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HomeMy WebLinkAbout1993-005641 - new roof/siding/bath PERMIT CITY OF ORONO PERMIT TYPE: `-2750 Kelley Parkway ;ta P.O. Box 815 Permit Number: E T L-i I NG I Orono, Minnesota 55356-0815 `yi15E`41 (612) 473-7357 Date Issued: 10191-3. 1-3. SITE ADDRESS: 430 WAKEFIELD RD JE P . I .N. , 36-1 -118-23-2:,A-0003 DESCRIPTION: NEW R+:OF/SIDING/BATH Building Permit Type SF-ADD/REMODEL Building Work: Type RENOVATE/REMODEL Construction Type VN CITY OF OrMHO i :YNANCE OFFICE 3 X1,11000 ( OI GEN 117.00 1LL.tL��1/WY. CHECK TL I Gi a 00 RECEIPT—EgANA YOU #287440 0001 R01 TI4:'L REMARKS: SEPARATE PERMITS REQUIRED FOR PLBG, MEC:H, °c ':TATE ELECT I RGAL PERMIT. FEE SUMMARY: VALUATION $10, 0oo Base Fee $117. 00 �=urcharge_ Total Fee --_-_$122. 00 ii I I C NTRACTOR: — Applicant. — ST . LIC. OWNER: FR I EDELL CONST CO 147=::9291 1772 HENDER ON WILLIAM 130 GARLAND LA 430 0 WAKEFIELD RD PLYMi itJTH MN 55447 WAYZATA MN S391 (r_,1 2) 473-9291 474-1950 ,PjER ,-►I TOM a 'THF.., t EAI*„ f �tC4 1 T a S I I '.,LIQ t + R � � T€ ICT COMPL I"ANS VII# I TY OF ONOJ W,4NANC , � � � DT�sSI LQtNG -0, D F C�+ , �EI�IE fTS: APPLICANT/PERMITE E IGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ �al b� Date Received: —r Date Approved: Entered By: * Permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ----------------------------------------------------7-_--------------------------- THE APPLICANT IS: (circle one) OWNER/ or CONTRACTOR JOB SITE ADDRESS: �� =FI�LJ rL� ZIP: 6_�351 �/ `/ l (work) NAME OF OWNER: It LL iANl !t`o� SL y/V f��,J DOLS a N PHONE: (home) 417Y_ MAILING ADDRESS: l/'C' C�/ � /i�L O D CITY: O'ey"t) ZIP: `7 I CONTRACTOR: �i2i- 1�,rt-� rv5�- Lid PHONE: MAILING ADDRESS: .,�','�� C��} iA� CITY: f�L Uj ZIP: -7 STATE LICENSE: $ /77-2-- ARCHITECT/ENGINEER: 77-2--ARCHITECT/ENGINEER: /V PHONE: MAILING ADDRESS: 3yoD �iT1'a/�V .�D CITY: ZIP: NAME: 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) : $ C po 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: /O ` /17" '73 9 A. CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF 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 -tiAAJ IS G ti l Address City State Zip Phone I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473.7358 • PUBLIC WORKS—473-7359 ASSESSING 513.04 BIGNM OF SUBJPJ= 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 1 private or confidential data concerning himself shall be informed of: (a) the wit the cting purpose and intended use of the req t maddata hether he mayerefuse ort eg�Y political subdivision, or statewide system; the requested data; (c) any known consequence arising from his required to supply rivate or confidential data; and (d) the identity of supplying or refusing to supply P other persons or entities authorized by state or federal law to receive the data. This. P investigative data, requirement shall not apply when an individual is asked to su ply g pursuant to section 13.82, subdivision 59 to a law enforcement officer. der ti The commissioner of revenue ma lert tax re°und instructionsuired the ntice re �uireduinsteadhos subdivision in the individual income tax 10111,10111, ro on those forMs. - -- Subd. 3.. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he �ateeor eonfidentiaLsubject of e Upon his d data on aut y, ublic, pri individuals, and whether it is classified as public data on further request, an individual who is the subject a ge to hired m and, if he desires, shall individuals shall be shown the data without an' da After an individual has been Be informed of the content and meaning the data need not be disclosed to shown the private data and informed of Its meaning pursuant to this section is him for six months thereafter unless a dispute • pending or additional data on the individual hbeen or public data rupon arequest by { responsible authority shall provide copies of private nsible authority may require the the individual subject of the data. The respo requesting person to pay the actual crtifying, and compiling the costs of making, ce copies. immediately, if possible, with any request The responsible authority shell comply i of the date of the request, made pursuant to this subdivision, or within five day immediate compliance is not excluding Saturdays, Sundays and legal holidays, possible. If he cannot comply with the request within that time, he shad P inform the individual, and may have an additional five days within which to com ly request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public i orprivrri ting the concerning responsib a authority exercise this right, an individual shall notify writ authority shall within 30 describing the nature of the disagreement. The to days either: (a) correct the data found to be ince a ate tav ngpee�ipients namedtby notify past recipients of inaccurate or income the individual; or (b) notify the individual that he believes the data to em nt is Data in dispute shall be disclosed only if the individual's statement of disagr included with the disclosed data. ealed pursuant to the The determination of the responsible authority ma to comes ed cases. provisions of the administrative procedure act relating CHECK OFF LIST FOR ISSUANCE OF PERMITS FM OFFICE USE ONLY ADDRESS OR LEGAL: Lf3 d -[1f.