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HomeMy WebLinkAbout1993-005177 - remodel/addition/dec PERMIT I CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815I/Permit Number: BU J I LD I Nt� Orono, Minnesota 55356-0815 005177 (612) 473-7357 Date Issued: Cls/ 6/93 SITE ADDRESS: 42S OLD CRYSTAL BAY RD S CH P. I .N. : 04-1i1--23-31-0001 DESCRIPTION: REM:}DEL/ADDITION/DEC Building Permit Type SF-ADD:REMODEL Building Work Type RENOVATE/REMODEL UBC Occupancy 88 R-3 C:onst•ruct•inn Type VN Zoning RR-1B REMARKS: SEPARATE P RMITS: REQUIRED FOR PLUMBING, MECHANICAL AND ELECTRICAL (STATE) . FEE SUMMARY: ri T CO i �r 1 r t{tVI I(J}Cfl M 1I TAN C V IC VALUATION $45,0010 1313100000 u 01 &EN 382.00 Base Fee ' $382 .00 1350100000 Plan Review $24R . :7.:0 01 & N•F 249.30 y tl 7 y. r!i,,,,�I Sit rcharge JiGiti VV VVV 01 GEN 50 Total Fee652 . _0 ;HECK T; ?12 80 CHECK i L vJi. RECEIPT-THANK YOU l273900 I.0V1 IIV1 T1 J +t9 V5126,13 CONTRACTOR: - Applicant - ST . LIC .OWNER: THE CARPENTERS CONST CO 14725715 000:74F.2-7, LAWTON WM 1105 COUNTY RD 19 425 OLD CRYSTAL BAY RD MOUND MN 55364 ORONO MN 55:356 (512) 472-5715 ` 473 3516 THE ; DERS GNEO HERES BEQUEST: PERMISSION TO FAKE THE RE 4L .IMF ROVEMENTS SPECIFIED � ` GR ALS: � � IN STRICT COMPLIANCE WITH ALLI Y OF L ORO ORD#I ' * s ;ATE OF KINNESOTA ,BVILPING WOE REQUIREME is. • APPLICANT/PERMI EE SIGNATURE ISSUED BY:SIGNATURE 1. CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ lL ` ,( 'C Date Received: Date Approved: Entered By: Permit#: ...5) /P7 ALL INFORMATION MUST BE SUBMITII'ED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: ,-{Z'S OJ CR\ASTM - t \ ( 2 ZIP: SS 9 (work) 1- - 08132-( NAME OF OWNER: .-4\. 1_WwT0),) PHONE: (home) u41 3c1.6 MAILING ADDRESS: I.0.S 0c-4 Ca2yST44.—6NA R3 .5 CITY: cs o (wQ6CA pArk u4IP: ;5391 CONTRACTOR: T C e) r2c C N T•R4ekeTiu PHONE: 2-ak- S71 c MAILING ADDRESS: 0,0S CCS icU 19 CITY: m OO.,LD ZIP: SS3 6 y STATE LICENSE: # ARCHITECT/ENGINEER: "tikc, Cr'12a 'S QM: PHONE: LckaL5i 1� MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration K Renovate Land Alteration PROPOSED WORK (describe in detail) : tiCe o C 6»M iNX;) (wcvw. ICAer\cL.4 tiR • kA LL i•� i A� 5.6K1)-!• P&D Z 15K-11 W,ry da S k a� t6C.1t STORIES: `Z— SQ. FEET OF EACH FLOOR: --- NO. NO. OF BEDROOMS: GARAGE STALLS: ATT. -- DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ LI S,00:"a' 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: C c P DQE` DATE: S-,q-q3 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 I In accordance wit M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like t 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. I You are notified that: 1. The informatid,n you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuseto supply data, but refusal may require that the City deny the pjermit or license. l 3. The informaticl n may be shared with other local, state or federal agencies tothe extent necessary to process the permit or license. 4. If your reques ed permit or license requires Council action to approve, some in ormation may become public. 5. You have certan rights under M.S. 13.04 to review private data on yourself. I 6. Your full namelis required to process this application or permit. `K a $AiL4 First Middle Last WS& cTA 419 Ad ress Onvut,6 I N 536 City State Zip 2.-0 --'l' ol (A w) lAi -S1ic 640 Phone I understand my rights as stated above. OUP— NA-114-114Signatur e BUILDING&ZONING—473-7357 • (ADMINISTRATION&FINANCE—473-7 35 8 • 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.• uel asked to Subd. 2. Information required to be given individual. An.individ • supply private or confidential data concerning imself within the be informed state agency, • s PPY purpose and intended use of the requested (b)whether he may refuse or is legally political subdivision, or statewide system;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 erpersons or entities authorized by state or federal law to receive the data. This. requirementh when an individual is asked to supply investigative data, shall not apply pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma •lace the mound truired under this subdivision in the individual income tax or •ro•art on those arms. — Subd.an3. - Access to data by individual Upon request to a responsible uthorit , individual shall be informed whether he ivateesubject of or confidential Upon his a ypublic data is individuals; and whether it is classified as � P data without any charge to him and, if he desires, shall n further request, an individual who is the subject of stored private or�du� has beeno individuals shall be shown theof that data. After an individual Se informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, pursuant to this section is him for six months lthereafter unlesstha disvis upon request bye pendingor additional data on the individual hes�a a or Pu public datareated. The provide copies of the prrequire the the individual authorityujshall The responsible authority ana r quire the the subject of the data. certifying,requesting person to pay the actual costs of making, yi g, copies. The responsible authority shall comply immediately, if possible, with any request date of the request, made pursuant to this subdivision, or within five days of the compliance is not excluding Saturdays, Sundays and legal holidays, possible. if If he cannot comply with the request within that time, he shall so informtthe he have an additional five days within which to comply individual, and may Sundays and legal holidays• request, excluding Saturdays, An individual may Procedure when data himself. y Subd. Prose is not accurate or complete. or private data concerning contest the accuracy or completeness of� publicin writing the responsible authority exercise this right, an individual sBement. tify in writing the responsible authority describing the nature of the disagreement The responsible authority shall within 30 dassreithe the nature of the dila f dayseither: (a) correct the data found to be inaccuratei°�incomplete recipients namedtto by notify past recipients of inaccurate or incomplete disagreement is the individual; or (b) notify the individual that duel believes statementto be correct. if the individual's Data in dispute shall be disclosed only to the • included with the disclosed data. The determination of the responsible authority may be appealed pursuant provisions of the administrative procedure act relating to contested cases. • C'AFCX OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: L/ZS OGO C 'Sm(. BA(( 24.9 PID DESCRIPTION OF WORK: I1,c1h.o 0e[. 4OD/n0/`/I Jeit.d< ZONING REVIEW BY: DATE APPROVED: 5-- 2,41 - 1, 7;' BUILDING REVIEW BY: C DATE APPROVED: S FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/' No PLAN REVIEW Yes fr No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No �' PARK FEE SAC Yes No v SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /z2-,e Fire Department:C S (4I6 Post Office: C0 611 School District: 024)No Lot Area: Alk, Width: Depth: Survey Submitted: Yes No Date of Survey: - ot-i Proposed Setbacks: Front (Lake) : q00 ".t Right Side: 0` . 1Z2 Rear (S =et) : /��'/r Left Side: C/ /V/i9 Adjacent Structures: #14 Wetland: A444 ,uilding Height: Def. Hgt. ©.t ' Peak Hgt Avg. Setback: /v (4Lot Coverage: A/ I Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 1 500-1000 ' 1111 Hardcover Variance - -quir:d: Yes No Date •f Counc 1 Approval: Grading: Staff App 'oval D-te: By: Council •pproval Date: Septic: Staff App oval Date: By: Zoning File:# Reso ution # Resol tion Date: REMARKS (in ho•se) : BUILDING REVIEW CHECK LIST UBC: Ver R -j CONSTRUCTION TYPE: VW Sq Footage $ Per Sq Ftg • Basement x - 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ L-/5, Owe—`' Inspections Required: Work Requiring Separate Permits: . Site D( Plumbing Grading/Filling _Footing p('Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation p�Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : 1 01°La1/41C) ( Certificate of Survey for \kk IC) Wi 11 iarn G. Lawton • or Lot 20, Auditor's Subdivision No. 230 . . . 4--- ---.,, _ _ Hennepin County, Minnesota - • .. - dn),0 i 1 izi ilkt" ,`•' 1 ' '' . I dMegitljtP :,:,-Ifp • 1 . _._________...________________. Luce 1 -;?. • Line - 17-a ri i 1... 1 371.28' --' 4 F%., ORONO COP • CA • i Cr-- ....., 0 •1-... ... .... -•• I, : xi:si1i;79, P--, _ 178.20. o 1 o 1. NI r•-‘ -... • • ,z,, 1 3 A 3• :I" . • • ;,.- i. _: 1 G i•s'Tin a ./..1 ..._.. 't -,-7-1 Z .f sheds'tyi . CITY OF ORONO , ,.... .seetitc. x SITE PLAN GRADING PLAN v) -->... 1-4,---t..) (-11\. ,-7 ; 1_. f; ; Ig APPROVED _ K..) - CP ( _-- 5.0.4. 1 ., .,.., _ __ , -, ,-. 2 0 APPROVED WITH REVISIONS ' X SITE PLAN _. _ - ,, • ,cl , Ti cl .• ---,-,- 0 DISAPSIRIV IcE4,4,_, ,. C•1 %APPROVED • . ,. . , BY 0 APPROVED Wiry! --iE (3 r:N -• . .,. DATE --6--7-.!-C.(3 0 DISAPPR rED • -______ _ _ ...a BY -Jo/ ____. . Goo*.to LI,•.,r., 0 k.0.co 4 tic. • - ---- - --. DATE • .- . . _., , „, ..... 330.00. - - - -1 • 33' 331 ylA;09"0 N --- -, __ • ' . I hereby certify that this is a true and correct representation of a survey of the existing lioustm and existing sheds in relation tn thr boundarir . ... __,.- nf Int 9n A,,f7-,t , c...L.A:-: - : ._ - ., DATE TIME CITY OFORONO CALLED IN 4,-/V 9-3 INSPECTION NOTICESCHEDULED 0 -ief 2 (710PERMIT NO. 5/7 7 COMPLETED Al A ' ADDRESS 'f2-5- °l el- e .� ,ezty /&!J OWNER /L.c.)-- --A_ CONTR. I it-y2e t` TELEPHONE NO. l7a- - '1 DE : •TIOf 01 FOO 11 MECHANICAL RI 16 WELL TEST PUMP Q $2 FRAMI 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL Bb. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMOHSITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL27 SEPTIC MAINT. 21 COMPLAINT IQ 09 PLUMBING RL.�'2"" 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENT : cc Lu i cc O ---- CA.4eArve71— C:tAAA;11)Aqr — Y\ cc o cc W kAij/1._ Al 7 W Z W c d 1.14 U WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CICORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/ConVtot;�n site: Inspector. White Copy/Inspector' File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN e--/7-12 -3 INSPECTION NOTJ SCHEDULED /d -/ 5 /a : c"0 PERMIT NO. COMPLETED 1t rjl ADDRESS Lf;-.C- ©.idLid L/ ay c OWNER id f ,2.-G4 4--Pv CONTR. /. /r -ilii TELEPHONE NO. y - / DESCRIPTION Lu 01 frOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 IKRAMI► _ 11 MECHANICAL FINAL -18 EXCAV/GRADING/FILLING H 131 SULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS ZI' c 1. 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 DIEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT LW 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 R. CC O CC O W CC Q — W W CC ORK SATISFACTORY:PROCEED Li PROJECT COMPLETE ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 Owner/Contra = •r. site:F, a Inspector. White Copy/Inspector's File Canary Copy/Site Notice J DALE TIME CITY OF ORONO CALLED IN I ' /II a' 3� INSPECTION NOTICE SCHEDULED i -/.0-1) ' •ERMIT NO. ___,--4'025 �/77 C MPLET /' DDRESS ��S ® J �� �. I - eWNE CON _ , A,!' _�J., . . ELEPHONE NO. 7oZ -57 icc .ESCRIPTION i2 V IQ I FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q I• FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING h I c INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS C3 • I•WALLBD. 12 WATER HOOK-UP 34 TREE REMOVAL .FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 1 • MO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 0 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i •' PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 1 4 PLUMBING FINAL 23 SEPTIC FINAL Z 0 NERICONTRACTOR TO MEET YOU:_YES_NO co,• 4'e MMENTS: cc L1.1 ff CC ��� ..Q o u tact alga C 0 W CC Q W Z W Ct IQWORK SATISFACTORY:PROCEED PROJECT COMPLETE W CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY Ci , CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑'CORRECT UNSAFE CONDITION WITHIN HOURS. C. PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Olvner/Contractor 1: Inspector. White Copy/Inspector's File Canary Copy/Site Notice