HomeMy WebLinkAbout1991-003826 - remodel/siding PERMIT �
� CIYY OF ORONO PERMIT TYPE:
�:�,I�.r�Ir��
1335 Brown Rd. South • P.O. Box 66 PermitNumber: �'���=�='i��
Crystal Bay, Minnesota 55323 Date Issued: E j�'j��-'�t
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
VALI�AT 3+�;�I �:;,i;i:,�j
E;as� F�� ��t$ .ijij
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CONTRACTOR: O�Y,�IN�� -- �F'�`� �.ca�-�t• �—
i� .•.. F� I�t�RTY
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APPL AN iPERMITEE SIGNATURE ISSUED BY:SIGNATURE
� � CHECR OFF LIST FOR ISSIIANCE OF P$ItMITS
FOR OFFICE USE ONLY
ADDRES S OR LEGAL: �{�� �. I I�l L�N AV e PID:
DESCRIPTION OF WORR: �NT�7t,�p2, R,C'7'y�,p QEL "f �l(�I N�"�,
------------------------------------------------------------------------------
ZONING REVIEW BY: �/�� DATE APPROVED:
BIIII,DING REVIEW BY: DATE APPROVED: `7-'�S "�II
FEES TO BE CHARGED: / Misc. Fees Calculated By:
/
PERMIT Yes �� No
PLAN REVIEW Yes /�° � SEWER CONNECTION
STATE SURCHARGE Yes ✓ NO �/ WATER CONNECTION
INVESTIGATION FEE Yes No r/ PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Y No Date of urvey:
Proposed Setbacks:
Front (Lake) : Right de:
Rear (Street : Left ide:
Adjacent St ctur s : etland:
Building Height: Def. gt. Peak Hgt.
Avg. Setback: L t Coverage:
Ex' sti g Proposed
H?rdcover: 0-. 5 '
75 250 '
25 -500 '
50 -1000 '
Hardcover Variance Requ 'red Yes No Date of Council Approval:
Grading: Staff Approval Da e: By: Council Approval Date:
Septic: Staff Approval D e: By:
Zoning File:# ��� Resolution #: Resolution Date:
REMARRS (in house) :
6
BIIILDING REVIEW CHECR LIST - � ""� ,
QgC: �� �-� CONSTRIICTION TYPE: ---
Sq Footage $ Per Sq Ftg m -
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
Estimated Construction Value: $ ��0°`�
�.�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
��'inal (Mfg. ) Well State Permit
Other Electrical (State Permit)
REMARKS (IN HOOSE) :
----------------------------------------------------------
RE.'VIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
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REMARRS (TO B$ NOTSD ON PERMIT) :
CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ ��j, �� Date Received:
Date Approved:
Entered By: .
Permit#: '� '
ALL INFORMATION MIIST BE SIIBMITTED IN F'OLL BEFORE PLAN REVI�W i�iII,L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITB ADDRESS: �J�S Li K G� t � � !� C ZIP: �`S3 �/
(work) L/�9�7�6'.6
NAI� OF OWNl3R: �� G � ��� PHOPE: (home) �/ 7 3�7�J�
MAILING ADDRESS: �S rj � j !� G� P � CITY: �-�O`" ZIP: �
LONTRACTOR: i���'/ G���� ,� `d ��`PY� PHONE:
MAILING ADDRESS: �- CITY: '�` ZIP: �—
TYP$ OF WORR: New Addition Accessory Structure Move
Demo Remo�e�/Alteration#_ Renovate Land Alteration
PROPOSED WORR (describe in detail) : �Loo� � �C ��%��-�
�
,t'.i Gt'G'%��--.
STORZES: SQ. FEF.T OF EACH FI,OOR: / -S -3
NO. OF BEDROO1rLS: GE STALLS: ATT. � DET. -�
DO
ESTIMATED CONSTRIICTION VALIIATION (escludinq 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
�rdinances and codes of the City and with the State Building Code; that I
inderstand this is not a permit and work is not to start without a permit; and
�hat the work wil 1 be in accordance with the approved p n.
