with the approved plan. �
APPLICANT'S SIGNATURE: � ' �/� _ DA�: � - ✓ !
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�{ �� � � � CITY of ORONO
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,� �y`' ��,`�' '` � Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
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� _ � � � 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 I.ike 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 reguested.
2. You may refuse to supply data, but refusal may require that
tne 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
Iicense.
4. If your requested permit or 3icense requires Councii 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.
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First Middle Last
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Address
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Cit State Zip
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Phone
I understand my rights as stated above.
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAIVCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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�.� �Gg� �g �gJEC'I5 OF DATA � �
gubdivision L Type of date- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
- gubd, Z. Information required to be g��►� ����' An.individusl asked to
• ' su ly private or confidentiel data concerning himself sheu be informes g�e 8 aency,
purpose and intended use of the requested �t whether he ma�e e� or � em hisy
political subdivision, or stetewide system;
the requested data; (c) anY kr►own consequence arising fro
required to supply and (d) the identity of
supplying or refusing to supply private or confidential data;
other persons or entities suthorized by state��e�kedlto supplyein est gat ve. data
requirement shall not apply when an individu
pursuant to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or ro ert tax re und uLstructions instead o
on those orms. . - � --- - " .
Ac� � �� � ����y Upon request to a responsible
Subd. 3.
authority, an indi�duel shall be informed�hetbh�eC Pr vateeor eonfident al.e IIPon his
individuels; and M►hether it is .classified p •1 � ublic data on
further request, an individuel who is tbe subject of e to himriande if he desires, shall
individuels s1�all be shown the data witho of�hat da a. After an indi►vidual hes been
�e informed of the content and meaning the data need not be �isclosed te
shown the private data snd informed of its meaning, u�uant to this section is
him for six months thereafter unless e disPute or action p
� rivate or publie data uPon request by
ending or additional data on the individ�h hes been collected or created. e
� P require the
responsible authority shall provide copies e P o�ible authority may
the individuel subjeet oft�e actual�cos h o fmaking, certifying, and compiling the
requesting person to pay -
copies. y ssible, with any request
The responsible authority shall comply immediatel , if po
" made pursuant to this subdivision, or withia.fa e �f Slmmediatea comp'ance e��.su not
excluding Saturdays, Sundays and legal holid ys,
ossible. If he cannot comply with the request within that time, he shall so inf�orth the
P heve en additional fi�e daYs Within which to comply
individual, and maY 5��� �d legal holidays•
request, exeluding Saturdeys,
te or complete. An individusl may
Subd. 4. Procefia'e �►hen data is not a�8 ivate data concerning himself. To
contest the accuracy or comQleteness of public o ln �i� the respensible authority
exercise this right, an individuel ghe� notify �ible authority sha]1 within 30
describing the nature oi the disagreemenL The respe lete and attempt to
days either: (a) correct the data found to be inaccurate or incomPeci ients named by
notify past recipients of inaccthet ndiv dusl Phat he bel e es�the data to be correct.
the individual, or (b� no y eement is
Data in dispute shall be disclosed only if the individuel's statement of disagr
• included with the �isclosed data. � 8ppe�ied pursuant to the
' The determination of the responsible authority to contested cases.
provisions of the administrative procedure act relating
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
'' ' ' ` FOR OFFICE USE ONLY
.
ADD�tBSS OR LEGAL: pZD'
DBSCRIPTION OF WORR:
--------------------�---------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED:
BIIILDING RSVIEW BY: DATS APPROVED:
----------------------------------------------------------
�S � gg �RGyp: Misc. Fees Calculated By:
PERMIT Yes No �
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCAARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------- -
ZONING CHECR LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake) : Right Side:
Rear (Street) : Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500'
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approva].:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval. Date: BY�
Zoning File:# Resolution #: Resolution Date:
REMARRS (in house) : ..
BIIILDING REVIEW CHITCR LIST , ,
- .�
CONSTRIICTION TYPS: •
IIBC: ,,
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X - �
_ _
x -
TOTAL
Sstimated Construction Va].ue: $
Inspections R�+�;red: Work Requirinq Separate Permits:
Site � Plumbing Grading/Fill�ing
Footing Mechanica� Fire
Framing Septic Water Connection
Insu].ation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
-----------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------
ItEVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
---------------------------------------------
Rffi�ARRS (TO B8 NOTED ON PERMIT) :
r
, / DATE TIME
CITY OF ORONO (J CALLED IN
INSPECTION NOTICE SCHEDULED lD'7.c�-5`( O e� •/h
PERMIT NO. �`{q� COMPLETED !D-2,)-�t o:3c�
ADDRESS L`i?.c� 5��44�0�
OWNER CONTR. K-eN �Z.o�F
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWEF HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
T09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FiNAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: R��OF
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d J�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�l�CORRECT WORK 8 PROCEED
W ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra o
Inspector.
Whf e CopyMspector's File Canary Copy/Site Notke
DATE ,TIM�
CITY OF ORONO CALLED IN ra '�� �`� I�' �� ���
INSPECTION NOTICE SCHEDULED /� d% �/ �/� �� 4��-
PERMIT N0. � `���� COMPLETED �) �_
ADDRESS � � � �
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OWNER �-c�c CONTR. /L�-��- /�.�.�-'�.a�����
TELEPHONE NO. �7� " �3� C)
� DESCRIPTION _ d ,�/�«`-��-�,<<�`.�i�z--�
� 01 FOOTING 11 ML�@ ANICAL RI 18 EXCAV/GRADINO/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAY�SHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
05 FIN 14 SEWER HOOK-UO O6 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 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATiSFACTORY:PROCEED 'S�PROJECT COMPLETE
� �
W L CORRECT WORK&PROCEED / ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnerlContra or si ':
Inspector.
White Copyllnspector's File Canary CopylSite Notice