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HomeMy WebLinkAbout1993-005521 - remodel/finish base PEI�MIT `� C�I�Y OF ORONO PERMIT TYPE: - � 2750 Kelley Parkway • P.O. Box 815 Permit Number: i�i;����s�.�r� Orono, Minnesota 55356-0815 Date Issued: i�:=1,�i;;;�°.-:: : (612) 473-7357 I SlTE ADDRESS: _ i �'r"!��'�'�' - ( DESCRIPTION: =�;�t=j�_f�:;��F�F f i�l I°��H E:�;:=;; �_;� _ .. _: __ . ._ . ;i+• �y;=��= '=��-�=. , =,.., -;; . . , , . . , ., _ , . . . � , . _ �_,. ._ _ -� � .: __ . _. .. C�G - �..,�sJt 1 :�1lf'=,a �; s3'�:. � Y�'t=' �1[_�'�#_t'-`S: ii_!€":r. ........_ _i i';}:J' ��I r ...''.7�'='•�:!1��`s !z'—_ REMARK�: ,-..-.-.,�°;:' ;= �,� r i?�'" � t:�t 1�i 4:�� S 4!=� ? �t` i° � I � - _ �' :::�,_:-3-��:�-;��__ � ;�; _ t'= f.� � i., r= 1='i_�_t•t�:i� .�, 1��:h�:�!I C=�L, � t�E�'LHC:� .it�ac;�=�l-;`: I ; �.:�fr.� �:��k 1't",�`��=T. i�t�;' *�h�€:� �( �i:"t'�?i:�C i:'=;'i`���:�} __....__.________-- �I FEE SUMMARY: � �' - E,•���Y �_�� ��=.1�. . . . �'l�?� �;�viNw ��'-"�. : ' �., :�-��- t;_-:: ,.. _. ,. -. :-�. ,.-�-;-, .�_,. � - �`•;�°� �;�.�3—�i:. CONTRACTOR• � �'�` -� Q�ll(_I.���: I �°�;''�� �� �.►�►�-iF 1`�1t� �::�:�r.�_ ;f�t!t�:T I F�i�•; 1��.��157:;' �- .�°�x� t r��;.� c� _. ;:=ti�. i�+#��#t.!!;1 �;t;JF .�.7� f,l}�`j=i:l�fl �'fi W���E�;T�����}N ;1i�� 5�=;;?;; :���°i��i i ;•4��1 €;�:;�€�: {: ... _._... = " _. ;. ... . .-_ >i.` .- —;t;7�_.. �?'�� �_3���e_�___� ._�1�v�'#v�.SE �'3?�,_�c'..4.�'�r I<..+.�',?',�{,�_F�`'_�Ve� •_ �����z.�`i.' _ . _�_!�'�� F �_� �-ii'"'fi��.i� S F E�� ��!i"�t_ �?��Liil�.�:s��_iTl��1� � �� �e., �.i_ `" :�: *s. ' r�F ..,_ 7 .s �w ':��S I. ::iv I�.� L! .' i�E-! F-�,�( F '�� !�1�"' .. -.- -. �M��' :.. t:�: t , t l , ,�":i ;-;i-�t+:�..E",�'� . .t _. }_. , .�,_F_ .•:#_, .. . ', . _. �'._ _.:i _:!_;t . i-s�w . _. . .. _. _ _. ' • f � � "� �_�i"•.�_����f _.. ...:' t i`•t:��±�t-�i�.•�+ �^l:-a..� .s s i-i ! t,� `_�i'" `�i��,�i�';i::�==����: r : :�f•_�3�{��T���.7 S_•�_���!: �1��s!�_�1�lt`__I'�:�I��I 1 �; . �;_--:-• L ��. ,'� � � APP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � " ~ CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ � �/�� 7� Date Received: ���=��� , Date Approved: Entered By: � �'��� ,_ � Permit�: . �.,� / AT.T• INFORMATION MDST BS SDBMITT� IN FDLL BEFORE PI,AN REVIEW WII.L BB STAR�ED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE A.PPLICANT ZS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: --� � S Y �o R cl _� ry" ZIP: � 5" 3 S' (� (work) NAML OF OWNER:�� '� � l�l-�CV � �1 S �� �' 2 PHONE: (home) �/ 7 3 �7�7'� MA2I�ING ADDR.ESS: L/7 S- O x �o �e� I��G' cz�: G� 2 v � v Z1P: S 5 3 S (� ��_ 6�i� - 35�5� CONTRACTOR:�P�, � - :> .,'�-� � w� � � ,-� � � f �h�. PHON$: l �`�C� `I 5 7 �}- MATI�ING ADDRESS: j �l S S d�n � i'2 i nt� � v�'. CITY: l�//�- 1 f/� �wr,�/jh:-._ZIP: S j 3 S5'S :�G' STATS LICENSE: � -'� %S /_�� ARCHITECT/ENGINEER:� � w _ ) I J� 5 � r> c � A l� ��, Paorrs: �I�5S _ � � S"U MAIT,ING ADDRBSS: J('J �� �%� Q5_c� Ci n c �� _,� 2'.: CITY: �`)� � n �1 r T c.� !i r� ZIP:S S 3 `]� 3 L.q/1 �ar1. � �„�i,c� ni ��- �� . N�: �� � � I�!i t�-� r� ti �/; �-� �'°��J RBGISTRATION tt � ho� 4 B'i- cr� a TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration � Renovate Land Alteration PROPOSF.D WORR (describe in detail) : � � �t �� (X-c�� � !� u,r�� " , �Vl,�l . `�� ca2 i2¢� t�2,c_c.,,.iG � � �� 'Gv i:..C��c,�� ��� ��.�. � ' �-<.c�� ����'� (� � ��(,��,.fi J u-c�,z,Z.�`.