HomeMy WebLinkAbout1996-007899 (remodel-finish basement) PERMIT � �
CITY OF ORONO PERMIT TYPE:
27�0 Kelley Parkway- P.O. Box 66 Permit Number: F,t 1 j,;f;'l i r,it;
,- Cry;tal Bay, Minnesota 55323 Date Issued: �-"�'='i���
(612) 473-7357 i7�;�:=:i-y���;�.
SITE ADDRESS:
',";�/.�,t 1i.� '_��`•���..!_� t''�_�1 I`� � ��
.T�'
_ L�
F'. I . t�J. . �i7--�. 17—;?:.—�.:�—iri��:':�
DESCRIPTION:
�!.t�T�,;�-i �y��;::;��lF��T
E���i 1�_i i n�a F'}�rri�i t. T y��� °�;�'--t��1ei�,��i�=i•1i=��t�(_
�i1.�7. i rij,t-��� �r��i-�:: �yc�� �F�f�#�r►{�%�Tf:'4�.;+IM..:[���E
REMARKS:
FEE SUMMARY:
���1�_�7f�T i I I��! �s�. , �:�i:iz i
F�c+.�?= ��'r' `-�:,�.? . .,_�
:�i.�!'{.�l=t!'`��' ._...._���_ �% '` (){.z
�i�:t.ta�, �+��� "�,..i;;`-fy.'�i
CONTRACTOR: OWNER: — �,F=�:��. i; :���t_. —
;;;:��_�,�';;� �w;�+°_;�'a�•�
''l�i,(�)i i t:�{'.�:{;i I !—`o_I j t°,l f �.`L1
i,ij=�i�i���:�i �•j�� �;�:��`•�.i
d�J i --=�:�F�1
�"�� �!iui_�°:{;°�;i;�F°��� t-[;::�a�.��'� '�°C�{��._+�°��T'�� �'��:��1I`:�`�;I�y3Elj T�rE t'E�"�'r�::�� "i;�#� �'r:�!__ 3�T1�';�".�;rr���1�i�:�"°=
� — ' - _ - � - r-
'—:i`��t�:�,�-���F:��,} F:,f'v!i hii�;-,��:�� !�i� 13l�: r-e�....�.. lc�i.f("t�:. �i,l `._���'1,::� �_'._J���''1_._.4.t=i�`�{.:C." �,E i :E: FpL.�... i.-3. :�'{ i�{�
L �_f�1t�l��Il_{ !_!.?��!�'�H;V�:E=� :'-i�'*�1�7 =��H �' f�f�'- [•#��•j��,`.�=i_'t i j:a o—�_}�; �i�aii� L��_��''� ?�'.�t.x'�_?��;��'1�.:�`�3!'�_ . �
i
/�'�'C��
APPLICANT PERMITEE SIGNA E ISSUED BY:SIGNATURE
Total Fee: S DateReceived:
DateApproved:
' Entered Bv:
Permit�: � `�(`,
CITY OF ORONO - BUII.DING PER1l�IIT APPLICATION
:�LL I��TFORtiI�TION��UST BE SUBl�1IT'I�ED IN FULL BEFORE PL��T REVIEW tivII.L
BE STARTED
---------- ---------------------
THE �PPLIC:�:�T IS: (circle one OWNER 0 CONTR.ACTOR
l� � � >,/
JOB SITE �DDRESS. . ', L c; C� �< <�� � ;�. ��� ;�� ZIP: _�
/ ^ ���G2 �_
v�"l.
, � � ��
v�vlE OF OWv"ER: `>%���''� � ij��cE' ����c yC PHO��E: (home) ���� u f
� � �
� (work) :�3/� �s > >;
�I�II.INGADDRESS: `�����;`-��- CITY: ZIP:
CONTRACTOR: PHONE:
vIpB1LE PHO�tE/PAGER:
v1AII.ING�DDRESS: CITY� ZIP'
STATE LICENSE: #
:�RC�IITECT/ENGINEER: PHO�]E:
�IAILIPtGADDRESS: CITY: Z�:
���;�: REGISTRATION �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration =� Lar�Alt�ration
..� ,-'J /-/�� j, � �i(`�h � l
PROPOSED�VORK(describeindetail):�' „ ,s<��-��� �'�'��� F��%% � ���'���'� `"{ ��� ` � ��'
,, , � � ,
� � �, 7,� � �� c- ,
� ;� ���u�S � t: ��`�� ���:_r_C�. � :� 9/�c-c�_�! �`la —
STORIE� l _�SQ. FEET OF EACH FLOOR ���% -'/���� �-��
NO. OF BEDROO�IS: _� G�RAGE STr�LLS: ATT. ti� DET.
� `�"
�STL�LATED CONSTRUCTIO�V�I.UATION(eYcludingland): � �-����
I hereby appl�� for a buildin� permit and I acknowledQe that the information above is complete
and accura�e; that the work will be in conformance with the ordinances and codes of che City
and with the State Buildin� Code; that I understand this is not a permit and work is not to start
�,vithout a permit; and that the work wi�l be in accordance with the approved plan.
