HomeMy WebLinkAbout1994-006519 - master bedroom addn � _ -- _ _
. , . � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ! � � :=:_i i.:,_€;,�tvt:;
Crystal Bay, Minnesota 55323 Permit Number: ;=;;:;;j,�j :�
(612)473-7357 Date Issued: ;,_;�
SITE ADDRESS: �
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REMARKS:
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FEE Sl7'NIMARY: ��
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CONTRACTOR: — ;:��:R�<7. �c�:�-;�. -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
• � CHECR OFF LZST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
1/ � -
ADDRBSS OR LEGAL: % ..e�7'��.1"�t.�'s.�.=,�., t'' �o�('� PID: � -� =, �i,l _�'�;;
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DESCRIPTION OF WORR: '�, t 1���� �j l�, ,.,,..? C!CCcC��-�.� ;,
------------------------ ------------------------------------------------------
ZONING REVIEW BY: DATE APPROV$D: /Q - /j- �i`�
BIIILDING REVIEW BY: �YL�``�-�`-..� DATE APPROVED: 1 0• � 3-C! f
FEES 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 LIST Zoning District: G/�"'��
Fire Department: ��vv��- Post Office: �ac,� Schoo� District: rK�,urrt�
Lot Area : • �6 /1�GG� Width: 1"�D � AY� Depth: ( 9� �t•I S A-�
Survey Submitted: Yes � No Date of Survey: (�- ��
Proposed Setbacks : � /
F�rrnrt (Lake) : /OS� � Right Side:_
R.a�r (street) : GS ��' Left side: 1 y.i,�
Adjacent Structures : �l`��(f.l� Wetl.and: /V�G'�
Buil.ding Height: Def . Hgt. �•!�- Peak Hgt. �.��.
Avg. Setback: (jf�R-�tM�JGI Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 ' �( ��D 3Z- Z ��
250-500 '
500-1000 '
Hardcover Variance Required: Yes� No Date of Council Approval:�Z�-�j
Grading: Staff Approval Date: !'��1�►' By: Counci� Approval. Date:
Septic: Staff Approval Date: /V`��4' By:
Zoning FiJ�e: # 3- 6� Resolution # : t`� `l b Resol.ution Date: Z-ZSf� `j�
REMARRS (in house) :
BDILDING REVIEW CHECK LIST '" `
pgC: �`� CONSTRIICTION` TYP�; �
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X =
2nd Floor X =
Garage X =
x =
TOTAL
Esti_mated Construction Value: $ 7c'�,c�o�'
Inspections Required: Work Requiring Separate Permits:
Site o<P]�umbing Grading/Filling
Footing Mechanica� Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
_�WaJ.I Board (Masonry) Lawn Irrigation
�Final� (Mf g.) Other
Other Well (State Permit)
�Electrical ( State Permit)
-------------------------------------------------------------------------------
RBMARRS (IN HOQSE) :
-------------------------------------------------------------------------------
RL�VIEW BY OTHEFtS: DATE:
Access : Existing New
Access Approval : Date By:
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RELKARRS (TO BE NOTED ON PERMIT) : f-/k120 GUV G� �ZEYrw��41-5 �2��u �✓LY O
� � ' A CITY OF ORONO - BIIILDING PERMIT APPLICATION
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Total Fee: $ ��' �' �� Date Received: /�' ' `� - l �
Date Approved:
Entered By: �� --�'�'��� ��"� c
Permit�: �
ALL INFORMATION MDST B$ SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
----------------�---------------------------------,�`-�-------------------------
THE APPLICANT IS (circle one) 06�NER o CONTRACTOR
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JOB SITE ADDRBSS: � 7�C"� I � � a:-c ' `j� ' ZIP:
(work)
NAML OF OWNER: /-C'�� ��C l�"C/'��-- PHONE: (home) `f �/�' �' ' � 1
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MAILING ADDRESS: C� �� ` �`�G Mc...-c� �Q�TY: ('��rz;-��:-- ZIP: j ..� ..3j�
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CONTRACTOR: � f� � r_�i�r C' PHONE: `� 7 l - G'�� Z
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MAILING ADDRESS: `-� �/�C� �� It G/r����.,.� 17,�CITY: -� j."" ,j��: . �� ZIP: �S ��
� q� �
STATE LICENSE: � l� �
ARCHITECT/ENGINEER: �71`c��.- J.>�f i'��tt � PHONE: C�i� -- �/� �-�
MAILING ADDRESS: ��/ L �' �.�.��"� .?f -- CITY: �,,�'n'�,E�°< <. �3 ZIP: �>_��� j
` �� .. -'�-� �
NAME: REGISTRATION #�
TYPE OF WORR: New Addition�_ Accessory Structure biove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : l 'e�y�''r� �2��`�` ` �1�`�"' �'-
,�,
/
STORIES:__�� SQ. FEET OF EACH FLOOR: �`7�'
NO. OF BgDROOMS:� GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (e%C1udiIIg land) : $l�L`t`'t � �r
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.
