HomeMy WebLinkAbout1991-P003602 - interior remodel PERMIT
CITY OF,ORONO PERMIT TYPE:
1335 E `owriRd. South P.O. Box 66 Permit Number: FC.ii .BING
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
2145 WATERTOWN RD
JB
P. 1 .N. : t z -117-225-21-000'3.
DESCRIPTION:
INTERIOR �•
Building Permit 'T SF--ADD/REMODEL
Building Wc��k: .sT�p>� RENGVATEI�tEMODEL
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FEE SUMMARY:
VALUAT I M'¢p -$ 3,0Cy0
Ease Fee $144. 0
Flan Review $93.60
Surcharge ------- 1E-�- 3
Total Fee $244. 10
CONTRACTOR: OWNER: -- Applicant --
CORNELL ..I i M
2 145 WATERTOWN RD
LONG LAKE MN 55355
THE
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APPL T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
4 CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Foe: 7 1 Date Received: 3-,-;to
-9
Date Approved:
Entered By:
Permit#: 0
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)-
---------------------------------- ----------------------------------------
THE APPLICANT IS: (circle one) o CONTRACTOR
JOB SITE ADDRESS:61141 r ZIP: 'SS3S(p
C�wo-'cJS> (work)
NAME OF OWNER:, Lose:5 `I d�L� c;tr✓t e l PHONE: (home)
MAILING ADDRESS:,QlK(�j,1/1T�J� �e^P1� CITY:L& -GA44, ZIP:
CONTRACTOR: taw ��(,(�- PHONE: kI}3' 3V I I
MAILING ADDRESS: A'90VV CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remo�c a /Alteration_ Renovate Land Alteration
PROPOSED WORK (describe in detail) : 6P4tJS10N 01-- CVYZ&= Jf FA-M l(,Y i200h
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 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 SIGNA DATE:
A
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
- OOn 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.
l�S
First Middle Last
!21q�� (JOXEYZ, u VO P4--AO
Address
Lot-)6r t.l��-�= � SS'3S�(o
City State Zip
(-N) 3y2- �7G5� CuO-)
Phone
I understand my ri hts as stated above.
Sig ture L"
BUILDING do ZONING—47 3-7 35 7 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGHTS OF SIIBjwn 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.
to be given individual- An.individual asked to
Subd. 2. Information required be
1 private or confidential data concerning himself
the collecting state agency,
supply
purpose and intended use of the requested t whether he may refuse or is legally
P subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (c) any . and (d) the identity of
is
or refusing to supply private or confidential data,
supplying state or federal law to receive the data. This.
other persons or entities authorized by supplyinvestigative data,
requirement shall not apply when an individual law enforcement officer.
pursuant to section 13.82, subdivision 59
nue ma ltax reound lnstructlons insteadthe ntice re(]uired under h
is
The commissioner of reveof
subdivision in the individual income tax orproperty
on those orms. -— -
Subd. 3.
Access to data by individual. Upon request to a responsible
authority, an individual shall be informed whetherprivate is esubject of stored data on
or eonfidentiaL Upon his
individuals, and whether it is classified aspublic, public data on
further request, an individual who is the subject of stored orivhim `nat hdesires, shall
individuals shall be shown the data withoutof any
data. 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
ming,tee oction pursuant to this sectio iss
him for six months thereafter unless a dlsp
ending or additional data on the individual has been ublic dataruponarequest by
ted. The
P Ovide copies of the private or p require the
responsible authorityshall pr The responsible authority may req
the individual subject of the data. certifying, and compiling the
requesting person to pay the actual costs of malting,
copies. lmmediately, if possible, with any request
The responsible authority shall comply i ys of the date of the request,
made pursuant to this subdivision, or within five �lfimmediate compliance is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with thhe
e request within that time, he shall so inwo with
the
P have an additional five days within which to comply
individual, and may
turdayso Sundays and legal holidays.
request, excluding
Procedure when data is not accurate or complete. An individual may
Subd. 4. Pry himself. To
contest the accuracy or completeness hof publico inriwriting the responsible authority
exercise this right, an individual shall notify responsible authority shaII within 30
describing the nature of the disagreement. The days either: (a) correct the data found to be inaccurate or incomplete and attempt to
named
notify past recipients of inaccurate or incomplete datag
incl sding recipients
eci i n s correct
the individual; or (b) notify the individual that , Bement is
Data in dispute shall be disclosed only if the individuals statement of disagr
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority tcontested cases.
provisions of the administrative procedure act relating to
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Ait 2--V-C-- PID:2? 0 00 3
DESCRIPTION OF WORK: Z:F-NT=-724o2 ✓L-c" a ne-L_ �` /w7z� Li vrti� Sp�Q
-------------------- ---------------------------------------------------
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
-------------------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yeses No
PLAN REVIEW Yes , No SEWER CONNECTION
STATE SURCHARGE Yes�� 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 office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No 1 Date of Survey:
1
Proposed Setbacksl:
Front (Lake)' Right Side:
Rear (Street) : Left Side:
Adjacent Structures : Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed �-
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of 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
UBC: �> ` U2--3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ / 3400 C:>
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
pcFooting -Mechanical Fire
'Framing Septic Water Connection
Insulation =Fireplace Sewer Connection
Wall Board (Masonry) Other
Final [(Mfg. ) Well State Permit
Other X Electrical (State Permit)
------------------------------------------------------------------------------
REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access.: Existing New
Access Approval: Date By:
-----------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
{
6ATE TIME
CITY OF ORONO CALLED IN V _C' / '0h
INSPECTION NOTICE �� SCHEDULED �`�l tl oa
PERMIT NO. COMPLETED
ADDRESS 2J415 l.�sr4'1�'-1=Tr�.��ti (>.� ✓�u�
OWNER Zcyyx f�2.NC l( CONTR.
TELEPHONE NO. .31gz—� 5
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q &RAMING 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING
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 OITE 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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
C
cc
0
LL
W
CC
Q
2
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W WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
cc CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El 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
OwnerlContra r 1,site:
Inspector.
White Copyllnspec is File Canary Copy/Site Notice
AT
CITY OF ORONO CALLED IN a- / TIME
INSPECTION NOT I E SCHEDULED O
PERMIT NO. 0 COMPLETED 'U K
ADDRESS � k A
CRI
OWNER Y CONTR.
TELEPHONE NO. ( a xa S�
DESCRIPTION
01 F 11 MECHANICAL RI 16 WELL TEST PUMP
Q RAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03CATION 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
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v G FINAL 23 SEPTI INAL
Z WN CO RACTOR TO MEET YOU: _NO
y MMENTS:
cc
,K
O
a
cc
O
k
W
cc
Q
2
W
cc
z
LWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 1:3 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContract Ite:
Inspector.
White Copylinspect File Canary Copy/she Notice
'6 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED3
PERMIT NO. 3(P 6),"- COMPLETED h
ADDRESS �/S� l� oe
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
U4 01 FOOTING 11 MECHANICALRI 16 WELL TEST PUMP
14.
Q 0g.5RAMI G 11 MECHANICALFINAL 18EXCAV/GRADING/FILLING
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
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
OWN ERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
a C.On bug- as. iscu..ss
O
a
cc
O
W
cc
Q
Z
W
Z
W
CC
O
d X
WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE
LUW 11CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr on ite:
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
D TIME
CITY OF ORO CALLED IN � /'1
INSPECTION NOTICE a SCHEDULED
PERMIT NO. �U COMPLETED "3
ADDRESS �LCrn
OWNERN���o �� CONTR.
TELEPHONE NO.
DESCRIPTION �3 3Y? YKS 9 lAm,60kl
Uj 01 FOOTING 11 MECHANICAL RI 16 WELL EST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO-FINAL 27 SEPTIC MAINTT, 21 COMPLAINT
09 PLUMBING RI 15 S IC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEFVIC FINAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
Q.
j
0
o�
0
W
cc
Q
2
W
W
cr
d
Wcc Y
RK SATISFACTOR :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 ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContra site.
Inspecto4 tr"
r.
White CopyAnapeetoPe N Canary Copy/Site Nodce