HomeMy WebLinkAbout1992-004256 - remodel baths �
PERMIT
' CITY OF ORONO PERMIT TYPE: �:t;i�.uTi�i�
1335 Brown Rd. South • P.O. Box 66 Permit Number: �•"-'��=�'=
Crystal Bay, Minnesota 55323 Date Issued: �.��f���_���'��
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
:=EF`ARATE F'EF;M I T'�: REi;�t 1 I�:�G ���►;� F`i.._�Et t�.I i�1�;, t�i��:H;=�h!I�:��, LAWiv i�:M i�r�i i E�iu, �ivu tLt
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FEE SUMMARY: ���� � � v'� '�
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CONTRACTOR: OWNER: — AF���Z i��r�t. —
hiART i NEA{J :TEFF
i��,�; h�i�iF;TH ti�Hf:i�iE C)R
�iR��N�� MhJ ���'�1
----_ _ -- ------ -.___ _ __ ___ _ ___
_ __ � __�
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PPLI AN PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�
� CHECK OFF LIST FOR ISSIIANCE OF PF�RMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �S�S o'`-1 U s t-4-�Q�- 0 2 PID:
DESCRIPTION OF WORK: �N`T����� ��-���=-Z
-------------------------------------------------------------------------------
ZONING REVIEW BY: /U�/� DATE APPROVED:
BIIILDING REVIEW BY: v�ti-- DAT$ APPROVED: �l- X�S 2-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes—� No WATER CONNECTION
INVESTIGATION FEE Yes No� PARK FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------
ZONING CHECR LIST Zoni� District:
Fire Department: Post Office•,` School District:
Lot Area: Width: Depth:
Survey Submitted: ` Yes No Date of Survey:
Proposed Setbac s:
Front (Lak, ) : Right Side:
Rear (Str�et) : Left Side:
Adjacent �Structures: , V,letland:
�'
Building Heic,�ht: Def. Hgt. Peak Hgt.
Avg. Setbac : Lot Cove age:
Existing posed
i
Hardcover:/0-75 ' �
;
5-250 ' ��`
ij
50-500 ' i �►
00-�1000 ' �'�
Hardcover Variance Required: Yes � No Date of Council Approval:
Grading: Staff ApprovaI. Date: By: Council Approval Date:
Septi c: Staf f Approval. Date: BY=
Zoning File: # Resolution #: Resolution Date:
REMARKS (in house) : '
• . .
BSJILDING REVIEW CHEGR LIST � .
IIgC: � �- 3 CONSTRIICTION TYP$: ��
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Floor X -
Garage X -
x =
TOTAL
$stimated Construction Valne: $ (,,,0 0 0�- _
Inspections Required: Work Reqniring Separate Permits:
Site ` Plumbing Grading/Fil.�ing
�ooting �Mechanical. Fire
raming Septic Water Connection
�Insulation Fireplace Sewer Connection
Wall. Board (Masonry) �Lawn Irrigation
� Fina 1 (Mf g.) Other
Other Wel 1 (State Permit)
�Electrical (State Permit)
---------------------------------------------------------------
REMARKS (IN HOIISE) :
----------------------------------------------------------------
REVIEW BY OTHEItS: DATS:
Access: Existing New
Access Approval: Date BY=
---------------------------------------------
RELKARRS (TO BS NOTSD ON PERMIT) : �(t VM�-r ��9 2 �'¢-� �N
V - ,r/v TwN O � Tirv �o�-- �7r
�s.
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� CITY OF ORONO - BDILDING PERMIT APPLICATION
T�tal Fee: $ / �j�, (o b Date Received:
Date Approved:
Entered By: ' ,l'�/
Permit�: ��s(p
ALL INFORMATION MIIST BE SIIBMIZ'TSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRBSS: �-�Y?r /v• ` ���Ii'e ZIP: -��3q/
(work) �3~��
�✓,� �}+-
NAl►� OF OWNER• �t'� � PHONE: (home) �� �L�'��
IKAILING ADDRESS: Z��� CITY: y0 ZIP: ��J J��
CONTRACTOR: ��'1n�--� N 5 N �Z�"`— PHON$:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: $
A.RCHITECT/SNGINEER: �Q"�-� PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAML: RBGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
� l� b� �
� � �
PROPOSED WORR (descrzbe in detai.l) : � //" � � �
� 2 ��h�
STORISS: SQ. FEBT OF EACS FLOOR:
NO. OF B$DROOMS: G�RAG$ STAIZS: ATT. DET.
ESTIMATED CONSTRIICTION VAI�IIATION (eaclnding land) : $ l,(���!,�/� '
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 is not a permit and w is not to start without a permit; and
that the work wil I be i accordanc w'th he approved plan. ' •
APPZICANT'S SIGNATDRE: DATE:
. �
. �
�
�
CITY of ORONO
Post Office Box 66•Cryatal Bay,Minn�ota 55323•Municipal Offices
•
� - � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 Orona or any of its departments may require
you to furnish certain private or confidential information.
You are notified that: -
1. The information you furnish wiZl be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Iocal, state or
federal. agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Your full name is required to process this application or
permit.
�� �-1 Y�►V�� ��I�'Y`�L�"�--
First � � Middle Last
2,� _'
Address
�,� ��� �
lty State Zip
������f u��
Phone
understa d m r'ghts as stated above.
�
t �
.,
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING •
. ___ __._.----.--.__--_ __
- _,�.____r._...._..._ --------------._._...._._.___ - . .
�.04 RIGHTS OF 3IIB.TEC'15 OF DATA �
gubdivision L Type of data- The rights oY individuals on whom the data is
stored or to be stored shall be as set forth in this section.
S�d. 2. Information required to be given in���� An.individuel asked to
(a) the
� ' supply private or confidentiel data co�tea d tamwi�in the collecting state agency,
purpose and intended use of the req tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested date; (c) anY �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other penons or entities authorized by state or�e�ke �o SupPlyeinvest gative� da a,
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lett tflX re und instructionsuinsteadh�s
subdivision in the individuel income tax �r r•
on those orms. . - --- - - � .
Subd. 3.
Aecess to data bY in���' IIPon request to a responsible
authority, an individusl shall be info med Wh bli� priyateeor eonfident al.e IIPen his
individuels; and whether it is elassified as p ' ublic data on
further request, an individuel who is the subjecc�ge t��mriAvnat�e if he desires, shall
individuels shall be shown the data witho of�hat data. After an individual has b�en
�e informed of the content end meaning t� �� need not be disclosed to
shown the private dats and informed of its uL��acUon punuant to this section is
him for six months thereafter unless a disP
� ending or additienel data on the individuel h�8teeor public dataruponarequest by
' P require the
responsible authority shaIl provide copies of t e P o�ible authority may
the individual subject of the data. The resp ��rtif n and compiling the
requesting person to pay the actual costs of makinB, Yi g'
copies. lmmediately, it possible, with any request
The responsible authority shall comply ' of the date of the request,
made pursuant to this subdivisionnd le with lideys, if�immediate compliance is n°t
excluding Saturdays, SundaYs �
ossible. If he cannot comply with the request �t withintw ch toh mply fw h the
P heve an additional five y5
individuel, and mgY and le al holidays•
request, exeluding Saturdeys, SundaYs g
Subd. 4. Procefia'e when data is not accsu'ete °r �°mplete. An in�ms�. To
contest the accuracy or completene.ss�of publie or private data concerning
ht, an inaividuel shall notify in writing the resP°�ble authority
exereise tltis rig nsible authority shall within 30
describing the nature of the disagreemenL �e r�P°
days either. (a) correct the data found to be inae��ge i°�u�,i°ng pee�ipi��namedt by
notify past recipients of inaceurate or incomp
the individual; cr {b) notify the indi�idual tnd�v dusl�s statementof disagreement is
Data in dispute shall be disclosed only �f the i
• included with the diselosed data. � 8Qpe8ied pursuant to the
' The determination of the responsible authority to contested cases•
provisions of the administrative procedure act relating
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� a � " lTTED
APP�O;�E.� �1S Sl!�?��"
�AFPRi3'd�L� 4ti'{'f�� �''=�1',i?E�TIQNj A; PdOTED
(`1 IVt)T irl�'r�U`J�C -- CrJR�ZECT :.� RESUBN�IT.
The�:•:coir:�n•�r�!s <ire tor rcur informntion. RII �vork shali bndoM
!n tulf ti�rnplEc�c� ��:th aU appli�n9le br:laing & zvrA�ov0e J�F
auir�ments incl���:inu i2ems r.n: !�aNicdly nofed ki tMs rotilaM�
KEEF TNIS PU\�J S�T UN S�T.E AT lU.t 4iNlES.
�
DATE TIME
CITY OF ORONO CALLED IN Y-/6- `12- z��o P/�
INSPECTION NOTICE SCHEDULED �1-�7-52- ll:t�v �4Yh
PERMIT NO. ���54' COMPLETED y�� �s� �I 7 I�
ADDRESS ZS65 NU �$64p/!.� Q�
OWNER /YINRTlNEA✓ CONTR. OuJN�iP
TELEPHONE NO. �C�S- (aZZ�(
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q (�FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREP�ACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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� COMMENTS:
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