HomeMy WebLinkAbout1992 - 004339 - remodel basement PERMIT -
CITY OF ORONO PERMIT TYPE:
• x1335 Brown Rd. South • P.O. Box 66 Permit Number: til, iNG
Crystal Bay, Minnesota 55323 Date Issued: 05/13/92
(612) 473-7357
SITE ADDRESS:
1145 WILLOW OR
TB
P . I . N. . 10-117-23-24-0018
DESCRIPTION:
REMODEL BASEMENT
Building Permit Type SF-ADD/REMODEL
Building Work Type RENOVATE/REMODEL
CITYJ• O L•J\V 7+11
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3 j.L.J.!t'V VVV T!
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12 ULti iti..a VL
12222 00000
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4242 170 f 1 L•1.k 1 tt01 T.10:47
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05/18/92
REMARKS:
FEE SUMMARY:
VALUATION $1 , 000
}0
Base Fee $25. 00
Surcharge l_sC)
Total Fee $25. 50
CONTRACTOR: OWNER: - Applicant -
WEST PETER
1145 WILLOW DR
WAYZATA MN 55391
476+-45017
GNED HEREBY REQ UESTS� FERN I _ _:ION TOM " a »a E`a
GREE TO DO ALL WORE': IN STRICT
K »
AN AND STATE OF MINNESOTA Btll
iv
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE (Vi
CITY OF ORONO - BUILDING PERMIT APPLICATION
J 05D Date Received: 6
Total Fee: $
Date Approved: w V ��✓ l/L�
Entered By: ' - I
Permit#: 7- 3i
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) P orCONTRACTOR
JOB SITE ADDRESS: \14S W1Nu0S)r' t�KG`VI ZIP: 63-3q
(work) (p 12 7 Z(c S ZS 2_
NAME OF OWNER: to r 1J, W PHONE: (home)(p (2 q- </SOO
MAILING ADDRESS: I I L J IA), I/Out j1r- SC, CITY: Ji z&L ZIP: SS 3(1.
I
CONTRACTOR: CQI PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: ,)-I PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration k" Renovate Land Alteration
PROPOSED WORK (describe in detail) : AA_ ftA,5 t✓kC.ta LcJ/A /0 YJase 3'Vr e y1�)
G(C\ \rJ1v,(kQu14 YY104k- 0*N1l00v►1\ tJ(A 1IC bion (O6c1 hpa( k )
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ M).611?)
S 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 accordance with the approved plan.
PPLICANT'S SIGNATDRE: DATE: ,c / g1`( L
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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.
- (I50-i \CV \jr4--
First Middle Last
1 L/ ) I \ klA) r-
Address
\111-1
11 1 Y ` 3 C�5-3 t I
City State Zip
(Q 12 AidLOQ
Phone
I understand my rights as stated above.
Q
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
i.-
4':
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 concerning amsathin telf he be
informedrstate 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
state or federal law to receive the data. This.
other persons or entities authorized by investigative data,
requirement shall not apply when an individual la enforcementasked to uo f icer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma •lace the re notice
und i reaauired under
this
subdivision in the individual income tax or prop
ertyon those orms.
Subd. 3. Access to data by
individuaL Upon request to a responsible
data on
authority, an individual shall be informed as
esubject of or confidential.ed Upon his
individuals, and whether it is classified public, private a data on
further request, an individual who is the subject of stored private or
individuals shall be shown the data withoutcharge to him and, ifhe desires, shallof that data. After an individual has been
Se informed of the content and meaningthe data need disclosed to
shown the private data and informed of its meaning, urneed notto beels section iso
him for six months thereafter unless a dispute or action P request b
pending or additional data on the individual
has been
nr Pule c created.datorupe The
the
responsibleeindividual
authority subject shall provide copies oftheprivate mayrequireithe
the ist i g pe of the ache tual.costs of mThe aking, certifying, 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
fiadf ys
of thhe datee of the request
not
excluding Saturdays, Sundays and legal holidays, y with the
possible. If he cannot comply with the requeset within
that time,
hich toh l so inform the
individual, and may have an additional le al holidays•
request, excluding Saturdays, Sundays g
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness of public or private data concerning himself. To
exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement. The
or inemplet and attempt to
authority shall within 30
days either: (a) correct the data found to be
notify past recipients of inaccurate or incomplete he believesthe datalto be
the individual; or (b) notify the individual correct.s
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.
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PROVIDE TREATED PLATES
DATE TIME
CITY OF ORONO CALLED IN 5 f rn -
INSPECTION NOTICE SCHEDULED S - /0 3 zs
PERMIT NO. /4,3'3" COMPLETED 2 1-4 /D-Sz
ADDRESS // 4%(-',-_-k! /
OWNER / -L (i CONTR.
TELEPHONE NO. `1 nSG
DESCRIPTION e-7.1 .(.9.0€4-
W 01 FQOi1t1G 11 MECHANICAL RI 16 WELL TEST PUMP
.cc -,L02 FRA_MMIINGG 11 MECHANICAL ANAL 18 EXCAV/GRADING/FILLING
y 03 FRINSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 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
4.1 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
ccCL
CC
o 0 k CJ D
IE
d /4"•.e"KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
A CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Cr) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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
Owner/Contra on ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice