HomeMy WebLinkAbout1991-003560 - remove wall/add beam �'F�1lili�
CITY OF ORONO ' ' PERMIT TYPE: C;i1i,�.C_�I�`•i{�
1335 Brown Rd. South • P.G. Box �6 Permit Number. i�i f.;=,;'-=,i
Crystal Bay, Minnesota 55323 Date Issued:
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(612) 473-7357
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY: T _. _ �-� _ `'��`��"'� �
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CONTRACTOR: OWNEFR� �� � �`�'� 1``j�' - ��
r�..r���: � td�=�i Lr�i�h i
s ;�°:'�: ►��t�JE F;i�e-::_��:; �'f:�I hul�� �ii.:i
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APPLI ANT P RMITEE SIGNATURE ISSUED BY:SIGNATURE �j�j-�
C�r�.��E>�� �/.:� �
CHECR OFF LYST IrOR ISSIIANCE OF PHRIKITS
FOR OFFICE USE ONLY
ADDRES S OR LEGAL: ; SS`1�1 C�i�C,���V��'S 5 t�� PID:
DESCRIPTION OF WORR: �� �n-���.L i �U ��k Sk%w�-�-•:�C c4�� �3�'l�kw�
------------------------------------------------------------------------------
ZONING REVIEW BY: /V I� DATE APPROVED:
BIIILDING REVIEW BY: dv�o � DATE APPROVED: Z' Z �-�� I
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v No
PLAN REVIEW Yes ✓ No�/- SEWER CONNECTION
STATE SURCHARGE Yes �No i/ 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:
1 i�
Lot Area: Width: ,l Dept�h:
�� �
Survey Submitted: es'` No Da�'e of Survey:
i �— � i
Proposed Setbacks: �
Front (Lake) : Ri;ght Side: ' !
�f �
Rear (Street) : �� Left Side: / ,
,
Adjacent Stxuctures : We�land:
� ;
Building Height�: Def. Hgt. Peak Hgt.
;,
Avg. Setback: � Lot Coverage:
Existing Proposed
Hardcover: 0�5 ' � �! �
�;
�
75-,250 ' � �'
� ;
250-500 ' `
�
500-1000 ' � �
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution #: - Resolution Date:
RSMARRS (in house) :
BIIILDING REVIEW CHECR LIST • •
QgC: �' R,�3 CONSTRIICTION TYPE: �Q.�--�-
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
$stimated Construction Value: $ �'1 ��• ��
Inspections Required: Work Requiring Separate Permits:
Site ��lumbing � Grading/Filling
• g Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
�Wall Board (Masonry} Other
�C Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
REMARKS (IN HOOSE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------------------------------
R$MARRS (TO BS NOTSD ON PERMIT) :
� ' CITY OF ORONO - BIIII,DING PERMIT APPLICATION
, . � , . �: ,.
Total Fee: $ �-�� . `} � Date Received: � � � ' � �
Date Approved: �.�t,�--
Entered By:
�'��� -
Permit#: ��� C
AT.T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIfifinl' WILL B$ STARTED
(See Check-off List Enclosed)
----------------------------------- �-----------
----------------------------
'�HE APPLICANT IS: (circle one) � or CONTRACTOR
JOB SITR ADDRESS: �'�� ����IJ��`� � �1� ZIP: �s�� �
(work) ���J-Z;7`t�
NAME OF OWNER: L��I �<��P/��. ('� PHONE: (home) �7 I �� �:�-
MAII,ING ADDRESS: � ���� (�i����>`> � CITY: ���Z�� ZIP: �53� 1
CONTRACTOR: ���-� PHONE:
MAILING ADDRESS: ��� ��}'C�(��IJ��� � CITY: �1v�1�`)Z� Z IP: S 5 S�( I
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORK (describe in detail) : �Z(�Pp�(� �f�'��'V���(i 1�(_� 13;" KN�faCirvh�/�Z�.
el.�- _ /�D i Nc, s r1J � IJJ✓�'Lt- il�l i T N `���'7 �'"�.c'��=K 7b i1�1 F(l�l a St{�,�1 (,t�/�LL.`3
STORIES: v SQ. FEET OF EACH FLOOR: ( I C'JC.J I�i`�' �t✓ � ��L�'u1�1�_
NO. OF B$DROOIKS: � GARAGE STALLS: ATT.� DET. ,
ESTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ Gj��� C%p
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
°snderstand this is not a permit and work is not to start without a permit; and
�hat the work wiI 1 be in accordance with the approved plan.
�;�JPPLICANT'S SIGNATQR$: � �r� DATE: v 1 G �1
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�A. �xr�c� .
�'�«s��a K.f _�:..
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� � Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
� '
a - � . �. 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 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:
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 �oca I , state or
federa]. agencies to the extent necessary to process the permit or
license.
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 �o review pri�at�
data on yourself.
6. Your full name is required to process this application or
permit.
C�U k'�l l�f�-P!+���1
First Middle Last -
���-1-9 �'��►�(L�s ��� rzl�
Address
���1'Y 2-�'f� Uti �I 5 S��'1 1
City State Zip
1-tll -� t �L
Phone
I understand my rights as stated above.
� r
—�
Signature
BUILDING&ZONING—473-7357 • ADMIN[STRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGfl15 �F S��CT� OF DATA
Subdivision 1. Type of date- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
. Subd. Z. Information required to be giv� ����' An.inciividusl asked to
su pl private or confidential data concerni a �BTnW hin the collecti g state gency,
P. Y
purpose and intended use of the requested �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 stste or federal law to receive the data. This.
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an individual is esked to supp y
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue ma plertV taX reound instr�uctionsunsteadhos
subdivision in the individual income tax or t�r��
on those orms. - - .
Subd. 3.
Access to �ata by indivi�ugl• UPon request to a responsible
authority, an individusl shall be informed�whe b�c�pr vat eor confident al.e Upon his
individusls, and whether it is classified p ublic data on
further request, an individuel who is the subject of e to�mrl�ae if he desires, shall
individuels shall be shown the data witho ofan�y ��tg. After an individual has been
6e informed of the content and meaning the data need not be �isclosed t�
shown the private data and informed of its meaning, ursuant to this section is
him for six months thereafter unless a dispute or action p
� ending or additional data on the individual h� a e or publi t dataruponarequest by
P require the
responsible authority shall provide copies o t e p
the individuel subject oftrie actual.costs of making,l��rt fYingy s�d �ompiling the
requesting person to pay -
copies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or withi lida e �f Simmediategtcompliance e��.su not
and le al ho ys�
excluding Saturdays, SundaYS g with the
ossible. If he cannot comply with the request within that time, he shall so inform t e
p have sn additional five days `+►rithin which to comply
individuel, and may �d le al holidays.
request, excluding Saturdays, Su��Ys g
Subd. 4. Proced�e �►hen data is not a o�'a ivate dat1a lconcerning h�m e�•mTo
contest the accuracy or completeness of public p
exercise this right, an individuel shall notif e ��b1e tauthor ty shall W ttun 13 0
describing the nature of the disagreement. Th Po
days either: (a) correct the data found to be lete data�includingreec pients namedt by
notify past recipients of inaccurate or mcomp
the individuel; or (b) notify the individu8l in�tv'idusl'slstatementof disagreement i
Data in dispute shall be disclosed only if the
• included with the disclosed data• � aQpealed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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CDA E �`TIIfQE
CITY OF ORONO CALLED IN �F—�y--=f— ( � y�
INSPECTION NOT C SCHEDULED �Y�— ' �3�� �
PERMIT N0. � � � v COMPLET E� H
ADDRESS '�' �
OWNER �- m�ONTR.
TELEPHONE NO. �I 7�`�S��'�
� DESCRIPTION ,��������
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 2 FRAMING ' 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 ATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �J CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractor qn site:
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice
� 2 DA�TfE` �} TIME
CITY OF ORONO CALLED IN --}f ^��TI
INSPECTION NO�IC�/,, � SCHEDULED � �1 ���C
PERMIT NO. � ti% �� COMPLETED
ADDRESS I�� � �-�l�'`�'�'�..f��'"� /��
OWNER �-U'�-��' �t'rat7-�,;�.� CONTR. ����
�
TELEPHONE NO. � /�� � ���' '�
� DESCRIPTION
tL 01 FOOTIN� 11 MECHANICALRI 16WELLTESTPUMP
�'" 2 FO R�MI G 11 MECHANICALFINAL 18 EXCAVIGRADING/FILLING
� 03 I ION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN 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. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_ S_NO
v�, COMMENTS: �� �.T � f
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W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor _�i�e:
Inspector. �
White Copyllnspector's ile Canary CopylSite Notice
CITY OF ORONO � CALLED IN �— ATE � IN�je
INSPECTION NOTICE �. SCHEDULED l
PERMIT NO. ��`� COMPLETED ` � '
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V BEFORECOVERING TEMPORARY
C� CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. � "
White Copyllnspector's File Canary Copy/Site Notice