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Home My WebLink About1996-008621 - interior remodel . PERMIT ,� CITY OF ORONO PERMIT TYPE: - 2750 Kel ley Parkway- P.O. Box 66 `"{.��.''��'�-' Crystal Bay, Minnesota 55323 Permit Number: �=��:�:w=��,�'_1 (612)473-7357 Date Issued: �'v':�;�.;;�`�:�, SITE ADDRESS: __ .`� . f._;-:i�.:`•-w:;�; I"`�_�;{'�� '.i.J t-.�� x�� . . .. _. _ . - . ._ _._—i�7i:i�.�. DESCRIPTION: .... ._.._._. _. _ . _. _ _ �.. :.r,� : �;�;��;wg� 3-:;;�:��,:_�;.��-_.. i:;}.�:i 1 i':?.j'';"_ <<,__�-r,;'_i�. � Yt�.r� `;��._f'�i��_1�i'•:�.:!°i=_��s�:��_ � F;:t�' �,{i�,5{�� ja!�-i'i`i:; i `{F:�y-, i,,L".. E'? i i�;+.`._�'�_.�. __ I s,''•,ji.�•.,�'i i L_, i�! }�;� i1t_��_� �_�C'•=a.�l��ii"tiW Y - [:i��i s•a�..i'i.�i��.��-:7" !y'C=�_ �:r� i_E'1l`:��!•:� ?_:�„sF,�N t.�.:;t� ��_�" . �'.!�'•.�t�,�?:�;�r E�-i'_ REMARKS: _ _ _ _ _ _ _ _.._. _ _. _ ,.,-... _. _._� . -- - . - .-- - . .. '-��-�--`�'t'-�;; � � {...;..�tt•:�' f�{�. ;�i1l;i��} �E` `"i�`d' -'t:E;i-�(•,� lf: - I �'ti ; i-�; :'- ,...t.... . .r .. . . ..... . _ . E f �=i . .__.'�_,_ _.. .M_ . _.- '�,'... . . . ... ._. . . . . . _ _. , . . . . .. .. . . .. _. . . . _.. . . �^{ t. �. � a i••,i�!._��:7�_�?'� ':+:'�."';':}:;. ;�i3ti�_'Y'_'j"r'�i._{'•'i�_!i': .. _. -. � ..._i'�fl:'.... ..._._ __`�i'�f'�tt�;I�' . =�'.('I �' �`= . FEE SUMMARY: _ _ -. ..__ _ f"E ? j._�!� . .,�L.j !i k,,:�_) C�i.=F,Jr�-+ �`"'rV+i,_' `.�}�}•i�� . 1�. C��,rf i i �'S i�+\I'i P�,+{JJ 't__�-L . ia�,. `,�t�i'f_j'��"�7tr ��__..___. ��.G.�..i,':z� 3 i_��-�i.E ��'?'..' ��I.�.�i . t_i'—I CONTRACTOR: OWNE�i.::_. "� - ��'�'- - = '�"'#' -" .. .._ . �i�,.= 'i'-i�:'tz°;:°��#-1 _..... _ � 1.:�-`;:_:L:;�_t :-`I.;�,�'•�! L`i 3 1_-i',-;iyij��i:�i i�;,� �=;;=;°1 i ; �r..�s .�_- - -�r,i;-:r�• :.�,�:�:,�c�� :�•r- - >,T:y r t-;r. -�.�;�: , :'::; r�.,;�_�,;_�,,,__ �r.,;�� .. .,.. - - , j;.,;= ,.:,�i� r'-, € �.-s��;�__.; : :, :.: , ��.__�:�i_ii�_,:?': . ,__.*'.�,_ _ ' . _ . _ `. _ ._..� ..._ ... __. . .. . . .._ ,_.._ .._ _ ._, ._. ._�: ��.e �.,�a ;i�.L_ ? , . a.. : . k�'(•; , . . . . ' � "."s•'s�` �� C �',- �` � ",4 a" r:�,.. _ F __L _ 1 '•_ii _. i 1 �.t.,�, G-;��,�J h..� }'.__....•_.� `.,� ..� . .__� ir� si'+.. . ._. . .. . ._ .. + _?:'.t'�. < _� �.._ .. � . . . . ._.... t _ ... . ... . _ .. r. ;_, _... . � � �- '{,�F_•,3. ,,,:i,,,i. ; ` ' ''" ' �4+� � .{ ��i�" v fi-t f��'__,i� i .' ' . —.: r s. r.r ' ; !t:-_1�{�_� ��li',ia i �t�r..,Y'�?W;`_._ �:#,�I�� . f :'. �i: �_I•.` f`��,:._`?�'-:f� . i� _. .'-L:._I.,i�i;:=.,. _ ..:.... ..� �,�.._'•.�.,� .�i�....., .`i•1 j'._ . L -� , ,; � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE '�"L. � Total Fee: $ j'��. G ; Date Received: Entered By: ��., , Permit#: �(�2� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) _____-.� --------------------------------------------------------------------- -- - - -----�---�------------------------- THE APPLICANT IS: (circle one) OWNER �R CONTRACTOR � ___...._ .... ___---_ JOB SITE ADDRESS: ��l �i.�� V'C14/ ZIP: NAME OF OWNER: �//1�e A ��Y, PHONE: (home) — '7� (work) MAILING ADDRESS: �` �Q// C,r,�,� �,'.v�.c�,e, CITY: �(�`��,-�- ZIP: 'i5� CONTRACTOR: ( ,� _ PHONE: ��,��-1 CONTACT PERSON: MOBILE/PAGER: �f�.�-C?