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
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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:
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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:
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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-
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OWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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❑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
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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
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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:
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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