HomeMy WebLinkAbout1991-003717 - finish basement ERMIT
� CITY OF ORONO PERMIT TYPE: �;�3���s�,��
1335 Brown Rd. South • P.O. Box 66 Permit Number: t j;�;�;, 1�
Crystal Bay, Minnesota 55323 Date Issued: C}�%����1_=�1
(612) 473-7357
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE SUED BY:SIGNATURE
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�
C��Y o� ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� - � � 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:
1. 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 license.
3. The information may be shared with other Iocal, state or
federal agencies to the extent necessary to process the permit or
3.icense.
4. If your requested permit or Iicense requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Your fu1.I name is required to process this application or
permit.
� ��
First Mi dle Last .
��6�D rj L�o�d.l�,.�aad, t�- -
Address
1 �
City State Zip
�?�-�'���
Phone
I understand my rights as stated above.
�
Si ature .
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING °
� � ,
573.04 RIGfl15 OF SIIB.TECTS OF DATA .
Subdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
gubd. Z. Informaticn reyuired
to be given individusl- An.individuel asked to
� supply private or confidentiel data concarnina BmWi�n the collect ng state agency,
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he ma� refuse or is legally
p 1 the requested date; (c) any kncwn consequence arising from his
required to supp y end (d) the identity of
supplying or refusing to supply private or confidentiel data;
other persons or entities authorized by stet ueolr�e�kedlto supplyeinvest g ave da a
requirement shall not apply when an individ
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg o1eTt taX re�und uzstructiotzs�nsteadh�s
subdivision in the individusl income tax �r r
on those orms. . - -- - .
. A�� to �� � ����. Upon request to a responsible
Subd. 3.
authority, an individusl shall be informed�he b c'hpr vateeor confident al.e UPon his
individuaLs, and whether it is classified p ublic data on
further request, an individual who �s the subject of e to�mri��if he desires, shall
individuels shall be shown t1�e �t8 witho of�hat data. After an individual has been
�e informed of the content and meaning the data need not be disclosed Lo
shown the private data and informed of its ineaning� u��t to this section is
him for six months thereafter unless a dispute or action p
� ending or additionel data on the individuel h� ateeor public ddatarupon request by
' p require the
responsible authority shall preeide copies The responsible authority may
the individual subject of the data. ��rtif n and compiling the
requesting person to pay the actusl costs of making, Yl g'
copies. ' immediately, if possible, with any request
The respensible authority shaIl comQly � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complianee is not
excluding Saturdays, SundaYs and legel holidays, _
ossible. If he cannot comply with the request wit withintwhich tohcomPlY w►�h the
p hsve en additionel �ve days
individuel, and maY �d le el holidays•
request, excluding Saturdeys, SundaYS g
Subd. 4. Procedin'e when data is not accurate or complete. An individuel maY
himself. To
contest the accuracy or completeness�of public or private � the�nrespens ble authority
exercise this right, an individual shall notify � ��e authority shall within 30
describing the nature of the disagreemen� The respo
days either. (s) correct the data found to be inae a�gei°��ngPeec pients namedtby
notify past recipients of inaccurate or incomp
the indivicival; or (b) notify the individual that he believes the data to �ement is
Data in dispute shall be disclosed only if the indieidual's statement of disag'r
• included with the disclosed data• ealed pursuant to the
' The determination of the responsible authority may be aPP
provisions oi the administrative procedure act relating to contested cases•
� . _ .
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRES S OR LEGAI�: ($(n 5l�f�A t�t�l�.J c�o✓, �-c� PID:
DESCRIPTION OF WORR: Q�4�.LM�.,��t f= t N 151-t
-----------------------------------------------------------------------------
ZONING REVIEW BY: A.l�/¢ DATE APPROVED:
BIIILDING REVIEW BY: DATE APPROVED: S - 3v -�(
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes !/ No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes—� No WATER CONNECTION
INVESTIGATION FEE Yes No !/� PARK FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
---------------------------------------------------------------------------
ZONING CHECR LIST Zoning Distr,ict:
Fire Department: Post Of�ice: School District:
,
Lot Area: �� Width: Depth: -
Survey Submitted: Yes No Date of Survey:
Proposed Setbaeks:
Front (Lake) : Right Side: ; �
Rear ( Street) : Left Side:
Adjacent Structures : Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-7 5 ' �_-----�---- �
75-250 '
250-500 '
`� � �,
500-I000 ' �
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By:� Council Approval Date:
Septic: Staff Approval Date: BY�
Zoning File:# ResolutiorY'�#: Resolution Date:
REMARRS (in house) :
_. �
_ _ - - . ,
BQILDING REVIEW CHECR LIST
QBC: ?S'SS !i •� CONSTRIICTION TYPE: �`.�-'-�
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage X -
x =
TOTAL
8stimated Construction Value: $ 4 �� ��a�
Inspections Required: Work Requiring Separate Permits:
Site ��lumbing Grading/Filling
Footing �,Mechanical Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
�Wall Board (Masonry} Other
�Final (Mfg. ) Well State Permit
Other �f-Electrical (State Permit)
=-----------------_---------------------�----F—�-----------�SGc�s-----��--
R$MARRS (IN HOOSB) i s
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
-----------------------------------------------------------------------
RF.MARK$ (TO BS NOTSD ON PERMIT) :
f •
CITY OF ORONO - BIIILDING PERMIT APPLZCATION
Total Fee : $ � ID �bS Date Received:
Date Approved:
Entered By:
Permit#:
AT•T• INFORMATION MIIST BE SIIBMITTED IN FiJLL BEFORE PLAN REVIE'W WILL BE STARTED
(See Check-off List Enclosed)
-----------------------------------r�------------------------------------------
THE APPLICANT IS: (circle one) OWNER r CONTRACTOR
JOB SITS ADDRESS: ZIP: s��g �
(work)
x� oF owxEx: Rp�2� �L-.e�C�-('I psor�: (home) � Z ��g ZD�
MAILING ADDRESS: lS�O S I�(T,M�d � CITY: ORp N� ZIP: 55��1
�CONTRACTOR: �r�('�G,� PHONE:
MAILING ADDRESS : CITY: ZIP:
TYPE OF WQRR: New Addit�on Accessory Structure Move
Demo Remode�/Alteration_T Renovate Land Alteration
PROPoSED WORK (describe in detail) : SQe p�''�"�-/�C.�l� "[ ��q� A��A�
'.�� N� �� .S�-V d`
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTROCTION VALIIATION (ezcluding land) : $ �d�QQQ _
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 accor. ance with the approved plan.
APPLICANT'S SIGNAZ'QRE: � DATE: ���-� L �
DATE TIME
CITY OF ORONO CALLED IN (-LJa-�I � ��'�°^""'
INSPECTION NOTIC SCHEDULED f�-13-9) 11-Dz�m.rr�
PERMIT NO. � COMPLETED _ ��
ADDRESS � h w o
OWNER I�'��r[�R[� CONTR. �n�/son
TELEPHONE NO. y� ��S7 0 F�
� D IPTION �t.J1l..uv ��
� 1 FOOTING 11 MECHANICALRI 18WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAI FINAL 18 EXCAVIC,RADING/FILLING
y 03 INSULATION 24J25 WO00 BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� 1�IORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W�O CORRECT VIbRK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ion 24 hours in adnancc�.473-7357
Owner/Contra sit$:
i
Inspector: � '
YVhite Copyflnspector's File Canary Cop�rlSite NoNce
�_� DATE �,`/ TIME
CITY OF ORONO CALLED IN � �� ��
INSPECTION NOJIC�/ �J SCHEDULED � ' ��t� ��
PERMIT NO. ��� � COMPLETED �?�-��� Z=
ADDRESS �Q ���
OWNER �C,C��'� ��� ONTR.�i��ti, /_���c,�;.i�.e�.ti.-'
TELEPHONENO. � �/ — rY���
� DESCRIPTION t�G�-�'4Y ` ' ��
� Ot FOOTING 11 ME HANICAL RI 16 WELLTEST PUMP
Q 02 FRA W 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILUNG
y 03 IN ON 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPEC710N TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� + TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE _ l scHEou�eo �
PERMIT NO. /� COMPLETED �_ L(
ADDRESS
OWNER C TR.
TELEPHONE NO. �7� r ' � ��
� DESCRIPTION �Q�-�rYLIl �
� 01 F 11 MECHANICAL RI 16 WELLTEST PUMP
FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
Q ULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 08 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPT INSTALL 22 FOLLOW UP
J 10 BING FINAL 23 S C F�NAL
� OWNE NTRACTOR TO MEET YOU� YES_NO
� COMMENTS: `
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� �RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN �V�• ❑pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for N�e next inspectbn 24 hours in advanoe.473-7357
site:
Inspector:
Mlhlb Copy Flk Csnary Copy/Ske NoGce
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qwr_wnen2s +nc!u;i!n� it��;s r,o: a�ci'ic%,!;y rq;�d in Ihrs rCviev..
K�E? T;�f; FLA!V '`c i �.(�; SfTE �T ALL TIMES.