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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: cc W Q. cc 0 cc 0 W cc Q W W 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 O U. W cc W cc O 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