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HomeMy WebLinkAbout1994-006244 - renovate/remodel PERMIT CITY OF ORONO PERMIT TYPE: It 2750 Kelley Parkway • P.O. Box 815 Permit Number: ' Orono. Minnesota 55356-0815 T—DING (612) 473-7357 Date Issued: 00F.-;244 ;;�'24, SITE ADDRESS: 795 OLD CRYSTAL RAY RD N CC_B; . : ? -1 -' _-_.: 1-OOO i" DESCRIPTION: Building Perrr i t• Type INST-ADD='REMODEL Building Work Type RENOVATE/REMODEL UBC OF i t.pancy El Construction Type 1 F . R . CITY LIF ORV11L. FINANCE 1313100VVV l•+!rIL.1TLPLP i 1° 1 L i1! A'rn c4 V.1 Vtlt 1 350100000 f! REMARKS: [�) 01 }}&EN 281.13 1222200000 7�l !::::F -cRA i 1- 1~'E'RMT ::. 'P!.!'iIr-'E.D FOR PLUMPING, MECHANICAL & ELLc•i r :.c-A r • t:.r `w •_Li FEE SURATlt'AR1R': L•I1L41� ILiy 17.).,Jt+ RECEIPT-THANK�A1 I% 1 V!J I7JV!1 1 V L•VV I V.& 11'T•JJ VALUATION $S. .$f4i f 07/15/94 Base Fee $432. 50 Plan Review $281 . 13 Surcharge s'ssry Total Fee $740.30 CONTRACTOR: OWNER: - Applicant. - ORONO ISO # :78 795 OLD CRYSTAL RAY F D N ORONO MN 55:3.56 9 v rOc THE UNDERSIGNED‘ HE EBY RE' UES 'S PERMISSION TO MAKE `HEIMPROVEMENTS SPECIFIED AND'`.AGREES ,T,1'020,---A RK ; . . STR' L, :OMPL IANCE " T ' ALL C:I'TY" OF L ORDINANCES AND 'SASN ; I SOTA BUILD I G CODE REUIREtENTS J APPLIC NT/P RMITEE SIGNATURE ISSUED BY:SIGNATURE +" . CITY OF ORONO - BUILDING PERMIT APPLICATION "' Total Fee• $ ') 7 D • t 6 Date Received: r)--i �t V Date Approved: Entered By: • 14 Permit#: Yo2 ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) AVAMPor CONTRACTOR JOB SITE ADDRESS: Irlc c514 C 7cQ, k ZIP: &j3S(0 (work) NAME OF OWNER: ORoi 5c-1N ) s .2. g PHONE: (home) 9 •8300 MAILING ADDRESS: cogs Old ('7/S14 i tzk o CITY: 0(2.0 W0 ZIP: 55166, CONTRACTOR: \ICOr 16h1 qez_vct £ �41kv‘aot - C v.9 ',n. PHONE: hi"...4,; - MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: € C)3 PHONE: 47q- Xce MAILING ADDRESS: CITY: ZIP: NAME: flax t- ((((C1 §11A `J REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : ( 4A 1 1 .00=, /t0.` NA's `oi"e.4L_ t- ak j 4 ho)oq a.Je< Y1bQo Pcoor Sh1"-S, STORIES: SQ. FEET OF EACH FLOOR: UP.O We 3 CcJC NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 63I34 0 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: '7'r'-I• Q`i A CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO 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. 6. Your full name is required to process this application or permit. ORO L>© C ©©L.9 First Middle Last (4>C d I Crises r& Address C)213• d ML) 5S`3SG City State Zip Phone • I understand my rights as stated above. C2e("1 , Signat 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 conced tamwithin tself he collecting state agency, be informed of: (a) the purpose and intended use of the requested (b) whether. he may refuse or is legally political subdivision, or statewide systemknown consequence arising from his required to supply the requested data; (c) any supplying or refusing to supply private or confidential data; and (d) the identity of PPstate or federal law to receive the data. This. requirementqupersons a entities authorizedbydividual is asked to supply investigative data, shall not apply pursuant to section 13.82, subdivision 5, to a law enforcement officer. der The commissioner of revenue ma .lace the re°una instructions�nsteadhos subdivision in the individual income tax or .ro.ert on those arms. -— Subd. 3. Access to data by individuaL Upon request to a responsible authority,, an individual shall be informed�whether hprivatis e or confidential.subject of ed data on Upon his individuals, and whether it is classified public, data is further request, an individual who is the subject of a toe Priv private if him and, o he desires, shall n individuals shall be shown the data without anylcharge After an individual has been Se informed of the content and meaning the data need disclosed to shown the private data and informed of its meaning, neednot beets section iso him for six months thereafter unless a dispute or action pursuant pending or additional data on the individual has been nr ublic collected orupre request by ted. The may require the responsible authority shall provide copies ofthep the individual subject of the ache tual.costs of mThe aking,lcert certie fying, compiling the requesting person to pay copies. ssible, with any request The responsible authority shall comply immediately, if po made pursuant to this subdivision, or within five days of the date of the reis quest, excluding Saturdays, Sundays and legal holidays, ifhat imme ahtime, shall compliance inform not the possible. If he cannot comply with the requestwithin which to comply with the individual, and may have an additional five days request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may • himself. To contest the accuracy or completeness of public or nr rivvawriting to concerning authority exercise this right, an individual shall notify shall describing the nature of the disagreement. Ther ore n blthori t and w attempt to ithin 30 days either: (a) correct the data found to be inaccurate notify past recipients of inaccurate or incomplete he believes recipients s named b the individual; or (b) notify the individual that correct.s Data in dispute shall be disclosed only if the individual's statement of disagreement included with the disclosed data. be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. CHRCK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: - --115' CA..10064r7"--7"y PID DESCRIPTION OF WORK: pk-81rvu41GZ- ZONING REVIEW BY: N i A--.__..,.-. .. -. ..._ - DATE 'APPROVE :: - ,. _,;, BUILDING REVIEW BY: li!DWAtinm"••_ DATE APPROVED: `7--LK"�JFEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes w//'No /No PLAN REVIEW Yesf No SEWER CONNECTION STATE SURCHARGE Yes--17 . es_ " No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zo ing District: Fire De! =rtment: Post Offi e: hool District: Lot Are. : 'dth: D=pt : Survey .ub itted: Yes No Dat of Survey: Propos=• Setbacks: F .ont ( ake) : Ri ht Side: R=ar (St eet) : Le t Side: A• jacent tructures We land: Buildiug Heigh. : Def. Het. 'eak Hgt. Avg. S -tback: Lot Co erage: Exis ing Pro.osed Hardco er: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardco er Variance R.-qui ed: Yes No Date of Council A•proval: Gradin : Staff Approval ate: :y: Council Appr. al Date: Septic Staff Approval D te: By: Zoning ilea# Resolution #: Resolution Da e: REMARKS (in house) : BUILDING REVIEW C1ECK LIST UBC: CONSTRUCTION TYPE: .K ,.3 ,. {,. .- , Sq Footage $ Per Sq g �... �• pa ;x- . .^.� a T t� S£' ..Basement --- =� ,.`...._. _... "'''''?--0"4"46.7 -TiE ��-C 1st Floor 2nd Floor ` x Garage x = -s . TOTAL Estimated Construction Value: $ S -3,t3 Inspections _Required: Wok Requiring Separate Permits: SitePlumbing Grading/Filling Footing �D Mechanical. . Fire Framing4 Water Connection Insulation Fireplace Sewer Connection Wall Boardpi (Masonry) Lawn Irrigation Final (Mfg.) Other Other Well (State Permit) C< Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : • • ,.r • , - - • - r _ ,ru. .- i 1 ...t -T -.y_..-.ir y ...r a« . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 4 SCHEDULED —7 '9 PERMIT NO. Led.. COMPLETED L � "`)`( E' (GS • ADDRESS —19 S (--0 l2< OWNER Pyr' c CONTR. TELEPHONE NO. DESCRIPTION � 5 C'-+ p V1-I2 • 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP s -AMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 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 = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc 14.1 cc C9 4-0 Cep P S C".4 i ("AlJ46 a cc t cc 7-74-1-7W z W cc d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract n 'te:�, Inspector. (/,( — White opy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE! a4C,I SCHEDULED 7-�'C/A. !Iiia PERMIT NO. l(� COMPLETED ? -°--9 Y ( 1' •9 ADDRESS `71:T5—. Dc...6 C12�ST7t, 134y 44)A.0 OWNER Otiso :scoot CONTR. SISwk-CC TELEPHONE NO. DESCRIPTION IAJ LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING Cl) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS - �Q�}�,VALL 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 I v 07 DEMO—FINALsi 27 SEPTIC MAINT. 21 COMPLAINT LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: im cc Com- (- - i C.�� Q. cc O cc O u. W cc Q W Z W cc d IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU 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 OwnerlContract• ,n site Inspector. la 40 White Copy/inspector's File Canary Copy/Site Notice DT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /z/5'S< 9 3 PERMIT NO. I COM. ETED y ADDRESS "795' 67 / % �aP OWNER__>gdeA,7-"'e--- `� C NTR. - TELEPHONE NO. Any-yi / E DESCRIPTION LL. 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP et 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL • 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 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP BING FIN 23 SEPTIC FINAL Z RACTOR TO MEET YOU:_YES_NO te)• COMMENTS: CC CL CC O CC O W CC Q W W CC z XORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN .7 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/Contractor Ie:\) Inspector. 62,1 White Copy/Inspector's File Canary Copy/Site Notice