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Home My WebLink About1995-007234 - bath remodel PERMIT �ITY OF ORONO - • PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 " . Crystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: - Y SITE ADDRESS: DESCRIPTION: , . . ., , :�, ��T_�: ._ ..._-- _ =4,:3.-,.-, -,��,�, ,. : ,�_. _� : E . _':{_.�i i: — — �E:�: � ��F.a i,..�'.i•`•?J '_ 7_ "}�f_?�,,�`_3 " "'. ,_ .. _. .. I . a .. . _.. ._. . . . . ..../ ?.�? t�_!!_i'�'S.. _ .. ._ .... _ _ +,�!'.. ,� i";"";;� t_, .:E<<i , _, . _.S i��i � � .... �F��? �C �� 1 . �.;�� :,��,i �. �...�...7'_ _ - - i:`;� .._'i 1�— ?'t: �._�.J. ., . ' 'T _. e al V ia._�._ .ri��... . . .. ��'�� _� n.4=t.�. � L.!/�L't t V\.�v T L' -._ _. _'.:�It zl 1•L'L' REMARKS: FEE SUMMARY: _: {:�'- _ ...., - . � _ _ ��—•-� f �— - _ .� . _ _ � . _... �.S iCi fs . ' � i_if.r;� ' C'�... '_.��.�._..�..��..u•_:! . .. CONTRACTOR: - � . .- .. .. : _. .- _ � . _. _:: . OWNER: �� :�`€�;;.. __._:�, < < . . .__ _ ._ _ ._ . , �. _ .� , _.,. __, ' ... - ,., - - - �. ; , �.i= � � - ;,: • ; M:: - � - - - - , . .,:!. •.: .. ! .:�... .__ •.... _ r.._,.. : ": _ .. �i�� ... _ .. _ ... `'. _ . _..�._. ... � . _ ._. . . . ;- a „�rz. • s 'iy t ,: _.._ .:�: . . �i. . _ . �_ . � ___r.f._ _. _ . .`'� .._ _ _ , -. , , .. ,. -. . . _ . . i i' : ' . __ , ._ _ ._;. .. .... r .._ . _ , _ _. ; � ; . ,:, , : •. : ' "i � ��.::a � "s . -: � ` _ _ - � _ _ � �. , , „ � : a `s .. . _ . : . •,.. _ �> � . , s I . '... . ._... . . .. ., .` _. . . .;', ' ` _ '. _ _ _ _ � . .. .. . _ - -. .. ! a=�` J � ��'�'�-G�M XQ�/ APPLICANT/PERMITEE SIGNA RE ISSUED BY:SIGNATURE � CITY OF ORONO - BIIII,DING PF,�2M.IT A.PPLICATION `,�-6�a1 Fee• $ � t Date Received: d - ��- I.� Date Approved: Entered By: � Permit�: � �3/ �L INFORMATION MIIST B$ SIIBMITTSD IN FIII�L BEFORE PI,AN REVIEW WILL Bg STARZ'EL) (See Check-off List Enclosed) -------------------------------------------------------------------------------- I'HE APPLICANT IS: (circle one) OWNER �� RA� JOB SITE ADDRRSS: � ��J Fo�c S-� ZIP= s S 3�( � (work) NAME OF O WNER: ��ti l.�� v- t,L.�.--'��....-, C.c�-��cv-.r�- PHONE: (h om e)�7� -�a�(� 2�iAILING ADDRESS: f��{G -�oyc � CITY: (,.��-�-z1vQ--`, ZIP: s S 3�C ( CONTRACTOR: ��.�.�.•r-�- I�e•A.S�-• C..o --4-`>-�- PHONS: �j 3� -�`-� � � � P�ATLING ADDRESS: ��.,F�0 �,w.��-�o a�-E-��I�: ��-1,.�-�'� zzP: SS�I-�- �'> STATS I.ICENSE: � � � � � ARCHITECT/ENGINffit: `c..�,� PHONE: :�:AII.ING ADDRSSS: CITY: ZIP: �*?�: RBGISTRATION n TYPE OF WORK: New Addition Accessory Structure Move Demo__�_ Remodel/Alteration Renovate Land Alteration PROPOSED WORR (describe in detail) : �.w.�o �,�;��4-,�...�, �o` S[ (p` iQ�-{,�, _ G....c� u-�I...�.�..,�---fa�...� — STORIES: SQ. FEBT OF EACH FI�OOR: _ NO. OF BgDROOMS: GARAGE STALLS: ATT. DET. �STIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ j�fs0, 0 O _ = hereby apply for a building permit and I acknowledge that the informatian �bove 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 tnat the work will be in accordance with the approved plan. - . APPLICANT'S SIGNATDRE: DATE: � ,,3'� ` S - � !�o,,�, o : � '7�"� J�'�'i� ��,'!