HomeMy WebLinkAbout1993-005565 -2nd story add ._
PEI�MIT �
CITY OF ORONO PEl�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ` Permit Number: �-�`i:-`''.i�"-'
Orono, Minnesota 55356-0815 ='`-`''-''_'�`
(612) 473-7357 Date Issued: i �_ ;-, ;_�•_,
;ii':
SITE ADDRESS:
:��t; i�;�;;,Et,tr:� �:i� �
E��H
�~` . .t . i'°a . : � _—i f ---.�_—�.:_;-•:_if;�::1
DESCRIPTION:
'.!`,f�3 � I I_;�`t' G-?��L3I!'" __.i i i•.E
i>;!.�i :'�I1';°:� ``f�p'[isT �. �f;,'���_+ =�"�Iv'!sli��'.�i'��_�i_•�:.�
�;:�}. : �i 7 i"i=� `;ci i:�j�F:; E �C�� �"1 i=�:�i_�}'s i�"Y r- i�`,�,1'�:;.�f�J F_t
I�;-;?_. i !f f S1G•:y]'?r v � �—.��
k:i�i i!��.} :,1(��.�:vi:�E E :i f..�F? ��J{V
-.. _. . .....rt_ '
' .-i:�1.' . .�:��::J:: .
if» r'T
:T __ .
.. . . .. . . ' : ,,::: .;; �� ..
. � . . � .. . �. 1 .. .. -4� _ ..
, - . - . .. � �t{t . '.1_
:�71
:�f r:
. .. � �. �� . . .I: ..T.1 . .
. . ..... , ..t. �._ ..•, .-.: .. .. .
. - . . .� .. ..... - � ...
�
REMARKS:
_.,. .-�V.f-�T's� . --�.i`:! T �`�fyt�t i��L; . �_��"{ ���{_T�'•=�.s_t1-1;__ �.���t� � �} .
FEE SUMMARY:
`.°t-:�...'_f=i I 3_ti'�4 �•�r ��'_%F�
_ti.;E' i � _ �` _ . '.'':1
��[.ti't'�!!�ti'_'f-' �:-: •� ^'� .
.....�__..�_� ��r.:_t.�`�
! :_�f.'r.,� �{_e=r �i:_�� , _f{:
CONTRACTOR: - �-�:_�:=? i�_-�:;t. - OWNER:
i ;�:.`":.-[�.�:��±=;i��I L�':�'�l` i ;i :J_.��,1 i �;r'�_:��li•�C.. �I-!i.!`��:`._:
_i°,��: I�.?T L_G'�`I'•_'i�'•� . TP;: 1��':' E;!�`.r=f�?.'N �;i� _
r�•. �'-�`
;��_if,'•�:ijj ��ri:.j i;_ ",i-::�. i_E;-�'i_!�'�i_: �'�T•,� ���.�;_ti
��� - _,�-:r--�
__, . . . :. _. . ,..._.. . __ _ . � _ . .
�,.s� f t1" 4 J �cx"� t {��,`•�? �.�C:r. - '�-'- - �-`�;' "�{ a ' -�� f 1 F`} �u� C�G:':s � ;F I,3__�,. .
�. .,,. .
�:,: `",
:.�
��::_ �__.�__t�. .•���. _:.��..__ s .e._�•;r•s,, , �+.. .*.�.�._...•_� . _. . .t'`:S _. _. .. ._�4 _. :.:�'�.i=. i� ��. . .__..I:.. .L��. . ._ ,.1�'.:�.:.iw ! '._
�-.1--`r�� �T 3 1_{��i �.S{l��S .":!�ejS�t^�,� ..;�=� .....�Tf I j. i��.t i:,, j �lj �-0.!i� � t�t I .i��_.j...:;t`.�5,�.'4,� ; �'-7 ' 1 4._i^� =� _ -
. _ . . � 'r..�� F-��._c._ ,�?�_� . ��� • _�':� �J'#: . !-�:_� � �
'-.��;�-.,�,,-.; ,-.;c-,,r,.•`��t-S•,�:" r _ pf'- "(�(_ .';[ - .:t,i�. =;_` . . . �"�� 7 _. }.+�'•:,,= �.1, G.: -�i.``'.ti.}'.`3�-y`.� r i'4 , _ .
_, ., <(*{t_� �_.�vi i �..�lti�,i ,�_,.C,'.�M' e-j{'.�._ � I#"t!L.. . 4-� : � L_��_f i,� �f .1�..?... t _, 4tk_.
L �
� � -�
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� � � CITY OF ORONO - BUILDING PERM.IT APPLICATION
Total Fee: $ ;��» .r�� Y Date Received: � v� � -Cj3
_ Date Approved:
Entered By: ' C�
, Permit�: �_�G �
AT•T• INFORMATION MIIST BE SIIBMITTBD IN FDI,L BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
------------------------------- --- -----------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: 7(O(� �O. ���ui'� �� ZIP: �jT,3 cf �
��Cy�C1, ��i�'L�'V (work) ���.�yy
NAME OF OWNER: -�/l,�/r�A � '1-� S/�-���A- �2 ou✓/�� PHONE: (home) y?3 -��S �
�zixc ��x�ss: �7��� S`o . Y�2�c.z,-.� %'�� _ cz�:��a�Ti'-� 1'I�.v zzp: �S�3�/
CONTRACTOR: -/',,.�v��� �C,�n�.m,�r r�.-�i i+J Paorr$: �/J,�.�- �-S���
r�r.zxc �nx�ss:�'"`��,�t' � ���c:�t,u���T� �.2 , ci�: �vun�� zzP: �.5��� `l
STATS LICENSE: $
ARCHITECT/ENGINEER: �C.�� � PHONE:
MAII,ING ADDP,.$SS: CITY: -�-�t�-/�f;{---_ ZIP:
I,7�: RBGISTRATION �
TYPE OF WOR.R: New � Addition � Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �,/VC/OS� �~� J �aI2�/ ��'-G�C � ��t
/ __..� _-,�_�.-.
i� n ...I-9�-�-�_ zz--__�--�— � .,
��r i r o � .ici_•y
STORISS: SQ. FEBT OF EACH FI,OOR:
NO. OF BSDROOMS: G�GE STALLS: ATT. DET.
¢' x G,—
_ �/4
ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ -�=-��'�'� �' G G
: hereby apply for a building permit and I acknowledge that the information
�bove is coinplete 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
°snderstand this is not a permit and work is not to start without a permit; and
�hat the work wiI 1 be in accordance with the approved plan.
:�PPLIC�NT'S SIGNATURE:� �/�' /� � � `
''".�G ,�'�- �.�������K�,n DATE:
. .- ' ' -
� ,^^�,, ,
< ,�� �"*��� .
� ���' °`_ ,�
: CIT'�' of OR�lvO
�.
�, - ., _
r t° .
1 fl; { � . 'Y�
�,,���� ,�,��'' � � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
: ,�
.� �' '��' �� • '
li V �f ;
� _ �, ,� • On the North Shore of Lake Minnetonka
DATA PRNACY 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
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 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 permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privat�
data on yourself.
6. Yaur full name is required to process this applicatioa or
permit.
�ft Orn f�� � 1'L � G�/-�/�U-� �✓-'r��:Z/�,� _
First Middle Last
%�i� � ✓.�/�Ul.cJnJ 1U'�
Address
C�JRv��y� l�� �"�3�1i
City State Zip
� ��� y� s �
Phone
I understand my rights as stated above.
/�r� , ��
� /
� / /'� �_ � �'
Signature �
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
- ' ` � .
513.04 RIGHTS OF SIIBJECTS OF DATA .
Subdivision 1. Type of data- The rights of individuels on whom the data is
stored or to be stored shall be 8s set forth in this section.
Subd. 2. Information required to be given indiv��� An.individuel esked to
� � supply private or confidentigl data co est d d tamw tf in the collect g state agency,
purpose and intended use of the requ
political subdivision, or statewide a 8e��� 8n�y�ownrconsequence ar s�nglfrom his
required to supply the requested d ,
supplying or refusing to supply private or confidentiel data; and (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 o� rolert tax re�und instructionsunsteadho5
subdivision in the individual income tax
on those orms. _ -- - -
Subd. 3.
Access to �ata by individual• UPon request to a responsible "
authority, an individusl shall be informed whether h i�gteeor confidential.e Upon his
individuels, and whether it is classified as public, p ublic data on
further request, an individual who is the subject of Se to himrlande if he desires, shall
individuels shall be shown the date witho Ofan�y ��tg, After an individual hes been
�e informed af the content and meaning the data need not be disclosed to
shown the private data snd informed of its meaning,
him for six months thereafter unless a disPute or action pursuant to this section is
, pending or additional data on Lhe individu8l hes been °ubl c datarupongrequest by
responsible authority shall provide copies of the private or p require the
the individual subject of the data. The responsg 1e�Q��f°nity�a compiling the
requesting person to pay the actual costs of makin ,
Yi 6�
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lida e,�f Simmediatea compliance e��.su not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the re9five �thi�i��nt�ch toh omplynwi h the
individual, and may have an additional YS
request, excluding Saturdavs, SundaYs and legal holideys.
Subd. 4. Procedtu'e �►hen c�ats is not accurate or complete. An individual may
contest the accuracy or completeness of public or private �t�he°res onslb e au hor ty
exercise this right, an individual shall notify in writing P
describing the nature of the disagreementbeTnacctu�a e orin omplet and att pt to
days either: (a) correct the data found t�
notify past recipients of inaccurate or incomp�t he bel e esdthe datalto be correct
the individusl; or (b) notify the individual eement is
Data in dispute shall be disclosed only if the individual's statement of disagr
• included with the disclosed data. ealed pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
,�.. �►�- CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
. . . .
.ADDRES S OR LEGAL: �t��� s� C.��!`��_..��'v ,�'� PID:
JESCRIPTION OF WORR: �N C4 � ��`' �r�f) ��-°='� — �t �� i N ►'�(�:�
---------------------- -- ---------------------- _ -3� -
ZONING REVIEW BY: DATE APPROVED '�1 �r3
BIIILDING REVIEW BY::_ % _ DAT$ APPROVED: �' -30 ` � �
FEES TO BE CHARGED: J Misc. Fees Calculated By:
t/�
PLANIREVIEW Yes� No L'-" SEWER CONNECTION
STATE SURCHARGE Yes �' No WATER CONNECTION
INVESTIGATION FEE Yes No v' PARK FEE
SAC Yes No L%' SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: . ,/� Post Office: � � School District: Q�C'�i?i(?
Lot Area: �/� � !A�/t'�S Width: Depth:
Survey Submitted: Yes�C No Date of Survey:
�
Proposed Setbac s: / �
Front (La ) : Right Si e:
r
Rear (Stre ) : Left Sid : /
�
Adjacent S r ctures: ; Wetland: , ,�
� �
� ? ��
Bui].ding Height D f. Hgt. _ Peak Hgt�
� ,
Avg. Setback: � LotiCoverage: _j _
' E isting PXoposed '�
,
Hardcover: 0-75 � : i
j
75-250 �
4 '
250-500 � �
�
i �
5oo—i000 � '� i
Hardcover Varia�ce Require : Ye� No Dalte of Council Appr�va�:
� �
Grading: Staff �pproval Dat�: y:�;,_ Council Approval.�, Date:
� �� �
Septi c: Staf f A�prova7. Date: � BY- 1
i �
Zoning Fi�e:# ; Resol�ti�on # : � �` Reso7�ution Date:
�,� � �
REMARRS (in hou�e) : �
1
BIIILDING REVIEW CHECR LIST --� .�,
pgC. GL- :� CONSTRIICTION TYPE:� ���-
Sq Footage $ PerMSq Ftg
Basement X -
lst Floor X -
2nd Fl�oor X -
Garage X `
x =
TOTAL
GO
$stimated Construction Value: $ � !�a v
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fi1.J.ing
Footing Mechanical Fire
' Framing Septic Water Connection
�Insu�ation Fireplace Sewer Connection
_�Wa�l Board (Masonry) Lawn Irrigation
�Fina 1 (Mf g.) Other
Other WeII. (State Permit)
�C Electrical (State Permit)
---------------------------------------------------
REMARRS (IN HOIISE) :
-----------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
-------------------------------------------------
RF.I�IARR$ (TO BE NOTED ON PERMIT) :
DATE, TIME
CITY OF ORONO CALLED IN /-/�-- /� . .��' ��i
INSPECTION NOTICE � SCHEDULED �-/�- 9 j� ' 3G�ni��
PERMIT NO. ���J COMPLETED ��, l�
ADDRESS ���U / "`��z<R-�� �����-S . �
OWNER /���r.'-zv—r,- CONTR��y� a-.�T-�-�-t�
TELEPHONE NO. '7 ��'f�7
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICA�FINAL 18 EXCAV/GFADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 5 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d WORKSATISFACTORY:PROCEED �i PROJECTCOMPLETE
W
� [7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑ CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ` pHOTOTAKEN
INSPECTOR WILL REfURN
C STOP ORDER POSTED.CALL INSPECTOR r- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContra o ite:
Inspector.
White Copyllnspector's ile Canary Copy/Slte Notice