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Home My WebLink About1993-004979 (remodel) � ��'ERMIT ��'Y OF ORONO PERMIT TYPE: �Fi�:��i_ � 1335 Brown Rd. South • P.O. Box 66 �"�'�s PermitNumber: ;-.,;-;{t�-�f==� Crystal Bay, Minnesota 55323 Date Issued: - -� - (612) 473-7357 i�::;:'tt:=;;'',:: SITE ADDRESS: 4!�� t.��-�i�'��T I IIw t''.il '•.:i—i �` . '� . � . . r�4—t i t—'_:�:—'�'j.--i;i:?i 1�. DESCRIPTION: ��.Il�..}li��_ ��-;:'t:_T�i';`�i;_!!_;F �+?.�? I��lll'� �'h'l'Fi'i?T• ' ��='F' _=f'.�d-3�'sfi:��;i__i'��i'.:��.. Y;€�Ei �i.Jll�l� `•"l�-�j��'' :t-'!'=' j`r�[ci�.li,.�i�. ! �-f n;i=.f'i'�.�i.i�:.}._ ;_�t_�l, : t[=t=�_��':=t;li�'{ � _ �"}--.,: _, _;;i�.t.t�l,�+_,#.�.•�i!`: � }'C'� .'r•I � � � � � � :+�� "� �� n r � � - ��wh ��` �c � �,�� `� . � � . � � x . r � �r �� - C�, � . ' . �`r" '�. '�� iwx�.,: _ � . - ''��Y �tL ��#11f�!! REMARKS: L.1} , �, ;�:,,�.,tu i.+ t'L la�L'�!'� ! 1!T!'T'TL•L L'1 ! 1 L•L r � � j ('? }� 7 i! :3 i til�f 1{! :4 _��i'�i�i'� i � f�Y flr�1 i �,�!_if� : �.��I �� i'�i}�:°�r�1_'�'''t i� 1J1JiL�L�VVV R 1�1 LLt�7 1L�41aV1! FEE SUMMARY: 't�.''i`f'k`"tr �a 1JJV2VV41V YP t5� i't�i ++? i:i5 ��f�;�`=._?i-=; ' �:',:�'� a:-�, i j ��)() __ v iru* �s.rv �%•�•;,.-r:'frtftrl 'r' .0 Li+�G.V V V V V YF g i}� �L�� — ��S�i..� �F's_' �N�_.� ' �'��'� 1.�J L•L!\ •a7Y u �": C1:,�l'j` i' ` ii.•�Lil.i 1 1 L �+.L.1.7V ��f c!I I r+,c-"=V 7 t1';c` . �_�_ . �t�i _ f1L?'Ci�T�fl1lii4i�' �Y.'33! ��'�=–��F.�ry� �:� �js) }�LL•L11 /' !I!lTtttl lVIJ , y i i-''�i.i+i{} t•.+}{Z? t!i!F Fey_'ai.� �i�f i..=j� ",�,_ _—_.' .__•.'�i..�..= i.?.�_� 77+:.L'V 1�.�V L•V1:1 !IL t f V��7�,J 1! ..'.li+Q^ ' 1��':VJt/i.' CONTRACTOR: — ��=c:1 s r�t-�t. — °-;T . L i C: OWNER: ;-;:,��C1i��_;:��,i Lji�?�v I':_a 1�?�:`71'.�:�� _.;;'.'_�.�, i��:�"t--�E�� E�3W!t��t�;I E �:.j.�:��; �.;=}�i I_�:"('�" F;(_�!f'i :i�.°a� ;�,i.;��:::'€�,� �::t �•s,.:��_!t#U t•1tt� ��,:;=,i ;��'r�:°j�;l�i��3 r=ih1 ��:=�r'=� . _ _._.�.1 "" _'"'" �.F "j I_�i'_ � - � -r - �-�:•• -- 1'" ' d=�� .i'C:� - -• " i:" :i_= C_F -- � -,-� :- . - - �. 3 t i�' ➢,Il.f i ,., ;T i:��il��.� :s i { �':f.��:}€✓fi�'�� . ._ � ��.��s _ _ __i;a� E J_t �'=;i'i�'�.:.... ? �;_- �•'—H�--_ ��:¢ i+;�_i:f�;'iv__�ta � '•T `, _.r�� :._._. ..,- . . r ' . .. . . . _ . , `, '-� r c ` '-� ± �-s i :-;t•.l�? `> -;•:.`i- _5.,.! »..E i i �3.�! i �t� :;'•.l � � `i T'� 1 {.i f�:.�' i f-�I:z,_; ;i 3 {- a i-:i I.�.�.. [.,�': r.:. ._.!'.. _•'r _._..._� . .t�.�.. I- :�. . .'�'.:? . .. +. _. _�:�_.__ _�..�. _. _. . . t.'t.• . .. .. � .. .. ._.. ':�. 3 '. _...� . . F� _. �',- �..;�t_'t:•:s:_� _tj'(E.)1 S`JF-i��r..j�!�: f-�;;1i_7 y� r;;�j r� ':_!;-•- ,`� (t•dl�i�_°�+�_} i � �:?1,t,I i,t i�t;t; _?_I;y[-_ ;t`�``:'•<I E"r?'==�`�_i''�E°� . I J � �J � ---��L �� . PUCANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE �"�'�`� ., � � � CITY OF ORONO - BUILDING PERMIT A.PPLICATION � Total Fee: $�f'3, �C� Date Received: � "� � ' % j Date Approved: Entered By: �,G,�/ Permit�: '�l'j�'/ AT•T• INFORMATION MIIST B$ SDBMITTSD IN FIILL BEFORE PLAN REVIEW WII,L BE STARTED (See Check-off List Enclosed) ------------------------------------------=------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR • / '''l :i f__ ro�.� 1 r � ' � � - �'r l.r- � � - -- � _ ' --" .= ` JOB SITE ADDRSSS: r; �!_ _ , . ` r. 1 .�� = - ZIP: �. �.-, � „ , (work) " N�ME OF OWNER: ��,� : ��-� r PHONE: (h ome) -- ;.- _� . � �� . . MAII,ING ADDRESS: � , ' ' ' CITY: /, � ; .,� ��y, ZIP: : ,. CONZ'R�CTOR: '(\ � ��"� PHONS: - - �`� � , . , , . , j_ • ;, . , ,f., ��i : . -�r' -+ J� i�SAII,ING ADDRBSS: (/:i � CITY: /J%1�`'�y �i f /�1;!; • ZIP: ,_' y� „ , . . STATS LICENSE: � � ARCHITECT/ENGINEER: PH��: _ MP,.ILING ADDRBSS: CITY: � ZIP: NAME: R.BGISTRATION A TYPE OF WORK: New Addition�_ Accessory Structure Move Demo Resnodel/Alteration;;: Renovate Land Alteration PROPOSED WORR (describe in detail) : - _� / �". . . ��: . - f, r , . , , , , C'- . '�.` ,� , f, . 