HomeMy WebLinkAbout1993-005055 - remodel kit/dr/mb PERMIT
CITY 6F ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUILDING
Orono, Minnesota 55356-0815 005055
(612) 473-7357 Date Issued: 04f 15/'
SITE ADDRESS:
847 T++NKAWA RD
LSV
P. I .N . = i 8-117-is-:-21-0 X03
DESCRIPTION:
REMODEL KIT/DR/M6
Building Permit. Type SF-ADD/REMODEL
Building Work: Type RENOVATE/REMODEL
UBC: Occupancy uO R-:
Construction Type VN
f'l'rY OF DAMN
'UNANCE a--F i.E
3."3I 00wo
4 FF�hh'1pp EEN 5594.50
13e,5ivi is'000 n
����>;j.??��Ijj��LpEN 3786.43 i
AGLt :00001 9
REMARKS: i�qgr t' TL 10.25.93
SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL . s-rATe490A IW-A ,q0j T+f�7:
FEE SO IIIA Y '
VALUATION $90,000
Ease Fee $594 .50
Plan Review $386. 43
Surcharge --------145-QQ
Total Fee $11025. 93
CONTRACTOR: - Applicant - ST .. LIC: OWNER:
ENDS jRA CONSTUC:T I ON 'SPECIAL 159'-35275 2264 COLLINS GEORGE
971 NICOLLET AVE 847 TONKAWA RD
B_I G LAKEMN 55309 ORONi i MN SS: SG
(61 i.) 5�_�3-5.275
TFC UI#QEI T GPE}3 �I t � RIS ` � 'I i SSI GhI T7 P'IAf T # IwAL. T t I �IYMEM S
"Ia
CJRDN ORN M
CANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /0 j' �/,Z
g3 Date Received: qJZ3
/9 Date Approved:
��
Entered By: J�(/✓`��
Permit
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: R 7 7 R-L ZIP:
(work)
NAME OF OWNER: a 4t2G6 PHONE: (home)
MAILING ADDRESS: 397 `x-0-4IKAWA. Q-A CITY: Lo,,rG L44tf ZIP:
CONTRACTOR:__ ��Ac�l1� ��s,Ric-�to•J SPsCI�t?I6S • �N�. PHONE:
MAILING ADDRESS: Yn g�Q tr L S 5 b1w #w /yj CITY:'„-oL4c V+o-6,,� ZIP:
STATS LICENSE: # kaC V
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION s
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : R&MD46L- k-frG 4A 111414C, kaorn M.A1-6� o11K00
Nwv,+ -► e,tos j jA0 s A)61V LrVzW1 y A&GA, Y
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BEDROOMS: �I 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.
APPLICANT'S SIGNATURE: ,%� / DATE: �9.3
CITY of ORONO
Post Office 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
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 toprocess this application or
permit.
M F4 L.v)-J L I�,V L�
First Middle Last
�`1 k A) I QkL�z"l- A v d
Address
--Q\�- L AK s o�
City State Zip
;;(6 a�
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING -
S13.0 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be given individual' An.individual asked to
be informed of: (a) the
supply private or confidential data concerning
himself
within the collecting state agency,
purpose and intended use of the requested
(b) whether he may refuse or is legally
political subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (e) �Y and (d) the identity of
supplying or refusing to supply private or confidential data;
other persons or entities authorized by state or federal law to rece e data,
requirement shall not apply when an individual is asked to supplyinvestigative
pursuant to section 13.82, subdivision 59 to a law enforcement officer.
nder
is
The commissioner of revenue ma rolert tax reound instructtice ionsunsteadhof
subdivision in the individual income tax or
on those forms.
Subd. 3. - Access to data by individual• Upon request to a responsible
d data on
authority, an individual shall be informed whether h is the
eonfidential.subject of e Upon his
individuals; and whether it is classified as public, private
further request, an individual who is the subject of stored to him if he desire a shall
on
individuals shall be shown the data without any chargedisclosed to
After an individual has been
Se informed of the content and meaning of that data•
shown the private data and informed of its meaning, the data need not be
him for six months thereafter unless a dispute or action pursuant to this section is
ted. The
pending or additional data on the individual has been public data ected ou con request by
responsible authorityct shall
provide the data. The of hresponsiblerivate o authority may require the
the individual 7 certifying, and compiling the
requesting person to pay the actual costs of making, yi g,
copies. immediatelyif possible, with any request
The responsible authority shall comply i ,of the date of the request,
made pursuant to this subdivision, or within five days not
excluding Saturdays, Sundays and legalrequest da��n f immediate
mme She shall cso ompliance
ors the
possible. If he cannot comply withwithin which to comply with the
individual, and may have an additional five days
request, excluding Saturdays, Sundays and legal holidays.
Subd. C Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness-of public or private datathe responsible himself.horny
exercise this right, an individual shall notify in writing
authority shall within t
describing the nature of the disagreement. The responsible
30
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccurate or incomplete data, including recipients named by
the individual; or (b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagreement is
included with the disclosed data. thority may be appealed pursuant to the
The determination of the responsible au
provisions of the administrative procedure act relating to contested cases.
AN CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: "e41 T-0 PID:
DESCRIPTION OF WORK: fte-- ' ✓O'e C.
------------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yesy No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ----- No WATER CONNECTION
INVESTIGATION FEE Yes No---
PARK FEE
SAC Yes No--v SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------- -
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: ; Sc ool Distric
Lot Area: Width: Dept
Survey Submitted: Yes No Dat of Survey:
Proposed Setback
Front (Lake Ri ht Side:
Rear (Stre ) : eft Side:
Adjacent tructures /Cerage.
and:
Building Heig t: Def. H t. ak H
Avg. Setback Lot
Exis ing Prd
Hardcover: -75 '
5 250 '
5 -500 '
0 -1000 '
Hardco er Variance Requi d: Yes o Date of Council pproval:
Gradi g: Staff Approval Date: y: Council Ap roval Date:_
Septi Staff Approval Date: By:
Zoning File:# Resolution #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
HBC: flr- A ' 3 CONSTRUCTION TYPE:�-
Sq Footage $ Per Sq Ftg
r
Basement x =
1st Floor x =
2nd Floor x =
Garage x
x =
TOTAL
Estimated Construction Value: $ Cj0, 6d0
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing KMechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mf g.) Other
OtherWel 1 (State Permit)
Electrical (State Permit)
------------------------------------------------------------------------------
REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY 0T9ERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------- ----------------------------
REMARKS (TO BE NOTED ON PERMIT) : �!b X �'r- Qom- c-)2�� ✓ P V I
t
>
0
0 z
c
ILL-
U
LLJ
IL
I CD gm:� LL r
0
LLJ
4c5 rutt
ck,
z i
o-
0
Lu"i cx
Uj 0
C.1
Lu"j
Uj 0 --i
1)
NEW 636 Mendelssohn Ave. N.
4
ROOMS Golden Valley THIS DRAWING AND DESIGN LAYOUT IS AN INSTRUMENT OF SERVICE, AND
Minnesota 55427 IT IS THE PROPERTY OF NEW ROOMS & SPACES OF GOLDEN VALLEY, MN.
d & SPAGES7 THIS DRAWING AND DESIGN LAYOUT MAY NOT BE REPRODUCED NOR
Designing & Building with Imagination (612) USED WITHOUT THE WRITTEN PERMISSION OF NEW
REPRODUCTIONS HEREOF
,544-2817 ROOMS & SPACES.
`v I
G+
i
Fq ORON
BUIL ,I PLAN RCV `
tNSPELt7VR
v—`\ I DATE_—�" ` i PERMIT NO.
\\\f caw
APPROVED AS SUBMITTED iBMITTED
AP=RO+ VlF>-i C,'�c `_1-
t0vS AS NOTED
NOT Ar � VL; — 0–
& �^J a?•/(T
n,- Ail wort; shall b
" e dor alode re, :
ri' �Or?lr: P1, 2o T'
w:. u u+ to s revue '
4 T ALL TIMFS
1 �
I j
I
WAU- &-r 3` Lr)zv.
I
I
i (
-- ► I --
SMOKE DETECTOR CONNECTED TO A SOUNDING
DEVICE OR OTRER DETECTOR AUDIBLE IN s-
SLEEPING AREAS
/014 \ I I
'N I
�2oovt � I
I �
I �
1HIS'DRANNG AND DESIGN LAYOUT IS
AN INSTRUMENT OF SERVICE, AND 1T IS
THE PROPERTY OF NEW ROOMS & SPACES
'OF GOLDEN VALLEY, MN. THIS DRAWING
AND DESIGN LAYOUT MAY NOT BE
REPRODUCED NOR REPRODUCTIONS HEREOF
l/ USED WITHOUT THE WRITTEN PERMISSION
OF_.NEW-ROOMS-&.SPACES_
J -
GEORGE & CHARLOTTE COLLINS
+�
847 Tonkawa Rd. Long Lake, MN 55356
v`
DATEZ TIME
CITY OF ORONO CALLED IN '�—5"3
INSPECTION NOTICESCHEDULED
PERMIT NO. 5/26 5' COMPLETED _
ADDRESSc7 L17 rilea e_� C /
OWNER CONTR. &taA-A—
TELEPHONE NO.
DESCRIPTION
W 1 FOOMINTING 1 11 MECHANICAL RI 16 WELL TEST PUMP
Q G 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN 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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMS:
a r p S 4-
AZ-7.
cc
O
O
a
cc
O
W
W
cc
Q
Z
W
z
W
CC
d
�
ORK SATISFACTORY.PROCEED
❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED 1-1ISSUECERTIFICATE OF OCCUPANCY
11 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n_ PHOTO TAKEN
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/Contra n i e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
1�7DATE C� TIME
CITY OF ORONO CALLED IN "/�
INSPECTION NOTICE SCHEDULED - 3 /0: v� 2 X-"_
PERMIT NO. 5 COMPLETED _
ADDRESS
OWNER —��� CONTR.
TELEPHONE NO. `59?-Sc27S_
DESCRIPTION
t4 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 D. 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"T PL
15 SEPTIC INSTALL. 22 FOLLOW-UP
v PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTR RTO MEET YOU:_YES_NO
in COMMENTS:
CC
J5-12
O
Cc O cK
0
W
cc
Q
Z
W
z
W
CC
WWORK SATISFACTORY.PROCEED
(ROJECTCOMPLETE
(❑CORRECT WORK PROCEED r❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L, PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
G CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr rsite:
Inspector.
White Copylinspector File Canary Copy/Site Notice