HomeMy WebLinkAbout1992-004137 - finish basement , � PERMIT
CITY OF ORONO PERMIT TYPE: �,�����a�����
1335 Brown Rd. South • P.O. Box 66 Permit Number: i it;r.��.:;i
Crystal Bay, Minnesota 55323 Date Issued: t_3��i��'�s
(612) 473-7357
SITE ADDRESS:
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APPL ANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR
s, �
' � CITY OF ORONO - BUILDING PERMIT APPLICATION
i'otal Fee: $ �� � �� Date Received: /f 8`�j�
Date Approved: /-l�-��
Entered By: �
Permit�: '�/'c.� 7
ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: 277(� S((,,,,�/�.�//��CY 1/Q ZIP: ����jrp
t work)3yl • 59��'
NAI�: OF OWNER: ��� �,�„�� PHONE: (home) �
MAILING ADDRESS: 2��(� �LY_��1(��/ �� CITY: ��(�((� ZIP:��S�rjCp
CONTRACTOR: (�N('(� ��-1L DC-�(L•I�l�_ � � Paor�:��'j -?'$Q$
MAII�ING ADDRESS: ((2� lsT- .�[' .�, cz�r: .�,k�P4VNS Z1P:�,��5�
STAT$ LICENSE: # ��PV� �[�(Z `�((Z,c�7[ �► 11 !S.� A •
_,.�T �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDR.SSS: CITY: ZIP:
NAI�= RSGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�- Renovate Land Alteration
PROPOSED wo�zx (aescribe in aetai�) : ��F,� pF.� �p��,r��.T :
.L���}.,.,�� I��ROOMT � ��,ni t AQ.�74� L.►�I�IU►� A�1�'A. 5'toQAG�Z�
STORI$S:�_ SQ. FEST OF EACH FI�OOR: I��]q•5�
NO. OF B$DROOMS:�_ GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRDCTION VALIIATION (eacluding land) : $�a,� �—
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor}c will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is no a p m ' t and work is not to start without a permit; and
that the work will be in acc r nce with the approved plan.
APPLICANT'S SIGNATIIRE: � DATE: z,
' �`�
, � S
�����,
�g
�� ��&t���� CITY of ORONO
F=`
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
i
� - � � 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 3ike 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 wi31 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 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
license.
4. If your requested permit or Iicense requires CounciZ action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Your full name is required to process this application or
permit.
�-- � L-aiJnQ.C�,I �Q�11J
First Middle Last
11 Z7 � Sr ST S
Address
�op�c�n�s MN 553��
City State Zip
��L=Z�t1�-
Phone
I unde y rights as stated above.
Signatur , .
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� �
. ,-., .
�.04 RIGHTS OF SIIBJF.CTS OF DATA � -
gubdivision 1. Type of data- The rights ection.viduels on whom the data is
_ stored or to be stored shall be es set forth ln t� S ' An.individuel asked to
'ven individueL
. , ' to be gi
g�d. Z. Information requ�r�d
� ' 1 rivate or confidentiel data concerning gmWi�in the collecting state agency, .
�PP Y P
purpose ar�d intended use of the requested da from his
tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys . �oWn consequence arising
required to supply the requested date, (c) anY
1 'n or refusing to supply private or confidederal lawgto receive t e data.1tThis.
supp yi g state or f �vesti ative data,
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply g
pursua;►t to section 13.82, subdivision 5, to e law enforcement officer.
The
commissioner of revenue ma lace the no�a�tructio uinstea thos
subdivision in the individual ineome tax or ro ert tax re
on those orms. - �
Subd. 3. - Access
� �� � ����y IIpon request to e responsible '
authority, an individuel shall be informed whe b�C h r vateeor eonfidential.e IIpon his
individuels; an d w he t h e r i t i s c l a s s i f i e d a s p � P u b l i c d a t a o n
e to him end, if he desires, she11
further request, en indi�d� �L8 wit�houtlany charg ored priva te o r��� � been
individuels shall be shown i of that data. After an in�
�e informed of the content and meaning t� �� need not be disclosed to
shown the private date and informed of its u���8ction pursuant to this section is
him for six months thereafter unless e �SP n request by
endin or additicnal data on the individusl h� a�eor pubuc�d�atarupoeated. The
� =esponsible authority shall provide copies of the P o�ible authority may require the
the individual subject of the data. The r�P ��rtif and comp�ing the
the actusl costs of making, Y�g�
requesting person to pay -
copies. if ssible, with any request
The responsible authority shall comQly immediatelY, P°
� or within five da of the date of the request,
made pursuant to this subdi�� le holidays;`����e�8te complience .����� .
excluding Saturdays, Sur►daYs �
ssible. If he cannot comply with the request within that time, he sha]1 so in�orth the .
P° hsve an additional fi�e daYs Within which to,comply
individuel, and m Saturdays, Sundays and legal holidays• ' . �. , . � .
request, exeluding
'•, . -•� . ... �ocnplete. An individuel roeY
Subd. 4. Procedur�rw�t�� dAt� 3s not acciu'ete�. ��. '3'0 _
. otif in writing the respcnsibie 8uthority
contest the accuracy or completeness�of pnblic or priveKe data concerning�hi�s, : .{. O
exereise this right, an ln��� s� y nsible authority, �hall wittun 3
describing the nature of the disagreemenL '�e r�P° leLe �n��t�e��t,rt'0
days either. (s) correct the data found to be i�e dataeincluding recipients'named t�y
- notify past recipients of inaccurate or incomp
the individuel; or (b) notify the individuel t�v dusl'�s statementofadisag�'eement is
Data in disp if the mdi
ute shall be disclosed only '
• included with the disclosed data• � 8ppealed purs�t to the �
' The determination of the responsible authoritq to contest�.��.er�,. 'j�
provisions oi the administrative procedure act relating _
' ~ CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FQR OFFICE USE ONLY
ADDRESS OR LEGAL DESCRIPTION: 21�1� Sll.-v�-���EW U�' --
PID:
DESCRIPTION OF WORR: Fi N�Sr-f ��AsGt/I�c.r��
--------------------------/ ------------------
ZONING REVIEW BY: /I//I� DATE APPROVED:
BOII,DING REVIEW BY: „c�.�-._ .DATE APPROVED: I-1'� - G ?�
pERMIT ISSIIED BY: DATE:
-----------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No SEWER UNIT $
�
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECTION
PENALTY Yes No ✓ PARK FEE
SAC Yes No '� SITE INSPECTION
OTHER (specify)
----------------------------- •
ZONING CHECR LIST Zoni�g District: .
Fire Department: Post Offi;�e:� Sch� 1 District.
� '
�
i
Lot Area: � Width: a� � DeptM: 1
�
Survey Submitted: Ye No �ate of Survey:
Proposed Setbacks :
t �
Front (Lake) : % Right Side:
� i
Rear (Street) : Left Side:
Adjacent Structures: � Wetland:
Exi st�ng Props1sed
Hardcove�: 0-75' , i
75-250 '
Hardcover Variance Re�uired: Yes No Date of, Council Approval:
,
Grading: Staff Appro�al Date: ' By: Cquncil Approval Date:
i
Septic: Staff App�val Dates By= � .
Zoning File: # Resolution #: Resolution Date: .
RBMARKS (in house) :
BDILDING REVIEW CHEG'tt I.IST - . . ,.. � -
QgC: �� jZ -3 CONSTRIICTION TYP$: � ` .,
BLDG SIZE: H. L• W'
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floo.r X -
Garage X -
x =
TOTAL
Estimated Construction Value: $ (� �����'-
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Grading/Filling
�Footing �Mechanical Fire
�Framing Well Water Connection
Insulation Septic Sewer Connection
�Wall Board Fireplace Lawn Irrigation
�Final (Masonry) Other
Other (Manufactured)
REMARRS (IN HOIISE) :
--------------------------------------------
REVIEW BY OTffi3RS: DATE:
Access: Existing New
Access Approval: Date BY�
-----------------------------------------
RF.MARKS (TO BE NOTSD ON PSRMIT) :
1/
DATE TIME
CITY OF ORONO CALLED IN ��.3a��z
INSPECTION NOT CE SCHEDULED i��i/9z� �«"�
PERMIT NO. � COMPLETED !.�
ADDRESS � � �
OWNER T���--��� CONTR.
TELEPHONE NO. �'3 S � �� `��
� DESCRIPTION �_iP'��n�.�
� 01 FOOTI 11 MECHANICALRI i6WELLTESTPUMP
Q 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINA�
Z OWNERICONTRACTOR TO MEET YOU:�YES_NO
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GW �NORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W �❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractg o e:
Inspector. ,+� —
White Copyllnspector's le Canary CopylSite Notice
�
�� TIME
CITY OF ORONO CALLED IN R-
INSPECTION NOT � SCHEDULED y% � • d
PERMIT NO. ? COMPLETED
ADDRESS � �'
, ,
OWNER CONTR.
TELEPHONE NO. 9X ' 755-�
� DESCRIPTION�1��������i
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL B 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 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEP•TI�C FINAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
y COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C'CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra r site:
Inspector.
WhNe Copyllnspect s File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '`� �-
INSPECTION NOTIC SCHEDULED 'S�/� t �—
PERMIT NO. 7 COMPLETED �, ��
ADDRESS ��9/�-���� ��i o�c�� ' �
OWNER ��� CONTR. ����,c. ���
TELEPHONE NO. 9�S- 7�S�P
� DESCRIPTION � �t��iir-e�.�
W 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q02 FRAMING 11 MECHANICAL FINAL �I��� 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 0/ 4,(1lAl.�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
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL ���/y` 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:(LYES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN �; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor site:
Inspector.
White Copyllnspec r's File Canary CopylSite Notice