HomeMy WebLinkAbout1996-007692 - interior rem/finish ��E�RMIT
` CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
�:4;1.►,[.�I�s:�
Crystal Bay, Minnesota 55323 Permit Number: ;��;f;y,��:;�
(E;12)473-7357 Date Issued: �-yy.��� ��.��,�;;.,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — ������. �.r t:?!3i.• ` �-� t . L I�..• OWNER:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��-C�,
t �, � . I � � DateReceived: � �.� r �
Total Fee: S J = �
Date Approved: �-a S��'7 G- _
Entered By: ��T� Permitfi: ��1�_
CITY OF ORONO - BUILDING PERII�IIT �.PPLICATIO�T
AI,L I�i tFORi1�1ATION�ItiST BE SLB�iTTTED L'v FLrLL BEFORE PL��I REVIEW`VII�L
BE ST:�RT'ED
----- - --------------------------------------------
-----==------ -------------------------
THE �PPLIC:��1T IS: (circle one) O`V�1ER O CONTRACTOR
JOB SITE ADDRESS: ��� �-�'��l �'��)� _ ' ZIP:
�" PHO�i'E: (home)
NA�I� OF OW�1ER: (���� 0 �G��� (work)
1�1�ILL'�+TG�,DDRESS: - �: , ,r �J�.'�.-� ;�:_ �3TY: ZIP:
, 4 �� `-�` l���z Pxo�: �7 3- °f�I D
co�vT�cTOR: �1�t�D6��� � ��'�=� � t � �
�IOBILE PHO�IE/PAGER: ;r;f,5 -��!�-N1 --�1-7 7o Z D
MAILING ADDRESS: �. � A F� l_�,,J,�CITY: � ,�H�`%:�{��� ZIP: � 5`�i I
STATE LICENSE: # � ►�
ARCHITECT/ENGPi tEER: PHO�tE:
17AILli�tG ADDRESS: CITY: Z��
��v�. REGISTRATION �
TYPE OF WORK: New Addition Accessory Structure
iVlove Remodel/Alteration _� I.and Alterarion
� ��.!_ ' � -s r:,,-r, r
PROPOSED�VORK(describeinde�aill: ; ��.��b1� �� �`��� ��-' ��7/---1 � ^-�
� t�� � _
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOVIS: G�RAGE ST�I,LS: ATT. DET.
ESTL�L-�TED CONSTRti CTION V:�LUATION(eYcluding land): � �, ��
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 Ciry
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.
A�
�iPPLIC�ii�1T'S SIG�IATURE: � " `�> DATE: - �Z � < �
NOTE! Parade of Homes events rvent.e Nonrerml�edl eaent�willbn�beCaj�w d ent and
City Council 60 days pnor to the e P
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�'C� , ^ ;l '`: �J~ Crystal Bay,�t;nnesota 5�32�0066
�`�kESH���
DATa PRIVACY ADVISORY
In accordance «�irh `i.S. 13.0=�, Subd. ?. "Rivhts of subjects oT data". we would lil:e to
intorm ��ou that your request ror a p�rmit or license rrom the Ciry oi O:ono or any oi its
departments may require ��ou to furnisn cenain pri��a�e or contidential information.
You are notiiied that:
l. The inforrriation ��ou fi,�raisn will be used to determine }�our qualification for the
permit or licensz requested.
?. You may refuse to suppl}� data, but refusal may require *�hat the City der.y tr�e
pernit or �icense.
;, The information may be snared «�ith other local, state or federal aaencies to t}.e
eYtcr�t .lecessary to pro�ess «�� Perr7it or license.
1. If ��our requested permic or license requires Council action to approve. some
inrormation mav becom� DllDl1C.
�. You ha��e ce;.ain ri�rts und;.r M.S. 13.0^ (see follo���in, paQP) to revie�v private
data on yourselt.
6. Your full name is required to process this applica�ion or permit.
PLEA�E PRL�T
�' �-`� �%��/ f��
First �f idd;e Last
r—
����-1 �� ����x� � C 1
.�ddress �,
G�-�r�?��l 1�1 V'`�11� �.�� :�
C ity
State Zip rhonc
I understand my riahts as sta�ed above.
�, ---
SiQnarure
v TEI.EPHO�V�E-373-7357• F.�?C-�73-0510
� �
' � ,
�.p.4 RIGSTS OF SIIB.7ECTS OF DATA �
gubdivision L Tppe cf data- The rights ction�viduaLs on whom the data is
stored or to be stored shell be es set forth in this se
Subd. 2. Informatioa r�
to be given in���l' An.individuel asked to
� su 1 rivate or confidentiel data concerning �mWitYun the collecting state gency,
PP Y P uested data
purpose and intended use of the req tem; (b) whether he may refuse or is legallY
political subdivision, or statewide sys �oWn consequence arising from his
required to supply the requested date; (c) 8ny
u 1 in or refusing to supply private or confidentiel dats; and (d) the identity of
S PP Y g state or federallaw to ri°e�vest gat ve da a
other persons or entities autWheneanbndividuel is asked to supp y
requirement shall not apply to a law enforcement officer.
pursuant to section 13.62, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individu8l income tax or ro ertV tax re und instructions instead o
on those orms. . � --- - � _
Subd. 3.
Access to data b9 in�ivi�- �P°II request to a responsible
authority, an individusl shall be informed whe b�C hp=vateeor confiden ial.e UPon his
individuals; and whether it is classified as p � ublic data on
e to him and, if he desires, shall
turther request, an individual who is the subject of stored private orn�u� � been
individuels shall be shown the data witho of�hat da a• After an i��
�e informed of the content and meaning the data need not be �sclosed io
shown the private data end informed of its u���action pursuant to this section is
him for six months thereafter unless a �p n request by
endin or additionel data on the individual h� ateeor P blic daterupoeated. The
� P g uire the
responsible authority shall provide copies The hresponsible authority maY req�in the
the individual subject of the ��- �rtif n and comp g
requesting person to pay the actual costs of making, Yi g�
copies. immediately, if possible, with any request
The responsible authority shall comply '
made Qursuant to this subdivision, or withi�ag e �f Simmediategtcomplianae eisun°t
excluding Saturdays, Sur►deYs and legal ho ys�
ossible. If he cannot comply with the request within that time, he shall so inform the
p have an additional five daS'S N►ithin which to comply with the
individuel, and maY 5��� �d legal holidays•
request, excluding Saturdeys,
Subd. 4. Procedia'e �►hen data is not accurate or complete. An in��e�. To
contest the accuracy or completeness of public orlprivy�ai� the�resporisible authority
exereise this right, an individuel shall notify r1
The responsible authority shall within 30
describing the nature of the disagreement. lete and attempt to
days either: (e) cocrect the data found to be inaccurate or incomp
notify past recipients of inaccurate or incomp�t�belie esathe datalto be correct
the individuel; or (b) notify the indtviduel t eement is
Data in dispute shall be disclosa d on1Y if the individusl's statement of �8�' to the
• included with the �isclosed da � 8ppe�ied pursuant
' The determination of the responsible authority may
provisiens of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR LSSU��iCE OF PERItiIITS
FOR OFFICE USE ONLY
:�.DDRESS OR LEGAI.: " � � � �� 1� � � -
PID:
DE.SCRIPTION OF WORK: % % �' � �
ZONING REV�W BY: N�/� DATE APPROVED:
BUII�DING REVIEW EY• � DATE APPROVID: �- z�—g.6
- ---------------------------
FEES TO BE CH�iRGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes ✓ No SEWER CONivECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE 1'eS N0 � � INS ECTTON
SAC Yes No
Number of SAC Units OTHER (specify)
-----------------
ZONING CHECK LIST Zoning District: Shorel d District :
Fire Department: Post Office: School D s 'ct:
LotArea: Sq.ft. Acres W dth Depth
Survey Submitted: Yes No ate of Survey
Proposed Setbacks:
Front ( ): Ri t Side:
Rear (Str t): ft Side:
Adjacent Structures: Wetl d:
Buildin� Height: Def. Hgt. Peak H�t.
Av�. Setback: Bluff S back: t Coverage:
Eeistin Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover V 'ance Required: Yes No D e of Council Approval:
Grading: St Approval Date: By: Council Approval Date:
Sepdc: Staff pproval Date: B, '
Zoning File: Resolution: # Resolution Date:
R;F:�VI[ARKS (
in house): � 1�-� .� �F'o /J�s�s�-ti ��---�
♦
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BUII.DING REVIEW CHECK LIST
UBC: ('Z• 3 CONSTRUCTION TYPE: �V�S
' Sq Foota�e S Per Sq Ft�
Basement z =
lst FIoor z =
2nd Floor z =
Garage x =
R =
TOTAL
d�
Estimated Construction Value: S y��?�v
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
p�Insulation (Masonry) Other
p�Wall Boazd (Mfg.) Well (State Perm.it)
�F�� Grading/Filling � Electrical (State Permit)
Other
REMARKS (IN HOUSE):
---------
REVIEW BY OT'I�RS: DATE:
Access: Ezisting New
Access Approval: Date BY�
- ----------
RENIARKS(TO BE NOTED ON PERMIT):
27 .
DATE TIME
CITY OF ORONO CALLED IN ��� �� 3 O ct�tj
INSPECTION NOTICE SCHEDULED ��'
PERMIT N0. ���"? a—' COMPLETED _�
ADDRESS �3 �
OWNER TR.
TELEPHONE NO. ��"�, "- / 3 � 7
� DESCRIPTION �
� 01 FOOTIN(i 11 MECHANICAI RI 18 D(CAV/(iRADINC�/FlWNO
��� 13 MECHANICAL FlNAL 19 LAI�SHORE/WETLANDS
pl INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= ps�� 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPWNT
v
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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d �VCORK SATISFACTORY:PROCEED = PROJECT COMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owne�lContract i .
Inspector.
Whits Copylinspector's File Canary Copy/Site Notice
J,
t/DATE TIME
CITY OF ORONO CALLED IN / -�s-��
INSPECTION NOTIC�� 9.� SCHEDULED �_ %%0'8
PERMIT NO. COMPLETED
ADDRESS 3 3 � /'����D�h�
OWNER ��Gl�e� CONTR.� �-�`'' �
TELEPHONE NO. �7�' �� yd
� DESCRIPTION __ ���r�
� 01 FOOTINO 11 MECHANICALRI 18IXCAV/ORADINC�/FIWNQ
y 02 FRAMINQ 13 MECHANICAI.FlNAL 19 LAI�SHOREIWETI�4NDS
p 03 INSULATION 24/25 WOOD BURNEFi/FlREPLACE 34 TREE REMOVAL
� 04 WALL Bp. 12 WATER HOOK-UP 17 SITE INSPECTION
ti� FINAL 14 SEVYER MOOK-UO O6 PROORESS
v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPWNT
W 07 DEMO—FlNAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
y COMMENTS:
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d �ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for t e xt i tion 24 hours in advance.473-7357
OwnerlContract n te:
Inspector. � �
White Copyllnspector's File Gnary Copy/Site Notics