HomeMy WebLinkAbout1993-005003 - remodel interior � ! PERMIT ��
��,l�Y OF ORONO PERMIT TYPE:
' 1335 Brown Rd. South • P.O. Box 66 Permit Number: �'�}s�-��'"��
i 7t itit)t i:;
Crystal Bay, Minnesota 55323 Date Issued: {�:=;��:;r�'����
(612) 473-7357
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: __ ��,�,� i��E��. _ OWNER:
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APPLICANT- RMITEE SIGNATURE ISSUED BY:SIGNATURE
_ � - CITY OFj ORONO - BUII,DING PERI�LZT APPI.ICATION
° � � '� � Date Received: � �� � �J�
Total Fee: $ �
Bate Approved:
Entered By: � �}� permit�: l'���' ��
�
AT.T• INFORMATION MIIST BE SDBMITT� IN FUL.L BEFORE PLAN REVIEW WII,L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE A.PPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: E Z4� L� k o '� � ZIP: -�� 5 3� I _
(work)
NAML �F OwNER: �-"( r'i-( ,,i 1� M��� U PHONE: (home) 4�.�1- 994sy
IKAILING ADDRESS: I 24 S L�- �n �' 4 CITY:_Q�G..>v ZIP: �5.3� �
CONTRI�CTOR: J G�It�a-�3 C�+1—«TQa.�G"TiG-� �c•�tPav y PHONB� 4�.¢ ' S'�53
�iATLING ADDRSSS: ��-1' � � �- . ��.� .� c�� CITY: � c ar�,-T i ZIP: �Sc�4c�
STATS LICENSE: �
ARCHITECT/ENGZNEER: �e�-r�aa �� �� t��e �����c�ru��. PHONE: �l Z �-3�.9�,
MA TLING ADDRSSS: CITY: /1�P�4. ZIP=
AI�: �v/�,e-rLILI ,J �s �--t tt��� RBGISTR�iTI014 ,�
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�� Renovate Land Alteration
PROPOSED WORK (describe in detail) : �'����o�=� ANo v P -fl�T� ��c i s-rrr-r�
c�e�= �-ra�r�S �P�ILs.TNl�_�Ti— �1s�u� ��rs�rN� t aeac�r ( a.:�� 4:�uo�..�s 1
� ,J
STORISS: SQ. FEBT OF EACB FLOOR: a� ,
NO. OF BSDROOMS:_� G�fR�GB ST�i�S: ATT. DET.
. .� _
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iandj : $ 4�7 v acS .
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. •
APPI�ICANT'S SIGNATDRE: DATE: � - �S� -`i �
�r,�-�N r � . �.1 Lt C us3 �c
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
', ` FOR OFFICE USE ONLY
ADDRESS OR LEGAL: f� �� ('1% � (�� � PID: ��o - l/� " ,� �� �s/ C c C' J
DESCRIPTION OF WORR: !l�'J'Y[�`-�%�' �'�"�R'�(Z--
------------------�� -�-/�---------------------------------------------------
ZONING REVIEW BY: ��o l>(��u•— DATE APPROVED: ,3 - i 6 -�t 3
BIIILDING REVIEW BY: a DATS APPROVED: 3- 1 �' `5�
FEES TO BE CHARGED: Misc. Fees Ca1cuJ:ated 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 s.�� SITE INSPECTION
Number of SAC Units _____OTHER_ (specify)
--------------------------------- J- ------------------------------
ZONING CHECR LIST Zoning District:
,
Fire Department: Post Office: School Dist ' ct:
Lot Area: Width: Depth:
,
Survey Submitted: �s No Date of S�zrvey: /
! f
Proposed Setbacks: �
Front (Lake) : Right S�de: �
3
Rear (Streety: Left Side: �
�
Adjacent Struct�ires: Wetland: j
� � � ;
Building Height: De'f. Hgt. Peak Hgt.
� Lot Cove�a e:
Avg. Setback:^ i _ g
Existi ,�g Propos�ed ,_
�`�.� '.
Hardcover: 0-75 ' � �
75-250 ' ;
i
250-500 ' I
500-1000 ' � _ I
�
Hardcover Variance Req�ired: Yes No Date of Coun�'cil. Approval:
�
Grading: Staff Approva,l Date: By: CounciJi Approval Date:
Septi c: S�taf f Approva�. Date: �' ,_ BY�
� I
Zoning File: # Resolution # : Resol.ution Date:
REMARKS (in house,) -
BIIILDING REVIEW CHECR LIST
_ .. ,
„_ .
IIgC: �S� (L'3 CONSTRIICTION TYPE: �-(V
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Floor X -
Garage X -
X -
TOTAL
$stimated Construction Value: $ �{"l,p0000
Inspections Required: Work Requiring Separate Permits:
Site �( Plumbing Grading/Fi7��ing
Footing Mechanical Fire
�c_Framing Septic Water Connection
�_Insulation Fireplace Sewer Connection
_r�Wall. Board (Masonry) Lawn Irrigation
,� Final (Mfg.) Other
Other We13. (State Permit)
�Electrical (State Permit)
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REMARKS (IN HOIISE) :
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REVIEW BY OT�E2S: DATE:
Access: Existing New
Access Approva].: Date BY=
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REiK�RRS (TO BB NOTED ON PERMIT) :
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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 confidentia]. information.
You are notified that:
1. The information you furnish wiZl be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or 1.icense.
3. The information may be shared with other local, 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��
data on yourself.
6. Your full. name is required to process this application or
permit.
��tVhl�5� Vci�.b �I p-(GU� IG
First Middle Last
l2-r a` 4 E �.t�x 3�5"
Address
T��..�-r-, �H. 55G 4cS
City State Zip
��t�� 44t��5.353
Phone .
I understand m ights as stated above.
Signature
BUILDING 8c ZONING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
, . ,
��pe4 RIGHTS OF SIIBTECTS OF DATA '
gubdivision L Tppe of data- The rights of individuals on whom the data is
stored or to be stored shell be as set forth in tlzis section.
-- ubd. 2. Infcrmation reqnired to be given in�vidueL An.individuel asked to
. S
•_' supply private or confidentiel data coneerning himself shall be informe�a� 8 e ��
purpose an d in ten d e d u s e o f t h e r e q u e s t e d data within the coveT� o r i s e g a u Y
po li tic a l s u b d i v i s i o n, o r s t a t e w i d e s y stem; (b) whether he ma„
the requested date; (c) any known co n s e q u e n c e a r i s i n g f r o m his
required to supply rivate or confidential date; and (d) the identity of
supplying or refusing to supply p stete or federal law to rece��ee�e�ve da a
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision 5, to e law enforcement officer.
T
he cemmissioner of revenue ma lace the eo�a�tructiorisuinsteadhos
subdivision in the individual income tax or ro ert tax r
on those orms. . - �---- -- � .
Ac� � �� � ����y Upon request to a responsible
Subd. 3. �
authority, an individusl shall be informeda h��� pr'vateeor eonfidential.e UPon his
individuels, and whether it is clessified p � uau� data on
further request, an individual who is the subject of st tr�e�mri��if he desires, shall
individuels shall be shown the data withou�fan���� �ter an indiv�dual has been
�e informed of the content snd meaning t� �� need not be disclosed to
shown the private dats and informed of its u��gction pursuant to this section is
him for six months thereafter unless e �P n request by
� ending or additional data on the individuel h� a�eor p blic datarupoeated. The
' p may require the
responsible authority shall previde copies o t e P o�ible authority
the individusl subject oftrie actuel�co ts o m�g� �rtifying, and comp�ing the
requesting person to pay - :
copies. � ssible, with any request
The respensible authority shall comQly immediatelY, P°
t to this subdivision, or withir► five days of th 8t�t ompliance eis not
made pursuan �{ immedi
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request �t�within which tohcomplY wi h the
P heve an additional five ys
individuel, and m Saturdays, Sundeys and legal holideys•
request, exeluding
te or complete. An individuel maY
Subd. 4. Procech�e when data � ubuc o�p ivate data concerning tzimself. To
contest the accuracy or completeness�oY p � ��� the respensible authority
exercise this right, en individual shall notify �ible authority shall within 30
describing the nature of the disagreement. The resP°
days either: (a) correct the data found to be inae��8ei°��ng reec pients named by
notify past recipients of inaeeurate or incomp
the indiviciuel; or (b) notify the individual ��du�,�statementdof disagreement is
Data in dispute sha]1 be disclosed only if the in
• included with the disclosed data• � 8ppealed pursuant to the �
' The determination of the responsible authority to contested cases.
provisions of the administrative procedure act relating
. �::���MtI��C�1'�ON -OF PRE�IIS�S REQUIREQ N�-'� � k ,�G�E.'� ��T �PP�'°`'�`� - �u���
_ C.oN�r n�rr�.�1 _.:c�se p.e�wr-�t o� c..�
x ° � ����r�v�" ���e���s. hall Be Disptayed, ` �
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�' T���. C�P�R��[v�� DEVICE .4#i OTI#Efi �"�;�'r"�' t� 1i�lUiBLE !�I ;' :.9.�' S€�. FT. lVitN. G: : `� '� .
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� AFi'���Vr-_p �h,►�"H C;�J�ir;�CTIONS A5 N�7ED
_ : . �vo�r A��RCVED — CO�c,ECT & RESU�MIT
' .::. ;ommei�ts are for your Information.Ali work sh�ll bs d�nt
+�!: com�liance �tiith all applicable buiiding & zorting cpds t'i�
" � :�;i e:ner�ts incfuding items not sp�eitically noted in th�s r�
�
DAT TIME
CITY OF ORONO CALLED IN �� � �'�'
INSPECTION NOTICEr SCHEDULED ' 3 ;U a/�'�
PERMIT NO. `"�/�O � COMPLETED � ��
ADDRESS SJ �
OWNER �p /l�o CONTR. ,
TELEPHONE NO. �7 y�`�3 S�
� DESCRIPTION��d��� /�iri��
� 01 F 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENNETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SEfITURN 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr onp�site:
Inspector. �'' ,�
White Copyllnspector' File Canary CopylSite Notice
;:
DATE TIME
CITY OF ORONO CALLED IN 3-3 � - �3
INSPECTION NO 10E SCHEDULED 3 "3 D 3' �S
PERMIT NO. � �G� COMPLETED vI
ADDRESS �� � � ��/�'�-
OWNER �..E.-4'[�-h--{� CONTR.��
TELEPHONE NO. �yy - 3"3�-�
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 3 INSULATION � 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
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 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W � CORRECT WORK 8 PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract n i e:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice