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HomeMy WebLinkAbout1991 - 003615 - finish basement PERMIT CITY OF ORONO . PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: '1.3I�[ 3i �� Crystal Bay, Minnesota 55323 Date Issued: 04/12/91 (612) 473-7357 SITE ADDRESS: 2715 WHITE OAK CIR; LSV P. I . N. : 04-117-23-42-0026 DESCRIPTION: FINISH BASEMENT Building Permit.. TYPe SF-ADO/REMODEL E:ui lrling Work TYPe RENOVATE/REMODEL UBC Occupancy 88 R-3 Construction Type VN REMARKS: FEE SUMMARY: VALUATION $13,000 000 -., - L4-- ...:0'_ ':".;_ .. L.'! 114..144 . Base Fee 0 4 ` Plan Review $93. 60 ;; Total Fee $244 . 10 {;.tin a =.1' CONTRACTOR: -- Applicant -- OWNER: ' F_I NNAI14 iF E BLDG G CORP15590102 _}_ENN I GE:E _ '.NEVE 4680 GOLDENROD LA 2;155_ WH I E OAK. d I R PLYMOUTH i 1N 55442 ORONO MN 55356 . 61 569-0102 t� _ '?+ u� i 46F 0.1y M ,W...: r ' \ 2 �e r' 4.4 a 4 gx vr r K k r, ` x '4444:4:71:44,444,7t st. . . ." 144,! r elK q er rd .4444 -til. 4h .t3*$ G, ..i:4,4.4. 4`�'aa�;:�"��sas5�r0 , 444 � + � . ;444,t41144:'44 re �'rs a+tq'. '4��r 4S44:"li 0'44 r ' 4a14ffa ° !. : "'. s 74 of Aw 1! e#, L�/L/✓ . 1 46.— a-i APPLICANT/PERMITEE SIGNATURE 4UEDYATURE ( fr ) ��.e !//3 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 9i/-5� (,''c{t- PID: 3 /Z 00,z6 DESCRIPTION OF WORK: F1 1'1 r 5 h e ► Dc(Y ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 1,1 -2.-67 I FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes-1/ No— es // No SEWER CONNECTION STATE SURCHARGE Yes--I/No— WATER CONNECTION INVESTIGATION FEE Yes No ✓/ PARK FEE SAC Yes No ✓ SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning Dis ict: Fire Department: Post Office: Schoo . District: Lot Area: Widt Depth: Survey Submi -d: Yes No Date of S vey: Proposed Set ,a• s : Front ( ak• ) : Right Si -e: Rear ( ' tree ) : Left S ' '•e: Adjace t Str ctures : Wetla d: Building H:fight: 'ef. Hg . P =k Hgt. Avg. Setba k: Lot Cov rage: Iiiiring Prop--sed Hardcover 0-75 ' 5-250 ' 2 .0-500 ' 510-1000 ' Hardcover Variance Required: es No Date of Counc 1 Approval: Grading: Staff Approval Date By: Council .pproval Date: Septic: Staff Approval Date By: Zoning File:# - -solution #: Resolu ion Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST . UBC: Str R' 3 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ X31000" Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Other Final (Mfg. ) Well (State Permit) Other Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : • " CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ 4‘1,< /L' Date Received: Date Approved: Entered By: , -4- Permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER o CONTRACTOR._) JOB SITE ADDRESS: 27 /S-- U) 1 1`e._ C7 (!b_ c1.42. . ZIP: S S S(cam (work) NAME OF OWNER: S J e t.r) ► T!.-5 PRONE: (home) MAILING ADDRESS: 2_76 LJJL R Oc CLje4CITY: O,©vt ZIP: SS-3 PHONE: S, ri -O 10 CONTRACTOR: �'/ r-) X.),��,��,,.. "� // MAILING ADDRESS: 4(� 56 C7OL_v.�„1' � / J CITY: l 2 vw��v ZIP: S S4/yZ_ TYPE OF WORK: New Addition Accessory Structure Move Demo Remod /Alteration,X Renovate Land Alteration PROPOSED WORK (describe in detail) : F i,.! +S /-f 4- IC e4 44-70r--' �. A-S C-y . STORIES: -- SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: --- GARAGE STALLS: ATT. DET. 60 ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /CpUC) 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 will be in a dance with the approved plan. APPLICANT'S SIGNATURE: /d✓��"_E�•.r,c ,'� DATE: 4 / 9 '►, A.. CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORQNQ 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 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 public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your full name is required to process this application or permit. FirMiddle Last � ¢0 Middle ` Address/ //// c t-- 1-1-CcA-014 City State Zip ..S --9l -de-1._ Phone I understand my rights as stated above. �j� /!ALL i-c'i Si rture BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING • 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision 1. Type of data. The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. Subd. 2. Information required to be given individual' An.individual asked to • supply private or confidential data concerg himselfta the be inform dtate agency, of: (a) the purpose and intended use of the requested (b) whether he may refuse or is legally political subdivision, or statewide system; required to supply the requested data; (c) any known consequence arising from his supplying or refusing to supply private or confidential data; and (d) the identity 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 investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may polace the erty tax re�und instrtice ouctionsunder insteadthis oi subdivision in the individual income tax or r on those orms. Subd. 3. Access to data by individual• Upon request to a responsible authority, an individual shall be informewhether hprivateis esubject of or confidential.e Upon his individuals, and whether it is classified public, public data on further request, an individual who is the subject of stored orihim avnate ifo he desires, shall individuals shall be shown the data withoutany charge After an individual has been 6e informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been nr blic collected orupre request by ted. The may the responsible authority subject shall provide copies oftheprivate requireithe the individual g per of the actualhe •costsh of making,e l certifying,ly and compiling requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, e made pursuant to this subdivision, or within five days i diof the datee of th ce eiqu not est, excluding Saturdays, Sundays and legal holidays, possible. If he cannot comply with the request within that time, he shall so inform the the P have an additional five days within which to comply individual, and may al holidays• request, excluding Saturdays, Sundays and legal Subd. 4. Procedure when data is not accurate or complete. An individual may private data concerning himself. To contest the accuracy or completeness of public o iwritingthe responsible To exercise this right, an individual shall notify authority shall within 30 describing the nature of the disagreement. The responsibleincomplete and attempt 30 days ti either:pstci i correct of inaccurate orta dto be incomplete data,including or ecipients named by the past recipients the individual; or (b) notify the individual that he believes the data to be cis Data in dispute shall be disclosed only if the individual's statement of disagreement • included with the disclosed data. be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. DATE TIME CITY OF ORONO CALLED IN ' el— 9/ INSPECTIONTICE SCHEDULED PERMIT NO)@" COMPLETED Gl 1l ADDRESS 012/3" O a OWNER 9' CONTR. TELEPHONE NO. 5 — D /0 2 ESCRIPTION 11 MECHANICAL RI 16 WELL TEST PUMP •ING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING Ci) INSULATION 24/25WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO C::$ COMMENTS: cc cc 0 cc O W CC W CC W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE l CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑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.473-7357 OwnerlContracto n ite: Inspector: 4 12 4 White Copyllnspecto s File Canary Copy/Site Notice E CITY OF ORONO CALLED IN /DATT9/ 'TIME.. 1 INSPECTION NOTICE / SCHEDULED 6 -16-1 =ez) • PERMIT NO. COMP ETE ADDRESS - 7/6-- OWNER'' � •� CONTR. .Pit- 0/.--.0/e TELEPHONE NO. SSef -0/Do2 DESCRIPTION LJ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS 12 WATER HOOK-UP 34 TREE REMOVAL • 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO c.,• COMMENTS: cc W cc cc O U. W cc W cc �[WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 1:1 CITATION ISSUED CISTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract on1 site: Inspector. b_ V White Co /Ins File CanaryCo /Site Notice Copy/Inspector Copy/Site