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Home My WebLink About1994-006192 - interior remodel _ _ ___ ____ _ ___ _ . PERMIT CITY OF ORONO PERMIT TYPE: ` . �=::�?;��:�•�<< 2750 Kelley Parkway P.O. Box 815 Permit Number: -- Orono, Minnesota 55356-0815 `-��'''=��= (612) 473-7357 Date Issued: :;,�. ;�41 ;::�;;� SITE ADDRESS: �._,';_� �':�Li '�' �`;';'}:_ r��?-.� - - _ � - - _rt�iisr.� DESCRIPTION: i t;i";"�;�'?.€_��; €�':��1��;G;:=;L._ ,_;!�'* � ?=7=i i:;� t='��r rr,y}_ - �r�� _�!-�—�l_i]_i i+�;�=:s.i�_��_'I�L- ��Cd! Ir_�j,i"}�=] �sj��7?'.. i yC�N. �i��fu;_.�;j!-: ' � '�'.!'.�'"t!_��[".i. L•1 t 1 LJI Vl�T1..'fftV� L�f:f:?tf:�'L '+i�Ti'L 1![RlT4L L! f 1L•L ' !i}2i:tiY � REMARKS: "�' ' `"` � `"} V.L LL.ft LJ+J+V1! . . i•}:'?r1{t%i +�+' i��t�::'vvvvv rr �iS LLtt +r1f1J i'"LLf•1' i! _ 'k'! L•!t�L•!1 !L a V V FEE SUMMARY. ^�`� ... =i—�'`'7t'�� 1`1!!! !ILL•LS7 / :7.'1'SlSt{ I VV :4:... .. .:j ��t.�ii l:iiti TiL;eiU p / 1iL'V f VTV L•1fVl fll�l i l.�'•1: .�:'3S.`L_?f"? I �.S,.i�ij ��.I. . !_}t_)!_t =!i: � :'i�:i ' ' • VV:if1: 1^7 �""..�.._ I� _� 'h!�i.� , [_IF^} �.;J? _�..!_.j'' •. _._�.�_.__ �3:.i:��tF 1 i�i�' =: f �-i-�i-a l"�� 4�i i CONTRACTOR: _- .-:=�;-:� ?�=�,�,�. --- '=�T . i._t t:: . OWNER: -.. .. . . . . .. .. _. . .ir'� �.�.E '�`._ �.�_. '� .��i�� _ _... .� Y�t_' . .i:. . E'_;�-'�i ; i,��_S �. . - i i t%._ =T ,:�' t t`''•k-?-- i r-1'•a'�. ._. --. _ r:.._ _ : .__ _ s, t �T r. : -,:i:i z:�._'.�;; - i;r,�;' i;�i "_�i �":`__ � •.... .s a��.- _.. . e�u - -. - .:[1 _.,,�_!ju€_; , .:U '`_-�.�:,-. -• - : �- . , �. ,-.,- - - _ , :.: � . ... : � , . _ �: , ::_: ��: ,'� : t� ..f �.. ., t.f ' ...j�: L_��::� . . � L '.F� 'f -f� `4�, �L �..�C. -'•v� -�� -.;��_. _ .F- 1 ; ...� ,. _ ... ... _ .�...., .}:,.,.:;r"._.. .� +'.�'._. _� _: 't.= i s , c�ir� . _ . _�_ _ . , . ... . _ _ _. .. _ . . . . . . ..... .. .... _. _ . ... . . . _. ��}' •1.i i°z t.# i-�=�.}'•�� i ._. .._a._�'_ i'=._ �rf3..€ :��._.__ ;:�i!..�r:�!'', !t't'• -� � ;t _(_ ! s_,_t:<i{:�i.._�'-i".{i_;}." (�: : ;"t.i :•3i._4_ f_ �. I i� wr '.-i�:" =.ii.i i..�ri_ 7 __ . ..... , _ , . :_, i. . . . i: ?ii'.�t�� E �1� i-� .E �� i � !� E f �:.t :.L� a �.7 .,:,�� ... .�'� ... � !-. _. . . E`,if`ar.�... - ¢" - - - -__. . .__ _' ;!, ._ . ._.. s�%._i':�:"�C'�'�. L _.. ._. ._. __._. . . . _. . � APPLICANT�PERM EE SIGNATURE ISSUED BY:SIGNATURE p�t.s¢ (� �— � . � ` � CITY OF ORONO - BUILDING PERl�LZT APPLICATION Total Fee: $ �j�`)-C�U Date Received: ;� /-Z� /�;� Date Approved: Entered By:�"�� Permit�: �n/��,� AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED (See Check-off List Encl -------------------- THE APPLICANT IS: (circle one) OWNER o CONTRACTOR JOB SITE ADDRSSS: . � , ZIP: (work 7 L/75--�.SJE/ NAME OF OWNER: � �`-\ � PHONE: (horne) �7/ '�y�� MAII,ING ADDR.ESS: �� CI C�/��-''L�'.' ZIP: CONTRACTOR: " PHONE: ��,! -��}�� MAII�ING ADDRESS:� , ��1, � CITY:•�('�� ZIP s J c- STATS LICENSE: � fJ�`� l ARCHITECT/ENGINEER: PHONE: MATI,ING ADDRSSS: CITY: ZIP: NAME: RBGISTRATION n TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration � Renovate Land Alteration PROPos� wo�x (aes�ribe in aetai�) : Lr�t� ,�,,��;�, � /�mrc�; C r�� C'�1C 'h�� t `�� a , ,� � �� i STORIES: SQ. FEBT OF EP,CS FLOOR: NO. OF BEDROOMS: GARAG�S STALLS: ATT. DET. - �� ' �' �lG�� ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 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 wi13,.._be-� accordance with the approved plan. � ` � q APPLIC.ANT'S SIGNATIIRE: � � •, DATE: � . � � CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices • � - � � 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 Iike 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: l. 