HomeMy WebLinkAbout1995-006909 - window replacement PERMIT
� �;� : Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ° `�:;w:==�'�±'�
Crystal Bay, Minnesota 55323 - �� • -
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: `'.:: i.:�.:-`;
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .lS�
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' CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ �' '� '] 5 Date Received:
Date Approved:
Entered By:�,/�/� pe�mittt: �,I� `�
AT•T• INgpRMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEGd WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------
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THE APPLICANT IS: ( circle one) O��TNER1or CONTRACTOR
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JOB SITE ADDRSSS: �r � G�:� C�� �C�Q� ZIP: � � 3 �
(work) �1�� - 3��'��
NAME OF OWNER: ����}'�'l �.i� �,"�`�-� `� �S'�� _ PHONE: (home) '�1� I- 7�3 I
r�zzrr� ��x�ss: �3i v��a ���� Qc��i �o��� cz�: C�rov� u zzP: 553� 1
ir�a �-�,—,�-----,�;,,,,in pHo�: �
CONTRl-�CTOR:ur��>���y�+%�vi��
MAILING ADDRESS: - CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PH��
MAILING ADDRESS: CITY: ZIP:
NAML: REGISTRATION tt
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate �� Land Alteration
PROPOSED WORR (describe in detail) : �\� �l�rYl 1 U i ����� � � �l�Yt.� C>� _ .
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�� -' V� ti� � V�C Y�(��i
STORIES: SQ. FEET OF EACH ��R= -
NO. OF BEDROOMS: G�GE STA.LLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �� U��
I hereby apply for a building permit and I acknowledge that the informatior.
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 �
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 approved plan.
APPLICANT'S SIGNATQRE���I.I,C�Ce. . 1'1A-��
DA�: � —I I—� �
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� CITY of OKONO
�
z Post Office Box 66•Crystal Bay, Minnesota 55323•MuniciPal 0���
•
� _ � � 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 f rom 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 suppl.y data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be snared with other Ioca1 , s`ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii ac��or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to proc�ss this application or
permit.
V`� � �� Yl�� L� V� Vv� S 0
First Middle Last
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Address
� 1'�(�Yl D �'�'� b�1 ,S��� � �
City State Z1p
y`l1 - � � 3 �1
Phone
I understand my rights as stated above.
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C� J1,�--C�G � �
Signature
BUILD[NG& ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
� CHECR OFF LIST FOR ISSIIANCE OF PERMITS
• FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ,33��� C�t�T"A'G �� PID_
DESCRIPTION OF WORR: �vIN�UB� ��'-'��� ---
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ZONING REVIEW BY: /v/� DATE APPROVED: --
DATE APPROVED: t( /2 `l�s
BIIILDING REVIEW BY: � --
--------- ------
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 CHECK LIST Zoning District:
Fire Department: Post Office : School District: _
Lot Area : Width: epth:
Survey Submitted : Yes No Date o Surv y:
Proposed Setbacks :
Front (Lake ) : Ri t Sid :
Rear ( Street) : L ft Sid :
Adjacent Stru ure : Wetla d:
Bui�ding Height: Def . gt. P ak Hgt.
Avg. Setback: Lot Cov rage:
Ex ' sting Prop sed
Hardcover: 75 '
7 -250 '
50-500 '
500-1000 ' -
Har over Varianc R quired: es No Date of Counci Approval : _
Gr ding: Staff Ap oval Date : By: Council. A proval Date :
eptic: Staff Approva� Date: BY=
Zoning File• � Res tion # • Resolution Date:
REMARRS (in house) :
SIIILDING REVIEW CHECK LIST ,,.�
�
�C: �, `.3 CONSTRIICTION TYPE: ��
� Sq Footage $ Per Sq Ftg - -- - . - �
__
� - -- -
Basement - --- - -X- _ _ _ ,._ : - -
lst FJ.00r X _ _ . _ _ _ __._
2nd Floor x - - -- • �-=..:.-
- __ - - ---'` ------- __ . .
Garage X - �
X _ - ._ . -=--.
TOTAL
Sstimated Construction Value: $ � `���
�
Inspections Required: Work Requiring Separate Permits:
Site PJ�umbing Grading/Fil.Zing
Footing Mechanica� Fire
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wal.l� Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel�l (State Permit)
E�ectrical (State Permit)
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�F.l�tARKS (IN HOIISE) :
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R�7IEW BY OTHF�tS: DATE:
Access : Existing New
Access Approva� : Date BY=
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REMARRS (TO BE NO�ED ON PERMIT) : VYvU�� prl,pv,� S✓vw��c �2.���--s_ ��'`�
L-4✓ktLW�A-�5 6�7 512-� o� ���O..1S /k�� <<v C,�c.�� �OR-Oo�
D TE TIME
CITY OF ORONO CALLED IN ti 5'�
INSPECTION NOTICE SCHEDULED '� ��/`�S / � 3�
PERMIT NO. ��� � COMPLETED � %
ADDRESS � � -S �� �- ��.- -
OWNER i�--� CONTR. �
TELEPHONE NO. '��I-� --��i-�C- C� �� �{''l/ . '7� 3i
� DESCRIPTION � .c��t=��z��c�
� 01 FOOTI� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING ,' � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O03 TNSULAT ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� �MIORK SATISFACTORY:PROCEED ',_: PROJECT COMPLETE
W �G CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ! CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the t i spection 24 hours in advance.473-73�J7
OwnerlContra n si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
CITY OF ORONO ca,��E�iN /� o�E �� r��Q���
INSPECTION NOTICE ,� scHE�u�Eo �� /`�' � �'�� ��-' -3 c'�,'�
,�,�
PERMIT NO. �<- � I COMPLETED ( <
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ADDRESS � � S ��� � L���-� �� -x � Cr
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OWNER , �' CONTR. �-
TELEPHONE NO. �� —? � _ 1,— �' �'� U -,'_y - '� T•(�ti�
� DESCRIPTION �����u�,�u.� �k ,,;i� ;� �' C �i c_��� _�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA�^L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q: 05 FINAL� 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPEC�OR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on si :
Inspector. i
White Copyllnspector's File Canary CopylSite Notice