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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: i —A 4 t _J_ypn -i i y-p--t ydw; :J C EA T N/A r' ?y rr- gqr,.Nq-, FIY' DF7FA iL- f i 7 i el,!A Ail A .1 j.1 J.1 QvVVV FT w; r5, V1 ov 1 7:ZA i AAAAA .L0vV1VVVvV vr V REMARKS: i A VEN ti 'g" IT V 1 4 vvFlil �!ITAi L A 1525 19i REQUER-­ ELPCT14,,1"'I I—T PNRATE ERZ ! ,' lij i rm. g FEE SUMMARY: I J;_f. �j - . i Cc'M ire rFiA?VV I L,fief I-11VA 1 Ob':7 J 4 0C, 7194 Tr CONTRACTOR: OWNER: jil"11 S Y_ 11c, GLEN it i T,0NK!L'!,Wf`�' RD i.-.L.1 N G N A M�q cq!j1n DRONC' N DNNE­FfAl�.-�'A MN T 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. L 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) : /. xx ] ' l lei LP • r _p m I a 12 1 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: cc W CL cc J O a Cr O LL W CC Q Z W z W cc d WORK SATISFACTORY.PROCEED PROJECT COMPLETE W 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 0- cc cc J .O a O W QC Q 2 W z W j d 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 O cc O U_ W QC Q Z W z W EE O 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