HomeMy WebLinkAbout1992-004167 (building-remodel) PERMI�
CITY OF ORONO '� � PERMIT TYPE: -.}��� r.T r.':.
�.�_: .L_y���,d,�!
1335 Brown Rd. South • P.O. Box 66 Permit Number: - ' ��-�=3
1 7?i.
Crystal Bay, Minnesota 55323 Date Issued: �:�:F�S„1.�;�:';�.�
(612) 473-7357
SITE ADDRESS:
�.;'=s.:�� �_i-�°�;;�:2�i t;I:i
-�: �
�:_v
�'. T . t4. � .;=+�-i I:'-•;� ;--.�.:�:-i=;�_);.i=�
DESCRIPTION:
'!L_�r_i:.r�,r�t
»!'}i_t�_tr:�_
�.:-.� :i_�a.�s�;i:�+,
��i�1 1.��i 3�i�� i`:-=�`f�:l i• i'y f=�� '�:;---i_?i_�L i �;.�,_U._i.._
����2 Z s_J 2 1�1`_i �k�t�i i'•}:; j �i-=t� TlE:_!'+i�_�}.✓3i•.i I�!��1�_�'i%i�i�1
r�rrv ;�r ,-�r_<<�n�l,
L1 f l V! L�71Vli1J
C f+Sr?A� L !?C=Tl�C
. . 1 .ttr.net�•� 4�� r a�•L
p>;�'i i't=iitirtti #
. .. � � 1��iJ11IVVVV
. . .. . � � V1 LLIi{ lt�aYVs
t;.;;..;�:ntE,� �
. .. � 1�Ltit'L VVV
i�
. . .. � . . VS NL1t� ✓�tJ
. ,r�IJ��A' T� i'a �h
REMARKS: ;�•�,�.-r�r:�_-�:: f,� ��,t�
ii��•�i1 r i i rnr'�rei e����
n::�%=ii%iJv i.vi%i ii�i%i i i%i���
. L ui�J,i��lf+!t�
FEE SUMMARY:
`�i-11._'..I�.�..�.�i_E�ti� �':. =t-�•-i
[ •T'��i; :^t+:;
,."�i:i L•'•' t"t`;'' -
_ -.r
:,�i t I`l i"tc4!''_,1� ._......._,_.._.._� �?''�..-..�,���
�.�r:' `. - -
�"��i�ti i :"t:,�', s_�.:_ . �_
CONTRACTOR: - �,�::,��f 1��c1�4 1 t• -- OWNER: _
�ir,:, r-�:;; r- ;�ti.i, �'�.y i f'eJ.i.ri}-stiii:.;� :�1-e�S�
i '=_".i`if'4E_iz.'�r=f�i c ri,ti�� .. _ _ - - - - .
" } .r ':;:�.:_ t_{-�=�;...{_k �_•?f i
t.:��_I% �.4i!_L,=f'l!�i1�::1 � i; -'' ` � .
e;:. i -�r:::r.�,^._ .,,��,. _ r��r,�
. ._ .F.��_.. �; r-.`�.�F�.Lt. _:F?. �34i_� i•�fy =ti.-.._�7,j,
�-Ei_i:1}��1 __� � !'..4 _ .. •i.>>,.i.:`.�i+.�i'�_I�� _3
i
�.�� '__,.:..} �t!.... .,_._. 1 ,.
'� � ir" f ;P.�.e�'f.>:.7 r•.�,ce..�, : tY.�. ___ _.. - " ' _ _ - -
,.. t.._. _ : :: � :�.i ._.. _ _ '_ _ _.. . ". . _ " . ., . .. _ _. . _. . . _
. �7 "" " ' ��f_ 'L! ..:...' C'ti 'kT -:i?�:E1 E� 5 ..'i �'fi_ —�l,,,{� _ i E,�i_�(�1j..
�� i r.i s ..."v i : �
�_%i .-��-r.._ _ �i:;i_3? ! s��..f'sL�a:�r t _ .-L- `� '- I � ! ' _ _ . . , —
,
`� ,'•,-�:-.-.�r,- 3 ---. �� - -•-:,._..._ _ - -� : i ' s _ t � . _. �t-"�',-:t_-::`._ - �4.i i �� ;'f!s.._ �» ._ i �[ _�-
.... .-.
'� .:::1_"'`:�.� 1�'.�.� �+ # f ;-i��:7t�`•'—t.-:;,. }i_i ijl f ,-''.F__i_ 1{� �� r., _ . E -e t _rt.� --- - -- -
._; .. . _ `�T >... . .,-. .... �
� f''rF {�, :; :'ri'•..�:'_.;"..r.�'. ' ': r _ _. . .'. .. .. .. .. . . .. . �1.__ , .{.. . -� -
�.... ?::.�r r...._. � . �1 . . . , .
. . '�'
�:� � �1. 4V�_} f„1iAyI� 1`++tM?�4t.•�.�.� t-i{•,!i,� .�.i }-S !e"_ �_}. ! :_.�!�.�!�" ",i�i�: •�;�:: i {,'E i �i`,!:� i.i if,i�- �';t'EC:��y �
:i' �
L �
i
r �
.c���1..Q�lr'ri'�-��^�'.
APPLI TlPERMITEE SIGNATURE ISSUED BY.SIGNATURE C��.�
. . CITY OF ORONOf — BT?IZ.DING PERrLIT APPLICATION
Total Fee: $ ��3• �=� Date Received: :� -�3 � �i ��
� Date Approved:
Entered By: � '�
Permit�: �/�o �
ALI� INFORMATION MIIST BB SIIBMITT� IN FIILL BEFORE PLAN REVIEW WIIS, B$ STARTED
(See Check-off List Enclosed)
------------------------------------------------------------------------
THE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR
� ' _-- ��:^��,�� ZIP: .� J �� �I
JOB SITE ADDRSSS: 3;�L �-- ���'Z�'-�
(work)
c / f
N�ML OF OWNER: � L-C..� c� PHONE: (nome) `7 �/ � C>>'% U
MAII�ING ADDR.ESS: �� y � ���% .t�11-�� CITY: (��T�.�� ZIP: .�S� r l
C /
CONTRACTOR: �i..�� � ' '�i.���t�-ti-;�,�:.� Z c� PHON$: y �v2 ' ,�- � I
MATZING ADDR.ESS: %�9 % Gf�t�N,ct.� �'S _ CITY: �'��:��C ZIP: .J�.J��L ��
STATS LICENSE: #
ARCHITECT/ENGINEII2: �L`�`� PHONE:
MAILING ADDRSSS: CITY: ZIP:
Np,�: RBGISTRI�TIOA �
TYPE OF WORR: New Additian Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : ��c� � l��c.r��x�.�.�J //..�i.�.) ���
���,,4 � L�fLt� ..l�XX-/�Z-tl��t .✓f�I.�4L1 ��-�t.'�G2G'�L��
4 �
�� �
1 l
STORIES:�_ SQ. FE$T OF EACH FLOOR: I � � � "�'"
NO. OF B$DROOMS: GARAGS ST1�fLLS: ATT. DET.
. /:�� 1
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ����'�
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 is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approned plan. .
� �
APPLICANT'S SIGNATDRE: �/ �Ua� . �iL;,�Ycr2.i-,'yrr,.�� DATE: :�� �/ ���
.
'�
��j� `���j� CITY of ORONO
� �;
3�>c�
�
;K� � �`:s,+<:
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� - � � 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:
1. The information you furnish will be used to determine your
qualification for the permit or license reguested.
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 Zocal, state or
federal agencies to the extent necessary to process the permit or
Iicense.
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 priva�E
data on yourself.
E. Your full name is required to process this application or
permit.
�
a ' .
���;'( �YVWIf��,a�rt�d-�—
irst Middle Last
/��j l 1�,.��_r��cti� �) - �—
Address
`�'i'� @�ti1-� .�C��'v`✓l ' �.�.a � �
City State Zip
y �� - ��i/
Phone
I understand my rights as stated above.
`yi
�. 1�\„�.-¢�� � ' ��r l.n.'r`1.�/��'r�-£,,,,,
Signature •
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBL[C WORKS—473-7359
ASSESSING
513.04 RIGHTS OF SIIB.7ECT8 OF DATA
Subdivision 1. Type of data- The rights of individuals 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��� ����" An.individuel asked to
� supply private or confidentiel data concernin a�BmWi hin the collect ng state agency,
purpose and intended use of the requested d
(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 confidentiel data; and (d) the identity of
other persons or entities authorized by staau��easkedlto svpply invest gat ve da a
requirement shall not apply when an indiv
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolert taX re°und instructionsuinsteadhos
subdivision in the individual income tax �r
on those orms. . - --- --
Subd. 3.
