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HomeMy WebLinkAbout1991-003946 - 2nd floor remodel PERMIT CITY OF ORONO PERMIT TYPE: >".ttILIIt.IC; 1335 Brown Rd. South • P.O. Box 66 Permit Number: ?!:�•= =a.t_: Crystal Bay, Minnesota 55323 Date Issued: 017i/ 19191. (612) 473-7357 SITE ADDRESS: WATERTOWN .,, RD LSV P. I . N. : 31-118-/7-'3-13--000:34S 1-1 8_.,::'3`.1::�--i�t/!i:� DESCRIPTION: 2ND FLOOR REMODEL Building Permit _Type ::F._ADD/REi1O+GEL Bu2ilIJi3-JJ Wta3 r: TYt ADDITION UizI : Occupancy 88 (:c,-Is f.ri4ct•it-1r1 Type VN CI TY OF ORONO ! 1 t Rt 4L OFFICE I.L 1,113100000 7l V1 Li-Nt 1 42.00 1 {t10V0t00 # REMARKS: 01 OEN 105.30 SEPARATE STATE PERMIT FES:t_1IRED FOR ELECTRICAL S 2L:i000Vb # ,;i ; N I aal 50 V1 VL! CHECK IL 374.90 FEE SUMMARY: tiALUATION $1S 000 RECEIPT—<< f� YOU ` VVinVT -r rr4.4...740twVA 1i•,i,r Base 09`1 ri y1 Base Fee $16.4 .00 Plan Review $105. 30 Surcharge $2 5'•' Total Fee $274 . 80 CONTRACTOR: OWNER --- Applicant -- 4345 WA t ERTOWN RD i E;=i}JNO _ _ MN 55359 (612)473— �s t`f r sa e t o „RE Ni ,z ' i WIT° .LOTYO �„ f � �a. y , q "k„ auy n fro, F \ I N ,ip +0f (if TS ~k-"` _,_ a+, .,,,,. ,..z „,,,,,,,,,.,7—„,,° ,,,,,,,::,,,,,,,,,,74%,,,,,\n.\" w i4 .s. a. ; a... f APPLICANT/PERMITEE SIGNATURE , / ISSUED BY:SIGNATURE (1.14....4,_..) • CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ r) /, Date Received: Cf-/1-9/ • ,Date-Approved: Entered By: ALc)-- Permit#: 5c7 ALL INFORMATION MUST BE SUBMI'1XE1) IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: A/311—a 1 re-2 To 64J ti 1a 4 b ZIP: r S 9 (work) c/ -f 6,2 NAME OF OWNER: 20/%4, 0 K r,s Pexgj0 'V PHONE: (home) 4173- (, S 6 V MAILING ADDRESS: 4/3 do?r 17 w n. s7,o CITY: MA*04G R,4/4, ZIP: s--5-3s-7 Gell , / (1.6121c "- CONTRACTOR: fiJe.v c- /741/'1 r' S (?0o,r ' 7 o3S o , c PHONE: MAILING ADDRESS: . CITY: y) ZIP: TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration X Renovate Land Alteration PROPOSED WORK (describe in detail) : Td /9/J.o /10 a("-- opt .5,40 o4 /d Z �,v fr-coa2 STORIES: 2 SQ. FEET OF EACH FLOOR: Z Se X 301 NO. OF BEDROOMS: 2 GARAGE STALLS: ATT. V DET. r •` ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /5 000 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: /9oe-e:4WZ - / DATE: 9'-//- 9/ • CHECK OFF FOR ISTFFOOREISUSE IOSSUANCE PERMITS FADDRESS OR LEGAL: i7/3L/-5--'/-5-- Gf q-iel'i'T k'r1 a PID: 3/--Wer--. 3 /-3 069,1 3 DESCRIPTION OF WORK: ad—f -ri /}.s2 i"Z e-�1'! 0 �t)-c--t� ZONING REVIEW BY: NM -1 DATE APPROVED: BUILDING REVIEW BY: Qi�„F}.�e C�iJW� DATE APPROVED: `7- 17- cr l FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes / No PLAN REVIEW Yes !/ No SEWER CONNECTION STATE SURCHARGE Yes V' No WATER CONNECTION INVESTIGATION FEE Yes No-7 / PARK FEE . SAC Yes No r/ SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: A Post Of ice: School District: Lot Area: A Width: De- h: Survey Submitted : ► es No ate .f Surv- : Proposed Setb- ks : Front (L•-ke) : Rig ' Si:e: Rear (S reet) : Le S. de: Adjace t Struct res : Wetland: Building H-ight: De . Hgt. Allr Peak Hgt. Avg. Setb..ck: Lot Coverage: :xistin: Proposed Hardcov=r: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Har•cover Variance Re•u, red Yes No Date of Council Approval: Gr- •ing: Staff Approval Da e: By: Council" Approval Date: S=•tic: Staff Approval Da e: By: /, " Zoning File:# Resolution #: Resolution Date: f REMARKS (in house) : l�'NA J( i (boor LANE nrac_y - NO GHArv�pP OT &Dc T &Mir —NO 00"10‘-j /26V'L J ff5 v f(66- BUILDING REVIEW CHECK LIST . UBC: S' p...3 CONSTRUCTION TYPE: ALL Sq Footage $ Per Sq Ftg - - Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ IS)OOO(o Inspections Required: Work Requiring Separate Permits: SitePlumbing Grading/Filling Footing Mechanical Fire )(Framing - Septic Water Connection 4Insulation - Fireplace Sewer Connection Wall Board (Masonry) Other Final (Mfg. ) 77—Well (State Permit) Other vElectrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : _ . CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices 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. ,22,o/Vr9c. X6 /7H ?6057R50w First Middle Last 413 Vs &fi.f7 /t 7-d&,./A0 fRia05W Address A.J-.A/ /1N C-5-1s-9 City State Zip z - 973- 68GI/ Phone I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - • 513.04 RIGHTS OF SUBJECTS 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• • private or confidential data concerning himselfthin the be informed state agency, purpose data a and intended use of the requested (b) whether he may refuse or from legally political subdivision, or statewide system;c) any known consequence arising his required to supply the requested data; supplying or refusing to supply private or confidential data; and (d) the identity o f P other persons or entities authorized by stat state is asked supply to investigative nvest gative the ive data, ta. This requirement shall not apply when an individual pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may •lace theax re notice uni strequiredficonser. this subdivision in the individual income tax or •rop on those orms. — Subd. 3. Access to data by individual. Upon request to a responsible authority, subject of sto an individual shall be informed whetherubhprivatethe or confident•alred Upon hisdata on individuals, and whether it is classified as public, further request, an individual who is the subject of stored private o public data on r�du� has been individuals shall be shown the data without t anylcharge to him and, ifhe desires, shall data. After an individual Se informed of the content and meaningthe data need not be disclosed to shown the private data and informed of its ut�e �action pursuant to this section is him for six months thereafter unless a disp pending or additional data on the individual hasen nr public collected orupreare d. The by p g• require the responsible authority shall provide copies of the privatecompiling the the individualesubject of the ctual'costs of making,The lcert certifying, comp g requesting person to pay the copies. possible, with any request The responsible authority shall comply immediately, if date of the request, made pursuant to this subdivision, or within holidays,e days of immediate compliance is not excluding Saturdays,no omplyswi�dthe request wiin that time, he shall so inform h the he individual, possible. If cannot comply within which to comply individual, and may have an additional legal v sholidays. request, excluding Saturdays, Sundays or complete. An individual may Subd. 4. Procedure when data is not accurate data concerning himself. To contest the accuracy or completeness'of public or privatethe concerning responsible To exercise this right, an individual shall notify in writing describing the nature of the disagreement. The responsible authority shall within 30 da either: (a) correct the data found to be inaccurate or incomplete and attempt to ys notify past recipients of inaccurate or incomplete he believesdthe recipients be correct. the individual; or (b) notify the individual that Bement t. Data in dispute shall be disclosed only if the individual's statement of disagr is • included with the disclosed data. appealed pursuant to the The determination of the responsible authority ocbeacses. provisions of the administrative procedure act relating to DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 11 – PERMIT NO. `/ / - COMPLETED U K ADDRESS LI3`fS (A)/3 Z ".s r- R-. OWNER 0o/1/4. Vv" CONTR. TELEPHONE NO. DESCRIPTION IQ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING cd) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 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 `I 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL ct OWNER/CONTRACTOR TO MEET YOU:_YES NO • COMMENTS: Z nrc9 577j(2 2 o • C 1 W 0. cc 0 0 LL W CC W W CC d WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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