HomeMy WebLinkAbout1992-004427 - doors windows cabinet PERMIT
' Ci�'Y OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'����-�I��
Permit Number: tjt�q.q��
Crystal Bay, Minnesota 55323 Date Issued: i�F,j i��/��;�
(612) 473-7357
SITE ADDRESS:
.31,3� FTH AVE N
C�H
F'. I .hi. � �_:-11 c:—iL—_��i—i�(�C��.
DESCRIPTION:
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REMARKS:
`�EF`�#�A7E F'ERl�1 I T'� RE��,L�I FiED Fi�� �'Lt�MC�I�(� t�Ni3 ELEC:TR i C�AL t'�TA7E? .
FEE SUMMARY:
VALI}F�T I���l� �1 c_y,;:i���
Eas� F�e �1':'�,.i��.�
�'1�+n Fi��i�vr ��;1 . ��c�
=;urch�r3� -----_ _��s4a�
T��t�1 F�� �:?i:i. ��i r
CONTRACTOR: OWNER: — AF�pl i c�cy�t. —
�RANTINGNAM HEN�Y
:�i t� ��TH AVE N
U�ti�N�� M�i �5�3��
47�.—i�74 i
__ ______-- ---- __ _ __------___ _.____
---- -- __ __ _ _ ___ _____ _
___. _ _--. . _. _ ____ _
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THE �11VDER:=�I GN�� HEl;�E,Y �Et:�R?E'_�T';� r'E�;h�I _':I f iI�J T�� �1r���:E i HE �iEt�L I t�IF'R��VEt��i�lT';
'=F'E�ZFIEC� ,- ... _. , -F�_: �';:i i�f:t �L.�. Wtw��+���: IP� '=;iF:If:�� l:::ii�1�`LI�hilC:E WITH ALL t�ITY ii� �
!i?���,t� =+ _t-i!�I h�r :C:E'?- t��l7 '�T��TC ��h= f�!I t*i1��E_��=tTt� k�:�.!s LCf T N�i t:��DE �.E{it J I�iEt*IEN7'� . °�
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A LI ANT/P E SIG ATURE ISSUED BY:SIGNATURE
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" i CITY CF ORONO - BIIILDING PERM_IT APPLICATION
Tota1 Fee: $ , �/� � C� Date Received: v ^ �� � ��
Date Approved:
Entered By:�,(',/v
Permit�: �'�,:�7
AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FIILL BLFORE PI,AN REVIEW WIIS� B$ STARTED
(See Check-off List Enclosed)
------------------------------------�-------------------------------------------
THE APPLICANT IS: (circle one) _OWNER%or CONTRACTOR
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/ � � --� ,
JOB SITE ADDRSSS: � �`� � ZIP: ��5 ��C�'
�
�,� , �,� � �l ���� (work) ���� - 7l5�
i � //
NAM�? OF OWNER: ��l! ' `C�� • - � �i Iti L H �/� PHONE: (home) "�` 7�= �� ��
MATLING ADDR.ESS: ° 5 �-(� ! CITY: ZIP:
CONTR�CTOR: PH��'
2+►�ILING ADDRESS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MATLING ADDRBSS: CITY: ZIP:
gp,�,�g: RSGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure Move
Demo Re.*nodel/Alteration� Renovate Land Alteration
.
�ROPOSED WORR (describe in detail) : � G�G � � L ' � �-� v
� �/'�/ �
r /
-� �;�� �� �r � t� C��n�l� �r � � �- �1�1���� �
�r���� Ct,e� h` �% C��`t����
STORISS: SQ. FEST OF EACH FLOOR:
3�70. OF BEDROOMS: GARAGE STALLS: ATT. DET.
o;Q�- '
ESTIMATED CONSTRIICTION VALIIATION (eacludi.ag Iand) : $�l� � ��� l��h�����
I hereby apply for a building permit and I acknow that the information
above is complete and accurate; that the wor}c will. be in conformance with the
crdinances 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 wil 1 be in accordance w't �the approved plan. �
APPLICANT'S SIGNATIIRE: DATE: ��
�
m
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` r�� �a CITY of O�iONO
�:��
Post O�ce 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 like 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:
l. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require tha�
the City deny the permit or license.
3. The information may be shared with other Iocal. , state or
federal agencies to the extent necessary to process the permit or
3.icense.
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 applicatian or
permit.
����.t � 1�;�/a�._�>i.t;��,,tif �'�N�i/v�C`:N�9�1
First � Middle Last
� ,� � �
,�� ; r1Rn
1�ddress
� ' ��a3 �
6��d �C.A<<,- � ,� �,
City State Zip
�-���� - C� ��i
Phone
I understand my right s stated above.
�� � �
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Signa
BUILDING& ZONING— 473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
�
, -
�_� �Gg� pg gpgJECTS OF DATA � .
gubdivision L Type of date- The rights e ti n�vidusls on whom the data is
stored or to be stored shall be as set forth ln t1'�� S An.individual asked to
g�d. Z. Information r�d
to be given individual-
� � su 1 rivate or confidentiel data coneerning 8mwitjhf in the collect g state gency,
Pp y P v ref use or is legally
purpose and intended use of the requ em;a � �yhether he ma,
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested date; (�) �Y �d (d) the identity of
supplying or refusing to supply private or confidential date;
ther ersons or entities authorized by state or federal le.w to receive the data. This_
° p 1 when an individual is asked to supply investigative data,
requirement shall not app y
pursuant to section 13.B2, subdivision 5, to a law enforcement of icer. �der this
The commissioner of revenue�o� rol eTt tax re�und uistructions instead o
subdivision in the individuel inc�me t
on those orms. . - -- - - .
Subd. 3. A��
to data bY indi��- UPon request to a responsible
authority, an individuel shall be informed whe b�c h=vateeor eonfident al.e Upon his
individuels; and whether it is classified as p � P ublic data on
e to him and, if he desires, shell
further request, an individuel v�►he is the subject of stored private or��u� � been
individuels shall be shown the data withou�t enh���. �ter an indi
�e informed of the content and meaning the data need not be disclosed to
shown the privete data and informed of its u���BcUon pursuar►t to this section is
him for six months thereafter unless a �P n request by
� endin or additional data on the individuel h� 8�eor p bl ct datarupoeated. The
� responsible authority shall provide copies of the p tequire the
The responsible authority maY �in the
the individual subject of the �ta• certif n and comp g
requesting person to pay the actual costs of malanB, Yi g'
copies. lmmediately, if possible, with any request
The responsible authority sha]1 comQly ' of the date of the request,
made pursuant to this subdivisi�nd legsl tholidays, if�imm�ahe S aIl s�inform the
excluding Saturdays, Sur►daYs
possible. If he cannot comply with the request withi�ithintwhich to comply with the
individuel, and mey heve �►S�ds io s�'ri 1 gal�o days•
request, excluding Saturdays, YS
te or complete. An in�,ns�. To
Subd. 4. Proced�e �►hen data is not aect�'s
contest the accnracy or comQleteness�of public or private da the�nresPo�ible authority
exercise this right, an individual shall notify in writing
describing the nature of the disagreemen� The respensible authoritq shall witl'►in 30
da either: (a) correct the data found to be inaccui'ate or incomQlete and attempt to
Y5 lete data, including recipients named by
notify past recipients of inaccurate or incomP
the individuel3 or (b) notify the individuel Lha�t�hau��st8tementof disagreement is
Data in dispute shall be disclosed only if the indi
• included with the disclosed data• � 8ppe�led pursuant to the
' The determination of the responsible authority mo contested cases.
provisions of the administrative procedure act relating
:�
�
- • " CHECR OFF LIST FOR ISSIIANCE OF PERMITS
- ' FOR OFFICE USE ONLY
� � , l�v� /V �- �,�v.J�; PID: c��"��� "� 3 3,:z. dG��p
ATaDRESS OR LEGAL: �I`�� („{-C�) �
D$SCRIPTION OF WORR:� y�-�iL�/) -�f'�'I C� � -
--------------------------------------------
ZONING REVIEW BY: ��/9 DATE APPROVED:
BIIII.UING REVIEW BY: c DAT$ APPROVED: b-!`? -`'/�
------------------- -
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes �No SEWER CONNECTION
STATE SURCHARGE Yes� Na_��. pARKRFEENNECTION
INVESTIGATION FEE Yes No /
SAC Yes No� SITE INSPECTION
Number of SAC Units OTHER (specify)
---------------------------------------------
ZONING CHECR LIST Zon�ng D strict:
Fire Department: Post Office: Sch ol District:
Lot Area: Width: Depth
Survey Submitted: Ye No Dat of urvey:
Proposed Setbacks.
Front (Lake : Ri ht S de:
Rear (Stre t) : L ft S de:
Adjacent tructu es: Wetl nd:
Building Heig t: Def Hgt. P ak Hgt.
Avg. Setback Lot Cov rage:
E isting Propo ed
Hardcover: -75 '
7 -250 '
2 0-500 '
5 0-1000 '
Hardcov r Variance Re uire : Ye N Date of Cou cil Approval:
Grading Staff Approv 1 D te: By: Counci Approval. Date:
Septic Staff Approva D te: BY=
Zoning File:# Resol tion Reso ution Date:
S (in house) : .
F
�
BQILDING REVIEW CHECIC LIST • . _
r _
IIgC: gFj R -3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
Sstimated Construction Value: $ I(�,$��°�
Inspections Rern,;red: Work Requiring Separate Permits:
Site � �C Plumbing Grading/Fi].J�ing
Footing Mechanical Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
_01Wa�1 Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
�Other Wel.l (State Permit)
pC E�ectrical. (State Permit)
----------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date BY=
-----------------------------------------------
}ZF.]�tARR$ (TO BE NOTF� ON PERMIT) :
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D TE TIM
CITY OF ORONO CALLED IN �� � %' `��'h
INSPECTION NO I SCHEDULED '�� '�� ����
PERMIT NO. co PLETED K -E,�
ADDRESS � 0 � �J �i�"` �'�
OWNER ��_�e,��� 'c�r-���.���� CONTR. ,.-`�C'�r;' z�:�'
TELEPHONE NO. `��� G�7�� �5�����. — 7/SI _
� DESCRIPTION ��'�r��'ZC-�l`�
ll� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 2 FRAMING '' 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFIILING
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 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
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: !
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� WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
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� ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�= CITATION ISSUED
C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance.473�73�J7
OwnerlCont o site:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � - �o ' y�
INSPECTION NOTICE., SCHEDULED � '`�/ �T�'
PERMIT NO. �/�{�� � COMPLETED �4__
ADDRESS���-5 �D� ��
�c�.r_
OWNER � ��4.rc-<<, l<,/c.<<-,� _CONTR. "
TELEPHONE NO. y ��� � �� � y/
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
INSULATIO� 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINA� 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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� COMMENTS:
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d �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
OwnerlContra n e:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice