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HomeMy WebLinkAbout1996 - 007678 - remodel PERMIT rITY OF ORONO PERMIT TYPE: �;t LFr I � 2750 Kelley Parkway- P.O. Box 66 Permit Number: r i /7 t,78 Crystal Bay, Minnesota 55323 Date Issued: (612)473-7357' �' ' SITE ADDRESS: 20 W00DH I LL RD LSV P. I . N . : 02-117-23-1 -000S DESCRIPTION: REMODEL Building Permit. Type SF-ADD/REMODEL Building Work Type ADDITION UBC Occupancy R-3 Construction Type VN Census Code 434 ALT . RESIDENTIAL REMARKS: SEPARATE FEF_ I T: , REQUIRFD FOR PLUMBING, MECHANICAL CHS LN I::::AL AND FIREPLACE . STAT E PERMIT REQUIRED FOR ELECTRICAL . FEE SUMMARY: • VALUATION $149,000 Base Fee $1 , 132 . 25 Plan Review 7:-;5. 96 Surcharge ________124-5Q Total Fee $1 , 942 . 71 CONTRACTOR: /- - Applicant - S;T . LIC . OWNER: KENNETH DURR ASSOC 1957789 1539 C ONNOR ._i OE=L 4830 WE S T GA T E RD 320 WOODI-#i LL... RD MINNETONF A 'IN 55345 ORONO MN ss 1 0;12) 935-7789 (612)404-0055 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF- ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . L_ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , DateReceived: • 4 Total Fee: S 00, 1 Date Approved: Entered By: Permit#: '7 Lr - CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMIT 1'I1.D IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) OWNER Olt2INTRACTOR '' \\ � ZIP: JOB SITE ADDRESS: a 0LJ G J.I < < G A NAitiIE OF OWNER:G l o- - PHONE: (home) '/o 1/41- oo (work) 3 1 - z MAILING ADDRESS: Z o aced Gs: t l 1.2.4 , CITY: �w z _fes . ZIP: CONTRACTOR: e N^y eta r PHONE: 9 3 - MOBILE PHONE/PAGER: MAHJINGADDRESS: '-4 8 ‘,$c(6,4— klam-,d CITY: nt,s0 at�Y. ��. ZIP: STATE LICENSE: # /53 9 J1'1of :,y , L„, ARCHITECT/ENGINEER: �!?4, d� �( �w�f w e- PHONE: 79 - 3 03 7 MAILING ADDRESS: 3 eyk, `� ('• S.F. CITY: /Y14,/,,, ZIP: S 5 y NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration X Land Alteration PROPOSED L WORK(describe indetail): mo �l ����n ei� j� -"l�'t r�3..�- ct'�- , �oa r STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): S 1 &4 q 1 c of 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 accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: /- y- Y 6 NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Von permitted events will not be allowed. ':4 %) 0 Ai w _ CITY of ORONO - ,. Municipal Offices ti. Post Office Box 66 '� crystal Bay,Minnesota 55323-0066 kESKDg 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. ?. 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 (see following paQe) to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRLNT C e I l'1 - First Middle Last (y- Address tAddress 111 3, -7 -1x,4 "'' ��{'° �' �`'` Phone CiState Zip I understand my rights as stated above. Signature TELEPHONE-473-7357 • FAX-473-0510 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision I. 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 inform dtate agency, of: (a) the purpose and intended use of the requested data subdivision, or statewide system; (b) whether he may refuse or is legally Political requiredto 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 stateyf�eeskedral lto supplyi nvest gat ve data, the data. This. requirement shall not apply when an individual pursuant to section 13.82, subdivision 5, to a law enforcement officer. nder The commissioner of revenue ma place the re°und instructions repuired insteadthis subdivision in the individual income tax or pr on those orms. — Subd. 3. Access to data by individual- Upon request to a responsible authority, an individual shall be informed whether hep vates esubject of or confidential.ed data on Upon individuals, and whether it is classified public, data his charge to him and, ifo he desires, shall further request, an individual who is the subject of stored private or n individuals shall be shown the data withoutof any data. After an individual has been Se informed of the content and meaning shown the private data and informed of its meaning, the data need not be disclosed to purs s him for six months thereafter unless a dispute bars action n collsuantcted to chs sectioThs pending or additional data on the individual responsible authority may require the responsible authority shall provide copies Tof he the private or public data upon request by the individual subject of the actualhe •costs of making, certifying, and compiling the requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, subdivision, or within five days of the date of the request, made pursuant to this suand legal holidays, if immediate compliance is not excludingsibe. Sae cannotaays, Sundays comply with the request within that