HomeMy WebLinkAbout1991-003988 - renovate/remodel 1'ERIiiIIT �
��TY�OF ORONO PERMIT TYPE: �
1�� �:i 3 i i..s��.i_}v�
35 Brown Rd. South • P.O. Box 66 Permit Number: �r!?._`�-��-�_;
Crjistal B2y, Minnesota 55323 Date Issued: �`-'' i'�' =`�
(612) 473-7357
SITE ADDRESS: -
, i�s} ����►,��;,;�u r;r ra
�_:�
��. � . ra. , _�.—, �._ .��—� �—.�a;��?�
DESCRIPTION:
_.. ._ ,_.�_ ,_, .
r'{�:,i�ii_i�tr.�_ _ ���1}!-}{'il�fi�fj'j:��
��►.I 1 .�.+�i il� C��f'�1F 1 C• 4't`��--'t=� _'"--i-14.'�'J%��i'liij}�i
[��.�{.! 1��S 7 I� W+_�!`F:. j ,,r�`� . �"1�-.i'.��ivfL�4!t_j(:i.�!'E�_�Lj�!_
l�j_il. fi iC 1=�a}-'=il�ll.�' _ - �._�
�� � 'i. " ��,`�' �•y�:, < <.�
�..•�F�i� 1'L.�4_�• !I f t �y>i`�
�i�lill{'� L�l"�.f-�
1� ,1�.,�&' '�y'� �� FM�"�}�,.��-� . . . .
a� �- ti w�Nw ��'g-�_
� n ��� E��
',�'� }n �� r����,1�2�� - �',�+�hk3 s q ��'� �Yz,.�i,..,z�.;,�' .
x
��,,, �:dq� �1`�p,� '� �, �R� ��`�.: . . • . .
a,���'"� �1� � r ' � � `�_
� � ,..I N � ..
r,p ,� . �. ��
�4� '.. � k� 4 �
4 � ,p
°�&�.�.S�..�F s"`�L�4v.,�''��/�"A 2r.� qr✓ .r�".�t? .
REMARKS:
--�-r- r�r[��ttT-rr• [, -� 7� r-r. t.r_ r: r-; _. �. �� . -!.r.
=��F"��-fFtF=i}L_ !'Ct-11'I 1 t •� �l�i�t_#1�iCL? ��,..I'ri �'y„_�,.j'�,. i �'t�13 (-�4��4!�? r�_��..���1 d S..•t-tt_ S.���f!=! F[J t��3't� f7C �"t�%�l'n!�
f,. e � v� 'ueSvt�
� ti n�'�it�� vCCi�.�.�.
FEE SUMMARY: _ `'"'!'E`{'
1JiJS VVV1�V ►1
Vi='1L_i fiiT�Il��i�{ :��.�_' ��i;rt i ��� � tx� �vv t�;
. v.t 'viet srtr.v
�.;��'':�;��;:t-L� �
�=t�C 1""C� .�p�.�_�_: , S_J[I vi iri±i i��,�v�
�'i�tis i r`�i�W �f�= . % "� ��:::�f,�,�,�� �
t_ ittt.> >;
=U i'{_�ti i''�iC '_#'� . I..�,�i vF� iaili� t,i+�i
j i i T.t�?.L i"C•:=. "-----"#:_�^•� . _��z i.aLiiri� Fi ���'.v.rr
LL.''LT�r �LF/��i1li Ytfl�
1�L1.•L1/ l�t!!llfttl !VV
i$"%r�.-'L7� !'i't/ti I,�//t4 f �+s'�{
. l7LiJ/VV L+VL�1 IlL+2 !1J•i.'!
�f`?fll�.�/1j
1 L':Y /f 1
CONT -�+B . _ -- r:p��� i C zti`�i• __ OW ��
i••:�G`t'•��7!R'��t�i��.��T�;�;�:i I i=t�l 1;=;'�!�i��11 �I?���1�;t?_1 I`.��T CiF=1LE
i -�r�r•, � -- - � r•: � n,� n � t.
�1 a+ �•��!'!Lt w�� � i:�:[i C��i�_t�ly F1�7 F�
i 1 I yli�#i=i=�:`i�=i'=: ��r�1 ��i;1i i'_=� :i�i ii�1��� �1��� ��'=`=,�_,
(F•1.;:�? _.t.:�Ci"'"1`�! 1
�_____ —. __.�__--- �—_ __ � --
,r� :�-,;_�_r-•t�:�::,:.,� ;,v_-,r :v -� rr.�.._aT � � - h.,r.::� -� <-- - _•r:rr,-;� ,--F_„-•• -�-r��
T�ic �1���t�r_c��.-�at���iE._�) �-.�{�:cr-.� ���:;?:lr°�� i�', �r_r�i��� _. _. ���E,�+ i�i:i i•pF-�F�.,r j't-;�� F-;�G=aL. '_ss•�F-r,��.,:=�-=�aG��i� -=.
- �r-�,•s�" + - ;`' �. t-�r:-- ..'�Y� I t � ;Y ,� ���;t`•• " `i i:_• � t_i 11'k�"��i;�?�`is_G �Z � r� .�:4�i_ �_•�i�` €'_ a;
-_�"C_ _ �i_l.} f-H +i.} I-� 3: .._i:�•� .� ��� ir+.1_ 11 r . 3.l, _+•�i i1:-
:
� _. _ - �� -- - _
.. "'F-:'"�Fh i"..r_�... r.�;�. .. . ; �. .. . �,�.. _F . _.. ... S'r��:_•.i . ;�. .
"�'.ri'ii. r'i � . r• - . . ._
� ( E� i i' i S ! ( . ! i �•• t • �� ,�.� i!-;V C�;C" 1 F "��_� ,!-^t l7 I 4R t ! :1 i f"9s .•i' ""li! { .
_f�_1 _. _.!'.L. _1 Fil�_�Y.�.:? �••;F'�t_I ... . f ` _.�Hi��Y'�_. . . E'�_ 1 ._�.31 k� L.��:. f'4��1:.'. _. E_ Ir_.
� � _. .
� �
��CA�NTPERMITEE SIGNATURE ISSUED BY:SIGNATURE -C�1
CITY OF ORONO - BQIZDING PERMIT APPLICATION
.
_ota�� r ee ; S � ��5;��� Date Received : /L� ';;1 - ��
,
uai,c ciu.iL v v cu:
�ntered By: ,C f2/
Permit n: �j���'
_kS�L INFORMA'3'ION NSIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WII,L BE STARTED
(See Check-off List Enclosed)
----------------------------------------------- ��-------------------------
� APPLICANT IS: (circle one ) OWNER o CONTR.ACT '
v OB S ITE ADDRESS: � � �C-/�✓��v�Vl.� (`CJ r,���'T-(Z�--t/Z��v�. Z IP: '� �3 '�5�
� �'�� � � ,���-- �'j;�?-��i.:h.� j�_t?'1�i-✓ (work)
.�iAPSL OF OWNER: D ►�'(l-� ,�-I k r� � �''�-S / PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
�ONTRACTOR: �l `L/����+'�� ��i��- �7�►����'"j Z-r� P HONE: �`� `j�I � /' � _
:'�AILING ADDRESS : �j� S. � �'�- ��`� CITY: ��/��t�-l1 ZIP: �,� � 3 / �_
� CJ'1� � -�i �� �
�'YPE OF WORK: r7ew Addition Accessory Structure Mave
Demo Remodel/Alteration__� Renovate Land Alteration
�BOPOSED WORR (describe in detail) : �C v�U �7 t L ; � �`f�J�.2���� �� ,—
C' �`������t �( l. L '� �l�TL'�L�� �— /Lt G�i-' �L�Al(J � l�C�tvl i��,� �,�,j�,� _
STORIES: SQ. FEET OF EACH FLOOR:
'3.^,. OF ��DRL`.^..`�SS: G1�R�GE STA7sLS: ATT. DET.
ESTIMATED CONSTRIICTION VAI�IIATION (excluding land) : $ [ ��; -7 �'�% � �"`
� 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 th the approved plan.
�Pzz��s Sz��: � DATE: � �—�--�r
w _ . _ ' .
' *--:r� r,-a� ��..� an� TL�CTT��11T� �*� ��L+�Trr,c_
' t„QL�I�S� V1'1' LiUl 1'VL� tvvv�aa��..0 va llv
�OR OFFICE USE ONLY
ADDRESS OR Z.r,"GAI,: �J�� U Y_� ;,,�'►'1 �c1 /�l� PID: .3 �' �/� "•� 3 // O�'iD �
--�c^Y-�m-��a n� �;n�_- /��'I�l�� ,�y�-f�
::...,:.�.�� � -
------------------------/-� --------------------------------------------------
ZONING REVIEW BY: NIlT DATE APPROVED:
BQILDING REVIEW BY: I'IW�o �J(/N�� DATE APPROVED: /d' y`y7
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No� SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------g---------�---------------------------
ZONING CHECR LIST Zo in District i �//�
Fire Departmen : Po t Offic : S h ol District:
Lot Area: Wid Dep h: _
Survey Submit e : Yes No Date of Survey: r
� r/
Proposed Set ck : i ;"
Front ( ake : Righ�t Side:
�
Rear. ( S reett : Lef� Side : �
Adjacen Stru tures : � _� we�iand:
-- � '1 �eak H t.
Bui lding He ' gnt: ef. rigt. 9 -
� ,,
Avg. Setbac : � Lot Co�erage:
Existin �' Froposed
� �� � __.___.. _ - �
i ;'
, �, ;
H3��COV2I': a0-75 � r'
� >
/ Il
7 -250 ' j '
S j� i
25 -500 ' �.
500�-1000 ' � �
Hardcover (Variance Regu�'r d: Y � No Date of Council Approval:
�
Grading: taff Approval 'ate: � By: Council Ap�proval Date:
, I !
Septic: S aff Approval te: � BY� �
Zoning Fi e: � Resolu ion �: Resolution Date:
RRMARKS (in house) :
. . ._ _ . _ . _,_ -. _ . . '.'w,_..
RIJTT_?�T??r RFc7T�l !'??F� T.TST .
_ •
_.----
IIBC� g� /Q-3 c,�NS t^R�Ti T30N Z'z'PE z�-�' - --
Sq Footage $ Per Sq Ftg
.^.a c r�mon+- Y =
lct Flnpr X -
2nd Floor X -
Garage X -
x =
TOTAL
Sstimated Construction value: $ � ��3ob�P
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/Filling
Footing Mechanical Fire
_�Framing Septic Water Connection
p� Insulation Fireplace Sewer Connection
�Wall Board (Masonry) Other
Final (Mfg. ) Well ( State Permit
Other �Electrical (State Permit)
RFMARRS {IN HOOS$) :
-------------------------------------------------------------------------------
R�.'VIEW BY OTHERS: DATE: `
Access : Existing New
Access Approvai: Date BY:
----------------------------------------------------------------------
R$MARKS (TO BE NO� ON PE.�MIT) :
�_��
+'a :-_x�i1��3
�� x3
".���-�r�abe�cac�=.TH.-.a
_—mr��a,a� � �
� �t�y� �� �� �, � ��� ����-��
� a
"'' f Yost Office 3ox 66•Crystal Bay, t4linnesota 5�:s2:i•i�lunicipal Ufhces
i
� .:�� ��� On the North Shore o}'Lake Mi,�retor�a
-- DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
I.icense 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 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
federal agencies to the extent necessary to process the pern�it or
license.
4. If your reauested 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 prica��
data on yourse�f.
6. YGll� fliil. ;a8;:� s-S �aC'.�'=.'-=�=� �n rrOCASS t!Z1S 3D�11.CaL1021 OT
permit.
�- J� s� �'
�� p✓r� J 1� .�r /` I �_ /G r�✓'►'� ✓
� ... �,T ' .±r,� � T z S t
L 11JL. 1"'�_�
(�j� � Pa c1�i- �- ����
Address
� ���-� /�I �'- `� 5 � / �
City State Zip
��� �' l (�>/ 1 c�J'� C-� ��-� —�� J7
Phone
I understand my rights as stated abo IE R NAN
- NSTRUCTION
Signature TIMOTHY KIERNAN
BUILDER
BUILDING&ZONING —�373-7357 • ADMINISTRATION&FINANC!
814 43RD STREET WEST,MINNEAPOLIS,MN 55409
ASSESS[NG SHOP—825-1611 HOME—825-0053
R
'
_ � r� a eT j
��.(� RIGHTS OF �IIB.�r.�i� �r u�i1.�
S
ubdivision 3. 'I`pPe Qf da�- The rights e ti �vidu8ls on wi;om the data i�
stored or to be stored shall be es set forth in th�s S An.individuel esked to
Subd. 2. Information requir�d
to be given in�ivic}ual.
