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Home My WebLink About1993-004917 - bath remodel _ PERMIT � , C�ITY OF ORONO PERMIT TYPE: ' 1335 Brown Rd. South • P.O. Box 66 Permit Number: �'`��'�t�`3 Crystal Bay, Minnesota 55323 Date Issued: �l�� (612) 473-7357 i��,�:�t''`;�`�=`-' SITE ADDRESS: n`L!_� tl�_'��[�—��"'�c �i�`,�_r �'_;�1 , � , �'�, , _:""_�. �t� _.__"!�._�--l��._��,;_� . DESCRIPTION: �.�iTl-� �'�i°tI_:#�I=I E;�.�i i=�i�-�� ':�r=:�i t. i�c�;� �=:1�-;';i��i=�i;;:1�1��i:��i_ ��I.]1 �tjl ii�� ?r;!i_�}'�:; �•1�=� �Lf��.�Y��E�:`='s�t i�_!1._��L_ { {�;r: ��r 1«!�'_�':'`�= r _ - ,Ft,`—_; . f:+��il�.'�.i'lli_�.].t�it"t' , � ��t� �*:jf4 aa �., r'�� :r M� ^m�',� �,+• ,o °� '� 3�, � _�� ' � � � � � � ,�� '��^� 9�s��.� �,��° ; � � y_� , � ��, ^� . ��'n �� r��, , « �� ;� . _ ' � ,�dkd 1ry�� A�y � � �,� �Y � ��5 . . � � �i d�4 i• � ly�� r . . . � " � � � �;��k��,h �. ..h�y � a . '�� . � �. � � . . . � . . - . �'� xc��v tui M �r,rv �.�y�, a� .' � � .� � . . . _ : . z . �. .. . . .. '�' r /'� . �' '��'" `y'j =� . :. Y.ar°.��•� ,�W�. , ,Ys^�.,�� Y., ,F�T�-?�.> � REMARKS: r.,�� }� :j-��+�! vi� i ve L��u��v r-_—� L 3 At:'!A!!'L !!�i !f 1 1��n/tL•L 11! f 1L•L � _�;=�=`�i�°i�;� F'��'ti��T �E{:,�?I�Ei� fii►h �'��ttt��I��.1 . i-f i i t):>;,r�;f i 1r'1JIVVVVV �.-.; :�l FEE SUMMARY: `s "`� .��.4��vY 4"t%-::•"t i t:=er'tit;i n i.��vs��uvuv `4��:�,_!:i-;i : i_;';`';y �:i � .1_i s,�I) ":'� %i;�! �i �vl - 'vs 'vur ii, v .'"'��:}if�titi! � .f.r:��i�ti..VVV V V ��+�!�.� �'N t,� ��.a� . � _ � � �i ;°1—� {}i: S,i.G 17Llt �JV �l�:E� R��:�ir�w �.=��. . :=�r� ��;.�--�• r; :��- an I�7fLL1� !L L1i'+TV ��U l�C E-3��t)''�l=' �� , �i(i -;-f•t 7 L i_Ti.i:t]?h� Yt'Si b - ------ — iii_�•�lr t r nneri� t�:t� C N J 1 7 ;f'!d.5ii'ii f'1i11 1,/f}� !1 a1�:S'� ��.�t 1 � �� :•_'�._'• -�'_ }7c'.L�TVYL• V1lVl 11VJ ll��il ��:s�j•±j�' �!r.J YLI /�'J CONTRACTOR: — �c=cr1 i r�;�-it. — OWNER: �,�1t�r:�? r;_�;?_�!�:��; C:l=�t��°=�? Il�L: �.4?=�_;is�„� .;'��°,�°�;�� Ftfjl�Il'��Y ~ �=� . �_i. �:€:i� �'�� '=.i`� �-1�:+LLtiP�C��; �;�� !:�l;'Y�'��?�i' ?'1h� �;_;'�i �.it=t==i�ff�� i 11�! ��,:;`_i - - _ — :;i)i=„=, ;:i=,�_`i L�.��—t,T i�j, . _. __ . . . _ _ _ _. I -;i�-r:�• -h L: l a_ i' ' r ' -- -- r-• 7�_�� - �,:•{= t'-- r-: -t ''y.,'( L i_til �"•:`��!'"_ �.�1'•�#_�:_�'+=�••7�•�i_1� i�`��'.��i� aW:�'_•.:,E` `._�� ' `_ � `i:1'1.e:�_,i:[j'�l i�_� r'��i•�.� �3'?�'� .i.�>�1�. 1�"_.�":�:•_''�?�._��_-�i�"- ',�': ,_.,r_. ..,^,-r•r r• � � -.�, . .� _ _ ;,_S . ?• t�.:T�' ' F:h' .- 'r � �_._.L.� : !"' .. ..�., ,. ��i_ _ q °' t'� � i.i:_�"'. . .. ' t i+. � �� tt" �3 T i.� 1 �" IY'F .,_,i , r �,,_.._) F,[ui_3 +-t _:._, i :_.i ��, . � � t;'F: :'.� .� i _. . t:7_F��. t �,�iq��._.� .. :. i � ��....L _. . _. ��'•'�_��`,I�_� �_�.''.�'Jl�f��a..:�- F-,;��3� '�ra";s- 3_�. �.;.i':`�;E��i:'.��i�;�� i�iS � �: t'•� ! li�i�- r;' 7L=��'--1i;�`��_� � _ . . � _ I _ It:-� G- - r.__�:�..�� _�,� . � ,., �� , �� APPLICANUPERMITE IGNAT ISSUED 9Y:SIGNATURE ,(/� �� CITY OF ORONO - BIIILDING PER�LIT APPLICATION Total Fee: $ .� � �• �T�-� Date Received- . Date Approved: ,�' Entered By: ' ,��:; � —'' Permit�: `{�J� 7 AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILL B$ STAR�ED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE A.PPLICANT IS: (circle one) OWNE or CONTRACTOR , � JOB SITE ADDRSSS: c�� i'��`��'°'-� L�� J�� ZIP: �� (work) � N� OF OWNER: ��'��1/' -�''-�` PHONE: (home�� I�+t�II,ING ADDRESS: � J �CITY: ZIP:�� CONTRACTOR: L��% �� l �� PHONB: ��Ol�d MATI.ING ADDRESS: ��p2 CITY: ZIP:JrS STATS LICEIJSE: � �1i� i�4%�c�� ARCHITECT/ENGINEER: PHONE: MATLING ADDRSSS: CIZR: ZIP: NAI�: RBGISTRATION � TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration� Renovate Land Alteration F � �� PROPOSED WORK (describe in detail) : �� -� ✓ •, STORI$S: SQ. FEBT OF EACH FLOOR: NO. OF BEDROOMS: GARAG$ STAI,LS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ ��='�� I hereby apply for a buil.ding 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 a�o dance wi h the approved plan. . - . / / APPLICANT'S SIGNATQRE DATE: `�� • � /�.��,,,,��'� � i 4 r� C�A+ *R � � c9L� f x '''� 'Er ` � `� �� : � CI'�Y of ORONO ; �- -�� :4 K��: � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices �9 � - � � 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 Iicense 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 reguested. 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 Iocal, state or federal agencies to the extent necessary to process the permit or Iicense. 4. If your requested permit or license requires Counci3. action to approve, some information may become pubiic. 5. You have certain rights under M.S. 13.04 to review pri�a�L data on yourself. 6. Your full name is required to process this applicatian or permit. ,�' � i�� ; �� ' , First Middle Last v� �.J�'. � �� -, �� d� / .c_� Address �� / �� fi4�--- ✓ -` � City State Zip ��i��-�'_�C"�', Phone I understand my righ s as stated above. �� . Signature . � � BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSING —___ - ------ ._.._ _ � � �a �.04 RIGflTS OF SIIBJECTS OF DATA � Subdivision L Type of data- The rights af individuels on whom the data is stored or to be stored shall be as set forth in this section. •viduel asked to - to be given individuaL An.mdi � Subd. 2. Information r�a � .' su 1 rivate or confidentiel data concerning h8mvs1�n the collecting stat agency, PP Y P purpose and intended use of the req t med �b�Whether he may refuse or is legally political subdivision, or statewide sys �o� consequence arising from his required to supply the requested date; (�) anY su 1 in or refusing to supply private or confidentiel data; and (d) the identity of PP Y g state or federal law to receive the data. This. other penons or entities authorized by P �vesti ative data, requirement shall not apply when an individual is esked to su ply g pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue me lace the no�c�e��ructions insteadhos subdivision in the individuel income tax or ro ert tax re on those orms. _ - ----- -- ��- " . Subd. 3. Access to data by indi��L �P°n request to a responsible authority, an individusl shall be fnformed whe b C hPrieateeor eonfiden ial.e UPon his individuels, and whether it is classified as p � ublic dgt8 on further request, an inaividuel who is the subject of se t�e�mri�ae if he desires, shall individuels shall be shown the data withou�f an��ta• �ter an individual hes been �e informed of the content and meaning t� �� need not be �sclosed te shown the private date and intormed oi its meeninB� u��t to this section is him for six months thereafter unless e diSPute or action p � rivate or public data upon request by ending or additional data on Lhe individuh hes been collected or created. e � P require the responsible authority shall provide copies e p ilin the The responsible authority may the individuel subject of the data• c�rtif 'n and comp g requesting person to pay the actuel costs of making� Yi g� . copies. 1 immediately, if possible, with anY request The responsible authority shall comp y of the date of the request, made pursuant to this subdivision, or �th uda e �if�mmediate complianee is not excluding Saturdays, Sundays and legal �' with the ossible. If he cannet comply with the request within that time, he shall so inform the P hsve an additional five daY'S With�n Wh�ch to comply individu8l, and maY �nd le al holidays- request, exeluding Saturdays, SundaYs g Subd. 4. Proced�a'e �►hen dtta is not aecurate or complete. An indi�iduel maY himself. To contest the accuracy or completeness�of publie o lnrf�v�a.t�the°Tesponslble authority exercise this right, an individuel shau notify �ible authoritq shall within 30 describing the nature of the disagreement. The respe days either: (a) correct the data found to be inae a�e��ng pee�ipl��namedt by . notify past recipients of inaecurate or incomP the individuel, or (b) notify the individuel that he believes the data to �ement is Date in dispute shall be disclosed only if the individual's statement of �8�' to the • included with the disclosed data• ealed ursuant ' The determination of the responsible authority may be aPP p provisions of the administrative procedure act relating to contested cases. � CHECR OFF LIST FOR ISSIIANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z Sv (-tb/�/�1�v/JP2 �a i4� pID- DESCRIPTION OF WORR: �A"R� R.�v'►'�nnc:.� ----------------------------------- • ZONING REVIEW BY: NI�' DATE APPROVED BIIILDING REVIEW BY: c��q DAT$ APPROVED: f - z Fr�S� FEES TO BE CHARGED: Misc. Fees Ca�culated By: PERMIT Yes � No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes c/ No WATER CONNECTION INVESTIGATION FEE Yes No �- PARR FEE SAC � Yes No ' SITE INSPECTION Number of SAC Units OTHER (specify) -------------------------------------------------------------- ZONING CHECR LIST Zoning Distr' ct: Fire Department: Post Office: School Dist i t: Lot Area: Width: Depth: Survey Submitted: es No Dat of Surv y: Proposed Setbacks: Front (Lake) R' ght Side: Rear (Stree ) : eft Side• Adjacent S ructur s : Wetland: Building Heigh : Def. Hgt. Peak Hg . Avg. Setback: L t Coverage: E isting Proposed Hardcover: -75 ' 7 -250 ' 2 0-500 ' 5 0-1000 ' Hardcov r Variance eq ired: Yes No Date of Council Approv ].: Gradin : Staff App ov 1 Date: B : Council Approval ate: Septi : Staf f Appr v 1. Date: BY= Zoni g File:# Reso ution #: Resolution Date: S (in house) : 1 r s fi � f�/ � i79 P2l JA C �� BIIILDING REVIEW CHECK LIST , IIBC: YfT R'3 CONSTRIICTION TYPE: � ' Sq Footage $ Per Sq Ftg Basement X = ' lst Floor X - 2nd Floor X - Garage x - . x = TOTAL $stimated Construction Value: $ II�UOc) °Q Inspections Required: � Work Requirinq Separate Permits: Site ` OC Plumbing Grading/Fil7.ing Footing Mechanical Fire �Framing Septic Water Connection �Insulation Fireplace Sewer Connection �Wall Board (Masonry) Lawn Irrigation Fina 1 (Mf g.) Other Other Well (State Permit) Electrical (State Permit) ----------------------------------------------------------------- REMARRS (IN HOIISE) : ----------------------------------------------------------------- REVIL�7 BY OTgffitS: DATE: Access: Existing New Access Approval: Date BY= ----------------------------------------------------------- Rffi�lARRS (TO BE NOTSD ON P$RMIT) :