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1992-004797 - renovate/remodel
P,ER�MI�I�' CITY OF ORONO PERMIT TYPE: �:;����_���;��; 1335 Brown Rd. South • P.O. Box 66 Permit Number: ���_s4%'�? Crystal Bay, Minnesota 55323 Date Issued: ' �����f'!`��= (612) 473-7357 SITE ADDRESS: ,::s�i�� �j`!_1�`aV,�i fi:�Y f'1'rr}� .i�� F' . I .ty. � �i�--i, i,�--:�:_;—'='L—:7i:1 �. DESCRIPTION: - -s't i :_;l j{�; i"�F�j';�j i i. I Y�'=r? :��—�;���F r���{3_��}�� ���J 1 ���I tl'� '',:_i7'}�:; ?��M�N �`.�l'•�3_�•}f���ltitE:.�'j3 i;��.� !4%,;{: !_li i:!�I�'cti��; _ - F�;—:=; i_:s�+l i=.L.1'����•�`^i��' { 'j'��r? ��'�� � � � . � . �F'�"?�'�A'C�"�� ��*����.fl��'����A��'�'r.��^. ',� � � . . � . REMARKS: °��E�'��F;F;�L �`F'�;"�!T�'=: F'��t;?!i I�:F Cj F�_�ti �'�._�ii•1�,T,�{��; fi;r�:1-�F;(�l�.��.��;� tc EI.._E�:TF�1 C.��l� '�:�"i�;i�' �`��:1`'{I1- FEE SUMMARY: il�3�(��}�i 1_1i�.� �.,:�_1 , 1_1{ti 1 �=cl=r=' !'C� � ''-_�� . �s_� �•TTY ieC +fL'�3�Jtt ,y L+1 t � Vl IJl1V1-�/V I���iti 7 I ��k'-'Y�t=W �i��n , ��.-. L f r1j:�4 dtT�Y 'tCi.T t'C .� i�.. � ! ylTRltL•L L! t 11:L :..: ��t�:'[�—SMi���E:a .'�}��i,�a,t1t 1+11J.L1lVVL�V _ r !1 ��_�_��.��i � ���=�-l- . ���' �. �y "�t t7.`i ���-1 V1 LLl7f t6�JTi�JV i , r%!��ki lilffi! � .i uiJV J.il�.'VYV y.l LLl�1 1L7s%SJ 1 i-ii.i_L�V L�V�� � t i C r 1f1 VL� 1✓�tlV "itC!'M F! 't!:) !rT L.•flL1,11 !L '7L�T�T�1 3.l�S'rT�=_Ti.i�AlA� '!.'!(t f 1L4Li! 1 !7• ITtI t VV ii'==�iiitt r•:�iti i.•ii ?ii�.•,R- nc.rrivv i+'vvi �i{rs +v •v.i i i %�:t�r%. i l:`'.L!!a: CONTRACTOR: OWNER: �" �'�`F'�. '��'"�. + {�i��;�::��t1�t�� (1f=;��rIC� '�:i:� �:�4i��iW►��+_,L}`Y F�4�E ��i�`v'�HTs� k�li�� ;�:?�=+1 3��.�3���._��3 i'� ` " ' ' � � ... . ... , � . � t TF.�E :j{'�i_.�::#�.,_�f''����y ��j_��C�.'v {-,`�-izt%_j`,:,t= . � , i i''.l�T _ =�7._{�# ��_� f�1.T-���.� i�"�� �"C`i;�_ 1 � �i'1�_t.-a)?_�:#1-I's��r'.,� J , _ � t !-. _.r T � E , ,. 't t �i�_' . ,��.,V _;'��_F-•'i' ;'i..� �,€ t5 t � i_; i` ._J#" �-,r �-�l:�- t_..i 3 t�,�7 c-.�_�r..__ T,:, i..;i_t ;=•l..�. ..�.��:���: _. . _. . .�i r _.�1.�__�t�..�C.:E ��. �' �L i_ �I " � ?ak,'�y;�',;�_'r. I_I;�.::1�4��i-=!?�i'_ � �'�'1;? '•,� �t`:��� i,�I'- i''i i�'}?3���:`W+�_i�;-� `?-�`.,,f;i_i F_{�.;,j iw:i_I�IL�- j=;�'•:a's,_I.��s:c�=j���;�T`.-;, � � _ �� � � �_ -�- ' .����.C�cJ �irn�-� APPLICANT�PERMITEE SIGNATURE ISSUED 9Y:SIGNATURE C��/l CITY OF ORONO,- BUILDING PERMIT APPLICATION Total Fee• $ �� �� < <"I �� Date Received: :'/ - �� l � Date Approved: �� ��� -�1 �-- Entered B y� �� Permit�; l = 1�� � AT.T. INFORI�iATION MIIST BE SIIBMITT� IN FIILL BEFORE PI.AN REVIEW WILL B$ STARTED (See Check-off List Enclosed} -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR . � JOB SITE ADDRSSS: ���� .I t/d�i:tJ��:�_� `( )�J <`_ ZIP: `7 `7 � S ' (work) `� I�' `i u 7" N� OF OWNER: � �U'�� � ` �,C�� � � - � � K���''���� PHONE: (home),�, ��, C1�� �— MATLING ADDRESS: ��L'..�� �-��I��-� C � it CITY: L�CFi�� .�.L ZIP: �-�S � � ) CONTRACTOR: `�C�(� PHONS: `-� 1 � ���'� � MAIZING ADDRBSS: ii,6�v'�'- CITY: ZIP: STATS LICENSE: � ARCHI TECT/ENGINEER: �C�.��o�;-�___ PH�NE: MATLING ADDRRSS: CITY: ZIP: N��g: RSGISTRATION � TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration�_ Renovate Land Alteration PROPOSED WORR (describe in detail) : ��'-'' S�t��� N�J�' "`'y i^''r�f= w' �'�-�-.� �� t�i�-3;�� .��.� �r'W�� `' ,�c`�'C�`K'�+��� ..����i��,�� ����;� 5 �� '�--�a �. T �—� �v�i� c�.•��!�u��S STORIES: Y SQ. FEBT OF EACH FZOOR: � 3L'�U -� V S' � i� �'� - 2�-' NO. OF B$DROOMS:_ '� GARAGE ST�LS: ATT.� DET. � ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ .3�� a �l ✓ 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 wil 1 be in ac " d e w � the approved plan. . • ? � S �Z-- APPLICANT'S SIGNATIIRE: �� .. DATE: � - � ' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRRS S OR LEGAL: �Z%9 l�,'l)0 L�G� f�t+v PID: �� -�/ � -:�7 3 .-� �- �'�- ��/ DESCRIPTION OF WORR: (LEv►'�o��=�- ----------------------------------------------------------------- ZONING REVIEW BY: /]/�I� DATE APPROVED: BIIILDING REVIEW BY:_S� ,,,� DATE APPROVED: 1/ "/ �I2� --------------------- -------------------------------------Z----------------- 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 Distr ct: Fire Department: Post Office: Schoo� Distr' c : Lot Area: Width: Depth: Survey Submitted: Ye No Date f Sur ey: Proposed Setbac s: Front (Lak ) : Rig t Side: Rear (Str et) : Le t Side. Adjacent Structur s : Wetland: �� i Building Hei ht: Def. gt. Peak Hgt. ' Avg. Setbac : L t Coverage: Exi ting �Proposed Hardcover: 0-75 ' ! . 5-250 ' 50-500 ' � � I 00-l000 ' f % Hardcover Variance Requ' ed: Yes� No Dat , of Council Approvalc � Gradin�: Staff Approva /Date: By: / _ Council Approva� Da�e: ; � , Septi : Staff Approval Date:_ ' BY=�_ Zoni g File:# / Resoluti n # : /� Resolution Date: / `I REM�RKS (in house) : ' � . BIIILDING REVIEW CHECR LIST � ' � - . IIgC: �� +�'3 CONSTRIICTION TYPE: �— Sq Footage $ Per Sq Ftg Basement x = lst Fl.00r X - 2nd Fl.00r X = Garage x - X = TOTAL Esti_mated Construction Value: $_�.UOC� Inspections Required: Work Requiring Separate Permits: Site ` �Plumbing Grading/Fil].ing Footing �C Mechanical Fire �pFraming Septic Water Connection �Insulation Fireplace Sewer Connection �Wal�l Board (Masonry) Lawn Irrigation _�Final. (Mf g.) Other Other WeI.� (State Permit) �EZectrical (State Permit) ------------------------------------------------------------------------------ REMARRS (IN HOIISE) : ------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY= REMARRS (TO BE NOTED ON PERMIT) : � �. � i ��� l ^n.x� ��� � � 5 ��= � � CITY of ORONO Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices • • - • • On the Nor�h Slzore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like 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 requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or Iicense. 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 reguires Counci3. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review prica�L data on yourself. 6. Your full name is required to process this application or permit. ,�,� �� . �� �;C ��.✓�'�"�� First Middle Last .`(c,�'� �.i�(�'�-:� C- c� Address , �-�-�. C�c,�-�,�� � ti� � � � a � � City State Zip •� � � -- c� G. ( (� Phone I unde-rstand my rights as stated above. � �/ � ignatur . BUILDING&ZOlYING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359 ASSESSING _�_'_._.-_.-_.'._... . .. i y � 573.04 RIGHTS OF SIIBTECTS OF DATA Subdivision 1. Type of data- The rights of individuals on whom the data is stored or to be stored shell be as set forth in this section. Subd. 2. Information require d to be given indivi�usl• An.individual asked to � � su ply private or confidential data concernin�g �gmWi hin the collecti g state agency, P purpose and intended use of the requeste �b� Whether he ma� refuse or is legally political subdivision, or statewide system; �own consequence arising from his required to supply the requested date; (c) any su 1 ing or refusing to supply private or confidentiel data; and (d) the identity of PP Y state or federal law to receive the data. This. other persons or entities authorized by investi ative data, requirement shall not apply when an indtola law enforcementuofficer. g pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lace the notice re uired under this subdivision in the individual income tax or ropert tax re und instructions instead o on those orms. _ --- - . Subd. 3. Access to �ata by in�vidusl• Upon request to a responsible authority, an individuel shall be informed�h blic pr vateeor confidential.e Upon his individuels, and whether it is classified p � ublic date on further request, an individual who is the subject of e t��mrl�de if he desires, shell individuels shall be shown the dat8 withou�t a��y ��tg. After an individual hes been 6e informed of the content and meaning t� �tg need not be c�isclosed to shown the private dats and informed of its meaning, u�uant to this section is him for six months thereafter unl.ess a dispute or action p � ending or additional data on the individu e h� ateQor public datarupon request by � p require the responsible authority shall provide copies o t P ilin the the individual subject of �e g���'�os h of mak ng,l cert fyingy and comp g requesting person to pay t - copies. if ssible, with any re9uest The responsibls authority shall comQly immediatelY, P° made pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays, SundaYs end legel hstldwlthinithat t meghe hall so nfo m the possible. If he cannot comply with the reque Within which to comply with the individuel, and may heve ar► additio� i v�d�Y��� request, excluding 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 exercise this right, an individuel sha11 notify in writing the responsible authority describing the nature of the disagreement. T.nacciu�a e orincomplet and att pt to days either: (a) correct the data found to be notify past recipients of inaccurate or incomp�t�e t�evesdthe datalto be correct the individual; or (b) notify the individual t t eement is Data in dispute shall be disclosed only if the individusl s statement of �g� t to the • included with the disclosed data• be appesled pcu'suan " The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. ����� � � , ��� � ��� ,. J-__� ����� � . GENERAL BEARING CORPORATION _ �I�� / N Route 303�Blauvelt New York 10913 - : / � � �� Fax (9141 Telex 137353 _ � ,�, �, �1 Y v� elephone (91 -6000 � — � � � ' � � -- , �._�,.�r'�° •.-' ' � � � � � � � L _ ; ' � ! � ' i � _ _ __, _--'Q= -' ���:2 �! ,__-'— ' �- _-_ � , ; : � .�,_..��_;rt.i_:. _��` _ , ����---_"�--;�--; , ��Y r�3-t��-- - _------�; �rt N - -r--' ; - - ,.-, �•�i �-�v;- , . , -.— �-'�-`-�-T� , , . , � - - , , . . "�� �. l-, - ' � ; . .- . . .�._'_'_.-; �- ' ~,� ! ' __� ._�.'-- � . . .— __ v'"P�_./^. �� ����- j ' � 1 � � � ; ; � _' i . . C/! i �' � i � _ ' � i i i � ��� D : !.� �rr � .�-- �-'�-i;';l�� . � . i �, � . ,�_i i i y � ;r- ..-,. � � . . : � ; � , � I � I ' I i � �� i �;. � � I t � i i t i ' � � � . � � � � i � ' � , i i � i �� � . � � i � 1 I i I : ' . . 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TELEPHONE NO. _ � DESCRIPTION LL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT W 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: � � � 1�-�P O��.-2� �o s'7'z-_—✓.� � � O � V I� � wU�-� /g.2 � � //o�`-� � W � � n � `IJD l,Jt9/t-�-C VH/7 T�- �-�if-wt.T �5 /SSU�c�/ Q n Z � /�i����v4-C1� � - � �t'C�-�. � �- r S S�y W � W � j d u WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � C� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. _ pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-73�J7 OwnerlContract o sit . Inspector. White Copyllnspector's File Canary CopylSite Notice