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HomeMy WebLinkAbout1992-004308 - replace windows PERMIT CITY OF ORONO PERMIT TYPE: NG 1335 Brown Rd. South - P.O. Box 66 Permit Number: 3t). Crystal Bay, Minnesota 55323 Date Issued: C).S/C)F. 9 (612) 473-7357 SITE ADDRESS: 1325 VINE PL LSV P. I . N. 7-117- 4 2-C 0 0 DESCRIPTION: REPLACE WINDOWS' Buildiiiq Permit Type -'3F-ADD/REMODEL Building Work Type REPLACE EXI'-::.TING REMARKS: FEE SUMMARY: VALE N Base Fee $117 . 0("1 Surcharge 14-K Tota! Fee $1 r ry t'll T OF "INO CVN,g,vc,r I- FICE r #A 01 CEN 117.00 # 01 CEN 4.95 bqff'K 4 L TL 121-955 yfli App licant. - OWNER: #,-:,4f 1!?o cool l 103:50 'I 147'X23 0 5 5 :ARL DON :3-192 WESTEDGE BLVD 1:--325 VINE PI_ MOUNDMN 56364 ORANO MN S 64 ('512) 472-3055 (f;-* THE UNDER-SIGNED HEREBY REQUEEE-TS. PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COM'PLIANCE WITH ALL CITY O'F ORONO ORDINANCES, AND STATE OF MINNESOTA BLJILDING CODE REQUIREMENTS. L APPLICANT/PERMITEE SIG/ ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION r Total Fee: $ 04. 9.- Date Received: Date Approved: Entered By: Permit#: z1.3 U 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: 13 25- �/ 1f �� `P ZIP: S 34 Y (work) NAME OF OWNER: O N ti J U PHONE: (home) 1�9_ 3 9 Y Y V I MAILING ADDRESS: `e �LQ16 '-e CITY: ZIP: r3� CONTRACTOR: �-{ISIC H ULz 0 PHONE: MAILING ADDRESS: 3 1 ! �_ Vv •F Sr j?p(,V BLVD CITY: ZIP: STATE LICENSE: # ©(r} U ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : �Of! I /It f CAI l ti00 S- T-erlr\ 0yt- Ouds eq- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. c� ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ y �oy 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 ac ordance it he approved plan. APPLICANT'S SIGNATURE: DATE: cS ^�� CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF -ONO 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. o 14?,J C? 2 First Middle Last Address 4M 0 U 1- 0 C/, ity State Zip Li Phone I underst d my righ a ate above. Signr e BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7353 • PUBLIC WORKS—473-7359 ASSESSING r s yi3.04 RIGHTS OF SU=CTS 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. asked to Subd. 2. Information require to be given individuaL An.individual (a) the supply private or confidential data concerning himself shall collecting ormestate agency, purpose and intended use of the requested da whether hewithin mayrefuse or is legally political subdivision, or statewide system; known consequence arising from required to supply the requested data; (e) �Yof supplyingor refusing to supply private or confidential data; and (d) the identity is state or federal law to receive the data. This_ other persons or entities authorized by requirement shall not apply when an individual is asked to supply investigative data,g pursuant to section 13.82, subdivision 59 to a law enforcement officer. is nue ma lent tax rethe o tice re ii The commissioner of reveund otructio under of teadh subdivision in the individual income tax or r• Fn those forms. --- -- to data by individual. Upon request to a responsible Subd. 3. Access on authority, an individual shall be informed whether Pu privateoreonfidentiaLe Upon his individuals, and whether it is classified as p public data on further request, an individual who is the subject of stored ohim ri�� he desires, shall individuals shall be shown the data without any datae. After an individual has been �e informed of the content and meaning the data need not be disclosed to shown the private data and informed of Its utenorgection pursuant to this section is him for six months thereafter unless a dispute n request by • ending or additional data on the individual has�a a or public datarupoeated. The P provide copies of the p require the responsible authority shall p The res onsible authority may the individual subject of actual costs of making, certifying, and compiling the requesting person to pay copies. immediately, if possible, with any request The responsible authority shall comply i of the date of the request, made pursuant to this subdivision, or within five iif�immediate compliance is not excluding Saturdays, Sundays and legal holidays, da within which s comply with the possible. If he cannot comply with the request within that time, he shall so inform the P have an additional fiveYs individual, and may Saturdays, Sundays and legal holidays. request, excluding to or complete. An individual may Subd. 4. Procedure when data is not aecura himself. To contest the accuracy or completeness'of public or private data conceresponsible authority the exercise this right, an individual shall notify in wauthority shall within 30 describing the nature of the disagreement. The responsible to days either: (a) correct the data found to be inaccurate edatap inclbng reecipients named by notify past recipients of inaccurate or incomplete the individual; or (b) notify the individual that he believes the data to be disagreement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data. be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FO$ ISSUANCE OF PERMITS FOR 6FFICE USE ONLY ADDRESS OR LEGAL DESCRIPTION: PID: DESCRIPTION OF WORK: -------------------- - --------------------------------- -- --- --- ZONING REVIEW BY: DATE APPROVED: i BUILDING REVIEW BY: .DATE APPROVED: (o OZ PERMIT ISSUED BY: DATE: ----------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No SEWER UNIT $ PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION PENALTY Yes No PARK FEE SAC \ Yes No SITE INSPECTI \ OTHER (spe ify) -------- 7--------- --- --- - ------------ ------------------------------- ZONING CHECK "LIST Zoning Di rict: Fire Department: ost Office: School District: Lot Area: 'dth: Depth: Survey Submitted: Yes No D e of Survey: Proposed Setbacks: \ Front (Lake) : Right Side: Rear (Street) : Le Side: Adjacent Structu es: Wetland: xisting oposed Hardcover: 0-75' 75-2 ' Hardcover riance Required: Yes No Date f Council Approval: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution #: Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST DBC: -3 9 CONSTRUCTION TYPE: VIV BLDG SIZE: H. L. W. Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ , V Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire Framing Well Water Connection Insulation Septic Sewer Connection Ziall Board Fireplace Lawn Irrigation Final (Masonry) Other Other (Manufactured) -------------------------------------------------------------------------------- REMARKS (IN HOUSE) : -------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: -------------------------------------------------------------------------------- pinG RKS (TO BE NOTED ON PERMIT) : DATE (L TIME– CITY OF ORONO CALLED IN a1a9.2 T'Tp� INSPECTION NOTIC3 �� SCHEDULED 'a� " 30 PERMIT NO. ? COMPLETED U ADDRESS u OWNER CONTR. TELEPHONE NO. 23 - MY DESCRIPTION 01 FOOTING 11 MECHANICALRI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING h 03 INSULATION 24125 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 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 OW NERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0 az 0 W Cr. Q 2 W z W cc cc SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra site: Inspector. 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