HomeMy WebLinkAbout1998-010683 - basement finish PERMIT
C�TY OF ORONO PERMIT TYPE: -�
• 2750 Kelley Parkway- P.O. Box 66 `'_ �'�'_�€�'`'
Crystal Bay, Minnesota 55323 Permit Number: t i i �_�i�,:�i:�;
(612)473-7357 Date Issued: _i_;j��;;;�°�t;�;
SITE ADDRESS:
j,:-,[{,_� ��i_!i'!I''.j'•_� 'i` I i�:i}
����
_ ;"'� 7 i`.� � • —'S. �. I""'��.y�_'f_ i _':)l)(1 I
DESCRIPTION:
�;�:,:_:�ri�,�j �=�f,t�.:_;�-;
=��1I 1 �.�'1�l'� �`�1'Cii 1?. �y��r_- _;i—t=?i t4�+:!�-,`�'=`•�'4_[I!1'r�
��i_�= i��I;i��� 1v:�3:'t:: �Y C��< �+;l:f'�EI_ii;��;f 1:%,':°=T'(I�ii,ii=�-
t i�;(�: �__�=i lc�,i}�t�{ }"f";=�
(,i`3�- '�,i'E;�r ': :i�}t I ti'G=�� �i%�`.�
_ :� - _- '
���'i�{.�4�i W ��;wf;m;:, �.:,_;.:.j. (-�i I . !?��_�1�.'`��1 i E i-�!._
REMARKS:
='�"�'��;�'�:��� . ``�'f'�_1��:� F;;� ;�ilT�;�.:i Ft«►�° L'1_tii�j�:'l �w:� . i9��::F':�.�;�'i::�<i_, �=i;;°��-`i F:i;� t:t�F�-�:i .
_.��., . . .. __._ , '�.;: .
FEE SUMMARY:
t%{-i!._�!t'-����_���t �.�:�+i�}�!�_'t_}
��y=,? F�,� . ��=��i . `�
�`1 :;�t i �°�v: ��t� a y`' :'' y_j
:�4�!i'Cf i•�f''�� ...._._..__......... y�!�y :�i;i
_ 3:
, _�T.:�.L �=+:;� �`� _ . ,�L`'-
CONTRACTOR: - f�����! ?��.�-tt� - ���i . !�{ .OWNER:
��i:� �_�E��(°,:..y_ !�,�;_: �.°��.,�.��.�:°i°� i�1 r�,:; �;_�;_(_:,��;�iv F°�i
�,i_l:��t:i) i�'���;;�i st� �:F; �{j i;.� ;,t�,::�=, =,:1�:F;!_� �-'� �:?�i
��.'�.�`� e`'*.f-�L,�i, 1 Y� E':t�s _ _ _�.t�.;_ ,_I�-i{:#•.;s�i f l�'� �����`�' L
i,t,j�`.; '!�tE—'��`='s`�! `'�. :'——_•`'f ' —
i i�� E�C�11�_��`_�I:���u`L� . ._�`:?�`�`t` . .`i;�i {�;W= ��� �`'F h°y�s i'��'_��i_i�'�,� a i i �t;;��'�::� . . ._ '=°�:�*�_ i 3'i;=°i.`�.��'L�==�°;�'.."�'_I`aT°��
�.:� �
_. . _ ._..__ � ;
'.W.#-'�_�� 1_ Y ':.L � �" _, ___. � f }`� ��`v _ i �`i I; {.1_li°il-'__ : t i F= v;'•� �N:- _ ,� i I �r' i_IE-
t'� �3", ►.i�a;, �;��.:i-r-.:-, � � . . �.a t� T �
_ �� k t .�_. i . s_��- �",�1.��� r.. {i 4 i-i ��i_�i��J�s`'�Si.� t._ _i'�3_� - _:•.��{�i;w;t;'i`.=_
� _!{'i:Yf��l� S_3t?.eJ �i`�i-�t`'��_���=, ;7!'y,.: �� � . . . .... _. .. _ . . .__ , ._. _ . �
i
J
APPLIC MITEE SIGNATURE ISSUED BY:SIGNATURE �`'
- .��- � , i
Total Fee: $._.5-�o S. �f� Date Received: �f��l�y' ;
Entered By: ,G! • Permit#: l Q � 83
CITY OF ORONO - BUII.,DING PERMIT A]PPLICATION �
A.11 information must be submitted in full before plan re�iew will be started.
(please print a11 information)
THE APPLICAI�T'T IS: (circle one) Oti�7NER CONTR.ACTOR � .
JOB SITE ADDRESS: ,����S �is��s `�r z�:
� NAME OF OWNER:�y" �y I�i4�7�1 Y E-I►41�LOx�a�J PHONE: (home) �7/ ��
�,L (work)
1�IATLING ADDRESS: _ f�� �/�.e.� �r F�;ITY: Q�,eU.t�2� ZIP:
�
CONTRACTOR: � PHOiVE: ��y�9��9 � i
C0�ITACT PER�SON: , 3 MOBILElPAGER:, 9��- ��y �,
M.�,II�I�i tG ADDRESS: /���1� (��,�''i�ki �zi V� CITY: �f'.Kl �.9i.P,_ZIP: �-3
STATE LICENSE: # f 7�� � �
ARCHITECT/EIrTGINEER: ��n PHOI�TE: �'
i��iAII�I�i TG ADDRESS: �� CI'I'Y: ZIP:
1�'AME: w REGISTRATION#
TYPE OF tiVORb: I�Tew Addition Accessory Structure
Move � Remodel/Alteration�_ Land Alteration
PROPOSED tiVORK(describe in detain: {�i,c)>�N p�� �,���m.��.� i ,�,e�i�
STORIES: SQ. �'EET OF EACH FLOOR: � -
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
,
ESTII�iA,T'ED CONSTRUCTION VALUATION (excluding land): $�G�x'7
I hereby apply for a buildin�permit and I acknowledoe 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 Buildin� Code; that I understand this is not a permit and work is not to start without a
pemut; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNA DAT'E:
NO�'E! Parade of Flomes events require separate permit approval by P ice Department and
� City Council 60 days prior to the event. Non permiited events wi11 not be allowed.
i 11 f
������
Sec.13.04 RIGHTS OF SUB.TECTS OF D�T?.
Subd. i. Type of data. The righc�of ir.dividual on whom the daca is srored or to be s�ord shail be u set forth in this scc6on. =
Subd.2. Informatioa reqiric�ed to be�ven indi�-iduai. P.n iadividual asked to suppiy private or co�denaal dara concerniag him.self shall
be ieformed of: (a)che purpose and in[ended use of the requesr.�daca wichin[he collecdng�tac�agency,polidcal subdivuion,or sa�ewide rys.em;
(b)whethzr he may r_;vse or is le3ally requiced to supply the r.quesud dac3;(c)any Irnown consequence arising from his supplying or refusing to supply
priva�e or con.=cdenaal data;ar:d(d)the ideadry of ocher persoas or enddes a�chociz.d by scaca or federai law to receive the dara. 'Ihis requiremeat shall
r.ot apply when an individual is asked ro supply invesd�aave dam,pursuan�to secdon 13.82,subdivision 5, to a law enforcemanc of�icer. -
"iht commissioner of revenut mav olace th� norice r:ouir_d und�r this subdivision in the individuaI income ti�c or orovtm tax rtfued
ins�ucaar.s ins�ead of on chose forms.
Subd. 3. Access to data by indi.idual. Upon requesc to a responsible auchoriry,an individual shall bc inforraed whethec he is che subjecc �
of scor_d dac�on individuals,and wh��her ic is classified as pubiic, privace or eonfidenaal. Upon his furcher request,an individual who is the subjec�
of stoc:d private or public dac�on individuals shall be shown che dara wichout any charge to him and;if he desires, shall be inforcned of the eontent
and meaning of that data. Aher an individual has been shown[he privace data and inforaied of ics meaning, tha dara need not be d'uclased to him for
six monchs [t:ereafter uriless a dispuce or acaon pursuanc to chis secaon is ptnding or addiaonal data on the individual has been coliz:td or creaced.
The responsib(:authoriry shall provide copies of the priva[e or public daca upon requese by che individual subjecc of cha data. The responsible au�horiry
may require che reques:ing person to pay the accual coscs of ma3cing,cerdfying,and compiling the eopies.
The responsibte auchoriry shall comply immediately,if possible,wi�h any requesc made pursuant to[his subdivision,or wi�hin five days of
the date of�he requesc,ezciuding Sanirdays,Sundays and legal holidays,if immtdiate compliance is not possible. If he cannot comply with[he requesc
wichin chat time,ho shall so inform[he individual,and may have an addidonal five days within which to comply wich the requesc,ezctuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contesc the accuracy or completeness of public o�pri�ate
da�concerning hinse(f. To exercise this ri¢ht,an individual shail noa"ry in wridng the responsible au�horiry describing the nacure of the disagreement.
The responsible authoriry shall wichin 30 days eicher: (a)correct the data found to be inaccurata ot incomplete ar.d attempc to nodfy past recipients of
inaccurdte or incompleee data, inciuding recipiencs named by [he individual; or(b)nodfy the individual that he believes�he data to be correc� Data
in dispuce shall be disclosed only if the individual's sc�tcment of disagreerr.ent is included with the disclosed dac�.
The decerminaaon of the responsibl� au�horiry may be appealed pursuanc to che provisions of the adminiscrarive procedure act reladng to
contesced eases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.Z, "Rig.hts of subjects of data", we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or
confidential information.
You aze 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 infocmation may be shared wich ocher local, state or federal a�encies [o the ex�ent necessary to process
� the permit or license.
4. If your reques[ed permit or license requcres Council actlbn to approve, some information may become
public.
5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private da[a on yourself.
6. Your full name is required to process this application or permit.
l���le�� �/�7/4.S �Qr'�.�1�� —
Firsc �fiddla Lasc
'?�1 D _ ua
Address A���l���-5.�� '/�/� ���l � //S �.�1_11_
�/
Ciry Srate Zip Phone
I und�`rstand my ri�hts stated above.
� 1
s�
, CHECK OFF LIST FOR ISSUANCE OF PER�I�IITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: __ I 1��� ?,��rvs �'c;,r�;� .
PID:
DFSCRTPTTON OF WORK: (3�k, ,�,�- �,,";5i-�
--------------------------------:---_-- -------
ZONI�tG REVIEti� BY: �'-�- DATE APPROVED•
BU]7�D .l�i tG REVTEW BY: � DATE A.PPROVED: _�r . �, .�Y1
_--- . --------------------------------
�-- --
FEES TO BE CHAKGED: � Misc. Fees Calculated By:
PERMIT Yes ✓� No '
PLAN REV�W Yes ✓ No SEWER CONNECTION
STATE SUR`HAI�G� Yes � No ti�ATER CO�tNECTION
INVESTIGAT'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------- -----
ZONING CHECK LiST zoning District: /�,�i,� � [--{/-��;�,� �
Fire Depar[ment: Post Office: School District: �
Lot Area: Sq.fr. Acres tiVidth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (La.ke): _ Right Side: '
Rear (Street): Left Side:
Adjacent Structures: �Vetl d:
BuiIding Height: Def. Hgt. Peak �t.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: gy; •
Zonina File: # Resolution: #{ esolution Date:� �
Shoreland Dis�ict: � �
Avg. Setback: Bluff Setback: L,ot Coveraoe:
� Ezisting Proposed �
Hardcover: 0-75'
75-250' . � �
250-500' .
500-1000'
. Hardcover Variance Required: Yes No Date of Council Approval:
�
RENLA.RKS (in house):
� : . -
�� _. .26 .
BUlLDING REVTEW CHECK LIST � .
UBC: 1` " �`� CONS�'RUCTION TYPE: �
� .
� Sq Footaoe 5 Per Sq Ftg
Basement X �
.. . lst Floor . . x . . _ . .
2nd Floor . � � . x . . . .
Garage x = . . . . �
x
TOTAL
Estimated Construction Value: $ Z�{f L - `�-- �
-- Inspections Required: • Work Requiring Separate Permits:
Site . � Plumbing Fire �
Hardcover Removal _�Mechanical Water Connection
Footing Septic Sewer Connection
—��r�� Fire lace
_� Insulation —� P �� �gation
_ G'� Wall Board ��0�'� Other .
_� (11�Ifg.) Well (State Permi[)
O her Gradin�/Fillin� Electrical (State Perm.it)
REI���S (fN HOUSE): � __�'�---------- _—_----__-_
------------------------ DA7'E
-----------------
REVIEtiV BY OTHERS: - - --------------
Access: Eziscing New �
• Access �Approval: Date �
By:
REi1�zA.RKS (TO BE NOTED ON PER1biXT): ~r� �� --��-�_
' �
..._.., 27 -
_ .. . .
. . _. ,_
___ _ ,''\ _ .. ..__._ __ . - ---_. . . -
.. .. .__-- . _. __ ._._
, . . . , _
� -._`. �
�•�;; - � .
-�. . .
CITY OF ORONO CALLED IN { -A�'"�� ��I � �
INSPECTION NOTICE SCHEDULED — — =�-/i.aF
PERMIT NO. �l �� �-�' COMPLETED ��
ADDRESS � �--
OWNER c� ���-� CONTR. --�-«
TELEPHONE NO. /�� �� ���/
� DESCRIPTION
ly� 01 FOOTING 11 MEC CAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 ME NICAL FINAL 19 L4KESHORE/WETLANDS
h
O ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEML�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W WORKSATISFACTORY:PROCEED L; PROJECTCOMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ 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.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor o ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
Q�D�A�TE C�� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � ��-�
PERMIT NO. /�!o �3 COMPLETED � �,
ADDRESS__�� ' /�`� ��
OWNER CONTR. � �
TELEPHONE NO. �5��— �'3/�
� DESCRIPTION ���c_,;._�.�.� —2��z��l
�
LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q
Q 03 INSULA�TIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UiRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContract n si e
� �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
✓�
DATE TIME
CITY OF ORONO f�LLED IN "�O- �.3 �
INSPECTION N TI E �CHEDULED ��.Z -`l� � ` �
PERMIT NO. � 6 6 COMPLETED
ADDRESS S �
OWN ER 7�`Q��,G4'L2� CO R. �D�S/�-�� ����
TELEPHONE NO.
�- DESCRIPTION /
�
ly� 01 FOOTING 11 MECHANICAL RI /(Xo7� EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINAL f�C� LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 W 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL � 14 SEWER HOOK-UP 06 PROGRESS
� -SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL/b�JUG� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a �� �'l�v1^( � d�C�\�2-
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
W� �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEEO C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN I- CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on s�te:
Inspector. "V
White Copyllnspector's Fil Canary CopylSite Notice