HomeMy WebLinkAbout1993-004953 - finish basement �
PERMIT
• ° CITY OF ORONO �� PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ����,I�.�-.,�;�;���
Cr stal Ba , Minnesota 55323 ������' �-
Y Y Date Issued: -x
(612) 473-7357 {7��j� ' f`�:"�
SITE ADDRESS:
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REMARKS:
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FEE SUIIAMARY:
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CONTRACTOR: OWNER: — AF=��lic�+�t. —
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATUR
� � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z� S� S (�IO«�-��'`r� PZD:
DESCRIPTION OF WORR: r'i�1�S' h'1 Q�AS�;MLI'�C'�
------------------------------------------------------
ZONING REVIEW BY: /U I/� DATE APPROVED:
BIIILDING REVIEW BY: � DATE APPROVED: � -/� ' c13
--------------------c�s-'�------------------------------------------------------�
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 �' PARR FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Post Office: chool D�.strict:
(
Lot Area: Width: D pth:
Survey Submitted: es No Date f Survey
Proposed Setback :
Front (Lak ) : Ri t Side:
�
,
Rear (Str et) : L ft Side:
Adjacent Struct res: etland:
Building Hei ht: De . Hgt. Peak gt. �
Avg. Setbac : Lotl Coverag :
xisting ; i�Proposed
Hardcover• 0-75 ' � � � � � �
i�
75-250 ' ;�
i
250-500 ' � �
500-1000 ' � �
Hardc ver Variance eq red: Yes '/ No_,7 Date of Coun il Approval:
Gra n : Staff A ov I. Date: � B : Council Approval Date:
q PP �— �
Se ic: Staff Appr v I. Date: BY=
�
Z ning Fi].e:# Reso ution #: � Resol. tion Date:
REMARKS (in house) :
BIIILDING REVIEW CHECR LIST " � -
�
DgC: �� � '3 CONSTRIICTION TYPE:�
Sq Footage $ Per Sq Ftg ��9
- _._. .
Basement _.. _,f�.� ��--. ��. 0 �,�► � � s
lst Fl.00r —� T x =
2nd Floor x = �N �� Saw,-� c��2k
Garage x - C�„�;-��(�Q c�
• X =
TOTAL
� �
$stimated Construction Value: $ - —` � s- �" � �
�
Inspections Required: Work Requiring Separate Permits:
Site ` Plumbing Grading/Fi�].ing
Footing �echanical. Fire
�P Framing Septic Water Connection
_�Insu�ation Firepl.ace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
�Fina 1 (Mf g.) Other
Other Well (State Permit)
�Electrical (State Permit)
----------------------------------------------------------
RFMARRS (IN HOIISE) :
-----------------------------------------------------------
REVIEW BY OT�S: DATE:
Access: Existing New
Access Approval: Date BY=
------------------
--------------------------------------- `
REIKARRS (TO BE NOTSD ON PERMIT) : �LANS �e2 OR�6/�tJ14 L CA w-P� C ���-
O�s R�-�5 ,u,4.2��� ____� � �`F�T ,�`
� � _
, CITY OF ORONO - BDII,DING�ERM2T APPLICATION
_�� , c�� `'`
Total Fee: $ .- a� � � `,p,� '�'r 4� `,.+`' Date Received: ��i�93
` � .`' �. � ��
; ��`' y Date Approved:
Entered By: ' ,['�� _ � � �i°
� C;� Permit�: 4S3
�,�
ALL INFORMATION MIIST BB SIIBMITTSD IN FQLL BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-aff List Enclosed)
--------------------------------- ----------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: �U CC� � ��) h�G_ (� +n o �►' - ZIP: ,� S 3 �l l
(work)
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N� OF OWNER: ��-r a� L>v�u c .� C9.�J t PHONE: (home) �[�I 3-�f(�3�
MAII�ING ADDRESS: r�S� S�U ir�.��c1� . �t�'" CITY:��'U 1/1(� - ZIP: .�S���
corrr�c�roR: .� � ��a L��s paoxs: �f�(�- Y�1 o T---
r�zn�� AnDx$ss: cz�: zip:
�
STATS LICENSE: �
ARCHITECT/SNGINEER: PHONE:
MAILING ADDRSSS: CITY: ZIP:
Np�I�s RSGISTRATIOR #
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : c '� uv l�- c>�.�. ��� "- �Tu � `'
`
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION DALIIATION (eaclnding 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 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 a rdance with the approved plan. •
� � �.
APPLICANT'S SIGNA DATE: l y �-J
• , .
CITY of ORONO
Post Office Box 66•Cryatal Bay,Minnesota 55323•Municipal Officea
•
� - � � 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 Iicense.
3. The information may be shared with other Iocal, 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 to review priva�e
data on yourself.
6. Your full name is required to process this applicatian or
permit.
<. � �
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First Middle Last
�U 5^� �Vlc����� +,. �v UJ� ,
Address
, -z SS 3 ��
City State Zip
� �3�- �� 3F�
Phone �
I understand my rights as stated above.
:
� . �
Signature
BUILDL'�iG�c ZONING—473-7357 • ADMINISTRATION�FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING _
„ �
. • _ +
. �.04 RIGSTS OF SIIB.7ECTS 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.
Subd. 2. Information r�d to be given in���' An.individuel asked to
• .' su ply private or confidentiel data coneerning 1umWit�lun the collecting stat agency,
P
purpose and intended use of the req em'd �b�whether he ma� refuse or is legally
political subdivision, or statewide sys ' y�own consequence arising from his
required to supply the requested dats; (c) any
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other penons or entities authorized by state or federal law to receive the data. This.
requirement shall not apply
when an individual is esked to supply investigative data,
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma olert tax reound uistructio uinsteadhos
subdivision in the individuel income tax �r r
on those orms. . - � ---- -� -- -
Subd. 3. �
Access to data bY ����• IIP°n request to a responsible '
authority, an individuel shall be ir►for e�h uti c,pr vateeor eonfidentiaLe Upon his
individuels, and whether it is classified p ublic data on
turther request, an individuel who is the subjecc�g to�mrlande if he desires, shell
individuals shall be sh°wn the data withou�f an�t �tg. �ter an individuB� � been
�e informed of the content and meaning t� �� need not be disclosed to
shown the private data end informed of its ut��action pursuant to this sectien is
him for six months thereafter unless e �SP �
� � pending or additional data on the individ�h h�gte or p blie dataruponarequest by
responsible authority shall provide copies of P require the
the individuel subject of the data. The responsible authority maY �n the
requesting person to pay the actual costs of making, aertifying, and comp g
copies. ' immediately, it possible, with any request
The responsible authority shall comQly ' of the date of the request,
made pursuant to this subdivisi�nd le �th lidaYs, if�immediate compliance is not
excluding Saturdays, SundaYs �
possible. If he cannot comply with the req i et �t wi�n w�ch toh mply w�h the
individual, and may have an additional f Y5
and le el holidays.
request, exeluding Saturdeys, SundeYs g
Subd. 4. Proced�e when data is aot accurate or coaiPlete. An indi�►i� may
himself. To
contest the accuracy or completeness�of public or private da the�respons�ble authority
exereise this right, an in�v�d�a� g� notify in writing
describing the nature of the disagreemenL The responsible authority shall within 30
days either: (a) correct the data found.tcom ete dataeincludin6 reec pients named by
notify past recipients of inaceurate or in P
the individuel3 or (b) notify the individual in��dusl�s statementof disagreement is
Data in dispute shall be disclosed only if
• included with the disclosed data. � a�pealed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
/
�
ATE TIME
CITY OF ORONO CALLED IN s�5'3
INSPECTION N T CE SCHEDULED 4 ���—
PERMIT NO. 3 COMPLETE�DJ �1 �
ADDRESS o�/I_St?�s.G�e_-OL"�, L� •
OWNER�j'�z.C, , CONTR. .�e
TELEPHONE NO. �`�'�I3 '��0.3�
� DESCRIPTION_1ZQ�2„c�_-P , �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q FRAMING 11 MECHANICALFINAL 18EXCAV/GRADINGIFILLING
03 INSULATIO 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 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 O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME�TS:
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0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra or o�site:
Inspector. v
White Copylinspect s Ffle Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN ��� � ��U��7
INSPECTION NOT E SCHEDULED G� - /��3 � o��
PERMIT NO. '�� __ COMPLETED U� � '
ADDRESS �-�� C� S�or ,�
OWNER — ���� CONTR. �� -�'
TELEPHONE NO. `�Co O - U �G� l
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
Q03 �N 24125 WOOD BURNER/FIREPLACE 79 LAKESHORE/WETLANDS
04 WALL BD�i 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
v 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. -� pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContrac s te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��`�—`�
INSPECTION NOTICE SCHEDULED ��-iG `�'%,3�
PERMIT NO. �9�-� COMPLETED ' �� �
ADDRESS ���� d'�-�-z-e-
OWNER �� CONTR. `�
TELEPHONE NO. � 7-� � ��-3 �
� DESCRIPTION /(��y��-� �h.a�
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02FRAMWG 11MECHANICALFINAL 18EXCAV/GRADINGIFIL�ING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENT :
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� �ORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR i� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr on 'te:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice