HomeMy WebLinkAbout1996-007728 - new kitch/bath PERMIT
10TY DF ORONO PERMIT TYPE: L
2750 Kelley Parkway- P.O. Box 66 Permit Number: �cj���? N�
Crystal Bay, Minnesota 55323 `
(612)473-7357 Date Issued: 02/21/9E.
SITE ADDRESS:
750 TONKAWA RD
JB
P. I .N. i 06-117-X'23-1-14-0006
DESCRIPTION:
NEW KITCH/BATH
Building Permit Type SF-ADD/REMODEL
Building Work Type RENOVATE/REMODEL
UBC: Occupancy R-3
Construction Type VN
Census C13 de 4:34 ALT . RESIDENTIAL
REMARKS:
SEPARATE PERMITS REQUIRED FOR PLBG J°, STATE ELECTRICAL PERMIT .
FEE SUMMARY:
VALUATION
Base Fee $375 . 75
Surcharge --------114-Q
Total Fee $:390. 75
CONTRACTOR: - Applicant - ST .. LIC OWNER:
STYBA BUILDERS 17297187 4577 EDELMANN LARRY
4041 22ND AVE L 750 T�+NKAWA RD
MINNEAPOLIS MN 55407 t►RONO MN 553-56
(612) 729-7187 471-0073
THE UNDERSIGNED HEREBY ,REQVESTS: SRM I SS I ON TO M E . TNE g�.y'- ISI
SPEC F I ED, AI 3 RGREES TO DO AIS. . �` IN, ICT COW1 W VI I L, ° .I T
ORONO ORDf'NA CES AND STATE OF 'Hl ESOTk BUILDIM t#I RET�
APPLICA ERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ DateReceived:
Date Approved:
Entered By: Permit#: 7•�,
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRALTO
JOB SITE ADDRESS: Z�� 741,30e,6108 Eb. ZIP:
NAME OF OWNER: lyper Le;LMAoj PHONE: (home) #?I GM73
(work)
MAILINGADDRESS: �Yd 12o CITY: ZIP:
CONTRACTOR: `�ifg6 PHONE: 79 9- /8'2
MOBILE PHONE/PAGER: -��g7 -to^5fi�oi
MAILINGADDRESS: I 2 2 �-Df vim- CITY: ,"L Q2j2$ ZIP: a
STATE LICENSE: # q�,77
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration -�2K Land Alteration
PROPOSED WORK(describe indetail):Xlzz0 eRPpz;2j 13 Pi�> r ,/,eZJ Jett aMdP-
STORIES: i SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: Z- GARAGE STALLS: ATT. DET. x
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2 w ooa_d o
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: ✓ DATE: ? �3
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.
9
� io�_
O . O
CITYof ORONO
�+ i1'1WidPW ole
Past Office sox 66
C) Crystal Bay,'. humota 55323-0066
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 (see following page) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
irst Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
-V
Signature
TELEPHONE-473-7357•FAX-473-0510
10
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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 or 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 data, 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 pro_peM 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 data 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 data.
The determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relating to contested cases.
11
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
-kDDRESS ORLEGAL: --l-SO —MN��� PID:
DESCRIP'T'ION OF NVORK: n�-r -rz•�� `'"'�'�`�
ZO\�G REti=Y BY: lj I ✓� DATE APPROVED: I
BL�DIN G REti�NV BY: DATE APPROVED: 2.- 1�-c,e i
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMITN0
Yes ✓ CONNECTION
PLAN REVIEW yes Nd� No � SEWER
STATE SURCH.�RGE Yes f No — WATER CONi�tECTION I
INVESTIGATION FEE Yes No c,-- PARK FEE
TI
SAC -Yes No ✓ SITE INSPECON I
Number of SAC Units OTHER (specify)
ZONTG CHECK LIST
Zoning District: Shor land District:
Fire Department: _Post O cc: School is 'ct:
Lot Area: Sq.h. Acres idth Depth
Survey Submitted: Yes
No Date of Sury y:
Proposed Setbacks Right Side:
Front (L •e):
Rear (St eet): Left Side:
Adjace Structur s: We and:
Building Heigh : Def. H=atP H-t.
Avg. Setback: B ff Setback: Lot Coverage:
I
xisting opose
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcove Variance Required' es No Dare of Council Approval:
Grading' Staff Approval Dare: v: Council Approval Date:
Septic: Staff Approval Date: By:
Resolution: f Resolution Date:
Zoning File:
RF,tiiARK-S (in house):
26
BUILDD G REVIEW CHECK LIST
UBC: (2--3 CONSTRUCTION TYPE:
Sq Footage S Per So FEZ
Basement z =
1st Floor z
2nd Floor
Garage _
C -------------------
TOTAL
S 28�t9oD
Estimated Construction Value:
. Work Requiring Separate Permits:
Inspections Required:
K
Plumbing Fire
Site — Water Connection
Hardcover Removal mechanical _
Septic Server Connection
Footing Lawn Irrigation
Fireplace replace _Other
(l�iasonry) Well (State Permit)
Insulation Nfg )
mit)
Final Grading/Filling
Other
REyLkRKS MN HOUSE):
REVIEW BY OTHERS:
DATE:
Access: Existing �—
New
Access Approval: Date
By:
REQS (TO BE NOTED ONPERtiIIT)
27
D TE TIME
CITY OF ORONO CALLED IN 2 7
INSPECTION NO ICE SCHEDULED 0 C)
PERMIT NO. 272 COMPLETED h
ADDRESS
OWNERCONTR.
TELEPHONE NO. °723 - ,p-2-
DESCRIPTION DESCRIPTION
01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
..t 07 DEMO--SITE 27 SEPTIC MAINT. 2/COMPLAINT
tQ 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
COMMENTS:
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2
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W �ORK SATISFACTORY.PROCEED PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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
OwnedContracto �i�e:
Inspector. Z 41
White Copylinspector's I Canary Copy/Site Notke