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APPLICANT'S SIGNATORE: '� � ����';,�.�` ` DATE: L' C' �� L
�
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r �� � f � q 4
�f 5 a � CITY of ORONO
, ,
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�,_ a, �.-;�„a .;.,;� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
�
� _ � � 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 Iike to inform you that your request for a permit or
Iicense 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 wi3. I be used to determine your
qualification for the permit or Iicense 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 Iocal , s`ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
�. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your fu1.I name is required to process this application or
permit.
�� .�— '�_"� �.'"".' d�c�C! ��'��'"' �-
a: r
First Middle Last
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/=�� ���.-, y
Aadress
, � „ _
l�� --� < .
�,,--.�L'L- � ��'� �L�_ �' 7
City State Zip
�_f -� J ---- �-�% �j"L�
Phone
I understand my rights as . stated above.
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Signatu /
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FIN�YCE —473-7358 • PUBLIC WORKS—473-7359
ASSESSIN G
J '
513.04 RIGHTS OF SIIB.TECTS OF DATA � -
gubdivision L Type of data- The righ sectio�viduals on whom the data is
stored or to be stored shall be as set forth ln t� An.individuel asked to
Subd. 2. Information req�d
to be given individusl.
� ' u 1 rivate or confidentiel data concerning amWi�in the collecting state gency,
s pP Y P uested da v refuse or is legally
purpose and intended use of the req tem; (b) whether he ma„
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested date; (c) anY
1 in or refusing to supply private or confidederal la w o receive he data.1tT�-
supp y g state or f �vesti ative data,
other persons or entities authorized by
requirement shall not apply when an individual is asked to supP1Y g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue me lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. � - --- - - � .
Subd. 3.
Access to �a� bY ����' Upon request to e responsible
authorit , an individuel shall be informed wh blic h r vateeor confident al.e �P°n �
y ublic data on
individuals, and whether it is classified as p � P
�t8 without any charge to him and, if he desires, shall
turther request, an individu e who is the subject of stored private or��u� � �en
individuels shall be shown th of that data• After an indi
�e informed of the content and meaning the data need not be �isclosed to
shown the private date and info�med of its u��l�8etion pursuaat to this section is
him for six months thereafter unless a �p n request by
' din or additional data on the individusl h� gte or public datarupoeated. The
� Pen g require the
responsible authority shall provide copies of the p �d compiling the
The responsible authority may
the individuel subject of the data• certif n
requesting person to pay the actual costs of ma.king, 3'i g'
copies. immedietely, if possible, with any request
The responsible authority shall comply uest,
made pursuant to this subdivision, or within five �f Slmme�ateatcompliance eis not
excluding Saturdays, Sundays ar►d legel holideys,
ssible. If he cannot comply with the request within that time, he shall s iln�th the
p° have an additional five days within which to comp y
individuel, and may �d le holidays.
request, excluding Saturdays, Sur►da3'S �
te or comPlete. An individuel maY
Subd. 4. Procediu'e �►hen data is not a�'g ivate data concerning himself. To
contest the accuracy or comQleteness�of public or p the respensible authority
exercise this right, an individual shall notify in writing
The responsible authority shall within 3 0
describing the nature of the disagreement. lete and attempt to
days either. (a) correct i�c��8�e ordincomple e datae incl��ng pecipients named by
notify past recipients of
the individuel; or {b) notify the individuel i�Vha �Slstatementof disagreem nt is
Data in dispute shalt be disclosed only tf the 1 �u�t to the
• included with the diselosed data• � aQpealed p
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
. . ,
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( DATE TIME
CITY OF ORONO CALLED IN -� �/Z-�`'Y
INSPECTION NOTICE SCHEDULED 'S��-3/%�� a..7 ' 3 t
PERMIT NO. COMPLETED dI 4I
ADDRESS�t ��� ��--4 -��z�-z-�=.��'
OWNER CONTR. +�-1%'-?�.'
TELEPHONE NO. ��� ' ���-�
� DESCRIPTION -���c��
ly 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
yFRAMING J 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WA�L 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 O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ��, pHOTO TAKEN
���/// INSPECTOR WILL RETURN
pp STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
�❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract on ite:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice
DATGE �> TIME
CITY OF ORONO CALLED IN �C 'IO �7 �
INSPECTION NOTICE ���G'� SCHEDULED /C �-/5� %'� � or �ak�
PERMIT NO. coMP�ErEo � ti
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ADDRESS � � � C' �' �
OWNER 4' C TR. ��t��� /ec.�.�i-
TELEPHONENO. '5��7�- OS`-3�C
� DESCRIPTION
� 1 FOOTING' 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO 06 PFOGRESS
~ 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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CITY OF ORONO CAL�ED IN �1 D��� �T��
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� 03 N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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White Copyllnspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN /a DATE _ l�:TI�O Q�
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INSPECTOR WILL REfURN
❑STOPOHDER POSTEO.CALL INSPECTOR '=CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContra r t :
Inspector.
White Copyllnspector's F e Canary CopylSite Notice