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HomeMy WebLinkAbout1995-006550 - part bldg-spklr tank PERMIT CiffY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: (612)47 -7357 SITE ADDRESS: p . ; DESCRIPTION: PART BLD6-SPKLR TANK Builjing H-.2rm1t TYPkt';! 01 iNST1TtMNAL inf Occupancy F-2 ! T1.0 - -r 17 • 105 111.! REMARKS: AND :ZEVISIN OF PERMIT K2.5SS SP(- Ar PERMI7 FOR ELECRC FEE SUMMARY: S4 : 000 Plan Review Total F.Tfe ,k CONTRACTOR; - - OWNER: 1.42161 I -X)q,:1- i.kiAGNER : FWN ; MN Sb30? ORONO 421-6211 -.7 HERE:Y REOUESTS PERMISSFJN TO MAKE THE REAL IMPROVEMENTS S3..a:IFIE0 ANC/ AGREE3 10 00 ALL WORK IN ScRICT COMPLIANCE WITH ALL CITY OF 0HONU ORO1NANU7:6 ui NeNNE6u1A HulLolmJ APPLICANT/PERMITEE SIGNATURE 1CIASUCY:SIGNATURE a-6) CITY OF ORONO - BUILDING PERMIT APPLICATION (� Total Fee: $•. US-, y j Date Received:/ C,D ` pp�� �� Date Approved: Entered By: • /"•`'`1 Permit#: 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: L C<yc` CL ` �I \,C`\ ZIP: (work) NAME OF OWNER: OA \--T \ t «��` 1 I. ( PHONE: (home) (,-.`«�r�kE= MAILING ADDRESS: I ` ,}./ 1')( t \ 1\ C 'VA(CITY: L. i c_:. I Z ZIP: CONTRACTOR: 1 )\,c ) E_.•A( 1;A1C PHONE: L-01 C- ,) I I MAILING ADDRESS: & :)-ci C 1 = S` - CITY: /9--v K•`. ZIP: S-5-.?(13 STATE LICENSE: # (O7 ARCHITECT/ENGINEER: C1- 1--k 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) : 7) Li CSC_ [L�- o v(:.i,,`r p STORIES: SQ. FEET OF EACH FLOOR: IJ k' IO NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. co ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ "lac_ 1 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: /(' CHECK OFF LIST FOR ISSUANCE OF PERMITS •' FOR OFFICE USE ONLY _ ,3i Fhlr72��i C..otv-i-e4c.ro, ADDRESS OR LEGAL: 2S0 Lk,- uM2 A-fl'r GCVO) PID: DESCRIPTION OF WORK: Au, I CY`) — (LENew 4L t- (2, )'5 I o&) OF pe2wt ( r 55-5-c----- ZONING REVIEW BY: [7` JaDATE APPROVED: 9 - 27- 9 3 BIIILDING REVIEW BY: 0;ifi DATE APPROVED: (U' 2).- - c7 41 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes !/' No SEWER CONNECTION STATE SURCHARGE Yes J 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: Wioth: Depth: Survey Submitted: Yes o Da - of urvey: Proposed Setbacks: Front (Lake) : right ide: --- Rear (Street) : Left S de: Adjacent Structu 'es: Wet nd: Building Height: Def. Hgt. , Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: !-75 ' Ii 75-250 ' il 250-500 ' 1111 500-1000 ' 11111 ardcover Varia ce Reviuir:d: Ye . No Da e of Counci •,•proval: trading: Staff Appro al /ate: By: Council A-•p oval Date: Sep : Staff Appro al •ate: B : Zoning File:# Resolution # : Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST • - UBC: 4?-3 CONSTRUCTION TYPE: VN Sq Footage $ Per Sq Ftg Basement x =_ 1st Floor x 2nd Floor x Garage x x = TOTAL Estimated Construction Value: $ L( 000°- Inspections Required: Work Requiring Separate Permits: SitePlumbing Grading/Filling a(Footing Mechanical Fire (FramingSeptic Water Connection a Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation .Final (Mfg.) Other Other Well (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) : 4,e.-New/k_.- Ar4A0 Ile tsto^' d/- 0e/14''" 0 -5;" .. . ,_ A. , 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. Ck(k,r1-CT L) tY ) ktIYA Ift0-1.\--"etie First Middle Last (*----_-16.--/ C( O :� i Address 4_ • .. fr City State Zip Lid i -.,•)/ / Phone I understand my rights as stated above. Signau «! —::'//( BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision 1. 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. An.individual asked to Subd. 2. Information required to be given individual. be i supply• 1 private or confidential data concerning ham`s lf thin the collnform dtate agency, of: (a) the purpose and intended use of the requested or statewide system; (b) whether he may refuse or is legally required subdivision,osup (c) any known consequence arising from his required to supply the requested data; supplying or refusing to supply private or confidential data; and (d) the identity of state or federal law to receive the data. This other persons or entities authorized by 1 investigative data, requirement shall not apply when an individual is enforcementis asked to supply officer. pursuant to section 13.82, subdivision 5, The commissioner of revenue may place the re notice und i receuired under insteadrhis subdivision in the individual income tax or proper V on those orms. Subd.an. Access to data by individual• Upon request to a responsible individual shall be informed whetherpublic, private esubject of or confidential.. d data on Upon his authority, public data is individuals, and whether it is classified as to him and, ifo he desires, shall n further request, an individual data without any chargeect of tored private or individuals shall thebe shown theof that data. After an individual has been Se informed of content and meaning the data need not be disclosed to shown the private data and informed of its meaning, ursuant to this section is him for six months thereafter unless a dispute or action P request b din or additional data on the individual has been nr pule c datorupereq created. The pending provide copies of the private the responsible authouity shall The responsible authority may requirein the the individual subject of the data• certifying, and compiling the actual costs of making, yl g� requesting person to pay if possible, with any request copies. immediately, P° The responsible authority shall complyof the date of the request, made pursuant to this subdivision, or within five days mmehiate compliance is not excluding Saturdays, Sundays and legal holidays, within which to comply with the possible. If he cannot comply with the request within that time, he shall so inform t e have an additional five days individual, and may and le al holidays. request, excluding Saturdays, Sundays g An individual may Subd. 4. Procedure when data is not accurate or complete. contest the accuracy or completeness of public or private data concerning himself. To le exercise this right, an individual shall notify in swriting he raspy ib shall within authority describing the nature of the disagreement. The re late and attempt to the to be recipients named by notifynoeither: ci ients ocorrecf inaccurate orincompletedata,including or incomplete P hepastvrecipients dement is the individual; or (b) notify the individual thatv he believes disagr correct. if the in Data in dispute shall be disclosed only pursuant to the • included with the disclosed data. be appealed The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. , .. . . . Steven T. Fichte] Architects 2.f-VI5E,L) All:\.<LL, 9:ZION 4 10709 WAYZATA BLVD. 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QA ...- 7 ..., cp. i ..„ .., 1 . ., , .. ,_____Iffmcy-777-1 .,. . .A, . , - ...-- I-17-IN l‘• B -i ...A ..„ ,0 ,4 ..i • i ; 4=- El/ 4 , o - .--:.. 3 ..4,.. ..,4 1110 .,..„... ..„ ...„ , • . .,„ • -11 :11 ,.41 :41 DATE TIME CITY OF ORONO CALLED IN /v/?'J/f' INSPECTION NOTICES6 SCHEDULED /�/a Y/ci V '-f� PERMIT NO. u'� COMPLETED 4 1100 ©0 ADDRESS _ _�. �_' OWNEI3.,,gar-7-7 CONTR. 927672tha] TELEPHONE NO. 4173 7/ DESCRIPTION _.aleeje,/�r)-i 4.1.14 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG ti ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CI 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I^ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP • 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc a cc 0 cc O W W W CC WORK SATISFACTORY:PROCEED PROJECT COMPLETE C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContrac n sit : Inspector. .- White Copyllnspector's File Canary CopylSite Notice D TE TIME CITY OF ORONO CALLED IN _ ; ____7/ INSPECTION N9TICE SCHEDULED Z.21>4// 54 /!..7 =30 PERMIT NO. ( ��0 COMPLETED tf ADDRESS ,57::-.51) ----- - 6 - ,,��. OWNE CONTR. �7v�G/� TELEPHONE NO. "/7& -6 7 9/ DESCRIPTION I.A,a_ rzP...—L ' 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG �Q 02 FRAMI�I Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO SITE 27 SEPTIC MAINT. 21 COMPLAINT v Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: ct W Q. CC 0 CC 0 W 0; Q W Z W CC 0 d WORK SATISFACTORY:PROCEED CC -= PROJECT COMPLETE 7 CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY W O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 U 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 in ction 24 hours in advance.473-7357 Owner!Contr yt n s to Inspector. White Copy/Inspector's File Canary Copy/Site Notice