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HomeMy WebLinkAbout1996-007730 - finish room-basement PERMIT CITY OF ORONO PERMIT TYPE. 2750 Kelley Parkway- P.O. Box 66 � Crystai.Bay, Minnesota 55323 Permit Number: c 3t 1 .1t (612) 473-7357 Date Issued: 02/21/96 I SITE ADDRESS: 455 TONKAWA RD LSV P. I .N. ; 06-117-23-41-010.5 I DESCRIPTION: FINISH ROOM—BASEMENT Building Permit Type SF—ADD/REMODEL Building Work Type RENOVATE/REMODEL UBC: Occupancy R-3 Construction Type_ VN Census Code 4:34 ALT . RESIDENTIAL REMARKS: SEPARATE STATE PERMIT REQUIRED FOR ELECTRICAL . FEE SUMMARY: VALUATION $1 ,200 Base Fee $40. 25 Plan Review $26. 16 Surcharge ------- -I- E.Q Total Fee $57 .01 CONTRACTOR: OWNER: -- Applicant. — NESSER JOHN 455 TONKAWA RCS ORONO MN S 356 (61.21)404-137S THE UNDERSIGNED HEREBY ii.RQVESTS` PEI SMN TO 1I AKit""THE, AEAL� 3' IPF OVEMENTS RPEC I F I ED AND ;AGREES TO DD ALL WORK IN STR 1 6,t I TH ALL,C1 iF o ORION101]PPL INANCES AND :NATE OF M I NNESOT4 'Es11 dt'N�'. QU I EI"IE�IT e IC MITEE SIGNATURE ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: - DESCRIPTION OF WORK: (=/nitSif------------ ZONING REVIEW BY: N I DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 2---zi-`+(6 ------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes 6", No PLAN REVIEW Yes �/ 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 CHECK LIST Zoning District: Shoreland District Fire Department: Post office: School District: Lot Area: Sq.ft. Acres Wid D th Survey Submitted: Ye No D e of Survey: Proposed Setbacks: Front (Lake): Ri Side: Rear (Street): Le Side: Adjacent Stru res: We and: Building Height: D . Hgt. Pak Hgt. Avg. Setback: Bluff etback: Lot Coverage: Ezi ingb Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover ariance Required Y s o Date of Council Appr val: Grading: Staff Approval Da By: Council App val Date: Septic: Staff Approval Date By: Zoning'File: # Resolu on: # Resolution D e: REMARKS (in house): BUILDING REVIEW CHECK LIST UBC: (2 -3 CONSTRUCTION TYPE: Sq Footage S Per Sq Ftg Basement x — 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ?�cw Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other K Wall Board (Mfg.) Well (State Permit) Final Grading/Filling Electrical (State Permit) Other R NL RKS (IN HOUSE): - ----------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY: ------------- --------------- RET-VLARKS(TO BE NOTED ON PERMIT): 27 Total Fee: S 4 C/ DateReceived: Date Approved: Entered By: Permit#: 7 i CITY OF ORONO - BUELDING PER1tiIIT APPLICATION ALL INFORMATION-MUST BE SUBN,11TTED LN FULL BEFORE PLAN REVIEW WILL BE STARTED -----____ —-------------------------------------------------------------------------------- THE APPLIC ANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: Y.SS lon` P" NAME OF OWNER: 34 t & 1ve PHONE: (home 6i--- 0 132 (work) (&(z-) %qq -00 0 1 MAILING ADDRESS: S a Q�vcr�— CITY• ZIP: CONTRACTOR: PHONE: MOBILE PHONE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe indetail): V &Cw,, LCDO W^— STORIES: Z SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: Z GARAGE STALLS: ATT. _ZG DET. ESTLM- ATED CONSTRUCTION VALUATION(excluding land): S 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 wi e in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes event require eparate permit approval by Police Department and City Council 60 days prior tot a event. Non-permitted events will not be allowed. O O == CITY of ORONO Nfunicipai offic- \.t. Post Office Box 66 Crystal Bay,Minnesota 5n23M" '';,9kESIID4 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: L be used to determine your qualification for the 1. The information you furnish wi 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 public. 5. You have certain rights under M.S. 13.04 (see following pag,) to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRLNNT S eco S es3cv First Middle Last Address City State Zip Phone I understa my rights as stated above. Si nature TELEPHOWE-473-7357 0 FAX-4734510 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision L Type of data. The rights of viduals on whom the data is stored or to be stored shall be as set forth in this section. to be given individual. An.individual asked to Subd. 2. Information required be supply private or confidential data concerning a within the collecting state agency, PP Y purpose and intended use of the requested data he v refuse or is legally political subdivision, or statewide system; (b) ownwhetherconsequence arising from his required to supply the requested data; (c) any and (d) the identity of supplying or refusing to supply private or confidential data; other arsons or entities authorized by state or federal law to receive the data. This. P 1 when an individual is asked to supply investigative data, requirement shall not apply pursuant to section 13.62, subdivision 5, to a law enforcement officer. under this The commissioner of revenue ma lace the notice re cued subdivision in the individual income tax or ro art tax re and instructions insteado on those lorms. -- Access to data tq individuaL Upon request to a responsible Subd. 3. d data on authority, an individual shall be informed whe blic h private confide tiaLe Upon his individuals, and whether it is classified asp P public data on charge to him and, if he desires, shall further request, an individual who is the subject of stored private or�du� has been individuals shall be shown the data withoutof an, data. After an individual 6e informed of the content and meaning data need not be disclosed to the shown the private data and informed of its meaning, pursuant to this section is him for six months thereafter unless a dispute or action p rivate or public data upon request by The ending or additional data on the individual has been collected or created. the P require responsible authority shall provide copies responsible authority may the individual subject ofthe actualhe .cosh of mking, certifying, and compiling the requesting person to pay - copies. if possible, with any request The responsible authority shall comply immediately, made pursuant to this subdivision, or within fi a daysimmediatthe eat compliance request, isu not excluding Saturdays, Sundays and legal ho ys, possible. If he cannot comply with the request within that time, he shall so inform with the have an additional five days within which to comply individual, and may Sundays and legal holidays. request, excluding himself. To _ urate or complete. An individual may Subd. 4. Procedure when data is not acc in writing the responsible authority contest the accuracy or completeness-of public or private data concerning exercise this right, an individual shall notify responsible authority shall within 30 describing the nature of the disagreement. The late and attempt to days either: (a) correct inaccurate orta dto be incomplete data*including or recipients named by notify past recipients the individual; or (b) notify the individual that he believes the data to be Bement is Data in dispute shall be disclosed only if the individual's statement of disagreement included with the disclosed data. 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TELEPHONE NO. `T 7 Z-33 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULA N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J tQ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: CC W 2 CC J O CC O W W c Q Z W W Cr Z) a r WORK SATISFACTORY PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O FL7, CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED 11 STOP ORDER POSTED.CALL INSPECTOR — G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract te: Inspector. Z — White Copy/Inspector's File Canary Copy/Site Notice