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Home My WebLink About1992-004381 - replace roof • � �'ERMIT �� PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: ��-�I�� Crystal Bay, Minnesota 55323 Date Issued: ""'�-"�� (612) 473-7357 i)�./t):�;/_�:� SITE ADDRESS: :i4�:3`� EA'=:TLAF�:E '��T .TEt F T f�1 i_}.�,—f 17—:�`—f�'—i�(:�=:F. DESCRIPTION: ��'f qi:� �i�iii� ��;'��;�l�:�"tl E�ui l��in3 ��rrai t• Ty��N �=F—ADD;�Eh1��DEL E!��i l.��iy�� W�_tt�k: T�� T;FF'L�C.:E EXI'��TII�lG ...._... __ ...._.._ S��i�. ��{—'Ll�l�,f' �Ji_.+ �_._{ ' ' .}• :.L ,.!?e. L'.L f ! L'1 i.J116'1 L1 ��ii_�•)'��k_�•1 -t-I ! y��C �� ;..,: �� LTi�C .1 1 � � i i ! �!T!'f!!iL•L L'I! 11��L ' ' •r'ti:i! ?r' ...i'1J11:�l�VVV !T . . . _..... .... -r . � V J. i:L T L.'�.'�L�V . .. . � . .e'�.i�:7cliif4?ffl fs` �� 1�J�'1.'lt'VVVV !7 . . f�e Y :'L A? x:i �� .. . � V1 LLl1 "1'Ya7�: .. . . •::•:•:+i:e}iii}i� 'U . 1_,L.t L.V VV L'Y 1°!' � e�lT iA? Vit . � � V1 4LIi .L�VV . . ..,Lii'�' .'.t 7�:`. __ � . �rt 1LL•1\ !L 1: a t iJ ,y. .. �� . . �ILL�L.it�,l !tll'T!T\ l•Vt.! � :'r:':t:' irt? ' ils:iil lfi.TNl�?V L•��`li 11L�1 t+l.V�7V .. . . � l�V:�11J1. c.. REMARKS: FEE SUMMARY: UAf_t jAT I E�N �_:,F,c�i� E{�ts� Fr.� $i;:�t . t��r F'l�t-� �;evi�w �4i�, °�� =_�,��r��,-�� ---------��.�a�� T{_�t..�l F�� ii�5. 75 CONTRACTOR: OWNER: — �1F`F'� 1�ct li�. — '�C:N�1LT� HNL�C�EW :�:�.i�� E�'=�TLAt�::E �=:T L�in�G �A}�::E �fN 5�:��F � ` � � � � ��.��—::�.�.7 TH� la�(L��i';�I GiVED Hl��:EE,Y F�'�.��_�i�'=�T'� �'Ei�;t1 I'==';I f_��J T�;E f�t=�k::E TH� �iE�L I t1f='�:►�VE1�1��lT°� ��;F'EC:I�I�C� �,�dC� �,C,!;�E°�: TE_� �ri_:� AL_L tiii=#�;E��: I h�! '=Tf�;F t�:T �:�:+�F'f�I AhdC:E W I TH F�L1 C:I T`` �� , i i��i{+�� i thD i Nt�N�:E'�; A�il� '�T�fiTE +=+�= t�±I t��'==tiT+� ��!I L.D I NC; �:s rDF_ R�t:��.1 I REh1El�T'�. � -�� - � �� A LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � , •� • ' CITY OF' ORONO — BUILDING PERMIT APPLICATION T�tal Fee: $ J�� Date Received: �02��I c�- _ Date Approved: Entered By: a Permit#: 3 � ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: �i `/� y �-�sT G-sf�'f�- � ZIP: � S I S a (work) �Z��aoa NAME OF OWNER: f�1Y/R�w f /j'1�'G��D� sG �vl�TZ PHONE: (home) �Y y �'yYT MAILING ADDRESS: � y� r ��1� G'4/r�5T CITY: OX�/'/� ZIP: ssj-s� CONTRACTOR: �eL{-' pH�NE: MAII,ING ADDRESS: CITY: ZIP: STATE LICENSE: � ARCHITECT/ENGINEER: PHONE: MAILING ADDRSSS: CITY: ZIP: NAA�iE: REGISTRATION # TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate�_ Land Alteration PROPOSED WORR (describe in detail) : (Z-�wv�,-e (�o-t s-r-�l�c�u rf.� cA�v� �� STORIES: �-- SQ. FEBT OF EACH FLOOR: p�� j�s% y�� S�Go�'� NO. OF BEDROOMS: �-- GARI�GE STALLS: ATT. DET. �--- ESTIMATED CONSTRUC�ION VALUATION (egcluding land) : $ /$°D,mO 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 approved plan. APPLIGANT'S SIGNATOR�:: DATE: � f� � � CHECR OFF LIST FOR ISSQANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL DESCRIPTION: � �G� �'j �Q��,�_ �S_�_ PID: ,J '" j/ 7 - �3 / 3 �c� � (!-' DESCRIPTION OF WORR: RE�I�Atp R�� "T(Luc,�� 2-C ------------------------------------------------------------------------------- ZONING REVIEW BY: /U1i� DATE APPROVED: BUII,DING REVIEW BY: .DATS APPROVED: (p- L-4 Z-- PERMIT ISSUED BY: DATE: ------------------------------------------------------------------------------� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �No SEWER UNIT $ PLAN REVIEW Yes ` No SEWER CONNECTION STATE SURCHARGE Yes v No WATER CONNECTION PENALTY Yes No v PARK FEE SAC Yes No v SITE INSPECTION OTHER (specify) ------------------------------------------------------------------------------� ZONING CHECR LIST Zoning is ict: /' Fire Department: Post Office: Sch District: Lot Area: Width: Depth: Survey Submitted: es� No Date of S rvey: Proposed Setbacks: / i � / Front (Lake) Ri ht S de: L_ j� � Rear (Stree�) : L ft ide: � i Adjacent S ructures � We land: � Exis ing Prop `_ i Hardcover: 0- 5' � ` � � --�--- 75- 50 ' i Hardcover Variance Requi ed: Ye No�' Date of Co ncil Approval: Grading: taff Approval at : � !�By: Counc' 1 Approval Date: Septic: taff Approval D t s By: - , Zoning ile: # eso ution Reso ution Date: REMARKS' (in house) : BDILDING REVIEW CHECK LIST �. - • • . IIBC: g� R-3 CONSTRDCTION TYPE: �— BLDG SIZ$: H. L. W. Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3,�p � eo _ Inspections Required: Work Requiring Separate Pezmits: 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) -------------------------------------------------------------------------------- REMARICS (IN HOIISE) : -------------------------------------------------------------------------------- RL�VIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: -------------------------------------------------------------------------------- REMARKS (TO BE NOTSD ON PERMIT) : � .,,� �y� . s3r '� �� '4. �� C ITY of O1�ON� _�� , Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices 0 � . � � On the North Shore of Lake Minnetonka DATA PRNACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your reguest 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 wi3.1 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 Iicense. 3. The information may be shared with other local , s�ate or federal agencies to the extent necessary to process the permit or 3.icense. 4. If your requested permit or Iicense requires Councii. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your full name is required to process this application or permit. f1 KOR£cv -T�,E'S Sc �!�L T z- First Middle Last 3 �ro 4 E�3r � .�� fT Address �� Ro � � mN SS3S,� City State Zip �iyy- �g � 7 Phone I understand my rights as stated above. Signature . BUILDING&ZONING—473-7357 • ADMINISTRATIOIV&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING SI3.04 RIGHTS OF SIIBJECTS OF DATA Subdivision L Type cf 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 esked to � � su ply private or confidentiel data concernina $mwi�in the collecti g state agency, P uested purpose and intended use of the req political subdivision, or statewide system; (b) whether he may refuse or is leg y required to supply the requested dat8; (c) any known consequence arising from his su lying or refusing to supply private or confidentiel data; and (d) the identity of PP other persons or entities authorized by svgau��e8skedito supplyeinvest gative data, requirement shall not apply when an indi pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue me ole�t tgX re°und instructions insteadhos subdivision in the individual income tax •r r on those orms. . --- - � . Subd. 3. Access to �ata bp in�vi�usl- Upon request to e responsible authority, an individuel shall be informed�h blic, privateeor confident alre UPon h�s individuels, and whether it is classified p ublic dete on further request, an individual Who is the subject of e to�mrl�v�aae if he desires, shall individuals shall be shown the data withou�fan�y ��a. �,fter an individual has been �e informed of the content and meaning the data need not be c3isclosed to shown the private date and informed of its meaning, ��ugnt to this section is him for six months thereafter unless a dispute or action p � ending or additionel data on the individual has been �u�I c datarupongrequest by ' P require the responsible au t hori ty s h a ll p r o v i d e c o p i e s o