HomeMy WebLinkAbout1994-006461 - entrance gate/walls 4PERMIT
It WY OF ORONO PERMIT TYPE: t-:JjT1— I D T N
S
2750 Kelley Parkway - P.O. Box 66 -- -
Crystal Bay, Minnesota 55323 Permit Number: ;.;;_;G.,: G.1
(6N 2) 473-7357 Date Issued:
SITE ADDRESS:
JU T JNKAWA RD
DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
jil"11 S Y_ 11c, GLEN
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THE UNDERSIGNED HEREBY REQUESTS PERM 1 SS I ON TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO' ALL WORK IN STRICT COMPLIANCE WITH ALL- CITY OF
ORONO ORDINANCES AND STATE OF MINNESCITA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE 7�1 --ISSUED BY:SIGNATURE 4el-y
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $_4 �• 9 Date Received
Date Approved:
Entered By: '- Permit#: 64(,01
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-----------------------
THE APPLICANT IS: (circle one) OWNER o CONTRACTOR
JOB SITE ADDRESS: l /l�'���l/Q �r+, ZIP:
(work)
NAME OF OWNER: ICA /�l�hS OrJ PHONE: (home)
MAILING ADDRESS: S-0o 7a/'���<�Gi.�i,� Ai CITY: 0"A"12 ZIP:
CONTRACTOR: w/�/�1��/��(� ���'✓ %wI Qw /�✓G PHONE: f/
MAILING ADDRESS: %D<C7 `C,'N ' /'�✓'nl �.�I CITY: l �,�l o�NK'� ZIP:
STATE LICENSE: # (---o
ARCHITECT/ENGINEER: TF
PHONE: i�2
MAILING ADDRESS: 'J f-`� 1/v�, L f'5� l� S%, CITY:^/'✓j!^/i1/��Q�O I� ZIP:
NAME: r)C IVA/� f L 'k (>�. REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 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 accordance with the approved plan.
/P,
APPLICANT'S SIGNATURE: DATE:
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
O _ O 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 license 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 'Local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—47 3-7 359
ASSESSING
513.04 RIGHTS OF SUWECTS OF DATA
Subdivision L Type of dam- The rights of viduals on whom the data is
stored or to be stored shall be as set forth in this section.
to be given individual An-individual asked to
subd. 2. information reQu're'd
be informed of: (a) the
private or confidential data concerning himselfwithin the collecting stat agency,
supply p v refuse or is legally
purpose and intended use of the requ requested (b) whether he may from his
political subdivision, a statewide system; known consequence arising
required to supply the requested data, (c) any and (d) the identity of
in or refusing to supply private or confidential data;
supplying state or federal law to receive data data,
other persons or entities authorized by
requirement shall not apply when an individual lae s askeementuofflcer.
pursuant to section 13.8d t
2, subdivision 5, to
The
commissioner of revenue ma lace the notice �iuired under this
ubdivision in the individual income tax or ro art tax re and uctions instea o
s _ -
on those orms.
Subd. 3. Acte§
to data by individuaL Upon request to a responsible
it an individual shall be informed whet lic h r is eeor eonfidentiaLsubject of e Upon his
d data on
author y, classified as public, P public data on
individuals; and whether it is class the if he desires, shall
further request, an individual who
without lany charge to himriande or dual has been
individuals shall be shown the data of that data. After an individual
6e informed of the content and meaning ngp the data need not be disclosed to
shown the private�h �afinformed
e° �a dispute or action pursuant to this section is
him for six mon n request he
e
pending or additional data on the individual h�been
p public dataupon
request the
P g reby
quire
responsible authority shall provide copies The responsible authority and compiling the
the individual subject
of
actual.costs of making, certifying,
requesting person to pay - request
copies. 1 immediately, it possible, with any q
The responsible authority shall comply of the date of the request,
made pursuant to this subdivision, or with five
ys,dif ays omediate compliance is not
excluding Saturdays, Sundays and legal
so
rm the
possible.
If he cannot comply with the request within ithintiwhich tohcflmply w�h the
individual, and may ha, additionalerld le leve gal days.
request, excluding Saturdays, Sundays g lete. An individual may
Subd. 4. Procedure when data is not accurate or come himself. To
contest the accuracy or completeness-of public or private data concerning
authority
ht an individual shall notify in writing the resp
exercise this rig , The responsible authority shall within 30
describing the nature of the disagreement. or Tete and attempt to
days either: (a) correct the data found to be inaccurate
e d tae including recipients named by
notify past recipients of inaccurate or income Bement is
individual;• or (b) notify the individual that he believes
the data
disagr correct.
the if the individual
Data in dispute shall be disclosed only � ursuant to the
included with the disclosed data. appealed p
The determination of the responsible authority to contested cases-
provisions of the administrative procedure act relating
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: W �J �( PID:
DESCRIPTION OF WORK: _ ___-------------------------------
--------------------
____ __ ___
7-7
ZONING REVIEW BY: --- ------- -----------
-DATE APPROVED: ri-Z3-�r `I
BUILDING REVIEW BY: �---- DATE APPROVED:
--------- ------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes L,,- No
PLAN REVIEW Yes f No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post6ic4 &cho�District:
Lot Area: Width: eP
Survey Submitted: Yeses_ No Date of Survey: S -Z
Proposed Setbacks: i 1,, i °� S
Front (bake) : SS + f , Right Side:
Rear (Stmt) : Left Side:
Adjacent Structure W/Pea
Building Height: Def. H t. Hgt.
Avg. Setback: Lot Co :
xis ing Prop
Hardcover: 0-75 '
75-250 '
250-500 '
500-100 '
Hardcover Var ance Req ired Yes N D to of Council Approval:
Grading: St ff Approva Da e: By: Council pproval Date:
Septic: St ff Approval Da e: y=
Zoning F' e:# Resolution Resol tion Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
M
UBC: //,- CONSTRUCTION TYPE: I V 14
Sq Footage $ Per Sq Ftg
Basement x -__
1st Floor x
2nd Floor x _
Garage x
x =
TOTAL
Estimated Construction Value: $ q0 j d cw 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
OtherWel l (State Permit)
electrical (State Permit)
-----------------------------------------
REMARKS (IN HOUSE) :
------ -----------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-----------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
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TE TIME
CITY OF ORONO CALLED IN ')� 7 �
INSPECTION NOTICE SCHEDULED _,e
PERMIT NO. COMPLETW,/,
ADDRESS
OWNER CONTR.
TELEPHONENO.
DESCRIPTION �j
� 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
E` 07 DEMO–SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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CC
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d WORK SATISFACTORY.PROCEED PROJECT COMPLETE
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c ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN
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/Contract o s te:
Inspector. /
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 1,55
INSPECTION NOTICE / ��( SCHEDULED
PERMIT NO. D t COMPLETED A
A D D R E S
OWNER p CONTR. ���
TELEPHONE NO. �D� - �-34
DESCRIPTION
�FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ti 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
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QC
Q
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W �ORK SATISFACTORY.PROCEED __ PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next is
r. pection 24 hours in advance.473-7357
Owner/Contract Si
Inspecto
White Copy/inspector's File Canary Copy/Site Notice
D EJ �TIME�
CITY OF ORONO CALLED IN -CI ! �S /h
INSPECTION NOTIC SCHEDULED
PERMIT NO. COMPLETED
ADDRESS �f7
OWNER �-u'r �n CONTR. Q 2,ke n
TELEPHONE NO. 593-9197
�DLI ION S 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 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
J 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
cc
W
a
J
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cc
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U_
W
QC
Q
Z
W
z
W
EE
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W WORK SATISFACTORY:PROCEED [3 PROJECTCOMPLETE
cc ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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
Owner/Contractort
Inspector.
White CopylInspector's File I Canary Copy/Site Notice