HomeMy WebLinkAbout1996-007831 - finish basement _ _ _
PERMIT
` CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 �:�,��L�_!�5�.t•w�=
Crystal Bay, Minnesota 55323 Permit Number: ;,;;;;__;�
� (612)473-7357 Date Issued: �^���;�t�;�;F,
SITE ADDRESS:
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I��SCRIPTION:
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REMARKS:
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� FEE SUMMARY:
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CONTRACTOR: — F E�=���l. 3.f�:����. — :t;T . L���:: . OWNER:
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� P LICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE � •
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Total Fee: � 1� �-, i`�� DateReceived: �:�- �- � �o
Date Approved:
Entered Bv: � -,;�' Permit#: �1 �'-� /
CITY OF ORONO - BUIIIDING PERI�IIT APPLICATION
AI,L TiVFOR1v1ATION I�fUST BE SUBiV1ITTED IN FULL BEFORE PLAIv REVIEW WII.L
BE STARTED
THE APPLIC:��1T IS: (circle one) OWNER OR CON �--
JOB SITE �DDRESS: ?�So G�..a•.,� W��� Z�: ,�S 3S6
NA.�v1E OF O WNER: fZ_._c 1 � / ..�_ 5.�,.�s,,� PH0�1E: (home) 6�� �p y 13L6
'��; (work)
�IAILLti'G�DDRESS: �780 �h�.��s� d�r (�/ CITY: 0�,�-�„o ZIP: s',r'3.�G
CONTRACTOR:�:�� �.� (a,.sa Tn�. Pxorr�: y7�- yG67
1�IOBILE PHO�tE/PAGER: ��'- 6068
�665''� /'u r Sf CITY: /�,_y�g.� ZIP: _rf y�
MAII.�VGADDRESS: .
STATE LICENSE: # 901 RI
ARCHTI�CT/ENGL�i TEER: P����
MAILI'i�tGADDRESS: CjTY� Z��
���: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration ✓ Land Alteration
PROPOSED�VORK(describe indetail): i�.<....d„-� i-���s�► •� Sl'l�-���-, r�""
STORIES: -3 SQ. FEET OF EACH FLOOR: //DO
NO. OF BEDROO�IS: _� GARAGE STALLS: ATT. �� DET.
ESTL�L-�TED CONSTRUCTION VALUATION(escluding land): � / � ,r0o �
I hereby apply for a building permit and I acknowle�fiae tYiat the informatir�n abov� is.coulplete
and accurate; that the work will be in conformance �vith the ordinances and codes of the Ciry
and with the State Building Code; that I understand this is not a permit and woik is nat to start
without a permit; �nd th�t.the �vor�c will be in ccordance with the approved plan.
APPLIC��1T'S SIGNAT'URE: DATE: � �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non-permitted events will not be allowed.
�
.
Sec.13.04 RIGH"TS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom rhe data is stored or to be sto�ed shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to suppiy privatE or confidenrial data concerning himself�►+atl
be informed of: (a)the purpose aad inunded use of the requested data within the collecring'state agency,polidcal subdivision,or starewide system;
(b)whether he may refuse or is legally requued to supply the requested data;(c)any known consequence arising from his supplying or cefusing to suppiy
private or co�denaal data;and(d)the idennry of o[her persons or endries authorized by state or federal law to receive the data. This requirement chali
noc apply when an individual is asked to supply invesrigaave dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
'Ilie commissioner of revenue mav lace the nodce re uired under this subdivision in the individual income taz or rooem tax refund
instrucrions instead of on-chose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject
of stored data on individuals,and whether it is classified as public, priva[e or co�denrial. Upon his further request,an individual who is the subjecc
of stored•private oL.public dara on individuals shall be shown the data without any charge to hicn and,'if he desires, shall be informed of the contenc
and meaning of that data. Afcer an individual has been shown the private c�ata.and informr�d qf its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this secdon is pending or addidona7 dara on�ttle'individual bas been collected or created.
The resp'oqsi�ile auchoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[horiry
may require the requesdng penon to pay the'aCtual cosu of making, certifying,,and o-ompiling the copies�
The responsible authoriry shall comply immediately, if possible, with any request made pursuant fo this subdivision,or within five days of
the date of the requesc,excluding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno[comply with the request
within that time;hC shall so inform r�e individual,and may have an addirional five days within which to comply with the request,excluding Saturdays,
Sundays and leg�holid�ys. � ; • . > . - _ �
• •5ubdr4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compteteness of public or private
data conceming himself. To exercise Q�'rs�right,an�ndividual shall norify in wridng the responsiple authon�Y describing the nature of the disagreement.
The responsible authoriry shall within 30 days ei[her. (a)correct the data found to be inaccurate or incoa}ple�and attempt to norify past recipiencs of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individua7 that e 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the adminisuadve procedure act relating 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 Ciry of Orono or any of its departments may require you to furnish cenain private or
confidential information.
You are notified that:
`�''�' i, ,'`'''�1'he information you furnis'1hwilLbe used ta c�teru}ine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pemut 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 perm.it'or license requires Council action to approve, some infoimation may become
public. '
�. You have certain rijhts under M.S. 13.04 (available upon request) to review private data on yourself.
6, Your fiiTl riarp��is required to process this application or permit.
�j�•�s�• �.s� �. c � oS
Firsc �.
;viiddle Last
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Address I v /
In1G•,i a.�, �rn n/ SS' 3 a/ � o
Ciry�— State Zip hone
• ;_ �f .
I under tand my rights as stated above. �
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CHECK OFF LIST FOR ISSUAriCE OF PERMITS
FOR OFFICE USE ONLY
AnDRESS OR LEGr�I.: �7�'G L'� � l�
PID: ;� , ', �.3 /� �> / �
DESCRIP'TION OF WORK: u-.�- �
ZONING REVIEW BY: N�i4 DATE APPROVID:
BLTII.DING REVITW BY= DATE APPROVID: �- G- �`
F'EES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
pL� ��� Yes � No SEWER CO�INECTION
STATE SURCHARGE Yes J No WA1'ER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify) M^_
--------------------
ZO�1G CHECK LIST Zoning District: Shor and District :
Fire Department•
Post Offic : School ist 'ct:
L,o[Area: Sq.ft.
Acres Width Depth
Survey Submitt . Yes No Date of Surve :
Proposed Setbac .
Front ( e): Ri t Side:
Rear (S eet): Le Side:
Adjace Structures: Wetl d:
Building Height Def. Hgt. Pe Hgt.
Avg. Setback: Bluff Setb k: Lot Coverage:
'sting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vari ce Required: Yes o
ate of Council Approval:
Grading: S[aff pproval Date: By• Council Approval Date:
Sepdc: Staff A proval Date: B �
Zoning File: # Resolution: Resolution Date:
RFMARKS ( house):
r r ,
t
BUII..DI�i 1G REVIEW CHECK LIST
��: �_3 co�rsTuucTTo�r �'YrE: y r�
� Sq Foota�e � Per Sq Ftg
Basement z —
lst Floor c —
2nd Floor R —
Garage x —
x =
TOTAL
Estimated Construction Value: $ 13 S o� �'
Inspections Required: «'ork Requiring Separate Permits:
Site aC Plumbing Fire
Hardcover Removal _C� �Iechanical Water Connection
Footing Septic Sewer Connection
__� Framing Fireplace Lawn Irrigation
�( Insulation (Masonry) Other
K Wall Board (Mfg.) Well (State Pemut)
�L Final GradinglFilling _� Electrical (State Permit)
Other
REIVIARK.S (IN HOUSE):
- ---------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
- ----------
REviARKS (TO BE�tOTED ON PER.�'�IIT):
��
D TE TIME
CITY OF ORONO CALLED w � i'� :� .
INSPECTION NOTI E SCHEDULED �/i�/9� ��
PERMIT NO. j � �� COMPLETED �I�b 'S 6 �i .- �
ADDRESS -��� �°� .c.- � �
OWNER-�c�T �.(� 'CONTR.� � � �
TELEPHONE NO. -�%% - <��� (- �
� DESCRIPTION
� 01 FOOTINCi 11 MECHANICAL RI 18 D(CAV/GHADINCi/FIWNO
� 02 FRAMING 73 MECHANICAL FINAL 19 LAI�SHOREM/ETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� WALL BD j 12 WATER HOOK-UP 17 SITE INSPECTION
1��AL f� 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEMQ–SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
� COMMENTS:
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W
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2
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d �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W i
�� C CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY
C� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
O CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�^CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector.
White Copy/inspector's File Canary CopylSite Notice