HomeMy WebLinkAbout1998-010127 - remodel interior PERMIT
ClTY �F ORONO PERMIT TYRE:
2750 Kelle Parkwa P.O. Box 66 ��t�1�"';��;J��
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Cr stal Ba , Minnesota 55323 Permit Number:
y y Date Issued: ;�����:�f�'��=�
(612)473-7357
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: _ _
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AP LICANT,-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� Total Fee: $ ����` �'� Date Received:
. �"ntered By: n Permit#: � t;' 1.� '1
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CIT� UF ORUNO - BUILDING PERMIT APPLICATION
Ail information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------=---------------------------------------------------------------
THE APPLICANT IS: {circle one) WNE R COI'�TRACTOR
JOB STTE ADDRESS: 3�� 4,i�!��t.'�5���. riu�- ZIP: 5 5 3�I
NAME OF OWNER: �F.V/ril �e�rN.a v�/� PHONE: (home) �7 j-7 7�°f
MAII.ING ADDRESS: ?j�s5 G,i 1C��► S (work) 9�' �7`,�ro
� '�v cITY: _ o�a�o zIP: 9/
CONTRACTOR: t�.J�� V'uG1►��'���►r` PHONE: �I�� 7 ?�
CONTACT PERSON: /tiJ MOBILE A E • �'D/-2!��
I��LING ADDRESS: �-�`'S'� �yi nh 5�aN AU�CITY: Ra�c� ZIP: yZ 5;�ql
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIp:
NAME: REGISTRATION#
TYPE OF WORI�: New Addition Accessory Structure
Move RemodeI/Alteration� Land Alteration
PROPOSED W�RK(describe in detain: F�t,�t,o+Q,� t�'c.h� � �jq�Tl� i n F,
�- ���• � � ia SF.,EP�e 2
STORIES: I � � SQ. FEET OF EACH FLOOR: � s�^ S''���F. Z•�P "ZyOSf.
NO. OF BEDROOMS: Z GARAGE STALLS: ATT. DET. 2
�}. �
ESTIMATED CON�TR�JCTT4N VALUATION (excluding land): $ �V�
T her�by apply for a building permit and I aclmowledge that the ,informatian above.is comglete and
accurate; that the work wili be in conformance,with the ordinances and codes of the City and with
the State Building Code; that I underst d this not a permit and work is not to start without a
permit; and that the work will be in r c with the approved plan.
APPLICANT`S SIGNATURE: DATE: _ L�''�-��
NOTEI Parade o,f Homes events require separate permit approval by PoZice Department and
City Council 60 days prior to the event. Non permitted events will not be alt`owed.
5
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Sec.I3.04 RIGHTS OF S(JBJ'EGTS OF DATA
•Subd. 1. Type of data. 7'he rights of indiviclual on whom the deta Is stored or to be S���tl be as set forth in this secdon.
Subd.2. IaPormstloa required to be Eiven iadividual. pn�ividual asked ro supplY Private or confidential data conceming himself
shall be informed of: (a)the purpose aM inoer�!uk of the requested date within the collecting sate atgeecy,poliocal sabdivision,or statewide
sysoem:(b)wtuther I�may refuse or is IegallY raNirod to supplY qie requested data;(c)ar�,know���
refusing ro supply private or conhdencal daq;and(d}the ide Q�ence arising from his supplying or
This requirement shall not appty when an individual is asked to��►y���gative.daffi upursuantbto se uon 13 82, subdivis on�5 toea Isw
enforcement officer.
The commissioner of reve �e Av olac•du npdce ro ire��ndPr hic c�����sion in the inri
insi �crio s instead of on d+�c,� � ividual inc��+ �AY��
5ubd. 3. Access to data by indlvidual, Upon request w a respons�ble authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,pcivate or contidential. Upon his further request,an individual wko
is du subject of swred prevate or publis data on irxlividuals s1�aiE be shown the dara W�yp���y��ge to him and,if he desires,shalt be informed
of the conteM and meaning of that dara. Afcer an individual has been shown the private data and informed of Its meaaing,the dara need not be
disclosed to him for six months thereafper unless a dispt�te or action pucsuant W thi�secpon i�p���or additional data on the individual has been
collected or crea0ed, The responsible autlwriry shal!provide copies of the private o�public data upon request by the individual subject of the data.
'Ihe cesponsible authoriry may require the requesting person to pay the actual costs of malQnE.certi{ying,and 6ompiling the copies.
The responsible aurhority shall comply immediaoely,if possikle,with any rec�uesc made pursuant to this subdivision,or within fivt days
of the date oP the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. lf he cannot comply with
the roquest withirt that dme,he shall so inform the individual,and may have an addidona!five days within which m comply with the requeat,
exctuding Saturdays,Svndays ard legal holidays.
Stibd.4, Procedure when data Ly not accurate or canpkte.`pa individual may contest the accuracy or compleceness of public or
privaoe data concerning himsetf. To exercise this right,an individual shall notify in wriang the respoasible suthority describing the nawre of the
disagroement The nesponsible aathoriry s6all within 3p days oiWer. (a)correct the data found m'be inaccuraoe or incocnptete and actempt to notify
past necipient�af inaccurace or incompkte da�,including recipients named by�te individual:or @)notify the individual that he believes the data
to be correct. Data in dispute shat!be disc(osed only if the individuai's statement of disagreement is included with tho disclosed data.
The determinat�n of the responsible auttroriry may be appealed pursuant to the provisions of the administradve procedure act reladng
to conxsced cases.
DATA PRIVACV Anvrcnuv
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like W inform you that your
request for a permit or license from ttie City of Orono or any of its departments may require you to furnish certain
private or con�dential information.
You are notified that:
1. The information you furnish wiIl be used to determine your qualification for the permit or license
requested.
2. You mayrefuse to.supply data, but xefusal may require that the Ciry deny the permit or license.
3. Tlie'information may be shazed with other local, state or federal agencies to the extent_necessary to
process the pernait 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.
�V�N �� E,c�E HRr�N
First � � Middle Last
.?,��'s? L,�r�.�JS� A,�e,..
Address �� ����/ �/����
��
Ciry State Zip Phone
I understand my tights as sta d v .
. .
Signaaire
6
- CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3S5 9 �.tiv�v�r 6 Sro�v �►vg
PID:
DESCKLIP'TION OF WORK: ?,�vv��rsc.c- i nr-r�.c�c. orvc.
---____ — -- - ---------------- - �
ZO�tING REVIEW BY: DATE APPROVED: ��-9' �
BUII.DING REVIEW BY: DATE APPROVED: �- Z� -�i i3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r/ No
pL�,N REVIEW Yes ✓ No SEWER CONNECTION
STATE SUR�HARGL Yes �� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Y:;s � No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO�tING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
L.ot 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.
�• I.ot 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: L.ot Coverage:
� Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
gEMARKS (in house):
• 26
�
BUII.DING REVIEW CHECK LIST �
�C� R'.3 CONSTRUCT'ION TYPE: �//J
' z Sq Footage $ Per Sq Ftg
Basement x =
1st Floor R =
2nd Floor x =
Garage z =
R -
TOTAL
Estimated Construction Value: $ '�,Ooo '-�
Inspections Required: `Vork Requiring Separate Permits:
Site . oC Plumbing Fire
Hazdcover Removal �_Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
( Insulation (Masonry) Other
K Wall Board (Mfg.) Well (State Permit)
� F�� Grading/Filling �Electrical (State Permit)
Other .
