HomeMy WebLinkAbout1992-004298 - basement finishing '��f
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' PERMIT
CITY OF ORONO PERMIT TYPE: �,�����I��
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��t� �;�
Crystal Bay, Minnesota 55323 Date Issued: C��jti�./��i
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
EHL-:EMENT F I P�I I�:H I NG
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FEE SUMMARY: 1i���'�}� "v �'
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�.pcTQ - AF��lic�nt• - OWNER:
C'�T1�7ER �k��PELf�AN, I NG i 47:�54:3� `�TE I NE� � k:i�PF'ELMAhi
���:f i_y �; HWY 1 t��. :�1 c�i� L�IjGAF�W��i�iC� D�
WAY�ATA MN ��:i�l �:��i7N�i h1N
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THE t�PdCiEfi=:I�h�lELr H��;EE:Y F:Ei�t 1�_�'-, F'E�iM I__.I__ ----- - ___- -_ -
-- - - _ _ __ __ __ - . _- _
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a _ r�td T+�i MAt':E THE F�Et�� It�F'Ri�iVE�ENT._; °� '
'=�FEC:I F I EQ �1h�D t��aREE'� T�1 D��� ALL W�7�tk: I N '�TR I C:T i:���i���'L I At�lC:� W I TH �LL �:I TY i f� i
����i�:��#ir� ��i�;Cf I h��I���E'�� r;NC� �';�'A�"E t:+� h�I tJ�fE':a_�T� �:t i I LL�I��l�� C�l`.iC�E �;E�:�R�I Rfi�fE�1T=:.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .G,�,/'
` � _ ,
CITY OF ORONO - BQILDING PERM.IT A.PPLICATION
Total. Fee: $ ��p, `l`=� Date Received: ���3 1 S'.Z
Date Approved:
Entered By: ' ,�-j��
' Permit�: �,� `j ,�'
A7•T• ZNFORMATION MIIST B$ SIIBMITTSD IN FDLL BEFORE P?�AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
��������_�������������������������������� ��1���� ��������������������������
THE APPLICANT IS: (circle one) OWNER o CONTRACTO
JOB SITE ADDRBSS: � �(� -; c •` �"�C` I`' V� ZIP:
(work)
NAME OF OWNER: PHONE: (hoine)
IKAILING ADDRESS: CITY: ZIP:
,
CONTRACTOR: S � �� ��C> . �l.'�'zt PHONS: �! �_�'' ���`
MAILING ADDR.ESS: ��(�� JU�.,�� �K� D CITY: ���Z. � ' ' ZIP: ��_��
STATS LICENSE: � �(� j �t��_
ARCHI TECT/ENGINEER: S�^�-� "" ��i.�i � "�e_ E"�1��'��`'1 PH�NE:
MAILING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION �
�PE OF WORR: New Addition� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : �J �{� J�� �c�iu��: � '�-� `�t: '
r
STORIES: SQ. FEST OF EACH FLOOR:
�70. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�.� �
ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ �-� C�}C1
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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 wiI 1 be in accordance with approved plan. ' .
�
APPLICANT'S SIGNATDRE: ,� �� DATE: �'`,�j���_
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minneeota 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 wiSl 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 local, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Zicense requires Counci3. 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.
�r�C.- ��
First Middle Las
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Ad�ress
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City State ip
''���-- ��,g�--
Phone �
I understand my righ as stated above.
•�.....
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSINC �
�__._ � ` .
�.04 RIGH15 OF SIIBJECTS OF DATA �
gubdivision 1. T'y'pe of date- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
, gubd, Z, information r�d t� � ��� ����1' An.individuel asked to
- ' su ly private or confidentisl data coneerning himWi�n� collecting state agency,
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purpose and intended use of the requtem�d �t whether he ma� refuse or is legally
political subdivision, or statewide sys ' �own consequence arising from his
required to supply the requested date; (�) �Y �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other penons or entities authorized by statu��e�kedlto supplyein est gat ve data,
requirement shall not apply when an indrvid
pursuant to section 13.B2, subdivision 5, to e 1aW enforcement officer.
The commissioner of revenue ma oleTt t8X re°una�nstructio uinsteadh�s
subdivision in the individuel income tax �r r
on those orms. . - --- -- - .
A�� � �� � ����L Upon request to e responsible
Subd. 3. �
authority, an individuel shall be informed whether h�VBteeor eonfident a1•e �1P°n �
individuels; and whether it is clessified as publi�, P ublic data on
further request, an individuel who is the subjecc�ge to himrland, if he desires, shall
individuels shall be shown the data witho of�hat data. After an individuel has been
�e informed of the content and meaning t� �� need not be �isclosed to
shown the private date and informed oi Its meaning, u��t to this section is
him for six months thereafter unless e dispute or actien p
� pending or additional data on the individ�h h�8te or public dataruponarequest by
responsible authority shall provide copies of P require the
the individual subject oft�e actual�cos h of ma�kirig,icerti 3'ingya�a compiling the
requesting person to pay -
copies. ssible, with any request
The responsible authority shall eomply immediately, if po
made Qursuant to this subdivision, or within five days of the date of the request,
and le holideys, if immediate compliance is not
excluding Saturdays, SundaYS �
ossible. If he cannot comply with the request within that time, he shall so inform the
Individual, and maY ha�e an additionel five days within which to comply with the
request, exeluding Saturdays, Sundeys and legel holidays.
. Subd. 4. Proced�u'e when data � blic o�p�vate datla iconcerning lumself. To
contest the accuracy or comQleteness�of p ln �� the respensible authority
exercise this right, e�n indi�duel sh� notify �ible authority shall within 30
describing the nature of the disagreement. The respo
days either: (a? correct the data found to be lete dataeincludingPee�Pi�� namedt by
notify pest recipients of inaccurate or incomp
the individusl; or (b) notify the individual that he believes the data to �ement is
Data in dispute sh a l l b e d i s c lose d o n l y i f t h e individual's statement of disagr
• included with the disclosed data. ealed ursuant to the
' The determination of the responsible authority may be aPP p
provisions ef the administrative procedure act relating to contested csses.
e � '�.
� - ' ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADl7RESS OR LEGAL: Z�(� SvC,�42Woo� �2 pID=
DESCRIPTION OF WORK: F�N��r+ 3A Sew�n,,,�
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ZONING REVIEW BY: /V IA DATE APPROVED:
BIIILDING REVIEW BY: �y o � DAT$ APPROVED: �{-2f1•S 2
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v No
PLAN REVIEW Yes f 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 Zoni g District:
Fire Department: Post Office S ool District:
Lot Area: Width: Dep
Survey Submitted: Yes No Dat of Survey:
Proposed Setbac s:
Front (La e) : R' ght Side:
Rear (St eet) : eft Sidez
Adjace Str ctures: W tland:
Building H ight: Def. Hg . Peak H t.
Avg. Setb ck: Lo Coverage:
Exi ting roposed
Hardco er: 0-75
75-25 '
250-50 '
500-10 0 '
rdcover Va ian Requir . Ye No Date o Council ApprovaJ.:
rading: Sta f pprova7� te: By: C uncil Approval Date:
Septic: Staff pproval D te: BY:
Zoning File: Reso ution #: Resolution Date:
REMARKS (in house) : �
BQILDING REVIEW CHECR LIST � . '
pgC: gS� R '3 CONSTRIICTION TYP$: VJ�
Sq Footage $ Per Sq Ftg
Basement X =
lst F�oor X -
2nd Floor X -
Garage X -
x =
TOTAL
$stimated Construction Value: $ 27 O��
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fil.J�ing
Footing �Mechanical Fire
�Framing Septic Water Connection
DCInsulation �Fireplace Sewer Connection
�Wa�I. Board (Masonry) Lawn Irrigation
p�Fina 1 (Mf g.) Other
Other Well (State Permit)
�Electrical (State Permit)
------------------------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------
REVIEW BY OTHE}ZS: DATE:
Access: Existing New
Access Approval: Date BY=
-----------------------------------------------------------
RE1rSARRS (TO BE NOTED ON PERMIT) :
- ��
���,
�
DATE TIME
CITY OF ORONO CALLED IN r� -�2-�Z
INSPECTION NOTICE SCHEDULED `f � '� '�
PERMIT NO. � ��`�� � connP�ErEo � y�
ADDRESS � ��'—°� �
OWNER�, p�-�+�� CONTR. � �'z1Z-
TELEPHONENO. � � 3 ' � `�3J
� DESCRIPTION
� Ot F,QQT,j�I 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILL.ING
y 0 ATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 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
� 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
� COMMENTS: L� � �`'`'� "�'Yti �/ _ �
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W ❑WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� �CORRECT WORK 8�PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY
� I❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;_ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra K�n site:
inspector. v
White Copyllnspec r's File Canary CopylSite Notice