-._. ^aTORSES: SQ. FEBT OF EACH FLOOR:_q�� �1�G K� .�d pG' ' � NO. OF B$DROOMS: �7 GARAGB STAI.LS: ATT.� DET. ' I SU�C�O G<��; � ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : -��-�=-.—����-�''�� 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 wvrk will be in accordance with the approved plan. . ;� A ��� � '1 /�� APPLICANT'S SIGNATQRE: �y�l;�-✓Q � L� �-- DATE: Y ' � > � y � v �.� �t.�'+� � F ��y t�� ~"� � `� � , . ;yf .; ;z , CI'r1' of �R►OI�O ,�, t � ' „k�, ._ ' _'� �' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices ,;�.�� �. " ��'� y� � "� On the North Shore of Lake Minnetonka c3� �, e� �.•. .3;�'; DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would Iike 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 Iicense requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or 3icense. 3. The information may be shared with other iocal , state or federal. agencies to the extent necessary to process the permit or license. 4. If your requested permit or Zicense requires Counci3. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review pri�a�� data on yourself. 6. Yaur full. name is required to process this applicatian or permit. ��E..v s �.�� �T� E .v, ,� G� w s t � h �� 0 2`� cS �vvi � S �� f w� � - First' Middle Last 3 � 55 �'�� � i� l riv J� V � ' Address ' '� 5 `��( . � �'c ,� '� c� ��t. ,, y�'t i �^ �, . S S- � ` - City State Zip yyt� -i s � � Phone I understand my rights as stated above. � \ ) , � „ � ' � ,� .,:'r�-- ' 1;-?�....3 Signature ;'"! � BUILDING&ZONING—473-7357 • ADMINISTRATIO[Y&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - �13.0.4 RIGHZS OF SIIBJECIS OF DATA � - Subdivision L Type of date- The rights of individuels on whom the data is stored or to be stored shall be es set forth in this section. •�r� individusl. An.individual esked to _ Subd. 2. Information required to be gi � ' supply private or confidentigl data conct a d am ithin the collect g stat agency, purpose and intended use of the reques political subdivision, or statewide a8 te�c� 8n�y�oWnrconsequence aris ng from his required to supply the requested � supplying or refusing to supply private or confidentiel data; and (d) the identity o other persons or entities authorized by s Vadu� �e�kedlto supplyein est gat ve data, requirement shall not apply when an mdi pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma roiert t8X re°und�structionsuinsteadh�s subdivision in the individuel income tax �r on those orms. . - --- - -- - Subd. 3. � Access to �a�a bY ����' UPon request to a respcnsible ' authority, an individual shall be informed whether h�VBteeor confident al.e Upcn his individuels; and whether it is classified as public, p ublic data on further request, en individusl who is the subject of e to himrlande if he desires, shall individuels shall be shown the data witho of�hat da a. After an individuel hes been �e informed of the content end meaning t� �� need not be �isclosed to shown the private data end informed of its meaning, u��t to this section is him for six months thereafter unless a disPute or action p t � pending or additional data on the individ�h h�gteQor p blic datarupon request by responsible authority shall provide copies of P require the the individuel subjeet of the data• The responsible��e�f�nitY�a�mp�ing the requesting person to pay the actual costs of making, Yl 6� copies. immediatelY, it pessible, with any request The responsible authority shall comply ' made pursuant to this subdivision, or with lida e �if Simmediate8tcompliance eis not excluding Saturdays, Sundays and legal YS� possible. If he cannot comply with the requ et �t�within which tohcomPlY w�h the individual, and may heve sn additional fiv YS request, excluding Saturdays, SundaYS and legal holidays. Subd. 4. Proce�a'e �►hen date is not accurate or complete. An individusl may himself. To contest the accuracy or completeness�of public oinri�i� the�respenslble authority exercise this right, an individuel st�all notify �ible authority shall within 30 describing the nature of the disagreemen� The respe lete and attempt to days either: (a) correct the data found to be inaccurate or incomp notify past recipients of inaccurate or incomplete�de�e esdthe datalto be correcty the individuel; or (b) notify the individuel tha eement is Data in dispute shall be disclosed only if the individual's statement of disag'r • included with the disclosed date. � 8ppe�led pursuant to the ' The determination of the responsible authority tp�ontested cases. provisions of the administrative procedure act relating . CHECK OFF LIST FOR ISSIIANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��S (�ik �` ��'`'7 ��-�' PID: DESCRIPTION OF WORR: ��=Yvw�� L t r'r �U� S(�� f_�J'-�5,���v� - C� � �.� �`+ c.�iC F'1,�..E.S ------------------------- ----------------------------------------------------- ZONING REVIEW BY: ' 1�t DATE APPROVED: Cj- Z-� ` `� � BIIILDING REVIEW BY: ✓ � i,,«.—_- DAT$ APPROVED: C'j �- Z� � � FEES TO BE CHARGED: ` Misc. Fees Ca�culated By: PERMIT Yes �No PLAN REVIEW Yes �No SEWER CONNECTION STATE SURCHARGE Yes !�No WATER CONNECTION INVESTIGATION FEE Yes No�� PARK FEE SAC Yes No f� SITE INSPECTION Number of SAC Units OTHER (specify) -------------------------------------------------------------- ZONING CHECR LIST Zo 'T�g Di trict: _ ,.`— Fire Department: � Pos�t Of f ' ce: S oo Di str' c�- � f �� , Lot Area: id De h: Survey Submitted: Yes� No Date of Survey: Proposed Setbacks: , �orrt (Lake) : 'Z-P"�v � Right Side: [,q c� -t- � --�ar-{Street) : �(�4 Left Side: �� f� l�� Adjacent Structures: �-��`��-� Wetland: �/��1� Building Height: Def. Hgt. (i • �C _ Peak Hgt. Avg. Setback: (���C �'��1 ��2Dt�ko�� Lot Coverage: �% � ��. Existing Proposed Hardcover: 0-75 ' 75-250 ' ,r � . � 250-500 ` 500-1000 ' Hardcover Variance Requi d: Yes No Date f ouncil Approval: Grading: Staff Approval ate: By: Co ncil Approval Date: Septic: Staf f ApprovaJ. ate: ' BY� Zoning File:# Res lution e �on Date: REMARKS (in house) - �/ BOILDING REVIEW CHECK LIST • . . „ �C. (Z � 3 CONSTRIICTION TYPE: �_� Sq Footage $ Per^ Sq Ftg Basement X - lst F�oor X 2nd Floor X - Garage X X — TOTAL r cr: $sti_mated Construction Value: $ f:5��C�� � — Inspections Required: Work Requiring Separate Permits: Site � �P7.umbing Grading/Fil.ling Footing J�Mechanical. Fire �Framing Septic Water Connection Insu�ation �Fireplace Sewer Connection �WaII. Board �(Masonry) �Lawn Irrigation Fina�. Other �_ (Mfg.) Wel� (State Permit) Other �Electrical. (State Permit) ------------------------------------------ ��F.MARRS (IN HOIISE) : ------------------------------------------- REVIEW BY OTHF�RS: DATE: Access : Existing New Access ApprovaJ.: Date BY= ----------------------------------------- REMARRS (TO BE NOTED ON PERMIT) : � DATE TIME CITY OF ORONO CALLED IN /l-�' - ,�1� �' `�L ��j'I INSPECTION NOTICE SCHEOULED —�l �v-� � 3C� PERMIT NO. � COMPLETED h (e� ADDRESS �� vl��d��'�_JC�c OWNER 1—��s C��r--P�t� CONTR. �ZUSP l7off�/Y�l.c TELEPHONE NO. � �6� /�7�.. � DESCRIPTION � 01 FOOTING 1 MECHANICAL RI t ��j� 16 WELLTEST PUMP Q AMING 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREJWETLANDS � 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL Z Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � 1 � a U ` S oJ�" Q. r � � � o • � , .