� rivate or confidential data concerning BmWit�h�in the collecti g state agencY,
supoly p uested dat
purpose and intended use of the req tem; (b) wheLher he may refuse or fromahis
political subdivision, or statewide sys �own consequence arising
required to su�ply the requested dat8; (c) any
or refusing to suppiy private or confideae� �t�o ��eive the data.1tTh�-
supQlying state or fe �vesti ative data,
other persons or entities authorized by
requirement shall not apply when en individual is asked to supply g
pursuant to section 13.82, subdivision �, to a law enforcement officer.
T
he cflmmissioner of revenue ma lace the notice reauired under this
subdivision in the individuel income tax or oro�ertv tax reiund instructions instea a
on those orms. � - �— .
t� �� by ����, Upon request to a responsible
5ubd. 3. Acc�
orit an individuel shall be informed whet�ec h r v8zeeor confident al.e UP�n �
auth Y+ *hnw t a Lb�ic data on
individuais; and wr�...--. i_ is classified ss pu , P
e to him and, if he desires, shell
further request, en individLal ��8 Without any charg��red privat.. or
individuels shall be shown th of that data• After an individual has been
�e informed of the content and meaning the data need not be �isclosed to
Shown the private data ar�d iTiformed of its u���8ction pursuant to this section is
him for six months thereaf�er unles� a �P '
" or additional �,sta en the individual hes ete or pu lic datarupangte a-�Gt by
, penaing rovide eflpies of the pr reauire the
resaonsible authority shall p � .T,ho rQspo�ible authority may
„ o�+ o� ine da�a. eQrtif n ar:c compiling the
the individual s��l-_- th� actual costs of making, Yi �'
requesting person to pay -
copies.
y ssible, with any request
The responsib:� a��*-horlxy shall comoly immediatel oi Ph dg`� o f �hp request,
u.suant to this subdivision, or within five daYs
made P " holida if immediate compliance is not
excluding Saturdays, Sw�ca�s and legal YS� •
• e, If he cannot cflmply wi*h the request within�i��n w��� to�comPlYnKi`� tr`
possibl
individual, and may have en additio� i v�d�o��.
request, excluding Saturdays, Sund�3's g
te or comPlete. An individusl may
Subd. 4. Proced�a'e when �� � ublic o�p ivate data concerning himse2f. To
contest the accuracy or completeness of p ln �I� the responsible authority
exercise this right� a� ln���� eQ�n�°tThe responsible euthority shall within 30
describing the nature of the disagr
da either: (a) correct the data found to be iete dataeincludingree�Pl�� name t by
�
notify past recipients of inaccurate or incomp eQment is
the individual� or (b) notify the individ�h i��du�t�statementof disagr �orrec .
Data in dispute shall be disclosed only � u�t to the
• included with the disclosed data• � gQpealed purs
' The determination of the responsible authority may
provisions of the administrative procsdure act relating to contested cases.
� /�ATE TIME
CITY OF ORONO CALLED IN ��/ `7��i
INSPECTION NOTIC�. SCHEDULED i�/��/y, � :3�=
PERMIT NO. %`��� COMPLE o « l�'
ADDRESS � �
OWNER � � CONTR. �` C� �
TELEPHON E N . ��S 'l��l �
� DESCRIPTION •
� 01 FOOTING 1 ECHANICAL RI 16 WELLTEST PUMP
y��FRAMIN_G�� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 IN�UL.�TIOW 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
� ��___�
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPT�jI FINAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
ti
Z
W
�
W
�
� `/
� 7�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �❑CORRECT WORK 8 PROCEED ❑ ISSUE CEfiTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContrac o��Site:
Inspector V
White Copylinspector's File Canary CopylSite Notice
,�
DATE TIME
CITY OF ORONO CALLED IN .��°2� �
INSPECTION NOTICE scHEou�Eo /�-!3 �/ _
PERMIT N0. _�C���` COMPLETED �I I,I
ADDRESS � �� LJ'`'itg-u'�'i r� � �
OWNER �� CONTR. t� .
TELEPHONENO. ��S - l �/�
� DESCRIPTION /4�Q-t�2.-- - /�'t�� ..��
� 01 FOOTIN 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRA ING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� ATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN 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
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
a ^ \'vt- P�rr
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d ORK SATISFACTORY:PROCEED
W� � ❑ PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contra r site:
Inspector.
White Copy/InspectoPs File Canary Copy/Site Notice