APPI�ICANT'S SIGNAZ'ORE: ��� DATS: � d �/
� 4 �.
� /
1
� - - CITY of ORONO
Post O�ce Box 66•Crystal Bay,Minneaota 55323•Municipal Officee
•
� - � � 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
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 wi3.I 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this application or
permit.
i���G��" � � �o �4 ��
First Middle Last
�'� 8 S L �`�-r � p �l �'!J�"
Address
�`- � �.- � lc ��� � �'s� 3 s9
City State Zip
��� 3 � � s- �
Phone
I understand my rights as stated above.
Signature .
BUILDING 8c ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING ,
_. .. � , ,
�.p,� RIGS15 OF SIIBJECTS 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.
. g�d. Z. Information required to be g��� �����" An.individual esked to
� ' 1 rivate or confidentiel data concerning �ms,�ln� collecting stat age��
supp y p
purpose and intended use of the requ em;d �b�whether he may refuse or is legally
political subdivision, or statewide sys ' �oWn consequence arising from his
required to supply the requested date; (a) �Y
su 1 ing or refusing to supply private or confi federal le w o receive the data.itTh�s
PP Y state or
other persons or entities authorized by p �vesti ative data,
requirement shall not apply when an indt�via law en orcement officer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lert taX re°und ustructio uinsteadh�s
subdivision in the individual income tax or r•
on those orms. . - � -— - � _
Subd. 3. � A�ce� t° c�� �9
����. IIpon request to e responsible
authority, an individuel shall be informed whetbh�ec hp=rvateeor confidential.e Upon his
individuels;
and whether it is elassified as p •1 � p ublic data on
further request, an individual who is t1�e sablect of se tQ��i��if he desires, shall
individuels shall be shown the data witho of�t at datga. After an individual has been
�e informed of the eontent and meaning t� �� nesd not be disclosed to
shown the private data end informed oi its ute o�action pursuant to this section is
him for six months thereafter unless a d�SP
� ending or additionel data on the individuh h� a e or pubu�da�ruP�nBr quest by
' p require the
responsible authority shall provide copi�The responsible authority may
the individuel subject of the �� certif n and compiling the
requesting person to pay the actusl costs of making, 3'i g�
copies. ' immediately, if pessible, with any request
The responsible authority shall comP1Y of the ciate of the request,
made pursuant to this subdivision, or with�ag e ��immediate compliance is not
excluding Saturdays, SundaYs and legal �' with the
ossible. If he cannot comply with the request within that time, he shaIl so inform the
hsve an additional five daYs within which to comply
individual, and may �� �d le al holideys.
request, excluding Saturde S��YS g
te or complete. An individual maY
Subd. 4. Proced�n'e when de►ta is not accu�a himself. To
contest the accuracy or completeness�of public or private � the�responsible authority
exereise this right, en individusl she]1 notify � ��e authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found to be inae��ae��u�ng pee�ipl��n8medt by
notify past recipients of inaccurate or incomp
the individusl, or (b) notify the individuel t��du�slststementof disagreement is�
Data in dispute shall be disclosed only if the in
• included with the disclosed data. ealed pursuant to the
' The determination of the responsible authority to��tes ed cases.
provisions ef the administrative procedure act relating
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✓
DATE TIME
CITY OF ORONO CALLED IN /�- �2�I-`�z
INSPECTION NOTICE SCHEDULED //- � 5 // � �' �'
PERMIT NO. �� COMPLETED ✓i� �'I:o2O
ADDRESS � � �
OWNER ��� � CONTR. ��-�'�-�"•'���
TELEPHONE NO. �" � `,� ` �' � �'�`'
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION ` 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
J 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:
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GW �yVORKSATISFACTORY:PROCEED C'; PROJECTCOMPLETE
� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� '❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -: pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR ' CITATION ISSUED
❑ INSPECTIOtJ REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex 'nspection 24 hours in advance.473-7357
OwnerlContra or n i e:
inspector.
White Copylinspector's File Canary Copy/Site Notice