Loading...
HomeMy WebLinkAbout1993-005256 - remodel bath/add dec PERMIT CITY OF ORONO PERMIT TYPE: ;t! LDING e 2750'P(elley Parkway P.O. Box 815 Permit Number: (�t ._ 5h Orono, Minnesota 55356-0815 (612) 473-7357 Date Issued: 06/17/-- SITE ADDRESS: .54f OLD CRYSTAL FAY RD i LSV P. I . N. : 04 -117- :-4: -iii} DESCRIPTION: REMODEL BATH/ADD DEC BuildingrIci R-3 Perrrlit. Type SF-A_DD/REM+DEL C; i 1.'d is ig Wo i E.. Type REN�_fVATE t REI�#r_tDEL UBC oc Panty Const•ruct•i�'n I Pe VN CITY OF ORONO .LIT flTt.ri tin I ii,G n 135w(20000 I 00 1tCLL i.3.t.J.VVVVii /IfS i 0 ,511 V1 VLI 44' V VV if 01 L l7LL/S• TI 7 V•L9 REMARKS: 1d&E1PT >;�f�i{YOU 1fL I Vi V.} LlVl ,'V1 I.1 • SEPARATE PERMIT REQU I liED FI:iR PLUMBING. ;;5.17/9 FEE SUMMARY: { VALCtAT I ON $1 8,000 Base Fee $1;?` ,i ai-f Plan Review $1:,:-.• :'. 5 Surcharge ..a}? Total Fee :?:;'tj .' 5 I CONTRACTOR: O�/NER: • - APP i c ant' - Ft Y: Et=UGE 540 OLD CRYSTAL BAY RCi i_iR�=3N+=� MN ,55356 •F1-....)47.5-_=�1�.(_'. s 1 THE RS + �, -sTs,S € E T SS I til KE 1 DV MENT' SPE I1` Et ;•; DU,..',ALL'W IN �• TRICT ;.COM L ANCE W T I.. CI � '' L. / ' h C-e_iu)) APPLICANTYPERMIT E SIGNATURE ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS GEORGff3JVFICE USE ONLY 540 OLD CRYSTAL DAY RD. PID: O 1.-- ([ 7 ADDRESS OR LEGAL: LONG LAKE, MN 66366 DESCRIPTION OF WORK: RPAAAATTLI 6 /44TIVV"- d– a..10( ��a LeA_ ZONING REVIEW BY: destnelmws, DATE APPROVED: 4- (6 -9 3 BUILDING REVIEW BY: Aloakto.4.— DATE APPROVED: 60 •14,. / .5 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes '''' No PLAN REVIEW Yes—P ' No SEWER CONNECTION STATE SURCHARGE Yes- T No WATER CONNECTION INVESTIGATION FEE Yes No 4,- PARK FEE SAC Yes No v SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post�O�ff�ic'���: _School District: Lot Area: WiV76 'dth: �'" Depth: p� Survey Submitted: Yes ��No Date of Survey: I l Y I( Proposed Setbacks: / Front ( e-) : /50 t a' Right Side: N N/4 Rear (Street) : 2676f4-- Left Side: - 4(40i:1-- Adjacent (DOfAdjacent Structures: /MAC 11t7/ Wetland: Building H-: ght: Def. Hgt Pea gt. Avg. Setba•k Lot Cover-ge: Existi g Propose. Hardcover: 0-7 ' ' 7 -250 ' 25 -500 ' t 500 1000 ' / / Hardcover ariance Re:uire• : Yes No Date of Coun it Approval: Grading: S aff Approva , Daie: B : Council pproval Date: M Septic: S ff Approval D. t: : _)/7 By: Zoning Fi :# • - -oluticn # : Resolutio Date: REMARKS (i house) : BUILDING REVIEW CHECK LIST IIBC: tr R-3 CONSTRUCTION TYPE: b01014- (A-V`'t'( _ 4 Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = w 1 st Fl x � 4� ' x 30 - 35 = �`000 TOTAL 0 Estimated Construction Value: $ I i,0100 Inspections Required: Work Requiring Separate Permits: ✓Site ✓Plumbing Grading/Filling ,/Footing Mechanical Fire — FramingSeptic Water Connection Insulation _Fireplace Sewer Connection W ll Board (Masonry) Lawn Irrigation /ina l (Mfg.) Other Other Well (State Permit) Electrical (State Permit) REMARKS (IN HOUSE) : S REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ 326 , 0 Date Received: L2 -/0 q'J Date Approved: ) ZX Entered By: c ,-(/ Permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: ZIP: GEORGE FUNIC 540 OLD CRYSTAL BAY RD. (work) `7-23 -r/i( LONG LAKE, MN 55356 NAME OF OWNER: PHONE: (home) l c� ?S -3 Slr MAILING ADDRESS: v( CITY: ZIP: CONTRACTOR: PHONE: TAILING ADDRESS: CITY: ZIP: STATE LICENSE: # // �GZ/(�C�,PJ��( PHONE: ARCHITECT/ENGINEER: ��yy ��� // �� �} � /f�� MAILING ADDRESS: 2 ? S ?at& 4 fL/O ( CITY: /(G J, �L ZIP: S 5 9C NAME: REGISTRATION # TYPE OF WORK: New Addition ()< Accessory Structure Move Demo Remodel/Alteration pc Renovate Land Alteration PROPOSED WORK (describe in detail) : P-24444-elbe /1-0-64r04. o4—t-eget STORIES: 1 SQ. FEET OF EACH FLOOR: 216 NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $, / n LICO i 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 ac/• dance 'th the approved plan. APPLICANT'S SIGNATIIRE: DATE: (-7-X-3 DAT TIME CITY OF ORONO CALLED IN . 9 3 INSPECTION NOTICE ( I_ SCHEDULED • `� ' 3 o PERMIT NO. / r COMPLETED ADDRESS 5 © ge6 ( ��s OWNER 1:-t lJ JGCONTR. ELEPHONE NO. 3 DESCRIPTION ..4_.a.../77_,,z64 Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 02 F: • 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING CO 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z r' IT. ■ 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 07 DEMO FINAL 27 SEPTIC MAINT. 21 COMPLAINT IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC O CC O W CC W W CC O ORK SATISFACTORY:PROCEED 4; � ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFOREqOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIQN REQUIRED.CALL TO ARRANGE ACCESS. CII for the next inspection 24 hours in advance.473-7357 OwnerlCo' r site: Inspector. . White Copy/Inspector's Fi Canary Copy/Site Notice