HomeMy WebLinkAbout1994-005921 - lower level/garage _ PERMIT . .
` - C(T''Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: - `'`�`�'����'�`'
Orono, Minnesota55356-0815 Datelssued: �-`�-"S'�-��-
(612) 473-7357 :__;�;,� :._}%
SITE ADDRESS:
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CQNTRACTOR: - ��_=��-°�. .. :���3�. -- OWNER:
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CA T/PERMITEE S�NATURE , I r,�.';' �;. f'�*J�'-!
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' y • - CHECR OFF LIST FOR ISSIIANCE OF PERMITS
' � � FOR OFFICE USE ONLY
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ADDRESS OR LEGAL: ZS Z3 KG'�''+�-�-Y 14V� pID= '
DESCRIPTION OF WORR: I�l�s�si G''�i'T ��►��
-----------------------------------------
-------------------- - - /
ZONING REVIEW BY: ��ltl�• DATS APPROVED: ,� /�
BIIILDING REVIEW BY: DATE APPROVED: �` �S' �!Y
-------------------- -----
�S � gg �g�p; Misc. Fees Calculated By:
Yes � No �
PLANIREVIEW Yes ✓ No� SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No v� PARR FEE
SAC Yes No SITE INS.PECTION
Number of SAC IInits OTHER (s�ecify)
-------------------�---
-------------------------------------------------------- .
ZONING CHECR LIST Zoning District: '
;
Fire Depar ent: Pos Offi e: chool. District: � •
Lot Area: Width � De t :
Survey Sub ' t ed: Yes No Dat of Survey:
Proposed S tba s:
Front (Lak Rig t Side:
Rear (Street : Lef Side:
Adjae t Stru tures: Wet and:
Building He' ght: D f. Hgt. eak Hgt.
Avg. Setba Lot Cov rage:
isting Prop sed
Hardcover: -75 '
7 -250 '
25 -500 '
500 1000 '
Hardcover ariance Requi d: Yes No Date of Council A rova�:
Grading: S aff Approval D t : B : � Counci7. Appro 1 Date:__
Septic: St ff Approval Dat : BY=
Zoning Fi7.e:# Resolution �: Resolution Date:
REMARRS (in house) :
BIIILDING REVIEW CHEGK LIST _ : y , ..
IIgC: R.-3 CONSTRIICTION TYPE: V N
Sq Footage $ Per Sq Ftg
Basement x , . " --
lst Floor � X -
2nd F].00r ' X - -- .
Garage , x -
' x = - , .
TOTAL
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$stimated Construction Value: $ 35,0°8 _
Inspections Required: Work Requirinq Separate Permits:
Site � �C Pl.umbing Grading/Fil�ing
�Footing �Mechanical Fire
Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
�Wall Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other WeI.I (State Permit)
�!Electrical. (State Permit)
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REMARKS (IN HOQSE) :
-------------------------------------------------------
REVIEW BY OTHSRS: DATS:
Access: Existing New
Access Approval: Date BY=
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Rffi�lARRS (TO B8 NOTSD ON PffitMIT) :
. . �
� ' • CITY OF ORONO - BIIII.DING PERMIT APPLICATION
Total Fee: $��U•�5 Date Received:
Date Approved:
Entered By: ' �� � � � -'� �;Z
Permit�: � /
ALL INFORMATION MIIST BL SIIBMITTSD IN FIILL BEFORE P7�lN REVIEW WIIZ B$ STARTED •
(See Check-off List Enclosed)
------------------------�-- ''''� ----------------------------
T� APPLICANT IS: (circle one) OWNER o C�E ONTRACTO
JOB SITE ADDRSSS: ZS Z 3 ���'y �� • ZIP s
(work)
NAI�: OF OWNER: �e'� f �`µ� 3���� . PHONE: (home)
cs#A rrt7•
1KAILING ADDRESS: �5 Z'3 �� ��' • CITY: �"�'� ���" ZIP:
CONTRACTOR: �y �2.'�'`�-S• Gu KS i� PHOIJ�: 9 z-r-3'.��
MAILING ADDRBSS: �I O 1 �oa-1�- /4'� S CITY: '6�l••J�4. _ ZIP: M� -s3�3.f
STATS LICEt�7SE: # O o 0 3 t 3 6
x�cai�c�r/avcixE�x: �,�+� +�s C��� paorr�:
MAILING ADDRSSS: CITY: ZIP:
p�,r� REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�� Renovate Land Alteration
PROPOSED WORR (describe in detail) : �*Rs�-i�e� ¢�'"�S � "� 1'�""'�"'
(.,�errvti� � �o� ...i ti C+�-4 �w�c-�s'3 t � �l A/�°�'6�.
STORIES: SQ. FE$T OF EACH FLOOR:
NO. OF B$DROOMS: GARAGS STAI.LS: ATT. DET.
ESTIIKATED CONST�tIICTION VALIIATION (ezclnding land) : $ 35��• �
:' hereby apply for a building permit and I ackaowledge 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. •
APPLI('�NT•S SIGNAZ'ORE: DA7.'E: ��3 l9`�
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- ' .
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CITY of ORONO
Post Office Bpx 66•Crystal Bay,Minneaota 55323•Municipal Officea
•
� - � � 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 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 inf ormation you f urni sh wi 11 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 Iicense.
3. The information may be shared with other 3.oca1, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or ].icense requires Counci3 actio*�
to approve, some information may become public.
5. You have certain rights vnder M.S. 13.04 to review private
data on yourself.
6. Yaur full name is required to process this application or
permit.
�a�-- � . �-4�, n�
I`Z.�y t'r�� C.�s, -
First Middle Last
7�o� Yo^..� '�"� -�.
Address
�, �.,a- MN S3"'�3�
City State Zip
9 z � — a3 .s3
Phone
I understand my rig ts as stated above.
Signatu e .
BUILDING&ZONING—473-7357 • ADMIIVISTRATION 8c FINANCE—473•7358 � PUBLIC WORKS—473-7359
ASSESSING -
f � ♦
r � .
513.04 RIGSTS OF SIIB�JF•CTS OF DATA � �
gubdivision L Type of da�- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section. ked to
g�d. Z. information required to � ��� ����' An.individuel as
� ' su 1 rivate or confidential data concernin a BmWithin the collect g stat agency,
PP Y P uested d
purpose and intended use of the req tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �oWn consequence arising from his
required to supply the requested dat8+ (c) anY . �d (d) the identity of
supplying or refusing to supply private or confidentiel data,
other persons or entities authorized by state or federal law to receive the data. This_
when an individuel is asked to supply investigative data,
requirement shall not apply to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma ole�t t8X re�und instructions�nstesdhes
subdivision in the individuel income tax �r r
on those orms. . - --- - - � _
Subd. 3.
Aecess to data bY in���' Upon request to a responsible
authority, an individuel shall be informed�h uti c, pr'vateeor eonfident al•e UPon his
individuels; and whether it is elassifled p ublic data on
further request, an inaividual who is tne subject of st to himrlande if he desires, shall
individuels shall be shown the data witho of�hat dat�s. After an individual hes been
�e informed of the content end meaning the data need not be disclosed to
shown the private data end informed of its ut�or�action pursuant to this section is
him for six months thereafter unless e �SP
� ending or additionel data on the individuel hes been �����tgru�n request by
' P require the
responsible authority shall provide copies of the private or p
the individual subjeet of the data. The responsible� f�f°nity�a compiling the
requesting person to pay the aetual costs of makinB, Yi g�
copies. ssible, with any request
The responsible authority shall comply immediately, it po
made pursuant to this subdivision, or within five days cf the date of the request,
and le holidays, if immediate eompliance. is not
excluding Saturdays, SundaYS �
ossible. If he cannot comply with the request within that time, he shall so inforth the
p within whiah to comply
individual, and may hsve an additional five days ,
request, exeluding Saturdays, SundaYS and legal holideys•
te or complete. An indi�iduel TTiay
. Subd. 4. Procedia'e when data � ublic o�p ivate data concerning hi�Se�• To
contest the accuracy or completeness�of p the respensible authority
exercise this right, an individual s� notify in ���e authority shall within 30
describing the nature of the disagreement. The respo
days either. (a) correct the data found to be ie e��8ei°��ng rec pients namedt by
notify past recipisnts of inaccurate or incompl
" the individuel; or (b� notify the individuel t�v�u��tstementof disagreement is
Data in dispute shall be disclosed en1Y �f the in
• included wiLh the disclosed data. ealed pursusnt to the
' The determinaiion of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
ATE TIME
CITY OF ORONO CALLED IN � -�8 S
INSPECTION NOTICE SCHEDULED _ 3/, /9� /C�•.�' o
PERMIT NO. 5g 2� COMPLETED
ADDRESS
OWNER ' CONTR.� ��1i�
TELEPHONE NO. �-Z/--.� �J 5✓�
� DESCRIPTION -/f o�-.-�,�
� �<`� 11 MECHANICAL RI 16 WEIL TEST PUMP
Q 02 FHAMIN 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 031 ULATION � 24125 WO00 BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
Z 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEM — ���� 27 SEPTIC MAINT. 21 COMPLAINT
� �P� B� � 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�„ COMM TS:
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d ORK SATISFACTORY:PROCEED
W�� O PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
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.473-7357
OwnerlContractor o 'te:
Inspector.
White Copyllnspecto�'s File Canary Copy/Site NWice
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