�f ,' ,v"f f a, '''�e. / 1 � re, y� � �' fi CITY of ORONt� �� ^..4�; �r+.t� , �PF�i n� ; �� ,�rRf�si�-f'� �,:7 �" '`"`� �� '"='r" post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices • � - � � On the North Shore of Lake Minnetonka DATA PRNACY ADVZSORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would Iike 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 Iicense requested. 2. You may refuse to supply data, but refusa3. may require that the City deny the permit or license. 3. The information may be shared with other yocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii action to approve, some information may become public. 5. You have certain rights ander M.S. 13.04 Lo review pri�a�� data on yourself. 6. Your full namP is required to process this applicatian or permit. �-,�--z ct.a2______ �� (�o�-�UL� First Middle Last G.�� O W.�-�o✓'�'G-- ��-�---,5 Address �� City State `Zip S � ��-� 7�- Phone I understand my rights as stated above. Signature BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSI:�IG .______-.--------- - \� ., \ r , �'� � 573.04 RIGHTS OF SIIBJECTS OF DATA Subdivision 1. Type of data- The rights of individuals on whom the data is stored or to be stored shall be es set forth in this section. Subd. 2. Information �d to be given in�v��L An.individuel asked to su ply private or confidentiel data concernina �amW hin the collecti g state agen Y� P purpose and intended use of the requested �b� Whether he ma� refuse or is legally political subdivision, or statewide system; �own consequence arising from his required to supply the requested data; (c) any su 1 in or refusing to supply private or confidential data; and (d) the identity of PP Y g other persons or entities authorized by statu��easkedlto supplyinvest gative data, requirement shall not apply when an individ pursusnt to section 13.82, subdivision �, to a law enforcement officer. The commissioner of revenue m8 lertv tax re�und instQuctionsui steadhoS subdivision in the individual income tax or Dr• on those orms. -- - . Subd. 3. Access to �ata by in�ivi�uaL UPon request to a responsible authority, an individual shall be informed whe blic hPr vateeor confident al.e UPon his individuals, and whether it is classified as p e ublic data on e to him and, if he desires, shall further request, an individual who is the subject of stored private orVidual has been individuals shall be shown the data withou�f an�y ��tg. �ter an indi �e informed of the content and meaning the data need not be c�isclosed to shown the private data and informed of i� ute orgaction pursuant to this section is him for six months thereafter unless a disp � ending or additional data on the individu e hes g eeor P�i��gtaru�narequest by � p reouire the responsible authority shall provide copies o t p the individual subject oft�e actual.aosts of makng,lcert fyingyand compiling the requesting person to pay - copies. ssible, with any request The responsible authority shall comply immediately, if po macie pursuant to this subdivision, or with Iida e �f Simmediategtcompliance eisu not excluding Saturdays, SundaYs end legal YS� ossible. If he cannot comply with the requ et �thi�i��ntl�ch toh omply w�h the P and may have an additional fi Y5 individual, �d le al holidays. request, excluding Saturdays, SundaYS g Subd. 4. Proce�u'e �►hen data is not accurate or complete. An individusl may himself. To contest the accuracy or completeness of