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HomeMy WebLinkAbout1995-007141 - remodel master bath PERMIT _�ITY OF ORONO PERMIT TYPE: ,� 2750 Kelley Parkway- P.O. Box 66 Permit Number. '_;�:_��r���,:��'��`' . - . ;.,:,..._ Crystal Bay, Minnesota 55323 _ (612) 473-7357 Date Issued: _ - SITE ADDRESS: ._ ...'_f . . .. .. . �:"F .'x�i .... . .. , . . . _ . ... _. _. . . _'i `_. . DESCRIPTION: _ _. _ _ _ _.:; . . _� :....... : :_ :::;,_ ; �:.� , < <,. _; ; :-�..� =°; �� ._Jf3 =�_i. _� _'I~ii��-�, S `fE—i�.:1 . . ..... ._:.._ .r.5�' . �.�tti{'��Tti_!_ i . ''F�j, �,z"1',r c��r .. _ .. -�.. ' � `.�!F r`;'S"L.._�.f t`i 3'..,.�. � _ v C�F�' .'•.�_i�'�C�t'r5 : 4..i :�!_'i'��'��..-!'"� i 1_�i_ _ _. _�i!�';.. , '''t""'Y. _. _.?!.:.i�•'r _._ _•.�'*. %`? � �:}-:• .��y �l. 1-'!� �"��'t��-� �1f`-'.^!ti�. 1..'!^ _�4 j-i�i r'i:�:;•`'r•'kj i !�1 S J.l.iJll`L'Vl'V ' _ it i�.L t%!..!`L ..s.. . a_r '_'__:: .;:. . � 1� '1:1..:t.•liyii " ' if ;:_ '.. ii. =._1 i t.`:.t._....:•i%:}�•i r ' — ' �iit i�i _�r �Gv .. i�{:.1 '.!lfaiL —---- ;r'si6 _L.i :iT! !L'V REMARKS: :�� ��:,�.�. _. ..-_. -.:��: ;::L'.�'.� . r.�y _.;�_._,_,;,. : _ � �-� - - - - - - - v . _ . . ;� _ �. �._: .;_. ;j�!-i . _ . �.._ . .'_ :.:`:`,� :�-- .. :i Y . .,_ , _t ._...,_ . � , . . _ . _... . ._ . .__ , _.. . .. _ . _4:': .'.�:_ . a .f _,:� . i'' FEE SUMMARY: : ,. : . .__ � - _ �,=:__�_.-:::: ; : : . - _ -.�._ �=...._ _ -. - . . -_°.�; �::� n;-. :s'::��'� ?.�.�:` __ --- _ ..:i'_. . .. _ ...i '3�' _�..L . �_ '�.���(_'' . %;`� CO�TRACTQ.R � .;: : ``' _ _ _._ - �11V1�LER. - - - :�...•- ..::� __ . .,....: . '�...�, . .d_ . • � " s � C' f '� ,. . ��' .p; • � . : + � r.i : � • i'�: � �re . . . ._ ._ . _ .. . .�... ... ._ _.. .. ...-...�...�_-.���.». . :Y _ ..._ i. :. . :- .- .�. ^.r.." _ _ ' '�i�": : �.:�..-: �� �i�.� - _ _ . _. _ _. . ._. ... . . _ I'; _ _. _ ��.�`'``. _... . `t,� ....,^i71j[' '�. .. ..... . .. . .. ' " " " '�.� �?''ii ♦i�'�i �...4_.� _ ' — lr—,— ';f: _ _ " —� �'�_�" '��+#i:���'��i�;,�3�.� N���E�Y �E�h�.��,�T'`: F� �. . _ �`..�:! �'}:� t}. .:�;:�:, :ti�. ��:=,._ �;°��_`:='+::R`�,' . _.. , .. v;>f € ��•:r��y ���� �;�:����°=; �'i:;� �`�,�t ��,i �}���.-., . ;' '���:.:T �:�:�i 3�`�.I r���:E w� ;_..; : ,; ... t�.� _.-, . . . . : ;,., , ;.. .: .M � �i�'�' ���. €�!I��r > . : �,.t�i 4...�I t��a �:�t�E �;�t�.:;. _. ._w:T..:. . . W , _ - �::���� �;--- , . - L � � —" A LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� O- �l�, DateReceived: � 1 `� otal Fee: � �3 �� �' f� DateApproved: Entered By: ,�,D� Permit#: 7/�1l CITY OF ORONO - BUILDING P�RMIT APPLICATION ALL INFORI�IATION I�IUST BE SUB��iITTED IN FULL BEFORE PLAN REVIEW WII.,L BESTARTED . THE APPLIC��1'T IS: (circle one) OWNER O CONTRACTO �......_.._. JOB SITE ADDRESS: (��D P�� L�� ZIP: JrS�� NAME OF OWNER: ���►J►l\ V�"t'��jKi PHONE: (home)l `�7.� '3��Z- � ��� (work) MAILING�iDbRESS: �030 P�'�� L.1i���CITY� �J�'�ND ZIP: S53Sb CONTRACTOR: �GE �C.ArS PHONE: y 7C9`�g �(0� =' � - '` (�-MOB PHONE/PAGER: �z 7-- /Z�g MAILING ADDRESS: '���� N• p�'W� � CITY: �_ ZIP: ,�'S 3 S� STA TE LICENSE: # I� ARCHITECTIENGINEER: . PHONE: MAILING ADDRESS: CITY: ZIP: rJA�; REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration � Land Alteration PRO SED WORK(describe indetail): �r+S��T �}` 1 �►�W I �1 ��E� � ���E-G�00 M STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. .�. ESTIMATED CONSTRUCTION VALUATION(excluding 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 ttie 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 ' accordance with the approved plan. APPLICANT'S SIGNATLTRE: DATE: Cv' �D r / "��' NOTE! Parade o�Homes events re separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. _. � _ _ _._.� . --- --_ --_ . ---._ _ 9 . . . , — O�l -, � � ' r O O - = CITY of ORONO ,�. -: r �.,- : �., `z���►o� . ' � ��` ti P�o�soX� �� •�-�''� '-;- '� ('j~' Cn�stal Bay,.'�I'innesota 553��0066 � ��� � '� .`q.FfES�-1�4 ;�.. DATA PRIVACY ADVISORY In accordance �c-ith �Z.S. 13.04, Subd. 2, "Rights of subjects or data", we would lil:e to inform you that your request for a permit or license from the Ciry 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 perrnit or l�cense.. 3. The information may be shared with other local, state or federal a?encies to the exter,t necessary t� p:ocess th� permit or license. 4. If your requested permit or license requires Council action to approve, some inf'ormation may become puoiic. . . 5. You have certain ri�hts u�der M.S. 13.04 (see followin' paQe) to review private , _ data on yourself: , , - �_ , . -, . .. ,.. � ,._ . 6. ,Your full name is required to process this application or permit. ; � , � • . . ._ _ . , � . . _ . . . _ `� . . ' . , .. ,. ,. . _ .:.: ;,.: : .. PLEASE PRL�'T`, '.... : _ , . . .� �c :. � � � . . . . . _.���_ F_ '.� �� . � . ,_.... � :. �, . ., . _ . .. . • � ��. . .F�. .. ,� .. . . .. . .,J... � .: . First = - __; ;; Midd:e�: -, ; , � . LaSt .. � : .. . . .. � . . .. .. .. �f'� .. . ... ���', . _ -._ ._ ' . . . T . '���O �.� ' V .� � `� v`�_ - ` ` '..� ' __ -�. :. . , . . .. . . . _ . . . . . Address ._ , , : ; mN _ ss3� � - 03 •Ciry . _ _ State � ., : Zip Phone A ... . ...,.. . ... .. _ . � I understand m ri�hts as stated above:�- � a_ �.. < i:'�':�.� ti s _ . ; • . .. . . ' . , . , � SiQ ture - � TEI.EPH01YE-473-7357•F.4X-473-0510 • 10 _ . __ __ ___ � __ �._ . _ ._ _ __ - - - - - .