HomeMy WebLinkAbout1997-009499 - interior finish PERMIT
� . CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �_:.i T .._.
Crystal Bay, Minnesota 55323 Permit Number: ,; ,:;:�;:,�:-;"�`
fo12) 473-7357 Date Issued: � -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - : . OWNER:
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APPLICANU ERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� Total Fee: $ "-,, � 'i� Date Received:
Entered By: ,�1r, Permit#:
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 OR C NTRACTOR
JOB SITE ADDRESS: /S`l o fo,�( s¢ p2o�/o Zjp;
NAME OF OWNER: -� "� "� lvo��r-y✓ PHONE: (home)
(work)
MAILING ADDRESS: S�^E CITY: ZIP:
CONTRACTOR: 'SToNE �-0✓5� �E.�/4�✓ pgp�; `�?3— 22z/
CONTACT PERSON: �.gy✓ M. MOBIL AGE : 92G — o zG -�—
MAILING ADDRESS: J�o e �.,•�f�.4. ��.•D CITY: wf}y�--� ZIP: .�',�3�}/
STATE LICENSE: # 20 0 3y S3b
ARCHITECT/ENGINEER: �o���. �n.�r�t, pgp�; 3']6 .- 9G 2,C
MAILING ADDRESS: g I 5, N'��v��- S�- CITY: ��p5 ZIP: S'SY o z
N�'�� D2cL✓ t'b�+-T7+ REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration �— Land Alteration
PROPOSED WORK (describe in detai�: ''ir�i5�� ,�-�;c SA� �o�E �+--��t�—
—�
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� 5�0 0
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: �� 9y7
NOTE! Parade of Homes events require separate permit approval by Police Depariment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
� �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 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 oE (a)the purpose and intended use of the requested data wi[hin 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 persoas 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 mav olace the notice required under this subdivision in the individual income tax or orooerN tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibfe authoriry, an individual shall be informed whether he is the
subject of stored data on individuals, and whether it is classified as public, privare or confidentiaL Upon his further request, an individual who
is the subject of srored 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 ro hirn for six months thereafter uriless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,ceRifying, and compiling the copies.
The responsible authoriry 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 rime, 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 compfeteness of public or
private data concerning himself. To exercise this right, an individual shall notify in writing 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 and attempt to notify
past recipients of inaccurate or incomplete data, induding recipients named by the individual; or(b)notify the individual that he believes the dara
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 authoriry 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 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 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�{-�q-�✓ P.�-�F— /�� s�I.�
First Middle Last
� /g 3 0 o r� �-,� i3i�A.
Address
H/.¢y v�r-r� /"�i✓ SS39 J `�7 3--2-'�-''t
City State Zip Phone
I understand m rights as stated above.
`-�- l
Signature
6
, CHECK OFF LIST FOR ISSUANCE OF PERTVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: !�y C� r'D x si
PID:
DESCRIPTION OF WORK: SiUTL���/t F�N�S/t
ZOi�1ING REV�W BY: DATE APPROVED: 7 -��-�i �
Bi.TII..DING REV��'V BY: DATE APPROVED: S -i�-y �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes _�' No
PLAN REVIEW Yes _L/ No SEWER CONNECITON
STATE SUR`H?.I�Cr� Yes c/ No WATERCONNECTION
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office; School District:
Lot Area: Sq.fr. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): . Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wedand:
��• Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoaino File: # Resolution: # Resolution Date: �
Shoreland Dis�-ict:
Avg. Setback: Bluff Setback: Lot Covenge:
• Ezisting Proposed
Hardcover: 0-75'
75-250' �
250-500' .
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
26
BUII.,DING REVIEW CHECK LIST -
�c: _ /Z- 3 covs�xUcz�o�r z�E: �� _
� Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x _ .
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: J�o °'�
�_ �I.
Inspections Required: � Work Requiring Separate Permits:
Site ._�Piumbing Fire
Hazdcover Removal /� Mechanical Water Conneciion
oC Footing Septic Sewer Connection
_�Fram.ing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
F�� Grading/Filiing _� Electrical (State Permit)
Other
REtI�IARKS (IN HOUSE): ' ---`_�'�' __ _ ��__
--____ - ----__----------- --------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy:
REMARKS(TO BE NOTED ON PERil�Li1�:y � � �w� . ��_
_ 27 _ � - •': ��;
DATE TIME
CITY OF ORONO CALLED IN U 'I- �J
INSPECTION NOTICE SCHEDULED .���-��Y /� �
PERMITNO. ���I J COMPLETED � �
ADDRESS �.�y�' �''X S �
OWNER ����v CONTR. �--�-�'.��
TELEPHONE NO. `� 7 3 -`}�''�� ��
� DESCRIPTION �l�-��Z�2� �-c�c Ct�c.-�-'�-�
� 01 FOOTING 11 MECH�NICAL I 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 73 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
03 INSULATIO JN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM4—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
v 10 PLUMBING FINA� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMP�ETE
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� L' CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
U STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i_� INSPECTION REQUIRED.CA��T ARRANGE ACCESS.
Call for the next' s ection 24 hours in advance.473-7357
OwnerlContrac site
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� � �
^ ATTIC FTNLSHING WORK ���
�� �.e�
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ELECTRICAL eoR�rr►
� ARCHITECiS .
1. WIRE PER PLAN. . 5'-o%�
2. RECC�'.SSED FIXTURES SHALL BE JUN�'AIRIAC" o � rour�c
WTTHCI.F�A,RANODIZEDREFELECTORTRIMS. iNsul.ATe �' SHEtTK6GK -� FAN�LIUN Cor�btt�l�Tio1�✓ � �;i�,�,�,N
3. DEVICFS SHALL BE WHITE. pRov�D� 'VtIvT11-AZ I O?� M .✓ '
BI:ILDIhG
4. FZAURESCEIVT STRIPS SHALL BE MFG.BY PROGRESS . ����]E PtIP�v1P r
/ e�s h�r�rH sr
LIGH'IZNG,P7008-30.SURFACE FIXTURFS SHALL BE Rouc,►�-m ��,��` �C��� / sTCR�C�� MINNFIIPOLIS
SUPPLIED BY OWNER. SVPPLY t aW�/ ► �.N ss�o:
FOR FU�l1�E ESA?H � � 61?�3769626
5. FAN/LIGHT UNTT SHALL BE MANUFACTURED BY �X ee FAX:612 376 9628
PANASOIVIC. � /
6. INSTALa,PHONE&TV JACKS AS SHOWN [nStfLA?ED STOIZA6E
ACCfSS ?AtiEL-
1
HEATING&AIR COND. `q'
� � b
1. COMPLETE INSTALLATION OF HEATING&AIIt COND. / ' � f�E N c ri� --
DUCTWORK. - a� L-�ov� . � �� �
�� F ; tk2
PLUMBING �_-----� / I ` W
1. ROUGH-IN SUPPLY&DVW.FOR FUTURE BATH. � +�4 V r ^
� � ?LATfo L�zbs 24X(�eI � v
INSULATION ' '� ovE� Z
1. IN$UTATE WALI.S AND CEILINGS,INSTAi•i" � i � swr�� F oR , ��b � T—
3V�FCOUR. T ,^ .J_
POLYET�iYLENE VAPER RETARDER,SEAL SFAMS, � � �
CAULK PENETRATIONS. . , / „ (^-l{, —.
� � T. �v / LIVHTTo1C LOCA�� WALL z�x6� i FLDUP. L.�L.. �
° � / �E►-0W HIP � —
DRYWALL ' ! �
' 1. INSTALL GYPSUM WALL BOARD AT ALL AREAS L�x 6° 1 M ,\ / � R�F T E R � �
EXCEPT ATTIC STORAGE AREA. TAPE JOII�TI�,FTNI.SH Gt-O SE � � �
SMOOTH. \ / - �-- — — — — — — — — — — --
� 3V° �!-oJR, t�O� � � �
FINLSH CARPEIVTRY x. ' O
, I . , cav�z �
1. DOORS SHALL BE 13/4"THICK HOLLOW CORE BIRCH c�0 5�7 / � ��,���, v U`T �
FLUSH DOORS WTTH CHROME PLATED SQUARE �
CORNER HINGES IN SOLID HARDWOOD FRAMES. � PN� � � � �
SWINGS&SIZES ARE INDICATED ON DRAVPING. � / `�,—3��
2. .INSTALL PAINT GRADEHARDWOOD BASE,CASINGS �
� �' �' AND OTHER MOITLDING TO MATCH FIRST FLOOR \���R � / � wowc suR��cr I�a�� PMa
SPAt;ES BELOW. ov�R �uc,1 � s�e SHG[? � r,�,, e� m� « � m
� a�u�,oa m.�i,�.
dy�Repnertd ArcLiteU ande
, • �
. the hw�of 16e ttate of Msmesot:
� PAINITNG �
1. PRIME WALIS AND CEILINGS. PAIIVT WITH 2
" .� ,<�<_._
COATS OF LATEX FLAT PAINT-COLOR TO BE F-�`�, -�'� � ._ �i. _ �;�+ � � '�',�jr� �'��, �;� � . � R r�.
SELEGTED BY OWNER. _a.,e, ' �
2. PRIME DOORS,wrnmows&�. parnrr wrrx 2 ; ������'� ��/S ������ 11�:A�1 �� �;��.:
COATS OF OIL BASED SEMI GLOSS ENAMEir COLOR � � Y�`� ��� � ��'� `� `'�����-,�� - �`
P"�f 9 i -. ... . (7�i�[wh
�.aJ' �:r�:'�. :���?, :-�: ��w Y ra� y°.,� �.
TO BE SELECTED BY OWNER. `��„ Pd�:r�. C:� K { `, � F „ ' ,��,-'�',� �7; .�'.7-. �............,...... t"�itA. . D~
' �7 �,_.., i� L�9 r..y�"��r ..,...�_,...... . i9Ef2M ...�.........:• R
' � V� :_�e/ y�. ��s IVJliO��J. '.-,s1"'��' i�:i�l'`7 / :s 7`��%iiJ'4 ,:_t� 'C��.7 �1��3r�71Li 1��
CARPETTNG '�'� „ ti'I.��. ,�,�a�.�,. �� ,�`��-�`I' �; r�`�i•��.i���'�.L"�:i�"�°� �°ia��'�f;�'�C3#VS AS NOTEf� �
��---...._____....�__
� 1. CARPET WORK BY OWNER. "_." :� �a.::+ �?�w�?Cb�[�I� -- CQ,R��r�,�' & F2ESUBNlT
. '�`ti�s9 CU13;riecnt�5 ar:�f�r your IMarmatSon. All wprk sha:!tNt{w� :
N O�A N ��� � D��, � � = ::�, ����,:� �,�n ��a ����►��@ ��,:�,� � ����� �
� ✓ ___ ___ �a'!�ttr�nt�s tnc=u��ng iterri� not specif�caity notecf in th�5 f��?'� °`
. � I T ( G _..-.�L�'t•� ;----��` ,--- 1�—O��---- ".r.►.}"� i F-3��+ ��._�A: �..`,�� '.�i� ��Z� �� !'-���..� d lfv5��.ti'.� .
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l�x',S� APR 0t�1 _�_ '�i� T H I G K
PAINT G�RADE SEAT
PORTH
ARCHITECTS
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, . BI;ILDI�G
' ' - Bl S\IhTH ST
- • MINtiEAPOLIS
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� 6I?1i696_'6
FAX:612 3 i6 9628
S�CTIOh � B�NG+�} �.11
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�l TOtA�- -1 � � � � --� 1.-._
i ' i � i ° : • � t-
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� I SOLID SURFAGE TO? I �
� 7o Z1A7L� iST F�OOK �
L — — — -1 �ESK AtEA• " � — ——�
� � I hereby axtifp that thu plaQ
,, 2 TOP oF WORK 5U2FACE • '
speafimioq or rcport w�as
- ---- --- ��a � m� a ma« mY
Q %N+. l��� duect wpecv�im and that I am a
V dulY Repstved Arcbited mder
, t6e I�wt o(the ttue of Mlnuewta
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V14RtFY y,_9'� VE.RIF'1' 2'- lo"
FOR LE(aA1-
• Slli' PEHDAFL.[y( LF. SIDE OF WORK SURFP�GE �
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