HomeMy WebLinkAbout1995-006966 - remodeling PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: 0069bb
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 I.6,
SITE ADDRESS:
1 3
I N : Ii
DESCRIPTION: 00 3
DESCRIPTION:
REMODELING
Building Permit Type SF-A00/REMOOEL
Ii 1H-j
V! ..:rk Type RENOVATEIREMODEI
Occupny
t.r t.i;Lir! 1 y DE?
- '
. . -
. •-
REMARKS:
APPROVALS RRQUIRED FOR OECK WORK OR ANY OTHER EXTERIOR IMPROVKMENTS.
SEPARATE PERMITS REQUIRED FOR PiPtG, MECH, STATE ELECTRICA_ PERMIT .
FEE SUMMARY:
VA! i.iAT ION $300 000
Fee $1 , 887 . 2S
Plan Reviiew 22E, 71
Surcharge 1150_,Q0
Total Fee
CONTRACTOR: AppIcri. C OWNER:
JOHN KRAEMER & SONS INC 194300B7 0001403 SPOONER
1020&,. ANT_ERS RIDGE iBBE, ORONO LA
FOFN PRAIRIE MN 55347 ORONO MN 5S331
(612) 94B-0037
. I
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENP6
SPECIFIED AND AGREE; TO DO ALL WORK IN STRICT CdMPLIANCE WITH ALL CITY OF
, ncrtNn rIRDTNPNCE° AND STATE OF MINNESOTA BUTMTNG CODE REQUIREMENTS .
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APPLICANT/PERMITEE SIGNATURE ( ) ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ WilC 5, Date Received: '
(
Date Approved:
Entered By: 1,/ /) (4Permit#: �('
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ' %'S Oz'o,^o La-,-E_ ZIP:
(work)
NAME OF OWNER: Z---(3‘^ '-,- '� Y Q.,r-\°‘ S p o 0 V,-e-.tr PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: -2-0k",--. t—�°"-""`•`c- '*- 0-3 �",c_ PHONE:
�`�
3- 0Q33-1
MAILING ADDRESS: 1F)285 f�--�-.'�\-P-cS ��a0c CITY: '.��.- C- -°-�rC ZIP: 5S--1'-k-1.-S00--k
STATE LICENSE: # `-1 ®$
ARCHITECT/ENGINEER: QCOGe_ v1/4J_ Sc.l^""`•k A- ASmc- PHONE:N1-1-1' - C ->--2---2_MAILING ADDRESS: '12-0 �oNk-,-�c> f vie SCITY: t•.JA.y'Za•'C-c\ ZIP: S51"kl
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration> Renovate ' Land Alteration
PROPOSED WORK (describe in detail) : c. -'e`^"ode_t:k-3 , g _v c..',`^.\1`,_3_ °'`^a
A r-A\ ;�n. c --._(-- ,k: ,\(1,..
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 73e)0, 000 s0°
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 accorcance with the approved plan.
APPLICANT'S SIGNATURE: 11 DATE: S 3` ci5
' w
:, 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.
First Middle Last
os A-----\--\-mss ', X e_
Address
1 _��..., '(: (Thr).;r,e_ v\ NI S3I-t.--1 - sa\y
City State Zip
`1y —OCY
Phone
I understan. my rights as stated above.
.f
Si. - - • e
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
A
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision L 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 imselff in the be
informed
state agency,
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
other persons or entities authorized by state or federal law to receive the data. This.
1 when an individual is asked to supply investigative data,
requirement shall not appy
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
der
The commissioner of revenue ma .lace
the reotice re.uired und instructionsuinsteadhos
subdivision in the individual income tax or .ro.ert
on those orms. -—
Subd. 3.
Access to data by individual Upon request to a responsible
authority, an individual shall be informedh ub�c, privatr he is e or eonfidentiaLsubject of stored
Upon his
individuals, and whether it is classified p al. data is
further request, an individual who Is the subject of stored orihim �ae ifo hep desires, shall
n
individuals shall be shown the data withoutoany charge. After an individual has been
Be informed of the content and meaning the data need disclosed to
shown the private data and informed of its meaning, neednot beeis section iso
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been collected
d orupere created. bye
private or public
responsible authority shall provide copies of the may require the
the individual subject of hhe tual .al costs of mresponsible
cert fyingyand compiling the
requesting person to pay te ac
copies.
The responsible authority shall comply immediately, if possible, with any request
e of the
made pursuant to this subdivision, or within five dasi diof he date compliance risequest
not
excluding Saturdays, Sundays and legal holidays, if
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may have an additional five days within which to comply with the
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
To
contest the accuracy or completeness of public or private datathconce concerning
himself.fTo
exercise this right, an individual shall notify in writing he res authority shall within authority
describing the nature of the disagreement. The responsiblete
30
days either: (a) correct the data found to be inaccurate
uratedataioeiuding or ncompee� and anamedttempt
to
o
notify past recipients of inaccurate or incomplete
the individual; or (b) notify the individual that he believes the data to be correct.
t.
