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Home My WebLink About1992-004781 - land alteration . - PERMIT CITY OF ORONO PERMIT TYPE: ��,�;�� ;�E��,�E�� 1335 Brown Rd. South • P.O. Box 66 PermitNumber: �j��,;�;_;� Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 �. �I i r�i`�t';� SITE ADDRESS: ��.�'� '=�Nr��3Yl,��s�L� �:�i _�� '. I .�l. _ �iy-1 �.?—i'�`—f i—��:��.7 DESCRIPTION: tl`,e�' F'�i'€i�it- �"yF�� Lf�t�C� ��7ER�TIs=��l REMARKS: L`�rY JF u�'��lJ L � �•�r•c ric�T(� � r 1!��lTLaL V!! 1 Lr� � t t s�srf:,it;�'� � 1rtiJ��l•V V FEE SUMMARY: `=+;�r�• " Fi' �j:� 1.lL f'��t i:;�..!�1�Al1� 1f i�!� 11LVL1/ ! i i ll�r�Yl 1 VfJ �, 7�1i�%Ui.YY 4VU1 t�{V� �11•e7V� C�^.�l: F�'�' _��,}�,�,,}�,,� i i r�v�r��c: T��t.al �Y�= ------- �,�c.; .i;�a CONTRACTOR: — ��li.c��. — OWNER: IV�C�E�i! Lt�Ni7'=��:�it='E t{ !r��1t�i 1�7:;�.•�:;A. Eid33Lt1}�� =�zJ� _::��'3 �:(��ti�{� �� .��i :��{��'��lf 13_f[,i Fi[) ��1fl1'�AT� I�� :�;°�1 LXGEL'3Iia�i r1i�1 ��:;:;�. .= _..... :1 +=�-. _: .J....- . t�;� Tt'� i 1i�u{'•�F;'.—:�C=;�'��: L-F��f— #-}- �e—,� � �� I ;-'�—�,i i7 -:�;�t�':( i�3�3 �'jF'�'� I�I—}� �i i: 4 i r'ii—' f_!v`'�i'1�f�i ' . . i:_ _ ._�__ ._ _t _. . . . :� t _. .. _. . _.f?. :J.�:�.. _ _. .ri�-•.__ __ t .Fii._ . .t � . i �:� ��, �� .``�:.`.. �s` i�_�..� i-al'�4�.� i-i{..f� .{__�—`•-;��i L'tf i f;!_(__ I�i;_��';i:;: j�'•.i' _;7iz:�!�I '�•{ j�''j�-'i_1�::�jt,�(_�' 3p1' i}� ;�! i_ '_� �'i� �_1f` � - r,- r. ;� ;- . V .:�t• _i';• �G' 4,;;y �_' _. W _ r . , _tr�'- • � 3-r�� . � ;�,., l;+��_; ; fi-;" .��t��`. r .��J s_3F- i'�'t� —#_! i �—; �;11 f , 1?� :i(; F...l�.�.1- �—iF!,}i l�.�t:_�'*:�iw; . ... �.... :l� �P'•1`! L. !!. �[.�41._,_ f „ F / �i1-�� ( � APPLICANT/PER EE SIGNATURE ISSUED 3Y:SIGNATURE i . , CITY OF ORONO - BIIILDING PERMIT A.PPZICATION Total Fee: $ Date Received: � Date Approved: /1- (o -�j 2 �> Entered By: � -� permit�: `"� � �� AT•T• INFORMATION MIIST B$ SIIBMITTffi� IN FDI�L BEFORE P�N REVIEW WILL B$ STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one)---OWNER or�C.�O.N��------------------------- Jos sz� �nnx$ss: `�`� S� � 1�,0(�`� VulJo !� /L T.� Z1P: (work) N1�? OF OWNERs P��L ��b`'Vlv� PH�NE: (home) MATLING ADDRESS: CITY: ZIP: � J `''� / � ,_ � p r� p�t6�'C�y �2.i'S CONTRACTOR: Xl�-��v �i tr c-1 r� �F��r:�,��Ir�go�: �f 9 -� �� - MATLING ADDRBSS: l� G r s f�-w� . ��-- �z�: :�v��r�.��-Z�P: �� STATS r.rc�xsE: � ARCHITECT/ENGINEER: PHONE: MATLING ADDRSSS: CITY: ZIP: NAI�: RBGISTRATION � TYPE OF WORIi: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration .�. PROPOSED wo�x (describe �n aeta��) : I�1 Pf�� EX��i�� N(� JI.D��1_ _I NU�Q�� '✓�� v� - a��i% -��g��'G�y� Q��E��=�? f� " !��- �I�ol��i � ��1� ��t�� - ��i�� P�u I 1,� �M��r�t� � ��. STORSES: SQ. FEBT OF EACH FLOOR: NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ I hereby apply for a buil.ding 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 d �ork is not to start without a permit; and that the work will be in accor c w th the approved plan. � APPI,ICANT'S SIGNATDRE: DATE: �I , � -�� ! ` • � CHECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDR$SS OR LEGAL: 2�i S� 51-�74-�/J y c.�o o t,o PID: �� '��l � 3 � � - cac,i 7 DESCRIPTION OF WORR: �2'��i N � --------------------- --- ---------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: //' `�'"S Z-- BIIILDING REVIEW BY: /"//¢ DATE APPROVED: ------------------------------------------------------------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: ,.