HomeMy WebLinkAbout1996-008080 - finish basement � ��� �
PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ����T�-�s�����
Crystal Bay, Minnesota 55323
Permit Number: i it:�_;i j:�i:�
(612) 473-7357 Date Issued: {�y�:,����a���r,
SITE ADDRESS:
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DESCRIPTION:
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t_�nsu� �_����aw �._��. �LT . �E`=�I GEt�1T I AI_
REMARKS:
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A�`�'�;��V�a Q{?� Ti�+ 'w;Ei=`i'I�: °=;Y';:TEh1 L I T1 I Ti�i i��l��! .
FEE SUMMARY:
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CONTRACTOR: — H����= i�.�i�t� — _�;T . LIf: OWNER:
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T�E :_ii��;�:��`:-�������`�i HERE:E�Y ��R;��_��'=:T:�: �'��Ml:'-;��;?�:F;:.j '[•��x fi="�};:,�: Ii��'. i4�.r:L �;;°�'F;�=it1E:���_���T:;;
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APPLICANT�P MI SIGNATURE ISSUED BY:SIGNATURE �.,
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A �' ' � DateReceived: '�� ,z�_, - `'�
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Total Fee: S �'� k'�' ' �' '�"
Date Approved: L; - � -j !.,
Entered B��: �;t��- Permitn: �� ,-
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CITY OF ORONO - BUII.DING PERl�IIT APPLICATION
:�LL L'�iFORl�1aTION l�n:ST BE SLB�ITTTED P�1 FU�L BEFORE PL��t REVIEW`VII.L
BE ST�iRTED _
- -- --�---�—='� ----------------------------
---------- ------------------------------------- ._
THE :�PPLIC�.�'T IS: (circle one) OWNER R CONTRACTOR
J:3B SITE �DDRESS: �.�55 S -��r.r,k � s�� ����R z�:
�1�tiIE OF O�VNER: N oc�,�,�y� A n�C�o. � � � PHO�'E: (home)
� (work)
�IAIL�iG:�DDRESS: ��i5 S�.-.-,-s�eCS�� CITY: �n J a�v ZIP:
CONTRACTOR: � t ��C ��'� � S�-�l`�`�( Z PHONE: t-} -] � ' U�� ��
MpBIL,E PHO�iE/PAGER: K��<� C �1 � 31 0 1
v1AILINGADDRESS: '��-] fi���� � -:����� ��+'• CITY: V`Jc� ' -��. c ZIP: �53�
STATE LICENSE: # "3°��.Z
ARCHITECT/ENGI�i IEER: � ��� �. S<h���r Z PHONE: � 7� - � � �`�
v1AIL�tG�DDRESS: �` CITY: Zg'�
N��IE: REGISTRATION #
TYPE OF WORK: New �,ddition �ccessory S�ucture
Vlove Remodel/Alteration � L.ancl Alteration
PROPOSED`VORK(describeindetail): � ,�V`�'<cJ � ��lE� ��n-� � ° ����`��� �'`-' l�e` ''i
,���,�� ��t,,, ' � '� ,��� � � �U��� � �� 1�'���'�{ `,,
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STORIES: - SQ. FEET OF EACH FLOOR: '
�t0. OF BEDROO�IS: G�R�GE ST�LLS: ATT. DET.
Jv v
ESTL�I_�TED CONSTRliCTION VAI.L��ATION(escluding land): � � �
I hereb:� appl�� for a building permit and I acknowledQe that the information above is complete
and accurate: that the work will be in conformance �vith the ordinances and codes of the Ciry
and with the State BuildinQ Code; that I understand �s is not a permit and work is not to start
without a permit; and that the work wi e i ac � r nce with the approved plan.
, `� qc� �
:�PPLIC:��T'S SIG�IATURE: �% �Ir��, -. ' DATE: ����`,�_ � � J I
NO?'E.' Parade of Homes events rvent.e �on raermtttedi eQents willbnot becal�wed. ent and
. , City Council 60 days pnor to the e p
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A �
Szc.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The righa of individual on whom[he data is stored or to be stored shall be as set for[h in this secaon.
Subd.2. Information req�red to be given individual. An individual asked to supp(y private or confidential data conceming himself chall
be informed of: (a)[he purpose and in[ended use of the requested dara wi[hin the collecdng'state agency,polidcal subdivision,or sratewide sysum:
(b)whecher he may refuse or is legally required to supply the requested data;(c)any�own coasequence arising from his supplying or refusing to supply
priva[e or confidendal data:and(d)[he identiry of other pzrsons or entiaes auchorized by state or fedetal law to receive the data. This requirement shail
not apply when an individual is asked to supply imesagaave dara, pursuan[to secrion 13.82, subdivision�, to a law enforcement officer.
The commissioner or revenue mav olace �he nodce re uired under chis subdivision in the individual income tax or rooem taz refund
insaucrions instead of on those forms.
Subd. 3. �ccess to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whecher he is the subject
of stored data on individuals, and whecher i[is classified as public, private or contidenaal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown[he data wi[hout any charge to him and, if he desires, shall be iniormed of the content
and meaning ot"that data. After an individual has been shown[he priva[e data and informed of its meaning,the dara need not be disclosed to him ior
six monchs thereafter unless a dispute or action pursuan[to this secaon is pending or addiaonal dara on the individuai has been collected or crea[ed.
The responsible authoriry shall provide copies of the priva[e or public data upon request by the individual subject of the data. The responsible auchoriry
may require che requesting penon to pay the actual cosu of making, cerrifying, and compiling the copies.
The responsible auchonty shall comply immediacely, if possible, with any request made pursuant[o this subdivision,or within five days oi
the da[e of[he request, excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. If he cannot comply wich the request
wi[hin that time,he shall so inform the individual,and may have an addidonal five days wichin which to comply wi[h the request,excluding Saturdays,
Sundays and lega!holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may con[esc the accuracy or completeness of public or private
data concerning himself. To exercise[his nght,an individual shall nocify in writing[he responsible authority describing the nature of the disagreemenc.
The responsible au[horiry shall wichin 30 days either: (a)correct rhe data found to be inaccurate or incomptece and attemp[to nodfy pasc recipiena of
inaccura[e or incomptete data, including recipienes named by the individual; or(b) nodfy the individual tha[he beiieves the data to be correct. Data
in dispute shall be disclosed only if the individual's statemen[of disagreement is included wi[h the disclosed data.
The de[erminanon of the responsible authonry may be appealed pursuan[ro the provisions of the administrative procedure ac[ reladng co
contested cases.
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 departmen[s may require you to furnish certain private or
confidential information.
You are no[ified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2, You may refuse ro supply data, but refusal may require that the Ciry deny the pemut or license.
3. The information may be shared with other local, state or federal agencies to rhe extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some infocmation may become
public.
j. You have cenain rights under 'v1.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
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I understand my rights as sta ab e.
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CHECK OFF LLST FOR ISSUAi�i CE OF PERMITS
FOR OFFICE USE ONLY
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�iDDRFSS OR LEGAI.: ' ` -_ F, %� - - � � -
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PID: �� �� ,� - � - - -,
DESCRIPT'ION OF WORK: _ - ,' � -
ZO�G REVIEW BY: DATE APPROVED: ���
BUII�DING REVIEW BY: DATE APPROVID: G -�
---------------------------- ✓ No
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�IIT Yes
pL�� ��Ew Yes r/ No SEWER COivNECTION
STATE SURCHARGE Yes � No WATF.R CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No �/ SITE I'�i tSPECTION
Number of SAC Units OTHER (specify) _
---------------------
ZOi�1I�1G CHECK LIST Zoning District: ��"�'3 Shoreland District :
Fire epartment:
Post ffice: School Distri t:
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Lot • Sq.ft. Acres Width epth
Surve Su 'tted: Yes No Date of Survey:
Propo d Set acks:
Front Lake): Right Side: '
r
Rear (S ee�): Left Side:
?�djacent trucrures: W land:
Build' g Height: D f. Hgt. Pe H�t.
Avg. ecback:
B1 ff Setback: t Coverage:
isting roposed
Hard over: 0-75'
75-25 '
250-50 '
�00-10 '
Hard over Variance Requ� ed: Y s No Da[e of Council Approval:
Grad �: Staff Approval D e: By: Council Approval Da[e:
Septi : Staff Approval Date: By�
Zo � g File: # Resolution: # Resolution Date:
RF1YiARKS (in house):
I/
, . . ' + �
BUII,D3�i 1G REVIEW CHECK LIST
UgC; 2- � CONSTRUCTION TYPE: VN
� Sq Footage S Per Sq Ftg
Basemenc R —
lst Floor x —
2nd Floor R —
Garage X —
x =
TOTAL
Estimated Construction Value: $ Zc'��C�o o �
Inspections Required: Work Requiring Separate Permits:
Sice ._� Plumbin, Fire
Hardcover Removal o� Mechanical Water Connection
Footing Septic Sewer Connection
_ os Framing Fireplace Lawn Irrigation
� Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
_� Final Grading/Filling 5� _ Electrical (State Permit)
Other
REMARKS (IN HOUSE):
--------------------�------------- - ------------------_ ___---
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY�
---------------(---------------- ,
RENIARKS TO BE NOTED ON PERMIT�: ����ov� N o i ,�DO��EP 4�
-t-o rc� s s n_�►'� � � T�n on� .
27 �
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CITY OF ORONO CALLED IN -�T ' ���
INSPECTION NOTI E SCHEDULED - • 3 a
PERMIT NO. O�� COMPLETEO �_ �_
ADDRESS�4 � -�Olri-e r t �--�..
OWNER �Cu� CONTR. S�i C�d /��
TELEPHONE NO. � 7�0 ��o ��6
� DESCRIPTION �'�
� p 11 MECHANICAL RI 18IXCAV/�RADINC�IFlWNO
�Q�� � 13 MECHANICAL FlNAL 19 LAI�SFIOREIWETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WA7ER HOOK-UP 17 SITE INSPECTION
Q p5 p� 14 SEWER HOOK-UO O6 PROCiRESS
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v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEM�FlNAL 15 SEPTIC INSTALL 22 FOLLOVY-UP
= OB PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITMIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CAII TO AR ANGE ACCESS.
Call for t in ion 24 hours in advance.473-7357
OwnedContract on,site:
Inspector. ✓
White Copyllnspector's Rk Canary Copy/Site Notiw
DATE TIME
CITY OF ORONO CALLED IN `�I "�`? ' �
INSPECTION NOTICE���� SCHEDULED �s " � % ��:
PERMIT NO. COMPLETED _�� _[�
ADDRESS ��S�j �G'':''-�-���-f" o(t�
OWNER_� CONTR. _ '� St=i��- �s,
TELEPHONE NO. �j 7�' � �i' 7 C��:� ' �
� DESCRIPTION
� 01 FOOTINQ 11 MECHANICAL RI 18 EXCAV/ORADINO/FIWNQ
� 02 FRAMINQ 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� INSULATION,� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEM�FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION HEMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN �' PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR "CITATtON ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnedCont on s t
Inspector.
White Copyllnspector's File Canary CopylSite Notice
v
DATE TIME
CITY OF ORONO CALLED IN S /� 5�
INSPECTION NOTICE SCHEDULED � �3 �E �� =c 2�
PERMIT NO. � v COMPLETED
ADDRESS�_��S S � ������-1 ��.F�,��
OWNER�_�� CONTR.
TELEPHONE NO. �7Cc -�/� 7 � �'
� DESCRIPTION �� � �
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/GRADINd/FIWNd
�Q 02 FRAMING 13 MECHANICAL FINAL t9 IAI�SHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 72 WATER HOOK-UP 17 SITE INSPECTION
� FI 14 SEWER HOOK-UO 06 PROGRESS
2
~ 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
v
� 07 DEM�FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
� COMMENTS:
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W� C PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAL�INSPECTOR
r CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContra �o s
Inspector.
White Copyllnspector's File Canary CopylSite Notice