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HomeMy WebLinkAbout1998-009911 - basement rm finish , PERMIT ` CITY OF ORONO PERMIT TYPE: �;t��j,��:��;s�; 2750 Kelley Parkway- P.O. Box 66 Permit Number. t'��'=�'=�s '- II Crystal Bay, Minnesota 55323 ;�������.�;`; (612) 473-7357 Date Issued: SITE ADDRESS: I '���_:� �:Eii_�taT�;`��=�Fu� C�� s�� sw t-� �' . � . �� . � ix..�'c—i # ?--;,:;`::�-1 '=—iiij��: DESCRIPTION: �:r�'�.Er�i�::t.�T �;C�€ F It�T'_:�; Y't111 1��l ll'� �°Ci'tii 1�• �;�'s:' ��1"'t-3='.1'!.. '�.�±'��!�_'�Yt_ �;i.�i �,t�1 il'= (a;'i r 1'4; # y'F�W �i�;5:�_i`.:' �:'j:..: :i.;,v:=r��F j_.: ���:�: {..i��}+(-'ti a 1 i�=Y }=i--:�: :,�vi1`1�t.i'i�_f.�,t;;�l"} �`.•'��t=. tt�j '•� [� . ._..E::._.._ L_ .. .... _''.� i1�._� . .F...�... _L.... ! . ._... �-e�._ � ' _ R�MM�J -. -. _. _ _ _ ' .: " :-:�, ,, ;—'i-�+ ; � i `— '—'`- �'s_._ , _ . . ___ ?f .;�*�_ � . ._.. P '—.' --�. ....C� ��'�.. _�:;. .. ! . I i— _ _._ _ . .. -- - �- _ . FEE SUMMARY: ��'j' } _ �5���...ir�i'4 1 i�...�5�� �i.� �_j�_�{_•'' i � I �ie�.i'�� R��i': �:�i . .:„'� I !-'I�;�� �'�.��i �;:� �•t#.ia_ u� I '.';��;y�r����~:�r- _____._ _i�'..���n.�si I i i}E•L+� �='� �1 t_}-._� . r d CONTRACTOR: O�I�IJu�� t �`�`� �`_=�''�' �:� I �E ��. �T€f� �';��;�, �.:��if ll`�f���''�;;�;�F [;� i� �i�'I,i�ut I ��E`, �i�i:�:�i�� ce`'i=�—_:��s:' i N�. :;��:i_��°_:I����1l��� �L�°���;� �=;���:;t}�:=� i`� !=`��t�:i'=;��;i�v��.� ►��w� t1��b��:� �1�':-i� R��E_ I C��'F:;��Y�.t�l�t�a�'�, _ �f'i F �� Yi�v�I i-�i��i7 �." � � i 3I�i �i + CBf� E I° � i � i � l.��F�ri�� 'ii:7�_. �'� � �. } I �� �I� '��t- �I I L E"._ . _. _ r;._.� _�t��. I d _ . F. �T _ _4 �. L..I r.. 'E ��� s �-{ ;L#_ _ t i�!'3�i��C! �_ii;;i i�1'�i:'—j�x�,�`•_� f����? �= I i i t�. �_�_'` ��I����'_���i�;f-t �,1.%��...+.11 E`�sa ���_�l.}� rc��;,;i!�p=i�k�;l��'�j°�; . � � � �d�1 z��� ��c��� APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE �'�"� � ' . � Total Fee: $ /�?>-'�� Date Received: Entered By: ��j. Permit#: �j�// CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- __ THE APPLICANT IS: (circle one) OWNEI�R CONTRACTOR �__..__..__.�...�-- JOB SITE ADDRESS: Z7�» (��"L'���h'y5-;c�� ��• �t���� ZIP: ��5���, NAME OF OWNER: �,J�� + ����c.ic;v� �k f(r��,� �- PHONE: (home) �7(� --Z7Z2 (work) ��I 4: •- 7 7 I(�� MAILING ADDRESS: �� �>��rt.- CITY: ZIP: CONTRACTOR: �,`'v�,���+� PHONE: CONTACT PERSON: ��1���-tJ MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration ..--- PROPOSED WORK(describe in detai�: }-�,�l�-;C� C�z���� I�� b��S���t��� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �:'C'C�� 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: �_/�f(,,�)�,L��.(,�.� fCi(:I�C1c�/�- DATE: � .� «C� NOTE! Parade o�'Homes events require separate pernzit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � Sea 13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forrh 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 ro suppty private or confidential data;and(d)the idenuty of other persons or enti6es 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 commissionec of revenue mav niace the notice reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request ro 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 pub(ic 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 thereafrer uriless a dispute or action pursuant to this seccion 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 cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exduding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wi[h 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry 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 incomp(ete 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 determinauon of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act reladng 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. � ' > ��`'� � ���Z�1'LI�� �� � l,(.,f�f��9 1-�rst Middle Last I ��j'7 ��C�� G��-'�l��yS9�1_� l�i���—� Address i � %Y C:1'�U ��� �1 `���"��; �-�'��c'� `����—_ Ciry State Zip Phone I understand my rights as stated above. , 7 �µ � G; ��' �-r.c.-� ;�-�c:��i:�Z.�� Signature 6 + CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��3—� ���` u���'►'WS i��- 1��� � �-- C ���,i'�� PID: DESCRIPTION OF WORK: ���iSG, r� �vi� ,�� 1�cs<<��{�4t ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: 4 DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: Z- L • 9� 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 Wid epth Survey Submitted: es No D te of Survey: Proposed Setbacks: Front (Lake): Rig Side: Rear (Street Le Side: Adjacent St ctures: Wetlan : Building Height: D f. Hgt. Peal: gt. Lot Coverage: �-�� Grading: Staff A proval Date: B : Council Approval D te: Septic: Staff Ap oval Date: B : Zoning File: # R ol tion: # Res ution Date: Shoreland Distri t: Avg. S tback: Bluff Setba : L.ot Coverage: Existing Proposed Hardco er: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 f BUILDING REVIEW CHECK LIST UBC: �� � CONSTRUCTION TYPE: �N Sq Footage $ Per Sq Ftg � Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Z„p a o °'-" � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal oC Mechanical Water Connection Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation OC Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) o( Final Grading/Filling aC Electrical (State Permit) Other ---------------------------------------------------------------------------------------------------------------------------------------------- REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMI�: 8 D TE TIME CITY OF ORONO CAL�ED IN ��� INSPECTION NOTICE SCHEDULED /� �•� �a PERMIT NO. �� COMPLETED ADDRESS � �� =�-`� `� � � OWNER��. �-�'�.P� CONTR. � TELEPHONE NO. '� �Cr' " � 7� --�- � DESCRIPTION lL 01 FOOT G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMINC� � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q O�O-_N.�' 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � J O a � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCFED � PROJECT COMP�ETE W . � G CORRECT WORK R PROCEED ; ISSUE CERTIFICATE OF OCCUPANCY W � �� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT [;CORRECT UNSAFE COND�TION WITHIN HOURS. . pHOTO TAKEN INSPECTOR WILL REfURN 17 STOP ORDER POSTED.CALI INSPECTOR CITATION ISSUED i: INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContractor sit : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �/io/5 :�' INSPECTION NO�IC� SCHEDULED -����� �� `3��� C% PERMIT NO. ���� COMPLETED _�� � ADDRESS � " �l � �f i .��- � � OWNER . 11c��� �NTR. � TELEPHONE NO. �7C�� ���� � DESCRIPTION _/tc,� .-aC��- lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATIQN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �� 12 WATER HOOK-UP 17 SITE INSPECTION "B�'FI1VECCf 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � J O a � O � W � Q � Z W � W � j d �itl�iORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � �: CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O i l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT i 1 CORRECTUNSAFECONDITIONWITHIN HOURS. �_ pHOTOTAKEN INSPECTOR WILL RETURN L; STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED i=1 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance.473-73�J7 OwnerlContract r ite: Inspector. � White Copylinspector's File Canary CopylSite Notice � � � � �°~ �� � �`` � `� `' � � �� ��� ��. � � �� ���� -� �� ;„ , � `��/ ` r •1 \ \ \ V� ��o \-----�' /�`.\ ' � � . ` � - ` �r j '�' ,� , ��� ' j ��� �� '�-, � - '� � � ' � � �, ,,, . �` ��, ' . ,� �"'�, ,'�� �°� �,�. ;: � - �, ;� � � � - \ � � �' � ,. , , / � - r'Q' ; �'�. �.;�, . j , '� t ��' \ _,r ,� ;,� / � �\ ,'i l.4 I �_�.._.'�., ..�1) �_... \^ ]� //� �/ y� \ \�h�.t `,x� �/ � / ` � /�• �j D _ ._� .. _ .._. 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