HomeMy WebLinkAbout1994-006411 - elevator addition _ PERMIT
GITY �F ORONO PERMIT TYPE: �.;�����;���t;
2�50 Keiley Parkway • P.O. Box 815 Permit Number: i�i:;i�,�.�. �
Orono, Minnesota 55356-0815 �;_��f;;_;:.��,�
(612) 473-7357 Date Issued:
SITE ADDRESS:
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FEE SUMMARY: _ _ _
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CONTRACTOR: Q�lJ1�M�R:zp _,��'�
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A P CANT/PERMITEE SIGNA E ISSUED BY:SIGNATURE
��
CITY OF ORONO - BIIILDING PER�LIT APPLICATION
' S s Date Received:
Total Fee: $ �5�� �
�
Date Approved:
Entered By: � � '' Permit�: �� ,� / ��J
to
ALL INFORMATION MIIST BB SIIBMITTSD IN FDLL BEFORE P7�AN REVIEW WILL B$ STARTED
(See Ch�ck-off List Eaclosed)
------------------------------------------------------�_------=-�--------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR ��G�
J�B SITE ADDRSSS: 245� S�'"�+f ��v�: �� ZIP: �5�✓"��
(work)
x� oF owr�8z: ��IV l l(l�-�I��l�L_t j PaorrE: c n o�e)�73-3��
MATLING ADDRESS: 24"SS ��CdTG� �N� �.� CITY: ���� ZIP: �j��
CONTRACTOR: PH���
MAILING ADDRESS: CITY: ZIP:
STATS LICENSE: �
)� �� �
A.xcHz�c�/ExczN�:�-�1�'�1��' ��l�l'U � pHorrE: C�S-C�.�tU`l
R3AILING ADDR$SS: 13�3/ �f lL���.�- �%� CI�: �Vl !1`--`�' ZIP: ��S
N�: �'I�l�j /vl � l�Jf� ��/j'I�'� R.BGISTRATION � �� /
I'YPE OF WORR: New Addition/ Accessory Structure Move
Demo Remodel/Alteration�/ Renovate Land Alteration
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?ROPOSED WORK (describe in detail) : �V� C�t-���0�-��l-►'� /�/ � /l��"
� ��'��/C� � G�li1� �nJ E=7�l�2 �'�O�(,�7Z`dl�!
STORIES: SQ. FEBT OF EACH FI,OOR:
k70. OF B$DROOMS: GAR1�G$ STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ i �� � � � �
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: ✓�� �V�7�' G'CL-� DATE: ���` J / / -
�� /i � __.
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CITY of OR4N0
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
• �
� - � � 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 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 Iicense.
3. The information may be shared with other I.ocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Yaur full name is required to process this application or
permit.
�rNlv�L- S /�1�lZ-�"/�7�
First Middle Last
24-sS �v��� �/V� �4e�� "
Address
w�y�� �x� �s3�1
City State Zip
�73 - 3���
Phone
I understand my rights as st ed above.
��/�-�'�� --�..._....
Signature
BUILDING&ZONING—473-7357 • ADMINI$TRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING -
�� — -.----��.r_ ----� ------------ - - � �.
513.04 RIGSTS OF SIIBJF.CTS OF DATA � .
gubdivision L Tppe of data- The rights e tion�viduals on whom the data is
stored or to be stored shall be as set forth in t1us S An.individuel asked to
- - gubd, Z, Information required
to be given in�viduaL
� ' u 1 rivate or confidential data concerning BmWi�in the collecting stat ag n Y�
s PP Y P uested da v refuse or is legally
purpose and intended use of the req tem; (b) whether he m uence arising from his
political subdivision, or statewide sys ��� �y �own conseq
required to supply the requested date; �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
er ersons or entities authorized by state or federsl law to receive the data. This.
oth p 1 when an individual is asked to supply investigative data,
requirement shall not app Y to a law enforcement officer.
pursuant to section 13.B2, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. - - --- - .
Subd. 3.
Access tfl data bp in�vid��al- IIPon request to a responsible
authorit , an individuel shall be informed wh b�c h r vateecr confidential.e UPon his
y ublic data an
individuaLs, and whether it is classified as p � P
data without eny charge to him and, if he desires, shall
further request, an individu e who is the subject of stored private or�du� � been
indivfduels shall be shown th of that data• After an indi
6e informed of the content and meaning t� �t8 need not be �isclosed to
shown the private data end informed of its u�e�action puI'suant to this section is
him for six months thereafter unless a �p n request by
� ndin or additional data on the individuel h� 8te or puwlic datarupoeated. The
� Pe g �
responsible authority shall provide copies of the Pro�ible authority may require the
the individual subject oft�e actual�cos h of making, certifying, and compiling the
requesting person to pay -
copies. y if ssible, with any request
The responsible authority she]1 comply immediatel , P�
made ursuant to this subdivision, or within five days of the date of the request,
P and le holidays, if immediate compliance is not
excluding Saturdays, SundaYS � with the
ossible. If he cannot comply with the request within that time, he shall so inform t e
�d mg have en additional five daS'S Within which to comply
individual, g y Sunde and legal holidays.
request, excludin Saturdays, YS
Subd. 4. Proced�e when data is not accurate or complete. An individu�l mgy
himself. To
contest the accuracy or comQleteness of public or private data conce�lble authority
exercise this right, en indiv�du81 ghe� notify in writing the resp
describing the nature of the disagreemen� The respcnsible euthoritq shall within 30
da either: (s) correct the data found to be inae��ae���ngPec pients namedt by
YS
notify past recipients of inaceurate or incomple �
the individuel; or (b) notify the individual tha vh� �Slstatementof disagreement is
Data in dispute shall be disclosed only if the mdi �u�t to the
• included with the disclosed data. � BQpe�led p
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
BQILDING REVIEW CHEGR LIST ` . •
IIgC: �-�j CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement X -
lst FJ.00r � X -
2nd Floor x -
Garage X -
x = �
TOTAL
Estimated Construction Value: $ �O�Oc'��
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/Fil.ling
�Footing /�Mechanical Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
Wal�l. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel� (State Permit)
�D Electrical (State Permit)
--------------------------------------------------------
REMARKS (IN HOIISE) :
--------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
--------------------------------------------------
gF.MARR$ (TO BE NOTED ON PERMIT) :
• • � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY ,
ADDRESS OR LEGAL: ZLIS S ��T�F! f�1� �-►V PID:
DESCRIPTION OF WORR: ��-p``�A-��' �Q� �
--------------------------------------------------------- _
ZONING REVIEW BY: ', DATE APPROVED: 7 "2��Y
BIIILDING REVIEW BY: DATE APPROVED: � ' Z� � /
----------------- -
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓�No
PLAN REVIEW Yes �i�" 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 �-//9 _
�
Fire Department: Po t O ice: oo�District:
Lot Area: i h: D pt .
U
Survey Submitted: Yes oC No Date of Survey: �- 2 3'�°j
Proposed Setbacks: � �A
�� (Lake) : Il�(!� Right Side:
Rea� (Street) : (f�v` + Left Side: Z.I ' C1�4'�T-
Adjacent Structures: � Wetland: /" I�-
�
Bui].ding Height: Def. Hgt. �'. ��— Peak Hgt.
Avg. Setback: /L/ �/a- Lot Coverage: � �- _
Existing Proposed
Hardcover: 0-75 '
75-250 ' Zej•6 (� L-cj- &'°70
250-500 '
500-1000 '
Hardcover Variance Required: Yes pc No Date of Council Approval:7"2 /' I
Grading: Staff Approval. Date: By: Council Approval Date:
Septic: Staff ApprovaJ. Date: 1v�/� By:
Zoning File:# fk�{� Resolution # : �`�� 3 Resolution Date: -7• � -Z �
REMARRS (in house) :
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CITY OF ORONO CALLED IN �d �'t� 5'
INSPECTION NOTICE SCHEDULED /i 9� '/-'�D
PERMIT N0. coMP ED LL_�r_____
/ �,l/
ADDRESS¢��s 5 9�yCar�� ..c�. L ��.� •
OWNER CONTR.�����al
TELEPHON E N . '�?�J -�3 3`��
� DES RIPTION •
01 FOOTINf3 it MECHANICALRI 18IXCAV/GRADINC3/FIWNO
y RAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
� 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PROCiRESS
�` 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
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Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. `- pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR =- GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspe tion 24 hours in advance.473-7357
OwnedContractor on ' e:
Inspector.
White Copylinspector's File Canary CopylSite Notice
a'�
/ DATE TIME
CITY OF ORONO CALLED IN �/—�✓�9�
INSPECTION NOTICE SCHEDULED //' /(p � -�
PERMIT N0. � ��� COMPLETED —�6 Z�: � a
ADDRESS '� �.�-S -�c��,G�2.e� t �.,
OWNER rnW� CONTR. �.�!�L�►rc- C� �
TELEPHONENO. �73 - ��y�
� DESCRIPTION
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINa
� 02 FRARIIFfE.1�" R�(��3 MECHANICAL FINAL 19 LAi�SHORENVETIANDS
Q 03 INSU N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEA HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
E` 07 DEM�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
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O C, CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUEO
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
Owner/Contracto t
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '"�I ���r�
INSPECTION NOTICE SCHEDULED
PERMIT N0. ���� MPLET D
ADDRESS �'��J��-t�- -�� la.��1? �
OWNER , �-� CONTR. � .�—► ea�7`
TELEPHONE NO. y 7� J =�3 4f �
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADINO/FiLLINO
�Q F ING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
Q TIO Q� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
� 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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OC CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. -, pHOTOTAKEN
INSPECTOFi WILI RETURN
❑STOPORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance.473-7357
OwnerlContra r n i :
Inspector. .
White Copyllnspeclor's File Canary CopylSite Notice