HomeMy WebLinkAbout1992-004128 - finish basement �-_-
, . �PERMIT
� CITY OF ORONO PERMIT TYPE: ���-7��--�-�����=ry
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1335 Brown Rd. South • P.O. Box 66 Permit Number: �y� ;; 4:r,_;�
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: ���.���� �E`�i I i�i ��l
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APPLICANT;PERMITEE SIGNATURE �� ISSUED BY:SIGNATURE
' ' CITY OF ORONO - BIIII�DING PERMIT APPI,ICATION
�otal Fee ; S �-� � 3 ff S �7ate Received: � �Z�"��
T�1� ?������_7 " ���_ � �
LdI.0 tiUiJtUVCCS:
�ntered By:� Permit#:
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ALL INFORMATION MIIST BE SIIBMITTED IN FITI�L BEFORE PLAN REVIB'W WILI� BE STARTED
(See Check-off List Enclosed)
----------------------------------- --------------------------------------
THE APPLICANT IS: (circle one ) OWNE or CONTRACTOR
�os sz� Annx�ss: ���5 ���1+� LA�1� zzP:
(work)
ru�r� oF owxER: � �'.�t c e 1<a K,11� PHor�: (home) �}-7 3--Z�5`�,
MAILING ADDRESS: 2�.(cS �EJ i�� �.AN�E CITY: C�r`c>���� ZIP:
c.o��T���cnrtil a-��,�Ac�c-�Z
� 1� A�E ���So� PHONE: `� Z_S- � 7��] C��y�
MAILING ADDRESS : �}C��S7 C�`:.��/�'-/�� �I S CITY: �� LOL��S Ps4.�<< ZIP: j��-/�
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
PROPOSED WORR (describe in detail) : �I 1`1 I S H � � � 5 T�'N G- S✓'A C�
IN ��1S�1E�T
STORIES: � SQ. FEET OF EACH FI�OOR: I ZCL�
�TO. OF BEDROOMS: �' GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ � � `�r�� _
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.
�/:
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APPLICANT'S SIGNATORE: � �� DATE: I �- — j (
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� ��;,,;�R;��: ;;'� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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��� '`� On the North Shore of Lake Minnetonka
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike 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:
l. The information you furnish wil.l be used to determine your
qualification for the permit or Iicense 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 , state or
federal agencies to the extent necessary to process the permit or
lic2nse.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rignts under M:S. 13.04 to review pri�a��
data on yourself.
6. Your full nar,ze is requirec� to process this aoplication or
permit.
��(A v � i� �2�-.r`��c ���2sc�,tif
r i.z'st M�ddle Last
�"L`ss� C��� c_�R--�l�c� f�l�" S ci
Address
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City State Zip
�� ��'--��—��71 +'i uv"`�
Phone � ` s - �7�`7 c�F-�c cv
I understand my rights as stated above.
� ����ti�
Signat e
BIJILDING&ZONING— 473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
r� ►TA
513.04 RIGH'TS OF SIIB�"L3 �� v�,��
Subdivision 1. Type of dat�- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information requir�d to � ��� ����" An.individuel asked to
� su ly private or confidentiel data concernindg tBmW hin the collect g state agency,
PP
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he ma� refuse or is legally
p the requested date; (c) any known consequence arising from his
required to supgly rivate or confidential data; end (d) the identity of
supplying or refusing to supply P state or federal law to receive the data. This.
other persons or entities authorized by investi ative data,
requirement shall not apply when en individual is asked to supply g
pursuant to section 13.B2, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav lest taX re°una i�tQuctionsunsteadhos
subdivision in the individual income tax or r�
on those orms. . - -- � .
Subd. 3.
Access to �ata by in�ividuel• UPon request to e responsible
authority, an individual shall be informed�wh ublic,hp vateeor confident al.e Upon his
individuaLs, and whether it is classified p ublic data on
e to him and, if he desires, shall
further request, an individuel who is the subject af stored private or�du� � been
individuels shall be shown the dat8 witho Ofan�y ��tg. �ter an indi
�e informed of the content and meaning the data need not be �sclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a diSPute � been collected or cYreatedt1OThe
pending or additionsl dsta on the indiv�duel h P n re;uest by
responsible authority shall provide copies Th th�ePro�ibler authoritdyt maya require the
the individual sub}e^t °�the actusl.costs of making, c�rtifying, and comPiling the
requesting person to pay -
copies. y ssible, with any request
The resper.si�le a�sthority shall comply immediatel , if po
� f .hp request,
made pursuant to this subg�i�d legal tholidays,�f Simmediatea�mPso inform the
excluding Saturdays, Sund YS with the
possible. If he cannot comply with the request within that time, he sh
heve an additional five days within which to comply
individual, and rr►eY �d le el holidays.
request, excluding Saturdays, SundaYS g
te or complete. An individuel may
Subd. 4. Procediu'e �►hen data is not accura �mself. To
contest the accuracy or completeness of public oinriv4Rai�tthe°reSPonslble authority
exercise this right, an individuel shall notify
describing the nature of the disagreement. Tnaccura e oren omplei and at mpt to
days either: (a? correct the data found to be
notify past recipients of inaccurate or incomp�t he bel evesdthe datalto be correct
the individuel; or (b) notify the individual t � eement is
Data in dispute shall be disclosed only if the individual s statement of �8� to the
• included with the �isclosed data. ealed ursuant
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
. � ` . .
.-.�� na� r Tcm vno recn��.t�+v nu pu�vvymc
VnrjLj\ \JL 1 L1 V 1 L'VL� 1VVVL�L��L VL
FOR OFFICE USE ONLY
ADDRESS OR I,EGAL: 2 Z�o� L7 E�111�( (.P�N�, PID=
��SC�yamrr�u ng �7n�t�- Q�SGMEN� F���SH
------------------------------------------------------------------------------
ZONING REVIEW BY: /V�/-I DATE APPROVED:
BIIILDING REVIEW BY: DATE APPROVED: /- Z -�f Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes-y 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 Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date�f Sur ey:
Proposed Setbacks : �
Front (Lake } ; R' ht Sid :
Rear ( Street) : eft Sid :
!
Adjacent Struc ures : WeL�:and:
f
Building Heignt: ef. Hg . ��eak gt.
i
Avg. Setback: + I.�at Co�bera e: '
� Exist 'ng ' Pro�sed !
t �
; �
Hardcover: 0-75 ' ! � �
� ° �
75-250 ' � k
f
° �
250-500 ' � � � '
; � � '
0 'F
500-1000 ' i � �
� � j �� ��
�
Hardcover Variar�ce Requir� : Yes i No jDate of Coun' il Approval:
� ' ;
Grading: Staff �pproval D e: � B :+ Council Approval Date:
Septic: Staff pproval Da � y�
�
Zoning File:# R solution Resolution Date:
REMARKS (in house) :
_ _
__ _ .:,. _ •__t. •
�tTTT;IITN� R_�ITF:Gj C'AF.�C T.T�T
iJg�a � � '3 (,U1_iIST�IICTI��I TYPE;�
Sq Footage $ Per Sq Ftg
Raccmcnf Y =
1 gf` F'1 n�r x =
2nd Floor X =
Garage X -
x =
TOTAL
ot�
Estimated Construction Value: $ / 2 50 0—
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Grading/Filling
Footing �Mechanical Fire
_�CFraming Septic Water Connection
_�Insulation �C_Fireplace Sewer Connection
�Wall Board �(Masonry) Other
�Final (Mfg. ) Well State Permit
� Other �Electrical (State Permit)
RSMARRS (IN HOQSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
-----------------------------------------------------------------------
�R_MARRS (TO BE NOTED ON PERMIT) :
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✓
DATE 4 TIME
CITY OF ORONO CALLED IN t�/✓I� / �
INSPECTION NOTICEn SCHEDULED '� /�%a3�
PERMIT NO. ���X COMPLETED tt �_
ADDRESS r� ��?�.� ��,.�'`�'✓
OWNER����� CONTR. `
TELEPHONE NO. �7.3 �- ��o � y
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
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� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATiON ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
Owner/Contractor on site•
Inspector.
White Copy/inspector's File Canary CopylSite Notice