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Home My WebLink About1993 - 005314 - add/remodel PERMIT CiTV bF ORONO PERMIT TYPE: BUILDING 2750 Kelley Parkway • P.O. Box 815 Permit Number: 00S:314 " Orono, Minnesota 55356-0815 Date Issued: /.10 (612) 473-7357 SITE ADDRESS: � T-- Bi VD 14 t5F . • S4-118-23-22-0014 DESCRIPTION: Building Permit. Type _:_t -Hi}L} R !f1-!DbII BuildingWorkType 9!-x=r 1- M}aa,..Rr.r ! Orrupanry 88 B-2 Construction type VN L•i! t L'! L'lti.'!TV 1'T'j t4L F C `.;iltiV51 i4 rr t'.7. i_,,_ V i_'a t•1 lil L`L7T 7V+JO Ti L.f -L-11 !L S L}J+I V kE Cr P 'MANN YOU P�-!•VVyU .__01 !101 114'1'7 ii 7/08/73 REMARKS: SEPARATE PERMITS_ R QUiRD FOR Ei ttIRI: AL ( TATE PERMIT) FEE SUMMARY: VAI UAT I O'•.i $3, 500 Plan Review 3 4l_}. 'a S Total . PP $10S . 70 • i COO3O I I ES - !t't'1 1 1 X4 t'$ 93944 LQ N W17,1! R'= LONCi LAKE: rIN '•'�r' LONG Nvr MN (i;:1_J) 44c4-8q44 449-S944 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK: IN STRICT C:VMF'L I ANS:E WITH ALL CITY OF IJRON}_E ORDINANCES AND STATE OF MINNESOTA E;U JILDING CODE REQUIREMENTS. L_ ` V _- _ L/_ !i/ 490_ APPLICANT!PERMITEE SIANATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION G� Total Fee: $ �O -16 Date Received: r)- Date )-Date Approved: Entered By: ✓ Permits: 7) I`/- 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: .23(00 W kA) 1 •j - 1 ZIP: ,,5~r?3b(•► (work) y 'toi NAME OF OWNER: Loco tPHONE: (home) MAILING ADDRESS: 2350 LA) r V1iail IUI .CITY: 0/Lund ZIP: 5S-115(.• CONTRACTOR: )b CC,Co VV4C.M t e PHONE: "� V I ` MAILING ADDRESS: P00 , (2)4.0„.. -032. CITY: RAM a , Mk)• ZIP: 5'-V35L STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration X Renovate Land Alteration PROPOSED WORK (describe in detail) : TA)3rt1„L S kte lr tit.k 'S JANSR1 5 WlIYOFo STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. UN ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3 5 0 ( - 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: 24,.4 VIA•4014411— DATE: 7'(., ei CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE US E ONLY �J ADDRESS OR LEGAL: � 5�� 0) 04, Qv PID: ��I I ��a ` - 06 /4' DESCRIPTION OF WORK: &44c _4 ZONING REVIEW BY: ,164 DATE APPROVED: BUILDING REVIEW BY: O &/w .— DATE APPROVED: 1 - ?-93 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ' No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes ✓k No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Dep. tment: Post Offic : School . tstrict: Lot Area Width: •Depth: Survey Su'•mi' ted: Yes No Date f Survey: Proposed .etb-cks: Fron (La e) : Right Side: Rear (Stre=t) : Left Side: Adja ent Str• ctures: — Wetland: Building eight: D-f. Hgt. Peak Hg' Avg. Setb• ck: Lot Coverage: E isting Proposed Hardcover 0-75 ' 5-250 ' 2' 0-500 ' 501-1000 ' Hardcover Variance Required: Y:s No D-te of Council Appro al: Grading: -taff Approval Date: By: Council Approval Date: Septic: S •aff Approval Date: B, : Zoning Fi e: # Resolu ion #: Resolution Date REMARKS (in house) : BUILDING REVIEW CHECK LIST DBC: '' g - 2 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x 1st Floor x = 2nd Floor x Garage x x = TOTAL Estimated Construction Value: $ 3s Inspections Required: Work Requiring Separate Permits: ' SitePlumbing Grading/Filling Footing Mechanical Fire Framing - Septic Water Connection Insulation - Fireplace Sewer Connection —TWall Board (Masonry) Lawn Irrigation —17Final (Mfg.) Other y- Other SPRINKLE SySiEw. Well (State Permit) 0( Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : k.00.14. 4 t.-7N ni k.,410 C? <<(4,c, 41-CF `T i••'"$ty7_-• te.. CITY of ORONO rr � Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices 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. V roi R.Li n a, k, First Middle Last Address Ate 2J1 City State Zip Phone I understand my rights as stated above. VA, ` �... Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS—473-7359 ASSESSING 513.Q4 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. Subd. 2. Information required to be given individual- An.individual asked to • supply private or confidential data concerning himselfshall thebe inform dtate agency, purpose and intended use of the requested political subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by stateor is asked s Dplyeinvestigative the data, ta. This. requirement shall not apply when an individual pursuant to section 13.82, subdivision 5, to a law enforcement officer. tice reuird under is The commissioner of revenue may poperty tax reace the �und instQuctions instead hot subdivision in the individual income tax or r on those orms. - Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed es hether he is pr vateesubject of or confidential.e Upon his individuals, and whether it is classifiedpublic, public data on further request, an individual who is the subject of to hiprim �de ifo hdesires, shall individuals shall be shown the data withoutoanylcharge. After an individual has been Se informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, to him for six months thereafter unless a dispute or action pursuant o ec this section s pending or additional data on the individualublic data upon request The responsible authority shall provide copies of the private or p the by the individual subject of the data. The responsible certifying, ea�f ority and c requireithe requesting person to pay the actual costs of making, yl g, copies. ssible, with any request The responsible authority shall comply immediately, if po made pursuant to this subdivision, or lith n fiveIi days,df ysi of the immediatedate compliance ris equest, t excluding Saturdays, Sundays and leg possible. If he cannot comply with the request within ithin which to, he h comply with th the rm the individual, and may have an additional legal holidays. request, excluding Saturdays, Sundays g Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement.tbec inaccurate orhe in omelet and attempt to authority shall within 30 days either: (a) correct the data found notify past recipients of inaccurate orincomplete he believesta, dthe datalto be correcty the individual; or (b) notify the individual Data in dispute shall be disclosed only if the individual's statement of disagreement is • included with the disclosed data.responsible authority may be appealed pursuant to the The determination of the respo provisions of the administrative procedure act relating to contested cases. • DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE (` SCHEDULED 1 7. 4,3 r PERMIT NO. )3" 7 COMPETED l` :7 _r_. ADDRES 21/1-4 OWNER 3 0 1 CONTR. OalydtA USG l TELEPHONE NO. DESCRIPTION „ Ilt. (OpireAtOvLS IQ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O Q04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL ®I NAL 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 ct = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC N 1-1J CAD rieCA-10AS tOk CC 0 a CC 0 W CC Q W Z W CC WLU WORK SATISFACTORY:PROCEED PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. E PHOTO TAKEN INSPECTOR WILL RETURN CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 Owner/Contra site: Inspector. White Copy/inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 7 "0 INSPECTION NOTICE SCHEDULED ''o PERMIT NO. .53 P71 COMPLETED 1,1 ADDRESS =-'13('b W bU(1ze 'I �`p OWNER ;nB--do lGC,CLint4-ate CONTR. (2.v TELEPHONE NO. 4/` 9_ f/'7/ / DESCRIPTION 4.1 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP • FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 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 v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS:cc 0-00rs CrOviA 5'-t.AL C eil j W CC CC RK SATISFACTORY:PROCEED E PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED C1STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractsr onsite: Inspector. b VOAA./ White Copy/Inspector's File Canary Copy/Site Notice ` . . . r1-i7 tc0•16 ' % — • —_----. I_ ...........") . • J •, ....-D . 2. ,1 0 41, --,_ 1 "......."-n 0 ih, X. to -----., L., ...5.f I _ __ .. , L3 _ ..._...... 1 • PrUL %I-til ftVAA.4, Cf I' 4ti re4 RA4 IAA' )e tk .11(._.,\._ A.CA- We'd k% it:./..4•4,1.A IE l''''') A " s _ Ok(1%\ 0 )Iztc•,::cv. \ ) . . , . C>e/C=C-1770/N1 0 r EX ,c.i.oit i_viejL . .. . „ . . — P • "--- I e tvpetial0 epc.41-5 . . 5pg, 5 e p A-A.A_T-c._ p A-a, .4- 5 (29. 4/4.4,1„..."7- — IT Oa . 3, x Lt' 04.5 •sei4.•.s 7 a 4. 0 p ed.i fa-at-to F_,,z4b,,,, 4-Le ,,,,,,, A "l °(1'. Al"1/41 Ped.,,.4( k4.40t....1445, t• r)(..14.0e, h. 4.----) il* ; Q ____3-----,--x z 9 • • r I ........... ..... _ ......„,. t Etif till - OPICSVic. ---. ,, ITRMIll PLAN RaVY01111 - .-- . . $1.46F o ATE: —1...7 (.-cf_—__...-- PERMIT NCii. ......r........- \. [—I : ) , , •- „,_._ -1 4,1:0.--,.: 7,,,,--,.r..,:, \•-!; : 1-1,2)119 AS NC/7:D --..- ' CORRECT & RESUBMIT ,.....; • . rhc-,i., (,",cn,(11(,n6 ,-,r(^, l'.!' :..,ovr ft;to.t.mrition. Ati work SII be CPI ih lull ocir4.ii,uvx 0:111, ;.:i ..?,r,viceoq. outtOlng & voning 0000 tie• quirements InciLhnng itenttl not ivectfically r)oteo in this rsVelis. II . KCEP THIS PLAN SET ON SITE AT ALL TIMES. I ) 1 • .11--.-1....._ . ' ---1 __, ::•::,:,..,,,,,,:.: ,;•, .,',,:,:::.,,,.,.„ ''': .;7..:''" ., .