Data in dispute shall be disclosed only if the individual's statement of disagreement
is
• included with the disclosed data. pursuant to the
The determination of the responsible authority may be appealed
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
• FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (&s- O R-O N O C../4N PID:
DESCRIPTION OF WORK: (2 W\0 0 L L
ZONING REVIEW BY: I DATE APPROVED: N�
6A
BUILDING REVIEW BY: 1174 0,,_ DATE APPROVED: s--I z -c7 S`
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes L--- No
PLAN REVIEW Yes 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: Post Office: Scho• District:
Lot Area: Width: Depth
Survey Submitted: ,es No Dat- of Survey:
Proposed Setback- :
Front (Lake) : R' ght Side:
Rear (Stre -t) : eft Side:
Adjacent '.truct res: Wet and:
Building Heig t: Def . Hgt. . eak Hgt.
Avg. Setback: Lot C.verage:
0 ist'ng Pr. .osed
Hardcover: 0 75 '
75 250 '
250-500 '
50 '-1000 '
Hardcover Variance Re. ired: Yes No Date of Counsil Approval:
Grading: Staff Approv=i Date. By: Council 'pproval Date:
Septic: '•taf f Approva' Date: By:
Zoning F: le:# Resolution #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
w
UBC: A -3 CONSTRUCTION TYPE: Yrs
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 300, 000 ':251
Inspections Required: Work Requiring Separate Permits:
Site ,( Plumbing Grading/Filling
Footing P(Mechanical Fire
p\Framing Septic Water Connection
AInsulation ,Fireplace Sewer Connection
ocWall Board (Masonry) - Lawn Irrigation
Final (Mfg.) - Other
Other Well (State Permit)
0/ Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By: n
REMARKS (TO BE NOTED ON PERMIT) : A ep pt�5 0 v 5 (2:-c( U i It c.() 2 O e Lcc w o 2 f- o 2
ANN oi- x re-rtro2 ; l,yAin✓f c.k-¢,✓fs
DATE TIME
CITY OF ORONO CALLED IN "2/-91
INSPECTION NOTICE SCHEDULED ''/ 0-6
PERMIT NO. eago' COMP ETED
ADDRESS /39; 6241-K4 Giir7-4/
OWNER '4. a - CONTR.
TELEPHONE NO. �05/ - 9(0 45
• DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 I 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
1,• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
11.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWN ERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN r; CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner!Contr. o •n i e:
Inspector. -'
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO (/?W CALLED IN D TE GS TIME
INSPECTION NOTIC SCHEDULED
PERMIT NO. Co ED
ADDRESS (9 ?,e
OWNER
TELEPHO E NO. 'qV6) - 5Sio a
DESCRIPTION
Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• " BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
• 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU:_YES_NO
cO„ COMMENTS:
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WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W
CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C3 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract
Inspector: �.
White Copy/lnspectors File Canary Copy/Site Notice
l./
ATE TIME
CITY OF ORONO CALLED IN 9 93
INSPECTION NOTICE SCHEDULED g ,Z9/5 s- /' 3 U
PERMIT NO. ow COMPLETED�� 1( �
ADDRESS X3S5 C/z.-e02oc�lc�
// -
OWNER CONTR c e-cJ
TELEPHONE NO. 11'?/10- . --S Q C)
DESCRIPTION e/,' /«�?ic�C�
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
vc
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 5 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
co COMMEN l lot
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CC
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C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR L' CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContr�n e0.1
Inspector.
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN — F,-. -
INSPECTION
'YINSPECTION NOTICE SCHEDULED 9 —// /4% e-t'
PERMIT NO. Co 966 COMPLETED l` I{
ADDRESS / 15 D Xa-0.4_,
OWNER CONTR. C4kA'- , -o- /
TELEPHONE NO. 4/0 q- ?O/ 3
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�2 FRAMINGt) 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CI)
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: / , 1 _ ....pvc3
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00 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
IDSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fort e t in•pection 24 hours in advance.473-7357
Owner/Contr c on s e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN %Z.//l
INSPECTION NOTICE SCHEDULED /-Z////-`2.' %' 3e
PERMIT NO. rn 16COMPLETED dl N
ADDRESS /3 h'S �---E-,- /
OWNER CONTR. — --L2 �-2e7,
TELEPHONE NO. 'i42`/- � /3 it't. 951- --OCA . 2
DESCRIPTION .../r-= ', o e-
LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cz LL, 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
rd)
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALI`D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
sI
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS: C J c��
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0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. rJ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractorwitl
Inspector. `9'
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /,;2 93"93l 42. 3
INSPECTION NOTICE SCHEDULED 42- 9- 4.
•
PERMIT NO. COMPLETED
ADDRESS /33S 6/U/2 v
OWNER.. /L ✓ CONTR./l✓/i,J.< v 4 :Son S
TELEPHONE NO. c/- 96/.
DESCRIPTION
tt 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
1Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• �5 FI 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
• 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
=• 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
CI 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/Contras
Inspector:
White Copy/Inspector's File Canary Copy/Site Notice