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Home My WebLink About1995-007269 - addn(raise roof) rmdl PERMIT &Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66J T i F T INk-1; Permit Number: 1,177�7:.:!� I Crystal Bay, Minnesota 55323 (612) 473-7257 Date Issued: C, SITE ADDRESS: ; - DESCRIPTION: -:4 yT T n:-�4 '-Wi C!r- P y! 1 47 7 REMARKS: F:rl, 114— ".Jt Af r1 T T R H i 41-TV. T z J, "D FO R1 T- 't TR L FEE SUMMARY: VHLA; FU 1-Pin Lj 0 CONTRACTOR: T OWNER: �-4,j'Z!jEjS. 7 C it U kfv. i v MN 5 A-7 .THE 'UNDERSIGNED HEREBY REQ:UE.-3-T13 PERM ISE-SION TO MAKE THE REAL IMPROVEMENTS, SPECIFIED AND AGREES TO DO ALLWORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REc"ULREMENTS. APPLICANT/PERM'ITE'E S14NA+URE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Pee: $ � / , / Date Received: Date Approved: Entered By: Permit#: �,4 cf ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: Q14 TQ�� ZIP: 7535b i (work) NAME OF OWNER: ` eM PHONE: (home) r MAILING ADDRESS: A CITY: 0YoV�o ZIP: ,W3 t CONTRACTOR: ��M nd4 �4�a �In� _:��I ok PHONE: q' Q�pF7 MAILING ADDRESS: Vr, CITY: ZIP: 9;b°1I STATE LICENSE: # 32Z� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION n TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration-4— Renovate Land Alteration PROPOSED WORK (describe in detail) : IN10cW1 Yb �IV�,(� e/ air I Oysz ow J��kf,"yv\ ^rQ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ hereby apply 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: b _ i W74V i CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO 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 q ualification 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 j permit. First Middle Last ft V\A Address n City T State Zip IZ - P one I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - I I 513.0.4 RIGHTS OF SUBJECTS OF DATA Subdivision L 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 supply private or confidential data concerning hita mself the collecting state agency, be informed of: (a) the 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, (c) �Y supplying or refusing to supply private or confidential data; and (d) the identity other persons or entities authorized by state or federal law to receive the data. This. requirement shall not appy 1 when an individual is asked to supply investigative data,pursuant to section 13.829 subdivision 5, to a law enforcement officer. The commissioner of revenue ma ltax reoMdnstructiotice re unsnsteadhos subdivision in the individual income tax �rproperty on those forms. --- - Subd. 3. Access to data by individual. Upon request to a responsible d data on authority, an individual shall be info rmed whether h VBteeor confident al.subject of e Upon his individuals; and whether it is classified as public, p ublic data on further request, an individual who is the subject of set toe himriande if he desires, shall individuals shall be shown the data without any t a 8. After an individual has been 6e informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meane or ing, pursuant to this section is him for six months thereafter unless aP pending or additional data on the individual has been eeor public dataruponare9 est by responsible authority shall provide copies of P require the the individual subject oftthe he actual.costs of making, certifying, and may the requesting person to pay _ copies. immediately, if possible, with any request The responsible authority shall comply ' of the date of the request, made pursuant to this subdivisi�a or legalhin five if immediate compliance is not excluding Saturdays, Sundays � possible. If he cannot comply with the request within that time, he shall so inworth the have an additional five days within which. to comply individual, and