HomeMy WebLinkAbout1993-005790 - guest house PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: E:i i i LD I Ni=;
Orono, Minnesota 55356-0815 i-)i 1.,7° t)
Date Issued:
(612) 473-7357 12/03/93
SITE ADDRESS:
.1):e..< OLD, CRYSTAL BAY RD S
904
CH
F' . I . N . = 09-117-23-11-0002
DESCRIPTION:
GUEST HOUSE
Building Perrin Type SGL FAMILY-NEW
Building Work Type RESIDENC:E
UBC Oc cupnc y R-
Construction Type VN
%1 TY O ORONO
FINANCE aa1 NiE vii' i vL.
13131 0000 44
TT
01 GEN IJ.7.00
1350100000 TF
01 GEN 563.55
1222200000 0000 TT
et7 rrAr -- +•.i!
V1 LLAT V'i3
•
' V
:L.::460 0 j
REMARKS: 01 GEN 75'
.00
CHECK TL Li'L 'e 5
SEPARATE PERMITS REQUIRED FOR PLUMB
ING, MECHANICAL, F I REPLACE /1,1-•� r� •}i t1},1djA v
t r
iFt r.fIuN, LAWNIRRIGATION, WE (rT i ) AND EIEC÷RIAL i —yr 1: :":q 1 x-61a:)
:
FEE SUMMARY: 12/037:.
VALUATION . _GS, 000
Base Fee $867 . 00
Plan Review55 . F'6;
Surcharge y$82 . 50
SAC $750. 00
SAC % 100
SAC: Units 1
Total
Fee $2, 263. 05
CONTRACTOR: OWNER: - Applicant - I
MELAMED _ ROBER i t_
1212 WAY BATA BLVD
WAYZATA MN c5391
I
471 -777:2
THE x"U ERSIGNEI „wow, REQUESTS PERMISSION TO MAKE "THE REAL e.I RVEMET ;
SPECIFIED. , ,, ..,,,-,,t),
(N ,A " DALL WORk NSTRICT COMFLI N E WTHALS;CITYfOF
a
-ORONO 'ORO CE STAT OF
$4,NNE$OTA,till L0144 CODE RE(IV I;REttgN
' l '/(722/ ' ' / ' /
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ....11..y.C-4
i >
CITY OF ORONO - BUILDING PERMIT APPLICATION
� r - Date Received
Total Fee: $ � N--
Date Appro ed:
Entered By: 272 Permit n: 76/0
RMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REV WILL BE STARTED
ALL INFO (See Check-off List Enclosed)
THE APPLICANT IS: (ccl�jiluone )�,coy OWNER or ONTRACTOR� timer Q to y 3'193
�
'_' Cs 3�[
JOB SITE ADDRESS: ' 9 , ,6 ue-st, a. ZIP: 7
House 7 ZSS1
(work) 7 ��� ., ,y
' . • �q , & (1 PHONE: (home
NAME OF OWNER: ,Y` f� /� � �( ZIP: S S �j
G ADDRESS: a� / 2 B i d CITY: 4 Ly t tL%4 _
MAILIN ,--- � f �/ �/
L /k e w bo De v�e 10 (, ea PHONE: 47 5 _ S�b
CONTRACTOR: !—�'
CITY: ZIP:
)(--
MAILING ADDRESS:STATE LICENSE:
n!- M
p,RCHITEC /ENGINEER: 4P() te Sc ! Y tftsw. PHONE: y7114ZZz
CITY: �a. ZIP: 2il -
MAILING ADDRESS:__________________________
i d I
NAME:
G e S G f�L 44 REGISTRATION #
Accessory Structure � Move
TYPE OF WORK: Ne� Addition Land Alteration
Demo
Remodel/Alteration Renovate
PROPOSED WORK (describe in detail
# w".1 kvtiI-
aCO
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS:
GARAGE STALLS: ATT.j_ DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
I hereby apply for a building permit and I acknowledge that the informah tion
above is complete and accurate; that the work will be in conformance withathI
ordinances and codes of the City and with the State Building Code;
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.
i
APPLICANT'S SIGNATURE:
l %
' , \
(\.. .
r . - 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.
2 a 6i2A4 L Q.l0.444eI . •
First Middle Last
r
i 2/ L Wo y- -a 6,( vJ
Address
AA Mit) . sci/
City State Zip
(9 / z y7 z, 2-SW
Phone
I understand my rights as stated above.
64...A51 AWCO"Alj
Signature •
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
Ge /Qo�
ADDRESS OR LEGAL: _(,M 0443 C5,114- KfXPID
DESCRIPTION OF WORK: (�)��kj (LCs ttt
ZONING REVIEW BY: \• ,, li 1 A. • DATE APPROVED: (2-I' S'3
11,
BUILDING REVIEW BY: ` �. l � DATE APPROVED: I 2`1'i3
FEES TO BE CHARGED: • Misc. Fees Calculated By:
PERMIT Yes
PLAN REVIEW Yeses^ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes - No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: (045 (.A44,c Post Office: 6:05 C4 ice School District: O,t4"a
Lot Area: 2.4( r cv2 5 Width: 333' Depth: cola r±
Survey Submitted: Yes pc No Date of Survey: 10 -2-0 - 93
Proposed Setbacks: ,
Prorrt- (Lake) : /501 Right Side: //S lL�
mar (Street) : /70 ' Left Side: 3' •.
Adjacent Structures: N14 Wetland: /SOS
Building Height: Def. Hgt. 17 ' Peak Hgt. 2.41..
Avg. Setback: 1A Lot Coverage: WM
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No pc. Date of Council Approval:
Grading: Staff Approval Date: 11-22.43 By: A. Council Approval Date:
Septic: Staff Approval Date: N1/4 By:
Zoning File:# Resolution # : Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
, :,UBC: -3 CONSTRUCTION TYPE: ,\LNJ'
Sq Footage $ Per Sq Ftg j -" `
Basement T `
1st Floor f_, :- _x " ._.
2nd Floor .. , x
Garage . x
TOTAL
00
Estimated Construction Value: $ /L5 000'`
Inspections Required: Work Requiring Separate Permits:
Site X Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation a Fireplace K Sewer Connection
Wall Board (Masonry) x Lawn Irrigation
Final (Mfg.) Other
Other 6 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) :
i 000 oc.o Ci 601-y 126
'9:: I 11 L-1;71F-1 _124.E T .
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE —��� SCHEDULED 13. .I-C73 3 3O
PERMIT NO. b COMPLETED
ADDRESS 9`'fe O CO CA/5-774-c– 64-tiY�X
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
6)OOTING 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
• 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
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract efe:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE `L/ TAME
CITY OF ORONO CALLED IN /' I/ 7 T YSC[
INSPECTION NOTICE J--2q0 SCHEDULED 1- ra 95r 36a
PERMIT NO. COMPLETED
ADDRESS ! " (° /
OWNER C NT .
TELEPHONE NO. `l//7,6-- -35-f
DESCRIPTION
Ot FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 0A22 NG I
FRAM11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
Le)�37ANGO 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 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
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
✓ 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS: Ie-
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• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
PHOTO TAKEN
INSPECTOR WILL RETURN ❑
ID 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 q site:
Inspector. -V
White Copyllnspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 61 D SCHEDULED z////9'/ e;
PERMIT NO. COMPLETED
ADDRESS _i(13771.6 ��� G ,� (WI-
OWNER �� -- �� CONTR.
TELEPHONE NO.
DESCRIPTIONS
W 01 FOOTING 11 MECHANICAL 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ti
03 I11SlJt> 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
• 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
J 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
o COMMENTS:
cc
W
0
cc
0
cc
0
U-
W
cc
W
W
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
• ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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!Contr r o e:
Inspector. _
White Copy/Inspector's it Canary Copy/Site Notice
DATE/ �7 TIME
CITY OF ORONO CALLED IN ..,5/Z.'51/97(
INSPECTION NOTICE oeto SCHEDULED 5 G 75S4 9:3
PERMIT 11130 COMPLETED If
ADDRESS ,C
OWNER LO ,� �P/ O CONTR. �sc�oJ
TELEPHONE NO. 473 - S' '
DESCRIPTION, ajvZz,c/lfii1����-PES -- op en
u 01 Fa*TING 11 MECHANICAL RI 16 WELL TEST PUMP
ct 02 .F-e • 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h „
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
04 • 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 ' ,•*— INAL %1 27 SEPTIC MAINT. 21 COMPLAINT
1U09 PLUMBING RI f 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 ' = " INAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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00 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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/Contr o site:
Inspector.
White Copy/Inspecto s File Canary Copy/Site Notice
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