public oinr writ �tthe�responslble authority exereise this right, an individual shall notify � describing the nature of the disagreement beTnaccura e ori n omQlete and att pt to days either: (a) correct the data found to notify past recipients of inaccurate or incomp�t he believesdthe datalto be correct the individuel; or (b) notify the indivtdual Data in dispute shall be disclosed only if the individuel's statement of disagreement is • included with the �isclosed data• e�1ed ursuant to the ' The determination of the responsible authority may be aPP P provisions of the administ�'etive procedure act relating to contested cases. CHECK OFF LIST ;.OR T,SSUAI�'CE OF PERtiIITS FOR OFFICE USE ONLY :�DDRESS OR LEG�I.: /� �5� ��' �'r PID: l�� -ii � — �3 `/� n�'�� DESCRIPTIO\ OF ��'ORIi: h'c-,y�� ' C �� -------- -------- ZO��G RE�'IE�V BY: N DATE APPROVED: BUII.DL�G REVIE`V BY: DAT'E APPROVED: � - 5 -�i S - --------------------------- FEES TO BE C�-L�RGED: Misc. Fees Calculated By: PERv1IT Yes !/ �0 PL��N REVIEW Yes No r/ SEWER C0IVNECTION STATE SURCHARGE Yes ✓ No WATER COI�NECTION INVESTIG�TIO�i FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ----------------------------------- ZOi�L\G CHECK LIST Zoning District: Shore Districc : Fire Depanmen Post Offi e: School strict Lot Area: Sq.� . Acres Width Depth Survev Submi tzd: Yes , o Date of Surve : Proposed Set acks: F:o t lLake : Right Side: Re (S[ree[) Left Side: A acen[ Stru tures: W tland: Building ei�hc: Def. gt. P H°t• — Avg. Secb ck: Bluf Setback: Lot Coverage: Exi ting Proposed Hardcov r: 0-75' 75-250' 250-�00' �00-1000' Hardco er Variance Require : Yes No ate of Council Approval: Gradin : Staif Approval Date By: Council Approval Date: Septic: Staff Approval Date: B � Zonin File: n Resolution: # Resolution Date: ��. (in house): 26 < � Bt;ILDL\G RE�IE« CHECI� LIST �C: �` ?j CONSTRtiCTION TYPE: y� S q Footage S Per Sq Ftg Basement Y lst Floor � Znd Floor r Gara�e c x — TOT:�L Estimated Construction Value: S I 8S0 � Inspections Required: �Vork Requiring Separate Permits: Site l� PlumbinQ Fire Hardcover Removal Mechanical Water Connection Footin� Septic Sewer Connection �(_ Framing Fireplace Lawn Irrigation Insulation (Masonry) Other p` Wall Board (Mfg.) Well (State Pernut) Final Gradin�/Filiing Electrical (State Permit) Other REi�1ARKS (L�i HOti SE): - ---------------------------- REVIEW BY OTHERS: DATE: Access: Existin� �eW Access Approval: Date BY� - ------------------ REi�1ARKS (TO BE NOTED ON PER'VIIT): 27 DATE TIME CITY OF ORONO CALLED IN �'��fS INSPECTION NOTICE SCHEDULED � —i/ 9:3v PERMIT N0. ��{ COMPLETED ADDRESS /� �� Zr'Y S� OWNER C�,��t��1it.�- CONTR. /.�.t-e-c�--e ,(��ir.F Ct'�.a.� TELEPHONE NO. .5��3u '��9 � DESCRIPTION Q��-� , � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q TION 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 i�,� 27 SEPTIC MAINT. 21 COMPLAINT v 07 O-F AL� 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 P�UMBING RI �� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d � . ORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �- PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r: CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-73�J7 OwnerlContr ct n s Inspector. White Copyllnspector's File Ca�ary CopylSite Notice