HomeMy WebLinkAbout1993-004937 (Remodel) PERMIT
CITY OF ORONO . .. r PERMIT TYPE:
i�,:i�.i,s;�{•,�c�
1335 Brown Rd. South • P.O. Box 66 Permit Number: ;-�,;:;�:�_;i
Crystal Bay, Minnesota 55323 Date Issued: - -
(612) 473-7357 i_f�_':'ii::�.,''tl::;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMIVIARY:
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CONTRACTOR: — ���p}. �.r c;t-tt. -- OWNER:
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UCANTrPERMITEE SIGNATURE ISSUED 9Y:SIGNATURE C.�'a�t/
, CHECR �FF LIST FOR ISSIIANCE OF PERMITS
FOR OFFyCE USE ONLY
ADDRBSS OR LEGAL: ���� `� �V ��%c�' ��I"� PID:�I' -// �":�- 3 �� C)�� � �--
DESCRIPTION OF WORR: R��PL'�u TO vN�p(�T1 O�`'�
--------------------D----------------------------------------------
ZONING REVIEW BY: �i�y�Qo DATE APPROVED: N��
—_Q
BIIILDING REVIEW BY: Qv�(o l5lJw•t� DAT$ APPROVED: Z- 5-53
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No� PARR FEE
SAC � Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Post Office: Schoo ict:
Lot Area: Width: Dept .
Survey Submitted: es No Da e of rvey:
Proposed Setbacks:
Front (Lake) ight S de:
Rear (Stree ) : Left S de:
Adjacent S ructur s: Wetland:
Building Heigh : Def . Hgt. Peak Hgt.
Avg. Setback: L Coverage:
Ex sting Proposed
Hardcover: 0- 5 '
75- 50 '
250 500 '
500 000 '
Hardcover ariance Re u' ed: Y s o Date of uncil Approval:
Grading: Staff Approv Date: uncil Approval Date:
Septic: Staff Approva Date: BY=
Zoning Fi�e:# Reso ution # : Reso�ution Date:
RF,MARKS (in house) :
BIIILDING REVIEW CHECR LIST
IIgC: fj'$� � -3 CONSTRIICTION TYPE: �--
Sq Footage $ Per Sq Ftg
Basement x =
lst Fl.00r x =
2nd Floor x =
Garage X =
x =
TOTAL
or�
Estimated Construction Value: $ �S',OOa—
Inspections Rem�;red: Work Requiring Separate Permits:
Site � �Plumbing Grading/Fill�ing
_�Footing �Mechanica� Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa7�1. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
�Electrical (State Permit)
------------------------------------------------------------------------------
REMARRS (IN HOIISE) :
------------------------------------------------------------------------------
REVIEW BY OT�tS: DATE:
Access: Existing New
Access Approval: Date BY�
------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PFItMIT) :
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ ' �� /, �� Date Received: � � � ' `1�3 �
Date Approved:
Entered By: ' ��;!�
- Permit�: =t`i�j^
ALL INFORMATION MIIST B$ SUBMITTED IN FDLL BEFORE PLAN REVIEW WILL BB STARTED
{See Check-off List Enclased)
---------------------------------------------�__�------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTO
Jos sz� AnDxsss: � � (�� ���-Ge`�" zzP: �.�3�z`3
����'� �'l � (work)
u
N� OF OWNER: ' �-��i. ONE: (home) ���'����
MAILING ADDRESS:�,�SS yQ2�C'2 �`�'. CITY � ZIP: SS��-�-
4 i
CONTRACTOR: . � . .t,' PHONE: �SLS-'���I
MATLING ADDRBSS: �/Q � �rv+~�� CSZ7: �1+455Z,[.� !U ZIP: ���r� 7
STATS LICENSE: � r�d[,�f �6
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRBSS: CITY: ZIP:
1,7�: RBGISTRATION �
TYPE OF WORK: New Addition Accessory Structure Mone
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) :,���7�! / ��SF�IL u''� L,t ND�� �X�s`t�•��. _
� I'^f�G R l�pp�E'vX .3�c- '� ��-/ K `L�1 l7��
us.� , �
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: GARAGE ST1�LI�S: ATT. DET.
. G'�' '
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �[�C�c� +
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 ' s n a permit and work is not to start without a permit; and
that the work wil 1 e i accordance wi the approved plan. . •
A.PPI�ICANT'S SIGNATURE: DATE: � I / �
Y,, � �
� =t'
^4. � "�
lµ �, k'f �
�3�� ` f� CITY of ORONO
s_ � ��a:
��_:
� -
. "��''''.�`�; Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
_ � ,ti� y`,
,y,ti� .e','+.
� - s��`e'�" 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 confidentiaZ information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or Iicense 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 Iocal , state or
federa]. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this applicatian or
ermit.
�z �� � � ��
First Midd e Last
� �lrt�
b
r ss .
U\ IQSS e.�..` N S � �
City State Zip
���- S�si
Phone
`*� I u derstand my rights s stated above.
� ,
� �
1
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�_04 RIGHZS OF SIIB.TECTS OF DATA .
Subdivision 1. Type of data- The rights of individuels 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 in�ivi��' An.individual asked to
� supply private or confidentiel data concerning �am i hin the collect g state agency,
purpose and intended use of the requested �b� Whether he ma� refuse or is legally
political subdivision, or statewide system; �own consequence arising from his
required to supply the requested dat8; (c) any
supplying or refusing to supply private or confidential data; end (d) the identity of
other persons or entities authorized by s Vadu� �e�kedlto supply in est gat ve da a
requirement shall not apply when an indi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue m$ rolert tgX re�und instructions insteadhos
subdivision in the individu81 income tax •r
on those orms. . -- -
Subd. 3.
Access to data by individual- UPon request to e responsible "
authority, an individusl shall be informed whether h��ateeor confident al.e Upon his
individuels, and whether it is classified as public, p
further request, an individual who is the subject of se tr�e�mri�v�aae if he des res, shell
individuels shall be shown the data withou�t an�y ��g. After an individual has been
6 e i n f o r m e d o f the content Snd meaning t h e d a t a n e e d not be �isclosed to
shown the private data end informed of its meaning,
him for six months thereafter unless a d?S u�Q h� b en c llected or ctreatedtioT��s
, � pending or additional data on the individ �bue data upon request by
responsible authority shall provide copies of the private or p
the individual subject of the �ta• � of making,l c�rt fyingyand c mPiling the
requesting person to pay the actual cos
copies. immediately, if possible, with any reQuest
The responsible authority shall comply
made pursuant to this subdivision, or �th IiaB���f Simmediategtcompliance eisu not
excluding Saturdays, Sundays and leg
possible. If he cannot comply with the request withinNithintlW�ch toh omplynw�h the
individuel, and may have 8n additional �ve days
request, exeluding Saturdays, 3undaYs and legal holidays.
Subd. 4. Procefiu'e �►hen data is not accurate or complete. An individuel may
contest the accuracy or completeness of public or privete data concerning himself. To
exercise this right, an individual shalln�otTh T Spo�n�.s�ibletauthorty shall w thin 130
describing the nature of the dLsagreeme
days either: (a? correct the data foundincom lete dataeincludingreec pients namedt by
notify past recipients of inaccurate or P
the individuel; or {b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed date. eaied ursuant to the
' The determination of the responsible authority may be app P
provisions of the administrative procedure act relating to contested cases.
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' ' 1204. Stairs, exits and smokeproof encfosures shail be as spec�fied in , ;
; Sec. ....._... :...... ......._. ........ ;...... ,.. ......;.......... ......; :... ; . ...... ; ;...... _;... ;,. _;..... : . :�U-i-LD 1.N-G......�!�f�2.�1�t�T ;F�L.14.1"r�... �2���M�111�'._ : ..
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. Chapter 33. ; ; ;
' ' units and everv sleeping room below the fourth story ; ; y_
; Basements m dwelling - _...;:.. : .. ....-----. .........:........._.........._...._.._.� ............. .. .:...... ;. ..;._.... ; 2tx�F�[b�..�,,,,«,,,,� ....�:-.:�:�wrc.»���.:..
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; ; ° ; shall have at least one operable window or door a pr�oved for emergency escape oi , , , _
, . • � ublic alle . ard or ex ; ; ; ; ; ; ; ; ' ; ; -4. " -..__�'�Fx�G...1�l� .....
1 mto a ublic street, p Y Y , .... -.
ch shall o n dtrect y P . ............:............:...................._._....... ..........:............... ..__..:.._.............__..,................................................ ,,....... > ...... 4. ....... ...,..... ;... :......x ..: ...::.,�,a � ...-�.,.,...-�..�<_,
_..._...............�....._...._...---.--._........._........., ...; .. rescue whi � �e inside to rovide a full clear opening, ; ; ;
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court.The units shall be operable from P ° r. r -,,; 4, , � �r i r� •
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arate tools. .. ....:............:...... ;...... ;..... ; _,.... ' ', ;... ; : . .-.,�. _..�r, , -� -,-,� , �---�
._...._.�......................................:................._........ ...; without the use of sep ' ; ; .;.�,,...�(`r ,i;r C ,:�, �:: ,�;��,;�>:;��. ��.�.�,��...
windows shall have a minimum net clear openable area of ' �--, ..,,, , �-�•, `_ ; =r
; All esca or rescue . ... . .... ..... . ...... ... ._ .i. �_. _ .. ._ . ..... .
