HomeMy WebLinkAbout1992-004761 - addition/remodel PERMIT
CITY OF ORONO PERMIT TYPE:
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1335 Brown Rd. South • P.O. Box 66 Permit Number: c:�r.:is'�.:�,�.
Crystal B3y, Minnesota 55323 Date Issued: i �.;'t;�.I���=
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: — �F�F•� ?�=t'E��� -- OWNER:
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A PLICAN PERMITEE SIGNATURE ISSUED BY:SIGNATURE
• � CITY OF ORONO - BUILDING PERMIT APPLICATION
� '/' ��R G��J � Date Received: ���a�'��'j�
Total Fee: $ % w
`�.. , ,, -
� roved:
, �,
Entered By: ' ����r�' . �'� , , '(,;�r^" �l��: �
�����
�,�� .
ALL INFORMATION MIIST B$ SIIBMITT� IN ] �� �,�,/!�'�'— =EW WILL B$ STAR�ED
See Check-off ,�i �r,�./� �.%
-----------------------(-------------- � .�" •----------------------
THE APPLICANT IS: (circle one) OWNE
JOB SITE ADDRSSS: � �IS` �����'�i..-.�-�. �``�� ZIP:
(work)
N� OF OWNER: �G�,L�,( (`� n "/.(�Z. PHONE: (home)
MAILING ADDRESS: � �7� � � CITY: (,°�-��.pv�:� ZIP:
CONTRACTOR: PHON$: �y��J�' ,�'i , �
MAILING ADDRESS: �'J`� * . ��CITY: ��.. ZIP: �� �G� 51
�-/ 9
STATS I,ICENSE: � f� � C> '����_
�
ARCHITECT�ENGINEER: � ��/ (L��G"[�•Q✓��� PHONE:
MATZING ADDRSSS: CITY: C��'�=t�'L2�- ZIP:
N�: RBGISTRATION �
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
PROPOSED WORR (describe in detai.l) : ��sti,-� „� �"'I�I�.D lYh�.�„� -�� �jz�
� ( 5 � ' � w
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STORISS:�_ SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: GARAG$ ST�iLLS: ATT. DET.
� ,� '
ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ � �� 6-. �!'��-
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. �
APPLICANT'S SIGNATIIRE: ',�i���� �����1„ DATEs ! � �' � `� 1 / �
CHECK OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFrICE USE ONLY
ADDRESS OR LEGAL: Z�S 1-�OI�MWDC� 1�� PID=
DESCRIPTION OF WORR: �A�(JO�Ti D� '� P-�tMA��Z-
------------------------------------------------------
ZONING REVIEW BY• DATE APPROVED: I D'-31 "`�''►2-
�IIILDING REVIEW BY: �..-- DAT$ APPROVBD: �d �3�`yZ�
--------------------
g�gs 2•p gg �g�. Misc. Fees Calculated By:
PERMIT Yes v No .
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHA.RGE Yes !/� No WATER CONNECTION
INVESTIGATION FEE Yes No +� PARR FEE
SAC � Yes No �. SITE INSPECTION
Number of SAC IInits OTHER (specify)
----------------------------------------
---------------------------
ZONING CHECR LIST Zoning District: /QIQ�IQ
Fire Department: /I/lC Post Office: i✓�G School District: /��G
Lot Area: /V l� Width: Depth:
�urvey Submitted: Yes� No Date of Survey: O� /��L Z=
Proposed Setbacks: N
Front (L-zri��e) : 1V Right Side: � � _
Rear (`_'��=�) : b S' Left Sid�:��d�U ) (os �-►'
T
Adjacent Structures : /� 7'T�4U� Wetland: 11��/�-
Building Height: Def. Hgt. �� 1< Peak Hgt.
Avg. Setback: Lot Cove ag :
Existing Propo ed
Hardcover: 0-75 `
75-250 '
250-500 '
500-1000 '
Hardcover Variance Requi ed: Ye No ate of ouncil A provaz:
Grading: Staff Approval Date: By: Co cil. Appr val Date:
Septic: Staff Approval. Date: y=
Zoning File:# Resoluti n ResoJ.ution ate:
RF�IARK$ (in house) : „
BIIILDING REVIEW CHECR LIST �- , .
IIgC: $� Q3 CONSTRIICTION TYPE:�
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor ° x =
2nd Fl.00r X =
Garage X =
x =
TOTAL
ra
$sti_mated Construction Valne: $ S�, �OQ'
Inspections Required: Work Reqniring Separate Permits:
Site � p�Plumbing Grading/FiZling
�Footing vC Mechanical. Fire
Framing Septic Water Connection
�Insulation Firepl.ace Sewer Connection
_�Wal.l. Board (Masonry) Lawn Irrigation
_�Final (Mfg.) Other
Other Wel� (State Permit)
�Electrical (State Permit)
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REMARRS (IN HOIISE) :
----------------------------------�-----------------------------------------
REVIEW BY OTH�ZS: DATE:
Access : Existing ' New
Access Approval: Date BY=
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F�F.I�tARR$ (Tp BE NOTED ON PERMIT) :
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
� • � � 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 request 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:
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 ].icense.
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 Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privat�
data on yourself. �
6. Your full name is required to process this applicatian or
permit.
�v�eLL � �J� �u e� S D /��
First Middle Last
f�'oS rg ; r �',`�L ,� �i G�'. So �
Address
/�j 7`f'a l`�/��� �-�3 0 5
City State Zip
�L� 7"' � O � ,�
Phone �
I understand my rights s stated above.
� ,<(
Signatur .
BUILDING 8c ZONING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
. � ..
