The URL can be used to link to this page

Home My WebLink About1996-008384 - interior remodel ` CITY OF ORONO PERMITPERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number: =<81IN , Crystal Bay, Minnesota 55323 o�R;;_ _; (612) 473-7357 Date Issued: 09/17/9E. SITE ADDRESS: 228 NORTHGATE RID DESCRIPTION: INTERIOR REMODEL Building Permit Type SF—ADD/REMODEL Building Work Type RENOVATE/REMODEL. Census in s_#de 434 ALT . RESIDENTIAL- REMARKS: ES.1DENTI{-•L- REMARKS: FEE SUMMARY: VALUATION $4700, Base Fee $556 , 7S Plan Review $361 . 89 Surcharge --------123-75 Total Fee $942 . 39 CONTRACTO{R_ : — App I i c a f-t — `? . . C I OWNER: CI..O 3' WOO j"';�.I COMPANY 192 _,O P N 4 !#l J. 1532 \Rf E[B ELIZABETH 3300 GORHAM AVE 22S NORTHGATE RD ST LOUS PARK MIN 55426 ORONO MN 58391 (612) 924-0043 473-0922 THE UNDERSIGNED HEREBY REQUESTS PERMISSION T ' "K: THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO f AI I WORK IN -TRIC!' tLI` P T NCE WITH I- A I Y OF ORONC-1 OR ,•N lig#i ES AND STATE OF MINNESOTA B?iL%ING CODE REQUIREMENTS . L � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE r R Total Fee: $ c` 3 Date Received: t-9 G Entered By: Permit#: jJ?q 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 O CONTRACTO JOB SITE ADDRESS: ZIP: NAME OF OWNER: 1 �{'�l Wb PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: Gbales J_PHONE: q7-q-- Yi9 CONTACT PERSON: e-y— Ss E/PAGER: MAILING ADDRESS: 33&y 62dnam u.e, CITY: IP:�, r STATE LICENSE: #14?2— 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 detail): v ar- t 0,5mlk tc, Gti►aWA► baa &&d STORIES: L SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: I _ GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4n, Jnp . on 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 will be in accord with the approved plan. APPLICANT'S SIGNATURE: DATE: f NOTE! Parade g-f Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 6 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 stored shall be as set forth in this section. 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 within the collecting'state agency,political 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 refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or proverty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified 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 dam without any charge to him and,'if he desires,shall be informed of the content and meaning of that data. After an individual has been shown rhe private data and informed of its meaning,the dam need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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 additional 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 private dam concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the dam found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination 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 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 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 �� ddl ,. n Last �/1/1A w-C/ Addres q2lq—ao City State Zip Phone I understand m is s d ove. Signature i % l CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ntcr�rtaC� i`2da0 PID: DESCRIPTION OF WORK: ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: ,U lA BUILDING REVIEW BY: DATE APPROVED: q -(-�--y6 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes 1/' No PLAN REVIEW Yes c,-- No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No v SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Fire Depart nt: Post Office: Sc of istrict: Lot Area: S Acres Width Depth Survey Subm tte Yes No Date of Su vey: Proposed Sett ack Fron (L e): Right Side: Rear (Stree : Left Side: Adja ent St ctures: W tland: Building Hei t: Def. gt. Pe Hgt. Lot Coverag : Grading: Staff Approval ate: By: Council Approval Da e: Septic: Staff Approval Dat By: Zoning File: # Resolut on: # R solution Date: Shoreland Di trict: Avg Setback: Bluff Set ack: Existing Proposed Har over: 0-75' 75-250' 250-500' 500-1000' Hard over Variance Required: s No Date of Council Approval: REMARKS (in house): 10 BUILDING REVIEW CHECK LIST UBC: /Z a 3 CONSTRUCTION TYPE: �((� Sq Footage S Per Sq Ft- Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL c.- Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site �u Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection eC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other _ Wall Board (Mfg.) Well (State Permit) K,Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: IYEMARKS(TO BE NOTED ON PERMIT): 27 DAJE TIME CITY OF ORONO CALLED IN 4/ INSPECTION NO CESCHEDULED / 5;C =dv PERMIT N0. 'j `f COMPLETED A _ ADDRESS—' .' `� — OWNER CONTR. TELEPHONE NO. DESCRIPTIONLij 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG �Q *FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS. cc a Udoo( Kea_ or o_& � c cc O - max sS 0 UL W cc Q Z W z W EC- LU ❑ K SATISFACTORY PROCEED E: PROJECT COMPLETE CC CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor o ' e:T Inspector. —v White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN Z- INSPECTION NOTICE SCHEDULED 11-13 PERMIT NO. �3�`r COMPLETED ADDRESSoZ oZ� y� 2 Amort.- OWNER CONT/R. TELEPHONE NO. 9ko 3Z DESCRIPTION �(✓-�� 4 1 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FIL UNG 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 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ..I 07 DEMO--SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLAW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNERICONTRACTOR TO MEET YOU: VES_NO y COMMENTS: & eeO + ` ly a,LLJ uG tAyi cc i W C W D: d W ❑WORK SATISFACTORY PROCEED E,PROJECT COMPLETE k ?11 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 inspection 24 hours in advance.473-7357 OwnedContractt Ile: Inspector. u White CopyMspectoes File Canary Copy)Site Notice DAT E) TIME CITY OF ORONO CALLED IN �/2/ / / 7 INSPECTION NO ICF SCHEDULED _//2Z/9' PERMIT NO. COMPLETED '� N ADDRESS c_� 5 OWNER t, f C0NTR. TELEPHONE NO. 41 DESCRIPTION LL 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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 ti05 FI 14 SEWER HOOK-UO 06 PROGRESS J O--SITE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL = 35 HARD COVER REMOVAL 10 PLUMBIN 36 FOUNDATION REMOVAL OWNER/ ON TRACTOR TA MEET YOUl�YES_NO �oCOMMENTS: CC W O O O UL W QC Q 2 W Z W EE j O W WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED W G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING 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 ction 24 hours in advance.473'7357 Owner/Contract r tte: Inspector. White CopylInspector's File Canary Copy/Site Notice