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HomeMy WebLinkAbout1990-003094 - renovate/remodel �ERMIT � "��6�� �� ��C��� PERMIT TYPE: s5 Brown Rd. South • P.O. Box 66 Permit Number: �'"��-�'�'�� �stal Ba Minnesota 55323 '•-it S:';''=�� � Y, Date Issued: �_��F�;;��j�j '2) 473-7357 �����. � =:�, E,���E�:��1►��Ji:� �;i� : ;. . t��. i�S-1 �;–�:��–;.:�–t_��}1� _ � ��SC�?IPTI(a�1: i=fii si'iE i��i�../`t�1 I E'JC:yt��'t�;E c:E _��..d i ���1 i i�� 's-';�"s'it�i'� i y��� '=�r T'ri�'i�!i=?��'I����� t�� T r: hi�t i r:�•r • � -�-•�r� �:��l.fi 1 ��JI 11� L+J+�tI'��. t ��'f:.' !"!�l4E_-��Yt-?!r"! !"S��l�_�t)C_L ..'�+�_ �_�L��l..��'d1�s�Y� _;�f }3—= . � __ _. �._;%.��'i�_, i.i,i���`t i ' �,}::, �)`'• __ - �iVtS� i��.�' �' `'�' �"� ��•i l1t.^i1iL•L V!�!7.LL _.__i!1 l�L'V\N n t�.L L9.�l�f VaJ a l�V ... ..._:_'J�j i t%(5.i�,i T�! . . . !� i. YJ. i74t Yt+��vl *:SfNtik +� '_.....��\t=�L�N , .. : '1C I REMARKS: �� �� t�=��—� �;,�r•� r: #,i� 7tt i:,��G� �� iti���.iv i.}�'�'�l:.11�_ �!�LlPatf�s' 1�9lI! 1\4.I.r{.1! ! �!!7!lIt/5 !VV .. .�}3=:Jik '�''!'1' L'et:i T7�afi 1'f.LV�y�•L' L•17�d 11V.L %2�."1f f!!:'T t•."1f} vr: au:rv FEE SUMMARY: +1A�l�AT i i si.; �:;,�i�3:� E��r=� i�c �,i=�:; ,ii::) �'i c+t�! Ei�v��i+l ��i; , '!�, _ + ['., _�a�,c h:�f,�� __–_–_ #�–l- i,�i.�t�. ��L ��.t):, . :ti �`k =�.� #k ..��"" '_ 3,� �r�`G �',:,+r` ' �,'* ; Nd . p�ft.'�.�vyy, �,� '.�` a c'�w'' s.�,s��`��i t'�5� i�` 'y�' �`�d ,'q �" f '*s � k+�0. "�' �e c.x �� �- +� a . �. . ,.,� ; ��. � � k , � �,. �,; �,r,. ��� , �` r.. �. � , ,'� , �� �'"a '� a � .-�� �-.��Ar� '`.�'��+ �� ���+��a ��'+ "_ ,� €; �� r' i� ''i': :»,� 4�,.��� 'k=�-� x.� s, " �::y�� � ��-�. ,*�'..°, �Y� g 'k �34`�ixw. .K� "�'� -M3 �: ��. �. . ?�,.� a.''.�.5�, Tr �3`r'�-:'°.X CONTRACTOR: OWNER: -- ������. i c a��Ei. __ ;�:��:i��-�N �EN���i'r'',T I#►:V L:i i 1�.741 i 57 :_;�JT��� .Z��Ns�� i , �r rr.� �;�.�.��, ��1F�F�:�i hC� � ,.=:� E•cCirn�:��it f�i RC� - ��. + � � .-.f—L,_���f�+, I��E�� i�= f_!nI Ij�.(1 i 1'�t�l ri�i._.'ji=, �_�''•:i_ - r"7 i '"�[,;—4 ' �. . � ".q . —t"� !.'('l£� ��, �•-: tr-�-• r-.0 C'eF}Y�` I. UC `; S.'h.�j"'h�iT�". !f}[ �.'��L�C i}:�.�t��'�IL f,,; �"i%f1C E:�T f'1'i_;��C..•�:,� I'-G_Flf'i t..�:�•i f_ii� �{_� 4 1l-E",r•..G �I-�G R�t-fL ��`4��t"1_��lr G3'e�!�i y ._� •r-rt� _ °_;�='�����i�D A�iG ���i-t�_C:�: Ti;i u�'� i=a��._ ��1��i��;{�: I�3 ==�T�;i t:��' t=i it°1F`�I r�i��C:c �.�i T;�; ��t._ {�. , � �_��_ L ���F;���i`��i t��Fi�3I i�r`l�'�I�:�'�: i i�lCa 'v�i r=�TE� ��� i i i h�l��IEti��=�!"i� �:t;i LC�I 1'd� 4.=i=�L�. Ft�f�?l�I F;c��s�.i�i::� . � . � �/r� � n'�-- _ _- ---- - _ APPLICANT PER TEE SIGNATURE ISSUED BY SIGNATURE ����/ CHBCR OFF LIST FOR ISSIIANCE OF P$RMITS FOR OFFICE USE ONLY ,.,/�� ADDR$SS OR LEGAL: 1�S �(���G�i� �_ PID: DESCRIPTION OF WORR: �/'1! ��Y��Z-- ------------------------------------------------------------------------------� ZONING REVIEW BY: � DATE APPROVED: BIIILDING REVIEW BY: � DATE APPROVED: �-I g� a FEES TO BE CHARGSD: Misc. Fees Calculated By: PERMIT Yes v 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: Fire Department: Post Office: School District: Lot Area: Wi th: Depth: Survey Submitted: Yes No Date of Su vey: Proposed Setbacks : Front (Lake) : ight Side: Rear ( Street) : Le t Side: Adjacent Structures : Wetla Building Height: Def. Hgt. Peak gt. Avg. Setback: Lo Coverage : ' sting P posed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Requir d: Yes No Date f Council Approval: Grading: Staff Approval Da e: By: Co ncil Approval Date: Septic: Staff Approval Date: By: � Zoning File: # Resolution # : Resolution Date: , , REMARKS (in house) : ! i � � BUII�DING REVIEW CHECR LIST � Y` " �j CONSTRIICTION TYPE: ��-- IIBC: f�.s Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage X - x = TOTAL s�) o0 $stimated Construction Value: $ 3 � Inspections Required: Work Requiring Separate Permits: Site �Plumbing Grading/Filling Footing � Fire �Framing / ic Water Connection �Insulation ` Fireplace Sewer Connection �Wall Board (Masonry) Other D�Final (Mfg. ) Well ( State Permit Other Electrical (State Permit) ----------------------=-------------------------------------------- F:EMARKS (IN HOOSE) : ------------------------------------------------------------------------------- RF.'VIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date BY� ------------------------------------------------------------------ REMARRS (TO BE NOTED ON PERMIT) : CITY OF ORONO - BDILDING PERMIT APPLZCATION Total Fee: $ /�.1�� �� � Date Received: �� ���v Date Approved: •� � �� Entered By: �� Permit#: ���'� � � �T•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVISW WILL B$ STARTED (See Check-off List Enclosed ) -------------------------------------------------------------------------------- 2'HE APPLICANT IS: (circle one ) OWNER or CONTRACTOR .i OB SITE ADDRBSS: /`��^ �.����t��%'G`-�`%� Z IP: (work) IvAME OF OWNER: ��/��'/�� c.5� ✓��'Cr- PHONE: (home) MAILING ADDRESS: I�� 0����l,C(.Lt'J�� CITY: �Q��i ZIP: CONTRACTOR: j����✓�/�' �L,r ����y�/��C�i PHONE: ��� � ?� r�AILING ADDRESS : Lj� �j� ���-��� �-�' CITY:' ' J����Gf� ZIP: ���/ Z'YPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration�T Renovate Land Alteration PROPosEn woxx (aes�ribe in aetail) : ��'��i� ��1'��Z�� � ,������5 ��'1;;�!'��L�'1� l'���'�, �f�/�. ��'�✓,�� �TORIES: SQ. FEET OF EACH FLOOR: �IO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. ?STIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ���v�} , `�.i :' hereby apply for a building permit and I acknowledge that the information �bove is complete and accurate; that the work will be in conformance with the �rdinances and codes of the City and with the State Building Code; that I �nderstand 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 SIGNATURE:/�/' .��C� �-�77 �'I DATE: �� l �' ��; .:�. v:�.. CITY of ORONO :.� . e�!':�, 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 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: 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 iocal , state or federal. agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review pri�a�� data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING 513.04 RIGHTS �F S��CTS OF DATA Subdivision 1. 'I`ype of 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 to be gi�� ����' An.individual asked to su ly private or confidential data concernina �BTnwi hin the collecti g state agency, PP purpose and intended use of the requested �b� Whether he maV refuse or is legally political subdivision, or statewide system; known consequence arising from his required to supply the requested dat8; (c) any su 1 ing or refusing to supply private or confidentiel date.; and (d) the identity of PP Y state or f ederal law to receive the data. This. other persons or entities authorized by 1 investigative data, requirement shall not apply when en individual is asked to supp y pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mg plert tgX re°una instructionsunsteadhos subdivision in the individue.l income tax or pc�� v on those orms. . --- Subd. 3. Access to �a�a bY in���' UPon request to a responsible authority, an individuel shall be informed �'++h b�� Privateeor confidential.e Upon his individuels, and whether it is classified as p � ublic data on e to him and, if he desires, shall further request, an individual who is the subject af stored private or individuals shall be shown the data �+vithou�fan�Y ��tg, After an individual hes been �e informed of the content and meaning the data need not be �isclosed to shown the private data end informed of its meaning, u�uant to this section is him for six months thereafter unless a dispute or action p � ending or additional data on the individusl h� ate or p bli t datarupongrequest by ' P require the responsible authority shall provide copies o t e p the individual subject oft�e actual�costs of makng,lcertfyingyand compiling the requesting person to pay - copies. ssible with any reQuest The responsible authority shall comply immediately, if po , mede pursuant to this subdivision, or wit o�ida e �f Simmediatea compliance e��.su not excluding Saturdays, Sundays and legal h YS� ossible. If he cannot comply with the request within that time, he shall so inform the P hsve an additional five days within which to comply with the individual, and may �d Ie al holidays. request, exeluding Saturdays, SundaYs g Subd. 4. Proced�u'e �hen data is not accurate or complete. An individuel may contest the accuracy or completeness of public or private data concerning himself. To ht an individuel shall notify in writing the responsible authority exercise tl�tis rig , p describing the nature of the disagreement. TnBC�p°e o�encomplete and att mpt to days either: (a? correct the data found to be notify past recipients of inaccurate or incomph t he believesdthe datalto be correcL the individuel; or (b) notify the individual t � eement is Data in dispute shall be disclosed only if the individual s statement of disagr • included with the �isclosed data. ealed ursuant to the ° The determination of the responsible authority may be aQp P provisions of the administrative procedure act relating to contested cases. Q DATE TIME CITY OF ORONO CALLED IN U � "� � • �iI INSPECTION NOTICE --� SCHEDULED ��� D' �c,��ti PERMIT N0. ��� COMPLETED �_ ADDRESS � '�ti�-� � OWNER E CONTR. � TELEPHONE NO. `t"� � 1 � `�� 7 j; ❑ FOOTING ❑ MECHANICAL RI ❑ SITE WELL ~ �FRAMING ❑ MECHAMCALFINAL ❑ WELLTESTPUMP � Q INSULATION ❑ FIREPLACFJWOOD BURNER ❑ EXCAV/GPADING/FILLING � ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORFJWETLANDS � Z C] FINAL ❑ MEfERSETITURNON ❑TREEREMOVAL Q Ci DEMO—SITE ❑ SEWER HOOK-UP ❑SITE INSPECTION Z � Cl DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS J Q C PLUMBING RI �SEPTIC INSTALL ❑COMPLAINT W Z ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP � COMMENTS: — � �c �� ° � ,, �� � �t � a — � c9 �.,� J ^ L '� , r' � � O � � "— V i Q �` r p« l�_�l- x '� -=� � �-��n � ��-�-,�--��--��v✓�- Z W � � i c�S; � r"�� l.N S � '� � ?�� � � I',WORK SATISFACTORY:PROCEED Li PHOTO TAKEN W � �CORRECT WORK&PROCEED ❑ CITATION ISSUED W � �I CORRECT WORK,CALL FOR REINSPECTION [] PROJECT COMPLETE � BEFORE COVERING ❑ ISSUE CERTIFlCATE OF OCCUPANCY Cl CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY INSPECTOR WILL RETURN PERMANENT rl STOP ORDER POSTED.CALL INSPECTOR i; INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in adv�nce.473-7357 OwnerlContra r Qr�site: Inspector. �,� �U`^"'9 1 White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE scHE�u�Eo ��7��� � PERMIT NO. G'%�`" COMPLETED G( t� ADDRESS �� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q �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 v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR T ME YOU:_YES NO � COMMENTS: c � a � `v� J � O a � � O � � � W � g ou��e Q � a W � W � � d W '❑WORK SATISFACTORY:PROCEED L� PROJECT COMPLETE � �RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra r o site: Inspector. — White Copyllnspector's File Canary CopylSite Notice /� • DATE TIME CITY OF ORONO / / CALLED IN " D INSPECTION NOTICE ����/ SCHEDULED — U��Z.� PERMIT NO. � COMPLETED �'-2� �l(.� � �=� ADDRESS 1 �S �f�- OWNER CONTR. TELEPHONE NO. � � 3 — J �l� � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANOS �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. FOLLOW-UP J 10 PLUMBING FINAL 23 SEPT C FINAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � -�- �'v:r ►��J �(t.t 55 � � � .. _____ _ J O � '� �v:'J�'.�. i L. .3`-� �`' 3� ,' o,� dV v s..v c, c'�� �;y�c+1� O � � 1 v�L.nl ►N� C�rVr L:L W ,,/� �f—� � -' ��".�'`c7 ��c'�_C..�-.�—.._ Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � RRECT WORK,CALL FOR REINSPECTION TEMPORARY O� B� PERMANENT O CORRE SAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto�n ite: Inspector. White Copyllnspector's File Canary CopylSite Notice