573.0.4 RIGflTS OF SIIB.TEC15 OF DATA �
Subdivision L Z�rpe of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
- - ubd. 2. Information required to be given individuaL e i formeduof:�(a)t he
. S
� ' supply private or confidentisl data concerning himself s state a ency,
purpose and intended use of tha rs9 em;d (b) whether hee may refu e °r � e��y
po li t i c a l s u b d i v i s i o n, o r s t a t e w i Y S . �o� c o n s e q u e n c e a r i s i n g f r om his
required to supply the requested date, (�) anY
su plying or refusing to supply private or confidential data; end (d) the identity of
P state or federal law to receive the data. This.
other persons or entities authorized by P �vesti ative date,
requirement shall not apply when an ind�oia law en orcement officer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the eo�a�tructionsuinsteadhos
subdivision in the individuel income tax or ro ert tax r
on those orms. . -- ---- -- -- � .
Subd. 3. �
Aecess to dats by in�vi�- IIpon request to a responsible
authority, an individuel shall be informed�h b���hpr vateeorueonfidential.e IIPon his
individusls; and whether it is c�assifled p ublic data on
further request, an individusl who �is the subject of Se to himrlend, if he desires, shell
indiviciuels s1�s11 be shown the date witho of�hat data• After an individual has been
�e informed of the eontent and meaning t� �� need not be disclosed to
shown the private date and informed of its meaninB. u��t to this section is
him for six months thereafter unless e disPute or action p
� ending or additional data on Lhe individuh h�8teeor pu lie datarupon request by
' p require the
responsible authority shell provide copi�The responsible authority may
the individuel subject of the data• certif n and compiling the
requesting person to pay the aetual costs of making, 3'1 g�
copies. immediately, if pessible, with any request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five �Ys,mmediate compliance is not
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so in�orth the
P hsve an additionsl fi�e daYS With�n Wh��h to comply
individuel, and maY �d le al holidays.
request, excluding Saturdsys, SundaYs g
te or comPlete. An individual maY
Subd. 4. Procedure when dats is not accurg himself. To
contest the accuracy or completeness�of public or private data concerning
exereise this right, en individuel shall notify in wt'i�
the respcnsible authority
describing the nature of the disagreemenL Tnaccurpa e or incomplet and att pt to
days either: (a) correct the data found to be
notify past recipients of inaceurate or incomP�t he tbelie esdthe datalto be correct.
the individuel; or tb) notify the individual s eement is
Data in dispute shall be disclosed oniy if the individus2 s statement of disagr
• included with the diselosed data• ealed pursuant to the
' The determinetion of the responsible euthority may be aPP
provisions of the administrative procedure act relating to contested cases.
:,r� �
AT T�ME
CITY OF ORONO CALLED IN / 9.y
INSPECTION NOTICE SCHEDULED . �, �,L��
PERMIT N0. � COMPLETED //-b "�' Z �1 s��
ADDRESS
OWNER ONTR. �'
TELEPHONE NO. �201 '�D59�
� �D�@J��ON �'.��ie.��" ..
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Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPT�C FINAL
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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
OwnedContractor o si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN �7'
INSPECTION NOTICE SCHEDULED � S %? /� 3�
PERMIT NO. ? COMPLETED � �
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ADDRESS �-;'/�, '�����'�rC ,� ! ,
OWNER i` :�<<,�,% CONTR. ��/:' ��-. �
TELEPHONE NO. '`����� ����-�' --i �
� DESCRIPTION . i --
lU 01 FOOTING 11 MECHANICAt I 16 WELLTEST PUMP
02 FRA `� 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� INS ATIO 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
2
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,, pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr n ite:
Inspector. �
White Copyllnspector' File Canary CopylSite Notice
DATE TI—MEl
C17Y OF ORONO CALLED IN l � /�� �' UU ��
INSPECTION NO ICE SCHEDULED 1 a—a. '1-9az 1�`�T Gt/h
PERMIT NO. �7�'� COMPLETED I�' 2 �U��S
ADDRESS ��� 5 �,/�i' ��Ct,r'G��- �^-�-�
OWNER ��v2+.�'�- CONTR.�� ��,�
TELEPHONE NO. ? ' � ����`i
� DESCRIPTION
� 01 F 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING J 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
O�0'.3lNSVC1aTf6N 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
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� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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V BEFORE COVERING PERMANENT
[7 CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN �
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci WSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor _
Inspector.
W Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED G'j '��
PERMIT NO. ���''� COMPLETED � ��
ADDRESS � � � h- �' �'
OWNER ' CONTR.
TELEPHONE NO. -_� Y�— �G� �1
� DESCRIPTION�_��c��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WO00 BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z�. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
{� —SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAItvT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
inspector. .
White Copyllnspe tor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN :�. //�/5'3
INSPECTION NOTICE SCHEDULED .,C�/'7��,3 % �,,/�-
PERMIT NO. �1'�'G�� COMPLETED �_ -1
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ADDRESS _ .i�'z��P1-���j-�: _,�,�,���
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OWNER �-L�_, �.. -' CONTR.i c�LC�,��_.`_.. .�1�-L%=
TELEPHONE NO. -J`� ��- �C%�- -�-
� DESCRIPTION _. ' - .,�1�<<.r. �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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7 DEN10—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO AFRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra to site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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D[9GNED CHECKED I HEHEBY CEHTIFY THAT THIS PLAN WAS PREPARED
— UNDER MY DIRECT SUPERVISION AND THAT I AM A DUL1'
ED LAND SURVEYOR UNDER THE LAWS OF Tfi;
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DRAWN APPROVED MINNESOTA.
NO. OATE BY REMARKS DAIE COMM.
• R VISIONS DATE REG.NO.