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HomeMy WebLinkAbout1998-010047 - remodel PERMIT t CITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: E_' -TL��.�z����€ Permit Number: i) i€its Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: 2_•+__ _ tj t'f_! DESCRIPTION: 1—'; ?'In)l L•" T f F' _:�=—FiI�D 2�c i I���I r;_�1 1H li y-F=1 t,lI_�t :: : : ? °r_ di_WIT t� ;F°'EMi.: iIM_L -c -!.i iii !�f•f R w= 4._;4 €-?1_ I . __�_,°�ty 1 1IL_ REMARKS: _ -.. . ..RP%.. . . =``_t° 11 I' °E:€;{i s' °I «f i t __!t h�€ti Ri°�i# _ _ € Tr"°I FEE SUMMARY: ' J'JT I t=it? CQTRG`T iR i — {.. €`_,_ __.a: -0�( l ,,, ;-i�,;_ 3'17:=:t .a F:`t"; _it_:Vii._1 t!'.3 ``_ :t' r,: t'I' F' ;._ R°T r's_`;"t•4 fi_!7j' t'i _ :,�. 1 .F`i�lt i i mii Tt i_it'I 11` '=:1; t?ak i ;if t?�I `t' =t t i_s '� z �'M I'S=-'1'T #j= tt;_--:E ►t IE ;,'?:s ± �'E T IIED AIN ? F;:n1��_EE' i�0 C ALL d}.sC-IRR. !N TR i C I L:!tt'��'L1r;�` C- W T L� "�1_E t: 1" i_I i-"='1! }-i isn°i 't vs.�.= i,t = a" - t ?I {v =it r c;1t { � rr,}( _is I ( -t+at' R ttl " _=t? i 4'_ _ _ �t`it _ _ ANC _ 4 S . .•�. ._-... _ ?'i ._. .�L V i S'. ... F.i:_1 .'i tom.E .•'� t ,... L c'U'4'� APPLICANT'PERMITEE SIG URE ISSUED BY:SIGNATUKE 1 Total Fee: $ Date Received: Entered By: Permit#: /00 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 OR CONTRACTOR JOB SITE ADDRESS: 2`4Fw, � xgj-�* ZIP: NAME OF OWNER: 000���•rr4,e-THONE: (home) (work) �ff/ - MAILING ADDRESS-.,?-� ©Gz> 06AC+4 CITY: oe4n, 'c ZIP: s CONTRACTOR: HONE: CONTACT PERSON: ��.2��-- MOBILE/PA ER: Plc---/7.2-? MAILING ADDRESS: V-Ar ? TY: l/W4" moi '' ZIP: / STATE LICENSE: # �9 oto�"�J •. ARCHITECT/ENGINEER: .�►f o4Vted-&-PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move ' Remodel/Alteration_ Land Alteration PROPOSED WORK(describe in detail): G© T'� 44..�•A4e_.jC_ � � STORIES: SQ.FEET OF EACH FLOOR: Cao o ac' NO. OF BEDROOMS: GARAGE STALLS: ATT. _1C DET. ,��� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /d Ooo. O r:. 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 accordance with the approved plan. ' APPLICANT'S SIGNATUR,ks'f � DATE: NOTE! Parade of 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. See.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored oi to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked tosupply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collectir collect' g§tate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known comsequence arising from his supplying or refusing to supply • private or confidential.data;and(d)the identity of other persons or entities authorized by stn 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. 2,subdivision 5, to a law enforcement officer. - The commissioner of revenue may place the notice reouired under this subdiv sion in the individual income tax or i3roperty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authori ,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 stoned private or public dam on individuals shall be shown the data without any charge o him and,-if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informe I of its meaning,"the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or addit onal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by C a individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and comp'ing the copies. The responsible authority shall comply immediately,if possible,with any reques made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compl ance 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 witb in which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual ma contest the accuracy or completeness of public or private data 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 data found to be' rate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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 ADVISO Y 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 th it the City deny the permit or license. 3.