�'' W � Q � z W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTEO.CALL INSPECTOR C'CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contrac n i : inspector. — White Copyllnspector's Fil Canary CopylSite Notice DATE TIME CITY OF ORONO ` CALLED IN �� � � � �� INSPECTION NOTICE %+�j� SCHEDULED �=�� �I .' �/JI PERMIT NO. `� COMPLETED _�( _�_ ADDRESS S tC r� � OWNER���s� �e✓ CONTR. �a�'� TELEPHONE NO. �rI v���07 a— � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 IN TION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 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 O6 PROGRESS J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next ins,pection 24 hours in advance.473-7357 OwnerlC�a��r site: Inspector. White CopyAnspect 's Fik Canary Copy/Sita Notke DATE TIME CITY OF ORONO CALLED IN ��' �� INSPECTION NOTICE SCHEDUIED /�--� _O�t� PERMIT NO. J~Jro�� COMPLETED h ADDRESS �7.� ��/�GL� OWNER � `� CONTR. /�� ,��ma�. TELEPHONE NO. �7.3 ' '4 7�2- � DESCRIPTION � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � 4 WALL 6 . 12 WATER HOOK-UP 34 TREE REMOVAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the ext inspection 24 hours in advance.473-7357 OwnedC ra r�p site: \ Inspector. White Copyllnspector's le Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN .r' "� INSPECTION NOTICE scHE�u�Eo ' / % � PERMIT NO. S.So"? � COMPLETED N � ADDRESS � � /C�� � OWNER ���Q�l,�� CONTR. � � TEIEPHONE NO. �/7 .3 � ?D J � � DESCRIPTION l�f_ _ � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FFAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATI 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS O Z 04 W . 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBINCa FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W — �c� C,f�•u.S a j •� ,�` O � � O � W � Q � 2 W � W � � � RKSATISFACTOHY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING � PERMANENT ❑CORRECTUNSAFECONDITIbNWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALLiINSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CACL TO ARRANGE ACCESS. Call for the �i spection 24 hours in advanc:e.473-7357 Owner/Contra on si : Inspector. � White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �—�n-9 INSPECTION NOTIC� ��r�-� SCHEDULEO � % � PERMIT NO. � COMPLETED/ � u ADDRESS �7� 4!'�� ��`" OWNER �� CONTR.�2c.w.� � TELEPHONE NO. �y�P � �S7 Z � DESCRIPTION � v � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN 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 J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�,, COMMENTS: � . � a t/ — VL� 2 o ` � a � 0 � W � Q � 2 W � W � � d �WORK SATISFACTORY:P�IOCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL F�OR REINSPECTION' TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONCbITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContr or=�n site: Inspector. v White Copyllnspector's File Canary Copy/Site Notice