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HomeMy WebLinkAbout1992-004777 - 2nd floor addition PERMIT CITY OF ORONO PERMIT TYPE: BUILDING f 1335 Brown Rd. South • P.O. Box 66 Permit Number: 004777 Crystal Bay, Minnesota 55323 Date Issued: 11F liI_-�t (612) 473-7357 I SITE ADDRESS: 114 � Ts tNk-:AWA RD CH P. I .N. : 08-117-23-13-0008 DESCRIPTION: LND' F,LOOR ADDITION Building Permi-t Ty" = F-ADD/REM13DEL Building Work TyP6 '' "ADDITION UBC Occupancy 88 R--3 Construction Type. VN, Zoning L.R-18 CITY OF ORO A7 13131 FINANCE00 "FF VE # 41 GEN • 8.54 I �t4l14I?4 # 1 u 1100411003541 # 01 GEN 68.43 C ECK TL ri T r 9 I�ECEIFT-TNAN, YOU #-75S354 0441 W T09:16 1;1 t/3�t REMARKS: SEPARATE PERMITS REQUIRED FOR MECHANICAL AND ELECTRICAL (STATE) . FEE SUMMARY: VALE jAT I ON $26,000 Base Fee $258.50 Plan Review $168. 03 'surcharge --------113-QQ Total 1 Fee $439.53 CONTRACTOR: - Applicant. - OWNER: RIGHT ANGLE BUILDING CORP 147:{t t X78 KYLE RICHARD P.O. BOX 64 1140 TONKAWA RD WAYZATA MN 55:73,91 ORONO MN 55356 (E,1 2) 473-0378 37:t 471-953_: r k d Z 4 \ 1 Y J` 1 APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE R CITY OF ORONO - BUILDING PERMIT APPLICATION s Total Fee: $ 1439. 53 Date Received: Date Approved: Entered By: - Permit#:_/,r/7 7'l ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ------ ----------------------------------- - ---- -- ------------------t---- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: y O ( 'oN k t,.j ZIP: 5S3 7q V (work) NAME OF OWNEF r' ;C_[A 01 i CA I�y PHONE: (home) q 7/- g533 MAILING ADDRESS: CITY: �Y'o►� ZIP: CONTRACTOR: PHONE: O 3 7 D �1 MAILING ADDRESS: TO. I-blolf- 6 �3 CITY: toyza tbAl ZIP: STATE LICENSE: # d o O 5q -7 S LE• ARCHITECT Kot 1rncYe✓ �G� - -`� • PHONE: ZS MAILING ADDRESS: y 10 1 Waskt'arn. Ave. CITY: ZIP: NAME: C_a✓►-y REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : Irl r'�✓� V eo { 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 informatp.on above is complete and accurate; that the work will be in conformance with . he ordinances and codes of the City and with the State Building Code; tha I understand this is not a permit and work is not to start without a permit; nd that the work will be in acc ce wi the approved plan. APPLICANT'S SIGNATURE: DATE: (� - J CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal OTces 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 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. \�cf u e ►� First Middle Last 4162,0 Address (,e plot, 5 5 3 sal City tate Zip Phone I understand m ights as state ve. Signature BUILDING 8c ZONING —473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING A s 513.04 RIGHTS OF SU ECTS 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. - gbd. 2. Information required to be given individual' An.individual asked to .' sbe inf ormed of: (a) the upply private or confidential data concerning tamwiin telf he collecting stat agency, purpose and intended use of the requested da system; (b) whether he may refuse political subdivision, or statewideor is legally required to supply the requested data; (c) any known consequence arising from his private or confidential data; and (d) the identity of supplying or refusing to supply p l law to receive the data. This state or federal _ other persons or entities authorized by 1 investigative data, requirement shall not apply when an individual is asked to supply pursuant to section 13.82, subdivision 51 to a law enforcement officer. der is The commissioner of revenue 11111111111 lace the reound tructionsCuired uinsteadhof subdivision in the individual income tax or ro art tax on those forms. - . ---- - Subd. 3. Access to data by individual. Upon request to a responsible authority, an individuals be informed whether he is esubject of stored data on or confidential. Upon his individuals; and whether it is classified as public, p public data on further request, an individual who is the subject a Se to hied mriand, if hvate or desires, shall individuals shall be shown the data withouofan charge a. After an individual has been Se informed of the content and meaning the need not be disclosed to shown the private data end informed of its ut�oraction pursuant to this section is him for six months thereafter unless a disP pending or additional data on the individual has a or een public data collected rupon arequest by responsible authority shall provide copies o P require the the individual subject of the data. The responsiblcertifying, authority ma may the requesting person to pay the actual costs of making, yl g, copies. immediately, if possible, with any request The responsible authority shall comply of the date of the request, made pursuant to this subdivision, legalor witholidays, lifive days mmediate compliance is not excluding Saturdays, Sundays possible. If he cannot comply with the request within hatn which toh comply wall so the the individual, and may have an additional five days, 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 dattheoresp moble authority exercise this right, an individual shall notify nvM e authority shall within 30 describing the nature of the disagreement. The responsible to days either: (a) correct the data found_to be late data, including ccurate or recipients named by notify past recipients of inaccurate or int Pto the individual; or (b) notify the individual that he believes the data nt of dissagr be ement is Data in dispute shall be disclosed only if the individual's stateme • included with the disclosed data. be appealed pursuant to the The determination of the responsible authority contested cases. provisions of the administrative procedure act relating to CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY w ADDRESS OR LEGAL: I (LI O T UJ PID: DESCRIPTION OF WORK: -. A r0 Q / T) 6 PJ 4t Z ry cQ 0-1'0,D/Z- 0 y Q./l lrX l S -110 6UOE ------------------------- ------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: wr- DATE APPROVED: --------------------- ------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes k11--No PLAN REVIEW Yes-7"- No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes Noy PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: /00 C School District: /OC Lot Area: /'V(L Width: Depth: Survey Submitted: Yeses_ No Date of Survey: pill /=6C.e Proposed Setbacks: , FFrorrt (Lake) : A) .(� Right Side: ;?-C) -� Rea&' (Street) : //6- Left Side: N1,4- Adjacent Structures: A 77W¢� C-0 Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: of Co erage: /'ance ' sting Pro osed Hardcover: 75 250 500-Hardcover Vired Yes o Date of Council Approval: Grading: St1 Da e: By: Council Approval Date: Septic: Stplf Approva D e: By: Zoning Fi / :# Res ol tion Resolution Date: REMARKS ( n house) : I BUILDING REVIEW CHECK LIST UBC: � JZ -3 CONSTRUCTION TYPE: __1 Sq Footage $ Per Sq Ftg Basement x = 1st Floor x - 2nd Floor x = Garage x - x = TOTAL Estimated Construction Value: $ 2_(.,000 Inspections Required: Work Requiring Separate Permits: Site Grading/Filling Footing Mechanical Fire _Framing Septic Water Connection p(Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Final T (Mfg.) Other OtherWell (State Permit) 4,AElectrical (State Permit) ------------------------------------------------------- REKARKS (IN HOUSE) : ------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ---------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT) : DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�jEH SCHEDULED PERMIT NO. A / ! COMPLETED ADDRESS n OWNER CONTR. TELEPHONE 0. z-1-) 3 el;J 7Z DESCRIPTION 01-FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING- 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOR&WETLANDS 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 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT r 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W Q_ cc a cc 0 U_ W cc Q z W Z W Z) a W WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ocW CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 I Owner/Contractor on site _ Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED PERMIT NO. 4, 7 77 COMPLETED ADDRESS 11'16 � OWNER_ CONTR. TELEPHONE NO. DESCRIPTION LU 01 FOOTING 11 MECHANICALRI 16 WELL TEST PUMP Q 0?F�AA4HV6--� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS 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 J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z R COMMENTS: cc W CL CC J O a cc O U_ W cc Q Z W z W cc d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc /C7 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W/ O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING 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'nspection 24 hours in advance.473-7357 Owner/Cont n i Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 9` INSPECTION NOTI E SCHEDULED PERMIT NO. COMPLETED �Z ADDRESS �'&M OWNER CONTR. TELEPHONE NO. DESCRIPTION f��a)o � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS O Z 04 12 WATER HOOK-UP 34 TREE REMOVAL Q05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION MO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc LU ac l.o0(�s J O c O k W Cr Q Z W W j VEj WORK SATISFACTORY:PROCEED PROJECT COMPLETE CORRECT WORK&PROCEED 1-1ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor o Inspector. White Co yllnspectoes File Canary Copy/Site Notice DATE TIME CITY OFC ION NO CALLED L INSPECTION NO CE SCHEDULED I ZOO PERMIT NO. O`MPLETED ADDRESS._ 1 ©✓��1�tt� OWNER CONTR. TELEPHONE NO. DESCRIPTION DOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 2 RAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y W INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z COMMENTS: W < \ CL rwy- cc O `r ` elm c O W W QC Q f2 2 W Z W QC Uj RK SATISFACTORY.,PROCEED EDPROJECTCOMPLETE W QC W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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 OwnerlContract on : Inspector z_ i e White Copyllnspector' File Canary Copy/Site Notice