� __ __ _. _ _.. . , . ,:.. ... . ,�. _ _ _ - ._ .. �__ _ ,., . . . w.. .. .. .. ,.�,�;�..- ,,,.�,-, .�.;T-� �w; ____- �..__ „.,, . Y------ _.:.__.__.�_ _,--------- ----- _._ _--- __-- ---- ---_--- -- --�.,..--,....-.�.�,��,,.,.. � CgECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRES S OR LEGAL: '30 P�< <-''0�`�� PID: D$SCRIPTION OF WORR----��AO�t. -_w�A�sst:`�'t _ 2SA'n'+---------------------------- ------------------ �/(r} � DATE APPROVED: ZONING REVIEW BY: � � . � (��� DATS APPROVED: '7. � 3-9 S� - - BIIILDING REVIEW BY: _ _. .. _ -------------------- ---------------- �S � BE C�RG�: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEW Yes �' -No SEWER CONNECTION � Na �r7ATER CONNECTION STATE SURCHARGE `�eS Na pp,gK FEE • INVESTIGATION FEE Yes No SITE INSPECTION SAC YeS OTHER (specify) Number of SAC Units ------------------------ -------- ------ ZONING CHECK LIST -,Zoning Dist ct: Fire Department: Post Of ice: School District: _ Lot Area: Wid�h: pth: Survey Submit d: Yes o Date of urvey: Proposed Set 5= Right ide: Front ( a ) : Rear ( tre t) : Left ide: Adjac t S ructur s: Wetla d: Building ight• Def. Hgt. Pea Hgt• Lot Covera e: Avg. Setb ck: proposed xisti g Hardcove : �-� � 75-25 ' 250-500 ' 500-10 0 ' Hardc ver Var a e Re ired. Yes N° Dat of Council Approval: Grad' g: Sta f pprov 7. D te: BY= Council Approval Date: Sept c: Staf pprov 1 D t.e: By� Zon" g Fil.e:� Resolution # : Resolution Date: S (in house) : � BQILDING REVIEW CHECK LIST -- - . ,. . _ . - UBC: R�'3 CONSTRIICTION TYPE: �/� - � Sq Footage $ �Per Sq Ftg -- - . . . . Basement __ . __ --- -- -X =- _ _ - _ '_ lst Floor X _ . .. �___ ._ .. ___..... -� � 2nd Floor x � _ � .__ � � ._ ' - - ��•: . -_ Garage x = . : X = -. _ ._, _ - - TOTAL Bstimated Construction Value: $ �'f.0ao°t Inspections Required: Work Reqniring Separate Permits: Site � Plumbing _ Grading/Fi�ling Footing Mechanica7� Fire _�Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation �Final (Mfg.) Other Other Well (State Permit) o�„Electrical (State Permit) ------------------------------------------------------------------------------ REMARRS (IN HOIISE) : ------------------------------------------------------------------------------ RL'VIEW BY OTSEF2S: DATE: Access: Existing New Access Approval: Date By= � ------------------------------------------------------------------------------ F�T�fARKS (TO BE NOTED ON PERMIT) : _ � _ � . : � � ,; � � � � � - L� �� -: � . � � i :,: __ _'_ ` 1� `� .� 2 � ;�,� � '� �� :i � ;:� -�J � • � � � , il; 1 4 =' �� 1 � � �`^ s 2 c�.� w a� � � ��3 ' o .:.S�:t � � C� �,,_.- — � � �' .� ,.; 3 'd � � � Ql � �� � � z j c � `� ,� '= 'E � C�' �- � " ".,'.✓"� ,^ �. 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