HomeMy WebLinkAbout1996-007691 - master bedroom/bath --. .- - ... . . 1�
PERMIT
` CITY OF ORONO PERMIT TYPE: ;;��� �� f�f;
2750 Kelley Parkway- P.O. Box 66 � ,
Crystal Bay, Minnesota 55323 PermitNumber: ;;�;�F,=~.�,
(612) 473-7357 Date Issued: t_a�;:=:c#f'�r,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — A�����1 i���-E�. — :��� . #.1�: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: S � `��� �f- `,�' DateReceived: /-�.��?� l �
DateApproved: / - � �'� G,
Entered By: ! � Permit�: �1(��
CITY OF ORONO - BUII..Dl�tG PERI�IIT APPLICATION
AI,L I�1�ORi�IATION 11UST BE SUB�TTTTED Pi t FULL BEFORE PLr��1 REVIEW WILL
BE ST�iRTED �.�,,,
------------------------------------------------
THE �PPLIC:�:�iT IS: (circle one) O�VNER 0 CONTRACTOR
� ,(�;'t, S���!'.�fl �R ZIP: S s �l I
JOB SITE �DDRESS: �o, �� J•��
N�ti1E OF O'�VNER: �,,,r . PHOiVE: (home) �� 7 3 ���S`�
; ' (work)
VIAILINGADDRESS: ����� /�/aQ��S�iok-� CITY: �(�c�,.��• ZIP: ,S�s 3`'7 l
CONTRACTOR: �1�� C� � �,;n� C» «� �n S _ PHON�: �j"7y--7J�i
v10BILE PHONE/PAGER:
`IAIL�iGADDRESS: ���°i -Zr-a'� s� _CITY: �Szc��..s� �� ZIP: �sss--5 1
STATE LICE�ISE: # 2 �,ls=�'(�._
�,RCHITECT/ENGLYEER: {�v t�1 111-�l sj...��R
PH0��1E: � � `7 �-- `t 10�
V1AIL�GADDRESS: �,7v/ %�'f�Mr• �/ �� CITY: 1ti�) �L�� Iti1r'.ZIP: S 5-�0 3
�,��LE: �} (r � f�c'�,L��%T� REGISTR�TION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED�VORK(describeindecail):��sT�(� ���Q�c� � / ��-1�
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STORIES: SQ. FEET OF EACH FLOOR: ����fl�l�.� ��i — �I I a ��"�l.
NO. OF BEDROOVIS: G�R�GE ST�LLS: ATT. -- DET.
ESTL�S�TED CONS'I`RLTCTION V.�I.L;�TION(escludingland): 5 �5�� C�U C� _
I hereby apply for a building permic and I acknowledQe that the information above is complete
and accurate; that the work will be in conformance � �h the ordinances and codes of the Ciry
and with the State Buildin� Code• t I unde d s is no a permit and work is not to start
without a permit; and that the �ork will b in cco ance ith the approved pla
:�,PPLIC�'vT'S SIGNA"TLTRE: � . � DATE: >1
NOTE! Parade of Homes events require�e arate permit approval by Police Department and
Ciry Council 60 days prior to the eveni_ � on permitted events will not be allowed.
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r�' :; ! . Fy Past Q�ce Box 66
�� - ^ '�� -- � G�' Crystal Bay,`tinnesota�5323-4066
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DATa PRIVaCY ADVISORY
In accordance «�ith �i.S. 13.04, Subd. ?. "Ri�hts of subjects oT data". we would li�e to
inform ��ou that your request ior a p�rr.zit or license irom the Ciry or Orono or any of its
departments may require ��ou to rurnisn c�rtain pri��a�e or confidential irLformation.
You are notified that:
1. The info�nation ��ou rs:nish «�ill be used to determine ;�our qualification for the
permit or license requested.
2. You may refuse to suppl}' data, but refusal may require that the Ciry der.y the
perrnit ar �icense.
3. The information may be shared «�ith other local, state or federal aaencies to t},e
extent necessar}� to pro�ess ��.e �e:r��t or licer.se.
=�. If ��our requested pe:mit or license requires Council actior. to approve, some
iniormarion mav becom� pubiie.
�, You hav� ce�ain ri�hts unde: �I.S. 13.04 (se� fo?lo�z7in� p�a�j to review private
data on ��ourself.
(, Your full name is required to process this application or permit.
PLE.��E PRL�'T
��� P� �. Lt;n� ��_��v�
First �liddle I�st
� � � ��� � �
,-�ddress
�.C.��S' �� ��_______�'l•..o � —.�� ;/ [-1'�7 �/���.� L—
Cit;,l Stace Zip Phone
I ""d re stand � ria ts as `taced ove.
�
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re
y � TEI.EPHO?YE-�i73-7357• FAX-�3'T3-Q�10
' �
513.0.4 RIGS15 OF SIIB.7ECTS OF DATA � -
gubdivision L Type of date- The rights e t o dividuals on v►►hom the data is
stored or to be stored s h a l l be s s s e t f o r t h i n t h i s S
t o b e g i v e n i nd���' An.individual asked to
gubd, Z. Informatioa r�d �mself Shall be informe d o f: (a) t h e
� ' supply private or confidential data concerning
purpose and intended use of the requested data within the coV e�f�geso�te�g g�y
tem; (b) whether he ma,
political subdivision, or statewide sys �o`,yn consequence arising from his
required to supply the requested dat8; (�) �Y �d (d) the identity of
supplying or refusing to supply private or confidentiel data.;
other ersons or entities suthorized by state or federal law to receive the data. This.
p when an individual is asked to supply investigative data,
requirement shall not apply
pursuant to section 13.82, subdivision 5, to a law enforcement officer. �der this
The commissioner of reven t� or rolert tax re�und mstructions instead o
subdivision in the individual inc�me
on those orms. . - -— � - .
Subd. 3.
Access to �ata bY indiv��• Upon request to a responsible
authority, an individual shall be informed whether h r vateeor confident al.e UPon his
individuels; and whether it is classified as public, p ublic data on
e to him and, if he desires, sha]1
further request, an individuel whc is the subject of stored private or�du� � been
individuels shall be shown the data witho of�hat da a• After an indi
6e informed of ihe content and meaning the data need not be �isclosed to
shown the private date and informed of its meanin8, u��t to this section is
him for six months thereafter unless a d�SPute or action p
� rivate or public data upon request by
ending or additional data on Lhe individuh has been collected or created. e
� p rovide copies of P require the
responsible authority shall p o�ible authority maY �in the
the individual subject oftrie actual�aosts of malcing, certifying, and comp g
requesting person to pay -
copies. y if ssible, with any request
The responsible authority shall comQly immediatel , P°
macie pursuant to this subdivision, or within.�ig e �f Slmmediatea compliance eisu not
excluding Saturdays, Sundays and legal hol� ys,
ossible. If he cannot comply with the request within that time, he shall so inforth the
have sn additionel five days �n'ithin which to comply
individual, ar►d maY �d le holidays•
request, excluding SaturdaYs, Sundeys �
Subd. 4. Proced�e �►hen data is not eccurate or complete. An ind��e�. To
contest the accuracy or completeness of public or private data concerning
the responsible authority
exercise this right, an in�v�� S� notify in ���e authoritq shall within 30
describing Lhe nature of the disagreement. The respo
days either. (s) correct the data f ound to be lete datae including peec pients namedt bY
notify past recipients of inaccurate or incomp
the individuel; or (b) notify the individual t��du�Slstatementof disagreement is
Data in dispute shall be disclosed only �f the i
• included with the disclosed data. e�1ed ursuant tc the
' The determination of the responsible authority may be aPP P
provisions of the administrative procedure act relating to contested cases•
_.�, . •
CHECK OFF LLST FOR ISSUANCE OF PERI�IITS
FOR OFFICE USE ONLY
ADDRFSS OR LEGAL: : _� , • ��; � . ; �
PID:
DESCRIPT'ION OF WORK: , , . , . :- , , i , � ,
------------- -------
ZOi�tli�tG REV�W BY: /� DATE�PPROV�:
BUII.DING REVIEW BY: DATE APPROVID: � - u ' g 6
------------------
-------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERI�IIT Yes ✓ No
PLr�N REVIEW Yes _� No SEWER CO�IVECTION
STATE SURCHARGE Yes No WATER COivNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes iV'o �� STTE riVSPEC'I`ION
Number of SAC Units OTHER (specify) _
-- --------------------------
ZO�rING CHECK LIST Zoning District: Shoreland District :
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width De ch
Survey Submitted: Ye No Dat of Survey:
Proposed Setbacks:
Front (Lake . Right de:
Rear (Stre t): Left ide:
Adjacent Structures Wetl .
Buildin� Heigh Def. Hgt. Peak gt.
Avg. Setback: Bluff Se ack: Coverage:
Eeist� roposed
�
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardco er Variance Requir d: Ye
� D e of Council Approval:
Gra ' �: Staff Approval D te: By: Council Approval ate:
Sep c: Staff Approval Dat : B '
Z ning File: # Resolut on: � Resolution Date:
�ZARKS (in h0use):
, . ,�..
BLT�DING REVIEW CAECK LIST
�C; Q-3 CONSTRUCTION TYPE: ��
� Sq Footage S Per Sq Ft�
Basement z —
lst Floor R -
2nd Floor R —
Gara�e R —
R -
TOTAL
Estimated Construction Value: S q 5�d�o�'�'
Inspections Required: �i'ork Requiring Separate Permits:
Site 7� Plumbing Fire
Hardcover Removal —OZ Mechanical Water Connection
Footing Septic Sewer Connection
_�( Fram.ing Fireplace Lawn Irrigation
OC Insulation (Masonry) Other
o( Wall Boazd (Mfg.) Well (State Permit)
�p�� Grading/Filling � Electrical (State Permit)
Other
RF,MARKS (IN HOUSE):
--------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY�
------------------
RENIARKS(TO BE NOTED ON PERiv1I1�:
r
27 .
✓
CITY OF ORONO CALLED IN ���(�'� TIME
INSPECTION NOTICE SCHEDULED � �6 % ;3 0
PERMIT N0. �7�/ COMPLETED � _!c�
ADDRESS��o S `�/. ,�lir1.�U�L�
OWNERr2�L � ���--� CONTR.
TELEPHONE NO. '4�7'`� — �/Z/
� DESCRIPTION
� Oi FOOTINO 11 MECHANICALRI 18IXCAV/(iHADIN(i/FIWNO
y 02 FRAMIN� 13 MECHANICAL FlNAL 19 LAI�SHORF/NIETLANDS
p 0�3 INSUU�TION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z��� p�4_W�qa D�� 12 WATER HOOK-UP 17 SITE INSPECTION
_ �SFiNA 14 SEWER HOOK-UO 06 PROORESS
� 07 DEM�SITE 27 SEPTIC NWNT. 21 COMPLAINT
J
� 07 DEMO—FlNAL 15 SEP11C INSTALL 22 FOLLOW-UP
= OB PLUMBINQ RI 23 SEP17C FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:YES_NO
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V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED_CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in tion 24 hours in advance.473-7357
OwnerlContract o e:
Inspector.
White Copyllnspector's Flle Canary CopyfSfts Notice
�
DATE TIME
CITY OF ORONO CALLED IN _/�' 1�
INSPECTION NOTICE SCHEDULED �a
PERMIT N0. '7(o q� COMPLETED _!� �
—�
ADDRESS � �� �
OWNER l v7���Z� CONTR. ���
TELEPHONE NO. �7`�' � �� � /
� DESCRIPTION
� 01 FOOTINQ 11 MECFWWICALRI 18IXCAV/(iRADINCi/FIWNO
�Q 0 � 13 MECHANICF�L FlNAL 19 IJ1I�SHORE/WETLANDS
Q 03 INSULATIO 24/25 WOOD BURNEFi/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q p5 flNq� 14 SEWER HOOK-UO O6 PROORESS
�
J 07 DEM�SITE 27 SEPTIC MAIM. 21 COMPWNT
W 07 DEMQ—FlNAL 1 S SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINQ RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU: YES_NO
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V BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnedContract s
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Inspector. `� '
Whib CopyAnspector's File � Canary Copy/Site Notke
`' ,DAT- 9� TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED —�i�' %/.'3 D
PERMIT N0. ��`�� COMPLETED � _�._
ADDRESS o2�iS� � d���u /r�ti
OWNER �'L�u��GLc1 CONTR. ''� �'�`�
TELEPHONE NO. �3g— � l� �
� DESCRIPTION
� Ot FOOTINCi ��.,;� � 11 MECHANICALRI 18IXCAV/GRAOIN�/F�WNG
y 2 RAMINC3 ' 13 MECHANICAL FINAL 19 LAi�SHOREJWETLANDS
Q INSULATION 24/25 WpOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER Ii00K-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEMQ-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q INAL .,j � 15 SEPTiC INSTALL. 22 FOLLOW-UP
= PLUMBING R �J� 23 SEPTIC FINAL 35 HARD COVER FEMOVAL
v 10 PLUM NAL 36 FOUNDATION HEMOVAL
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INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspec ion 24 hours in advance.47�73�J7
OwnerlContractor o s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E , SCHEDULED
PERMIT NO. COMPLETED '� "
ADDRESS 22�''�` ' �
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 D(CAV/ORADINC�/FIWNQ
y 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHORE/WETLANDS
��SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q pg�Nq�, 14 SEWER HOOK-UO 06 PROORESS
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v p7 pEAAp—$ITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER flEMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
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0 BEFORECOVERING PERMANENT
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tNSPECTOR WILL RETURN n CITATION ISSUED
❑STOPORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO AFiRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContra on sit .
Inspector.
White Copyllnspeclor's Fiie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /7 r1,6 '� a
INSPECTION NOTICE SCHEDULEO /4•'v� �
PERMIT N0. ��� COMPLETED J� ' �_
ADDRESS � � �S
OWNER �YI�Z-���—,Q—,L.�, CONTR� r�
TELEPHONE NO. ���"- ?��/
� DESCRIPTION ,/[��2c�S-�1��
� Ot FOOTINQ 11 MECHANICAL RI 18IXCAW(iFiADINC�IFIWNQ
y 02 FRAMINd 13 MECHANICAL FlNAL 18 LAl�SHOREIWETLANDS
Q 03 INSULATION 24/2S WOOD BURNER/FlREPIACE 34 TAEE REMOVAL
Z 04 D. ,/ 12 WA7ER HOOK-UP 17 SITE INSPECTION
Q � ���✓ 14 SEWER HOOK-UO O6 PRO(iRESS
~ �07 DEM�3fiE 27 SEPTIC MAINT. 21 COMPWNT
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W p7 15 SEPTIC INSTALL. ?2 FOLLpW-UP
23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 36 FOUNDATION REMOVAL
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V " EFOREC01/ERING PERMANENT
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INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQl11RED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
OwnedCont on
Inspector:
WhiN CopyAnapecta's FlN ��� na�ISite Notice
.,/