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HomeMy WebLinkAbout1994-005927 - interior remodel PERIl�IIT . C�Y OF ORONO PERMIT TYPE: r 2750 Kelley Parkway • P.O. Box 815 �;�_'I�_f i I���i�� Orono, Minnesota 55356-0815 Permit Number: - Date Issued: ����"�i`�'`� (612) 473-7357 i�7:;'!`:�:=;/'��ii SITE ADDRESS: ='��t� ��!—ll�ii'+:��i�'�� '.'i t �';� �-' . 1 . ':�l . . i I—i 1 ; .�._—�.:;;—iai,li;� DESCRIPTION: T:,�T��;I�_�� F;�_t1x:L,;�i ����t i i��i 7��� F'���fi�i t• T y,�=� ��s ti°i—��i�D�'�i�t�l>ii��L �.c.aa �li;,� t���a�r:; �'y�-� €�;€�i��_+�'��TE!�t���(�:ti:}�L.. t_��:(�: l���cU;��.ti�r y �i--'i {,:i il�€�=�•'t`C.�If 1:.}t:iti 6 �fi::��' �;��� i+i�if u� iiiiti�ifu { �.i tn�i�.a�. i.%�C�4� 3+si.iivvv}vir} � i%i i.iei� ''�}r,v'v} 7 S�i!t f:{F!!r4ti � 1�JtIY1VVYVV ';x--rvCtY �v a�r REMARKS: ;::��flflf}f t� �+ 1tLLtVVV�V n r ;;; c;L:' 1 a r1Y .._._.',"'y+�i� ��:� _E�.�rj S 3 '_ .'.iT�_�t i.}i�.�_.t.' .._3_�S_�p 1�IS�{..:C?) C�_��\: S ���lj�f"'Zl..��,:_�..7 !"'rr.t !114$f'.�_.. � __:t'?� Sl�i" {��.i_��<'� t �ilV1 :.: '� ���; :. '"i' i : �. . , w. ' :.-.. __. _. _. '. . _. _. . _...... . ...... .. _.. .,._.. . _ ' ' - - - �s.i• t: iF L..J `_. _. . . ... . _.. .�.. .._.. . _.. f . . f . ... !—• ,. FEE SUIUIMARIf: . ... � _. . .__. . _ . _.. . -.�-�i_;:-.��,t�`���,:,{ �r��;4 ��.�;: ' !!VVV L 1f3 / 1 f 1L�JV %}'+/��F/V A =j�L�_�i����_��d 9•_�t �_�t_i�_� vtr t�r r�► L�i:�"._' i::F+ s�['1�.'i. {J(_l r���Lctl�i P,t_'R%?t'� :�:�:�s7, �() � `,�t�t~t_r�:�t,��� _______ _��,�5��j T��E t..�i �!��� y.°_�ii; . 'r_'�;:1 CONTRACTOR: OWNER: -- E-t�_:��,s. ; �,ti-;�. -- �::__-�;;+,•;::�?s T'�;� i;I�.:N�,�i� = _. _: _ '�;�-{�_�F��L I iil� �:�F� ����v'E�i"l�?� i jlti,f Cy f"!����'�.:= � Ik f�...f__.^�.. _. . k ' i I"+ �i s.:�• i f�t. ._.. .�-� �:,"•i�:`. �,_. _ > - :�f;�; ! E S ��''I� � �;�—t � ���J';�'���+.:}� ; -, � ::�- '- :�r � 7 r - - [_� w, ^ i i i� ::�`�, t�_�9. .�. i.._...r "��?�j�.���z� 3�.L._':;�_ji.�_� � •� t��..._ .i�}t _ �v i ... . i�if"f.'•.�� !`•.'1.Y. .... "3� ._i i!� ��_ . ..,_. L� r = ±� y '_ "' ' �i " ,�: ' ' '• T � E_='"�i T : ' (5:. . _ . r.��._ �.. . .,, a ''':..''��"�i�. t��i��� i?:'��" i��� � ''.F i. 'i�:'iC: { � —�t .i..�.� •:t:.�l: � H; � e. I.; t��`� _! ._�: r-t.�.� � _, �.� 'r:.�:_% . :__. _._=� . ..�_. e':�...... `,:#_ . . . .. .. _. . _. _. __.i-.. . . 'r�,•_. F�'. l��._ _. . _."` __ _ � `s, 1 t Y �, �I`± j �i ..1'� � �� �`—' ra".:� r �='`�i' �k- 1.' j�� 4 �—�'f r;_ . } � t-'j.��,'k`; ..�t 1 , �(.:i,r 4���.�.� .t.r .. �_• _ -:� .3 . _t._•� . . :._. _ ; ,, ; �._ _.. : _. _._ .. . ._ _ _.._ :x . _ � . _ _ _ ic .=.f:`�E�� � .� . � � . . � . � � „ � - � APPLICANT/PERMITEE SI ATURE ISSUED BY:SIGNATURE .G-�, i ' R � CITY OF ORONO - BOILDING PERMIT APPLICATION Total Fee- $ `%� �4 ` Date Received:�- � +� �� � Date Approved: Entered By: ' , "'!1 _ Permit�: �' AT•T• INFORMATION MIIST BE SDBMITT� IN FIILI� BEFORE PLAN REVIEW WILL B$ STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR -� —� ��.. JOB SITE ADDRSSS: �`���L,.� �hP`��` �'-' �; ;;'j _ �s,�Y ZIP: � j -� �7i (work) �l T��5�� � s� oF owNEx: �iC h�l?�� (,�� � ��p�'��i,�jV�S� P$orrE: (home) �I�''Z�-5 �, MAILING ADDRESS:,���� �-bi�V��I�'J � �1�' CITY:��ij'�1��iYr� ���ZIP: `.����Z� CONTRACTOR: ����'�7 �' PHONE: MAIZING ADDRESS: CITY: ZIP: STATS LICENSE: � ARCHITECT/ENGINEER: �i�!'�J � PHONE: �iAILING ADDR.$SS: CITY: ZIP: �I�ME: RSGISTRATION � TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration � Renovate Land Alteration / / � ,. PROPOSED WORR (describe in detail) : ���i��l�'1 C' � ����'/` � �- /—` ��` � � � �� l:f�� 'r c� D�"��L � �-1 r� - STORIES: �c��' SQ. FEBT OF EACH FLOOR: �`�� � NO. OF BBDROOMS: � ((,'�j C-�ARAGB STAI.LS: ATT. DET. �/ � ' �STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ���y�-�LJ �' ��� i hereby apply for a building permit and I acknowledge that the information ;bove is complete and accurate; that the work will be in conformance with the �rdinances and codes of the City and with the State Building Code; that I �inderstand this is not a permit and work is not to start without a permit; and ;nat the work wiI l be i a�co�ance with the approved p an. � / � ` �--� <_ , '.PPLICANT'S SIGNATDRE / � - �'�;L � - y2L � �t ti.� DATE: � ._ _ � , / . a ' "'�*�,a` .�_.� t �� 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 Iicense requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or Iicense. 3. The information may be shared with other iocal , state 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. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. 6. Y�ur ful.I name is required to process this appl.icatian or permit. -% �'��� '� l•G� . �,) � �C��-'y��;� i, !. ' First iddle Last L��3� ��� �L� �� �'" Address --�',, � f ^ //" / �'� �-' -5 ,� Ci �y State Zip . __ �-�`^' /__ 7 � `'�� = �- Phone I unde and"my rights �.s s�.at`d abov . %� � /i� �� �� ,�,, ,�,� � ;�,,,:�:, - _ `, S ' gnature i� � ' � BUILD[NG&ZONING—473-7357 • ADMINISTRATION�&.FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING � .. . , 513.04 RIGflTS OF SIIB�F•CT5 OF DATA � . 'vision L T�ipe oi ��- The rights of individuels on whom the data is Subdi stored or to be stored shell be es set forth in this section. g�d. Z. Information re9uired to be given indi���" An.individusl asked to " data within the ccllecting state agency, � su 1 private or confidentiel data concarning himself shall be informed of: (a the PP Y uested purpose and intended use of the req tem; (b) whether he may refuse or is legally pclitical subdivision, or statewide sys . �oWn consequence arising from his required to supply the requested dats, (c) �y su 1 in or refusing to supply private or confi federal la w o receive the data.1tThis- PP Y g state or other penons or entities suthorized by 1 investigative date, requirement shall not apply when an indt�via1a en orcementuofflcer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lace the notice re uired under this subdivision in the individual income tax or ro ert tax re und uistructions instead o on those orms. . - --- - � . Ac� � �� � ����. Upon request to a responsible Subd 3. � authority, an individusl shall be informed whe blic hp=vateeor confidential.e IIpon his individuels; and whether it is classified 8s p � ublic dats on e to him and, if he desires, shall further request, an individuel who is the subject of stored private or�du� � �en individuels shall be shown the data witho of�hat data. After an indi 6e informed of the content and meaning t� �� need not be �isclosed tc shown the private dats end informed of its uL��action pursuant to this section is him for six months thereafter unless a �p n request by � ending or additional data on the individuel h�8te or p blie datarupoeated. The • P uire the responsible authority sha]1 provide copies o t e P o�ible authority may req the individual subject of the data. The r�P certifying, and compiling the requesting person to pay the aetual costs of makinB, copies. y ssible, with e�nY request The responsibls authority sha]1 comply immediatel , if po made pursuant to this subdivision, or within five days of the date of the request, and le holideys, if immediate complianas is not excluding Saturdays, SundaYs � with the ossible. If he cannot comply with the request within that time, he shall so inform the individual, and may heve an additional five daS'S Within which to comply request, excluding Saturdays, 3ur►daYs and legal holidays• d�e when data is not acc�ate or complete. An ind�ms�. To Subd. 4. P� rivate data concerning contest the accuracy or completeness�of public o ln �i� the respensible authority exercise this right, an individuel shall notify �ible authority shall within 30 describing the nature of the disagreemenL The respe lete and attempt to days either: (a) correct the data found to be inae��aei°�udingrecipients named by notify past recipients of inaccurate or incomP ' the individuel; or (b) notify the individual that he believes the dat8 to �ement is Data in dispute shall be disclosed only if the individual's statement of �8� t to the • included with the diselosed data. � 8ppe�ed pursuan ' The determination of the responsible authority to contested cases• provisians of the administrative procedure act relating " ' ' CHECK OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3�`'(O S�'�C.�N�: �(Z. PID: DESCRIPTION OF WORR: ,2-C-7'IiVO iOGZ- ^ l/U TL'��' ��� �''�- S��'�'� ----------------------- ZONING REVIEW BY: N��" DATE APPROVED: BIIILDING REVIEW BY: � DAT$ APPROVED: j.��� y ------------------- --- FEES TO BE CHARGED: Misc. Fees Ca7�culated By: PERMIT Yes " No PLAN REVIEW Yes �o SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No—�� PARK FEE SAC Yes No � SITE INSPECTION Number of SAC Units OTxER (specify) --------------------------------------- ZONING CHECR LIST Zoning District: _ Fire Department: Post Office: Scho istrict: Lot Area: Width: Depth: Survey Submi ted: Yes No Date of urvey: Proposed Set cks: Front ( ke) : Right ide: Rear (S r et) : Left ide: Adjacen tructures: Wetla d: Building Hei ht. Def . Hgt. Pe k Hgt. Avg. Setbac : Lot Cove age: Existing Propo d Hardcover: -75 ' 75 250 ' 250 500 ` 500 1000 ' Hardcover ariance R quire : Y s N Date of Council A rova�: Grading: S aff Approv 1 D te: By: Council Appro al Date: Septic: St ff Approval te: BY= Zoning Fi e:# Resol tion # : Resolution D te: REMARRS (in house) : BQILDING REVIEW CHECR LIST • ., . . IIgC: �- Z CONSTRIICTION TYPE: �� . Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage X - x = TOTAL $stimated Construction Val.ue: $ 3, W� e� Inspections Rem,;red: Work Requiring Separate Permits: Site � �Plumbing Grading/Fil.ling Footing �Mechanical Fire �Framing Septic Water Connection Insu�ation Fireplace Sewer Connection Wal� Board (Masonry) Lawn Irrigation inal (Mfg.) Other Other Wel.l (State Permit) _�ElectricaZ (State Permit) ---------------------------------------------------- REMARKS (IN HOIISE) : ------------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date BY= ---------------------------------- ---------------�----------------� �LF1�IARKS (TO BE NOTED ON PERMIT) : V/V�Oe"CL:-'fL-1 w�+t.� n c�-".��` �"` `$ ��''"e � C-T- n.r W� c TLI� �L. �i:���..P -� c�ce.v P�� .. _^Y � ,' .�..:� r- :, ' �,. ��'...� e.. �...�.:�`�. .,:�>c.�. x,tz �:C�. ,p} � al ��.f� '� �!� �.�1�. �.,I� 7� ::I .t id�� 'C� .h; •l�` y. .,..ie-.i '.,� >, tr,. r s s." '4..'�i' �, n p + �4�i� ;:if.�. 1, 4 ��k' l Yd�e a ?� r ��' �(} 5 � 's �t ��� �}i -t'.`��1�;�.; �: .:�- .x� �i. 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L r _=--•,-- _I_ ._...__..___._.. - -- — � � . _._ .. .__� � - , ^ � .._ � f . r 1 ..:_,^:_� . � ��_—_ �- � ' � ( / i ' / I ! , , . � 6 � �, - � � � � � G �_ � �� � � ' I � , �_ , . � __------- i` � , t _ _ .._ _.__;. _ ._--- --- ;f ---- _- --- — , ; , � � � � � n DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �'�) SCHEDULED 3"30- 9�( 1�'3 0 PERMIT NO. � COMPLETED ��d��7�P 1�'�C ' ADDRESS .�Y�l-O 5'N�o2CL��uN f�R OWNER ����� a�o��.s r CONTR. TELEPHONE NO. V 79' Z ZSC� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS � ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL 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 v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a '-' GG �C�l� S � r-�' ac��� {.�___ �.t:.� �._ ._ �. � 0 � W � Q � 2 W � W � � a � � �MIORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN _n_,CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor sit . Inspector. White Copyllnspector's Flle Canary Copy/SIM Notke , , \ J^?� DATE TIME CITY OF ORONO "� � CALLED IN INSPECTION NOTICE ���- SCHEDULED -�'� 2—�`{ !�� Ov PERMIT N0. � COMPLETED � �� ADDRESS ,�`1`�� S'N-m��-t=��� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVA� Z Q 05 INAL 13 METER SET(fURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d �ORKSATISFACTORY:PROCEED �. PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITION WITHIN HOURS. �- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex i spection 24 hours in advance.473-73�J7 OwnerlCont ac on si : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _� ��� PERMIT NO. COMPLETED (,� �— ADDRESS ��'� � d����� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING ^ 11 MECHANICAL RI 16 WELLTEST PUMP �MING Lj�a' 1 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAI 13 METER SET(fURN ON 17 SITE INSPECTION � 07 DEMO—SITE /� � 14 SEWER HOOK•UP O6 PHOGRESS Q 07 DEMO—FINAL�"\�� 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUM81 RI V��uG,[ 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � W � � O � ` WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOUHS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance.473-7357 Owner/Cont r ite: Inspector. White Copyllnspector's Fil Canary CopylSite Notice