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Home My WebLink About1998-010011 - interior remodel PERMIT , ;�(�TY OF ORONO PERMIT TYPE: 2�50 Kelley Parkway- P.O. Box 66 €�„i::..,�i"s,��i; Crystal Bay, Minnesota 55323 Permit Number: ;_�i�:t�;i 1 (612)473-7357 Date Issued: t,�:_:��t:,f�3,�, �ITE ADDRESS: �. _iw�t�i I'.;'� F`#_ - _ i•v yi�'s—: 1 f`_.;:':=:—:1;_`—i ii i;,_;% DESCRIPTION: ?[�IT��?�=ih` �+�;��Ctc G.. .=�t 1 i '_E7i's tl';� - ��'[;�a�. �y�� :_�i=--t-irt!.�i��:��'��_�?+�'`i._ _!�_�i f i i}, E�E� i✓F�S:'�:. �i�� .Et`['_�`:t�'"t�l.._i��i'F�_��j�� '�i_.i_ ��S i�i_{„�i 4..��y}f_}i t`'�'__+ [_.;�11�i.,i_.i'��i_ F.•'yl�i�� F ��.�i-? t''�� _r^:"�':3i_I`•_� t�::_�F-�,.j ��:_�tF f-1�_� . �`._�'•; .�._�.','•=;3'•�#�!t'-=�__ REMARF��; �EE Sl1MNIARY: 1:�`f"'1�„S.�}-�{ i I��i`� gL t l}{.fl� '::�1,':�= f �_ �,�_}'�� , i'.� '�E�1:''��}•(} vF-= .�_......_._..� __ i:.. �is3 CONTRACTOR: — ��,�si;��. — :�:� , ; ��: .OWNER: !�G-i�UL.'L.E�.!7.�� .:�=i�{�`�'',��;Y i�.�'1 i_��:��= 1:=:r.t_� (:.:#:;;`T'�;T�'�J'_��.r� ��-,�'�';` <:l:ii�st i :�i-�s i:;'��I C�i� �+'ti _=,r,i''s I;'4 �'i._ _:;'�i 3;��t: � 3;•'� tii� �:�_,�_:,; !_i?�`I_l�.�;,,.E - - - - - ..- ._ ��-_.. :;i=.!�.�; �%��._t�..c:�i'� :�.7�.--'=��.:<<;;_: i_ � _ -----------..------------__ ._. .. ,_ _ ... , �t t 1�•- �F__' ,:� . . ;; _ _ �,...;� �._. .� _.�. .F,�• r,, : �i'"_._ _. :�'_.. .�i t:.tty_._�7 E—j��i`rt-�� ,r�-!`s�F=.t..`=� I�'� }�L't:�="'.;��'� =;�;_::��K i�_1 . ,F;�:.__ � . ,t'". �:ir�i� .!.s'"•�. `s-::i_iy't��.( ,1-, . . . �»�i��E_S iJ 3 a:_Lt ;�-j,'•:f,,� F::�i`.._�_� i {f t t[_} =y1_� til, li'-,�, i I;� _ t `-i j,f,�� t_S_!�{i ys_.�i—��`•�t_•` :4� i �v Hj._� _�� ! i� ,�ir';�i�'°„i t �h'1 i I =••'} �.�"__ };;F:,�E; - --1 l��ii- �'{�".iP { f!�t t�`:!? �:`�;-: '(+i i�- ;��.)��i:=�t�;� s i�:-' -. - - - ._ [vfY.�l,_`•_� .� I�-.T` . . .__ _ . _ _L_�.; . ._. t•_L.:_. �:��,_ �.. t.f'. _ � � D PLICANT%PERMITEE SIGN RE ISSUED BY:SIGNATU E , CHECK OFF LIST FOR ISSUANCE OF PERMITS ` FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3 5 6Q ,�(� P(A�� PID: DESCRIPTION OF WORK: �,o�e� � ZONING REV�W BY: _r/ /� DATE APPROVED: BUII.DING REVIEW BY: DATE APPROVED: 3-/�• S r� FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes � No pLAI�T REVIEW Yes �o li SEWER CONNECTION STATE SUR�HARGE Yes No WATERCOrfNECfION INVESTIGAZ'ION FEE Yes No v' PARK FEE SAC Y;,s No � SITEINSPECTION Number of SAC Units OTHER (specify) -- ------------------- -----------------------------------------------_________--- ZONING CHECK LIST Zoning District: �N� 6��GG Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): _ Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File; # Resolution: # Resolution Date: Shoreland Dis�ict: Avg. Setback: Bluff Setback: Lot Coverage: . g��g Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: REI�ZARKS(in house): . • 26 BUII,DING REVlEW CHECK LIST ' �C� � � CONSTRUCTION TYPE: l//� ' Sq Footage $ Per Sq Ftg Basement x = � lst Floor � x _ 2nd Floor x = . Garage x = . x — TOTAL Estimated Construction Value: $ o,o a� `=" Inspections Required: � Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection , _�Framing Fireplace Lawn Irrigation o�Insulation (Masonry) Other �Wall Boazd (Mfg.) Well (State Permit) � F�� Grading/Filling Electrical (State Permit) Other . REMARKS (IN HOUSE): � ~`- ------------- -------------�� REVIEW BY OTI3ERS: DATE: �'M-------------- Access: Existing New Access Approval: Date gy; REMARKS(TO BE NOTED ON PERMIT�: ' � � 27 � - ' � Total Fee: $ �(�a�� Date Received: Entered By: n( 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 CONTRACTOR JOB SITE ADDRESS: ��`f �vr �( ZIP: ,�S—�� NAME OF OWNER: ��v'�/ �/Gti� �,''�e�S e� PHONE: (home) �f��'—�l� (work) MAILING ADDRESS: ��- CITY: ZIP: CONTRACTOR: � VJ Uti �- ��-- � PHONE: '�� t �' �� Z CONTACT PERSON: MOBILE/PAGER: SS�f CJ��-Cc MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: � MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: � � ..� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. c�� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �dov I hereby apply for a building pernut 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: NOTE! Parade of Homes events equire separate pe it approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � � � . Sec.13.04 RIGATS OF SUBJECTS OF DATA Subd. 1. Type of data. T'he righu of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data withirt the collecting state agency,polidcal 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 rofusing to supply private or confidential dara;and(d)the identiry of other personc or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigaave data,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The cotam�ssioner of revenue mav olace the nodce reauired under this subdivision in the individual income tax or oronertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without atry charge to him and,if he desires,shali 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 daha need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been coll�ted or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individuai subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,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 time,he shall so inform the individual,and may have an addirional 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 privaoe data co�erning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. 'Ihe responsible authoriry shall within 30 days either: (a)correct the data fow�d ro be inaccurate or i�omplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in dispute stiall be disclosed only if the u�dividual's statement of disagreement is included with the disclosed data. The determinaaon of the responsible authority 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 �ity of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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. First Middle 1-as� Address Ciry State Zip Phone I unde d my rights as st e. Signa 6 DATE � � TIME CITY OF ORONO CALLED IN =_=� �� iNSPECTION NOTICE SCHEDULED 3 � ` ��L�� PERMIT NO. i�'� �/ COMPLETED 3- t 4 -4� � v Csu` ADDRESS %; _��L '� .-�'v`��' � ��.r�� ,� � � OWNER 'v`�J Ctc:.rL>-Lr�- CONTR. �f` ;�: C�,.�•. t:LL' TELEPHONE NO. � ��— �-' e� � Z__ � DESCRIPTION � 01 FOOT{NG � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q � FRAMING a 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d �VORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W � C;CORRECT WORK 8 PROCEED f: ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. f- PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract n si • Inspector. �� White Copyllnspector's File Canary CopylSite Notice ' Wi dow Sh et �� _ � ORD�� -� _ � _ _ _ }I . _T _ _ _ _ : _ _ _ _ _ _ � _ _ , _ ,_ _ _ _ _ _ ___ _ � � �--� � � � I I .__ _.__ _.. _. ._ ' � I � -� I _"__ "—" ._ .. _ _f , � . - - �. _�-. 4 1_ , � �� . • --� , i - � � � ` .$ _ - -- - - - - - -- � i r ` . . _ --�- - - - ---- -�- _ . _ . - - r -r- +- } f - - - / (`D � _ _ ; t � ' 1 f : . � � i f �_ ` t_..4 J i � r . 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Gf`dCEfn:�L:i'ji 1'10� !�r P'dl�bei ' •"'� ' �"! �t 1 i`1' �f!?� �t 4i.�. ts;�ia.a, P✓�U��-2 S►�,n��[w �.e��,Z�Zi 25 ` . /_ G��-� ► , �" PERMIT ' '�CITY OF ORONO PERMIT TYPE: � . 2750 Kelley Parkway- P.O. Box 66 �.i.11+_�?�€��;� Crystal Bay, Minnesota 55323 Permit Number: {_}j _a j':��, (612)473-7357 Date Issued: - - - - (i:—r: �:3;:,�,_: I SITE ADDRESS: � _�,s� �,}:�,. �:,_ I ��;-� �� t:�! . ..-_''i l-i ; -,;;;•_�- -•(%;3�:';! DESCRIPTION: �.��< <C;i=. � ;�1{2 I };j}�'i�7 i�+�1'fit 1,L ` E Y�'a=a _�i"��;tj'f};`i"'•.`i"I�_�i1t`� ��t:� i �"�3 1 i�s S,i4�ri)'�:: ��+F� 1=i`�-:<<T i;`. _ '..'s.#l�_��:� �.i�kf��i �_iF.r j"�!„�; . �3'.`.�•_'3.��=�lF4��i'�j� REMARKS: FEE SUMMARY: I ��}a:_{l,=;;?�:lt,� �:•�=,, i:iii:� _ _._- `�'= �'' --' . ?.�, _, �3�=1"';=:f'==?:=� ________ =.F{.� ;��t.�= F F;,�, ��. ��^�_` I CONTRACTOR: _ ��,�,� �,��,,;-�F, _ :�;R . ��,-_ .OWNER: :ii�-i{'v3_'ii�":af":.,i 3_.��i:'y�Y �e�./ I S_F1"�� S.—i�'..-i �.i.i'i. i ��f 1 �j'��eE'ji� �i�i�"t��i� t �;.i:�i=ii�i '��-I;_i;�i�LI�4� ��` :�;�L,�=� i.'�%Y F`L °-�F'`:t��`,{{: i"�',�'-i'rS:l�., ��f'w C�� 'ii ii'�, {_It`i::.i�:�:_� r°'�� 'a i_��_J_ . _ _._ . . . � - - -,.• �- ~�u_ _ _ � E f"'s:' �i��Si�7"il��—e f�"i'vf"i i �"i�"'�ii.f"...k� t"�;._. � _ �:j-.'.:i'vi"'. ' " e.i��u { i � rr�i--iI':,r. j i'i�"' i'1i�i'r-:F e i�i"�i`.iyilvlf"iri�"i'� � _,� .�.......;»».. . .'�i.: . . ...... _� ._...... .� .� .!. ...�_... . ..„..�....,._. . . .�.i��i i'.'_'_.�' � _' . .«... .. ._•�+:`1 _.. . . _. . .. .. .�. , . .._- . ... ._... _. .. . ..., . .... ..... . . _. -.-.,--.-.r,--�,-._ >"- ;-iCi._.�,__�--. ' -t i -� i �-.T.-, t.��{i ` 7;`.t'.`�:.: ;.E ' r ._. _ ' .� ; :i i . r.�r . -, � ' i-;:i-�-'-, . � , t i "��; ��'�. r ; ' ' j,`-'S ,, -�J� �• f • :-; �-i t f� ., , . � t> > � . :�{'i��.:1{' �t��: -.��'•�:�: . ..._ ._ . _ _ _ . .__ . . ..�. .. . �f= _ i�.a.�_� ; _ _. .. ___ .. . . ._ . `s s"� _. � I_{�-ii_iT`.!1_� �_ , , Jtn;`ttv._.3=`._� ':;r:,l�.: �� -� I � �_��.: ;:i� .��.t.��_'- � t-+ r'F_ _i_�3s;v:� „I__ _. � ';dt'ih;s-.i";w-�`„ : - . � J / PPLICA �PERMITEESIGNATURE ISSUED Y:SIGNATURE "C'��' � t Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.DING PERNIIT 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 CONTRACTOR �- ,-, -- � ` JOB SITE ADDRESS: � �j �� ,,% �,�_� = i �- � ZIP: � ��5`l � �~ NAME OF OWNER: - ' �� S�r�� s��,�� r�i PHONE: (home)`�7'- �f%� � (work) CITY: ,,� ;, ZIP: �-�5�s�� MAILING ADDRESS: ��t c��<< Q� �- � CONTRACTOR: i' � '� .-� c�a�.� �-� , PHONE: ��- '�� CONTACT PERSON: ;�,�� , ��f>f>��--��! MOBILE/PAGER: MAILING ADDRESS• -% � <- I ' CITY• �,:�,�, .- � ,:��,^ ZIP: �� :'�� i� r � � �,t. - ---� �- STATE LICENSE: # ; �� ;� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: i � > ' = CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �E 5 �c� � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ' �� ` � 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 i�ot a pernut and work is not to start without a permit; and that the work will be in accordaz��e with tt� approv�d plan. APPLICANT'S SIGNATUR�:--.� � �� , , DATE: �-_�!`i_ ' ;� �i��. �;i� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. � � 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 sto�ed shall be as set forth in this secaon. Subd.2. Information req�rired to be givm individual. An individual asked w supply private or confideadal data concerning himself shall be informed of: (a)the pucpose and intended use of the rsqnesred dara within the collecting Ytate agency,policcal subdivision,or stacewide sysum; (b)whether he may refuse oY is legaliy required to supply the cequesud dara;(c)any Irnown consequence arising from his supplying or refusing w supply privace or confidential data;and(d)the idenary of other persoas or endaes au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuaat m section 13.82,subdivision 5,to a law enfoccement officer. The commissioner of revenue mav olace the norice rewired under this subdivision in the individual income tax or proaem taz refund instructions inscead of on those forms. Subd.3. Access to data by individual. Upon request to a msponsible authoriry,an individual shall be informed whether he is the subject of stored data on individuats,and whe[her it is classified as public,private or con6denaal. Upon his further request,an individual who is the subject of stored privau or public data on individuals shall be s6own the dara wirhout any charge to him and,-if he desires,shall be informed of the content and meaning of[hat data. After an individual has been shown the ptivate dara and informed of its meaning,the data need not be disclosed to him for six months thereafur unless a dispute or action pursuanc to[his secdon is pending or addidonai data on the individual has been collecud or created. The responsible authority shali provide copies of the private or public data apon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of making,certifying,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 immediace compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to compiy with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accurecy or completeness of public or private data concerning himself. To exercix this right,an individual shall nodfy in wri[ing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incompleu and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by die individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shali be disclosed only if ehe individual's stamment of disagreemenc is included with[he disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administradve proceduro act relating to contesud 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 detemune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the Ciry 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. (, Your full name is required to process this application or permit. First Middle Last Address • Ciry State Zip Phone I understand my rights as stated above. Signaare