HomeMy WebLinkAbout1994-006012 - finish basement � PERMI7��
t C�TY OF ORONO PERMIT TYPE: _ _
2750 Kelley Parkway • P.O. Box 815 ��_=_-.`��•�:;
Orono, Minnesota 55356-0815 Permit Number: -
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(612) 473-7357 Date Issued: � �- - ~-
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
'" � CITY OF ORONO - BIIIZ.DING PF•RMIT APPLICATION
m f c� Date Received: % � ,� ' � �
�otal Fee: $�-�''�'� '� _
Date Approved:
Entered By: �'� Permit�: ���i,Z
pT.T. INFORMATION MIIST BE SIIBMITT'� IN FDI�L BEFORE PLAN REVIEW WII�L B$ STARTED
(See Check-off List Enclosed)
------------------------------------------------
�--------
T� APPZICANT IS: (circle one) OWNER or,(CONTRACTOR�
JOB SITE ADDRSSS: � '� � I C� �-�!�t_�Ct-1 GI��=C I� b�i�l t= ZIP:
(work)
N�ME OF OWNER:�; �L � 1 ��A L�►ti i l`fl c L�► `t E►= PHONE: (home)
MA.II,ING ADDR.ESS: I Z ��j �=tZLI-t��-► G�-�� IL CI�: cG��t� ZIP:
��Z��i i=
CONTR�CTOR: �-�J�.tl�.f F�O 1Z�L �=S 6 G iJ��� � ��U 1 L�E E S PHONE: S�3 -d�S '�
MATI�II7G ADDRESS: C�� �O �Z�� c��.v. u. CITY: ��Of��t �Is 4-�� IL=ZIP: ���-2'2
STATS LICENSE: � �Z �� 7_
ARCHITECT/ENGINEER: G,r. ��J t-4o iZ��� i��`'�1 G��1�� � `� �U� t,C . PHONE:
MAILI2dG ADDRSSS: CITY: ZIP s
N��: RBGISTRATION A
TYPE OF WORR: New Addition Accessory Structure Move
Demo Resnodel/Alterationl/ Renovate Land Alteration
��
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PROPOSED WORK (describe in detail) : (7�r.��p� � l�`"'���•� � 1== x��r�►_,c� �ti r_i 1 S u-
/'��l CE �' i� ii-��l�-C v` ��=R�1 L IJ � 1�c.-1 t`�U L�V l_ L
STORIBS: 2 SQ. FEBT OF EACH FLOOR:
NO. OF BBDROOMS: C=ARAGS STAI.I,S: ATT._� DET.
ESTIHATID CONSTRIICTION VALIIATION (eaclnding Iand) : $ � S O Q''� - U�
I hereby apply for a building permit and I acknow.Iedge that the information
3bove is complete and accurate; that the worJc wili be in conformance with the
�rdinances and codes of the City and with the State Building Code; that I
;�nderstand 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. .
APPZICANT'S SIGNATDRE���n�- \-t I<%. ., 9G--c'�c�� _ DATE:�1� �
. � � �
,
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municapal Officea
•
� - � � On the North Shore of Lake Minnetorcka
DATA PRNACY 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
Iicense 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 will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require thaL
the City deny the permit or license.
3. The inforination may be shared with other iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review prica�e
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
����1Z� �-�-b�t-15 L ��
First Middle Last
4r-� �O �L�t� �v. 1..1�^tZ�,-�
Address
��i ����J�� 1�✓�L-Y� �ti • ��.J`� �L
City State Zip
� ��-O�S2
Phone
I understand my rights as stated above.
�)� a,�%�- ��G��-�-�-`
Signature �
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSFSSING -
�� ------•— �
�
513.04 RIGH'I5 OF SIIBJECTS OF DATA �
gubdivision 1. Type of dat�- The rights of individugls on whom the data is
stored or to be stored shall be es set forth in this section.
Subd. 2. Information �
to be given in���' An.individual asked to
� � su ly private or confidentisl data concer a a t8�wit�h�in the collect g state agency,
PP
purpose and intended use of the requeste
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
p the requested dat8; (c) any known consequence arising from his
required to supply rivate or confidential data; and (d) the identity of
supplying or ref�sing to supply P StBte or federal law to receive the data. This.
other persons or entities authorized by investi ative data,
requirement shall not apply when an ln�tola law en orcementuofficer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue mg Opert tgx re�und instructionsuinsieadhot
subdivision in the individu8l income tax •r r
on those orms. . � --- - _
Subd. 3. Access tc �ata bp in�vi�u81- UPon request to e responsible
euthority, an individuel shall be informed�whe bliC'hp=vateeor confidenUal.e Upon his
individuels, and whether it is classified p ublic data on
e to him and, if he desires, shall
further request, an individusl who is the subject of stored private or
individuels shall be shown the dat8 withou�f an�y ��a. After an individual has been
�e i n formed of the content and meaning the data need not be �sclosed to
shown the private data and informed of its u�Q�action pursuant to this section is
him for six months thereafter unless a d�SP
� ending or additional data on the individ�h h� 8te or public datarupon request by
' P reauire the
responsible authority shall provide cop1�The res onsible authority may
the individual subject oftrie acaual•costs of making, certifying, and compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursvant to this subdivision, or with lida e,�f Simmediatea complisnce e�u ns�t�
excluding Saturdays, SundgYs and legal � with the
ossible. If he cannot comply with the request within that time, he shall so inform the
P hsve an additional five daYS Within which to comply
individuel, and n►aY �d Ie al holidays•
request, excluding Saturdeys, SundaYS g
Subd. 4. Proced�e �►hen data is not accur8te or complete. An individual may
contest the acciu'acy or comQleteness of P ot�f °inrlwri�the�responslb e au hor ty
exercise this right, an individusl st�all Y
describing the nature of the disagreementbeTnaccurpa e orinc mplete and att pt to
days either: (a) correct the data found to
notify past recipients of inaccurate or inco�mP�t hea belie esdthe datalto be correci.
the individuel, or (b) notify the individu eement u
Data in dispute shall be a�ta d ��Y � the individuel's statement of disagr
• included with the �scl e�e� pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative proc�dure act relating to contested cases.
. � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
.
- FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (Z�IO F��K C'��� �� PID'
D$SCRIPTION OF WORR: �1 NISI'� �
--------------------------------
ZONING REVIEW BY: /J�/4' DATE APPR0�7$D:
BIIILDING REVIEW BY:
DATS APPROVED: �' � 3- �K
FEES TO BE CHARGF.D: Misc. Fees Ca�culated By:
PERMIT Yes (� No
PLAN REVIEW Yes—� No SEWER CONNECTION
STATE SURCHARGE Yes (/ No WATER CONNECTION
INVESTIGATION FEE Yes No-�� PARR FEE
SAC Yes No�� SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------
ZONING CHECK LIST Zoning D strict:
Fire Departmen • Post Office: Sch'o 1 District:
Lot Area: Width: Depth:
�
^ Survey Submitt d: Yes No J�ate of Sur ey:
Proposed Setba s
� Front (Lak ) • iRight Side•
Rear (Stre t) J Left Side
Adjacent S ru tures : Wetl�nd:
Building Height: D f . Hgt. Pe�ak Hgt.
J E
Avg. Setback: � L Cove,�age: �
Existing � Propos�ed _
�
Hardcover: 0-7 ' �
75-25 ' �
250-50 ' '
�
500-100 ' �
Hardcover Vari nce Req ired Yes No�'I Date of Coun ' 1 Approval:
/
Grading: Staff pproval. Dat : By: Council pprova� Date:
Septic: Staff proval D te i By:
Zoning File:# solution #: Resol.uti n Date:
REMARKS (in house) :
BDILDING REVIEW CHECK LIST '
IIBC:
l�.-3 C�NSTRUCTION TYP$: � •
Sq Footage $ Per Sq Ftg _
Basement X
lst Floor X
2nd Fl.00r X
Garage X _
x
TOTAL
$sti.mated Construction Val.ue: $ 1 S c�0o�
Inspections Required: Work Requiring Separate Permits:
Site � pC Pl.umbing Grading/Fil�ing
Mechanical Fire
Footing Water Connection
Framing Septic
Insulation Firep�ace Sewer Connection
Wa�l. Board (Masonry) Lawn Irrigation
Fina 1 (Mf g.) Other
Wel 1 (State Permit)
Other �ElectricaJ. (State Permit)
---------------------------------
gEMARRS (IN HOIISE) :
REVIEW BY OT�tS: DATE-
Access : Existing New
. Date By�
Access Approval•
-----------------------------
gFMARgS (TO BE NOTED ON PERMIT) :
. �
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. !
Proposed Changes to Lower Level Sawhorse Designers & Builders �
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�'���� GOPY �- �r1�o,,�� ��. �..�::F�:�,����
'; Ai'PROV�D VVlTH ��R��cTaa, As c�or��
i��;��t�G9�:��m�:.���� �1 id0 i APFROVED — CORKr.CT & ESUB►�11T
r�bse cornments are for yeur irtformation. 11t wortc sha11 pe dpn�
�� t„I! compliance with all ap�tic�ble bupQl Dor�hg epde re,
Da:�ce Atea �' ' �'t1znic inciuciing i2ems not �pecrticeiiy tecf in thls.reViaw
�r �� � �'� � �:FEP THIS P�A�'`J SET vN SITE N �Li_ T;MF�
�
Utility Room/Unfinished
Bar r �
Service storage cioset II�
� Area
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I Hallway
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II I� ���
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� ,/ Guest Bath *'' '
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EXis�ing Bedroom �� �
Coving with Ra�Lighting
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Nadine & Bill Mc�uir �
1270 French Creek Drive
D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI}C.�E SCHEDULED '����L�
:,i�
PERMIT NO. U� COMPLETED �, '
ADDRESS D �-t'-� �'
OWN ER CONTR. J
TELEPHONE NO. _ 'J.33'C�.� SZ
� DESCRIPTION , __ ��
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANOS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
NAL 13 METER SET/TURN ON 17 SITE INSPECTION
� MO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED I 1 ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n xt inspection 24 hours in advance.475-7357
OwnerlCon a r si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DATE �J TIME
CITY OF ORONO CALLED IN �� � Z
INSPECTION NOTICE scHEou�Eo �- 3 � - ��
PERMIT NO. �G'�-L COMPLETED << U
ADDRESS /'� ''D "�i��e�a �'-�`�'C�i�-,
OWNER ���' t��� CONTR. Q1��G"i-�--�—
TELEPHONE NO. �'� -3 � �3J�
�
� DESCRIPTION Kr����-t-�-�^-�� /���"�-r'���`��
l� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
�' 02 FRAMI ' � 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION � J 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
T 09 P�UMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� ❑ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C� CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
-' CITATION ISSUED
C 7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContra s te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT NO. � � ( ,G COMPL�TED
A��RESS 17�C� '��L�NC�II ���� i,{_ .
OWNER � CONTR.
TELEPHONE N .
� DESCRIPTION � `T<< C�p
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� O5 FIN 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� � CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '= CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contra r on site`
Inspector. �
White Copyllnspector's File Canary CopylSite Notice