HomeMy WebLinkAbout1995-007414 - bay window addition — —
PERIV��T
CITY OF ORONO Y R PERMIT TYPE: - - -
2750 Kelley Parkway- P.O. Box 66 Permit Number: _ .y.<<�1��� ���
Crystal Bay, Minnesota 55323 - -
(612)473-7357 Date Issued:
SITE ADDRESS:
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REMARKS: .�s�._'_. :. �_,:_'< ... -_` , ':
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FEE SUMMARY: �. r _ _.
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GQNTRAGT4R - ; :. . : �:- � � =_: : =: - :; OWNER;�, ,
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APPLICANT PER EE SIGNATURE ISSUED BY:SIGNATURE
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� � � CITY OF ORONO - BIIII.DING PERMIT APPI.ICATION
�
Total Fee• $ ��?�C! • (�(� Date Received: ���.(o --- �jf
,
Date Approved:
Entered By: � �� A. •" `
Permit�.
AT•T' INFORMATION MIIST B$ SIIBMIT'�F.D IN FIILL BEFORE PLAN REVIEW WII`I' B$ STAR�ED
(See Check-off List Enclosed)
-----------------------------
THE APPLICANT ZS: ( circle one) OWNER or CONTRACTO
JOB SITE ADDRSSS: ��4s �0.7� ���G►"�� ��� O�'d�� ZIP:
(work)
NAME OF OWNER- �PSVI.��Ja��� �11�'�''i4� PHONE: (home) �`�' � cl Sg �
MATLING ADDRESS:� q �� �'�-��� CI�: � �°J � ZIP:
�a�t� R -1��'i�-`1�0�-
CONTRACTOR: $��l�� G�S-rvs-� +�&� PHorr�: `�3� 113 aJ
�SAILING ADDRESS: �j?�� G�XVI�w��"� CITY: �11������ ZIP: sS30�
STATS LICENSE: # ��GT�
ARCHITECT/ENGINEER: z�b�h+� � ��7���l psorrE: `f 3� I�3 �
'_KAILING ADDR.$SS: 332� G��111��`7�`S-CITY:�11r�N��1G1P�" ZIP: �S3a�
NAME: `.J-1iJ�" �� �• ���" r`""' ' RBGI STRATION � �(7��
TYPE OF WORR: New Addition � Accessory Struczure Move
Demo Remodel/Alteration �Renovate Land Alteration
PROPOSED WORK (describe in detail) : ��� �/
►J��Ov� � � m o ✓`-.�
STORISS: SQ. FE$T OF EACH FLOOR:
NO. OF B$DROOMS: GARAGS ST�I�S: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (eaclnding Iand) : $ � a�0` flb
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 approned plan. . �
� �
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APPLICANT'S SIGNATORE: DATE: g
f -r-
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•n� � j+�`��,:,A
•`�'I t�747"7 tfe 'tFi±'p..
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J� i%����'�' � CITY of ORONO
A
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
�
s _�� y �. On the North Shore of Lake Minnetonka
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would 3.ike 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 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 tha-t
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 requires Councii. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review pri�a��
data on yourself.
6. Your full namP is required to process this application or
permit.
�.j�r�,AbO �,, ��� �o�. _
First Middle Last
�Z� l'i T��L�� -1�`(Z-f'� �--
Address �
��r.� �1 I r-1� j
C ' ty State Zip
� � � �� �
Phone
I understand my rights as stated above.
. ---._y
Si a u e
BUILDING&ZONING—473-7357 • ADMIN[STRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESS[NG
—--- -----._-- ..... '�►
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513.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision L Z'yPe
of date- The rights of individuels on whom the data is
stored or to be stored shall be es set forth in this section. An.individugl esked to
Subd. 2. Intormation required
to be given indivi�usl.
su 1 rivate or confidentisl data concernin g�gmWi hin the collect ng state agencY,
PP y P uested d
purpose and intended use of the req te�' �b� �,yhether he ma� refuse or lfrom his
political subdivision, or statewide sys �pWn consequence arising
required to supply the requested dat8; (c) any �d (d) the identity of
supplying or refusing to supply private or confidential data;
other ersons or entities authorized by state or federal law to receive the data. This_
p when an individual is asked to supply investigative data,
requirement shall not apply to a law enforcement officer.
pursuant to section 13.8?, subdivision �,
The commissioner of revenue mav lart tgX re°und instQuctionsunsteadhos
subdivision in the individual income tax or pr• e V
on those orms. . - -- .
Subd. 3. Access to �aLa by
����. LTpon request to a responsible
authority, an individuel shall be informed whe blic h r vateeor confident al.e Upon his
individuals, and whether it is classified as p � P ublic data on
e to him and, if he desires, shall
further request, an individuel who is the subject of stored private orvidual hes been
individuels shall be shown the date witho Of�h t d�ata. After an indi
�e informed of the content and meaning the data need not be disclosed 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
� endin or additional data on the individuel h� 8te or p blic dataruQongrequest by
� p g• rovide copies of the p require the
responsible authority shall p ilin the
the individual subject of �e gc��'�os h of mak ng,l�QBt fYingy e.�'d �omp g
requesting person to pay t -
copies. y ssible, with any re9uest
The responsible authority shall comply immediatel , if pa
made pursuant to this subdivision, or withi lida e �f Simmediateatcomplisnce e��.su not
excluding Saturda��s, Sundays and legal ho ys,
ossible. If he cannot comply with the request within that time, he shall sP inwor h the
p within which to com ly
individu8l, and m Sattu�da.vs, Sundays e.nd le$al�hol�YS•
request, excluding
Subd. 4. Proced�u'e xhen data is aot accu�ate or complete. An individual may
contest the accuracy or completeness of public or private �tthe�res ons b e au hor ty
ht an individusl shall notify in writing P
exercise this rig �
describing the nature of the disagreement. Tnaccura e or in omplete and att mpt to
days either: (a? correct the data found t� be
notify past recipients of inaccurate or incomple te rie believesdthe datalto be correct
the individual; or (b) notify the individual tha eement is
Data in dispute shall be ciisclosed only if the individuel's statement of �8� t to the
• included with the �isclosed data• be appealed pursuan
' The determination of the responsible authority may
provisions of the administrative procedure act relating t� contested cases-
_ CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFI`CE USE ONLY
ADDRESS OR LEGAL: �`'1 �I� .-;-� s� /,�� � PID: � �� �/l j' - ,''
D$SGRIPTION OF WORK: : , f•'
----------O�'Z. -
-------------------- - ----- ---------------
ZONING REVIEW BY:����^'��- DA� �PROVED: � `► 5
BIIILDING REVIEW BY: CJ DATE APPROVED: l � - Z- SS
-------------- -----------
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 District:
Fire Depart nt: P st Offic : hool District:
Lot Area : Wid h: De t
Survey Subm' t ed: Yes No Dat of Survey:
Proposed S tba ks:
Front (La ) : Ri t Side:
Rear Stre t) : Le t Side:
i
Adjac nt St uctures: W tland:
Bui].ding H ight: Def . Hgt ; Peak Hgt.
Avg. Setba k:
� Lot overage:
Existi g P oposed
i
Hardcover:� 0-75 ' �/�—
i �
'�5-250 ' � �
i ,
2�0-500 '
�
50p-1000 '
Hardcove�IVariance Requ' r d: es / No Date of Cou cil Approval:
, i �
Grading: Staff Approval te: ; By: Council,Approval. Date: .
Septic: taff Approval Da e: � BY=
Zoning File: # Res lutio # : Resol.0 ion Date:
RE�KS (in house) : d�101J Grv�c-��-�1-1 Y''�F�►
BQILDING REVIEW CHECR LIST ' •
� '
IIgC: 2-3 CONSTRIICTION TYPE: �lN
Sq Footage $ Per Sq Ftg
Basement x -
lst FJ.00r x -
2nd Floor X -
Garage X -
x =
TOTAL
�D
Estimated Construction Value: $ B (J�d
Inspections Required: Work Requiring Separate Permits:
Site P�umbing Grading/FilJ�ing
Footing Mechanica� Fire
_p�Framing Septic Water Connection
i(Insulation Fireplace Sewer Connection
_�(Wall Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel� (State Permit)
Electrical ( State Permit)
-----------------------------------------------------------------
RF.MARR$ (IN HOIISE) :
-------------------------------------------------------------------
REVIEW BY OTHF�2S: DATE:
Access : Existing New
Access Approval: Date BY=
-------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
�
DATE TIME
CITY OF ORONO CALLED IN �f��.5
INSPECTION NOTICE SCHEDULED "� _✓���
PERMIT NO. `��� COMPLETED �
ADDRESS ��`'�� � � n.
OWNER CONTR. �, �.���
TELEPHONE NO. �,3�P-/%3 i
� DESCRIPTION . /f'o�� f�,
� 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
FRAMI G� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED C' PROJECT COMPLETE
W C CORRECT WORK&PROCEED i_ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
I-_ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTIONREOUIRED.CAI�TOARRANGEACCESS.
Call for the n t i s ction 24 hours in advance.473-73�J7
OwnerlContract r site:
inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE � � TIME
CITY OF ORONO CALLED W ��-��'�
INSPECTION NOTICE � � SCHEDULED /i` i� 1: 3 °
PERMIT N0. ' /f/ � COMPLETED � rl' ,
ADDRESS ���-S � v ��� �'� — ��
%��_'�2-._s� � ti.�y-r7c�irL, �n GLu-Cd�Z9 /F�r
OWNER CONTR. /P_�/� �..-�°� >�,,,
TELEPHONE NO. ��-�' � J ��--' ''
� DESCRIPTION �E'��'�t c-�-�_,,;/-'��-i z���<<',{ ,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04� 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL _ 14 SEWER HOOK-UP 06 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 � WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W C CORRECT WORK&PROCEED I SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-73�J7
OwnerlContract si :
Inspector. ,
White Copyllnspector's File Canary CopylSite Notice
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