HomeMy WebLinkAbout1992 - 004120 - expand kitchen PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South P.O. Box 66 E: ,,'T [�i
Permit Number:
0041L.,
:
Crystal Bay, Minnesota 55323 Date Issued:
01/03/92
; F_=i,
(612) 473-7357
SITE ADDRESS:
.7,s06
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DESCRIPTION:
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REMARKS:
SEPARATE C�I'`,I!°� REQU/RED FOR PLUMBING, MECHANICAL fl" FL_F�� ^ ,r
i ii i_t-tt_ 4. attic! .
FEE SUMMARY:
Rev
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OWNER:
CONTRACTOR:
-- H�:r�:.l 1�ciF�t• -
Fit-j Di.l�i'�_ JOHN E-
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APPI A °/1 J
L CANT/PERMITEE SI TURF ISSUED BY SIGNATURE
_ CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ '?j 5/, �j� Date Received: 47/2_6,/9,
Date Approved:
Entered By: ,e%/ Permit#: y/.26
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one ) TiNER)or CONTRACTOR
JOB SITE ADDRESS: Z- ( ?c,L ZIP: Sir 3 3 )
(work)
NAME OF OWNER: T7 i1AI' 2 126 d> e-Jas PHONE: (home) '92/- 93 90
MAILING ADDRESS:2.‘DG vv L,3/'dye 17e 12t CITY: Lr . C L'L S/0 i2 ZIP: 3.3/
CONTRACTOR: j () A✓N L i2 0 Ip /21 PHONE: /2/ ' 93 9e
MAILING ADDRESS:zjQD 1f4y Jig /CITY: Lei((LLSi0/2. ZIP: f 3 3
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration )< Renovate Land Alteration
PROPOSED WORK (describe in detail) : rxine A E L y- t x .9-0✓� i i i G Hem
ti 7`d 7 71 i /2v G"f9/2, 6'L S 7-19 L[-
STORIES: / SQ. FEET OF EACH FLOOR: 174' D
NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. 3 DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2- o, i BD
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: /2) 26/91
CHECK OFFFLISTFFOROFF FLUSERISYOF PERMITS
OICADDRESS OR LEGAL: Z60(, W6Srr CiefFRY&T'T1 PID:
DESCRIPTION OF WORK: (?�ww+aE.t..,.
ZONING REVIEW BY: DJ//4" DATE APPROVED:
BUILDING REVIEW BY: �Q E ,�-- DATE APPROVED: b Z�
e—
iS TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes P///No
PLAN REVIEW Yes (- No SEWER CONNECTION
STATE SURCHARGE Yes' No WATER CONNECTION
INVESTIGATION FEE Yes No ( PARK FEE
SAC Yes No j SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING ClCR LIST Zoning Dis L.rict:
Fire Department: Post Office: Schoo .istrict:
Lot Area: Width: S Depth:
Survey Submitted: es No Date • rvev:
Proposed Setbacks -
Front (Lake) Rig' de :
Rear ( Stree ) : Le , de :
Adjacent S ructures : Wet?-nd:
Building Heigh : Def. - -t. . P -ak Hgt.
Avg. Setback: Lot Co erage:
Exi -ting Pro-.sed
Hardcover: 0 75 ' /
75 250 '
251-500 '
501-1000 '
Hardcove • Variance Re., it:d: es No Date of ' ouncil Approval:
Grading Staff Approv- 1 rate: By: Cou cil Approval Date:
Septic Staff Approve rate: By:
Zoning File :# R--olu/' on #: -esolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: R-3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x
Garage x
TOTAL
os
Estimated Construction Value: $ Z OAOv
red: Work Requiring Separate Permits:
Inspections Req,; _Piumhing Grading/Filling
Site _Mechanical Fire
)Framling Septic Water Connection
Fra
uat F rnpi_ace Sewer Connection
_
Wall
Insulation (Masonry) Other .
OLFina Board (Mfg. ) Well ( State Permit)
D�Oine
/ Electrical (State Permit)
Other
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date
By:
REMARKS (TO BE NOTED ON PERMIT) :
./
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u£: CITY of ORONO
lilOWIATI Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
QF_—
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.
Tdb"-/ R . . 17e.,ks
b,�du?leFirst T t
2- 6d‘ 1, 1- n/ A-y e 17 /eot
Address
1.X GILgr d2 711 n./ S.S 33
City State Zip
771 . 93
Phone
I understand my rights as stated above.
Sign ure /(:113+4.-'
ir,!vv-- •
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE -473-7358 • PUBLIC WORKS -473-7359
ASSESSING
DATA
513.04 RIGHTS OF .SUB.7r CTS OF DAT A
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
thewithin thcollecting 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
state or federal law to receive the data. This
other persons or entities authorized by investi ative data,
requirement shall not apply when an individualas asked to awenforcement g
pursuant to section 13.82, subdivision 5, o
The commissioner of revenue may placee the rnotice uni re.uited under this
subdivision in the individual income tax or •ro V
on those orms.
Subd. 3. Access to data by
individual Upon request to a responsible
subject of
authority, an individual shall be informed whether Pr vateis eor confidential.ed data on
Upon his
individuals, and whether it is classified P data is
to him and, if he desires, shall
n
further request, an individual who is the subject of stored private or
individuals shall be shown the data withoutany charge. After an individual has been
Be informed of the content and meaning the data need be disclosed to
shown the private data and informed of its meaning, neednotto this section iso
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been collected or created. The
provide copies of the private or public data upon request by
responsible authority shall the
the individual subject of the data. The responsible
authority and
ayc�mqi require the
requesting person to pay
the actual costs of making,
copies. ssible, with any request
The responsible authority shall comply immediately, if p° of the
made pursuant to this subdivision, or withinfive
df ysi of the
da compliance risequest
not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shall sopinformthe
within which to comply individual, and may have an additional legal daysdays.
request, excluding Saturdays, Sundays
Subd. 4. Procedure when data is not accurate or complete. An individual may
To
contest the accuracy or completeness of public or private data concerning himself. To
exercise this right, an individual shall notify in writing
the respondescribing the nature of the disagreement. Tnaccura a or omQlete and attempt to
authority shall within 30
days either: (a) correct the data found to be
notify past recipients of inaccurate or incomplete he believesata, the datalto be
the individual; or (b) notify the individual that correct.s
Data in dispute shall be disclosed only if the individual's statement of disagreement
included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
DATE TIME
CITY OF ORONO 4/.3,0' CALLED IN .5�5�9z
INSPECTION NOT CE SCHEDULED Tito 'O ;(.37-)PERMIT NO. 1l a O COMPLETED C( t
ADDRESS — OC, 2 - ,-2 ( ef'
OWNER /CONTR.42,ezi--,
TELEPHONE NO. 47/— l3 5\o
DESCRIPTION
IQ 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
• 04 WALL 13Z., 12 WATER HOOK-UP 34 TREE REMOVAL
= 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
PLUMBING FINAL 23 SEPTIC FINAL
▪ OWNERICONTRACTOR TO MEET YOU:jzIES_NO
ce)• COMMENTS:
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LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner!Contrtorbn site:
Inspector.
White Copy/Ins ector's File Canary Copy/Site Notice
ATE TIME
o�.
CITY OF ORONO CALLED IN /�-'�/�
INSPECTION NOTICE SCHEDULED c.<'/.�S/5' 9 3 a
PERMIT NO. '1 2 0 COMPL ED N
ADDRESS t CoN-4-6:(1-f O
OWNER
Nf.
TELEPHONE NO. q i-7/ - 9390
DESCRIPTION
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
h
03 INS TICK 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
• 4 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 0 NAL 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
10 PLUMBING FINAL 23 SEPTIC FINAL
S OWNER/CONTRACTOR TO MEET YOU:AYES NO
to,• COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
tZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
0 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
OwnerlContra r o Lite:
Inspector.
White Copy/Inspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN -/ 'fa? �1
INSPECTION NOTI� SCHEDULED .2'" O oc iUT>
PERMIT NO. COMP ETED N, /1
ADDRESS 4 p . W
OWNER ` h .� - ONTR.
TELEPHONE NO. / '/ 7i - 93 �6
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
W 0 G 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 W L 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
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
Lu
4-0 CO 0 eAr-
cc
cc
O WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W
C ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
Q ❑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
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerIContrac ite:
Inspector. tl
White Copy/Inspector File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /3
INSPECTION NOTICE SCHEDULED / ld ` 3 O
PERMIT NO. Li( g O COMPLETED � ='
ADDRESSp� /� �-
OWN ER !C 7, ._ ONTR.
TELEPHONE NO.. y7� — %3 6
DESCRIPTION
01 F 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
v/ 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 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
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
oy COMMENTS:
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WORK SATISFACTORY:PROCEED E PROJECT COMPLETE
w
❑CORRECT WORK&PROCEED ❑ 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
I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract site'
Inspector. -J
White Copy/Inspector's File Canary Copy/Site Notice