------------------------------------------------------------------------
REMARKS (IN HOUSE): (�y o�L�c.. ST�i't�c;� C�/o �E%�vr T
-----------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
REMARKS(TO BE NOTED ON PERMIT�: S �T� ��v s�c c.,re�.-+� r�t;(,�u�/t.�"►�
QE�O/L� l.voR K /Z.�'�uin.0 5
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/ 12' 05�� �
FA '��°� � �� P�
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� Deck ; _ �� ����
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i 20, � 24 �
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1 . 0 n
Bath Kitch � 10'
2 ' Bedream
g�d C Dina�ng
Room
Room
28 . 5'
n 28 . 5'
F p
P Living Room Kevin Wehrmann
3559 Livingston Ave
Ent Orono MN g5391
24 '
Living
First Fl�or 844
Second Floar 240
Total Sq Ft 1084
First Floor
36 . 5 x 20 x 1 = 730
28 . 5 x 2 x 1 = 57
28 . 5 x 2 x 1 - 57
Total Sq Ft 844
" � ����ecZ4d Fxp10 x 1 = 240
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SE� e�►�"T��.�...,�-;�� �J:�€�:��.-�
asement
��[� �if V1 C`l� �1-���� Z 4 x 2� x 1 = 3 3 6
CODE FZEC?lJIF�EN'iE[�i��� ,
, CITY OF ORONO
BUILDING P� IT N REVIEdI�
INSPEC70R �
DATE `� -2t� �I� PcR��dIT N0.
D APPROVcD A5 v'��t'���iL
,Q'APPROVE�U.'1T�1 CQ���CTiOl�S AS t�OTED
� NOT APPRi;\'�D---Cbi'�;�.0 i&RtSIlSNIlT
These comments are'oryoar iniormotion. All work shall be danA
in fuli compliance with all anj��icable bui(ding and zoning coda
Requireme�ts including itet-�s not specifically.noted in ihis review.
KEEP TH�S PLAN SET ON SITE AT ALL TIME�
�i� t� sP��� ��v ��c�v,�� ���'� w�21c 12�s�� s
2393-H Rice Sueet,Rosevilte,Mn 55113, (612)-483-2393 fex(612)-483-2195
Kevin Wehrmann ' ��
3559 Livingston Ave cx+s�'i�v 3��k �ooQ � �EC-K f�`a
Orono MN 553��T� �,p,'L��� �
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DATE TIME
CITY OF ORONO CALLED IN ''l ' �.'�
INSPECTION NOTICE SCHEDULED -��/��' /��3�>
PERMIT N0. ��% �a 7 COMPLETED
ADDRESS �'��� 5 �"���z�.>,���
OWNER �.����?.m.r��� � CONTR. �
TELEPHONE NO. '`�7�- '7'��S
� DESCRIPTION . i�E���zC�_-�/
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLWG
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�02 —F—R�A-MIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O03 IC N�TJON�.' 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 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES�O
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� BEFORECOVERING PERMANENT
C1 CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR W�LL RETURN
i'. CITATION ISSUED
C;STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for t in ction 24 hours in advance.473-7357
OwnerlContrac n site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN G�����7 '`� ��� �?
INSPECTION NOTIC�G/ � ,� SCHEDULED
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PERMIT NO. MPLETED _X �_
ADDRESS �s J , ,
OWNER l.l,�o,�i�.,����� CON R.
TELEPHON E NO._� 7�"' �7 SL�1
� DESCRIPTION
Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE ,gL
Z 04 WAL�BD. 12 WATER HOOK-UP 17 SITE INSPECTIO�,
Q OS FINAL 14 SEWER HOOK-UP O6 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 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
f�CORRECTUNSAFECONDITIONWITHIN HOURS. i PHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CAlLTO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance.473-7357
OwnerlContr t r site
Inspector. -�
White Copyllnspector's File Canary CopylSite Notice
D TE,�, TIME
CITY OF ORONO CALLED IN �� ��� �
INSPECTION NOT�E SCHEDULED c�2�y // : « U
PERMIT NO. � coMP�ETE� 1/�, �`�
ADDRESS '�� —G �-'� '
OWNER`s-�� A �-� CONTR.
TELEPHONE NO. ��/ - �7 � `�'��
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FIN 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
P UMBING FINY�I� �� 36 FOUNDATION/REMOVAI
� OW RTOMEETYOU: YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN L CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-73�J7
OwnerlContra t n it :
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice