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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;/ ��:. =;/ 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. • g—7 re • 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 e./e f;Ca.) i +PAnA r OA a W O 4 040Tl4 e11 t u,iP./ 4.1 cc L 7g• f 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