HomeMy WebLinkAbout1991-003881 - addition & remodel PERMIT
�lTl(A OF ORONO PERMIT TYPE: �;������jF,��
1335 Brown Rd. South • P.O. Box 66 Permit Number: �_���_:�;:t;l
Crystal Bay, Minnesota 55323 Date Issued: t=����1 i h�%`�:i
(612) 473-7357
SITE ADDRESS:
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FEE SUMMARY: i� t 7 }�
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CONTRA�TOR: -- ����i i c�r�t. -- OWNER:
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A ANT/PERMITEE SIGN URE ISSUED BV:SIGNATURE
, v C�� �FFFORSOFFICEIUSE ONLYOF PgF2MITS
ADDRESS OR LE`GAL: j �.�� ,�C�.s�ce kt�z.�. ��i� PID: ,;�C� -; /J ' =;7� �( L'�c�:i�7
DESCRIPTION OF WORS: C����L2-��-��..- � ��-��-�z.�.--rCr,F�
--------------------------------------------------------
ZONING REVIEW BY: „_ DATE APPROVED: �-/2.• S/
BIII?iDING REVIEW BY: ��,,� DATE APPROVED: �- 1 Z- G (
-------------------—�- --------------------------------------------------
FEES TO BE CHARGBD: Misc. Fees Calculated By:
pERMIT Yes �No
PLAN REVIEW Yes � No SEWER CONNECTZON
STATE SURCHARGE Yes �No WATER CONNECTION
INVESTIGATION FEE Yes �No-� PARK FEE
SAC Yes �' No��� SITE INSPECTION
Number of SAC Uni�s �� ��� OTHER (s�ecify)
---------------------------------------------------------- -
?O??I??s C��'R T.�ST Zonina Dist_ic�:
Fire De�ar�ment: �j�nr� Post Of�ice: � Sc�ool District: /V/
Lot Area : ��►� �c- � �7,�6 1 Width: �(�+� Depth: l�f�(C��
Survey Submi�ted: Yes� No Date oi Survev:_S.�,Ufi Z6 '"► ��
P�o�osed Se��acks :
^ront � i : /'7 � �" Riant Side : I p '
Rear (��) : i C� 2 � Le*=t S�de : �/,�/�
Adjacent Structures : ,(��%�9-��.-� We�'_an�: /U / ��
�
BuilCing Height: Def. Hgt. /J j�- Peak Hgt.
Avg. Setbacx: N 11� Lot Coverage:
Existing PZ'ODOS?Q
Hardcover : 0-75 '
75-250 ' -
250-500 '
500-I.000 '
Hardcover Variance Required: Yes No�l' Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: /V�/'� BY=
Zoning File : � ( b Op Resolution �: ��%.a�-3 Resolution Date: � •25^ (
RBMARSS (in house) :
- - -...___ .._. . ____._ . _ -� -,
BIIII.DING RE�TIEW C.�CR LIST '
�C: � 15�2. CONSTRIICTION TYPE: �--
Sq Footage $ Per Sq Ftg
Base�e^.t X
lst Floor X _
2nd Floor X
Garage X _
x
TOTAL
Estimated Constrnction Valne: $
c.(`��,Oc�`��
Inspectioas Required: Work Reqniriag Separate Permits:
Plumbing Grading/Filling
Site Fire
Footing Mechanical Water Connection
Septic
Framing Sewer Connection
Fireplace
�nsulation (Masonry ) Other
Wall Board �Mfg. � Well ( State Per.nit
Final �;lectrical (State Permit)
---Other----------------------------------------------------------------------•
RSMARKS (IN HOQSE) :
----------------------------------
REVIEW BY OTHERS: DATE:
Access : Exis�inQ New
Access ApDroval: Date Bv'
-�----------
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C=ZY OI�'_ O1:Q;J0 — E4USI,UING FEZtM:LT AP.pL�CA�`:LON
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Tor:al �'ee : S ,�� , �' ' Data Received : '7 " ��- `i'/
/, Date Approved ;
�ntezed �y: �L�-�� _ _.. �
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Pe�mit� : �<'� '
1�I.L IN$�R.MAT�023 HU�T BL SUf1MITfiED IN PsJLL PBPCfR.E �Y,AN 22BVS�1'rI i�1ILL $� $TART�1]
(See Check-off Li.s� Enctosad )' • '
T�E APP�ICANT�IS:� (air�le^dne } __QWNF_•R ax�CONTRAC�'OR----_�---------------------
JOB SZ'�'� �DDRESS t��,� ��"f/Gf�1//r/� ,7],t'/!�F lJ�C�/Y�CJ , ZIP: �j"�,���2,
�WOr}G) � ��.'-�'`�irlJ
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NAME OF dWNF.R: /�`�'i G� �',>',�"'�U is� cQU/.,.s'i�"` PHONE: (hom�s) �� -:�«��,�'
MAIL�NG ADDRF,SS: �,�,,3„� s'%�`pi?_,F,L/�/� f��� � �YTY= O�a�4/O ZYF! SS:.a�92
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CONTRACTOR: ��� l�• ✓�/,�L..�"��.-. �C✓/.f,l,�,�"',�c�1�` ..r'�t��. PHONF s ��'�-. A/ �`/
' MAYLING ADDRESS s .�,j',j0 /!�• �F7�/Mr�7�/�►1 _�/�' :2TY:,�''��lZ,� l�/�`'4�' /�i�!2ZP� 3^.S—/2�i
7.'X2�� Q�' WORK: NPw Additian � Accessory S��ucture Move
Demo� Remo e /Alteratiorf�� Renovate Land A tera�i�n ,
�ROpOSLD WO�C (d���ribe in deta.�l) :�GD �� S/� /�'I�.,t"o.liR� A�v� sT.��`�-
, .
/�1�l.�/7%e�A/ �✓/7'1� Sa/�'l�' JZ�,fNo,�FL !.�/aR.t /.bi .��lS T��t/G /�.�l�v � ,
8�.'ORISS: � 3Q. $EET OF �CH FLOdl�: �O rJ� Sf ADOJTGif.�
N�?. 4�' $�:DRQQMS: G�I2AGE STT,LLS : ATT, pET.
$sTzr�.n�n CONSTI20CTION ��.a����zoN texcludi.n� �ana) - $ _ --�G�aa� _`"—
,.
I hereby appl.y fox a bu�. lding �erm�� �.nd 2 acknow�edga tha� the in.�ormation
abov� j.s compxete and aecuxa�e; �hat �}:� wnrk will be in C011LrOrM&27�GP with the
oxdin�nces and codes of ttie City anr� wi�h �he S�ate Building Cadej tha� z
under$�anc'i �his is no� a p�rmi� and work ia no� to star� without a permit; and
thxtt the work wilZ be in accordance with the approv�d pla�.
APPLICANT'S 3'LC;P]ATQRE� L��r�s0 /�,-r����u+,.--�_ bAZ`$i: ��f-�j'�
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Poat OFEice Box 68•C�yetal Bay,Minneeota bG323•Munidpal 0!licae
•
� - 4 i On the North Shor�of Lake 11?innetonka
DATA PRNA.CY ADYI84RY
Irt �..^.cerdgr�Ce W�th M.S. 13.Q4� Sui�d. 2r "Rfgh�s a� sub�ects af
da�a", we wou�.d like to �.nform you �ha� your request t'or a permit or
license from the City af drono or �ny of its depart:nents may require
you to furni�h �ertain priva�e or con�'idential information.
You ar@ rtotif ie�I �hat:
1. The infozma�ion you furzish wiil bE used tc det�rm�ne your
qua�.�.f�.ca�ion for �he permit or licenge reques�ed.
2. You may refuse to supply d2�ta, but re.�usal may require that
the City deny the permit or licen8e.
3. The information may be s�ared with other local, s�a�e or �
£ederal agena3es to �he ext�n� necess�ry to pracess, tbe permit or
�icense.
�. rf youx requested p�rmit or Yicense rec�uires Council a�tian
�a approve, some infd�'ma�ion m�y becdrne pUb1�.C. ,
5. You have certain riqhts un�let- M.S. 13.�4 �o r.ev3.ew privat�
data on youxself.
6. Your EuI.1 name �s requi��e,� �o proces� this applfCa�ion ar
permit.
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DATE TIME ��
CITY OF ORONO CALLED IN
INSPECTION NOTICpE SCHEDULED /—/� = b
PERMIT NO. �il�P� COMPLETED
ADDRESS Or l h
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
L� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q �INAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. . pH0T0 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.473-73rJ7
OwnerlContracto o site:
Inspector.
White Copyllnspec r's File Canary CopylSite Notice
� DAT pO t TII�AE
CITY OF ORONO CALLED IN � ' Ov�--
INSPECTION NOTI SCHEDULED � =3v
PERMIT NO. COMPL ED �� �`�_
ADDRESS �3�
OWNER ONTR.
TELEPHONE NO. . � `� � —�� �'�
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� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 MING 11 MECHANICAL FINAL 18 IXCAV/GRADINGIFILLING
vS 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP 06 PRO(iRESS
� 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALI. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
? OWNER/CONTRACTOR TO MEET 1roU:_YES_NO
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V BEFORECO'VERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 241wurs in advance.473-7357
wnerlCartra e:
iector:
WhNa CopyAnspector's N Canary Copy/Sits Noli�
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DATE TIME
CITY OF ORONO CALLED W �� '�
INSPECTION NOTIC� � SCHEDULED l'-�y /n`Z% jG
PERMIT NO. � �`� COMPLETED vf U
ADDRESS .3.�-�-� « ,
OWNER CONTR.
TELEPHONE NO.
�(�TION
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� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETfTURN 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 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
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
OwnedContract p�i site:
Inspector. U
White Copylinspecto s File Canary CopylSite Notice
� DATE / TIME
CITY OF ORONO CALLED IN � '�
INSPECTION NOTICE C� SCHEDULED � �9 ��
PERMIT NO.� �,C� COMPLETED � <<
ADDRESS
OWNER CONTR. -@-
TELEPHONENO. �7� ' 7s�-�
� C��siL:91�T10N
� 1 FOOTI 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADIN(iIFILLING
Q03 INSULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlfURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C,pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnenContractor it -
Inspector.
. ��
White CopyAnspector's File Canary Cq�Y/SNs Notkx '�J
DATE TIME .
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. conn ETED �l /D:D�O
ADDRESS � ' �
OWNER CONTR. ,� .�M i( I�
TELEPHONE O.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
Q031NSULATION 2M25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TFiEE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON �ITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP OB PROGRESS
v 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 MEEf YOU:_YES_NO
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA� 13 METER SETlfURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
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OwnerlCon tor site:
Inspector.
White Copylinspector's File Canary CopylSite Notice
'��1 DATE TIME
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Z 04 WALL BD. 12 WATER HOOK-UP 34 EE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 E INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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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 r site:
Inspector:
White CapyAn FlN Canary CopyfSka NoNce