HomeMy WebLinkAbout1993-005154 - addition/remodeling PEIRMIT
CITY OF ORONO ! PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: F.t j I LD I NCS
54
Orono, Minnesota 55356-0815 01551
(612) 473-7357 Date Issued: u5/1;/
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SITE ADDRESS:
770 OLD CRYSTAL BAY RD N
CH
P . I .N. : 28-118-23-43-0005
DESCRIPTION:
ADDITION/REMODELING
BuildingPermit. Type IN' T-ADD/REMODEL
Bui lain Work Type INSTITUTIONAL
UBC Occupancy
88/A21/E
Construction Type V
Zoning RR-1 B
CITY OF ORM
FIN4 NCE OFFICE
1313100000
01 CCh' 1059.2V
13501 00000
qVq 1 GEN 688.68
.12222
01 1;91 110.00
1313100000
REMARKS:
01 gEH •30
CHECK TL 1853.18
SEPARATE PERMITS REQUIRED FOR PLUMBING, MEC:HAN I C:AL, FIRE :��F'R I 1 '�t�l �fi' YOU
ELErti:TR I C:f iL (STATE) #: t ft 1.;,1)T
ROl TO?:4}
FEE SUMMARY: L"';�'I .?3
VALE UAT I ON v2'7,0,000
Bases Fee
$1 ,059.50
Plan Review $688 .68
Surcharge $110-Q
Total Fee
$1 ,858 . 18
CONTRACTOR: - Applicant - OWNER:
F
PARO'E CON'}TRUCT I ON 145.�5t 1()31 IND SCHOOL 1OL DIET #27.1
1010 SO ROBERT '=:T 685 OLD C:RY':TAL BAY RD N
WEST ST PAUL MN 55118 LONG LAKE MN 55:356
(612) 455-0031
THE R IGN �;� M E t STS% ' . tiissioi T MAKE R A x E TS m
SPECIFIED ANIS A SS T ° ".M IN STRUT GOM IAM4C . 1 TM$ EIS' CITY
OR'ILO OM I M ANCESL
� ' ` TA~ BUILDING' RI ? � RE tE�TS
fz-t.4
APPLICANT/PERMITIGNATURE ISSUED BY:SIGNATURE (..,14...„6.11
S y.Ye 4j
444111111 CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: -7-/1) DUO Ca-45114c. & (PID:
DESCRIPTION OF WORK: 404C710A) -t f?,ewoi3 . .1i!(0
ZONING REVIEW BY: `t4ealitup.. DATE APPROVED: 5--17- 93
BUILDING REVIEW BY: n."--- DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes--1/' Ido SEWER CONNECTION
STATE SURCHARGE Yeses No WATER CONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No--.2"— SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: RA-/$
Fire Department: [et5 CA Post Office: (4,D 6,0746",. School District: DRONO
Lot Area:IY 2600 s?14 yZ A( idth: 306 Depth: 6 YZ
Survey Submitted: Yes X No Date of Survey: Z •Z$'�T 3
Proposed Setbacks :
Front ( ) : /7;5 -1::
73 +: Right Side: W # ,��
Rear (St-Peet) : 4(01- . Left Side: I( D' +
Adjacent Structures: il•rrACHt=n Wetland: A/4a
Building Height: Def. Hgt. t' • Peak Hgt. O•K
Avg. Setback: A of Coverage: A
Ex' • ting P oposed
Hardcover: 0-75 '
75-250 ' 1111
250-500 ' 1111
500-1000 '
Hardcover Variance Requir-d: Ye- No Date of Co ncil Approval:
Grading: Staff Ap•roval D. te: By: Counc' 1 Approval Date:
Septic: Staff Approval Dat- : By:
Zoning File:# R_sol ti• #: Reso ution Date:
REMARKS (in ho se) :
1
" BUILDING REVIEW CHECK LIST OSP"
UBC: -is• CONSTRUCTION TYPE A .2,i /C•3 6 Nue_ kz u 2
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 2:2,0) 000
Inspections Required: Work Requiring Separate Permits:
Site _l_Plumbing Grading/Filling
)'Footing p Mechanical X Fire SPRrNK
0(Framing - Septic Water Connection
/(Insulation - Fireplace Sewer Connection
Or Wall Board (Masonry) Lawn Irrigation
4 Final (Mfg.) Other
Other Well (State Permit)
x Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /1, + . ,r + Date Received: SJS/53
Date Approved:
Entered By: (,,
Permit#: _9/ -.,) y
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER o/ CONTRACTO
JOB SITE ADDRESS: �i X 0k/06i/341 rJcf, Rd ZIP:
(work)
NAME OF OWNER: L.5,1) 2 -2 ? PHONE: (home)
MAILING ADDRESS: �p�j O/(] Cr q/ C
Rei
CONTRACTOR: Pcr k as ono rye,/`
(_ PHONE: 4& -063/
MAILING ADDRESS: 1010 5, ) 7))P/ - CITY: W, <(
STATE LICENSE: #
ARCHITECT/ENGINEER: •Cs ////e . PHONE: 1 71 J 2._qi_,,,
MAILING ADDRESS: �l 1 L6cs SY CITY: EX C ei<i0'' ZIP: 57r2,?1
LI E ( y.// �NAME: � � ! REGISTRATION # /q 75 /
TYPE OF WORK: New AdditionX Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : )4/e/.6, `, OX 1.)(7 ly1 Aricy,/
pi( froiv- h 171./1l
STORIES: / SQ. FEET OF EACH FLOOR: (90e7
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2-2-0/ (9'0(9
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 SIGNATURE: DATE: 9 ,
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONOOn 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.