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 license. 3. The information may be shared with other �ocal, 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 pri�a�� data on yourself. 6. Your full name is required to process this application or permit. G�/�C C�.9�r�1 �lf�o� f�S� First Middle Last d�,S� Gn 0�� s�S - Address �lvTGlf i•r�a�✓ nsi✓ �S 3�' City State Zip .23el- 7y/�l Phone I understand my rights as stated above. Signature BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING �.04 RIGIITS OF SIIB.TECTS OF DATA Subdivision L Type of data- The rights of individuels on whom the data is stored or to be stored shall be as set forth in this section. gubd, Z, Information r�d to be given in�iv�� An.individual asked to � ' su 1 private or confidentiel data concera a amWit�h�in the callect g state agency, PP Y purpose and intended use of the requeste political subdivision, or stetewide sys tem; (b) whether he may refuse or is legally re uired to supply the requested date; (�) gnY �OWn consequence arising from his 9 rivate or confidentiel data; end (d) the identity of supplying or refusing to supply P State or federal law to receive the data. This. other persons or entiiies authorized by 1 investigative data, requirement shall not apply when an indt�via law en orcementuofflcer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lelt t8X re°und�tructions�nsteadhos subdivision in the individusl income tax or r• on those orms. . - --- - - . Subd. 3. Access to �ata by in�viduel• UPon request to e responsible authority, an individusl shall be informed�h ublic pr vateeor eonfident al.e Upon his individuels; and whether it is classified p � ublic data on further request, an individuel who is the subject of e to himrlande if he desires, shall individuals shall be shown the data withou�fan�y��a. After an individual hes been �e in for med of the eentent and meaning t� �tg need not be �isclosed to shown the privete data and informed of its meaning, u�uant to this section is him for six months thereafter unless a dispute or action p � ending or additional data on the individual hes a eeor P b��taru�narequest by • P require the responsible authority shall provide copies o t e p the individuel subject oft�e actual�cos h of mPaking,i aertl Ying y and compiling the requesting person to pay - copies. ssible, with any re9uest The responsible authority shall cornQly immediately, ii po made Qursuant to this subdivision, or withinlaa e �f Simmediatea compliance eisu not excluding Saturdays, Sundays and legal hol ys, within which to comply with the ossible. If he cannot comply with the request �thin that time, he shall so inform t e P have en additional five ys individual, and may request, excluding Saturdays, Sur►daYs and legal holidays• te or complete. An individuel may Subd. 4. Procedure when data is not a�8 ivate data concerning himself. To contest the accuracy or completeness of public o ln �it� the responsible authority exercise this right, an individual shall notify describing the nature of the disagreement. The responsible authority shall within 30 days either: (e) correct the data found to be inae a�ae��ng peeClp1��nemedt by notify past recipients of inaccurate or incomple � the individusl; or (b) notify the individual t��dual'slstatementof disagreement i Data in dispute shall be disclosed only if the indi • included with the disclosed data. � 8ppe�ed pursuant to the ' The determination of the responsible authority may provisions of the administretive procedure act relating to contested cases• CHECR OFF LIST FOR ISSIIANCE OF PERMITS � ' " '' FOR OFFICE USE ONLY ADDR$SS OR LEGAL: PID� DESCRIPTION OF WORK: ------------------------------------------------------------------------------ ZONING REVIEW BY: DATS APPROVED: BIIILDING REVIEW BY: DATS APPROVSD: ---------------------------------------------------------------------------- FEES TO BE CHARGF,D: 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 Onits OTHER (specify) ---------------------------------------------------------- ZONING CHECR LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake) : Right Side: Rear (Street) : Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes No Date of Council ApprovaJ.: Grading: Staff Approval Date: By: Council Approval Date: Septi c: Staf f ApprovaJ. Date: BY� Zoning Fil.e:# Reso].ution �: Resolution Date: REMARRS (in house) : BDII,DING REVIEW CHECR LIST , ,. , _ IIgC: CONSTRIICTION TYPE: ' Sq Footage $ Per Sq Ftg Basement X - lst Floor x - 2nd Floor X - Garage x - X - TOTAI, $stimated Construction Val.ue: $ Inspections Rern�ired: Work Requiring Separate Permi.ts: Site � P].umbing Grading/Fil].ing Footing Mechanical Fire Framing Septic Water Connection Insu�ation Fireplace Sewer Connection WaJ.I Board (Masonry) Lawn Irrigation Final (Mfg.) Other Other Well. (State Permit) ElectricaJ. (State Permit) ------------------------------------------------------- �rrMARR$ (IN HOIISE) : ---------------------------------------------------------- REVIEW BY OTHEItS: DATE: Access: Existing New Access Approval: Date BY= ------------------------------------------------------- REIKARRS (TO BE NOTED ON PERMIT) : I I I I S � 4� . �'�1 � � �� __ _ _ _ _ _�h_�_��' � � ,� _. �_..�: --__------ � � � i. _ � �.� � � �__ � , n � � � ` . __ _ � _ _ _ _ __ . : � _ _ �, � � : y.. ,, . _ _ _ _ � _. . - _ . °� � , ' 4., � 'Y."'='n.�,-w-s ...._. '�"""`^n.-.�.�_.r..�.. ...-_ ,-_ '. -. .. � � .. . .. �.��-.�^'-- i �� "'".._....... ...... ...... ... . . 9� ._____.._...............�.,_,..� _^._-- --.....__.._,.r.�,+ . .___..-�.._'__..�--_�.. f ...._. ...... . . . � � �� ' � '� � �, � � �� , i � ,_ .< . �,. �� ,� R .__. . .. _ ._ . .. . . . . y� ' � ' _ ._ _ . _ 1 rs � e � � . _. .. . _ .. r . . . . .. . � • \ .� ; � . . _ ____ _ \�' � ,S� . � , ;:_ ; _------ - --____ � - -- - __ __ _ _ _ _._ __ __ _ . _ _ . _ _ __ _ _ _ _ _ - _ __ _ _ _. __ _ _ _ . _ qATE TIME CITY OF ORONO CALLED IN � � � INSPECTION N TICE SCHEDULED �2� /G't�� PERMIT NO. .L COMPLETED K �`Y�� ADDRESS � ` L� � ( c�� OWNER ; ��2�t�1% / CONTR. TELEPHONE NO. �S��- �`�� -'� � DESCRIPTION ��-�yZ-��z,E'% �U 01 FOOTI`` 11 MECHANICALRI 16WELLTESTPUMP 02 FRAMI 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED �_, PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne�t inspection 24 hours in advance.473-7357 OwnerlContr or�s{ite: Inspector. v White Copyllnspector's F�le Canary CopylSite Notice 1