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Home My WebLink About1992-004266 - basement bedroom suite / -- � � ,, �� ,- ,� �- -�;-. � ��l i�Y�� ! � � OF ORONO PERMIT TYPE: tj .�� Brown Rd. South • P.O. Box 66 Permit Number: �Ci��'�r_'�.�� - ystal Bay, Minnesota 55323 Date Issued: i�1�/;��,/__�� *173-7357 SI`�"' � n�ESS: 1 S 1 t� GFiEEN T�EE'� �iD C:H F' . I . hI. � i 1-117—�,�:�—i:_;—t_yc.��.� DESCRIPTION: E�R:��IYIT E:ED�;C��M ::t t I TE 8ui ldin3 Pe�,rr�it- TY�� '=,F—AD(�/F�F_hl�i�EL E�ui l��i�� t�?t��r�:: TY�e �+EN+�+Vt�TEI�;EM��►Cy�L 11�;�: iicc�tp�i�cy =:�� —:; �::�:l�St.l'UCt•i+�+ti TyF'e ;,'I�j ��;F��.^KS: '_��F'A�I=iA7E PE��1 I T'�� FiE�;t J I REd FOh F'L�1M�I hiG, FI�Gi-�AhJ I�AL �tND ELE�TFt I C�AL �:'}TATE) . FEE SUMIIAARY: I �'(�LI�AI`I►:ihl ��.1 ,iyi�� _ -- -:�,��;�� C�as� F�c �?`5�;,c.��r L.:;; �;, ��;,:�.0 _•. _ �:•.- r;if:7,-'C "'j,�1'i-:tLL•4 Li! } 1L•L �'�cltl F{�Y I E'l4 `�i::�_�1 . L(.C� ':ri�'1 ii � ti�i`�'1 ti�4�`�L�`� '•_�Ui'C f'�cti'�+_ _�,�CY j S(s) ' _�� -�,;. ':;; ------- ;;= -: T VL! tJV:1!t it; T+�t.a 1 Fe� �t�tr7, ��c) .it,, -',�,;; '� :Y I _�1tJ1�S V V�Vb'�•' �!'' ! L�t? �i y�TL� t.t L'41i �- � ...;,i,zrir�ri rr i,_::tGi•t��•�•v i.j i�d! ::� r:� - �,iy L7L71 +�-�'`'=�t . .� i:} i'!�L!'1� �6 Vti 1 a:L 4�!}LL•1 ... . �iiji �'L '11�...i t�.1A:h' I L'IJ � f-.L4LJ.! 1 1!YfYltt; "�a;' �::`-=`:t.} r. . . ;LiL��l�� !7i . �L� L•1�111 11�1J1 : �:� :�� . {,i':1�t 1!/r cp — A�F�lic�nt� — :�.i . LIC�. OWNER: C��F?TC��I�T�r�C:T�=��t': t� E�LD�t 12's:z 14:'y t��i��rq.�:..;4 F�I C:k::A�iD QAV I D 1�7 hd LE?(Ih►t�T��}hI �'��;WY 1�1i� �fiEEPd 3F,EE'�� iL7 �;T �A�1L h1N 5�li�q. ��i��i i MN ��:;�1 t;F.1�.r ��'=:'—i�:�:�� -----__ _ — � �—THE IJNC�EF�'�:I�NED HE�EE,Y �'Ft:��.�E'=T'';� F'Ef;�{I��=;I�'tN Tt�1 �1AF;:E THE REAL I N1F'fiF��VEt�E��IT{: '�!='�C�I F i E� t�C�II� r=jC;i;�E'= T�i �t�;1 Af�� W+��h��; I I�x `=�T�I�'7 t�:iJ�(#=`L I A�iC:E W I TH t�LL C.I TY ►_iF I.1�'tiCfl�[i t��;i i I��lAP��:E'=� HtdC� ��;��tTE =ri�= !�I h�lt��::�;►:�T� E:t J�i;�I t�!t� �:i=�C�E fiE��l�I�iE!�ENT'�;. L_ � A LICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �`�-�'� . tl • / CITY OF ORONO - BUILDING PERMIT APPLICATION Tctal Fee: $�/,� � �C) Date Received: S�/9�9.2- Date Approved: Entered By: � -��_ Permi t�: �,2,C�C, ALL INFORMATION MIIST BS SIIBMITT$D IN FIILL BEFORE PI,AN REVIEW WII�L B$ STARZ'ED (See Check-off List Enclosed) -------------------------------------------------------------------------------- R'HE APPZICANT IS: (circle one) OWNER or ONTRACT� JOB SITE ADDRSSS: /$� / d �r��r Tt e �'� ZIP= (work) NAML OF OWNER: (�av i c� f2�� c�,r ca PHONE: (home) MATLING ADDRESS:�SI L� �.a +"��v. "t:�F`- CITY: �/ �,�i� ZIP: CONT�2ACTOR: -�-v'.�n��`�r- C��;-,hr�;c1'r�� l- �.. . ��:�;� 5 PHONS: �22 � �S -3�� P�W%• MAILING ADDRESS: �- j Z 7 n��.-�-� L.e�,hq�,�, �CITY: _`�f t«y� I ZSP: 5'si e'� STATS LIC:ENSE: � C�C C��%� ->yC ARCHITECT/ENGINEER: �� PHONE: MAILING ADDRBSS: CITY: ZIP: NAME: R.BGISTRATION � TY.PE OF WORR: New Addition Accessory Structure Move Demo Remodel./Alteration ,� Renovate Land Alteration PROPOSED WORR (describe in detail) : ��aSc�'r�z°�it �<-��''�'-`j�+ ��'� '� e STORIES: SQ. FEBT OF EACH FLOOR: �IO. OF BSDROOMS: GARAGB STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �f� a��` _' hereby apply for a building permit and I acknowledge that the information above is cornplete 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 �hat the work wil 1 be in accordance with the approved plan. � . ,7�PPLICANT'S SIGNATDRE:�-,.�.t � , <'�-Gt.-•5•-�-- .-�t O DATE: �'�" �/'�" . � � _ f �_`,j::y... � �.:��. ��. C ITY of ORO�TO Post Office Box 66•Crystai Bay,Minneaota 55323•Municipal Offices � � - � � On the North Shore of Lake Minnetonka 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 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: 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 Iocal , state or federal agencies to the extent necessary to process the permit or Iicense. 4. If your requested permit or Iicense requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. E. Your full name is required to process this application or permit. . � �G.�y � �� ►�s�%�� `� First Middle Last Z_�2 � '� t `�V�L� ,''S 4: �� Address ��`� �av ► r�i ,�� -��i v � City State Zip l'� y�� ? �'' _` �j-�� Phone I understand my rights as stated above. � � - -_ - � ,�.-- � y �� .� <. Signature � BUILDING&ZONING—473-7357 • ADbtIMSTRATION&FINANCE—473-7358 � PUBI,IC WORKS —473-7359 ASSESSIti G �� ' — — ....,..._____..____ --------- ,, r+ • i �.04 RIGHTS OF SIIBJECTS OF DATA Subdivision 1. Type of data- The rights of individuels on whom the data is stored or to be stored shall be as set forth in this section. Subd. 2. Information req� to be given indivi�u�l- An.individual asked to � supply private or confidentiel data concernina �amw hin the collecti g state agency, purpose and intended use of the requested olitical subdivision, or statewide system; (b) whether he may refuse or is legally p the requested date; (c) any known consequence arising from his required to supply rivate or confidential date; and (d) the identity of supplying or refusing to supply p other persons or entities authorized by staau��easkedlto supplyinvest gat ve data, requirement shall not apply when an indiv pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma lert tgX re°und instructionsunsteadhos subdivision in the individual income tax or r�► on those orms. . --- - _ Subd. 3. Access to �ata by individu8l- Upon request to e responsible authority, an individusl shall be informed�wh ublic, pr vateeor confidentisl.e UP�n h�s individuels, and whether it is classified p ublic data on further request, an individusl who is the subject of Q to himrlande if he desires, shall individuels shall be shown the date witho ofan�y ��ta, After an individual has been �e informed of the content and meaning the data need not be �isclosed to shown the private data and informed of its meaning, ��ugnt to this section is him for six months thereafter unless a dispute or action p � ending or additional data on the individuh h� ate or p bli� dataruponarequest by ' P require the responsible authority shall provide copies o t p the individual subject ofthe actual•costs of mak ng,l certi yingyand compiling the requesting person to pay - copies. ssible with any request The responsible authority shall comply immediately, if po � made pursuant to this subdivision, or wit olida e �f Simmediateat ompliance eisu not excluding Saturdays, Sundays and legel h �'. with the P ossible. If he cannot comply with the request w��ithin�i��nt�ch toh omplynform the individual, and masy ��5��d iegal holidsys. request, excluding Subd. 4. Proce�e �►hen �ata is not accurate or complete. An individual may contest the accuracy or completeness of publi f °inrlv�vt�',�ng tthe°resPons b e gu hor ty exercise this right, an individual shall not y describing the nature of the disagreement. TnBC�p°�oren omplete and att pt to days either: (a) correct the data found to be notify past recipients of inaccurate or incomp�t he believesdthe 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 disagr • included with the �isclosed data• be appealed pursuant to the ' The determination of the responsible authority may provisions of the administrative procedure act relating tc contested cases. _ ` � CHECK OFF LIST FOR ISSIIANCE OF PERMITS � FOR OFFICE USE ONLY A�DRBSS OR LEGAL: I S I D C��ZE E!Y 7 R�E,S pID= DESCRIPTION OF WORR: gE�R-OoM S�� "� ------------------------------------------------------------------------------ ZONING REVIEW BY: /�/�/� DATE APPROVED: BIIILDING REVIEW BY: e7,,,�,co � DAT$ APPROVED: �/-/N`52- _ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes-� 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 Dis ict: Fire Department: Post Office: Sc o� District: Lot Area: Width: Dept . Survey Submitted: es No Dat of rvey: , Proposed Setbacks � �� Front (Lake) : R' ght ��de: j� �, Rear (Stre ) : eft �ide:� / Adjacent tructur s: Wettland: j � ; Building Heig t: Def . � gt. � �Peak Hgt., � � Avg. Setback ', Lot Cpverage: Ex' stin '/ Pr�posed �� ' ;' , �I Hardcover: 0-75 ' ; � i � � 7 -250 ' � i� , t 0-500 ' � J � � ,� 500-1000 ' � :� Hardcover Variance Required: � Yes No Date of Council Approva�: Grading: Staff Approva]. Date: By: Council Approval Date: Septic: Staff Approval Date: By= Zoning File:# Resolution # : Resolution Date: REMARRS (in house) : �, BDILDING REVIEW CHECR LIST � ' , � usc: g4r 2-3 CONSTRIICTION TYPE: �- v N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = Znd Floor x = Garage X - x = TOTAL $stimated Construction Value: $ W��n�d� Inspections Required: Work Requiring Separate Permi.ts: Site �CPlumbing Grading/Fil.ling Footing p�,Mechanical Fire _�Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Final (Mfg.) Other Other Wel� (State Permit) �_E�ectrical (State Permit) ------------------------------------------------------------------------------ REMARKS (IN HOIISE) : ------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY= -------------------------------------------------------------------------- REMARRS (TO BE NOTED ON PERMIT) : � . �:,: �� DATE TIME CITY OF ORONO CALLED IN �� 4 INSPECTtON NOTICE SCHEDULED �'�` � � G �� `'� PERMIT NO. `-�c�—L�' � COMPLETED � � �_ ADDRESS �S l v ��t �� ' ' ° ��X ' OWNER /��-r'.��' CONTR. ��vr�_-��-�-� �-�� TELEPHONE NO. �`a `� — /S 3 j � DESCRIPTION /��"-�yz-{'--�y-�-- l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q02 FRA�MIN�� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING O �INSULATIO^� 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. � 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 4Qi 09 PIUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP Z 10 PLUMBING FINAL 23 SEPTIC FINAL J Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: W � � a � � ( s j ` O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE W � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContr o ite: Inspector. White Copyllnspector's Fil Canary Copy/Site Notice ✓ DATE TIME CITY OF ORONO cA��Eo iN '°�`''��%�" INSPECTION NOTICE SCHEDULED 'l �� i'/ - GZ-' PERMIT NO. �'��Zl�� COMPLETED � �— ��; ADDRESS i ' '!� °-�=.;� -�' � � ' '� ' OWNER �� - r-: �� n CONTR. ��2 �� , TELEPHONENO. ��L�' � '��'�� _ � DESCRIPTION _ �r'< �z:� r_ � ;,�-�.��,�� lL 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 031NSULATION 24125 WOOD BURNER/FIREPLACE 19�AKESHORENVETLANDS Q 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 O6 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 10 PLUMBING FINAL 23 SEPTIC FINAL r Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � Q l � `��t,v�� c � J —5 O � � O � W � Q � Z W � W � j d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � �CORRECT WORK 8 PROCEED C= ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr o ite: Inspector. - White Copylinspector' File Canary CopylSite Notice