1 ; _!. '� ' . , �' • v�TORIES: SQ. FEBT OF EACH FI�OOR: ` ° NO. OF B$DROOMS: � GARAGS ST�I�S: ATT. DET. . s ,, � 0 , ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � % � I hereby apply for a building permit and I acknowl.edge 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 2 understand this is not a permit and work is not to start without a permit; and �hat the work will be in accordance with the approved plan. • ,_.-.�-.._,: 1 �� ,r �/ _% �APPLICANT'S SIGNATURE: /�'>�'`�'�'�4��( / r{� �/��''� DATE: 7 �C � �� ' � �,, �,��:��'�r� ��`."�"y tts- � � � �at �.2 ��'�� x '�� CITY of ORON� `; '�''�.� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea • • - • • On the North Sh.ore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would 3.ike to inform you that your request for a permit or Iicense 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 suppl.y data, but refusal may require that the City deny the permit or Iicense. 3. The information may be shared with other �ocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priv a�L data on yourself. 6. Your full name is required to process this applicatian or permit. _ . �;,. - � �� 1-�l< �`��:; First Middle Last � � � �� Address , j. e��. , ��-� " . . City State Zip , �� . � . �- Phone I understand my rights as stated above. ,. r � � �/ i/-�/1��' °�' ;/',t�''U //�,1��`._ � �, �� Signature BUILDING&ZOIYING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING ' � 513.04 RIGHTS OF SIIBJECTS OF DATA Subdivision 1. Type cf data- The rights of individuals on whom the data is stored or to be stored shall be es set forth in this section. Subd. 2. Information required t° be g�r� ��`L An.individual asked to � supply private or confidential data concerning amwitlhin the collecting state agency, purpose and intended use of the requested da (b) whether he may 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 confidentiel data; end (d) the identity of other persons or entities authorized by state or federal law to receive the data. This. 1 when an individual is asked to supply investigative data, requirement shall not app y pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mg rolert tgX re�und instr�uctionsunsteadhos subdivision in the individual income tax �r on those orms. . - - -- - Subd. 3. Access to �ata bY i��' UPon request to a responsible � authority, an individual shall be informed whether h��gteeor confidential.e Upon his individuals, and whether it is classified as public, p ublic data on further request, an individuat who is the subject of se tr�e�mriv�a��if he desires, shall individuels shall be shown the data withou�t an�y ��tg. After an individual hes been �e informed of the content and meaning the data need not be c�isclosed to shown the private data and informed of its meaning� u�uant to this section is him for six months thereafter unless a dispute or action p , pending or additional data on the indivif�h h�gteQor p blic dataruPon request by responsible authority shall provide copies o P the individual subject of the �ta. Th of making,lcerti yingyand � mP�ling the requesting person to pay the actual costs copies. immedi8tely, if possible, with any request The responsible authority shall comQly s of the date of the request, made pursuant to this subdivision, or within five day excluding Saturdays, Sundays and legel u S�1�8��,nithat t1m ghe hall so nform the possible. If he cannot comply with the req �,yithin which to comply with the individual, and may hsve an additio� ie al�h��S'�• request, excluding Saturdays, SundaYS g Subd. 4. Procedtu'e �►hen data is not accurate or complete. An individuel may contest the accuracy or completeness �f P ot�f °inrlwriting tthe�rcesponslb e au hor ty exercise this right, an individual shall Y describing the nature of the disagreementbeTnaccurpa e or incomplette and att mpt to days either: (s) correct the data found to notify past recipients of inaccurate or incamP�t he belie esdthe datalto be correct the individusl; or (b) notify the individu Data in dispute shall be disclosed only if the individual's statement of disagreement is • included with the disclosed data. � 8ppe�led pursuant to the ' The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. . CHECR OFF LIST FOR ISSIIANCE OF PERMITS �� ' ' FOR OFFICE USE ONLY � ADDRESS OR LEGAL: --� -' ' ��? % ��(� PID: �� /' 'r _ . �.�;�:� 1 . �- DESGRIPTION OF WORR: �•�� !,il��`�t� � ------------------------------------------------------------------- ZONING REVIEW BY: /]�l/� DATS APPROVED: BIIZLDING REVIEW BY: �E ��-- DAT$ APPROVED: 3- 3 - S-3 FEES TO BE CHARGED: Misc. Fees Ca1cuJ.ated By: PERMIT Yes ✓� 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 Di,strict: Fire Department: Post Office� Sc oo� District: Lot Area: Width: Dep � Survey Submitted: Ye No Datk f Survey: / Proposed Setbacks: Front (Lake) : �ig Side: � Rear (Street) � Le t Side: � Adjacent Str ctur s : etland: , Building Height: Def. Hgt. � % Peak H t. a Avg. Setback: � Lo Coverage: E isti g r� � Proposed , / % Hardcover: 0- 5 ' � j � � 75- 50 ' ' 250 500 ' �' 500 1000 ' l , Hardcover Varianc R uixed: Yes No Date Council Approval: Grading: Staff Ap r val. �Date: ; By: ouncil Approval Date: / Septic: Staff Ap r val, Date:FJ _ BY� i i Zoning �ile:# Resolution #: Resolution Date: REMARKS (in house) : BIIILDING REVIEW CHECR LIST � . _ ,` IIgC: �$ ,t, 'j CONSTRIICTION TYPE: �� Sq Footage $ Per Sq Ftg Basement X - lst Fl.00r X - 2nd Floor X - Garage X - X - TOTAL $stimated Construction Value: $ I (, UUO Inspections Required: Work Reqniring Separate Permi.ts: Site ' �P�umbing Grading/FiJ.7.ing lFooting Mechanical Fire �Framing Septic Water Connection OfInsulation FirepJ.ace Sewer Connect�on �P Wa�I. Board (Masonry) Lawn Irrigation �C Fina 1 (Mf g.) Other Other Wel 1 (State Permit) E�ectrical (State Permit) ----------------------------------------------------------------- REMARRS (IN HOIISE) : ------------------------------------------------------------------- REVIEW BY OTH�2S: DATE: Access: Existing New Access Approval: Date BY= -------------------------------------------------------------- REtKARRS (TO BE NOTED ON PERMIT) : ✓ DATE TIME CITY OF ORONO CALLED IN -�3 ��-.� INSPECTION NOTICE C� SCHEDULED �- i , , °�' PERMIT NO. `��" %' / COMPIETED -/ - � �� ADDRESS �f�/ll S �lc��c�,,C� /:��'�' ✓ OWNER �� f�'� CONTR. ��-�-�� u��?�� TELEPHONE NO. �7� �� DESCRIPTION ��'°'�-��'�� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOFiEM/ETLANDS � 04 12 WATER HOOK-UP 34 TREE REMOVAL = 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT � 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBiNG FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � / d �?'WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W��\; CORRECT WORK&PROCEED _. ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN '--: PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR r1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contract o i • Inspector. W ite Copy/inspector's File Canary Copy/Site Notice i ATE TIME CITY OF ORONO CALLED IN – ' t, INSPECTION NO ICE SCHEDULED �//i /53 /�,�'��' PERMIT N0. � 7� COMPLETED ({ �� ADDRESS � �'S '� �_�, t � -_ ��. �/ ��'�� OWNER ._<a�=.�s� —CONTR.,'��'��✓c�-L=' TELEPHONE NO. ''� �� -7�� 5 � DESCRIPTION e _-�iL�f��.r��-� _ t�n�� W 01 NG 11 MECHANICAL RI 16 WELLTEST PUMP --�. 02 FRAMiNG 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING Q 03 IN N 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 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 J 07 DEMO—FINAL 27 SEPTIC MAIfvT. 21 COMPLAINT Q ? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 P�UMBING FINAL 23 SEPTIC FINAL Z OWNEFICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � d W WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN - CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473�73�J7 OwnerlContractQr sit : _ Inspector. � � White Copyllnspector's File Canary CopylSite Notice