HomeMy WebLinkAbout1994-005907 - basement remodel -� PEI�MIT '
CI�Y OF ORONO PERMIT TYPE: _ �
2750 Kelley Parkway • P.O. Box 815 ���=x`��=-�:��'-
Permit Number: ;`,r;s_,�.a:,,;
� Orono, Minnesota 55356-0815 - �--� -
(612) 473-7357 Date Issued: �._�;�;� ;:.;:
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURF
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� . FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2? 4�1 C/�FS� Por� T- � PID:
DSSCRIPTION OF WORR: �n�--o�e C�
---------------------------------------------
ZONING REVIEW BY: /v�� DATE APPROVED:
BIIILDING REVIEW BY: �-- DAZB APPROVED: Z "1 - J�/
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 SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Depart ent: PQst Offi e: School District:
�
Lot Area: Wid h: Dep?t :
�
Survey Sub it ed: Yes N Dat of Survey:
Proposed S tba ks: �
Front (La e) : � Rig t Side:
Rear (Stre t) : � Lef Side:
i
Adjac t St uctures : i Wetl�nd:
Buil.ding H ' ght: Def . Hgt� Pe�k Hgt.
Avg. Setbaik: ' � Lot Cove#age:
� Existi�trg Propos�d
� �
Hardcover: i0-75 ' l
�
7�-2 5 0 ' � i.--------�---a-._____
;
25p-500 ' ��I �
�
r
500�--1000 '
Hardcover � ariance Requi e : Yes No Date of Council pproval :
Grading: S aff Approval D e: B : Council Appr val Date:
Septic: Stlaff Approval Dat • BY�
I
Zoning File: # Resolution # : Resol.ution Date:
REMARRS (in house) :
BUILDING REVIEW CHECR LIST
r
IIBC: R'3 CONSTRIICTION TYP$: �/N r . <;
Sq Footage $ Per Sq Ftg -
Basement x = ?-- - �
lst F�oor x =
2nd F�oor x — - . - - . _
Garage x = -
x _
TOTAL
c�
Esti.mated Construction Value: $ � 2,o00 `�
Inspections Required: Work Requiring Separate Permits:
Site �C P].umbing Grading/Fi�l�ing
Footing Mechanical Fire
�Framing Septic Water Connection
�Insulation Firep�ace Sewer Connection �
_ p�Wa�� Board (Masonry) Lawn Irrigation
v�Final (Mfg.) Other
Other Wel.� (State Permit)
�Electrica]. (State Permit)
-----------------------------------�---_---------------�--------�------
REMARRS (IN HOUSE) : (�N-�vru2 ''-� � (�c� � cnJ�=oR.ww�rzon) YJ� Gl.c�s�- �a"�
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REVIEW BY OT�tS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
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� CITY OF ORONO - BIIILDING PERMIT APPLICATION
n � / Date Received:
Totai Fee: $ �/l�l�� �J
Date Approved:
Entered By: � Permit�: ,��V�
�I� INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or ONTRACTOR�
�- - ------_./
JOB SITE ADDRSSS: � �j�� CC�'S�O ���� ZIP:
(work) �'� �lS"�,
� PHONE: (home) �f 7��7 ��
N� OF OWNER: L.-u U��P QJ lG(G�
MAILING ADDRESS: ,Sq,�p CITY: ZIP:
�
CONZ'R�CTOR: � �C �OuS7�`�/��`d'�i �-.-0 . PHONE: �f ?�! drZ0..3
MAIZING ADDRESS: � D TY: s�. ZIP: .S�S 3 S�
STATE LICENSE: �_���.2�
ARCHITECT/ENGINEER: � PHONE:
MAIZING ADDRBSS: CITY: ZIP:
NAI�: RBGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSF.D WORK (describe in detail) : CO�,7� L.Y��'w� /�d»s�c i K 7�-�
�.Qld� �7�'�G S �tJ/�u �� �b At s..� 4d t e. i!.. �.�'3��fc( J�
GL.����t.� G'O�l�t�Ofi TD� ._
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: GARAG$ STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ��(�r�i
I hereby apply for a building permit a�d 2 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 wor�}c is not to start without a permit; and
that the wvrk will be in acco ce with, approved plan. .
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APPLICANT'S SIGNATORE: DATE: �
I
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�`��.: Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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4 a'�t�r�
� _ � o, 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 wi�l be used to determine your
qual.ification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Iocal , s�ate or
f ederal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Councii. ac�ior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yoursel.f.
6. Your full name is required to process this application or
permit.
y � � - J �,
First / Middle Last
� '
-� (� ,�r<�
...� -
Address
���i�`2 �.� .1.�,�s�/,T " / '���/
City State Zip
1������
Phone
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I un r and my rights as stated above. �
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BUILDING&ZONING—473-7357 • ADM[NISTRATION&FINANCE—373-7358 • PUBLIC WORKS —473-7359
ASSESSING
CITY OF ORONO - BUILDING PERMIT APPLICATION �
Total Fee: $ Date Received: '
Date Approved:
Entered B�: Permittt: i�/
AT•T• INgpRMAT N MIIST BB SIIBMITTED IN FDLL BEFORE PLAN RE�7IEW LL BE STARTED
(See Check-off List Encl.osed)
--------------- -------------
TgE APPLICANT IS (circle one) 06dNER or CONTRACTOR
ZIP:
JOB SITE ADDRSSS:
(work)
pHONE: (home)
NAME OF OWNER:
MATLING ADDRESS: CITY: ZIP:
PHONE:
CONTRACTOR:
MATZ�ING ADDRESS: C TY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAII,ING ADDRESS:
CITY: ZIP:
N��: R,EGISTRATION �
TYPE OF WORR: New Addition ccessory Structure Move
Demo Remodel/Alteration R novate Land Alteration
PROPOSED WORR (describe in deta' ) :
STORIES: SQ. FEET OF CH FZOOR=
/
NO. OF BEDROOMS: GP�RAGE STALLS: ATT. DET.
/
ESTIMATED CONSTRIICTION VAf�IIATION (ezcluding land) : $
I hereby apply for a bu�lding permit and I ackno edge that the information
above is complete and ac��urate; that the work will e in conformance wi�ha�hl
ordinances and codes of� the City and with the St te Building Coermit; and
understand this is not a permit and work is not to st rt without a p
that the work will be in accordance with the approved lan.
DATE:
APPL2CANT'S SIGNAZ'ORE:
,
, W�Np�WS
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3 t��r�;;s;�,r�:�::�r?3��fL��oc�r is�;�rn�atian.All woric�,a�l be oOnf
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DATE TIME
CI�YOFORONO CALLEDIN Z������
INSPECTION NOTICE � �(�� SCHEDULED a`a`� �°-°
PERMIT NO. COMPLETED �
ADDRESS o� �9 7� ��-'� �'� �GQ
OWNER /�t,�.�-L�� CONTR.
TELEPHONE NO. `{� � "� y � � 9 7� - aa23
/2 a�,z'c,�
� DESCRIPTION
W 01 F 1� 11 MECHANICALRI 16WELLTESTPUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
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� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
'� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT�B:
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� �ORKSATISFACTORY:PROCEED =, PROJECTCOMPLETE
W CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUFN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73Jr7
OwnerlContra o ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice