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Home My WebLink About1997-009397 - interior remodel t 4% PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - PO. Box 66 ii 1 is .i i Crystal Bay, Minnesota 55323 Permit Number: 009397 "l 2) 473-7357 Date Issued: �;, ;1 •`,:w; �l SITE ADDRESS: Soo TONKAWA RD DESCRIPTION: 1NTERIOR REMODEL Building g P;-'rmIt Type `<'s'._.r-iD . ''iMMODELL Building Work Type RENOVATE/REMODELL Construction TYPe VN Census Code 434 ALT . RESIDENTIAL II II IIS REMARKS: g j REQUIRED ri� SEPARATE TE ERM3T �i_'Q i_ iD ! _'R ELECTRICAL (STATE) . FEE SUMMARY: VALUATION s3s,000 Base Fee $439 . 75 Plan Review $285 . 84 Total Fee $743 . 09 I I CONTRACTOR: -- Applicant - T . L_T C .OWNER: CHOICE Wi_li_4D COMPANY 1 9.;`.4 t.)014•.-; 1532 NEL._'_')».N; MARILYN 3300 G IRR •iM AVE Soo J T4_'\K ;`,:A ;"e'D e� c TWE 1# DE i 10NE� k��ESY F�QUESTS AM S'k rN T . m E T�I� ;e Ifs`101" E, TS SPECIFIED _ AND 001 1 00" AEL �R �, 3"R a CT s:}RONNI Ww� � .. try � �=" r ` i . 1 E, ' DST +F 1N� 9 •� l: IR{ ; '� �� t CA AP LICANT/PERMITEE SIGNATURE — ISSUED BY:SIGNATURE Total Fee: $ Date Received: Entered By: ,' 'z Permit#: CITY OF ORONO - BUILDING PERNUT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: u-6 00,-, ZIP: NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: C BLCL hmd PHONE: 2-q-0 3 CONTACT PERSON: ::y0k vt_ E�r•P�e f� MOBEL E/PAGER: MAILING ADDRESS: qkt�-e CITY:_S4- tA. ZIP: STATE LICENSE: # E S3 ARCHITECT/ENGINEER: 1 CDP P2&IVA ,Ihs PHONE: 97+cD,�3 MAILING ADDRESS:35LD (. kayk ,� CITY: t. ZIP: 15 SSy�Ip NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ,>C _ Land Alteration PROPOSED WORK(describe in detail): b1h Ih.QBI.. t �- �ri o rL00--\ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding 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 work will be in accordauce with the approved plan. APPLICANT'S SIGNATURE: r DATE: q- 1 a"0/ 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 SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual 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 himself shall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system; (b)whether he may refuse dr is legally 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 requirement shall not apply when an individual is asked to supply investigative dam.pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and:if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not 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 contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested 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 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 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit.A AAA Vl �I—. � First Middle Last Addre 54-. Mhl City State Zip Phone I understand my ri stated ve. Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: sao PID: DESCRIPTION OF WORK: ZONING REVIEW BY: All to DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED; FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t✓ No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SUR`HARGE Yes No WATER CONNECTION INVESTIGATION-FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: . Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution:# Resolution Date: Shoreland DisL-ict: _ Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE1I�IARKS (in house): I • 26 BUILDING REVIEW CHECK LIST UBC: R'3 CONSTRUCTION TYPE: V/J Sq Footage $ Per Sq Ftg Basement x 1st Floor x _ 2nd Floor x = Garage x _ x — TOTAL Estimated Construction Value: $ 35',000 ax Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _ X Framing Fireplace Lawn Irrigation X_Insulation (Masonry) Other _< Wall Board (Mfg.) Well (State Permit) D( Final Grading/Filling ►, Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------------------------------- - -- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERTNEU): ATE TIME CITY OF ORONO CALLED IN 5ZI2397 INSPECTION NOTICE SCHEDULED PERMIT NO. 9-32-7 COMPLETED !pZ ADDRESS OWNER CONTR. TELEPHONE NO. DESCRIPTIONi 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q -� 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS 031NSULATION ? 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COO COMMENTS: QC W CL cc J 0 cc 0 LL W cc Q Z W z W cc Uj NORK SATISFACTORY.PROCEED PROJECT COMPLETE cc W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 OwnerlContractote: Inspector. T7 0 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED d PERMIT NO. C MPLETED 01 ADDRESS oc �A- . OWNERT) ,g ��CO �J CONTR. TELEPHONE NO. " DESCRIPTION L4j 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z0 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FI 14 SEWER HOOK-UP 06 PROGRESS 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z COMMENTS: cc W C cc J O cc O U- W cc Q Z W z W QC J d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W - O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 Owner/Cont r for n ite: Inspector. White CopylInspector's File Canary Copy/Site Notice