HomeMy WebLinkAbout1994-005963 - bathroom remodel � PERMIT `
-CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: r��_��.1--�-�1:�'��'�
Or�no, Minnesota 55356-0815 i si?:;'�.r=,:=:
(6�12) 473-7357 Date Issued: �^j:_,j� F;��!�
SITE ADDRESS:
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A LICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE �-�L
' ' ' CITY OF ORONO - BIIIZDING PERMIT APPZ�ICATION
Total Fee: $�/�.�. 7C� Date Received:� " /J - cj �
Date Approved:
Entered By: /°�
Permit�: '�>�
A�L INFORMATION MIIST BS SIIBLKITTSD IN FDLL BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-off List Enclased)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
J�B SITE ADDRSSS: � II � � � � ��` � �'1-O�'�- ��'� ZIP:
(work)
NAI� OF OWNER: �/4/�'��� �e, `�,� �. / /'0 PHONE: t home) y7'I'-/ 0 ? 0
1�SAILING ADDRESS: _�o�X {�J� rT� sI, a r c � CITY: b r a n o ZIP:
CONTRACTOR: �u.g� r� t, �. �Y f�b 2 IC. /1 G h2 6 C�e�L i n y PHONE: a �� " �F� 9�S
I�SAII.ING ADDRSSS: �� �� ��e-��nS ��L�� CITY: �� ��'1����"�s, ZIP: �v��-S C)
STATS I.ICENSE: $ �� ��
ARCHITECT/SNGINEER: PHONE:
MATyING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION $
TYPE OF WORR: New Addition Accessory Strncture Move
Demo Re�nodel/Alteration_�_ Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : ��n� o d�L�� � Ay� �. � ����
STORI$S: SQ. FEBT OF EACH FZOOR:
NO. OF B$DROOMS: GARAGE STALLS: ATT. DET.
ESTIIrSATED CONSTRIICTION VALIIATION (eacluding 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 is not a permit and work is not to start without a permit; and
that the work wil 1 be in acc ance with the approved plan. •
APPLICANT'S SIGNATORE� �i DATE: �� `� �y�y
. �
CITY of 4RON0
Post Office Box 66•Cryatal Bay,Minneaota 55323•Municipal Officee
•
� - � � On the North Shore of Lake Minnetonka
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:
l. The information you furnish will 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 �ocal, 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 priva�e
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
�',t,�-�eo-z� ���L/h � �/`f 6�-r�
First � Middl.e Last
8� `�� �7r�� �r,.s �-v� �b.
Address
��a s� � :n 9 7�, h1/lJ� ��`��--�
City State Zip
� �!- �� 9v
Phone
I unde tand my rights as stated above.
Sign re .
BUILDING&ZONiNG-473-7357 • ADMIN[STRATION&EINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
�.0.4 RIGH15 OF SIIBJECTS OF DATA �
Subdivision L 'I�pe of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
- to be given in�.��• An.individual esked to
Subd. 2. Information r�
� � supply private or confidential data concernin�BmWit�hin the collecting state agency,
purpose and intended use of the req t med �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) any
su lying or refusing to supply private or confidentiel data; and (d) the identity of
PP
other persons or entities authorized by statueolr�e�ked�to SuPpiyeinvest gat ve da a
requirement shall not apply when an individ
pursua�t to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg lert tax re�und uistruetions�nsteadhOs
subdivision in the individual income tax or r•
on those orms. . -- - - .
Subd. 3.
Access t4 data by in���L tipon request to a responsible
authority, an individuel shall be informed�he b�e'Pr vateeor eonfidential.e Upon his
individuels, and whether it is clessified p ublic data on
further request, an individuel who is the subject of se t�e�mri�ae if he desires, shall
individuels shall be shown the date withou fan�y��ta. After an individuel has been
�e informed of the content and meaning the data need not be �isclosed Lo
shown the private data and informed of its u�e�BC�on pu�uant to this section is
him for six months thereafter unless a d�SP
� ending or additional data on the individual hes been �blic datarupongrequest by
' P require the
responsible authority shall provide copies of the priva e or p
the individuel subject oft�e actual�costs of making,i cert f3'ingy and compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply ' of the date of the request,
made pursuant to this subdivision, or within five days
excluding Saturdays, Sundays snd legal �La�,Yt's�ni�hat t me8he shall so�info m the �
possible. If he cannot comply with the req "yithin which to comply with the
individuel, and may have an additio� I���u��.
request, excluding Saturdays, SundaYS g
. Subd. 4. Proced�a'e �►hen d�� f ublic o�p ivate data lconcerning lumse�• To
contest the eccuraey or completeness e P in writing the respensible authority
exercise this rigM, an in�ividusl s� notify
describing the nature of the disagreeme o be naccut�pa e orin omplete and atte pt to
days either: (a) correct the data found t
notify past recipients of inaccurate or ia�P�t he belie esdthe datalto be correct
the individual; or (b) notify the mdivi
Data in dispute shall be disclosed only if the individual's statement of disagreement �s
• included with the �isclosed data. ealed pursuBnt to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases•
, � „ � CHECR OFF LIST FOR ISSIIANCE OF PF1tMITS
FOR OFFICE USE ONLY
ADDRSSS OR LEGAI.: 3 D�d �,l�,l��j :�,�9-f.P /�'/. PID: D�i�i 7 -a 3 3 �. �OC� 7
� � ��� Q .
