HomeMy WebLinkAbout1997-008854 - basement finish . ` �, � �, PERMIT
C'�TY OF ORONO PERMIT TYPE:
2750 Kelleu Parkway- P.O. Box 66 _ :�s�:�
Crystal Bay, Minnesota ,55323 Permit Number: _=`.`;i'"
(612).�73-7357 Date Issued: - - ;,_;:;
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: _. .:� :. : ;- .: :-: . -- OWNER:
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APPLICANT-PERMITEE SIG ATURF `— ISSUED BY:SIGNATURE ��
. ' CTTY OF ORONO - BiJILDING PERMIT APPLIGATION
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To tal Fee : $ ��?>� �=�l Date Received: 3 � �7
Date Approved:
Entered By: �f
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Permit#: � �`� �"
AT•T• INFORMATZON MOST BE SUBMITTED IN FOLI� BEFOR.E PLAN R.SVIS'W WILL BI� STARTED
(See Check-off List Enclos
- ------- ------------------------
THE APPLICANT IS: (circle one ) OWNER or � NTRACT
Jos szT$ �vx$ss: �-7.� �eVV1�al�2 F'iDQ ZIP: �� 3� (
(work)
,
NAME OF OWNF�t: J� � �, ��- a _�--'�-��-�P ��'(_5.�,� pHONE: (home )
M1�ILING AllDRESS: �� '�j `�I/��a ��Qi �Q�j,� CITY: �a(/� (7 ZIP: 'rj ��� (
_ .
CONTRACTOR: �jGl,W Y1OVS-Pi �j U ( �,� �Q V S PHONE: �3 3 ''' D� ��
MAILING ADDRESS : 1-�-��D � ��'�� �� , N CITY:_�D �Ip•� VIS��I,`� ZIP: �����
TYPE OF WORR: New Additivn Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : I Q Ol s �i�� �� � 11/�I S� , w ��/�,GL D�
1��e�I �,� �.1 �/ o u-�' �O aS�►�� �-�-
STORIES: � SQ. FEET OF EACH FLOOR: �D�D
NO. OF BEDROOMS:� GARAGE ST�LLS: ATT. DET.
SSTIMAZ`ED CONSTROCTTON VALiJATIOPI (excluding land) : $ � �/ ���
I hereby apply �or a building permit and I acknowledge that the in£orma#:io
above is complete and accurate; that the work will be in conformance with th
ordinances and codes of the City and with the State Building Code; that
understand this is not a permit and work is not to start without a permit; an
that the work will be in accordance with the approved plan.
�PPLICANT'S SIGNATURE: DATE: � �"� �
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CHECK OFF LIST FOR ISSUANCE OF PERi1�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y?S ��.��ti'f1;�� i�C�(���
PID:
DESCRIPTION OF WORK: �,r'���_�Y1�7�►�� ���i:S i-�
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ZONING REVIEW BY: iU �� � DATE APPROVED:
BUILDING REVIEW BY: �;,,�, ��:/w�.,` DAT'E APPROVED: t{-/-y 7
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTTON
STATE SUR`HARGE Yes ,,/ No WATER CONNECTION
INVESTIGAZ'ION-FEE Yes No r/ 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 Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
�
�� Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: {t Resolution Date:
Shoreland Dist:ict:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
� 250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
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BUII..DING REVIEW CHECK LIST
usc: �'�-3 covs�xuc�o�r �E: Vh�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ _>>�V����'�'
Inspections Required: `Vork Requiring Separate Permits:
Site . ��� Fire
Hardcover Removal C Mechanical Water Connection
_'Z Footing Septic Sewer Connection
�( Framing Fireplace Lawn Irrigation
�( Insulation (Masonry) Other
� Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling yi Electrical (State Pemut)
Other
REMARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS(TO BE NOTED ON PERtVIITj: �n,•�;;�����in,v ���/��,rk� �c�2 /'crr��n�:�.�
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Sec.13.04 RIGH'TS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be�ven individual. An individual asked to supply private or co�denrial data concerning himself shall
be informed of: (a)the purpose and intended use of the requesced data within the collecting'state agency,polidcal subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or enrides au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investieadve dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce required 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 to a responsible authoriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whecher it is classified as public, priva[e or confidenaal. Upon his further request, an individual who is the subjecc
of stored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content
and meaning of[hat data. Afrer an individual has been shown the privace data and informed of its meaning,the data need not be disciosed to him for
six mon[hs thereafter unless a dispute or acrion pursuan[to this secdon is pending or addidonal data on the individual has been collected or created.
The responsibie authority shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making, cerrifying, and compiling the copies.
The responsible au[horiry 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 addiaonal 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 pri�•ate
data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of[he disagreement.
The responsib(e authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disctosed only if the individual's statement of disagreement is included with the disclosed data.
The determination 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, "Ri�hts 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 wiil be used to determine your qualification for the pemut 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 pernut or license.
4. If your requested pernut 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.
(, Your full name is required to process this application or permit.
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�A res r ��"V ✓ ''��c/-� `,J ,� ,?' ,�i,J'`� �
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Ciry Stare Zip Phone
I understand my rights as s�tat� above.
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Signa[ure
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Total Fee: $ Date Received:
Entered By: Pernut#:
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 OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non perntitted events will not be allowed.
DATE TIA
CITY OF ORONO CALLED IN � s
INSPECTION NO�J� . scHEou�Eo —� �
/y' / =o�
PERMIT NO. 5`f COMPLETED �� ��
ADDRESS �� �7 � ����� � � �. �
OWN ER CONTR.
TELEPHONENO. � �� "� �_`��'
� DESCRIPTION �/�'�'�i�r�v..�/
� 01 NG 11 MECHANICAL fil 1 B EXCAV/GRADING/FILLING
� 02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 THEE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2a CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W� ,� - PROJECTCOMPLETE
W ; CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O �' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
�
Call f n xt inspection 24 hours in advance.473-7357
,
OwnerlCon�r r on '
Inspector.
White Copyllnspector's File Canary CopylSite Notice