Access to �ata by in�ividu8l- Upon request to a responsible �
authority, an individuel shall be informed whether h r vateeor confidential.e UPon his
individuels, an d w he t her i t i s c l a s s i f i ed as public, p u b li c d a t a o n
further request, an individual who is the subject of s�t tQ�mrl�de if he desires, shall
individuels shall be shown the data withou�t an�y ��8. �ter an individual has been
�e i n f o r m e d o f the content and meaning t h e d a t a n e e d not be c�isclosed to
shown the private date and informed of its meanin$, u�uant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additionel data on Lhe individ�h h� ate or public datarupongrequest by
responsible authority shall provide coples The res onsible authority may require the
the individual subject of the data• P
requesting person to pay the actual costs of making, certifying, and compiling the
copies. Q y y ssible, with any request
The responsible authority shall com 1 immediatel , if po
made pursuant to this subdivision, or with lida e,dif Simmediateatcompliancs eisu not
excluding Saturdays, Sundays and legal Ys
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may have an additionel five days within which to comply with the
request, excluding Saturdays, Sundays and legel holidays.
. Subd. 4. Procefia'e �►hen data is not a occura ivate datla iconcern ng himself• To
contest the accuracy or completeness of publ�c P the res onsible authority
exercise this right, an individusl shall notify in writing P
describing the nature of the disagreement be nacciu�pa e ori n omplete and att pt to
days either: (a) correct the data found to
notify past recipients of inaccurate or incamP�t he believesdthe datalto be correct
the individusl; or (b) notify the indiv�du eement is
Data in dispute shall be disclosed only if the individual's statement of disagr
• ineluded with the �isclosed data. � 8ppe�ed pursuant to the
" The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
' • CHECR OFF T�IST �OR ISSQANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL DESCRIPTION:
PID:
DESCRIPTION OF WORR:
------------------
ZONING REVIEW BY: DAT$ APPROVED:
BUILDING REVIEW BY: .DATS APPROVED:
PERMIT ISSIIED BY: DATE:
------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No SEWER iJNIT $
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
PENALTY Yes No PARK FEE
SAC Yes No SITE INSPECTION
OTHER (specify)
------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake) : Right Side:
Rear (Street) : Left Side:
Adjacent Structures: Wetland:
Existing Proposed
Hardcover: 0-75 '
75-250 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Dates BY� ' .
Zoning File: # Resolution #: Resolution Date:
RF.MARRS (in house) :
BDII,DIi�1G REVIEW CHEGR LIST
. ,. , `
IIgC: CONSTRIICTION TYPE:
BLDG SIZE: H. L• W•
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Pex�its:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Well Water Connection
Insulation Septic Sewer Connection
Wall Board Fireplace Lawn Irrigation
Final (Masonry) Other
Other (Manufactured)
REMARRS (IN HOIISE) :
-----------------------------------------------------------------
REVIBW BY OTHffitS: DATE:
Access: Existing New
Access Approval: Date BY=
--------------------------------------------------------
REM�IRKS (TO BE NOT$D ON P$RMIT) :
DATE TIME
CITY OF ORONO CALLED IN �/� �-Z–
INSPECTION NOT CE SCHEDULED �'z- ��3 �'
PERMIT NO. l CC 7 COMPLETED 3-�3-S Z- �'i:�
ADDRESS �� � 3 � �
OWNER CONTR.
TELEPHONE NO. '�7� — ����
� DESCRIPTION `/�'�a'�_.�c�
�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
= 5 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
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:L�YES_NO
� COMMENTS:
� �
a C���K � �-�
j �
0 /`!N'�v� Y1v5�
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d _�
W �yVORKSATISFACTORY:PROCEED L, PROJECTCOMPLETE
�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-' GTATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContractor n si
Inspector.
White Copyllnspector's File Canary CopylSite Notice
f
DATE TIME
CITY OF ORONO CALLED IN ��9�
INSPECTION NOTICE SCHEDULEO ��� �%�
PERMIT NO. �' y�� � COMPLETED Il u
ADDRESS �:�7 3 ��d-c.c �
OWNER CONTR. o �-v�--�^^�
TELEPHONE NO. y�J �' �-5��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 2 FRAMIP1t`� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETffURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4Qi 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d WORKSATISFACTORY:PROCEED C: PROJECTCOMPLETE
W
� ❑CORRECT WORK R PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor o ite:
, ,.
Inspector. -
White Copyllnspector's ile Canary CopylSite Notice
✓ .
ATE TIME
CITY OF ORONO CALLED IN .yZ 9z
INSPECTION NOT CE SCHEDULED �/��/`>=- �- ��
PERMIT N0. ��/� COMPLETED I� ��
<
ADDRESS "-��`3 � -�- -� %
OWNER `����.L� CONTR. ��'�-��r�,•�-z���r��..c<.,
TELEPHONE NO. �7� " C��� v
� DESCRIPTION� ������
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRA� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 3 INSULATION 24/25 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 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 MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK R PROCEED C 1 ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. -• pHOTOTAKEN
INSPECTOR WILL RETURN
I ' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contraqto��n site:
Inspector. �� �
White Copyllnspect r's File Canary CopylSite Notice