HomeMy WebLinkAbout1993-004954 - add/remodel ERMIT
- CTTY OF ORONO PERMIT TYPE:
�.t����j�r�,��;
1335 Brown Rd. South • P.O. Box 66 Permit Number: �;;_j���,��
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 :::�I i?:'�:�;
SITE ADDRESS:
_>�.�.�'1 '=:'ri�;t�EL I N� Q�°
.��
�' . � . �. . '�'t3—i. j ,��—i;_--t)i)_„�.
DESCRIPTION:
E��.�; 1 ��i i i�� ��:i���E i.t. ��:,�.� �:����5—G�C���i�;��ja=t�:���
E,�;il=�i��,� L��=���r 1"y���== �:��i*it•��F;��It�L_
l llW:t. i_:[[t.���r;j ar,t � _. ��_".j.=
���;+i15�.�'I.�t_fi.i��Sil �Y�'C ���'�
i.i T� U� L��tUlY1J
. . . l�qll�t l�t4L V��14L
'' $
�.i�,�id�%�lvv�L r�r
� . . . . {�.�1 VLlt� i'1s�Vs
� - . � 1�iLi.VVV� 1r
� � . .. � � �1 uL� ���1V
kJ��i�
iscts:.:��r}�3vvv n
::1 �r'� �`�.;v-
REMARKS. iJ�iV11�t';;Vc� �y �
tr i ;r+�f '�r i�'k
{ u.a ��1r �7,.�.iv
'•��E_F�F tF�i-�TF �'E.��.'��I I� F?E.ts!l 1 I F�EC� ��_�Fi �LE.��1�1.'i[:r�L t•��1�-'iT� �'F F;I"�T-3'}
.itGiL�L�VVt�V ►�►
u
£.'� ��;`� i.t.,
FEE SUMMARY: TG'T�4L f����-'�'
:, , }�_ �fu�k� ��, ��;�� �:�5�'� ��v.::�
�t�_._t:T_- � �'� - - -
i:�n1�v� -,v�
�.�=` ��'C �._� ,i_{} i_C���Ti_T_t"A'1' VsiF'
+- C i /1L4•Lll e 1 i�'3{n��s�� 1 u�
� C d3�+tL•:Tiri :�i:h rt7i `i?•ii
���_t�! f',l_`Y3i_�.il �.i!� , �,(7 ncuJi�v �.vv� iivi ii,J•a.a
t ''7 3'i�1�
��a��,cr,�i���� _______ ��_�``� �t.r.►,.,�
1 .��1
�i i i.d 1 !�''�'' `�,���ii�} , �i.�l
CONTRACTOR: — �:�=��7 ir�t�t. — OWNER:
L�?i�#i:}t,�iti! �_a i�i'=�TRt_�i:T I s=ih1 ��.7'�E,°�=;=si �:i F��_ °_,�'����
a'�:al.i f ��ii_t�;��i �;Hi=F�L �:}�; �'��`� �I's_'=�N I R� F:LVC�
r��E�,n!� r•�r=� .__.�_,�,-;�. r���,�,r,�� !��� ��:����.
��� - �� , - :�t�_.,, �.,.- __���:
,,, � — --�
,
�a
��� �-�ti� _;���j;-.;-�,°_; € tj�`,=��:'' ?��:�:�.���7 :�°�'`�.`_�;W_�.C'_ :_'_��'r.i.t°_�'•��'!��'ti ��� �`?t;F�::C-- • +�;-,; �-, , ��;.�a�:�-:-f;,r-=,t�.,t .
� _ I I � ,'.i=�i:_ t: !i i1�.:���I rs_.14 �
�: - _.._ ;..., . _._ � . - _ -• - -
: •�•,� :,�.�, } r_�.., F`-:�+s ',E;;c'r.- -;-l-� r;j' �i l��i Er;'r' '_i t�J �`?�:�i t: °;°:1�'I ?t l�i�f;_.€ �i�, i.T��'s•
:� r- r ;'' L.
, .-.: t . .__ . . .3...:: i- _ . .. .. i-. _.. .�. . _. . �...••�. .1.� . --. .. .'•_:i_ . 1. . . _, .. _ ...
�� � .i. . 7 : : � = I, -R�� � , y ;j=.'._'.._:.V �-. - + 1�- __
�, �._��'.�._�:��+._� __�,+�. 1.�`.� _�_ �r� .1 _ � �! i �'_ f ! t'��i`-?#'+:..._:��_, ( f_f `r=� � .�t j i;Fl� i;j ;?`;:(At; ;',,`,�:j_1'.''�'._�
� / / _ _�7� _��� _�4l� � E•__.i ��
V'
APPUCANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
t �
- CITY OF ORONO - BIIILDING PF•RM_ZT APPLICATION
. /
Total Fee: $ � �` � J Date Received:� ' �o�- � 3
Date Approved:
Entered By: '� �/ /� S�
Permit#: / �
ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII,L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (cirqle one) OWNER o CONT�.T.Q$7
h/aJ�rrC �,r�O�"'
JOB SITE ADDR$SS: ���, 5�'1��� "I I n L I�r'i ZIP: ,sS3�v�
(work) �l'11- �gO O
NAI�3 OF OWNER: 5�'e�v C 0 r'� pHONE: (home) �7� ySSS
P3AII�ING ADDRESS: y�as �,Jtl��i� CITY: / ' �Ot,�•r�c� ZIP: �SSG�
cox�c�roR: rl i k� L.Q� ��or• p$oxs: 4/7�-�h939
MATzirr� Annx�ss: �-l�y o VUoc--�-1, S'1.��� Q�, ci�r: (''lo�.� d zip: 5 S���l
STATE LICENSE: #��
BRCHITECT/ENGINEER: /'!�O/�f,� PHONE:
MAILING ADDRESS: CITY: ZIP:
N�: RBGISTR�iTION #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : � JC a�� W a-� ��- t�^ G oo�t� l�c��'�n
�
l-+� b`1`'�� a�"�'�'ioe� .,�i�'i�. °�v Oe�� d.�.►v °? ;z���' 0��: �_ ���-�w, �'r� L)�.�r--
STORI$S: SQ. FE$T OF EACH FLOOR:
NO. OF B�ROOMS: GARAGE STAr�.S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaclndi.ng land) : $ ���/`-''��
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 accord c 'th the approved plan. •
APPI�ICANT'S SIGNATORE: DATE�j� ' (J
� -
. `
CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 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 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
qualification for the permit or ].icense 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, state or
federa]. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. 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.
��f�ichae..i Sag�,p►� �.t�.a^e�► a�
First Middle Last
`��.y � �V�c�-h ���. �r
Address
� t� ur� � �Y`!e �„�, ��`� �a� --
City State Zip
��Il '�"" V�� J �
Phone
I understand y ts as stated above. ,
Signature .
BUILDING&ZOIYING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING -
._._r - -�------ --- � !
. > `
�.0,4 RIGHTS OF SIIBTECTS OF DATA �
Subdivision L Ty'pe of date- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
- to be given individuaL An.individuel asked to
- S�d. 2. Information required
� .' within the collecting state agency,
su 1 private or confidentiel data concerning amself shall be informed of: (e the
PP Y
purpose and intended use of the requested da v refuse or is legally
political subdivision, or st$tewide system; �b� �o�r�o�equence arising from his
required to supply the requested date; (�) �Y . �d (d) the identity of
supplying or refusing to supply private or confidentiel dats,
other enons or entities authorized by state or federal law to receive the data. This_
p 1 when an individual is esked to supply investigative datg,
requirement shall not app y to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma la�t t8X re�und uistructio uinsteadho5
subdivision in the individuel income tax or r� er
on those orms. - "
Subd. 3. � Access to �a� bY
����. IIpon request to e responsible '
authority, an individuel shall be informed whetbh�ec h�,va eeor confidentiaLe Pon �
individuels; and whether it is elassified as p .1 � P ublic data on
to him and, if he desires, shall
further request, an inaividual who is the subject of stored private orndu� � been
individuels shall be shown the data witho of�that datae. After an inc�
�e informed of the content and meaning t� �� need not be disclosed to
shown the private data and informed of its meaning, u��t to this section is
him for six months thereafter unless a dispute or action p
� rivate or public data upon request by
ending or additionel data on Lhe individuel hes been collected or created. e
� p rovide copies cf P require the
responsible authority sha11 p
The responsible authority may
the individual subject of the data• certif 'n and compiling the
requesting person to pay the actual costs of making, Yi g'
copies. lmmediately, if possible, with anY request
� The responsible authority shall comply ' o f the date of the request,
made pursuant to this subdivision, or within five �Ys,mmediate compliance is not
excluding Saturdays, Sundays and legal holideys,
ossible. If he cannot comply with the request within that time, he shall sP inf�orth the
have an additional �ve daYS With�n Wluch to com ly
individual, and m8Y �� �d le el holidays.
request, excluding Saturda Sur►deYs g
Subd. 4. Proced�a'e when data is not accurate or co�plete. An individuel maY
himself. To
contest the accuracy or comQleteness�of public oinri��the°respo�ible authority
exercise this right, an individusl sha]1 notify �ible authority shall within 30
describing the nature of the disagreemenL The r�
days either: (a) correct the data found to be lete dataeincludin6pee�Pl�� namedt by
notify past recipients of inaccurate or incomp
the individuel, or (b) notify the individuel that he believes the data to be correcL.
Data in dispute sha]1 be disclosed only if the individual's statement of disagreement is
• included with the �isclosed data. � 8ppesled pursuar►t to the
� ' The determination of the responsible authority may
provisions of the administrative procedure act releting to contested cases.
, CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3�1 Zl SNUSLtU NC PID:��-//7 ��-3 /�- U 0 � �
DESCRIPTION OF WORR: ��1z'ER�viz RL.MOtkL
-----------------------
ZONING REVIEW BY: I� �� DATE APPROVED:
BIIILDING REVIEW BY: �y� �--- DATE APPROVED: Z-/7-`73
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes � No 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 Z ning District:
Fire Department: Post Off ' ce: Schoo Di trict:
Lot Area: Width: Depth:
Survey Submitted s No D te of Survey:
Proposed Setbac s:
Front (Lak ) : ight S de:
Rear (Str et) : Left S 'de: '
Adjacent Structu es: Wetl.and
Building Heig t: Def Hgt. Peak Hgt.
Avg. Setback ot Covera e:
E isting Proposed
Hardcover: -75 ' �
75 250 '
25 -500 '
500 1000 '
Hardcover Variance Re uir d: Yes No Date of Council pproval:
Grading: taff Approv I. ate: � By: Council App oval Date:
Septic: taff Approva D te: BY=
Zoning F' le:# Resolut on # : Resol.utio Date:
REMARKS (in house) :
BIIILDING REVIEW CHECR LIST �
. �
DBC: �d X � B-2 CONSTRIICTI ON TYPE: V N
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor X =
2nd Fl.00r X =
Garage X =
x =
TOTAL
Esti.mated Construction Value: $ Z,S�O o=
Inspections Required: Work Requiring Separate Permits:
Site ` Plumbing Grading/Filling
Footing Mechanical Fire
_�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
�Wall Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel]. (State Permit)
o( Electrical (State Permit)
----------------------------------------------------------------------------
REMARRS (IN HOIISE) :
� ----------------------------------------------------------------------------
REVIEW BY OT�tS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------------------------------------
�LF.N�ARKS (TO BE NOTED ON PERMIT) :
.
Mr.`.wr..�....w�++n............�.,,...�.f.'�`,'NYw"1.'.,... .�.....,. . . ... . .�...v,...,... .r.r..�.... ,. . ,..:..... . .. . .. . . . � ...... F.�. .v . ..•... . .n. .
J. � . . . .,. . ., . .� . .Y. . .-.. ..�I. .q.•I1.'�rws
p �
. �
i
<: f
; t� , �.
` � 9 �� �� �� f
: � 1 �L�fi k�y t � �� �
w ���� .
� � � - - �tcy''�
. �
� ,:ti', ' �;� (V � �
i � '!
:pi ;
1� �'
d � � '� �``� ° �
� ��``� `� �' ' ��� �`'�k ' �"•.�,�� � "j".�' �i � ;� ��
r � { �..�i�i� ,���, � �
r,�.� , � i ����'a+�N ����,
�� ��:>-;::�~-t,� ._�..
' � � ?' , -' 2-!'� .....w....�,•Y�.�,.,.,�„a.
. , .. . _�3 -� .:��..
, _
. ......�.�,.or�.....�..ar�.�,�,,.,.-�,.,�...I..W��,w�,.� —� , � . . ,.... .,� , . , :y��� r�:�. ,, .. .,��;��t
�," �_�,,� ------� � _� ,,;. � G�� ..t'
�e. �.;� � � .� � �
fi�r,`i�' ,r � , ; , �t � :+
��C"� : r � :: �
� :, ���. :..��� � �;� � u ;:�s,���y� r�..�^;�h r�q, ti'�
�7e;, trv(,.� Id� II,F�, r04��1!{'i
�C t}�j .t�'�„i i��A�,'� ;,�a Vf:�� `.�1�i�. �!�
.X ALI, ftl�1�,�,
4v �
�.����t _ �O 4\e,f
• C J
�,� ,�-A� �e,a
, ,.,�...�._ - __
- ..�_��_ - _ , ... _.._....__�.... _�,
>� .'��.1� �,;:nt��' � _ _ �
���� �! .�..,.,.__,..
�� f � ��� . � ti'd'�
� t-� ��° �,�
�Q�r1 �1�}l�l.l.� Pv�c"���"�v n ��
,.,�,�...__ .. �..,�w ,.:
___ .. _ _-._,.__: .._.....��..._. _
� � ,�« ,.,.._...�...e....__� ,_ _ ,._.._
p,�'�.t. �'-� /Uc�
� c, �� '5:'>�_ � G/.��g � �
p'��°`� � ��ti
D�ar� � Q
��
_......�I� � _ i� � .,�� a.. �:.�%C.�� `` �
�.,.._ ;. ,,1,� a�
� ` � �
L Mj'11(1�ti� �L►���v?c'f..r, �r
, ..,.
.. . ._.. ... .,......_ ,...._._,....,-...... . .,...,. ,_. .
C,e�l � n,� � . U'��p1�ui :.Jc�;�S
,
�
�.._._. ..r..��U .Y._...�.._..._ .�.�b....�....�._ ... . ... _.._ n_�.�.,���
�
�
�
�
�
, -� �� ��� ���. '
�
� _,,� �� �
I/ 4 �� i .
;
CITY OF ORONO CALLED IN DATE�� �`` Tllut�
�
INSPECTION NOTICEL� � SCHEDULEO �( 8' 3 . a r�--
PERMIT NO. / �`� COMPLETED ,�
ADDRESS `�'� � Y ��� ��/
OWNER 1� 1 CONTR.
TELEPHONE NO. 1—�'_L�-- — ����
� DESCRIPTION
tti 01 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y TION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
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 O6 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 MEEf YOU:_YES_NO
y COMM NTS:
a ` �(`�.` dd
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra�r o te:
Inspector. �
White Copyllnspector File Canary Copy/S1te Notice