HomeMy WebLinkAbout1998 - 008767 - finish lower level PERMIT
` CITY OF ORONO PERMIT TYPE: WILDING
2750 elley Parkway- P.O. Box 66 008767
Cryst Bay, Minnesota 55323 Permit Number: -
(612) 3 7357 Date Issued: 04 J'=�'=7 9,
SITE ADDRESS:
390 W0i DH 1 LL RD
LSV
P . I . N . (P-117-73-31-00S0
DESCRIPTION:
FINISH L OWER LEVEL
Building Permit Type SF-ADO/REMODEL
Puildinq W_or .. TVC+Y R N{..VATE• iFEMCii%EL.
URC Occupancy R-3
Construction Type VN
Census Code 434 ALT . RESIDENTIAL
REMARKS:
SEPARATE PERMITS REQU I ,r D FOR I t_!i{ ;I NtL AND MFC:HAN I C:RL_ , STATE PERMIT REQUIRED
FOR ELECTRICAL .
FEE SUMMARY:
tVAiLftATI:_N $:3 :, 000
E=ast, Fee $394 . 75
Plan Review $256 .59
Surcharge 11 i Q
Total Fee $656 . 34
CONTRACTOR: OWNER• —• • — Applicant —
LI rit-ii_LEY JOHN
_'=t 1 WOUDF ILL RD
ORONO O MN 5.5:39
0;12)476-7914
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO i MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREE': TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
CYJNO OR I
I\IANCES AND STATE OF MINisNE OTA BUILDING CODE REQUIREMENTS .
L_ I
I ...t (Vy(2.9„. 6/1X-e4-)
A PLICANT-PERMITEE GNATURE ISSUED BY:SIGNATURE �p
Total Fee: $ 6 616, 3T Date Received: ,?- i'/ 717
Entered By: &z) Permit#: ,$)7C,7
•
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRE S: 690 `a te L "A ZIP: - 5 ••
EAVO 44, , 4I ,
NAME OF OWNER:N/o//, 9` har5 O /114-LL4 `,PHONE: (home) /ft—If/
(work)
MAILING ADDRESS: D ‘Ij°O /G�' f1CITY: Of'ifyO ZIP: --6-5.717 l
CONTRACTOR: 5A71 PHONE: I-176 ` 71'P`"/
CONTACTPERSON:\ bIi/Xo,c5 041-41OBILE/PAGER: y%lo�'-15
MAILING ADDRESS: ih a/�'Ab ,i<L CITY: 0,6-4/6 ZIP: 5 Gl/
STATE LICENSE: #
Cbgeb .eciY)
ARCHITECT/ENGINEER: /17i tC'l igCh- S�i�I�E/ / /HONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration V Land Alteration
/
PROPOSED WORK(describe 'n detail): lc/9m i A t/ . Fe-d / -- e 0e° m7
STORIES: _9 SQ. FEET OF EACH FLOOR: ' 56a
NO. OF BEDROOMS: 7 GARAGE STALLS: ATT. / DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 30 o 0 D
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: _A 1-4° DATE: c� e�G�---
/997
NOTE! Parade of Homes events require separate pe t approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
6
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual 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 himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally 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 place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to him and,'if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
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 responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
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 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
G%� Ny O (41/4-4-LEY
First Middle,e 2, Last
Address
//rte 4-y Tib 7-3
g. q?‘-- ?9'(V:
City State Zip Phone
I understand my rights as stated above.
•
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I Y /.11
PID: (1.2 - /17- ,t 3 s/ 60c0
DESCRIPTION OF WORK: /�.:-/
ZONING REVIEW BY: -1 DATE APPROVED: f
BUILDING REVIEW BY: —� , ( ;G�.n DATE APPROVED: ?.;-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No -- SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
10
f �
BUILDING REVIEW CHECK LIST
UBC: •3 CONSTRUCTION TYPE:
Sq Footage S Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
°�-
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site v Plumbing Fire
Hardcover Removal mechanical Water Connection
---footing ooting Septic Sewer Connection
framing Fireplace Lawn Irrigation
vinsulation (Masonry) Other
1-- Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling ""Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
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