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Home My WebLink About1993-005497 (remodel) . _ PEI�MIT ' `, � CITY OF ORONO PE�RMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��'_'1�{�'.��i�� Orono, Minnesota 55356-0815 �'��i-it.�:�.�-=�f ' (612) 473-7357 Date issued: �: _ _ i: i �`-''- SITE ADDRESS: _ _ .. DESCRIPTION': -- ---- --------------------- �:�:�f°i3-�i;=. _ ��:J.1 s�'?!'�� 't3'r�.'T• f _ .- _. . _':E.�; _ _!,� .. _. r�. T, � �-_ �i�..: _ � i_'I `_ '• i:i;�`•' E �:.�` '!��i; i_ir_rL1:=�=�',';-`, '._�,_ �:t��j?�'1:.i'=.;C t_.1.�={;-€ � ;'j-�E° . . . R�IVIN1lf0�: ^- ..._. . . . . ... . .. . . .. . .. . . . .. . . . . . . .. . . . .. . . . .. . , --_�___,_.__...._. -'----....__-- _. .._.__�.__ _ _ _ _._ _.._ __.._. __. FEE SUMMARY: ��3_ . .: ... ._.- . . _ .. .. . . , E=._+=.'_' �:Vt_ `E'�i�:`_% . . . f.'�( c�t�Ri !`;F'+�'3,t:�?iaf �i_,�.:..:! . ._ . _�t�3`�t"a�1'°;:� _—.______�'�=.'•..a."s?_._._ I CONTRACTOR: __ ��:�:, i;_{�.,;. __ �_;�- � _�: OWNER: �>�t'��=; 1 '•,y��I 11�`_ �_'E_[j�,'=:3 �{j��i_ �,s�,7:iE 1� �'� !.�_!. .4 �_`:�l,r_ih:;'.-:j i:� �`ti . . �'�•._.'s�I ! 1%�a�� _..��t i.i€�4_; i..!"? ..__.__._. ._ _•�-i�=��.�_: E:�t'� `�'_�'I'i� ;}_I :;.� j.�s:,i ' :.:1:i`" ;_�;:,.�_;�;i_I t`�ft; .'��_:`�i t,i-,i '?•� =--:: ;•. .. ...,. • _ - - :� : _...... .�i i �� .'.i . '• i: ._;}:.' a i�..j_, _ :i-;h;ti��i `-i.tl:{�-,_,-�-- -- ��f�:- - ��_;�;,� _".'i f.�;_'•,'� 'j i.S<_ ;�`;-%'_t �_�".{.�.:;;_�*j"a" . . ..._ _. �._`=. ._ _ _i t=-.-_ . .::Y'{�`.��'t� ;:�_�:.�_ __. i �._ �`��i. :_ _ _ _ _� . ! _ i :. :i'�•.i.� . . ;._ . ._._i .�_ !.:'.. . .�,��_�i._, . � �... �.. ..._.. - -• - - � � - - - _.��...�.,t._...... . . _ .3.. . . _ _ ' i t 'T'i r —'.'"_`__, _,_" ..i_:.. , ;(•'i.! ;i-t=c'�,=_. '� t.� i;f�# t��i �.:�f_�L'.'. .i e . ._ _ �';_ _. . .. .isa:±�=j `:ir:�, R_1 I i:. .`.�__ _ ... ? s �_i� '�; } `r ''�.,,.!"1' 4 .. �1 f � ! F � i `"�.= i' ' '�' -'; � La i? € [�fz � +—i '1 �-•�-` L E_:a?�_. �� i_�;�.v:( ., .. .��..__ :�.,._ � : r�? 's .._ �_�� E'i�t ,i,._._ _ !_ _ _l_..1� � .. _�fi��: : ..__ ,_%.!. :�€'Et=i'� i `_ , � / i �._. ' � �L APPLICANT-PERMITEE SIGNATURE ` ISSUED BY:SIGNATURE �. „ CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ / �f �i �.��' Date Received: , Date Approved: Entered By:�/t� Permit�: _,7 '��7 7 ALL INFORMATION MIIST BE SIIBMITTSD IN FDLL BEFORE PLAN REVIEW WILL B$ STARTED (See Check-off List Enclosed) -------------------------=------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER or CONTRACTOR �J � � JOB SITE ADDRSSS: ��2� 1�,. �s�SC �� _i�C� � P ZIP: (work) � �-� C�CJ N� oF owrrEx: ��v`7� ��S�s,=�-�,� S �.c;>��J,��a�-� p$orrE: (home) �� — MAILING ADDRESS: ��j �: C,/-iS C G L�r�(rz CITY: �i�L�,� � ZIP: �i�T��! �'�=%�' �! / �G ` �D CONTRACTOR: ��C�S�)�v��"�� J_S� L�i' C�� PHONS: L� ��_ " �? J� �--- MAIZING ADDRESS: �S� GNin L� -/ �r-�.J2 _ CITY:��n"��/�" ZIP:_S�L/�7 STAT'S LICENSE: � �� xcaz�cT/��zx�x: j�p s S f � i� n,e-� ��' �e c��,� � pHor�: �� 7 Y—� ��J� MAILING ADDR.BSS:1 C/� � �S/ CITY:�y��,;�cf,___ ZIP: � S �J I c�AME: �R. � rh �-�' S S �1 RBGIST`RATION � TYPE OF WORK: New Addition 1/ Accessory 5tructure Move Demo �- Remodel/Alteration�_ Renovate Land Alteration �� / G PROPOSED WORR (describe in detail) : ,�r;�,,��vyv�.�� I c; '��C-� ,�z ��1�� L� �J� � ��^F�� - STORSES: `� SQ. FEBT OF EACH FLOOR: NO. OF B$DROOMS:� GARAGB STAI.LS: ATT. � DET. � � ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : �,�� C� Ci C�, i'� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the wor3c 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 �hat the work will be in accordance with the approved plan. . � � APPLICANT'S SIGNATDRE- �1�� DATE= � . � ,,,� 4�,� q"�,�,;,r�� <Ux %:x X .: ��. tiy.