HomeMy WebLinkAbout1994-006524 - finish basement _ -..-- — —
� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 z_:i�W}_�_.;.���t;
Crystal Bay, Minnesota 55323 Permit Number. ;y;_��:,M z,;�
(612)473-7357 Date Issued: €,_;�� -r ;,���
SITE ADDRESS:
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PLICANTiPERMITEESIGNATURE ISSUEDBY:SIGNATURE ��•
CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee• $ .� �� ' � Date Received:f (� " � � �`�
Date Approved:
. Entered By: � ���� y� �
Permit#: �
ALL INFORMATION MIIST BE SIIBMITT� IN FDLL BEFORE PI,AN REVIEW WILL BS STARTED
(See Check-off List Enclosed)
------------
------------------------------- ----------------------------
THE A.PPLICANT IS: (circle one) OWNER o CONTRACTOR ;
.�----------
JOB SITE ADDRSSS: � / �� �� a ���� ZIP:
(work) -� 3t� -Sss�?
NAML OF OWNER: ,�i��%�� <%�1�L��/� 5 PHONE: (home) `'�76 �� �3E,�
I�iAILING ADDRESS: � lG' y S�r���r° �c+c,vS CITY: G>/�G�.�✓�) ZIP:
C ONZ'RACTOR: �/�l CG'J` C C�•✓.S`r�{u c 7�c�J `� /'� /n O��-d�N C� PHONE: / �.�-- �` �S-�
Z�SAILING ADDRESS: %.��'�/ /v��,v�iJc-�fl�°iS/� ./�vc�- t^' CITY: S�T _ %��i K'L ZIP: .��5'/O�
STATS LICENSE: � C%(`}� y� �S�
ARCHITECT/ENGINEER: N� PHONE:
MATLING ADDR.$SS: CITY: ZIP:
N�: R.BGISTRATION tt
TYPE OF WORR: N , Addition Accessory Strncture Move
Demo Remodel Alteration�- Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : F�ti"�fH CO"=F ���sc='�'G�"; �n� �'x'�r.'"'�� i��`�C
�/YI,�I�t:v'!� r1 ,�m��� y a;'Cn'1 � %� i✓ —r�f-�li�'T l/� ii7JG /'� CC.+�
STORI$S: SQ. FEBT OF EACS FLOOR:
NO. OF B$DROOMS: GARAGE STAL.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ a�� ��U�:c�t-
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 2
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 the approved plan. •
APPLICANT'S SIGNA T� '� �,�t.:s DATE: I�/S�4y
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�- � }_� CITY of ORONO
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� � � F Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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� . �a�'� <; 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 Iike 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 reguire 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 grocess the permit or
license.
4. If your requested permit or Iicense requires Counci� action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review privat�
data on yourself.
6. Yc,ur full name is required to process this applicatian or
permit.
�,�di�✓%L/�
� � `�Yf� r/� lG��.
First Middle Last
f � C / N� /i✓NG//��/.� .��� ��� -
Address
�i �i9�e'z %yi�- .�SiGG
City State Zip
�� �� � �'�S i
Phone
I understand my rights as stated above.
C , �� � '� � .
Signat
BUILD[NG&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
�.� �G� pg gpgJpC15 OF DATA � �
gubdivision L Tppe of dste- The rights of individuels on whom the data is .
stored or to be stored she]1 be as set forth in this section. •vidusl asked to
g�d. Z, Information required
to be given in�viduel. An.indi
� ' su ply private or confidentiel data coneera a 8mwithin the collecting state gencye
P
purpose and intended use of the request
(b) whether he ma� refuse or is legally
political subdivision, or statewide system; �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 persons or entities authorized by state or federal law to receive the data. This.
1 when an individual is asked to supply investigative data,
requirement shall not app y
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lert tax re�und instructio�in�tegdh°S
subdivision in the individuel ineome tax or r•
on those orms. . - --- - - .
Subd. 3.
Access to data bY in���' UP°n request to a responsible
euthority, an indinduel shall be informed wh u�c hp iyateeor confidential.e UPon his
individuels, and whether it is elassified as p � ublic data on
e to him and, if he desires, shall
further request, an individusl who is the subject of stored privete or�au� � been
individuels shau be Sh°wn the data withou�fan���a. �ter an indi
�e i n fo r med of the content and meaning t� �ta need not be �sclosed to
shown the private date and intormed of its mesning+ u�uant to this section is
him for six months thereafter unless e disPute or action p
� ending or additior►el data on the individu8l h�a e or publie dataruponarequest by
� p require the
responsible aut hori ty s h a l l p r o v i d e c o p i e s o t e p
The responsible��=�f�ngy�a compiling the
the individuai subject oftrie actual•cos t s o f m a k i n g,
requesting person to pay -
copies. ssible, with any request
The responsible authority shall comQly immediatelY, if po
' made pursuant to this subdivision, or within five days af the date of the request,
gal holideys, if immediate complianae is not
excluding Saturdays, Sundays and le with the
ossible. If he cannot comply with the request �thin that time, he shall so inform t e
P have sn additional �ve ys Within which to comply
individual, and maY end le al holidays•
request, exeluding Saturdays, SundaYs g
te or complete. An individ� m8y
Subd. 4. Pmcedia'e when data is not ac�c�a �mself. To
contest the accuracy or completeness�of public or private data conce�lble authority
exercise this right, an ind��dual sh� notify in writing the resp
describing the nature of the disagreemen� The respensible authority shall within 30
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaceurate or ineomplete data, including recipients named by
the individuel; or (b) notify the individual t�t au�,�statementof dis8�'eement is
Data in dispute shall be disclosed only if the indiv�
• included with the disclosed data. � appeeled pursuant to the
' The determination of the responsible authority tp contested cases•
provisions of the administrative procedure act relating
- CHECR OFF LIST FOR ISSIIANCE OF PERMITS
' � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZIO`1 SvGArR-wocsc9S PID:
DESCRIPTION OF WORK: �f}SLF��'`�� r��(SN
---------- - - ---------------------------------------
ZONING REVIEW BY: DATE APPROVED: ���
BIIILDING REVIEW BY: ��G� DATS APPROVED: !U • !U •G'iy
--------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �No
PLAN REVIEW Yes f�o 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 Departme t: Post Office Sch o District:
Lot Area: Width: Depth
Survey Submi te : Yes No Date f Survey:
Proposed Set ack :
Front ( ake) : Right Side:
Rear (S reet : Left ide:
Adjace Stru tures: Wetla d:
Bui�ding He' ght: D f. Hgt. Pe k Hgt.
Avg. Setbac : Lot Cove age:
xisting Propos d
Hardcover: -75 '
75 250 '
250 500 '
500- 000 '
Hardcover V riance Requi ed: es No Date of Council proval:
Grading: St ff Approval D te: By Council Appr val. Date:
Septic: Sta f Approval Date. BY�
Zoning File # Resolution # Resolution ate:
REMARRS (in house) :
BIIILDING REVIEW CSECK LIST '
� .
DBC:
� ' � CONSTRIICTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement X -
lst F1oor X - �
2nd Fl.00r X -
Garage � X -
x =
TOTAL
Estimated Construction Value: $ 2 2�;c�o�'�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/FilJ�ing
Footing Mechanical. Fire
: Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Wel� (State Permit)
�Electrica7. (State Permit)
------------------------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------
REVIEW BY OTHL�ZS: DATE:
Access: Existing New
Access Approval: Date BY=
-------------------------------------------------------------
FtF.MARKS (TO BE NOTED ON PERMIT) :
DATE TIME
CITY OF ORONO / CALLED IN /%) �� �j�
INSPECTION NOTICE //� SCHEDULED 0 � .� s` .1/ ` '��
PERMIT NO. � � 7" COMPLETED (:I �
ADDRESS �~ �' > `�c� _ .�� � „-
OWNER ���..2� CONTR.� � ,�� ���_;
TELEPHONENO. �%-�.� - ��� 3 �-��,�.�
� DESCRIPTION . �,�'�����,���� -Y`'
� 01 F TING� 11 MECHANICAL RI 18 EXCAV/GWIDING/FIWNG
�� 02 FRAMING . 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO p6 PROGRESS
~ 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O C',CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PEFMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr� g�r r��i}e:
Inspector ���U
White Copyllnspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTICE ,/ SCHEDULED /— >�
PERMIT N0. lUS 7`� COMPLETED I�-I" � •�
ADDRESS o��O�"I -�i
OWNER ���-4 CONTR. ��-«J
TELEPHONE NO. �'�� '����
� DESCRIPTION � � �� � �t
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING � 13 MECHANICAL F AL t9 LAI�SHORE/WETIANDS
�LATIQDI% 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORK SATISFACTORY PROCEED � PROJECT COMPLETE
W l- CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnedContract o 'te:
Inspector.
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �/ _' �
INSPECTION NO IC�E� SCHEDULED �Gi L� "`t � x
PERMIT NO. J COMPLETED �'/-t�Y C'i � 3 �
ADDRESS D
OWNER L'G�ue�D CONTR. �
TELEPHONE NO. �.�.-Z -��S-3 6'I� ,7�'��51'
� DESCRIPTION /�'0��.0� ,�r�A��.�� �
� 01 FOOTINf3 11 MECHANICALFiI 18D(CAV/aRADINO/FIWNCi
y 02 FRAMiNO 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNEFUFlREPLACE 34 TREE REMOVAL
04 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
= 14 SEWER HOOK-UO O6 PRO(iRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBiNQ FINAL 36 FOUNDATION REMOVAI
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAHY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor ' e•
Inspector.
White Copyllnspector's File Canary CopylSite NoHce
V
PME StOP ALL WPM 9
FIRE STOP, 87'.-U r 'S4'F-'f'%CE8
PROVIDE TREATED PLATES WM
LAYIED ON CONCREM
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-Type X Deetl"Ik
e Ot Stairs And
u6dersid
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-4 -
liq
.. ORONO COPY
P PLAN
JLt)Jt4G
was-pvc7rof"Ir.. No,
_Rm 1
ATE
I , AS SA_113MITTEI) TED
APFRO"'::_WITH CORRECTIONS AS NO
S, RFSusm1T
-�4, APPROVED VqF �De r
�e � 1) — CORRECT shali
NOT APPF10\4
. All \NO"'
& z
ts w tor YOur information.
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