HomeMy WebLinkAbout1993-005305 - remodel PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 815 Permit Number: BU 1 LD I NES
Orono, Minnesota 55356-0815 Date Issued: 00530-S
"12) 4717357 07/01
SITE ADDRESS:
685 OLD CRYSTAL BAY RD N
C H
P . I . N. : 33-118-23-21-0002
DESCRIPTION:
REMODEL
Building Permit Type INST-ADD/REMODEL
Building Work Type COMMERCIAL
UBC Occupancy E-1 88-'
Construction Type N/C
CITY' JIF
&WAVA:
1350.1000010
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L 1 5"J2.5"S"
g -0 ficill T14,
.27-7 2
REMARKS: 0 1 T
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SEPARATE PERM 1 TS REQU 1 RED FOR PLUMB!N(3 MEC-:HAN 1 CAL AND ELECTR 1 CAL TE
FEE SUMMARY:
VALUATION $215,600
Base Fee $1 , 04S . So
Plan Review $679. 58
Surcharge -------1192-0)
Total Fee $1 , 832 . 88
CONTRACTOR: - Applicant - OWNER:
CATES CONSTRUCTION CO 14786050 ORONO SCHOOL DISTRICT 278
300 HIGHWAY SS BOX 46
HAMEL MN 5634C) LONG LAIKE MN 55356
(612) 478-6060
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORr..' DI STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
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A4LICAN-V,'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO — BVILDIP�G PERMIT APPLICATION
Total Fee: $ / j2 J Date Received:
Date Approved:
.Entered By: XA/
Permit#: ,,:�5-3l)
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or ONTRACTOR
JOB SITE ADDRESS: 0LbCxy.9_V _ ZIP:
(work)
NAME OF OWNER: O azwn l, S. D,�2��j PHONE: (home)
MAILING ADDRESS: ®Lb Cf2,yS-rAt-81r'r�CITY: L d.,,r6 LA!4 C MAJ ZIP: 97.1-3 SS(
CONTRACTOR: Wt .CA-7C& C0ni-q'r2UC-1 o PHONE: 4-79 _40 SD
MAILING ADDRESS: 300 14c6*wAt S� CITY: ( mfJ ZIP: 973 `K,
STATE LICENSE: #
ARCHITECT/ENGINEER: A-fzc! crcc--ru 2&, PHONE: 4771+-73
MAILING ADDRESS: WA-7&2 S-M-6W' CITY: GKC4, c11�em t KW ZIP: �s3-3
NAME: R R k Aij MCREGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : RL-,r-AobC-L 76C[-ttir0L66Z`R2kGIJCC-A-r,Le Or
STORIES: SQ. FEET OF EACH FLOOR: 5EE PLA, }
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 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 will be in accordance with the approved plan.
0L
APPLICANT'S SIGNATURE: W,(4-CA M5 �c7rt DrJ DATE:
CITY Of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
o . 0 • 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 license.
3. The information may be shared with other local, 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 public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
0
6. Your full name is required to process this application or
permit.
J&-X iz-C LYN tJ J 0 0 k-i,& A-,J
First Middle Last
W t{ C/}'C&s eo"s-rkV crio/J
Address �d 64(6 t w
City State Zip
Lf-)g—t®S�
Phone
I understand my rights as stated above.
Ufn,
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
III
CTS OF DATA
x.04 RIGSTS OF SIIBJE
Subdivision L Type of data. The righo of individuals on whom the data is
stored or to be stored
shall be as set forth in this Oection.
Subd. 2. Information to � giv�n ����' An.individual asked to
"mself shall be informed of: (a) the
supply private or confidential data concerning state agencyl
purpose and intended use of the requested b)whether hewithin may re
collecting
or is legally
P subdivision, or statewide system; from his
required to supply the requested data; (c) an known consequenceand)athenident ty of
or refusing to supply private or conf dential data;
supplying state or federal law to receive the data. This
other persons or entities authorized by P investigative data,
requirement shall not apply when an individual is asked to su ply ' g
pursuant to section 13.82, subdivision 59 to a lav enforcement officer.
der
The commissioner of revenu�em lent taxeounditructionsuinsteadhossubdivison in the individual income ro
on those orms. _— _ _- --.
Subd. 3.
Access to data by individupl. Upon request to a responsible
authority, an d data on
individual shall be informed whether h e vatteeor eonfidensubject of tiaLe Upon his
individuals; and whether it is classified as putlic, p public or data on
further request, an individual who is the subject of storedto himandif he desires, shaIl
individuals shall be shown the data without anyac arge After an individual has been
6e informed of the content and meaning �I t he dataneed not be disclosed to
shown the private data and informed of its meanings ation Pursuant
to this section is
him for six months thereafter unless a drop been collected or created. The
• pending or additional data on the individual has public data upon request by
responsible authority shall provide copies of the pronslbbler uthority may require the
the individual subject of the data. The Irespo and compiling the
requesting person to pay the actual costs of making,
certifying,
copies. iible, with any request
f ss
The responsible authority shall comply immediatelyo f the
date of the request,
made pursuant to this subdivision, or withinfive days
and le holidays, if:immediate compliance is not
excluding Saturdays, Sundays with the
possible. If he cannot comply with the request within that time, he shall so inform the
p and may have an additional five days within which to comply
individual, y
request, excluding Saturdays, Sundays and leglel holidays.
Subd. 4. Procedure when data is not;accurate or lta eoneernm; himself. Tte- An individual o
contest the accuracy or completeness*of public or private da
an individual shall notify in writing the responsible authority
exercise this right, responsible authority shall within 30
describing the nature of the disagreement. The to
days either: (a) correct the data found to be inaccurate cling Teecipieents namedt by
notify past recipients of inaccurate or ineomp
or (b) notify the individuK that he believes the data to be
Corr
the individual; is
Data in dispute shall be disclosed only if th individual's statement of disagr
•
included with the disclosed data. appealed pursuant to the
The determination of the responsible lauthority may be PP
Provisions of the administrative procedure act relating to contested cases.
I
AL CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 62$'$ 0(,10 CfMS17+L &4f.4 PID:
DESCRIPTION OF WORK:
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ZONING REVIEW BY: 1V 1A DATE APPROVED:
BUILDING REVIEW BY: ck4lvw..` DATE APPROVED: (., - 30 -ci3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c- � No
PLAN REVIEW Yes-7;7 -No SEWER CONNECTION
STATE SURCHARGE Yeses No WATER CONNECTION
INVESTIGATION FEE Yes No i,� PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------------------
ZONING CHECK LIST Zo ing District:
Fire Dep rtment: Pos Offic : School ' strict:
Lot Area: Widt Depth:
Survey ubm'tted: Yes No Date of Survey:
Propose Set acks:
Fr nt (L ke) : Right Side:
Re r (Str et) : Left ide:
Ad 'acent S ructures: Wetland:
Buildi Height: Def. Hgt. Peak gt.
Avg. S tback: Dot Coverag
Existing Proposed
Hardcov r: 0--75 '
75-250 '
250-500 '
00-1000 '
Hardcov r Variance Req ' red: Yes No ate of Council Approv
Grading Staff Approval ate: By: Council Approval D te:
Septic: Staff Approval D te: y:
Zoning ile: # s lution # Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST y
UBC: �. f �$' CONSTRUCTION TYPE: /y�G
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
m^
Estimated Construction value: $ 2(Sa(obo
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing A Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
_Wall Board (Masonry) Lawn Irrigation
p.Final (Mf g.) Other
Other well (State Permit)
_2Electrical (State Permit)
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REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
----------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
DATETI. E
CITY OF ORONO CALLED IN �- - 3 �
INSPECTION NOTICE SCHEDULED
PERMIT NO. J` 36� CO PLETED
ADDRESS C))d—
OWNER NTR. LJ
TELEPHONE NO. �7
DgSQF�IPTION
01 FOOTI 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE[WETLANDS
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 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
LUT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Co COMMENTS:
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O >YORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor o sit
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED r
PERMIT NO. -6- COMPLETED 16
ADDRESS 69-5
OWNER a .5C-"0C)( CONTR.
TELEPHONE NO.
DESCRIPTION
OTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 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 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor n site:
Inspector.
White CopyMspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN .7 -/9-%7Q�
INSPECTION NOTICE SCHEDULED �U 0 3d
PERMIT NO. 520 -6,
COMPLETED M
ADDRESS �C+ — 6 Y O C-,6 4/-
OWNER CONTR. CatF
TELEPHONE NO. -7fl—(�d �z5
DESCRIPTION
01 F //,,'' 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING Gt/� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 0 TION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
I09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W WORK SATISFACTORY:PROCEED E] PROJECT COMPLETE
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BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac o ite:
Inspector.
White Copy/Inspector's File Canary CopylSite Notice
D T TIME
CITY OF ORONO CALLED IN Jet
INSPECTION NOTIC � SCHEDULED
PERMIT NO. 0 COMPLETED
ADDRESS pS
OWNER NTR./�I
TELEPHONE NO. -7 g_So
DESCRIPTION
W 11 MECHANICAL RI 16WELLTESTPUMP
02 FRCAMING 11 MECHANICAL FINAL 18 EXCAVILCAV/GRADING/FILLING
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
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❑PROJECT COMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next nspection 24 hours in advance.473-7357
OwndContra n .
Inspector.
White CopyMspector's FII Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 13' Z'(Da
PERMIT NO. !2 COMPLETED
ADDRESS (?5 VC-0 C�W675 M(- A4%
OWNER C,, CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
D
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
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:4a\YES_NO
COMMENTS:
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❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Conn site:
Inspector.7
White Copy/Insp or's File Canary Copy/Site Notice