--- GR�4n rntS PerL��T� PERMIT Yes � No PLAN REVIEW Yes Na� SEWER CONNECTION STATE SURCHARGE 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 Di�trict: Fire Department: Post Office: School District: Lot Area: Width: Depth: Survey Submitted: e No Dat of S rvey: Proposed Setbacks: Front (Lake) : ' ght S' e: Rear (Stree Left S' e: Adjacent S uctur s: Wetlan : Building Heigh : Def. gt. Pe Hgt. Avg. Setback: Lot Cov age: Ex' sting Prop ed Hardcover: -75 ' 7 -250 ' 2 0-500 ' 5 0-1000 ' Hardcov r Variance R qu red: Y s No Date of Council Approval: Gradin : Staff Appro a Date: B : Council Approval Date: Septi : Staff Appro a Date: BY= Zoning Fi].e:# Reso ution #: Resolution Date: REMARRS (in house) : BIIILDING REVIEW CHECK LIST . • * IIgC: CONSTRIICTION TYPE: Sq Footage $ Per Sq Ftg Basement X = lst Floor X - 2nd F�oor X = Garage X - x = TOTAL Estimated Construction Value: $ �//7 Inspections Required: Work Requiring Separate Permi.ts: Site � P�umbing Grading/Filling Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wa�l. Board (Masonry) Lawn Irrigation �Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) ------------------------------------------------------------------------------ REMARRS (IN HOIISE) : ------------------------------------------------------------------------------ REVIEW BY OTHL�RS: DATE: Access: Existing New Access Approval: Date BY= REiKARRS (TO BE NOTED ON PERMIT) : : . � CITY of ORONO Post Office Box 66•Crystal 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 qua].ification 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 3.oca1, 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 applicatian or permit. ORr�l�(, C�� h�A�°� First Middle Last (�U(5� t� `� ( v Address . ��'NGU IM n� �5�5� City tate Zip (�(� • �� . (� � 8� Phone � I unders ights as stated above. Signature . BUILDING&ZONING-473-7357 • ADMIIVISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - . � �.� g�Gg� pg �IIgJECTS OF DATA � Subdivision L Type of data- The rights of individuels on whom the data is stored or to be stored shall be es set forth in this section. � � : g�d. Z. Information required to be g�v� ��" An.individual asked to � _' su 1 rivate or confidentiel data concerning himWit�s ta�11� collecting stat gency, . PP Y P purpose and intended use of the req em�d �b�whether he ma� refuse or is legally pclitical subdivision, or statewide sys ' �own consequence arising from his required to supply the requested date; (c) any su lying or refusing to supply private or con��i federal law to receive he 1data.1tThis- PP state other persons or entities authorized by P �vesti ative data, requirement shall not apply when an in ti�vla l8W en orcement offlcer. g pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lert tex re�und uistructi nsuinsteadhos subdivision in the individuel income tax �r r� on those orms. . - ----- � - � - - . A�� to �� . Upon request to e responsible Subd. 3. - authority, an individuel shall be informed�h b��hprivateeor eonfidentiel.e Upon his individusls; and whether it is clsssified p ublic data on further request, an individusl who is the subject of se tr�e�mriv�a��if he desires, shall individuels shall be sh°wn the data witho o f�hat data. After an individual has been �e informed of the content end meaning t� �� need not be �isclosed io shown the private data and informed of its u��acUon pursuant to this section is him for six months thereafter unless a �P � ending or additioaal data on the indivf duh h�ate�or p blie dataruponarequest by ' P require the responsible authority shall provide eoples The res�nsible aut�rg y maY �in the the individusl subjeet of the data. ��rtif 'n , and �°mp g requesting person to pay the actual costs of making, copies. ;mmediately, if possible, with