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HomeMy WebLinkAbout1995-006935 - bath remodel PERMIT CIA OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: C'C (612) 473-7357 Date Issued: SITE ADDRESS: DESCRIPTION: i- r' -iii LU 1 j 1 T .IP INA.-1 Ll I rl vv J. vo V l if 7-1- vi :A REMARKS: V-r/ 1, C7 0 -PIV:'r T FEE SUMMARY: -7 V i i-- CONTRACTOR: OWNER: It 9 1 in -I V I L! 1., N3 i "vr, c c MN 5 5:_r._1 o_ THF 5—THE L J N HERS I G N'ED HEREBY REQUESTS PERMISSION TO MAKE ,I THE, REAL IMPROVEIMENT ES SPECIFIED AND AGREES TO DO ALL Wn-R . IN STRICT C'.OMP L,IANCE1 'WIT ffALL CITY OF ORONO ORDINANCES AND '--STATE OF MINNESOTA BUILDING CODE J11RD7ENTS, L APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved:_ Entered By: * ,['�i) Permit �2 ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) --------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: 7 T�f�1 Ic►4th V-� Kik ZIP: (work) NAME OF OWNER: �; lS � PHONE: (home) MAILING ADDRESS: -7-7 Q-' TC>LA V-A' t�A Kik CITY: n `Z,zp ZIP: CONTRACTOR: IAZ, PHONE: �lZ MAILING ADDRESS: Z (p ©C-I�r ' I�C"C CITY: ZIP: LJ ;TATE LICENSE: $ c, 4- ARCHITECT/ENGINEER:_I�>4, .J\- LPHONE: MAILING ADDRESS: � Y�-�/"��_ CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration_ Renovate Land Alteration PROPOSED WORK (describe in detail) : `Fz�ISTtN� '��© � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (excluding g 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 accordance with the approved plan. APPLICANT'S SIGNATORE- DATE: Z i 4 • -Z CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO 1 On the North Shore of Lake Minnetonka 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 to review private data on yourself. 6. Your full name is required to process this application or permit. I - 114w First Middle Last /O/oo -7-- :-5- Address City State Zip y/z-��� Phone I understand my rights as state bove. Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING - 513.04 RIGHTS OF SUBdF= OF DATA Subdivision L Type of data. The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. given individuaL An.individual asked to Subd. 2. Information required to be be informed of: supply private or confidential data concdata mwitlhin the collecting state agency, purpose and intended use of the requested (b) whether he may refuse or is legally political subdivision, or statewide system;(c) any known consequence arising from his required to supply the requested data; supplying or refusing to supply private or confidential data; and (d) the idena.tity is other persons or entities authorized by state or federal law to receivethe datdata, requirement shall not app5when an ndtoldual is asked to a law enforcementuofficer. investigative pursuant to section 13.821 subdivision tice ic The commissioner of revenue or rolert tax reace the ound instructions instead this subdivision in the individual income tax on those orms. --- Subd. 3. Access to data by individuaL Upon request to a responsible authority, an individual shall be informed whether h is esubject of or eonfidential.ed data on Upon his individuals, and whether it is classified as public, privateon further request, an individual who is the subject of stored private if he desires shall individuals shall be shown the data without any chargeto hiAfter n individual has been Se informed of the content and meaning of that data. 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 e hbeen or public dataected ruponarequest by responsible authority shall provide copies private require the the individual subject of the data. The responsibleCeauthority and may the requesting person to pay the actual costs of making, Yi g, copies. if possible, with any request The responsible authority shall comply immediately, made pursuant to this subdivision, or withina8ys,�f Sof the immediatea compliance is not excluding Saturdays, Sundays and legal he possible. If he cannot comply with the request within i ht time, tsh comply woth the the individual, and may have an additional five days request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual l To contest the accuracy or completeness hof public or private theores responsible authority exercise this right, an individual shall notify he r writing P shall within 30 describing the nature of the disagree d to beTnaccurpate or incomplete and attempt to days either: (a) correct the data four notify past recipients of inaccurate �v due,l that he believes dthe ng recipients be correcty the individual; or (b) notify the in Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. appealed pursuant to the The determination of the responsible authority may be cedure act relating to contested cases. provisions of the administrative pro CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: -7-7 11 --C-o� r4 PID' DESCRIPTION OF WORK: t wC�C.t' - - -------- ---------------- ---------------------- --------------- ZONING REVIEW BY: DATE APPROVED: Y' Z�`y$ BUILDING REVIEW BY: DATE APPROVED: L{-Z& -15 ------------------- ------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,-�No PLAN REVIEW Yes-� No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes Noy' PARR FEE SAC Yes No_i�— SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------- ZONING CHECK LIST Zoning District: Fire Department: Postfic �iool District: V 4*)� Lot Area: Width: Depth: Survey Submitted: Yes DL- No Date of Survey: Proposed Setbacks: F-ren (Lake) : 1 ZS Right Side: /2 Aee-r (Street) :— -YU� Left Side: /J Adjacent Structures: /Azme±t!