• � t��TK�� CI�'I' o� OIE��T(� � t � �. �' �``t' ' ' � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices r i y y�� :� %" ',. a : �y � ''�:.� 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 Iike 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: l. 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 ioca I , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii action to approve, some information may become publ.ic. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. 6. Yaur full name is required to process this apglicatian or permit. �/�,2 L��S (,�;°�L��, 1/I�i ��/'�-./L�s First Middle ' Last �� T/�"� �a✓r� �iq,J� Address / ^ C/ �/ � , � �L� �'v W — �y S ate Zip ��- 61/ � Phone I understand my rights as stated above. '�� _ gnature BUILDING&ZONING–473-7357 • ADMINISTRATION&FINANCE–473-7358 • PUBL[C WORKS–473-7359 ASSESSING • S13.04 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 as set forth in this section. Subd. 2. Information required to be g�ven �n��' An.individual asked to � � su 1 rivate or confidential data concerning �g�wi hin the collecti g state agency, PP Y P purpose and intended use of the requested �b� Whether he may refuse or is legally political subdivision, or statewide system; re uired to supply the requested dat8; (c) any known consequence arising from his q rivate or confidential data; end (d) the identity of supplying or refusing to supply p other persons or entities authorized by s1V8due1 iseaskedlto supplyinvest gat ve data, requirement shall not apply when an ind pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mg rolertV tgX re�und instQucti nsunsteadhos subdivision in the individuel income tax •r on those orms. . - - -- - - , Subd. 3. Access to �ata by in�viduaL UPon request to a responsible authority, an individugl shall be informed�whe blic, pr vateeor confident al.e UP�n h�s individuels, and whether it is classified p ublic data on further request, an individual who is the subject of Se to himrlar►de if he desires, shall individuals shall be shown the data witho of�hat da a• After an individual hes been �e informed of the content end meaning the data need not be c�isclosed to shown the private data and informed of its meaning, u�uent to this section is him for six months thereafter unless a d�spute or action p � ending or additional data on the individual h� ate or p bli� datarupon request by � p uire the responsible authority shall provide copies o t e p � g ilin the the individuel subject of the data. The responsibl cert f �nl ,y and c mp g requesting person to pay the actual costs of making, copies. ssible, with any re9uest The responsible authority shall comply immediately, ii Po made pursuant to this subdivision, or withi lida e dif Simmediategtcompliance eisu not excluding Saturdays, Sundays and legal ho ys� ossible. If he cannot comply with the request within that time, he shall sP in�°h the p within which to com ly individual, and may have sn additional five days request, excluding Saturdays, SundaYs and legal holidays. Subd. 4. Procediu'e when �ata is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To in writing the responsible authority exercise this right, an individual shall notify �ible authority shall within 30 describing the nature of the disagreement. The respo days either: (s? correct the data found to be in�e afltaein�uding Pee�pl�� name t by notify past recipients of inaccurate or incomple � the individusl; or (b) notify the individuel that he believes the data to beementCi Data in dispute shall be disclosed only if the individusl's statement of disagr • included with the �isclosed data. � BPpe�led pursuant to the " The determination of the responsible authority to contested cases. provisions of the administrative procedure act relating •� -• • � CHECK OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL:��2-� � �f S L� Lj��G L�� PID: DESCRIPTION OF WORR: �� C�� :v --------- ----------- ---------------- --------------------------- ZONING REVIEW BY- � tr- DATE APPROVED: �' �- 5� BIIILDING REVIEW BY: �} w� DAT}�3 APPROVED: � -� - � � ------------------ 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) --------------------------------�- � ZONING CHECR LIST Zoning District L2 !C. Fire Department: (�1/t.ou��1 Post Office: C��-�i- Schoo� District: ��''t Lot Area: 33, �S'�I Width: LI A2��v� _ Depth: UP4lL��s Survey Submitted: Yes�C No Date of Survey: /N,4/Z 2S 53 Proposed Setbacks: SP�tU� s�i25 F�e�t (Lake) : �� Right Side: �� /� �ea-� (Street) : (t5"� Left Side: � -� Adjacent Structures: (r¢�7�-G(-tE� Wetland: /��' Building Height: Def. Hgt. C�. 1� Peak Hgt. Avg. Setback: J�(1-i�'�- Lot Coverage: N�!/¢ Existing Proposed xardcover: 0-75 ' 3•Z`'�° z' , °�a 75-250 ' ��. 2 �° ��- 2�a 250-500 ' 500-1000 ' - Hardcover Variance Required: Yes�L No Date of Council Approva�: lo-y3 Grading: Staff Approval Date: �✓�p By: Council Approval. Date: Septi c: Staf f Approval Date: ��I�' BY= Zoning File:# 14�J� Resolution #: 3Z&�- ResoJ.ution Date: iI't-�''� �� 53 REMARRS (in house) : BDILDING REVIEW CHECR LIST ' • ' •• IIBC. ' �' 3 CONSTRIICTION TYPE: �/� Sq Footage $ Per.Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage X - x = TOTAL �� ¢f1 2„C>C� C�p U �� Estimated Construction Value: $,2,fp0��,�`, _��_ � Inspections Required: Work Requiring Separate Permits: Site � /�P�umbing Grading/FiI.]�ing Footing �Mechanical. Fire Framing Septic Water Connection Insu�ation Fireplace Sewer Connection _�Wal� Board (Masonry) Lawn Irrigation p�-Final� (Mf g.) Other Other Wel 1 (State Permit) �E�.ectrical (State Permit) ---------------------------------------------------- REMARRS (IN HOIISE) : ------------------------------------------------------ REVIEW BY OTH�EF2S: DATE: Access : Existing New Access Approval: Date BY= -------------------------------------------------- ��F.MARKS (TO BE NOTED ON PERMIT) : . . . �� ENERGY CODE DESIGN BY ACCEPTABLE PRACTICE To Determine Cons�liance with the Minnesota Energy Code (Section 602 of the State Amended 1983 Model Energy Code} Zhis form is anly �plicable to detached cne-and tw�o-family a�llings. The require.*rents herei. are based rn Table No. 6-11 in lieu of the criteria specified in Sections 602.2.I, .2 and .3. Building Address "��-' -.`-? �� =-�-'�� =--v =� ��- Contractor or Owner K-��.I_._t" ��1 J ��__>�1 ; .�,��..I:; J ti�l Building Element "R" Values Area (scr ft) � of E�t. WaII.s (TO`'',a� �_;-i �',=_:-cJ P F� Ceilings Design�_Req'd 38 � Desi n �. Wa11s (exterior) g ' 'L Req'd 20 �=t , (w/o fdn) Floors (over unheated spaces) Design 3;: Recr'd 20 �rlindows (in bldgs w/o � ��" Design I � Pwc'd 12 slidir� glass door) (glass) *Svindows (in bldgs with a -w Design -- Rec�'d 10 sliding giass door) (y�ass) Ebundation Walls Design �� Req'd 5 (when insulating fu11 depth of ; foundatirn wall) Design � Req'd IO (when insulating cnly tn frost depth and footings extend belaw) ci��,-��r?.