HomeMy WebLinkAbout1993 - 004971 - add/remodel PEP MIT
CITY OF ORONO 1 _
PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: 01./
(612) 473-7357
SITE ADDRESS:
3515 WEST LAFAYETTE RD
JR
P . I . N -117-2 3 34-0049
DESCRIPTION:
Building Perri-tit Type SF-ADD/REMODEL
Building Work Type ADDITION
URC Occupancy 88 R-3
Contruction Type VN
Zoning LR-1B
CITY OF 131,'DAD
uFFiCE
1313100000
TI
01 GEN 362.50
1350100000
TI
01 CEN 235.63
1222200000 TI
44
01 &EN 21.00
CilECK Ti. 619.13
REMARKS: RECEIP T-Ipi4ANK YOU
#266590 C001 RO1 T1209
,
SEPARATE PERMITS REQUIRED FOR PLBG, MEC:H AND ELECTRICAL (STATE PERMIT)
FEE SUMMARY:
VALUATION $42, 000
Base Fee $362 . 50
Plan RE-view $235 . 63
Surcharge
Total Feiz. $619 . 1:3
CONTRACTOR: - Applicant. - ST . LIC OWNER:
JOHN KRAEMER & SONS INC 19430037 0001408 GAGNE JIM
10205 ANTLERS RIDGE 2615 WEST I AFAYETTE FD
EDEN PRAIRIE 111\1 55347 EXCELSIOR MN .5..-3331
(612) 943-0037
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF .
0
ORONO OR I NAN .ES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
411111111
A
APPLICANT/1, -MITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO - fik1 A)ING PERMIT APPLICATION
Total Fee: $
(e, I C 1 3 Date Received: (22-0/-0) -13
Date Approved:
Entered By: /1/
Permit#: 7 �/
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER o CONTRACTS '
JOB SITE ADDRESS: z-- l S `'U6"->\ `` '7 F' �"- ZIP:
(work)
NAME OF OWNER: Mc \--d\' ` G�`�'. - PHONE: (home)
MAILING ADDRESS: _ CITY: ZIP:
CONTRACTOR: , "�v` �°E1' ""Y • C - PHONE:
MAILING ADDRESS: \ C2-C`; �.T� •Arlt CITY: \=� �' ZIP:
STATE LICENSE: # CCJC% kLt
ARCHITECT/ENGINEER: 1/4-- -\^%"^A"\- PHONE: LA1 (D L 2-Z
MAILING ADDRESS: 2 0 rc. A'`, A"c CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : C '�v�y 7 , ikc64c4,', o -P
STORIES: Z- SQ. FEET OF EACH FLOOR: 7NZ`f
NO. OF BEDROOMS: 4-e GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ `-1-1-, ci -3°
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
)rdinances and codes of the City and with the State Building Code; that I
inderstand this is not a permit an., work is not to start without a permit; and
that the work will be i accord:nc= ith the approved plan.
411111111111.-11)
.PPLICANT'S SIGNATURE: i_ •r DATE: 2 t-S
CHECK OFF LIST 'OR ISSUANCE OF PERMITS
. 11 FOR"`Ori ICE USE Q Y
< 2(,/ !tied 0\1NS /d ie �/
ADDRESS OR LEGAL: —1 PID:��� ll� -
l -2- - 00 C
DESCRIPTION OF WORK: ADD/770/4
ZONING REVIEW BY: ,dr- ,i2.0 al/Vv..et". DATE APPROVED: 2. -Z3" i 3
BUILDING REVIEW BY: •A. g•o 62.1ADATE APPROVED: Z-2 3 -S 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes t/" No
PLAN REVIEW Yes r/- No SEWER CONNECTION
STATE SURCHARGE Yes 1/- No WATER CONNECTION
INVESTIGATION FEE Yes No - PARR FEE
SAC Yes No & SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: 4/2 -)8
Fire Department: rytia v nrc0 Post Office: Gx e,,e.c t ,t School District: (A_) es7"D/vk4
Lot Area: N /C Width: Depth:
Survey Submitted: Yes x No Date of Survey: 5- 1R -5b
orf- 8n! Cwe
Proposed Setbacks:Front (Lake) : /WA Right Side�S�e-I K i
Rear ($k _=t) : �S' Left Side: A/ I
Adjacent Structures: AJ/40 Wetland: /61.-
Building Height: Def. Hgt. 0. 1( Peak Hgt.
Avg. Setback: /V M- Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 ' 0 0
250-500 ' V?• Z crld (t 1 01-0
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Dat - . By: /C•u cil Approval Date:
Septic: Staff Approval Da By:
Zoning File:# / e .o1uton #: , Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: c (e. - 3 CONSTRUCTION TYPE: -
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x
x =
TOTAL
Estimated Construction Value: $ y Z, 0 Q0'-
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
q'Footing ,K Mechanical Fire
Framingli
Insulation
Septic Water Connection
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) :
. .. ....
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.
First / Middle Last
\
Address
City State Zip
Phone
I un rtand my i• is as stated above.
410
Sig1iature
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 the be
info med of: (a) the
state agency,
purpose and intended use of the request
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 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 •roperty 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 informdwhether hpr priis vate or confidential.subject of ed data on
Upon his
individuals, and whether it is classifiedpublic, public data on
further request, an individual who is the subject of st r privatehim ifo hdesires, shall
individuals shall be shown the data withoutany charge. After an individual has been
Se informed of the content and meaning the data need disclosed to
shown the private data and informed of its meaning, neednot beeis section iso
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been collected
llle c datorupre request bye
require the
responsible authority shall provide copies of the private or
the individual subject ofthe actualhe •costsh of making,e l certifying,e and may
the
requesting person to pay
copies. if possible, with any request
The responsible authority shall comply immediately, e
made pursuant to this subdivision, or withinholidays,df ys
of he datee of th ce eisquesot,
excluding Saturdays, Sundays and legal S�5�
possible. If he cannot comply with the request within that time,
hich toshall so info with the
rm the
individual, and may have an additional legaldho Sys.
request, excludingSaturdays, Sundays
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. The
in omelet and attempt to
authoritY shall within 30
days either: (a) correct the data found to beinaccurate or
notify past recipients of inaccurate or incomplete he believesata, dthe ng datalto be
the individual; or (b) notify the individual correct.s
Data in dispute shall be disclosed only if the individual's statement of disagreement
• included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the
provisions of the administrative procedure act relating to contested cases.
DATE TIME
CITY OF ORONO CALLED IN { �3- 5-h
INSPECTION NO�TIICE,/ SCHEDULED / /947
PERMIT NO. / 9 // COMPLETED•� I.0
ADDRESS 4, / S C�) ;X Lt- r
OWNER "��—�/� — CON R. /Y%z-ems v
TELEPHONE NO. ✓ ' y rc t 37
DESCRIPTION
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 IN ION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q AL 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
Lu 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
C) COMMENTS:
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0
cc
0
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CC
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O II CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ov BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner!Contror on ite:
Inspector.
White Copy/Inspector's ile Canary Copy/Site Notice
D�TE93 TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED v- 9 9 3 6
PERMIT NO. 171y 7/ COMPLETED (-4 tit
ADDRESS ` /V ("0 /yet 7-et( -
OWNER CONTR. CA-d- te- -J
TELEPHONE NO. ?r41— S ?''1"
DESCRIPTION
4, 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
LL 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
14.1 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
C3 COMMENTS:
cc
W
Q..
cc
0
cc
0
Lu
cc
Q
W
W
cc
d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner/Con orals e:
Inspector.
White Copy/Inspector's F'a Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN q/( /93
INSPECTION N I E SCHEDULED '4/'719 3 LO-'3 a
PERMIT NO. 67/71 l/ C MPLETED it
ADDRESS 4" ()i - ?Zy,o-&--
OWNER
CONTR.
TELEPHONE NO. 94 3-003 7 <✓L OcoA' "8c) 3/
DESCRIPTION 5°3 f)
W 01 Fe STING 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
• •N 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
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
o COMMENTS:
cc
Q. .; ,ARl�
Irr>_
c
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U.
W
cc
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cc
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1U )(WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑('ORRECT WORK&PROCEED rSSUE CERTIFICATE OF OCCUPANCY
.• URRECT WORK,CALL FOR REINSPECTION TEMPORARY
O
U _ PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E 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 9n sit :
Inspector. .. (,IA
White Copy/Inspector's FiI Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN , 3`/7c.
INSPECTION NOT CE SCHEDULED /-z./' 3 /1 0 C7
PERMIT NO. ,/'71 COMPLETED `f N
ADDRESS(-77&/5---W-(25 c pJ
OWNER/ �s2io_4J �CONTR.
TELEPHONE NO. 25 '7933
D : ON
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 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
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
' OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
W
cc
J
O
CC
O
LU
W
W
CC
LUd WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE 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/Contractor 99 site:
Inspector. (E .)
White Copy/Inspector's File Canary Copy/Site Notice