any request The responsible authority shell comQly of the date of the request, made pursuant to this subdivision, or within five �Ys,mmediate complianae is not excluding Saturdays, Sundays and legel holidays, �th the ossible. If he cannot comply with the request within that time, he shall so inform the p within which to comply individuel, and m S turda �Sundays etid legalah lideys- request, exeluding YS� te or complete. An individuel maY Subd. 4. Procedia'e when data is not accura �ms�, To contest the accuracy or completeness�of public or private � theonrc�g nsible authority exereise this right, an ind�� s� notify � ��e authoritq shall within 30 describing the nature of the disagreemenL The resp� days either. (e) correet the data found te be inae��u�g pec pie ts namedt by notify past recipients of inaecurate or incomp the individusl3 or (b) notify the individual that he believes the data to beement is Data in dispute shall be disclosed only if the individual�s statement of disagi' • included with the disclosed data• � 8ppe�ied pursuant to the ' The determination of the responsible authority �p contested cases. provisions of the administrative procedure act relating i � - d,�� p`1 c . No �� + � ��i2 ��v� �� I �'� ��J� �N�a� f�. . _.,��.�..�...�,:,d,�,� ��TYOF OR��O SITC PL�N �C GRADING PLAN (�d AF'�7ROVED [� AP�'f3UVED VIIITH REVISIONS ❑ GI;�iF'P V � �Y D,�TE_ 1 f-�- �,z.._ , (�HSc-� �l� ; �--�- , ,� �� j� �� .�►� �-j t`at.1 t�,l��' �I �� i �� w� �� v /� �� i� ._ � - � _____ � � _! i �`� � � � � � �I � - t� — �S , f / ��_ , - .. 2 y s'� ��I-,�p 7 w�� ,� � , ��cs � " G �� , � � �-,� � i�, , \ �� r � S � i a �� '� 12�,� ��I �� c- . '�: �-�� J J� � ; I ��2 � _L .. ; S� �E � I �S� � `� , � �' � �� lti ��2U � � �� `� ' � � � w � .� . �u�, 11 �� i a �� ?;�, k��i� � ° �p� � -�ow� ��'�f�� r� � L� i (�� Y�� ,� — � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /l-S'gZ �s:00 PERMIT NO. cOMPLETED ��'S -S�- �� ADDRESS Z�S� SH19i0�t W o o rD OWNER�A uL En�eLvntG CONTR. IDAn�A(. I�I AdEA U TELEPHONE NO. � DESCRIPTION ly Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP y� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIW NDS 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 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPIAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBiNG FINAL 23 SEPTIC FiNAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMME�TS: �� -y� /� `e,�i�/V� T U l�R: •,,,J ft � Q o (�fL✓� 1� �►��i wo/Z l� �' — �lL.f�.� i� !�c,�4r� � O � W � Q � Z W � W � � � d ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL REfUfiN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContrac or n s' : Inspector. White Copyllnspector's File Canary CopylSite Notice /y DATE TIME CITY OF ORONO CALLED IN /4`�� = U J INSPECTION NOTICE SCHEDULED %:�-��-`�� PERMIT NO. y 7�� COMPLETED �Z' � —�� ADDRESS -�`�S��G�,-��ti /� OWNER �/N G�-c�n-� CONTR. / I Cc G��.c.� ��.c�� TELEPHONE NO. y 7 �� "-� 7 _ � DESCRIPTION ` lL 01 FOOTING 11 MECH CALRI 16WELLTESTPUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z04 W D. 12 WATER HOOK-UP 34 TREE REMOVAL FINA 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 10 PLUMBING FINAL 23 SEPTIC FINAL J Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO Z � COMMENTS: � W e � � O a � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PR66EEa— �PROJECT COMPLETE W � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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 inspection 24 hours in advance.473-7357 OwnerlContractor,Qn site: Inspector.�� '►^��. White Copylinspector's File Canary CopylSite Notice