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---�-* � ---` ---~-�����---��-�--�� -�---�-^� �� ' 'nimum net clear o nable height dimeasion shall be 24 ---- -
5.7 sqnare feet. The nu Pe ...... ..` �
� i�h�'�Sl' C'J !^:'i:Y. i�.. i%t y7�:' "E'rGfi�"ti?l�tiOfl• S'il`W�G:14 :�t�i{� f7L� E1tyl1e'
• 'nimum net clear o nable width dimension shall be 20 inches. ; _ ,,,,
mches. The mi Pe ...>... '.... . : . , _.: ,�...�ff..cprr,�;;ir.r..-v;�ri#-��r��Jc�rca'„�re-trcKt4hT�..6x..zt'�rttrr�`�r�'d���rur�
_......:.........._.......__..,.........._..._...;...... ...:......._...... �... ._..,... .............................. ...... _
; ; ; ; ; When windows are provided as a means of escape or rescue they shall have a ����� """" " "" """""" � y
..
.,... .
..... -:g ���r�� noi �c:ifi^afly npted in thi�� r�Wl�lak
.....
. . . inches above the floor. ; i .. .... ...... _ .. _.. - - -.... . .
hed sill hei ht not more than 44 ;....._....:....................._..... . . ........_......;._......_.,............,.........__. ........:._.........;...... _ :.. ; ..:...
_....__; i......__.._...-:---............_..............._.;... .fir,is g _ ; . �,,i`}CE'EF �,"T�TS'"P�N�ET�iV...STT�._RT'"R�L��TfT�T��.... ...
; ; , i ; s Bars, 'lles,grates or similudevices may be mstalled on an emergency escape ; , ;
� .... .._. . .. . .. .. .._ - - - - -
..---.;........ . • d: ........_.:.............: ......_.,............:._ .,.........._;............,........,...... ..... ..
----...�............:._..__:..____�......_....;—._... _. _. rovide .... .....
; ; ; or rescue wmdows or doors,p """ """"
; ° i • ' with a roved release mechanisms which are ; ..... ..... .... _. ..... . ... _.-- ...._
ch devices are e ui d pp .. ... ..... .. . _.. . .
----_........._.......___...._.................,..........__..___.-.
1. Su 4 PPe . ........................................... ..........,..........;....................._..,. .._.. .. ,..... ;.... :.. ...;.... ....:....
; ; ; openable from the inside without the use of a key or special knowledge or , ,
—._.._.........a........ ...........:...._.......;............;..... . effort;and ....._.. ..
° 2. The building is equipped with smoke detectors installed in accordance with
---__.:.._.......:........ .............:......._...:. ........ Secuon 1210. ; ; ; , . .... .. _ .... ... ..._ ... ... JOB ��
.. :. ... ..... . ....... .. ��5�_3��
_....._�._......:.. .. ..........................: _. .. :: _ ; ........ '..... ...... . ... ..... .. .... ._.. ... �� ATLAS ONRY SHEETNO. OF
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CON
_..._...; ........ �..................................._......_.......................... ........... . .... ,....._ . ..._ CHANH
710 W. 96th tree ! �
ASSEN, MINNESOTA 55317 CALCULATED BY DATE
........: .........:.........�.........................:..........e....... ' ......, . .....: ...;.... ,....... _—;... ........:.... .. . .. . . _ — ... ... . Phone 445 5551 CHECKED DATE
.;.... . . ....:.. ;.... . :
... ._ ...._.
BY
...._....i.. ._.i . . ....�.... . ......:. 1........ � ....:._..... . ;..........; .... ;,.. . _. ..'...... .�. .....'_ .;,..... ...:.... : .. .. ... _ _._.. � .._. ... � . ... .... SCALE
:, _..:.. :.... ... : ; . .. ;.. .., . '.. :.... l��c S�a��
DATE TIME
CITY OF ORONO CAL�ED IN ���
INSPECTION NOTICE SCHEDULED �3 /�' =��>
PERMIT NO. '��I '-�� COMPLETED �'l b{
ADDRESS � `" � �`�
OWNER CONTR. ����( %ly/_t�C�f,
TELEPHONE NO. '�`�� :°�-5�� G'L '�7.5 - �� ��
� DESCRIPTION .�22.�P_s����
� 1 FOOTI 11 MECHANICAL RI 16 WELLTEST PUMP
Q FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24l25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� Li CORRECT WORK&PROCEED 'l ISSUE CERTIFICATE OF OCCUPANCY
W
O CI CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITION WITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac orort�site:
Inspector. U
White Copyllnspector's File Canary CopylSite Notice