HomeMy WebLinkAbout1993 - 005280 - interior remodel PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUTI DINS
Orono, Minnesota 55356-0815 005.70
I
(612) 473-7357 Date ssued: 06,124/93
SITE ADDRESS:
280 WAYZATA BLVD W
CH
P . T . N . ; f::4—I 18-23-22-0014
DESCRIPTION:
INTERIOR REMODEL
Building Permit Type COM-ADD/REMODEL
Building Work Type MMMERCIAL
UBC Occupancy 88 B-2
Construction Type VN
CI TY L7/17 ORONO
FINANCE 1.11 FICE
10W000 #
ii J. in-i t ,-;•.7 a iii;
17.1Y1:10OfW ,
4
01 L;EN .75.10
REMARKS:
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SEPARATE PERMITS REQUIRED FOR PLUMBING, MECHANICAL, AND ELECTWWV5TAV644
FEE StiiiitighY•::::MIE APPROVAL OF X-RAY ROOM .
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VALUATION $3, 000
Base Fee $S4 . 00
Plan Review $35 . 10
Surcharge $1 . cn
:..z,
Total Fee $9(:'
CONTRACTOR: OWNER: - Appi i cant -
'OTTFN CLIFFORD
P1 RI 249
LONG LAKE MN S535i::
si-79-F.s.: 7
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
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,. PLR ANTiP MIT ti.GNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 90-6,6 Date Received:
Date Approved:
Entered By: • ,CA, Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
TEE APPLICANT IS: (circle one) OWNER Cr :1 TOR--_.
JOB SITE ADDRESS: 2580 til W a ria fa Blvd ZIP: 5535(
5Y25-
(work)
Y25(work) 44-1 --10111&
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NAME OF OWNER: 1 11ord Oite4\ peoco U PHONE: (home)
MAILING ADDRESS: 7) D I3Dx ..24e9CITY: Df MI'v ZIP: 5-53
- �'sv�sCONTRACTOR: T)r. ka� (es F. 7 i /Vep`-a7." PHONE: ���-� 6g
MAILING ADDRESS: PO 6x �/SoA10 CITY: oroilo' ZIP: 55) o
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: w •• REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration ✓ Renovate Land Alteration
PROPOSED WORK (describe in detail) : o/15truC iprt o/it f erior waits) re,[ocatinq electrical
OuHel5 artcl/f,k5), reloca-17 waw/0 s emcarain ('c lic01 uo 2 s/nks ord a wafter AeaIi)+aid/4"S-0#/7
avi X-ray mdeAf 1e ,toce5sof.
STORIES: I SQ. FEET OF EACH FLOOR: (o00
NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. (� DET. C)
�Dc2
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ v7 Sod ' -
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
:nderstand this is not a permit and work is not to start without a permit; and
ghat the work will be in acc•rdance with the -pproved plan.
,� DATE: 003
..PPLICANT S SIGNATURE: itr // ��i �
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A .4.-
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.
0_,karies Froeic;5' I�iarl
First , 1 fMiddleLast
2 3O . C T �z yza'/a B 1 V!��� i) o k�OX �s
Address
Orono Mk) SS 3s�
City State Zip
(6PIZ) X73-35-8E
Phone
I understand my rights as stated above.
Signature/
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
S13.04 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.
Subd. 2. Information required to be given individual. An.individual asked to
•
supply private or confidential data concerning himself
within the collecting state agency,
be informed of: (a) the
purpose and intended use of the requested
(b) whether he may refuse or is legally
political subdivision, or statewide system;
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 state or federal law to receive the data. This,
requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the notice required under this
subdivision in the individual income tax or pro•erty tax re and instructions instead o
on those orms.
Subd. 3.
Access to data by individual. Upon request to a responsible
authority, an individual shall be informed whether he er eonfidentlal.subject of ed Upon his
data on
individuals, and whether it is classified as public, private
further request, an individual who is the subject of stored iprivatm and, ifo hpublic desires, shall
individuals shall be shown the data withoutany charge
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, ursuant to this section is
him for six months thereafter unless a dispute or action p
pending or additional data on the individual
the has
ate or public datarupon request by
ted. The
responsible authority shall provide copies P mayrequire the
the individual subject ofthe the actual.costshe of making,le certifying, and compiling the
requesting person to pay
copies.
The responsible authority shall comply immediately, if possible, with any request
e
e
made pursuant to this subdivision, or with n li five daays, y si of the immediate o of th ce risequest
not
excluding Saturdays, Sundays and legal he
possible. If he cannot comply with the requ et thin
hat time,
which shallo so inform
fy o with the
individual, and may hBVe an additional days within
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 public
not f or inrivate writing tthea oresponslb a author ty
himself. To
exercise this right, an individual shallY shall
describing the nature of the disagreement. The rate or nsiblin omplete and attempt to
within 30
days either: (a) correct the data found to benaccll
notify past recipients of inaccurate orincomplete he believesta, dthe ng datalto be correct
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. pursuant to the
The determination of the responsible authority may be appealed
provisions of the administrative procedure act relating to contested cases.
CWPCK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2340 1/44m./7-Ans.A. (3L PID:
DESCRIPTION OF WORK: . N'iti J01Z ( 't.0 t-
ZONING REVIEW BY: /V/J4 DATE APPROVED:
BUILDING REVIEW BY: 121)&010",- DATE APPROVED: (9-tZ ' °r7 _
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ' No SEWER CONNECTION
STATE SURCHARGE Yes 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 Departm-, t:
Post Offil Sc. -= 'District:
Lot Area: D= •th:
Survey Submi ' t-• : Yes No Date of Survey
Proposed Setcac
Front ( lake : _ Right Side:
Rear (Sureet : _ Left Side:
Adjacen. Structures: Weiland:
Building Hei•ht: D=f. Hgt. "eak Hgt.
Avg. Setback Lot Cov -rage:
a isting Propo -ed
Hardcover: 0 75 '
75- • 50 '
250-- 00 '
500-1100 '
Hardcover Va , iance Requir-d: Yes No D.:te of Council Approval:
Grading: Sta f Approval Da e: By: Council Approval Date:
Septic: Staf Approval Date By:
Zoning File: Res lution - olut' - Date:
REMARKS (in . ouse) :
•
37ILDING REVIEW CHECK LIST
UBC: '$ (3 - Z CONSTRUCTION TYPE: NN
Sq Footage $ Per Sq Ftg
asement x =
1st Floor x =
2nd Floor x =
garage x
x =
L'OTAL •
0
- Estimated Construction Value: $ 3,000 Q"
;inspections Required: Work Requiring Separate Permits: .
Site KPlumbing Grading/Filling
Footing /Mechanical Fire
$.FramingSeptic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
)( Final (mfg.) Other
Other Well (State Permit)
/Electrical (State Permit)
MARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NO'Trt) ON PERMIT) : S(.3(.3". 1 -3- S TeriA1 — v(-2 (Xe-4/ V
A .
• CITY On ttRONO-'-
BUILDING .---k .R.7=N REVTEW
UtytAllotv S
'i—s 41-6-- `-'`/rA:' '° • ,
.......3,10•000.01000.....••••••,,A00........0,001.400004.00,
ni:07:_____Go..._?,.. 0....5:3 r -r?: 7- NO. .
11 P.P1": 1.-;\./':_:-: ,'.-, '.. ,.--." . ''- i r•
ORONO COPY
F--1 -1-407 i i-;-i---:-T::;,',-- - ---
Th.ese c.ornrr...--1L.; ;.-uc f,:r ' .-.,,v •Thali be done
&41 111H cerripilce \\,;1- ,1; ,.,2;-d.c..;'.-.. :,; ng & zoning code re.-
tuvre-ruents :ncl-...!,rv, lion-1:-. (ic.t specifically noted In the' reV101116
244 I 4(EEF) THIS PLAN SET ON SITE AT ALL TIMES.
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CITY OF ORONO CALLED IN Q''DAA A/ TIME ,r,17
INSPECTION NOTICE LLQ SCHEDULED �• 1....
,3 :%3O
PERMIT NO. �� COMPLETED ••• '25 9..2P •
ADDRESS / / SPO ��
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OWNER - �' --�.��/w,'ONTR. _ ..,......,...gr._ _W.
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TELEPHONE NO. % 73- s t(31
DESCRIPTION
Lu LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
0
2 04 D. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
t` 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
41 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(1 COMMENTS:
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2 4 ORK SATISFACTORY:PROCEED ROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ,B�+ISSUE CERTIFICATE OF OCCUPANCY
1Z ID CORRECT WORK,CALL FOR REINSPECTION `t TEMPORARY
0 BEFORE COVERING �'
-�PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN r CIT -4. ED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. '-[
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac o o si
Inspector.
White Copy/Inspector's Fite Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7..11., ¶3 3: 3'0
PERMIT NO. X2.2 COMPLETED 7-IG-93 3:K S--
ADDRESS
ADDRESS �3s o W 4'12.1 \-- j- (3L 'J C
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
ui(4,1Q 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
1 RAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
— 03 INSULATION 24/25 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
✓ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IL 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
cc OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
O 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
Owner/Contractor • it
Inspector. if .. Carr--
A
White Copy/Inspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN t?/D��9 3
INSPECTION NOTICE SCHEDULED 'fid/93 3O
PERMIT NO. v COMPLETED 8-4 C7.3 cb
ADDRESS n�32Y,•�
(% f1) n
OWNER CONTR. ,d�,?
TELEPHONE NO. 47 3 ` 3 51 Y
DESCRIPTION ��-Z
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 LI12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
C,)• COMMENTS:
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WLU IDWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
VCORRECT
DI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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
Owner!Contrac •r o site:
• 4/
Inspector. •
White Copy/Inspector's File Canary Copy/Site Notice