� �r` DATE: ' �-��`,
:�PPLIC�tiT'S SIGNATUI2E: ;%' � ��� 7, �� � ��—
NOTE! Parade o Homes events require separate permit approval by Police Deparnnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
�
Sec.13.04 RIGH'I'S OF SUBJECTS OF DATA ,
Subd. i. Tvpe of data. 'I�e righcs of individual on whom rhe data is stored or co be stored shall be as set fonh in this secdon.
Subd.2. Iaformation reqirired to be givea individual. P.n individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesced data wi[hin the collecdng'state agency, polidcal subdivision,or sratewide system;
(b)whe�her he may refuse or is le¢ally required to supply the requested data:(c)any imown consequence arising from his supplying or refusing to suppty
private or contidendal data:and(d)the idendry of other persons or entities auchorized by state or federal law to receive the data. This requirement shall ,�
not apply when an individual is asked [o supply invesrigaave dara, pursuant to secrion 13.82, subdivision 5, to a law enforcemen�o�cer.
The commissioner of revenue mav vlace the nodce re uired under this subdivision in the individual income rax or rooem rax re"r.i^.d
instrucrions instead ot on those forms.
Subd. 3. �.ccess to data by individual. Upon request to a responsible authoriry,an individual shall be informed whecher he is[he subject
of stored dara on individuals, and whether it is classiried as public, private or confidendal. Upon his futther request,an individual who is the subject
of stored priva[e or public data on individuals shall be shown[he data wichout any charge to him and, if he desires, shall be infoaned of the content
and meaning of[ha[data. After an individual has been shown[he private data and informed of i[s meaning, [he data need not be disclosed to him tor
six monchs chereafrer uriless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or creaced.
The responsible authoriry shali provide copies of the priva[e or public data upon reques[by the individual subjecc oi the dara. The responsibte au[horiry
may require the requesting person co pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediarely, if possible, with any request made pursuant to this subdivision,or wichin five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibfe. If he cannot comply wi�h�he reaues�
within that time,he shall so inform[he individual,and may have an addiaonal five days within which to comply wi�h the reques[,excluding Sacurdays,
Sundays and legal holidays.
Subd.�l. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or priva[e
data concerning himself. To exercise�his right,an individual shail nocify in writing the responsible authoriry describing the nature of the disagreemen[.
The responsible auchonry shall within 30 days either. (a)correcc[he data found to be inaccura[e or incomplete and attempt to nodfy past recipiencs of
inaccurate or incomplete data, including recipien[s named by [he individual; or(b) noufy the individual chat he believes[he data to be correct. Data
in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed dara.
The detzrmination of the responsible au�horiry may be appealed pursuant to the provisions of the adminisuaave procedure act relaang to
con[es[ed 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 privace 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.
Z, You may refuse to supply data, but refusal may require that the City deny the pernut or license.
3, The information may be shared with other loeal, scate or federal agencies to [he extent necessary to process
the permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
�. You have certain rights under M.S. 13.04 (available upon request) to review private daca on yourself.
(. Your fu11 name is required to process this application or permit.
,
�i /
� '� ;:'�'� t /� �_ �` ''I%��C�
� S�(
F.�� tifiddle �.ast
� / ,,f
i �7�,'L.% L'l / /
A dress � �1 �-�� / � � � /,i/���---�(��
/i,' , �j�,��f / � ,.
',� ' "�l��� Phone
Ciry State ZlP
I understan my rights as stated above.
�
,, �
�
`� � C ic /-� ���� �'�� �/��
Signamre " ,
�
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �f'Z� 3'-�°
PERMIT N0. ��)%� COMPLETED �" _1Z
ADDRESS Z�1Vd �s`� pa'"`r �
OWNER S�zA,�,� �-A �� CONTR.
TELEPHONE NO. ����`�`���
� DESCRIPTION ����ss (3�s�r►-�-e.r-7�' f=��v�stt
� 01 FOOTINd 11 MECHANICAL RI 18IXCAV/GRADiNQ/FIWNO
y 02 FRAMING 73 MECHANICAL FINAL 19 LAI�SHORENHETLANDS
Q 03 INSULATION 24/25 WO00 BURNEH/FIREPLACE 34 TREE REMOVAL
Z p4 yyqLL gp. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
� �
W
a
�
J
O
�
�
O
�
W
2
Q
�
Z
W
�
W
�
�
d `C WORK SATISFACTORY:PROCEED ; PROJECT COMPLETE
W
� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING 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.47�73rJ7
OwnerlContrac n 't •
Inspector.
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � -� � ���
INSPECTION NOTICE SCHEDULED ' �. �/��l � � '
PERMIT NO. 'i�5 COMPLETED
��
ADDRESS -X�`�� �_ L±C�::�'_�• /�:/ _1�<i.
,
OWNER -��� CONTR.�. � �
TELEPHONE NO. ' �'7 / - -��.:� �3 (�:,���::�,_ �, . � )
� DESCRIPTION -- i - F' , — .( - �
� 01 FOOT1Nd 11 MECHANICAL RI 18 EXCAV/GRADINO/FIWNO
� 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
03 ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
O -
� 04 WALL BD._' 12 WATER HOOK-UP 17 SITE INSPECTION
2 OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HAflO COVER REMOVAL
� BIN�FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU�`YES_NO
� O MENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
d WORK SATISFACTORY:PROCEED = PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7557
OwnedContra� sit :
Inspector. _
White Copyllnspector's File Canary CopylSite Notice