(o/� MAILING ADDRESS: ,(30� �..g/ CITY: _ZIP: s� (� STATE LICENSE: #�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: �JAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �J ,,,,Ia,� �lc,�.�etic� - �t.v_.�.� .e..��•�:�: � . • . --� - STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $j�� p D�' �� 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: �o�I�� ,�Q��,� DATE: �,c.� � r•�,. NOTE! Parade Qf Homes events require separate perntit 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. i. Type of data. The rights of individual on whom the data is stored or to be scored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecang'state agency, poliacal subdivision,or statewide system; (b)whether he may refuse ot is legally required to supply the requested data;(c)any 1:nown consequence arising from his supplying or refusing to supply priva[e or confidenrial data;and(d)the idendty of other persons or enaaes au[horized by state or federal law to receive the data. This requiremenc shall not apply when an individual is asked to supply invesrieadve data, pursuanc to secrion 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propem tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals,and whether it is classified as public, private or confidenaal. Upon tus further request, an individual who is the subject of stored private or public data on individuals shall be shown[he data without any charge to him and, if he desires, shall be infornted 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 acrion pursuanc to this secaon is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requestine person to pay the actual cosu of making, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision, or within five days of the date of[he request,excluding Saturdays,Sundays and leeal 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 addi[ional 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 pri�•ate data concerning himself. To exercise this rieht,an individual shall notify in wricing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)notify [he 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 wi[h[he disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri�hts 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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut 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 pernut 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. `�� First Middl Last Address 1 ) ;-0 0�;,� �.�,� 55�� PL —o o il� Ciry State Zip Phone I understand my ri?hts as stated above. a a. �.�,T�� ,r`��1s� Signacure ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ZB�( C�sC-c% �`c��v,- D��r� PID: DESCRIPTION OF WORK: st�t�CZ+e��_ c�.�vv��.7:wz ------------------------------------------------------------------------------------------------------------------------ � ZONING REVIEW BY: � .n..-, DATE APPROVED: /�Z-�� `t�: BUILDING REVIEW BY: ; L-� DATE APPROVED: r L--�z� �c� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes i,� No PLAN REVIEW Yes �No SEWER CONNECTION STATE SUR:HARGE Yes No WATER CONNECTION INVESTIGATION-FEE Yes No ��` PARK FEE SAC Yes No _�� SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: � Fire Dep � ent: Post ffice: School D' t 'ct: Lot Area: q. . Acres idth Depth Survey Su mitte' : Yes No Date of Surve . Proposed etbacks�• ont (L�): Right Side: ; ear (Street�: Left Side: �� djacent St�tures: W tland: Building eight: Def.�gt. eak Hgt. � � Lot Cov rage: � ; ��, Grading: Staff Approval Date: By: Council Approval Dat : Septic: taff Approval Date°, By: Zoning ile: # Resolu on: Resolution Date: � �a i Shorel Dist:ict: Avg. Setback: '� B ff Setba : Lot Coverage: a isting Proposed Hardcover: 0-75' � 75-250' ' 250-500' �� 500-1000' \ � , �I Hardcover Variance Required:�� s � No Date of Council Approval: � REMARKS (in house): � 26 � BUII.DING REVIEW CHECK LIST UBC: �-3 CONSTRUCTION TYPE: V I`! Sq Footage $ Per Sq Ftg Basement x = lst Floor x — 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ ��,�G�% ��` � Inspections Required: Work Requiring Separate Permits: Site . ,�_ Piumbing Fire Hardcover Removal (� Mechanical Water Connection Footing Septic Sewer Connection '� Framing Fireplace Lawn Irrigation K Insulation (Masonry) Other -�Wall Board (Mfg.) Well (State Permit) �C Final Grading/Filling i� Electrical (State Pemut) Other RENIARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS(TOBENOTEDONPERMITj: �9�i�.:�'12+cF %u�,�� r.��;�y - Cxir_~�,�� _�.0�;Z��t rZE�.��•, i2.� S��'�'�t:�A��'l-. ��.:�?rh i r� 27 ✓ ATE TIME CITY OF ORONO CALLED IN / .,z % INSPECTION NOT�CE SCHEDULED � � `'�' PERMIT NO. n�Zl COMPLET o '� �_ ADDRESS�� -�-� �� OWNER_/T/�� CONTR. �i,��i��i-i2.i TELEPHONENO. 'S��/ - �l`'U �� ,.�lo=� �OC�� DESCRIPTION ✓lr�� Ot FOOTINC3 11 MECHANICAL RI 18 IXCAV/GRADINQJFIWNO Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS � NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION = p5 F�NAL 14 SEWER HOOK-UO O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER iiEMOVAL J 10 PLUMBINQ FINAL 36 FOUNDATION HEMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W Q � J O � � O � W � Q � 2 W � W � � d WORKSATISFACTORY:PROCEED = PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ` pHOTOTAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDEF POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlCont ct n si e _ Inspector. White Copyllnspector's File Canary CopylSite Notice % � DATE TIME CITY OF ORONO CALLED IN = �zn �E� INSPECTION NOTICE SCHEDULED �=/-�'3 �"��- � PERMIT N0. ,,��; � � COMPLETED �_ ��L � %� � ADDRESS /�:' �,.,� .:i"�r� OWNER "�? � .�_�'� CONTR. ��'.��.��o_�� TELEPHONE NO. i�L �1 � - `%�' 7 '� � DESCRIPTION %� ,�� : l�� C_-' � Ot FOOTiN� 11 MECHANICAL RI 18IXCAV/GRADINQ/FIWN(i �Q��O�FRAMINQ,% 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z pq yy,qLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION Q = p5 F�NAL 14 SEWER HOOK-UO p6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPlA1NT J Q 07 DEM�FINAL 15 SEPTiC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION HEMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED = PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W OO' ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. ` pH0T0 TAKEN INSPECTOR WILL REfURN _r,CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 OwnerlContra r on i e: Inspector. - White Copyllnspector's File Canary Copy/Site Notice