� flMrG Desicm — ReQ'd (See Figure No. 3) **Doors (1-3/4" metal faced) Design '� _Req'd 3 * All wirx3c«s shall be double glaze3 or have storm windows ** Conver:tional doors other than metal requi.re a storm door C�RTIFICATION 1 HEREDY CE�7t�Y THAT THIS PUN� I hereby certify that I �l��E�Tl�d=�eR� ��T'��n and that it cc��lies wit� the Niinr�esota State Energy C�ED BY M� �;;? 11NDER MY DtRECT SUPERVISIf7T! Y.`:U 7NAT 1 AM A �ULY REGISTciiEU �+,�-c��ic�r�cT UNDER THE Signature L�►W5 OF THE STATE UFs MINNESOTA. Date � �z- �= `"?3 !� � -�� BCSD .3-89 ,j�.�'_Z 1 S CC/�I/659 3 DATE �,/-Z%�3 ��G. N0. 1Z337 � DATE TIME CITY OF ORONO CAL�ED IN /i//I i.3 INSPECTION NOTICE SCHEDULED �//�/�3 /C ;� c_` PERMIT NO._ S��I� COMPLETED N � ADDRESS J� � I ,(3 � ;�t� OWNER �r CONTR�.�,%;7:�j<<��-�'_. TELEPHONE NO. '�F�� '�-- � DESCRIPTION ��"��>�IrzC-E��-��% � 01�QQTING--� 11MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y ION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 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 J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTpACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � 2 W � W � � d W� �NORK SATISFACTORY:PROCEED C PROJECT COMPLETE W/❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContra rt�s�te: inspector ,J�u White Copyllnspector's Fi Canary CopylSite Notice DATGE TIME CITY OF ORONO CALIED IN I��/ — Y� INSPECTION NOTICE SCHEDULED —// ��1 % � PERMIT NO. S yy7 COMPLETED A �I /� —�, �— ADDRESS �� /'LGd-c�,a Ly� OWNER �u'��-�'� CONTR. 1.��zti`-ac-� C'fs�t.af TELEPHONE NO._ `�7.3 - D//� � DESCRIPTION ��2.s�� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMI 11 MECHANICAI FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION h 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 n ' � COMMENTS: b�1 G�T�}t.l?�_2.� �ti�.tu�i, �t-�-- � a _ .�tl h.�-,d�.,Li��g � J O a � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED i=i PROJECT COMPLETE W � �CORRECT WORK 8 PROCEED '-; ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. J pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContra o e: Inspector. _ White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALIED IN fC'-/-q� INSPECTIAN NOTICE SCHEDULED � � PERMIT NO. - _ _��7 COMPLETED N -�l ADDRESS 1� �� r��.�.cc C�t.�z OWNER Gl��c�r�-�i-�,c� CONTR. ��'��; JZ7a-¢-�-�.�� TELEPHONE NO. �� DESCRIPTION ��(�-'r� � 01 FOOTINC�i 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O 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 J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT ? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W� �i WORK SATISFACTORY:PROCEED �; PROJECT COMPLETE W �❑CORRECT WORK 8 PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContrac site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN -j ��f INSPECTION NOTICEy��,� SCHEDULED � ' �� PERMIT NO. COMPLETED � � ADDRESS ..�.� :� %� ��Le.� �`-�C- OWNER /'f� ��v-�c�-uZ��. CONTR. G��c�-cz�a� C�C�Z2�- TELEPHONE NO. � 7-3- d �� DESCRIPTION /C.��y,2t-�e� � 01 FOOTING 11 MECHANICAL RI 1fi WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 L 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 J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 4Qi 09 PLUMBING RI �j ��i � 15 SEPTIC INSTALL 22 FOLLOWUP _-�- PLUMBING FIN�AL� 23 SEPTIC FINAL ��UWNERiCONTFii4CTOR TO MEET YOU:_YES_NO � COMMENTS: � � � � a �I/la �/Vl< < � J O a � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W" O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. L; PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContra n 't : Inspector. White Copyllnspector's File Canary CopylSite Notice