HomeMy WebLinkAbout1999-011234 - bathroom remodel PERMIT
CITY OF ORONO PERMIT TYPE:
„ 2750 Kelley Parkway- P.O. Box 66 `:`-'�+--�����t�
Crystal Bay, Minnesota 55323 Permit Number: �_,; ;:;:_;�:
�
(612) 473-7357 Date Issued: V _� _
SITE ADDRESS:
_ _ _.t�� _�-� �:�t:�
=:�-i
_ . �'� . . i%"=—j, ? . —'s::_,—_�{—(_is F:_�i
DESCRIPTION:
�-:{—j � �-'{�i.:_i�».It� r.�";°il.f`;=',`t.
��;�1 I t��1 tl'� I'�='2'i€t t �. �j����:� `w,i---;'i�'}!1%;-<�i�'•:�=E.1'L..L i
#�,s i i;• � �—�� i:i,_��t:: i'� �H ::�� t:'s�,1r� �,'r�=3�tili't i ;
�_ �i 4_ :g. . .�..�'� 7� _!'._._.�_.
_�i�, 1,�F t,I,1({='.=i Z��_`F t'l—��
l.E��i's„:'�.1`i.�i:,j��s}i � J:'Y_ �{i`y
t=•�:�•���:� ._:,_3�;�= ��.::�. �E T . ��'=:I�;CCvi'THy_
REMARKS: �
_ _
FEE SUMMARY:
`t=r}I__:.:�'��_`�f_i�'` . _
L�=.��=' i'=':_. :s��.�+'y . "
t-`t .=iS i r`�•���i �ui ?�`—i f -
CONTRACTOR: -- ��;����i ; s_.,-��. — °_;_� . E �c':: .OWNER:
=,i,E�._ �-i;�I�v:°�� t=��1���°=� �� �.�;{.=,�_�`=��=�;_� �_ . _ . ._._i��.:;.
�,s j;;�t: H6_i3�"w.f==�i;I_!�� 3�ti F; (I � - - �;.t ._ . f'; F:`r :
- -. .i_�W�"�`.�?�� .�;� c c_<2;:i �,li:`I�;Iz1W� _
it-, — — _ -- — — —
_, ,�_ .,, _ _
J 3-�w �{}��_�..:?-�w,I�i�i�€.� �-f��+`r E�`r' R��h�.!�_;�'`�= F`E�'C�f I°�_;;.��i� �r�E C 1'=��..... . . .._ �.���=i4_ �i=�;=�F�°i��Ei•a;����;�°_�
:�.�'�t:s?- �1,�S 1 r;�`tii} . .....�..,._,.�� �l_! :6I_1 W:ti._L �}_��i�. �l+� ���,ti S�.� t_.1_i,.?' _..... .'��..•i.e �i '. .�...�.. �..•i�'�j t_:'�
�.3`"!���'_4 _f'.z..W'��..+. .__`•` .. -� E {Y: . ..._ _#` i°4 t f�l�V����I{i.i �;f f L t...�1 I�s� _7_ ._,._ f"*.°`*.; i. ._... t,_. ;? �� .
�� f4 .. {�� �
n / M �
�� ... . V/,�%v ' ,< �
APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $�'�/� ._`� % Date Received: � _ % -% G
� Entered By: ,�.� � Permit#: 1 ,� '�
� CITY OF ORONO - BLTII.DING PERMIT APPLICATION
All information must be submitted in full before plan revie�v will be started.
(please print all information)
-------------------------------------_____ ___--------------------
THE A.PPLICAI\'T IS: (circle one) OWNER OR ONTRACTOR�
JOB SITE ADDRESS: g� S��`�� �� ZIP: �� 3.5��
' �a-��� � yT.r= as��
NA1�TE OF O`V��ER: _, , ,-n � �� PHONE: ome
(work) �2 -- �/� �
MAILING ADDFESS: -�-1�"" Sr� ��� 1��:{ CITY: Qt-�,� � ZIP:�3.5--�
,
CO�ACTOR: L/� ex,� �n ' PH0�1E: ���' �'i 123
CONTACT PERSO�': � MOBILE/PAGER:
MAILI�i'G ADDRESS:�,%�y ,r��s�� i a,��`� CITY: �,�c o C'��► ZIP: S S.�5' �
STATE LICENSE: # �c�7�
ARCHITECT�EI�'GItii TEER: - _PHONE:
NIAILI\i'G ADDRESS: ; � E...;,r� '/,` Y: Z�'
NAME:
`:�,�'z"r ` STRATION#
TYPE OF WORK: New Accessory Structure
Move , � Land Alteration
PROPOSED WORK(describe in detain: � ��-,v��/ 2����� ��+5�" ���
�� ���h d�r�`t�.l , �d rnz C��P-� �cw S� - ��'l� - c,�5,:��r
' ,,��� �r'S -F-:'��;�s
STORIES: SQ.FEET OF EACH FLOOR:
I\'O. OF BEDROOMS: GARAGE STALLS: ATT. DET.