�lLL�La l�� PID: DESCRIPTION OF WORK: ltAih&y 0oe— CV %tov04 ------------------------------------------------------ ZONING REVIEW .BY: N 64 DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: /0 -1ef-Cc ----------------- ------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t�No PLAN REVIEW Yes No ' SEWER CONNECTION STATE SURCHARGE Yes_L ' Nom_ WATER CONNECTION INVESTIGATION FEE Yes No '�- PARR FEE SAC Yes No—�� SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------ ZONING CHECK LIST Zoning District Fire Department: Post Office: School District: Lot Area: q Widths Depth: Survey Submit Yes No Date of S vey: Proposed Setb c s: Front (L k ) : Right Sid Rear (St ee ) : Left Sid Adjacen St ctures: Wetlan . Building Hei ht: Def. Hgt. Pe Hgt. Avg. Setback L t Cove age: Exist' g Propos d Hardcover: 0 75 ' 75 250 ' 250 500' 500- 000 ' Hardcover ariance Re u red: Yes No Date of Council Approval: Grading: S aff Approva Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File:# Resolution #: Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST UBC: (�,--Zj CONSTRUCTION TYPE: "� Sq Footage $ Per Sq Ftg Basement x 1st Floor x = 2nd Floor x = Garage x x = TOTAL Estimated Construction Value: $ • too Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling FootingMechanical Fire FFraming Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation =Final l (Mf g.) 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) : L/ DT CITY OF ORONO CALLED IN E TIME q 3 c3 ,3 d INSPECTION NOTICE SCHEDULED PERMIT NO. .S �I COMPLETED ADDRESS OWNER ONTR. TELEPHONE NO. /V 7 DESCRIPTION o�k- 41 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING CO03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 6VA Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PR 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 c� COMMENTS: o; W a Ov O O W W Cr Q 2 W z W ccORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE 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 OwnedContractos t— Inspector. White Copy/Inspector's File Canary CopylSite Notice D TE TIME CITY OF ORONO CALLED IN /� 3 INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS c� OWN CONTR. TELEPHONE NO. DESCRIPTION 0101 F0 11 MECHANICAL RI 16 WELL TEST PUMP Q RA 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING ION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS 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 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL ;;t OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C cc O a cc O W ac Q 2 W Z W QC O U, �11CORRECT WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W 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 F_CITATION ISSUED E)STOP ORDER POSTED.CALL INSPECTOR ' ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractosits Inspector. T % White Copylinspector's File Canary Copy1Site Notice DAjTE TIME CITY OF ORONO CALLED IN 1121n, INSPECTION NOTICE SCHEDULED / — PERMIT NO. COMPLETED IL _ ADDRESS OWNER CONTR. TELEPHONE NO. �OSG 4�2 3 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP LL Q 0 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING Q 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 SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP r 10 PLUMBING FINAL 23 SEPTIC FINAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO R' COMMENTS- cc W a J O cc O W W cc Q f2 W Z W cc OWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ccW W ❑CORRECT WORK✓!i PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY V BEFORECOVERING 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 nex inspection 24 hours in advance.473-7357 Owner/ o It _f,Inspector: White CopyAnspeotoes File Canary CopyMe Notke DATE TIME CITY OF ORONO CALLED IN 93 INSPECTION NOTICE SCHEDULED la-.2 PERMIT NO. COMPLETED I Z2 S ADDRESS q 36 OWNER lit.; CONTR. fi��C� TELEPHONE NO. DESCRIPTION L4 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS rZ 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SEWTURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: W a 4; O cc O 2 W cc Q f2 2 W W Uj04F K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W WW-'—[]CORRECT WORK b PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY ri Q 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 OwnedContractor e: Inspector: Whhe CopyAnspedoes Fib Canary Copyrolle Notice DATE TIME CITY OF ORONO CALLED IN —9 .3 of m INSPECTION NOTICEr SCHEDULED �- 6 d44, PERMIT NO. COMPLETED _ ADDRESS' / 3� OWNER� ���! �-�. CONTR. TELEPHONE NO. DESCRIPTION LW 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING `.�7/';1-- 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24/25 WOOD B /FIREPLACE 19 LAKESHOREIWETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 5 FINAL— 13 METER SET/TURN ON 17 SITE INSPECTION 07 D SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL / 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI `?7/L7 15 SEPTIC INSTALL. 22 FOLLOW-UP �i19 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMEN S: C LU l� t Ire S r c cc -Ft"m 0vi*;0A 0 W cc Q Z W A Ilia Z) Q � ❑W RK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ACORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the Is ection 24 hours in advance.473-7357 Owner/Contra Inspector. White CopylInspector's Fit Canary Copy/Site Notice