HomeMy WebLinkAbout1996-007698 - interior remodel , � P�RMIT
�ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 E;�i�=r?,��,?�sia
Permit Number: r.,�-,�w,,,�_,;_,
Crystal Bay, Minnesota 55323 - -
(612) 473-7357 Date Issued: -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — ����F�?. �=���-��. -- �� . L.%�;: OWNER:
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APPLICANT-PERMITEE SIGNATUFE ISSUED BY:SIGNATURE
� . ,
,2C, _5 /��' DateReceived: � - -� ?' �� �.�
Total Fee: $ `l �
Date Approved:
Entered By: ���% Permit#: '�;�� 6��
CITY OF ORONO - BITII.DING PERMIT APPLICATION
ALL INFORMATION Mi1ST BE SUBMITTED IN FULI-BEFORE PLAN REV�W WILL
BE STARTED
__----_-- ----------------- ---- --------
THE APPLICANT IS: (circle one) �tS�1ER�JR CONTRACTOR
i
JOB SITE ADDRESS: �i��' c��x� � ��, zrn: sf�3� l
NAME OF OW�1ER: )Z.l CH NIZ� f'� �u TN Fl M PHONE: (home) �7 T —`1��3'
(work) �-71 -0573
MAILINGADDRESS: �-7(�`` �Axlc.� ��1' 2D. CITY: i.e�HYZ�1 r� ZIP: ,553 i
CONTRACTOR: �Z.I C�..(L �-t�� rl� PHOivE: _� ��� � � /`��,/. �%.
MOBILE PHOi�1E/PAGER: ---
MAILINGADDRESS: %/� �% ,� ��,�� �����,�� �� CITY: i ; ��,� ,�,. �. � � ->� ZIP: ` � � _�,
STATE LICENSE: #t .�t(" :i%� /� �J
ARCHITECT/ENGINEER: ---_ __ _ PHONE:
MAILI�i IGADDRESS: CITY� Z�'
NANIE: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAlteration � Land Alteration
describe indetail): ��r,,;i ,� r 1�• z ,r � ,�� �� � . . .� �
PROPOSEDWORK( ' '� `
,
T� '� � � �� �' r � l �,P � � �.�l i � /;� ����i- ��"� i y- -�'�, "�`�� �
/' 1 � � ' �
STORIES:
SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(escludingland): $ / %/"/ /�
I hereby apply for a building permit and I acknowled�e 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 SIGNAI'URE: - '-� �< <
�, �,' �� �T� � � � --'DATE: �_ ;� � . �"
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permilted events will not be allowed.
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Sec.13.04 RIGHTS OF SLIB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the dara is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information required to be givea individual. An individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collec[ing"state agency,polidcal 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 co�dendal data;and(d)the identity of other persons or enades authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is ciassified 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 wichout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individuai has been shown the private data and informed of its meaning,the data need not be disclosed to hun for
six months thereafter unless a dispute or action pursuant to this secrion is pending or addiuonal data on the individual has been collected or created.
The responsible authority shali provide copies of the private or public data upon request by the individuai subject of the data. The responsible auchoriry
may require the requesdng person to pay the actual costs of making, cer[ifying, 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 addirional 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 ihe accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in wririn�the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete aad attempt to notify past recipienu of
inaccurate or incomplete data, including recipients uamed by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disciosed only if the individual's statement of disagteement is included with the disclosed data.
The determinauon 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 oi 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;nformation 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 pernut or license.
3. The information may be shared with other local, state or federal agencies to tue�xtent 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 n�ne is required to process this application or permit.
���N F fi L� fic��7n,'���1
First Middle Last
�7�`� G�`�' �r wc>
Address � �� �_.
�, ������� �-( ����� �f�� - �/ ���
C�ty State Zip Phone
I understand my rights as stated above.
L�l'1-L� �� ����'vt-�
Signatu
^ CHECb OFF LIST FOR LSSUAI`rCE OF PERtiIITS
FOR OFFICE USE ONLY
,- G', �/� -� � �_3 c�a j �
�DDRESS OR LEG:�L: � 7 �" 5 �t �'� p� '�� PID: � � i
DESCRIPTIO\ OF `�"OR�: /(�� -�'�-�'- --�n''Z-S'`"'" �r�u.�
ZO\ZtiG REti'�V BY: N�� DATE APPROVED: / -/�- `�6
BL�II.DL\G REVIEtiV BY�„ � �►� � DATE �PPROVED: i -�4� fib
, vlisc. Fees Calculated By:
FEES TO BE CK�RGED: �,
PER:ti1IT Yz5 '�o
PL.�;t RE�%ZE�V Yes � tiro SE�VE.R CON`NECITON
ST�TE SliRCH.-�RGE Yes � No tiVATF�R COi�ECTION
ItiVESTIG:�TIOv FEE Yes `j0 P� �E
Sr1C Yes No SITE INSPECI'ION
Number of S�C Uni�s _ OTHER (specify)
--------------------------
ZO\Z\G CHEC�i LIST Zonin� Discrict: Shoreland Districc :
Fire Depart '� nc:
Posc ff.ce: + $cho 1 Discrict:
Lot Area: S .
Acres Width '� Depch
i
Survey Suo [te - Yes No Date o�Survey:
!
Proposed Sec acks: �
F:on �Lal:e : Risht Si�ie: ;"
i af
Re:r (Streec): Lert Sid�:
�
E �
Adja ent Struc res: 'Wetland:
Buildin� Hei t: Def. H �. Peak H;t.
Avg. Secbacic Blu Setbacic: � Lot Coverag :
�
B
� Exis in� i opose
Hardcover: `0�-�5' ���
75-Z50' � i�
250-�00' °� �
500-1000' 'y, ;
\ �
Hardcovez V �aence Required: 1'�s No� Dace oi Council r�ppr.oval:
Grading: Sc "" Approval Da�e: ` By: Council :�pproval Da :
�
Sz�[ic: Sca� �pproval Dace: 1` By:
Zonin� File ,�___ �sn ution: j_ Resoiucion Date:
f �
RE:I-IAR�S (in hOuse):
26
BL�,DL\G RE����' CHEC� LIST
UBC: ►Z -3 COYSTRUCTION TY�E� V`�
Sa Fao�a�e S Pez Sa Fc�
Basement t
lst Fioor �
2nd Floor Y
Gara�e c
y X
TOT:�L
Estimated Construction Value:
S f 7 �?C X���
tiVork Requiring Separate Permiis:
Inspections Required: Fire
Site x_ P!umoin�
o� Mecaanical Wace: Connection
Hardcover Removal Se�.ver Connection
Foocins Seocic
Fireplace Lawn IrriQa[ion
�_ Framing (ytasonry) Ocher
� Insulacion ��fJ � Well (Stace Pe:-mic)
� Wall Board _p� Electrical (S�ace Permic)
_� Final Grading/Filling
Ocher �_
gEI�JAgKS (L�i HOUSE):
-------
REVIEW BY OTHER.S: DATE:
' Access: Eziscin� �e�'� --
Access App
roval: Dace Bv'
�1��I�RKS (TO BE NOTED ON PERtiII'1�:
27
DATE TIME
CITY OF ORONO CALLED IN .� `i3``/G.
INSPECTION NOTICE SCHEDULED S '�-S ��%:3 �
PERMIT N0. 7 � `�� COMPLETED U _��
ADDRESS � �7 �o � C C��c-o �D'*�vF �!�
OWNER fjf,(�i%t_c�.� CONTR. ��-�G Id{��-y
TELEPHONE NO. �7�— �G y oZ
� DESCRIPTION �i
� Ot FOOTIN� 11 MECHANICAL RI 18IXCAV/GRADINCi/FIWNO
y 02 FRAMINO 73 MECHANICAL FINAL 19 LAi�SHOREJWETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� RNqL 14 SEWER HOOK-UO 06 PROGRESS
�
J 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
W W DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN(3 Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNOATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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� �ORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑ CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContract�sit :
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
CITY OF ORONO , CALLED IN �/ 9
INSPECTION NOTICE /1�;�I�' scHE�u�E� ,� /� �b �D '3�l
PERMIT N0. co ED �_ ol
ADDRESS �� �-�
OWNE " CONTR. �
TELEPHONE NO. �-5 3- /S �a-H �2,� �7/ - I���
� DESCRIPTION .���.�,�-��_��
� 01 FOOTINO it MECHANICALRI 1BIXCAV/GRADINO/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q�,��INSULATION ) 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER H�OK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d CYWORKSATISFACTORY:PROCEED = PROJECTCOMPLETE
W
W ��CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance.473-7357
OwnerlContra n ite
Inspector.
�
White Copyllnspector's File Canary Copy/Site Notice
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RISER OM ►' Ila�i .,7- v . I f
MAX-, �1►aN NE Ra REQUIRED vu e 4P V �$A f.�
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LAKES!"tC3RE & WETLANDS
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REG
�_- ORONO ORDINANCE PROHIBITS
� XCAVATIO
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THIS ITEM HAS BEEN
MICROFILMED
6V�2�
oma• �F�
I
-- N, FILMING, GRADING,
DREDGING, TREE REMOVAL OR
CONSTRUCTION OF ANY KIND
WITHIN 75 FT OF ANY SHORELINE
WITHIN 26 FT OF ANY WETLANDS
PERMITS ARE REQUIRED FOR
DOCKS, SEAWALLS, RIPRAP
_LNsPEG4o#Z s (;Ry
CITY OF ORONO
BUILDING P RMI PLAN REVIEW
INSPECTOR
PERMIT NO: �---=-
DATE
( APPROVED AS SUBMITTED
:APPROVED WITH CORRZCT10NS AS NOTED
9- NOT APPROVED -- CORRECTion. & RESUBMIT
'[base comments are for your Cicab a building & zoning ode Ali work shall be don*
gf fuli compliance with ail IMP ifically noted in this review.
�ee� Including items not spec
V M SET ON SITE AT AEI- TIMES,
UA�
i;
061T.•"
Im
Me h
PROVIDE PULP AND/OR
. PLBG ACCESS
Mi -RE UXUT
20" co
r'r`!d4ZV T'i t.G vnrr4 cc-e-Y� T-7`►'3 (..e:
E3E®RC?OM WINDOWS
2499 33 � e G t rem
J.'i SQ. FT. tvlIN. OPENING
4`� " MAX SILL HEIGHT
MBW
W040, PLAN RAMM
SPECIAL. NOTE
� SEE ATTJ-% C �'D STET
FOR s rr1 o ic12. rL� =P�a-o2
!, CODS REQUI
T'S
• NO -
APPROVED AS WRMtT'i'ED
APPROVED WtTN CORRECTIONS AS NOTE
NOT APPROVED — CORt?ECT & RESUBMIT
•;•}om convttents are for your informet+o►s. All work shall Ile W_+
#g to comphance with at€ a€kBW t+u"g & =go%
^irewents €ritiuc#ing Sterns ixrt spe~h notoc! in tt>ias
KEEP Tt-t#S PLAN 0-T ;,;Xl 9TE AT ALL TIMIM.