�4 Wetland: Building Height: Def . Hgt. Peak Hgt Avg. Setback: Lot overage: Exist'ng P oposed Hardcover: 0-75 ' 1 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance equire Y s No Date of Council Approval: Grading: Staff Ap oval Da e: Co ncil Approval Date: Septic: Staff Ap roval Dat : By: Zoning File: # R luti n # . Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST UBC: (L-3 CONSTRUCTION TYPE: .\/Ai Sq Footage $ Per Sq Ftg Basement x -_ lst Floor x 2nd Floor x Garage x x - TOTAL Estimated Construction Value: $ 104000° - Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire _Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Final (Mfg.) OtherWell (State Permit) Other Electrical (State Permit) -------------------------------------- REMARKS (IN HOUSE) : ------------------------------------------------------- ----------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: ---------------------- ------------- ----------------------------------------- REMARKS (TO BE NOTED ON PERMIT) : DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 7— _ /COMPLETED (A ADDRESS OWNER CONTR. /� - TELEPHONE NO. DESCRIPTION t4 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING klGlTl —(V dh! 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q N 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 07 DEMO-SITE 03 27 SEPTIC MAINT. 21 COMPLAINT v 07 - L / 15 SEPTIC INSTALL. 22 FOLLOW-UP 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: a cc J O Iii cc O W CCQ Z W Z W r d WWORK SATISFACTORY:PROCEED ElPROJECT COMPLETE cc W ElCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 PHOTO TAKEN INSPECTOR WILL RETURN L1STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next' ion 24 hours in advance.473-7357 OwnerlContracto e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE / ! SCHEDULED PERMIT NO. tP ( OMPLETED _Jet ADDRESS OWNER CONTR. TELEPHONE NO. DESCRIPTION 1(,, � hootµ Uj 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. 12 WATER HOOK-UP 17 SITE INSPECTION 5 I 14 SEWER HOOK-UP 06 PROGRESS -ZrDEMO-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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: U J 0 a cc 0 LL W cc Q f z cc W W J CI WORK SATISFACTORY:PROCEED XROJECT COMPLETE W v cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE.CONDITION WITHIN HOURS. INSPECTOR WILL RETURN ❑ PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for t tion 24 hours in advance.473-7357 Owner/Contra on sit Inspector. - White CopylInspector's File Canary Copy/Site Notice J 0 f </ JCC 2 qed' IiA m m\ te Qo �o \ N � 28 ane 4pe LEGAL I P I Al 1 thart .?, 1) IVISI0W accl. 40 -Cl thereof , lyint, f cn f r o m a poi n t t, x, 14 -U, rya 5 m � said Lot 14 , ,1 Io ��T f M of the southwe 0 n � the shore of 1 N 1 z0 paral lel to ti, lines of said I z =' Cry �o De tes iron monument Sa Den tes offset stake x op&.o Den nes existing elev. (ootp I De tes Proposed elev. -+ De tes surface drainage \ rI oYd garage floor elev.= I he-reby certifv that this is e. true and cotrect repo•<,enr,won of d ywvcv of File No. -- -- ---=------ - I 'SAFETY GLAZING -410 I f c_I CITY, OF OROND IrU1t:D1Ml3 1�� T L.AM Re1/t; lMu>1�rOR _ — --........ DATE 2A � - PERMIT NO. ._ ..,..+. VAPPROVED PPRO`ED AS SLISMITTED WITH CORRECTIONS AS NOTED OT APPROVED — CORRECT & RESUBMIT Yhese comments are for your 'ntormation. All work shall 1!e dqh► ttt:; compliance with all np;a cage building & zoning code ,v, imements inc'rudtng items not speclficaily noted in thrs -e"ifw4 »+.NC PLAN: S!,r )IN, v o kt r--� ----- j -- i --- � I I2 ' � zxI0 1,k\r\, • •-- -.__._----__--- -------___ ( � `�Ire 6t t,�• ,--- - --�—rt-- I "o f � VE XF-V w IN DON K - CITY OF ORS � T► vF�- WILDING PL'GtT PIAN EVIG' I XTENVEv w:we�roR h'1�TPt. F�RAGI�T":� DATE �--�� PERMIT Na _ APPROVED-AS SLIBMITTED APPROVED WITH CORRECTIONS AS NOTED �I (a� NOT APPROVED — CORRECT & RESUBMIT �J� (hese comments are for your :n;crmation. All work shall be motto _ P ta:l compliance with ail applicaUs b0ding & zoning oode 11 ants Including items not specifically noted �n th 4 ",� lS PLAN SET )N °' TE AT AL1. tEtv4i� =�I YS _ f