time, he shall so inform the he possible. , and comply ys within which to comply individual, may have an additional legalfive dholidays. request, excluding Saturdays, Sundays Subd. 4. Procedure when data is not or private datate or lete. An individual concerning himself.mTo contest the accuracy or completeness of publicthe concerning hse authority. T exercise this right, an individual shall notify in writingresponsible describing the nature of the disagreement. Tiuhe ate orencomplete and attempt to authority shall within 3 0 days either: (a) correct the data found to be inacc notify past recipients of inaccurate or incomplete he believesata, the ng recipients to be the individual; or (b) notify the individual Bement correct.s Data in dispute shall be disclosed only if the individual's statement of disagr • 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. 40.- CHECK OFF LIST FOR ISSUANCE OF PERMITS • FOR OFFICE USE ONLY ADDRESS OR LEGAL: 220 W n o C t-t cu_ R-0,44 PID: DESCRIPTION OF WORK: 12c_v'.o Oc.7.-. ZONING REVIEW BY: N4/I DATE APPROVED: BUILDING REVIEW BY: (41,(Qii DATE APPROVED: I- 17- (.0 9 U t'EES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes V- No PLAN REVIEW Yes 7 No SEWER CONNECTION STATE SURCHARGE Yes - No WATER CONNEC,I ION INVESTIGATION FEE Yes NoPARK FEE INSPECTION SAC Yes No Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: , Shoreland District : Fire Depart of ent: Post Office: School District: Lot Area: S i. . Acres _ Width Depth Survey Subui.tt=o: Yes No Date of S ey: Proposed Se bac •. Frost ( •'e): Right Side: Rea_ (Stree': Left Side: _ Adj acent St tures: Wetland: Building He I ght: Def. gt. Pe.< HD. Avg. Setbac Blu Setback: Lot Coverage: Exi ing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover ariance Required: Yes No Date of Council Approval: Grading: taff Approval Date: By: Council Approval Da e: Septic: St Approval Date: By Zoning F. e: # •olution: # Resolution Date: REMARKS (in house): rt BUILDENG REVIEW CHECK LIST UBC: R-3 CONSTRUCTION TYPE: Y(v Sq Footage S Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ I`{°�1t)© ) Inspections Required: Work Requiring Separate Permits: Site /( Plumbing Fire Hardcover Removal � Mechanical Water Connection Footing Septic - Sewer Connection x Framing OC Fireplace - Lawn Irrigation p( Insulation (Masonry) - Other a- Wall Board (Mfg.) Well (State Permit) PC Final Grading/Filling A. Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): /7 CITY OF ORONO CALLED IN _ DATE ` j7 Ts13M /' INSPECTION NOTICE SCHEDULED a - 96 /- PERMIT NO. '7 i7Y COMPLETED ADDRESS 6 (L) OWNER Da/L7Ll e1 (2 1 J6 - CONTR. TELEPHONE NO. " 7 3 c/ DESCRIPTION 1*/ t2- 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = piNAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 144 = 09 PLUMBING RI 23 SEP11C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: 0� W 0 W 0 0 U- W cc Q LU W j W .WORK SATISFACTORY:PROCEED G PROJECT COMPLETE W( %• ❑CORRECT WORK&PROCEED ]ISSUE CERTIFICATE OF OCCUPANCY O [I CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ClSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OWnedContractoron tte: Inspector. )621-/Ci White Copy/Inspector's Fi Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ". � / ' / Q/GC INSPECTION NOTICE ,2 SCHEDULED L - -`/6- 1• -3C ct '(,�,� PERMIT NO. i COMPLETED -a--Q4. =� ADDRESS 3 9 c / ( - OWNER(//; -%^.` :L CONTR. TELEPHONE NO. 0 2/ � ' 7,V7 DESCRIPTION 4.1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG ti 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z P4 WALL-fib.' 12 WATER HOOK-UP 17 SITE INSPECTION cC = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I` 07 DEMO–SITE 27 SEPTIC MAINT. 21 COMPLAINT tQ 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: W CC O cC O W CC 12 W W j OWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑ 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 ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 OwnerlContr i Inspector. �Cf �� White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 7J"/ `�6- /� J&,2 INSPECTION NOTICE SCHEDULED x-18 t,„ /G.)'C���fi PERMIT NO. /(47 /J COMPLETED tJ ADDRESS 5_>? ) 1,) -z`—e OWNER CONTR. TELEPHONE NO. DESCRIPTION 01 F Com 11 MECHANICAL RI 18EXCAV/GRADING/FIWNG 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP • 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc a CC O CC O W CC W W cc L FORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT El 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 t ins ction 24 hours in advance.473-7357 OwnerlContrac n site Inspector. e White Copy/Inspector's File Canary Copy/Site Notice