HomeMy WebLinkAbout1993-004921 - finish basement � PERMIT L'
, CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'���`-�'1�''`'-�`
Cr stal Ba , Minnesota 55323 '-'`''�'��� _
Y Y Date Issued: -
(612) 473-7357 !`}'��F 7�:-�':�;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — r:����:: i r n��t. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED'3Y.SIGNATURE �C/�
� CITY OF ORONO - BUILDING PERMIT A.PPLICATION
Total Fee: $ �'��•�� Date Received:
Date Approved:
Entered By: � ,(��l�J
Permit�: �`'I..L/
AI�L INFORMATION MIIST B$ SDBMITT� IN FIILL BEFORE PI,AN REVIEW WII,L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: '� � >� ��C1L �����/�'��� ZIP:
(work)
N� OF OWNER: T�/ I l��7"!����f� PHONE: (home)�7r�.j:.7 r�
I�iAII�ING ADDRESS: „� ��' �C1/�/'fi'��� CITY: ��n�l� ZIP:
CONZ'R�CTOR: Gc��i�ir�.���� � �� �ii'/J�' paoxs: �'�y'-��• �
MATLING ADDR.ESS: �"�-'�% �!'t"l/ F"iZ� C/,�� CITY: L`X�c`'l5/�-iy ZIP: .�� :�� �
� � c��-� �'�Ccr, �� C1cL_FrcJ 1�z7�f'3)
STATE LICENSE: $ (yL. I � �.>F- i S ' F
ARCHITECT/ENGSNEER: PHONE:
MATLING ADDRBSS: CITY: ZIP:
NAME: RBGISTRATION �
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel./Alteration Renovate Land Alteration
� , y�--- 1
PROPOSED WORR (describe in detail) : ����/�/7` �,����%t��`� ���/ ����fi �'y��•/
STORIES: SQ. FEBT OF EACH FI�OOR:
NO. OF B$DROOMS: GARAGS ST1�LI�S: ATT. DET.
/ n � '
�
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �j ��'�' 1���
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. •
� � 1 � ✓!/L� C C�'Zs� DATE: f :�-� ��
APPI,ICANT S SIGNATIIRE: i.l1Gl".tJ'�Zt�
"'° : � -
� �
�.� ��`��� ti:,
, -�
�� ` �� �` �� CITY o� ORONO
_ �� ���
��
4 4����t�K�v
`� f� � "'��`°' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
!
� - � � On the North Slzore 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:
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 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
license.
4. If your requested permit or license requires Counci3. action
to approve, some inf ormation may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Yaur ful.l name is required to process this applicatian or
permit.
C�iG3/r��f=/� � ,/� c� y/��.�' _
First Middle Last
-, �
„ ��Ci .�%�/_1- �j� C;��-
Address
:� �,
� �-t`>,C>%U/� /�//t/�i v :,� ,�� ` -
City State Zip
/�%���- �i//
Phone
I understand my rights as stated above.
�.�UZ-e�� ( l '��� < ��1�� _
Signature .
BUILDING&ZONING—473-7357 � ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�.04 RIGSTS OF SIIBJECTS OF DATA � �
� gubdivision L Type of data- The rights of individuels on whom the data is
stored or Lo be stored shall be ss set forth in this section. , u� �ked to
- 'ven in�viduaL An.individ
_. _ - to be gi
Subd. 2. Information reqwred
� ' su 1 private or confidentisl data concerning himself shall be informe�a{e 8aency,
PP y uested data within the collecting g .
purpose and intended use of the req tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested data; (a) �Y
su 1 ing or refusing to supply private or ccnfidederal law to re�e ae the data.1tThis.
PP Y
other penons or entities autWheneenbndi 8dua1 is asked to supply investigative data,
requirement shall not apply
pursuant to section 13.B2, subdivision 5, to a law enforcement officer.
T
he commissioner of revenue ma lace the no�a�tructio uinste8dh°S
subdivision in the individuel income tax or ro ert tax re
on those orms. . - � -— - - - " .
Subd. 3. � Access to �a� bY
����. Upon request to a responsible
authority, an individuel shall be infor ea Wh ublic h r vateeor confidential.e Pon his
individuels, an d w he t h e r i t i s c l a s s i f i e d e s p � P u b l i c d a t a o n
further request, an individual who �s the subject of Se to himrlande if he desires, shall
individuels sha]1 be shown the data withou�t an�y��ta. �ter an individual hes been
�e informed of the content and meaning t� �� need not be �isclosed to
shown the private data end informed of its u���8ction pursuant to this secti�n is
him for six months thereafter unless a c�SP �
� ending or additionel data on the individu e h�a e or publie dataruponarequest by
� responsible authority shall provide copies of th p require the
the individual subject oft�e actuel�cos h of �g�l��t fYingy 8�d �omp�ing the
requesting person to pay -
copies. 1 immediately, if pessible, with any request
The responsible authority she]l comp y of the date of the request,
made pursuant to this subdivisi�nd le With lidaYs, if�immediate compliance is not
excluding Saturdays, Sundays �
ossible. If he cannot comply with the request within that time, he shall so in�orth the
P hsve an additional five daYS With�n Wluch to comply
individuel, and maY �d Ie al holidays.
request, exeluding Saturdays, Sundeys g
. Subd. 4. Procefia'e when data is not a o�g ivate datma leoncerning himsel�• To
contest the accuracy or completeness�of publ�c P the respensible authority
exercise this right, an individuel shall notify � ��e authority shall within 30
describing the nature of the disagreement. The respo
days either. (s) correct the data found to be i�e dataeincluding reec pients namedt by
notify past recipients of inaccurate or mcomp
the individusl; or (b) notify the individual in��au�statementof disagreement is
Data in dispute shall be disclosed only �f th
• included with the disclosed data. e�e� pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
. • � CHECR OFF LIST FOR ISSUANCE OF PERMITS
. FOR OFFICE USE ONLY
ADDRES S OR LEGAL: 31 S (`�C)L�-1�4�/`�d`P/� R-��P PID:
DSSCRIPTION OF WORK: �/�.5� ��N'S M
-----------------------------------------------------------------------------
ZONING REVIEW BY: N//d- DATE APPROVF�D:
BIIILDING REVIEW BY: ( �__ DATS APPROVED: / -2�'''g.3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes v' No WATER CONNECTION
INVESTIGATION FEE Yes No �''� PARK FEE
SAC � Yes No v�''� 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: es No Date of Sur�ey:
;
Proposed Setback : %�
Front (Lak Right Sid�: �'
Rear (Str et) : Left Sid�:
,
i �
Adjacent Struct res: L Wetland: �
i
Building Hei �ht: De . Hgt. Peak Hgt. ;
Avg. Setba Lot Coverage: _
` � xisting Proposed
! � � �
Hardcove�'�: 0-75 ' ,� �
� � �
75-250 '
;
� 250-500 ' � ��
�
;` 500-1000 '
, � �
Hard,�over Variance iRequ'red: Yes No Date of Council �pproval:
Gra /in Staff A ova Date;: By: Council Ap�roval Date:
� ' g: PP
;
Se�tic: Staff Appr I. Date: BY=
Zoning File:# l�eso].ution #: Reso7.ut�;'on Date:
;
REMARKS (in house) : ,
BIIILDING REVIEW CHECR LIST � • .
IIgC: �� 2-3 CONSTRIICTION TYPE:�(T
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Fl.00r x =
Garage X =
X =
TOTAL
Sstimated Construction Value: $ 3s, �o��=
Inspections Required: Work Requiring Separate Permi.ts:
Site � �Plumbing Grading/Fi].7.ing
Footing �Mechanica]. Fire
�Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
�Wa�J. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
�Electrical (State Permit)
------------------------------------------------------------------------------
REMARRS (IN HOIISE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By=
------------------------------------------------------------------------------
�F.NIARR$ (TO BE NOTSD ON PERMIT) :
DATE �i TIME
CI7Y OF ORONO CALLED W c-�-I7 -�� lJ � �Ca✓Yi
INSPECTION NOTICE SCHEDULED -�� 1��� JLi:UC�a�7
PERMIT NO. �C�� COMPLET� �'�' '�'4
ADDRESS � a ` ��`'`-
OWNER ���-i1 �' � 5 CONTR. �Q��'C'�I ��C�Ciy `L
�"
TELEPHONE NO. � 7 y� 7 7/ /
� DESCRIPTION ��-Q-��Yc-�
�
� 01�� 11 MECHANICALRI 16WELLTESTPUMP
02 FR� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
Q031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
L
W � CORRECT WORK 8 PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY
� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. = pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR 1 CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCor�ira�#or site: _
Inspector. ��
White Copylinspect r's File Canary Copy/Site Notice
DA TIME
CITY OF ORONO CALLED IN � � 3 �0�
INSPECTION NOTIC C�� SCHEDUIED ' - • 3� �
PERMIT NO. / COMPLETED
ADDRESS �
OWNER CONTR. GVOh�ax m� �
TELEPHONE NO. �� `� � ��/�
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
'� FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 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 ORK SATISFACTORY:PROCEED
W� � �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73rJ7
OwnerlContra it :
Inspector. /
White CopyMspector's File Ca�ary Copy/Sife Notice
1/�.
ATE TIME
CITY OF ORONO CALLED IN 3
INSPECTION NOTICE SCHEDULED �,/S/S3 �:D c�
PERMIT NO. '� oZ� COMPLETED � �' '
ADDRESS Q�
OWNER �r�� CONTR. ����-��
� / �
TELEPHONE NO. '��J`� ' 7 `��J
� DESCRIPTION,�,�7�.�� �
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
�
Z B�• 12 WATER HOOK-UP 34 TREE REMOVAL
05 FiNAL 13 METER SET/TURN ON 17 SITE INSPECTION
►� O—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAI 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance.473-7357
OwnerlContra n it :
Inspector. �
White CopyllnspectoPs File Canary CopylSite Notice
0
®EdTIFICATION OF PREFIEUS REQUIRED
'Pipproved Addresses Displayed,
--lainly Visible And Legible From The
Street Fronting The Property
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I I -S r 14 -c
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RRE STOP ALL SOFFITS
FIRE STOP, STUD SPACES
A -r' CEILING LINE.
OW ter
11 A.
4 TREA'T'ED PLATES WHEN 'v I
p I PROVIDE
LAYED
- ----- 6N CONCRETE
01
jj
F` J
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NEW tZ'
w�
Ir
4
-r AFM
MNL3K fkTTC NMA -WV;R A
+! ij
SMOKE DETECTOR CONNECTED TO A SOUNWO
i
'ICE OR OTHER DETECTOR AUDIBLE
-A
SLEEPING AREAS -IV
�"rl A7
F
71
sheetrock
inderside Of Stairs And Walls
+
4- SA
+
-z- Al i rw
wA lz-
r 0 rt
PROVIDE OUTSIDE
COMBUSTION AIR DUCT
TO 12" OFF FLOOR OR
INTO RET.. AIR PLENUM
VIC Acs f"One 54M.V,'i -i6r-
"vr;4* r.T,
CITU 1.0# 10RON
BUILDING N RM* *%AN
R 11
MS�- --- -11,1 a Lvidgakow
OATE
.1-3 APPROVED AS SURMITTr-r)
PPROVED WITH C`01311r�C!10!99 At, N101-07
NOT APPROVLID — CoRktij--r & Pit sil-MAif
I These comments aro, for ytut wfvvtn5tleyfi. 0,04-, 64,fd 04 4
- 6
In full cannAlance w417 all *Mlalm s,tyfH64 & *tot*
,
KM DiM HM Sa ON Oft At Ut
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