6. Your full name is required to process this application or
permit.
&Pi/ Xe6.,f4–S
First Middle ast
Te/yezz:/4 Cyd'Oli E.- 77/ia/
Addre s
r-ivirx)re=2, */5; , ,cLcO
City State Zip
}g--2113
Phone
I understand my rights as stated above.
•
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•
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
•
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be given individual. An.individual asked to
supply private or confidential data concerning himself the be
informednrstate agency,
of: (a) the
purpose and intended use of the requested
political subdivision, or statewide system; (b) whether he may refuse or is legally
. required to supply the requested data; (c) any known consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by state
srifederal 8skedlto supply w to invest gat ve data,
the data. This_
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma .lace the notice resuired under this
subdivision in the individual income tax or .ro•ert tax re and instructions instead o
on those orms. - - -
Subd. •
3. Ual•
Access to data by individUpon request to a responsible
authority, an individual shall be informed whether he is
esubject of or confidential.ed data on
Upon
individuals, and whether it is classified as public, privatea data hiss
further request, an individual who is the subject of stored
him and, ifo he desires, shall
individuals shall be shown the data without
anyli data. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its utmiii�action pursuant to this section is
him for six months thereafter unless a dispute The
pending or additional data on the individual
hasate or public data rupreare d. by
responsible authority shall provide copies ofP
the individual subject of the data. The responsible authority may require the
requesting person to pay the actual costs of making, certifying, and compiling the
copies.
The responsible authority shall comply immediately, if possible, with any request
of the date of the request,
made pursuant to this subdivision, or within five days
excluding Saturdays, Sundays and legal est dwittunithimmediate
titim She shall soainform the
possible. If he cannot comply with the request within which to comply with the
individual, and may have an additional legal v da�Sys•
request, excluding Saturdays, Sundays
Subd. 4. Procedure when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness'of public or private datae
concerning self. To
exercise this right, an individual shall notify in writing
authority shall within authority
describing the nature of the disagreement. The responsible
30
days either: (a) correct the data founditTete datainaccurateineludingor reecipients namedtby
to
notify past recipients of inaccurate or ncom P
or (b) notifythe individual that he believes
es eves the
satto be
correct.
the individual; , disagreement is
Data in dispute shall be disclosed only if
the included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the
provisions of the administrative procedure act relating to contested cases. •
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Z"- _ /1• d
PERI(H T NO. lo
COMPLETED 1 y
ADDRESS_ <' - � _ Ile/Pde' //
OWNER A _I ' �� CONTR. 4-
TELEPHONE NO. '</5.S-Dd.
01 FOOTING JN `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 LAKESHORE/WETLANDS
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
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IL 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
c
W
C
CC
O
CC
O
W
CC
W
CC
ifiWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract lir%
Inspector. / t;
WhIte Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 7�2z193
INSPECTION NOTICE SCHEDULED 1123/%3 /1. 3 a
PERMIT NO. /51/41 COMPLETED A °l
ADDRESS 77 D C ��,
OWN ER �I.ea-C�1. i
TELEPHONE NO. 4:/7.3
DESCRIPTION .>"-e2746%,
W I ••TING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h s - •N 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
1-14 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
Q.
CC
O
O
W
cc
W
cc
j
Cl
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
C ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contror cin site:
Inspector. v gAll
White Copy/Inspector's File Canary Copy/Site Notice
�7 DATE TIME
CITY OF ORONO CALLED IN /%2.6`9-.3
INSPECTION NOTICE SCHEDULED /-�J ( aU-o
PERMIT NO. ‘31s COMPLETED l
ADDRESS 7.0 C.)C6,' /) — S7r4.r6,-tet C
OWNER LP. w-7.14 ,Lc.-A-o--( CONTR. Ak• a.--,
TELEPHONE NO. `f 73 -- 0J7--C`s
DESCRIPTION
• 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
4.
Q 02 FRA 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
ct 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
T09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Q.
c
0
a
CC
0
U..LU
CC
sT
W
Z
W
CC
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION- TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR rCITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Co r o ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE 32 TIME
CITY OF ORONO CALLED IN /02-' '
INSPECTION NOTICE SCHEDULED / //JO
PERMIT NO. 37-3 54 COMPLETED K 1
ADDRESS /7 10 all G Z3'4
OWNER (LCONTR. 44,6_4---- ee-ndt
TELEPHONE NO. 1/5:3— — QO 3/
DESCRIPTION
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
441112I 13 METER SET/TURN ON 17 SITE INSPECTION
is. 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
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
to COMMENTS:
Do �e,v
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OWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. `I PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner!Contra o kite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice