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HomeMy WebLinkAbout1996-007737 - bath remodel PERMIT 2 51TY OF ORONO PERMIT TYPE: 50 Kelley Parkway- P.O. Box 66 Permit Number: BUILDING Crystal Bay, Minnesota 55323 0077:37 (612) 473-7357 Date Issued: 02/22/96 SITE ADDRESS: 755 TONKAWA RD CH P I . N . ; OS-117-23-33-0003 DESCRIPTION: BATH REMODEL Building Permit. Type '3F-ADD/REMODEL Building Work Type RENOVATE/REMODEL UBC: Occupancy R—:3 Construction Type VN Census Code 4:34 ALT. RESIDENTIAL REMARKS: SEPARATE PERMITS REQUIRED FOR PLUMBING AND ELECTRICAL (STATE) . FEE SUMMARY: VALUATION $91-500 Ease Fee $162 .25 Plan Review $105. 46 Surcharge ---------14...25 Total Fee $27'2. 46 CONTRACTOR: - Applicant. - ST . LIC; OWNER: PATRICK HAN I LY ?e ASSOC INC: 14742:3376 1059 ROGERS -JOHN 2660 ORCHARD LA 755 TONK:AWA RD EXCELSIOR MN 55:3:31 OR13N�� MN 553Sx=, (612') 474-2376 471-8079 THE UNOERS I GNED HEREBY REQUESTS PERMISSION, T0 , 11-W. SPECIFIED"AND AGREES TO DO `ALL WORK III 1_I :T C "0WA , F L_ ORONO ORDINANCES AND STATE OF KI INESOTA 1, 'WLDI14G t066# 01 W APPLICANT PP ITEE SIGNAT ISSUED BY:SIGNATURE ♦ Total Fee: S DateReceived: ,, ao l gk-- Date Approved: Entered By: r�, Permit#: 17,7 CITY OF ORONO - BUILDLN,G PER-AUT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED --- ------------- THE APPLICANT IS: (circle one) OWNER OR ONTRA _00% JOB SITE ADDRESS: ZIP:��� IOrV Vlj ec�ec_� S� `` PHONE: (homed NAME OF OWNER: iz:ii (work) MAILING ADDRESS: aN CITY: © ZIP: t ONE: CONTRACTOR: v PH NEXAGER: MAILINGADDRESS: t, CITY: ag"Ok ZIP: STATE LICENSE: # ARCHTTECTIENGINEER: PHONE: MAILING ADDRESS: �+ CITY: -- ZIP• NAME: REGISTRATION # .•.% TYPE OF WORK: New ' on Accessory Structure Move Remode Iteration Land Alteration P OPOSED WORK(describe indetail): Q �I W1�1 STORIES: '! SQ. FEET OF EACH FLOOR: mo*� NO. OF BEDROOMS: = GARAGE STALLS: ATT. DEQ"" ---- 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 will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Von-permitted events will not be allowed. e _ ' 0 ' V ORONO Municipalof5ces Post office Box 66 '`•' ;1- '.: �� �� crystal Bay,Ntitmesota 55323-0066 L�kES8�4 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 furnish certain private or confidential information. departments may require you to You are notified that: 1. The information you furnish will be used to determine ;'our 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 PRL\'T L First diddle La t Address State Zip City Phone I understand my rights as stated above. Signature TELEPH0A-4 7357. FAX-473.0510 • 513.04 RIGHTS OF SIIBJEM OF DATA Subdivision L Type of data. The rights o viduals on whom the data is stored or to be stored shall be as set forth in his section. An.individual asked to Subd. 2. Information required to be given individual. within the collecting state agency, private or confidential data concerning amself shall be informed a the supply rp P requested data purpose and intended use of the req tem; (b) whether he may refuse or is legally political subdivision, or statewide at known consequence arising from his required to supply the requested data; (c) eY or refusing to supply private or confidential deral law to receive he data.itThis. y Of supplying state or 1 investigative data, other persons or entities authorized by requirement shall not apply when an individual is asked to Supply pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma lace the notice re uired under this s ubdivision in the individual income tax or ro ert tax re and instructions instead o on those orms. -- d data on Subd. 3. Access to �� � individual• IIpon request to a responsible uthorit , an individual shall be informed s public,be privateis subjec orconfident al.e Upon his e Y public data on individuals; and whether it is classified as P further request, an individual who is the subject of stored imriand? if he desires, shall individuals shall be shown the data without that datny a. After an individual has been i; CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1 SS- ?'ON K Aw A 9-0 PID: DESCRIPTION OF WORK: 3AT t4 ZONING REVIEW BY: /V I i4 DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: z-ZA-el —a c, FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes 4,-- 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: Shoreland trict: Fire Department: Post Office: School Distric Lot Area: Sq.ft. Acres Wi D pth Survey Submitted: Y s No ate of Survey: Proposed Setbacks: Front (Lake): Ri Side: Rear (Street) Le Side: Adjacent ructures: W tland: Building Height: Def. Hgt. eak Hgt. Avg. Setback: Bluff S tback: Lot Coverage: Exist g Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hard over variance Require Y s No Date of Council Approval: Gr ding: Staff Approval Da e: By: Council Approval Date: ptic: Staff Approval Date By: Zoning File: # Resolu on: # Resolution Date: REMARKS (in house): R BUILDING REVIEW CHECK LIST UBC: 9- 3 CONSTRUCTION TYPE: V N Sq Footage S Per Sq Ftg Basement X — 1st Floor X — 2nd Floor X — Garage X — X TOTAL Estimated Construction Value: $ 9 Sid� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection 0, Framing Fireplace Lawn Irrigation _oo Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) 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 PERMIT): 27 N� o 'ut' s VA VI Q W'; ;[ ! .s; k 9J 1 7-7 LAO x 2 3 to ;fir �m I C�- IL La. jo w i aC Lj y I MAI— LL kJ 44 kl� co o- 1 J QQ4r c Q h W �� � Z• r41 LrL� 0 y Ly DAT L,/ TIME CITY OF ORONO CALLED IN r =I - C INSPECTION NOTICE SCHEDULED - 3 / — PERMIT NO. 77? �� COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. 7 4- i DESCRIPTION 774-- -a.- Uj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS 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-UO 06 PROGRESS ~ 07 ITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W Q_ cc O O Qc O UL W cc Q Z W Z W CC j d ORK SATISFACTORY:PROCEED )ePROJECT COMPLETE QC W E)CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 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 i spection 24 hours in advance.473-7357 Owner/Contra o si e: Inspector. White CopylInspector's File Canary CopylSite Notice