HomeMy WebLinkAbout1998-010840 - finish basement PERMIT
� OF ORONO PERMIT TYPE: �;t���:���i_
• alley Parkway- P.O. Box 66 Permit Number. ;t j���;;�.i;
,.�y",.�� Bay, Minnesota 55323 _
(612) 473-7357 Date Issued: �t_�,�:�;�;;��s:=:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - �=�P i i f�?�+. - �=�� . L T i�� .OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. i
CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2.�p G S��rAfZ Woo Qs `C�2
PID:
DESCRIPTION OF WORK: � �,�,5�,,�y��� r'�,-���ti-�
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ZONING REVIEW BY: DATE APPROVED: �o-s -S�
BUILDING REVIEW BY: DATE APPROVED: �o • 5.S�
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r/' No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAG Units OTHER (specify)
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ZONING CHECK LIST Zoning District: ND G!-�AA,(��
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side
Rear (Street): Left Side:
Adjacent Structures: etland:
Building Height: Def. Hgt. P al:Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: #1 Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setb k: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
. -
BUILDING REVIEW CHECK LIST
UBC: /Z ' 3 CONSTRUCTION TYPE: V N
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ �`Q,(`�
�
�
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal o�Mechanical Water Connection
�Footing Septic Sewer Connection
��Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling �Q _Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�:
8
Total Fee: $ �, aC17•�� Date Received:
- ' � Entered By: Permit#: /�Q�d
CITY OF ORONO - BUII..DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: Z oOr'1 S...q at�.�o mo a?► p 2._ Z�:
NAME OF OWNER: o�. � ��ti Y �C�((etiw PHONE: (home)
(work)
MAILING ADDRESS: 2 od'{ S v.Cr At(n�vaA A CITY: �Q� ZIP:
CONTRACTOR: q. ,% L� �' c io�- PHONE: � yy5'7 64�6
CONTACT PERSON: /��c,�{ �1 S pt,�, MOBILE/PAGER: $t,(-oo�j �$O�37�
MAILING ADDRESS:S'�// �wc,w«,�. �-i CITY: C�A�.��• ZIP: 5�3�
STATE LICENSE: # 3�r5q
ARCHITECT/ENGINEER: �b N n.iow �+- Rs so�. PHONE: (Q 3 V -Z�Z7
MAILING ADDRESS: 7 9Y 3 ir.b �9c,� �'Ur..� CITY: /Ir� �3, �� ZIP: SS��'�-
NAME: T�.. Jol�,.�scn� REGISTRATIO #
TYPE OF WORK: New •---- Addition Accessory Structure �--
Move Remodel/Alteration_� Land Alteration �
PROPOSED WORK(describe in detain: �jw�skl /3���-cw%� aA�-/3��
STORIES: o SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: o GARAGE STALLS: ATT. O DET�_
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 80, �O
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 pemut and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: SG�` DATE: /l��I"f�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' � •
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data conceming 6imself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or co�dential daha;and(d)the idenaty of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply invesdgative data, pursuant to section 13.82, subdivision 5, to a law
enforcement of6cec
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or�ropertv tax refund
instiuctions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,a�whether it is classified as public,private or confidential. Upon his further request,an ic�ividual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafrer unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been
copected or createcl. The rosponsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,
ezcluding Saturdays,Suixiays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To ezercise this right,an individual shall nodfy in wri6ng the responsible authoriry describing the nawre of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and atxempt to notify
past recipients of inaccurate or incomplete data,uicluding recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administradve procedure act relating
to 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�ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze 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 permit or license.
3. The information may be shared with other local, 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
publia
5. You have certain rights under M.S. 13.04(available upott request) to review private data on yourself.
6. Your full name is required to process this application or permit.
e�.6�A�v •r/.— �w
First Middl Last
�yf �n•cv�� �i
Add`re�s
C1dAw�Ass�ti /�,�.- S S 3l) �S-76 �,6
Ciry State Zip Phone
I understand my rights as stated above.
s ��
s gnature —
6
ATE TIME
CITY OF ORONO CALLED IN j
INSPECTION NOTI E SCHEDULED / � � :� �
PERMIT NO. ���'�v COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. '�'�5 ' 9
� DESCRIPTION
� 01 ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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l�y WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� 0 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOUHS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTIONREQUIRED. LTOARRANGEACCESS.
Cail f nex inspection 2a urs in advance.473-7357
Owner/Cont o s' e:
Inspector. �
White Copyllnspector's Flle Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 4 y
INSPECTION NOTICE /084�D SCHEDULED y � �
PERMIT NO. -� COMPLETED
ADDRESS��.(�Q� o _
OWN ER CONTR.�L—•�.r
TELEPHONE NO._ � g0 ��3'� �i'
� DESCRIPTION ,�/�o�o�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
2
Q COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
►NSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Contra r n '
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �L,�� .s;3 �
INSPECTION NOTICE scHEou�Eo �—
PERMIT NO. O/O 8'�O COMPLETED
ADDRESS ��
OWNER�,�,Q�J CONTR.�
TELEPHONE NO. �
� DESCRIPTION r�=��u�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATiON ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-7357
Owner/Contr ite:
Inspector. r
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN i a '
INSPECTION NOTICE SCHEDULED � _��
PERMIT NO. ' COMPLETED �_ �
ADDRESS ���7 ����
OWNER Cal�'R��!,��� � --
TELEPHONENO. ��/ — f��l -�i �rl. �1�D 'Co3��
�
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL �� 8�Q 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL� `Q 8�+ 36 FOUNDATION/REMOVAL
� OWN EET YOU:_YES_NO
c�n COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORflECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont o site:
Inspector.
White Copylinspecto File Canary CopylSite Notice