HomeMy WebLinkAbout1997-009691 - remodel w PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � ' � �-�
Crystal Bay, Minnesota 55323 Permit Number: �`.-':..�...��!. �
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: ` "
_ - _ OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �,
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� Total Fee: $ �""/a�- '��� Date Received:
Entered By: ,-�/, , Permit#: �r,;��
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
' ----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � / $O /�✓�`� -S�t o/'` 1�r. ZIP: ss�..��/
NAME OF OWNER: �q,(�(� /�/�.t✓�n�t�rv�K�. -L�nJ��cry�,^���I�ONE: (home) �7�/(�/S
�d: � (work) �v=�-- 1 _SO y
MAII.ING ADDRESS: ,Q, �C�X. �(3� CITY: J� ZIP:��
CONTRACTOR: �f i /�J �-� I S�f' PHONE: �'72- /G /'"J
CONTACT PERSON: Pjl�I �t n� �" 1��4�/ MOBILE/PAGER:
MAILING ADDRESS: a.�.� Lan g c��-�, �. CITY: 1'hO�,t ,� � ZIP: �.53(�
STATE LICENSE: # �o�}3 Z 3 (P
ARCHITECT/ENGINEER: �ns�r-u��" �l'L�� Fe4�- � PHONE: `12�1 -`I �'��
MAILING ADDRESS:' ��,5� /►'l�h n��ic� �i ic, /'�✓-e CITY: t S ZIP: ,��
NAM�: T,�,es La�-,�1 �/���+c� REGISTRA ION# �'f�.-C!r7
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�:
_ � �' .
STORIES: L SQ. FEET OF EACH FLOOR: 1 �o 0
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 3`� ���
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 aEcordap�e ith the approved plan.
APPLICANT'S SIGNATURE: �7�, '�- DATE: �f� �'�17
NOTE! Parade o�'Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
�
Sec.13.04 RIGHTS OF S[JB.TECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private ot confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecdng"state agency, poliucal subdivision,or sratewide system;
(b)whe[her he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supp(y
' private or confidential data;and(d)[he idenary of other persons or enrides auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrieaave data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or propertv tax cefund
instructions ins[ead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe�her ic is classified as public, private or confidenaal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data wi�hout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individuai has been shown the private data and informed of iu meaning,the data need no[be disclosed to him for
six months thereafter unless a dispute or action pursuan[to chis secdon is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require[he requesring person to pay the actual cosu of making. cerrifying,and compiling the copies.
The responsible authoriry shall comply immediatety, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exciuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplece and attempt to norify past recipients of
inaccurate or incomplete data, including cecipients named by the individual; or(b)notify the individual that he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relaang to
contested cases.
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 depar[ments 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 license.
3, The information may be shared with other local, state or federal agencies to the extent necessary to process
the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
$, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
V/ ��2��K.son�
�D L��i I G�S
First Viiddle_ Last
�� �oi� � V,e.�..� 1��i Je
Address -7S����
Lo n�i ��e /�Q�'�° Nc.�.� s��.s'?� �
C�ty State Zip Phone
I unders and my rights as stated above.
�
Signamre
.
` CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2��o N a R TK �i-E-oc2�. ��2
PID:
DESCRIPTION OF WORK: ����Q�L =
ZONING REVIEW BY: ,�„e,,,._ DATE APPROVED: /Vffl
BUII.DING REVIEW BY: DATE APPROVED: /1-!3-�i 7
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLAN REVIEW Yes r/ No SEVVER COrfNECTTON
STATE SUR��iARGE Yes ✓ No WATERCOrfNEC'TION
INVESTIGATION FEE Yes � No PARK FEE
SAC Y:;s No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: ,
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): _ Right Side:
Reaz(Street): Left Side:
Adjacent Structures: Wetland:
� Building Height: Def. Hgt. Peak Hgt.
� Lot Coverage:
L
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File; # Resolution: # Resoludon Date:
Shoreland Dis�ict: „
Avg. Setback: Bluff Setback: Lot Coverage:
• Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
MARKS(in house):
• 26
.
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BUII.DING REY�W CHECK LIST • ' . . � �
UBC: L" l CONSTRUCTION.TYPE: . .�!N
' Sq Footage $ Per Sq Ftg
Basement x =
l st'•Floor � . . x _ . . .
2nd Floor a —
Garage a — �
x = �
TOTAL '
Estimated ConstrucHon Value: $ 3'�{,npp
a�.
Inspections Required: � Work Requiring Separate Permits:
Site ._�Plumbing . �C Fire S PQ�w�
Hardcover Removal Mechanical Water Connection
x Footing Septic Sewer Connection
_�Framing Fireplace Lawn Imgation
_�C Insulation (Masonry) Other
_�Wall Boazd (Mfg.) Well (State Permit)
D�Final Grading/Filling �_Electrical (State Permit)
Other
REMARKS (IN HOUSE):
. REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT): �
27
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Y ����� 1 �1 V • � pl'O�@Ct �ra�rw� Na.
- �C��' 1�c�M = ]�—�" A7.50]
Renovation/
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Lake Minnetc��ka .
, Env. �c�iool �,
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�h8'yi:�i�_�€.!`� � _ii,`ti d 9.�ii�k..::��_ `�d�J;t'�:`�",4_:
25 Novcmber 1997
Mr. James L. Ciraham, A.IA
Construct Architects
375U Minnehaha Avenue
tilinneapc�lis, l�linnesota 55�106
RF: Proposed ADA Modifications
,��ake Minnetonka Environmental School
[aka Hill Sc.hool]
Dear Mr. Graham:
`I�ank �ou for the apportunity to review and comment un the proposed modifications to
bring the former Hill School into conformance with th��xnericans With pi5�bilities Act.
Rc�ading thc front yard and construction oi compliant inclined sidewaIks is sympathetic
ana respectful to the lustoric and architectur�l ch�'�cter of this property. It is my opini�an
that the work will meet the Secretary of the Interior's Standards fc�r Rehabilitatian and
will not jeopardize potential eligibility ot this property for nomination to the National
�e�ister ot Historic Places.
Respectii.illy,
4 � �
''-'��,4.• s c•il`--�'t-";r`�'�v.��}.� '�
:.k � '� J`)
Charles W. Ncfson
Historical Architect
State Histaric Preservation Office
cc. Susan Roth, National Register Historian
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DA'I'F: 5 November.1997
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a City of Ocono Crystal,MN.
1'�iO.�EG I': Lalce}.VITKA Env.5chool Z� �V N O 5/-�'0�� p�,
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R�: kevi�iun No.1
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COMMFNTS:
Here is the final change:s re�lecting the revlsions we have
talked abouE. We are repla�,�the proposed rolling fire
shutter with 7 l�r in-Clll wall because of budgetary concerns.
Piease caR with any elarificatians or quesUons.
Tttanks.
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Partner
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� 02 FRAMINO /3 MECHANICAL FINAL 19 LAI�SHOREJWETIANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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DATE TIME
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INSPECTION NOTICE SCHEDULED Z--f5- 1 �
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Call for the next in tion 24 hours in advance.473-7357
OwnerlCont sit •
Inspector. �-�
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DATE TIME
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