f the priva e or the individu8l subject oft�e actual.costs of mak ng,l certi yingy and compiling the requesting person to pay - copies. immediately, if possible, with any request The responsible authority shall comQly made pursuant to this subdivision, or with lide e,�f Simmediateatcompliance e��.su not excluding Saturdays, Sundays and legal YS ossible. If he cannot comply with the request within that time, he shall so inf�orth the p within which to comply individual, and may have anS�� 1O�legal�holidaYS. request, excluding Saturdays, YS Subd. 4. Proced�e �►hen data is not accurate or complete. An individuel may contest the accuracy or completeness of puotif °inr1vVVTiting tthe�respons b e aut or ty exercise t2us right, an individual shall n Y describing the nature of the disagreement. eT,lnaccurate oren omplete and att pt to days either: (a) correct the data found to b notify past recipients of inaccurate or incomp�t ri a b�evesdthe datalto be cor ect the individuel; or (b) notify the individual eement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data• ealed ursuant to the ' The determination of the responsible authority may be aPP p provisions of the administrative procedure act relating to contested cases. ✓ ATE jIME CITY OF ORONO CALLED IN � -�J�'�' INSPECTION NOT CE SCHEDULED �� PERMIT NO. �� COMPLETED ADDRESS � � OWNER CONTR._.��-� TELEPHONE N0. '7`�� '�4-� � DESCRIPTION W 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP � 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � 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 = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTIC INAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w a � J O � � O � W � Q ti Z W � W � j d W ORK SATISFACTORY:PROCEED C' PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY W ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN i GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQl11RED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance.473-73�J7 OwnerlContr s e: Inspector. White Copyllnspector's Fil Canary CopylSite Notice �, DPy E _ TIME C•�� CITY OF ORONO CALLED IN � � �L �" �"�'� INSPECTION NOTIC� SCHEDUIED � - /° %.�- /` ��t�'� PERMIT NO. ��v� COMPLETED �_ � ADDRESS ' r � �1��-�d��' ` �- OWNER �-= ' ��t< �-��-��' CONTR. � �---�� TELEPHONE N0. �L�� `� `� � � DESCRIPTION � 01 FOOTING 11 MECHANICAIRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIF�LLING Q03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 4 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 Q = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q ti Z W � W � � GW�WORKSATISFACTORY:PROCEED -; PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT Cl CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN 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.�IT3-7357 OwnerlContr o �ite: Inspector. White Copyllnspector's F e Canary CopylSite Notice DAT E T I�vJ,E � "` 7 -� � ,�.C.��U-Y�\ CITY OF ORONO CALLED IN INSPECTION NOTICE scHEou�E� - � `' � f� � P�RMIT NO. ��'�� coMP�ETE� � � � ADDRESS ��' � ,. -� �C � ��f. OWNER -� ' �� - CONTR. TELEPHONE NO. �7� �,��:' � DESCRIPTION � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 F 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 3 INSULATION ' 24/25 WOOD BURNER/FIREP�ACE 19 LAKESHORE/WETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN 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 MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED -1 ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN . CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor i Inspector. _ White Copyllnspector's File Canary CopylSite Notice