DSSCRIPTION OF WORR: /L-��ji/��%��
---------------------- �
ZONING REVIEW BY: /U��- DATE APPRO�.
BIIILDING REVI$W BY: CX� DATS APPROVSD: `�-r� ~�Y
------------------
F$ES TO BE CEARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE YesJ� No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC IInits OTHER (specify)
---------------------
ZONING CHEGK LIST Zoni g District:
Fire Department: Post Office: Sc ol District:
Lot Area: Width: Dept�i:
i
Survey Submitted: s No Date o Survey:
Proposed Setbacks:
Front (Lake) • Right Side:
Rear (Street) : Left ide:
Adjacent Str ture : Wetland:
Building Height: ef. gt. -Peak Hgt
Avg. Setback: Lot Coverage
Exis ing Proposed
Hardcover: 0-75 '
75-250 '
250-500 ' j
500-1000 ' I
Hardcover Varian e Required: Yes No Date of Council Approval:
Grading: Staff A proval Date: Hy: Council Approval. Date:_
Septic: Staff Approval Date: BY=
Zoning Fi].e:# Resolution �: Resolution Date:
REMARRS (in honse) :
BQILDZNG REVIEW CHSGR LIST , .� � .
UBC: �3 CONSTRIICTION TYP$: U�"' r. •
Sq Footage $ Per Sq Ftg
Basement x =
lst FJ.00r x =
2nd Floor x =
Garage x -
X -
TOTAL
$sti.mated Construction Valne: $ �, �U� _
Inspections Reqnired: Work Requiring Separate Permi.ts:
Site � OCPlumbing Grading/Filling
Footing �Mechanica]. Fire
_gFraming Septic Water Connection
Insulation Fireplace Sewer Connection
Wal�� Board (Masonry) Lawn Irrigation
ina 1 (Mf g.) Other
Other Well (State Permit)
�ElectricaJ. (State Permit)
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REM�RRS (IN HOIISE) :
-------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
-----------------------------------------------------------
REIrlARRS (TO BE NOTED ON PERMIT) :
:.-�������.����;�°�:�:� �i T`� ii� +D �k+�3�� �-
+ : � � . , ,., .M �9Ui1�DiN� l�If 1�1.�1� R�l�1���
,D
�r :���$#�L�"'!il'Y31R � � a^---
r '�,�'r��...._.�_��........... P�Ftld!17 i�PIX r..�.�.�.,
���� � ,�i i�`,:.� �,r Stl�'"�?�i'7'��
�� �� � >r,,-,�-,�, M n �, ,;{� C,'C��F'�'C�TlC�N'� �tS NJll"EU
y.> � t,4+:.t� -- Cc�r�t;�+�Y & F2EaU�3MlT �
�r.^. t�r yo:u :�r.'r;rmeilon. Ail work at�ii�»d� �
.�,° ��v;t�ii a:! ;�la��l� t�[it�it�q 8R �
il �ttihq o�`►ttis �e �. r-
�n� li�rr�s not �ectfiCRlty noted in th14. -_ �
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New closet location. " �
Dn Reuse existing doors w� LL,
or install new door. �- �� Q
� � � �
' ,�, Install shelf and rod
��, on two walls
Exist. 1/2 bath to remain Coats �,
���
, 4'-4" 4 1 f2" 5'-0" '„ New tub w/Swanstone �
- _ _ _-_ _ _ ='u— or Corian surround as �
� �� selected by Owner •—
Linen C� °�
0
�ic�,3��ii:s�YUimY�` i_;; : _ _ a� Center fan (to be �
�
� =-�. I °�' L � � �+, selected by R � � �
�'�.����"C`i:.,.. , — _ -N �_ � Owners) on mirror :;
�i C
�— — — 8c WIIIC.�OW O Q �
Install new 2'-4" wide x L
�XyA�JST FAN I Angle countertop < � � �
6'-8"flush design painted ' ,� back at 45 deg. a� � �
birch door on bathroom. �' _ `;c {RF�T�Y 6� E� �r Countertop to run � � �
Match exist. casing. � M�' E BA`�H ��- G, above toilet. � � ,
� � .
' - ' ' - New toilet o� � `-
� �; , Z , - o � Z
� � �
� � � �
� 4 \Center 3 recessed can "' �
Hall 6'-9 3/4° �_� 2'-10 3/4"� �
�_ ____ _ incan. lights on mirrors - � �
� 1'-0" from wall
New vanity & sink
u� ��� �
,,, ,,, Remove exist. floor tile & install j
new. Tile to have rnortar bed. �
�
Install new mortar bed where '�
� none is existing. L o
Q �
• Dashed lines show existing walis, fixtures � �
& doors to be removed. New walls � � o
are shaded. Existing walls to remain � � �
�
are clear. �, Q � �
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� �=�-
Master �athroorn Plan � � �
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Scale 1/4"=1'-0" � �, ,c
o U � ��
CITY OF ORONO CALLED IN —�T�_� j ('TIM� �
�
INSPECTIAN NOTICE SCHEDULED y �-a � � // '� ��r
PERMIT NO. ``�/���� COMPLETED _�_ �I '
ADDRESS � ) � � -����- � I.
OWNER CONTR. �-� � ���'���
TELEPHONE NO. ,J �l� � `f� �d
� DESCRIPTION %���'-�'������-v�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
�- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContra r o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice