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HomeMy WebLinkAbout1992 - 004874 - remodel 4. PERMIT CITY OF ORONO PERMIT TYPE: BUILDING 1335 Brown Rd. South • P.O. Box 66 Permit Number: 00 4874 74 Crystal Bay, Minnesota 55323 Date Issued: 1.7.11 7/92 (612) 473-7357 SITE ADDRESS: 960 WILLOW DR N LSV 27-118-23-33-0004 3-33-0004 DESCRIPTION: REMODEL Building Permit. Type 'SiF-ADD/REMODEL Building Work Type RENOVATE/REMODEL URC Occupancy 88 R-3 Construction Type VN REMARKS: LS TY L'! L'!1L'ITL' L11Tr1ITiAN 'r "LL tf'r _I 4L L! I 14L 100000 FEE SUMMARY: E rrA. Ail VALUATION $12. 000 1;-_�01 t?1 L•LIT li' '•"V Jy't71 VVVVVrr 01 VLN 87.75 Base Fee 1222200000$1:= 0000 ,h [' $87 . 7s ' Pla•.i, Review $87 . / C • r:0 Surcharge saa _cirri c''.I CHECK IL4! Total Fee _ _ . +b is iCTi_T_�'LiAii L III II-4L11 / 11!nI_tI 1 VI/ 44'4. lis .••s i TTi L'1-iLlV 4:V1/1 I%VI !l.L'•L�' CONTRACTOR: Q E - Applicant - RAY 960 WILLOW DR N ORONO MN 55:355 (1;1'2)475-0791 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 {ARDINANGES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. L_ -I •:\ ("4"-ti ••PLICANT%PERMITEE SIGNATURE ISSUED BY SIGNATURE 4. $ CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Ali 7S Date Received: /2 - /2- I Date Approved: Entered By: ' /14.4),','") p N7,f Permit#: 44 ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER -•r CONTRACTOR JOB SITE ADDRESS: 9 6) O W 10-0(-4-) �`-� ,At. ZIP: S-5-3 5-4) (work) NAME OF OWNER: (-- o c-)L���.r- PHONE: (home) 177S--°7 / MAILING ADDRESS: 900 Lir CIS lit CITY: (t /L SNF' ZIP: 3 3 -S-4- CONTRACTOR: 'CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration )( Renovate X Land Alteration PROPOSED WORK (describe in detail) : f Le-a-6-c .- - -- - -- d.e LA-9-s . STORIES: )------SQ. FEET OF EACH FLOOR: 9770 f- cf5,3-y-- NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /-, -a ' 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: (J A DATE: 1 - 1 d - 9. ---- .. . , • 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. ik-. L . 10Ck4- Fri First( Middle Last 9620 (J/ a©w , ),K- . iV Address 0 Ala /C1N City State Zip Phone I understand my rights as stated above. G Signatu 6L'L\ , BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING V 513.04 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 awithin tshhe be informednstate agency, of: (a) the purpose and intended use of the requested d hether he may refuse or is legally (b) w 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 otherersons or entities authorized by state or federal law to receive the data. This. P 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 may place the notice required under this subdivision in the individual income tax or ro arty Laic re andinstructions 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 sthe subject o stored Upon his individuals, and whether it is classified as public, privateal. data on further request, an individual who is the subject of stored privatm e ifo public es, shall individuals shall be shown the data withoutany � data. After an individual has been e he desi Se informed of the content and meaning thy, data need not be disclosed to shown the private data and informed of its meaning, him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has ate or public datacollected ruponarequest by ted. The responsible authority shall provide copies P the individual subject of the data. stabe of making,lcertlfyingyand compiling the may require the requesting person to pay the actual co copies. The responsible authority shall comply immediately, if possible, with any request te of he made pursuant to this subdivision, or withinlids edasi of he da compliance risequest, not excluding Saturdays, Sundays and legal Ys' if possible. If he cannot comply with the request within that time,within ch toh ll so inform with the individual, and may have an additional five legaldays ho idays�. request, excluding Saturdays, Sundays Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pnotify blic or inrivate wrting tthea oresponslb a authority himself. To exercise this right, an individual shall describing the nature of the disagreement. bbe inaccurate or he responsible ncomplete and attempt to authority shall within 30 days either: (a) correct the data found notify past recipients of inaccurate or incomplete thatehe be.Iievesdthe ng dataito 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. ! ao M CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY /Z ADDRESS OR LEGAL: ( u It,4,6L.c;-6, /'✓ i // PID: .n11- /,/,3-- :2. .-5 c. 6-rV in DESCRIPTION OF WORK: /t„;-7"7'7e-rC<'- ZONING REVIEW BY: i\IM DATE APPROVED: BUILDING REVIEW BY: ;• (LA ,,,,zi,.� DATE APPROVED: 1' 1.-17 - 4'i Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes VNo PLAN REVIEW Yes_' No SEWER CONNECTION STATE SURCHARGE Yes f No 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 Department: Post Office: Schou' District: i Lot Area: Width: Depth: Survey Submit ed: Yes No Date o$ Survey: I Proposed Setba ks: i Front (Lak'a) : Right,`Side: , Rear (Street) : /r Left !Side: Adjacent Sttuctures : / Wetland: Building Height: k; Def. Hgt. Peak Hgt. Avg. Setback: i Lot Coverage: ExistingyPropoised Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: 'es N. Date of Cou'icil Approval: 1 Grading: Staff Api val Date: By: Council Approval Date: Septic: Staff Appr val Date: By: Zoning File: # Resolution # : Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST A 411 UBC: tS. - k 1CONSTRUCTION TYPE: VN Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ,Pam Cc4- Inspections Required: Work Requiring Separate Permits: Site APlumbing Grading/Filling Footing Mechanical Fire )(Framing Septic Water Connection xInsulation 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) : ORONU COPY Schedule of repairs and renovations: 1. Upper bathroom: A. Move center wall (south) two feet to the south. B. Install new insulation and sheetrock. C. Install new tub, stool and sinks. D. Install an exhaust fan, new lights and a GFI outlet. 2. Upper hallway: A. Install new insulation in exterior walls. B. Install new sheetrock, walls and ceiling. 3. Living room: A. Install new insulation in exterior walls. B. Install new sheetrock, walls and ceiling. C. Install 1 new electrical duplex outlet and recessed lighting. 4. Dining room: A. Install new sheetrock on ceiling. B. Move existing light location. 5. Kitchen: A. Install new counter top and sink. B. Install new recessed lights. 6. Half-bathroom: A. Install new insulation in exterior walls. B. Install new sheetrock, walls and ceiling. 7. Lower family room: A. Install new wall studs on west and south walls. B. Install new insulation in exterior walls. C. Install new sheetrock, walls and ceiling. D. Install new recessed lights and duplex outlets. d LAD 0 I- • ,N A L-041 ._._ ... .._.... • r,� : � t. n,^-t n r. I � 5 '1)/ 6 r 4orP.1 r S s-- /N q C(0 c,# 7 tetC t. 111 AI PAO V..1 \- S 0(.21 A w Alt— L r d :1,� /4c "44) P tv rev-IAA *C�4f VM, . l.a ILL .c_ )vlam ne,t Le) c_ d . i f S R d 5_,_ '^'5 Eric,¢. DATE TIME CITY OF ORONO CALLED IN / 'Zs"/7---Y q 1 INSPECTION NOTI ESCHEDULED /2- .-/? .- PERMIT NO. `7 6 7 ,/ COMPLETED Lf ADDRESS ! (e D �,C.� /O/OA_ /1) OWNER /0''-t% CONTR. TELEPHONE NO. 4/7 — D 9/ DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRA 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 ti 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 J Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 9 COMMENTS: Lu CX 131 110Leiev -4z) 70 alleA010\- cc 0 C 0 W W CC Q W Z W CC d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Ct ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contrtor cIn site: Inspector. "abi UdA.A{ White Copy/lnspec is File Canary Copy/Site Notice DAJE TIME CITY OF ORONO CALLED IN /-2/.Z//9L INSPECTION NO ICE SCHEDULED AZ/202— //:0 a PERMIT NO. 4fg� ��COMPLETED 2--Z/-S"7._ I I:ob ADDRESS cm -�-�-e-etc/S OWNER ��Z.L� CONTR. _ ."-f TELEPHONE NO. '-/-5--O 7,/ DESCRIPTION Jl��/k. / Ij 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y e- , . ;TION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS 0 • r, 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 v 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: a �� Ks i Ai-e4 cc 0 cc 0 Q 6,1-17( (=`'``'4" ( w .,i �....a.� Q toW Z W CC 0 cr W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n_ 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/Contracto 1 i2/701...._ Inspector. White Copy/Inspector's File Canary Copy/Site Notice