oa
ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ � Oc 6
I hereby apply for a building pernut 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 Buildin� 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 accor ce with the approved plan.
� '
APPLICA�'�'T'S SIGNATURE: , DATE: � -�7—�S
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
+
. Sec.13.04 RIGHTS OF SUB.TECTS OF D.�TA ' -
Subd. i. Type o[data. The righ�s of iadividual oa whom the data is scored or co be scnced shall be u set forih ia�his secrioa.
Subd.2. Information reqtiared to be givw individual. An individual uked�supply private or confidendal dara concemicg himself shall
be infocmed oF. (a)rhe purpose and inreaded use of the requesred daa wichia the coUecdng�tate ageary,poliacal subdivision,or srrtewide rystem;
(b)whe�er he auy refuse oY is.legally tequir.d to supply the requested data:(c)anY Imown coosequence uising from his supplying or nt�sing to supply
privace or confidendal daa;and(d)�he idendry o[ocher persoas or eaddes auchorized by sa�e or fedenl iaw to rcceive tbe data. This requiremeac s6a11
noc apQly when an individual is uked to supply invesdgadve daa,pursuaac to xcdon 13.82.subdivision S,w a law enforcement officer.
The cocnmissioner of rcvenue mav vlac- the nodc- reauired under this subdivision in the individua!income tax or orooem taz refund
instrucaons insmad of on those focros.
Subd.3. Aecas to data bv iadiridual. Upon requesc co a responsible aurhoriry,an individual shatl be infocmed whecher he is rhe subjec�
o[smted dan on individuats,and whe�her it is classified as public,private or confidet�al. Upon his fur�her request,aa individual who is the subjeec
of stoced priva�e or public daa on iadividuals shall be shown che data wirhout any charge to him and;if he desires,shall be infotaud of the contenc
and meaning o[that daa. Afur an individual has been shown the privart data and infoimed ot iu meaning,tDe daa need not be disclosed oo him for
siz monehs thereafur unless a dispute or acaon punvanc co�his secdon is pendiag oc addidonal daa on the individual has been collected or crea�ed.
The�espoeuible au�hariry shall p�ovide copies of che privace or public daca upon request by the individual subjecc of the dara. The responsible authoriry
may require�he requesdng perso�to pay the accual coscs of making,cerdfying,and compiling the copia.
The responsible aurhoriry shall comply immediacely,if possible,wieh any request made pursuant co chis subdivision,or wichin five days of
the date of the nques�ezcluding Saturdays.Sundays and legal holidays,if immediace comQliance is not possible. If he cannot comply with the request
wi�ttin chat dme,he shall so infocm rhe individual,and may have an addiriooal five days within which to comply wi[h the cequest,exdudiag Samrdays.
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or eomplete. An i�ividual may concest fie accuncy or completeness of pubtic or private
dan conceming himself. To exercise this righ4 an individuai shall noafy in wriring the responsible au�odry describing the nature of die disagreemeac
The responsibid auchoriry shail within 30 days ei[her: (a)correcc the data found co be inaccurace or incomptete and atumpc to nodfy past recipients of
inaceurate or incomplete data,induding recipieacs named by che individual;or(b)naafy the individual thac he believes che daea to be eorreet Data
ia dispute shall be disclosed only if the individual's statement of disagreement is included with the d'uclosed dara.
The decerminadon of the responsible auchoriry may be appealed puauant ro the provisions of the adminisuaave procedure act relaang to
contesud cases. •
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 Ciry 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 perm.it or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
3. The information may be shared with other local,state or federal agencies to the ectent necessary to process
the pecmit or license.
4. - If your requested permit or license requires Couacil action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. ur full name is required to process this application or permic.
f
�U � �n S
Fitst �tiddle �._, c ��
�//02 y �6��'c c�o � /,��-� /
Address
�C'C���� 6��I� �3�d ��� -���D_
Ciry Sace Z�p Phone
I unde�stand my ' ated above. ��� �
Signamro
CHECK OF'F LIST FOR xSSUANCE OF PERiI�IZTS
� FOR OFFICE USE ONLY
• ADDRESS OR LEGAL: _ � 4 S 5w��-n-� Av�. ' �
PID: �
- DESCRIPTTON OF WORK: _ Br�!-TMt (Loo�s (?�'w��e c.s �
ZO� .7'Yi G REVIEti�BY: . DATE APPROVED: 2-Z V -qq �-
BUII..D .7�i'G REVIEti'Y BY: . - . DAT'E APP�tOVED: 2�Z 5-c�
�'EES TO BE CHARGED: • � � Misc. Fees Calculated By: ` ��
PERMIT . .. -Yes ✓' No .
PLAN REV�W � Yes v� No SEW�CO�tNECTION
STATE SUR�H�kCr�c Yes � No WATER CONNECI'ION
INYESTIGA'I'ION-FEE Yes No � PARK FEE
SAC Yes No � SITEINSPECTTON
Number of SAC Units ���OT'HER (specify) �
---- ---------------- _�
ZONING CFiECK LIST � zoning Districr. _('(�U G/�/UG� .-
Fire Deparnnent: Post Office: � School District: � ' �
Lot Area: Sq.ft. � � Acres Width . Depth
Survey Submitted: Yes No Date of Survey:
Proposcd Setbacks: .
_ ___ - � ---_.
: Front (La.ke):.-__ _--:___ - Right Side -`__ _ _ . --
Reaz(Street): � Left Side:
. Adjacent Structures: tiV tland:
Buitding Height: Def. Hot. Pe k HQt.
a
Lot Coverage:
Gradin�: Staff Approval Date: �� y: Council Approval Date:
, Septic: Staff Approval Date: � y; • � . �
Zoning File: � ' � Resolution:# Resolution Date:� •
Shoreland D'u�-ict: � �
Avg. Setback: Bluff Setbac : Lot Coveraae: � .
• Existin� Proposed �
Hazdcaver: 0 75'
75 250' . . • '
250-500' . • •
500-1000'
Hardcover Varianc�Required: Yes No Date of Council Approval:
. �
REI�ZA.RKS ('in house): �
4 •
� _ � • •
, .,; � .. 6
. BUILD7ivG RE�VIE'� CB:ECK LIST' � � � � : . _ .
UBC: _ � IZ• 3 COYSTRUCTIOY TYPEi' ' n� . _ _ � .
. .. Sq Footage $ Per Sq Ftg ' - �
, Basement X _ . - .
. . lst#�loor . ' . . X . , . _ — . .
� � 2nd F1oor • .. � . � � . . . .
� G2I3aC ' . • , �X ., - � " , . • .. ' ' . .
X .
- TOTAL � �
Fstimated Construction Value: S q��jv� . . - � .
-- - - Inspections Required: • . tiYork Requiring Separate Pecmlts; � �
Site . ,_�Piumbiag . ,
Hazdcover Removai _Fire . . . . ,
Mechanical tiVater Connection
Footing __S�ptic .- . . .
� _�Framiag Fire lace Sewer Coanection ' .
�_Insulation _. . ��o�) O��+a Irrigation .
�Wall Boazd (i41fg.) � _ Well (State Perm,it) . '
F�� Grading/Filling ,�_Electrical (State Permit)
Other
, REN1A�Rh'S (IN HOUSE): . --
----------------------__ .
REYIEtiY BY OT�RS• � ---------�- _ _ -----_--_
DATE:
� Access: Existin� New "
• Access Approval: Date .
--------------------------------- BY�
--_____ .
RENIA,�ZKS(T'O BE NOTED ON PERi1�iXT): � . -
� , � . . .
� .
._. .. .. ,�;._ � .� . .._ ._�_. ... ... _ ._..__.�. . . _ 27 . .-- . --`� . ` � � - � _:-- . . .
. . � _ . . ..- -- - ._ . ... .. ... ... .. . .. �
... -- - -- ---- ._ _ .
_. ,.... . ._. _._. .-. .. �r, :--- -•- . ._... _ ._. ..
�. -.. . ' ' . , ._... _
'� �' . ' -
1 � � • ! � ' . �r��f� {� t �■ �
� � ;a J�..�..�? E�� (_- }C� a�-- �'C`f1 F/��
��� � ���
�
� _�
��
�� ���-s��� �,,��'� �.. ---
` _.--.__ ._
�+► �� �� y`^ �T �l�.�'--'t` `�� ,�i�.�t-�`h, �,F ;r,=; �__._-
�7����P�i�... �a{'.J�G / � �!.t� __.__
7�Yr. F"i� i r �"'L. �°s` d� t 1�`61� �I^ � � � -------.__ .
' .r_`�::r�� ".-L�. z e �P-�s- aC...Ct��'
• .•v....� :.;. .�
r i
� ___.__.
F'OFa 5'n^c��c�. cac,Te�r�tZ ______.—t
C�B� T�;:i�.1.��.�:�;�i�T,
EXHAUST �AN .
� 'VA�.�
VENT DIRECTLY. OUTSIDE ��-��
_..ti._ . ___-__ _� \� ! �
(<�-�,�r`'�`�' .___.__.�
� / �
� ,� ��-� � E G.�" � � ..�
r°t ..� `/ : f
�� �
��„ :, �:�� .i h � � � ! �. r,
�
� �-✓ �� � p _
, � , � �`� .� 2 ,�. -,
/'f`/s'`. � �Lrt+t�trr,.��, �1.: • ` _,,,.. ., ._.�__�_.._._._.__..�:
i �
1,r� � � � �it,�r`,� 30 ,� � � / + ��`,,{� ���
`. /
e �; � � C�' } u9S�� .
f� f
J .�' (�A �f'�!,.G'�
i` � '��� 31 �� �, `1 � ' '�
C� *,, ° ��-S�-G r ��-�� � �
,� ����,, � �� ,�,�-„��,�.�k . PROV I D� P U!�/!'P �1V D/ R
�"t j �' P �,�. AC�cSS
� / TH��J�►� T�fLE UfVi�CCEPT BLE
; � `" .
_��Ir..�� � J _' �'�
i �5 Y� t
��--r�r.���
__�__.____�n.._..__�IT' O F O R:O MO '�`
BUI�Df�;G RP. Plr-'�P� REVI�W
ir��PECTOR_,�-C��'a.�
D�„i:._Z-2`i-.�19-�----`'F�i.t,�!T tv0.__ _,__
L ltf', �=���`.i�:..`�,-, .,...�,. �I:'�'�.;�
� �`E`° � ItS�;J "` �. .-�,. r � r.(�r�/'�r�i� Tr n
,� �( . IIII .: ... I��'.J�� f1/ 1�\7���� r�c/
.,,�.I ' � � ��-m (� f.+,.�... .r` ... ' � .(1.'. 1 4'1'`� ! . 1'
��t C �'9 .� �..,i ,�.. �.�:_ i �l: .,.�!�T
Tf1�53 C�:'f51C��.. P!:.'��:. ':il:!�..7�`�c�!.^.��. fi��l�'01'+::it?:d��?�CiO�IH
tfl }�:I Cili7,���IBt;!.' 'i1i:`i i.:: N^��;ii:i1:1�J li�li�lfi�3 �il� '0(lill(��^�B.
" Requ�ff?li:(1lS I�CA1QClC�1�=:r:15Ii0r c�,�prj!j�:<�i'y'il�^.•:d1?iRf;ll,i'EV101'�
. KEEP l'HI5 RLAN S'tT UfJ SI i�AT ALL TIMES
DAT� TIME
CITY OF ORONO CALLED IN �S`
INSPECTION NOTICE SCHEDULED i�1�� � : CJ
PERMIT NO. COMPLETED � �
ADDRESS GJ`� ��-�f=%l.�-c� - ___
OWNER CONTR�_�
TELEPHONE NO. '�I� `��! ��
� DESCRIPTION , �i,��,��,'�:��
l� 01 FO T G / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMIN ��/;�.�'�" 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 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 /l���j 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEEi YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
�
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED C 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 POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contra t on i e:
Inspector. ✓
White Copyllnspector's Fil Canary Copy/Site Notice
�
DATE TIN�E ,�
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED - - � �,�L
PERMIT NO. ��/��� COMPLETED
ADDRESS
OVI��`EFi" '" �.�G"��i CONTR. � '�
TELEPHONE NO. � �r� � �� ��/
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. f� � 12 WATER HOOK-UP 17 SITE INSPECTION
Q �IVAL�Z I.J� 14 SEWER HOOK-UP 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
�
W
�
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFtCATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract ite:
Inspector. �-
White Copyllnspector's F e Canary Copy/Site Notice