HomeMy WebLinkAbout1999-011848 - finish lower level � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 _
Crystal Bay, Minnesota 55323 Permit Number: _ _
(612) 249-4600 Date Issued: _ _ __ . _
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: ._, r��:�,�� ; ;�,:,;;: _ :�;,� ^ -:. OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ ;�0 �/• ��'�� Date Received: �� :�l�
Entered By: � r,t.. � Permit#: //u'-f�—
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CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR- �
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----------__
JOB SITE ADDRESS: i i r�� C���'k t�'/�'k iYl ��; r=�i1 ZIP: ���3���
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NAME OF OWNER: �.. I-47�IS ��`�'i�=�����/��- PHONE: (home) ��1� ` >>`i.��f
,1 (work)
MAILING ADDRESS: �(� (���X f'�'�'�� r�C.s�.�'` CITY: ` t�v: : L,:{�:�:` ZIP: ��5 ; ��
CONTRACTOR: 5t: ; ��c�'_�r��i r" -- PHONE: C t Z '�Z�t �j ��; /
CONTACT PERSON: ;��,r�.�. MOBILE/PAGER: '���-�`�lZ
MAILING ADDRESS: (..,..� ,�2 � r ���5rf�.�'y ��u�.. � CITY: t�ic tr►�tr_._�� ZIP:��y,� -:�-
STATE LICENSE: # ;2C�/� �'C�7��
ARCHITECT/ENGINEER: 1'''�/�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration �, Land Alteration
PROPOSED WORK(describe in detai�: -��:e��sN- l��.•��� �` ,=�r=;�
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 accorda e with�he approved plan.
_ '� , �
APPLICANT'S SIGNATI�RE: _.--i�� �.. _�^'�"�-- DATE: �- �t i
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NOTE! Parade o�'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.
5
Sec.13.04 RIGHTS OF SUB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth 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 anci intended use of the requested data within the collecang state agency,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or
refusing to supply private or confidential dara;and(d)the idenriry of other persons or entides authorized by srate or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, gursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revetrue mav�lace the norice reauired under this subdivision in the individual income tax or nrooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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 public 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 thereafter unless a dispute or action pursuant to this section 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 actuat cosu of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an addidonal 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 authority describing the nature of the
disagreement. The respoasible authoriry shall within 30 days either: (a)corcect the data found to be inaccurate or incomplete and attempt to notify
past recipienu of inaccurate or incomplete data,induding recipienu 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 determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contesred 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 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 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.
� � ���
First/ �ddle Last
CGO�� IGLS���,P� � , � .
Addre .
ic:��. l�it.J� �531fZj 6/2 —�z5'—��7`7
Ciry State Zip Phone
I u dexst�- ' ts a¢ st ted ab.
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Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY �
ADDRESS OR LEGAL: /�� S GOx �-AR r� 20/�
PID:
DESCRIPTION OF WORK: /�sL v►�►.�.�vr 1=�N�s/-�
ZOVIPiG REVIEW BY: DATE APPROVED: � -�}-4`'r
BUII.DI�1G REVIEW BY: DATE APPROVED: �} -�0 -4 Q
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes J No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZO�tING CHE.CK LIST Zoning District: /Uc� C�-+���,E
Fire Department: Post O�ce: School District:
L,ot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right S' e:
Rear (Street): Left Sid :
Adjacent Structures: etland:
Buildin�Height: Def. Hgt. eak Hgt.
Lot Covera;e: �
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Setback L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUII.,DING REVIEW CHECK LIST
�C: � - 3 CONSTRUCTION TYPE: vN
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x = :
2nd Floor x =
Garage z =
R =
TOTAL
Estimated Construction Value: $ �, �V� �v
Inspections Required: `Vork Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing = Septic Sewer Connection
pL Framing Fireplace Lawn Inigation
DC Insulation (Masonry) Other
—a Wall Boazd (Mfg.) Well (State Permit)
� F�� Grading/Filling �Electrical (State Permit)
Other
RE1�Z�iRK.S (IN HOUSE): .
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
RENIARKS (TO BE NOTED ON PERMI'1�:
8
� � •
37.0.9.1 Smolce detectors. �
310.9.I.I General.3�we]Jiz►g uni�,ts,•congxegate residences and hotel oz lodgi.ng house guest .
rooms that are used for sleeping purposes shall be provided with smolce de�ectors:Detectors shall be
installed zn accord.ance�vith the approved manufacturer's instructions.
310.9.1.2 Additions, alterations or repairs to Group R Occupancies. YYhen the valuation of an
add.ition,alteration or repaix to a Group R Occupanry exceeds $1,OQ0 and a permit is requ.ired, or
tivhen oneor moxe sleepi.zig rooms are added�or created in existing Group R Occupancies, smoke
detectorsshall be installed in accordance tivith Sections 3I0.9.I.3, 3I0.9.1.4 and 3I0.9.1.5 of this
section.
�XCEP7TON:�Zepazzs�to the exterior surfaces of a Group R�Occupancy are exempt from the zequire-
ments of this sectiori.
310.9.1.3 Z'otivez source. 7�n new construction, req,uixed smolce detectors shall receive thei.z pzi-
mary potiver from the building wixing when such w�ring is sezved from a commercial source and
shaII be equipped wi.th a battery bacl<up. T'he detector shall emit a signal when the batteries are lotiv.
�rYiring shall be permanent and`vithout a d.isconnecting stivitch other than those required£or over-
current protection. Smolce detectors may be solely battery operated when installed in existing
buil.dings; or i.n buildi.ngs�vxthou.t comznercial potiver; or in buildings tivhi�ch undergo alteratzons,
.repairs or additions regulated by Section 3I0.9.1..2.
3I4.9.I.4 Location tivithin dwelling uni,ts. Xn dwelling unzts, a detector shall be installed in each
sleeping xoom and at a point centrally located in the corridoz or area gzvi.ng access to each separate
sleeping azea.Whezi the dwelling unit has more than one story and i.n d�vellings tivith basements, a
detector shall be installed on each story and in the baseznent, xn dtivelling uni�ts tivhere a story or base-
ment is spl.it into two or more levels, the smolce detector shall be installed on the upper level, except
that�vhen the�otiver Ievel coz�tains a sleeping area, a detector sba1T�be Snsta'lled on each level.When
sleeping rooms are on an upper level, the detector shall be placed at the ceiling of the upper Ievel i.n
close proxzmity to the stainvay, xn dwe7Jing unitts tivhere the ceiJing height o£a xoom operi to ihe
halhvay servi.ng the bedrooxns exceeds that of the hallway by 24 inches (6�0 mzn) or more, smoke
detectors shall be xnsta.11ed i.zz the halltivay and in the adjacent room. Detectors shall sound an alanm
audible in all sleeping azeas of the dtivelling unit in tivhich they are located.
C�1�,o��.a,�.
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CITY OF OR4Nd - �
BUILDIN �Rlv11 LAN REVIEW ,i- .,�
1NSPECTOR{
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CCZDE F2E�.�r�:�+���'��TS
D TE TIME
CITY OF ORONO CALLED IN ''��
INSPECTION NOTI�E Q, i �i SCHEDULED
PERMIT NO. � 0 `1 t� COMPLETED
ADDRESS I I IS C.C3��� I1��
OWNER �G�Y`�l�-� CONTR. g � �
TELEPHONE N0. ��� � ��
� DESCRIPTION
l� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WAL 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CO ENTS:
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d ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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� ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O (�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. ���-l�C ���-L�
White Copylinspector's File Canary Copy/Site Notice
D TE�n � ti�� IM�r
CITY OF ORONO CALLED IN ��« 0
INSPECTION NOTICE � SCHEDUIED �
PERMIT NO. �ll�� COMPLETED A ' �
ADDRESS �,I�� CO�C �t lrf'Yl
OWNER CONTR. ��'S�i�I�
TELEPHONE NO.
� DESCRIPTION��) 'l�-'��lO �°�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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�ORKSATISFACTORY:PROCEED C PROJECT COMPLETE
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W ❑CORRECT WORK 8 PROCEED I, ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR W�LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-i CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector�-�e.�f �.�'�i2
White Copy/lnspector's File Canary CopylSite Notice