-' 'The information maybe shared with other local, state or fed-ral agencies to the e7,tent necessary to process the permit or license. 4. If your requested permit or license requires Council actio a 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 p rmit. First Middle Last Address �777 City State Zip Phone I understand my rights as stated above. Signamre CHECK OFF LIST FOR ISSUANCE OF PERTNUTS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �/,� t �'_t..�( i-J PID: DESCRIPTION OF WORK: [Ze ww+v eZ ZONING REVIEW BY: 1A DATE APPROVED: BUILDING REVIEW BY: %Q, DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No SEWER CONNECTION STATE SUR`HARGE Yes i/ No WATER CONNECTION INVESTIGATION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /V o Gffi4l��oGs Fire Department: Post Office: School District: Lot 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. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REiVIARKS (in house): 26 BUILDING REVIEW CHECK LIST UBC: R.,3 CONSTRUCTION.- Sq ONSTRUCTIONSq Footage $ Per Sq Ftg Basement x = 1st Floor : x 2nd Floor x. — Garage x x = TOTAL Estimated Construction Value: $ d Inspections Required: Work Requiring Separate Pe its: Site K Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection X Framing Fireplace Lawn Irrigation _ ,t�- Insulation (Masonry) Other _as Wall Board (Mfg.) Well (State Permit) °c• Final Grading/Filling oC Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMII'1'): 27 Robert MacDonald Residence 2480 Old Beach Road Orono, MN Living area Kitchen Remodeling (PROPOSED FLOOR PLAN) Phone: (Work) 591-5201 Basement door deleted (wrap opening), Fireplace Wall(No Change ,z5 a (2)-3/0 6 panel pocH UP Breakfast ----------- Existing ------Existing Foyer (No Change) Island(Food Prep) To Bedrooms Kitchen d O cD 1 � Gustafson Remodeling, Inc 1505 Evergreen Lane Plymouth, MN 55441 Phone/FAX 557-0268 Pass- removed,Fran Voice Mail 818-1727 drywallll this opening. 7y��T Lien(No Change) 14L'•1AYE 9�?h�pC��_°sLnlgC .c►� gcrir,:ar: *.. a.;: ; ',rrrlatinn. All wnrk & :.rf•tents including Iter..y 'fv S}•?C flcalry note, �>41 S ►%C AN ,;t. DATE TIME CITY OF ORONO CALLED IN d `�� '-X- INSPECTION NOTICE SCHEDULED PERMIT NO. /Ll- COMPLETED ADDRESS OWNER l CONTR. TELEPHONE NO. J5 1 C-.�2 J DESCRIPTION , e1L c,6 CLA } lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING V` MING - 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 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 INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W Y J O cc O U_ W cc Q Z W z W d UjWORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY CZ1 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspe tion 24 hours in advance.473-7357 Owner/Contractorn Inspector. White Copy/Inspector's File Canary Copy/Site Notice PATE TIME CITY OF ORONO CALLED IN IV 7 INSPECTION NOTICE SCHEDULED 'S%3Ar7 le `-+c-m PERMITNO. &Q-17 COMPLETED ADDRESS ?® OWNER CONTR. TELEPHONE NO. 3: DESCRIPTION Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO Zt cam., COMMENTS: o; W a Cr. � O Cr O W W cc Q 12 2 W ZC W O WOR W K SATISFACTORY:PROCEED El PROJECTCOMPLETE Lu ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Con a on it Inspector. White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 7' 9 INSPECTION NOTICE SCHEDULED Com' 4�i PERMIT NO. COMPLETED ADDRESS OWNER--211 C^ CONTR. v �. TELEPHONE NO. 5-5-7 -O a 4,_2 DESCRIPTION LLI 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING L4- 02 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 QFINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNER/CONTRACTOR TO MEET YOU:_YES NO Z COMMENT . Uj CL CC O O cc O U_ W cc Q Z W Z W Qc d W /WORK SATISFACTORY:PROCEED C PROJECT COMPLETE z ❑CORRECT WORK&PROCEED I' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR i7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins Rection 24 hours in advance.473-7357 Owner/Contracts sit Inspector. - White Copy/Inspector's File Canary Copy/Site Notice