HomeMy WebLinkAbout1996 - 007025 - remodel/basement fin PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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CHECK TL THAW 9 73.07
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RECEIPT-/�JJil�l �flR1 YOU' _ 7�
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REMARKS:
FEE SUMMARY:
CONTRACTOR: T OWNER
;
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ORONO OROINANC .=, AC) OF !IINNOTA
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APPLICANTPERMITEE S ATURE ISSUED BY:SIGNATURE
A CITY OF ORONO - BUILJ)IING PERMIT APPLICATION
Date Received: ..„5/4,26,/45-
Total Fee: $ 61/7_3 ()'7
Date Approved:
Entered B y: •,(�j Permit 4:
ALL INFORMATION MUST BE SUBMI2T.1) IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------
THE APPLICANT IS: ( circle one)/ /OWNER or CONTRACTOR
JOB SITE ADDRESS:
wD,dL11 161 �2I U) 4//7 ZIP: 5-53 71
(work) 2'2- e7S�'
NAME OF OWNER: vv/ / (-1 PHONE: (home) 773-5-72
MAILING ADDRESS:" /37 X-)00 Af// ed. CITY: C/,(0t(U ZIP: 553 J7
CONTRACTOR: '
/;;;),, ,v7r- mN - 'v/ SFr., LiG. PHONE: 7 " eit 7Z
MAILING ADDRESS: 1Z0 J L,X cl # Avf S _ CITY: (:::-. /(7/4_5 / C ZIP: 532//
STATE LICENSE: # 3q 7 2
ARCHITECT/ENGINEER: •y
ey
PHONE: f)'7- $/33�
MAILING ADDRESS:
CITY: ZIP:
NAME: REGISTRATION A
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :f;?//AW /< -51.04i/471 /5 /4(.5-,54.4/"Ii
i
STORIES: G- SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. Z DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
-5/9 /L
hereby apply for a building permit and I acknowledge that the informatio:
above is complete and accurate; that the work will be in conformance withathe-
ordinances and codes of the City and with the State Building Code;
understand this is not a permit and work is not to start without a permit; anc
zhat the work will be in accordance with the approved plan.
Qj ;
APPLICANT'S SIGNATURE: /ji, t l 'Gt/fYi DATE:
- -: CITY of ORONO
- Post Office Box 66•Crystal Bay,Minnesota 53323•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
or confidential departments
may require
you to furnish certain private
You are notified that:
1. The information otheypermit or licensebe used to requested. determine your
qualification
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.
c/L. k_SS-"4
First
Middle Last
D 9
F,Wf(6,4 A's
Address
0/i(.5 ,4Q C 44/1 S Y/Z-
City State Zip
4/Z) q2> ey /4
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�_ — -- -- —- J�
513-04 RIGHTS OF SUBJECTS
OF DATA
"vision 1. Type of data. The rights of individuals on whom the data is
Subcu
stored or to be stored shall be as set forth in this section:. An.individual asked to
Subd. 2. Information required to be given individual.
•
elf
supply private or confidential data concerning tams thin the be
inform
dtate agencythe
da
purpose and intended use of the requestedstem' (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
and (d) the identity of
or refusing to supply private or confidential data;
other supplying
state or fedeeradlao to reyinvestigative ta data,
epersons all entities authorized by
r
pursuant
totsect on 13.8, subdivision 5,individual
a law enforcement officer.
pursuant to
e
The commissioner of revenue may place
the notic instructions recirdun er this
ot
subdivision in the individual income tax or property
tax r
on those arms.
Subd.an Access
to data by individual. Upon request to a responsible
it an individual shall be informed whether
he ivateesubject of or confidential.e Upon his
authority, classified as public, P publicor data on
inrividuals, and whether it is
is the to and, if desires, shall
individuals
request,shall ane shown thehl data without any chargetoect of himprand,vate di he es has shall individuals shall thee shown of that data. After an in
Sen
informed of content and meaning the data need disclosed to
shown the private data and informed of its meaning, urneed not beeis section iso
him for six months thereafter unless a dispute or action collected p request b
or additional data on the individual has been
eenr public datoruprea . The
pending require the
rhindividualble authority sshall provide copies ofhe the responsible authority and require
ng the
the subject of the actualhe .costs of mking, certifying,
requesting person to pay
copies.
possible, with any request
The responsible ity shall comply
w thinn fve�daysy, if of dateofcompliance e request,
excluding
not
made pursuant to this subdivision,
excluding Saturdays, Sundays and legal holidays, if immediate shall inform the
possible. If he cannot comply with the request within that time,additionalcomply with the
have an five days within which to
individual, and may
request, excluding Saturdays, Sundays and legal holidays.
to or complete. An individual may
Subd. 4. Procedure when data is not accurate
contest the accuracy or completeness of public or private data concerning shall notify in himself. To
writing the responsible authority
exercise this right, an individual authority shall 30
describing the nature of the disagreement. The responsiblelate and awithin thinor to
notify past recipients of inaccurate or incomplete
days either: (a) correct the data found to be cdataeincludingrecipients named by
he ta
the individual; or (b) notify the individual that ivhe believes
statementt at to be correct.
ment is
Data in dispute shall be disclosed only if the in
• 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.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 4-1 5
O W coo °t-}I t.t_ PID:
-vt�.o /14\r00/+R.r'j�-t„ C3ASQ vY /-r.v t 5/4
DESCRIPTION OF WORK: ---------------------------
------
---------------
---------- DATE APPROVED: ilJ(�-
ZONING REVIEW BY:
DATE APPROVED- (0- 2.---5.c-
.
o- 2--5S
BUILDING REVIEW BY: __ _____ -PROVED-------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes i/No
PLAN REVIEW Yes L/' No SEWER CONNECTION
No WATER CONNECTION
STATE SURCHARGE Yes No--L--,
PARK FEE
INVESTIGATION FEE Yes
SAC Yes No G.------ SITE INSPECTION
Number of SAC Units OTHER ( specify)
ZONING CHECK LIST
Zoning District:
Fire Department
Post Office: c ool District:
Lot Area:
Width: Depth:
Survey Submi •te4; : Yes •
Dat= of Surve :
Proposed Se • •ac s : R' .ht Side
Front Lak- ) :
Rear lStr=et) : eft Sid=:
Adja•ent '•tructurt-s
Wetland
Building leig :
Def Hgt. illir Peak gt.
Lot Coverage:
Avg. Set•ack: Proposed
roposed
Hardco er: 0 75 '
75- '50 '
250- 00 '
500- 000 '
Har.co er V. ria ce Requi ' ed: Yes No Date f Council Approval:
Gr-di g: St:ff Approval Date: By:
ouncil Approval Date:
Se;•t c: Sta f Approval 'at= : By:
Z•n ng
File:# 'resolution # : esolution Date:
REMARKS (in house) :
.
BUILDING REVIEW CHECK LIST
UBC: Q '-5 CONSTRUCTION TYPE: \41")
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x
Garage x
x =
TOTAL
Estimated Construction Value: $ 419, Y" c�
'
Inspections Required: Work Requiring Separate Permits:
Site ,(Plumbing Grading/Filling
Footing ocMechanical Fire
p(.FramingSeptic - Water Connection
ON Insulation Fireplace - Sewer Connection
-WWall Board (Masonry) Lawn Irrigation
i--Final (Mfg.) Other
Other Well (State Permit)
- ,(Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
`DATE TIME
CITY OF ORONO CALLED IN C-/-Z7A7)
INSPECTION NOTICE SCHEDULED 6/-a, 79 c /0=-
PERMIT NO. '70% 3 COMPLETED a
ADDRESS / C_� ��
OWNER CONTR.
TELEPHONE NO. qa?7 - /C, `/h
E DESCRIPTION _/LQ—,7L�
01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q . FRAMINNi 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
OC-03 4NSut ATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
W
ec
O
CC
O
W
CC
W
W
CC
WORK SATISFACTORY:PROCEED
� E PROJECT COMPLETE
EJW CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
[11STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrato te:
Inspector. .
White Copy/Inspector's Fil Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN / 1/7' /
INSPECTION NOTICESCHEDULED ^b /- c
PERMIT NO. '� C/`-Z5-
COMPLETED
ADDRESS L/5 71 c %z—6 l( J
OWNER L‘ ez CONTR. �C�� a-d-a c i
TELEPHONE NO. / ' � - °/11
DESCRIPTION!
IQ LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
C FINAL 14 SEWER HOOK-UP 06 PROGRESS
6. 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
CI• COMMENTS:
CC
CC
O
CC
O
U.
W
CC
W
W
CC
Wu
• ) ORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner/Contr o si e:
Inspector. a,4if
White Copy/Inspector's File Canary Copy/Site Notice
/i rATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE _ SCHEDULED � o?'.O O
PERMIT NO. r70.gS COMPLETED u P\
ADDRESS ���_�J`—LCi ,�91e�4..c Circe,
OWNEN... . 7 CONTR. \ -%
TELEPHONE NO. i.Z9 •-.Z97 t/
DESCRIPTION ,,..21,2��2.`� �
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
C 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 W•• BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0) 14 SEWER HOOK-UO 06 PROGRESS
J▪ 07 EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—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
o COMMENTS:
cc
LU
A1! 0 / ,r
' - ' "' - O- S '' .0 4
cc *Owe
a O 9 rr`_
>...
S 6 14 � e) C(t('° otlaLie --- W1-a ►/j i r®_`C� e--L
W
ct
Q
12
W
Z
W
CC
2 ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
Owner/Contract n si e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
I.
DATE TIME
CITY OF ORONO CALLED IN , _
INSPECTION NOTICE , SCHEDULED - • 9 q: .. D
PERMIT NO. '7C??5 COMPLETED q il
ADDRESS 43G,_ ;LQ,
Cdze_d_4(+______
OWN E CONTR.
TELEPHONE NO. 9',Z9 9 - 9&4
DESCRIPTION _A1,I2Zo7te.[J
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 L4KESHORE/WETLANDS
i) INSULATION/ 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z0 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
ti 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
a (,/..--... ..Ap..:
tZ0\''"\,..\O
CC
O
IQ
CC
Q
W
Z
W
cc
a
�hWORK SATISFACTORY:PROCEED
W ❑ PROJECT COMPLETE
W IlCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TOARRANG: ACCESS.
)
Call for theext inspection 04 hours in advance.473-7357
Owner/Contractor o e: ill
Inspector. _i V
im
White Copyllnspector's File anary Copy/Site Notice