may request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may himself. To contest the accuracy or completeness of public or private data concerning nile authority exercise this right, an individual shall notify in writing the resp shall,within 3 0 describing the nature of the disagreement. be he re inaccurate or in ompleible t and attempt to days either: (a) correct the data founded notify past recipients of inaccurate di dcuoallthat he believes dthe ng recipients be correct the individual; or (b) notify the individual Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. appealed pursuant to the The determination of the responsible authority may be provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR .ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Q?9 TOIUk-AWA PID: N OF WORK: Q 7 (P. s sA DESCRIPTIO 71.c'�.1 ------------------------- ---------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 8'Z3"SS ---------------------- ---------------------------------------------- FEES ------- ---------------------------------------------� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Ye s ✓" No PLAN REVIEW Yes vo- No SEWER CONNECTION STATE SURCHARGE Yeses/ 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: Post fice k oolrDistrict: / I Lot Area: idth Survey Submitted: Yes C No Date of Survey: Q^l AfCO Proposed Setbacks: Front (Lake) : Right Side: 15 7-7 Rear (Street) : Left Side: Adjacent Structures: ^/(/i' Wetland: A164 Building Height: Def. Hgt. Peak Hgt. OF Avg. Setback: \JoA1%0#vu Lot Coverage: rV Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' Vo C.H 500-1000 ' Hardcover Variance Required: Yes Nom Date of Council Approval: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File:# M-601 Resolution #: 3SY�" Resolution Date: y /O-5S REMARKS (in house) : BUILDING REVIEW CHECK LIST •. UBC: R•3 CONSTRUCTION TYPE: �N Sq Footage $ Per Sq Ftg Basement x - 1st Floor x = 2nd Floor x = Garage x x = TOTAL Estimated Construction Value: $ '40,006°f' Inspections Required: Work Requiring Separate Permits: Site OC Plumbing Grading/Filling ooting Mechanical Fire Framing Septic Water Connection _Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation A�-Final (Mfg.) Other OtherWel l (State Permit) _ IK Electrical (State Permit) ----------------------------------------------------- REMARKS (IN HOUSE) : -------------- ------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT) : I ORONO COPD 1NCS TO t-1VtQ �t.Zn A�YWO. tt-o�1= Provide 2 Layers Of 15LE Felt Sol;d Mopped Together Cat— P.-��moi'`� o ►�o'o•Cr. 24" Ins l,") EXT. Wall Line ')( r Or Slhak,C' �/ rro� �pFbc�T wau_ FA p Ft t K S T�+fit z � 1s�I lz a 0 �ot..T`� 0 IZ"o-G•r ST�� E�-EI7 zsf-�z'`�'�`{`�"'I - �.-�� t~ic��.�: � sig'•c�Yt' r��. �..�rc� � --- �o� �' ,rte p�rL _ � Po►.�(�..8. I i ZN �Wz�rl PfMklrf PLAN 1387E g Z ks 1 t 1 r M RiA,`�iiiNS AS NO IE ::SUB ll IT I hesr� CGrnfrr�r,t< :ire t,� your ir;lcr'mekk /dt w6rY shell R{y 01' f�Tt, Co7tl;}ii nc.e tiiY,'i �4! buir@M wts instuJin items t vk3 Ctef?cl�ttr 1tr z iiM 9eff4cmy holed IR tlt16 I cis 44 a4 A1�D/Oil. PROVIDE PUMP R LBG ACCESS — AC—�S rt�N,.��+P P SAFETY GLAZING 1,�AV�)', W. ICA& ',�� .-. .. -STM .__ . �� .• :5U IT1Z- F _� 4 --- "'z: . . ter. avl __ — -- SPECIAL. NOTE L. SEE ATTACHED S:— EEr �} 1 ' FOR S i'1'1 O Ke 11Are c,,.A CODE REQUIREMIENTS C, r t I C#Tokoho A jIMILDING11210MMff, PLAN Rll1A#1T ASPIMMM TATE R PEF"41T N - � �' I APPROV -D AS SUBMITTED 1; ---- -- ' APPROVED WITH CORRECTIONS AS NOTED NOT APPROVED — CORRECT & RESUB ,,,iT comments are for your information. All work shah se �;= fe comnlience with all applicable building a= zoning taWV,' �snents iitciudinz items not'speetftcally noted in this r-ov':a` -- cf:P THIS Pt.AN SFr Jai SITE ATAU, Tttvtt'- •