HomeMy WebLinkAbout1991-003958 - finish basement PERMIT � !
CITY OF ORONO PERMIT TYPE: '
4335 Brown Rd. South • P.O. Box 66 iii,;��;,��`'`'
Permit Number: �;
Crystal Bay, Minnesota 55323 Date Issued: �#�_�'y��'��-`
(612) 473-7357 ��
SITE ADDRESS: I�
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FEE SUMMARY: `� `T�
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CONTRACTOR: OW�RL
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C�� OFF`O�SO_FOR�ZSSII O�C'_E,�OF P�R'�iITS
ADDRESS OR L,EG�L: f��� L�1_�� ��l'� PID:
DESCRSPTI ON OF WORS: ��v1`cIA ��`'K�
---------------------------_-----
------------------ - ? ��
Z ONING R,EVIEW BI.'s DATE APPROVED- ��J -
� DATE APPROVED: ��02� ` ��
BIII7�DING REDIEW BY: �
----------------------------- -
FEES TO BE CSARG�: Misc. �'ees Ca?cu?a�ed By:
PERMIT Yes� No
pI,AN REVIEW �es� -�`7o S�WER CONNECTION
STATE SIIRC�3ARGE ves� No WATER CONNECmION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECmION
Number of SAC IInits OTHER (s�ecify}
ZONING C3E� I.IST -----------------Zoning Dist_ic� � � -� _
F�re De�ar�:nent: DU Post Or�ice: Sc�ool D�.s��ic�:
Lot Area: Widt:�: De�th:
Survev SuDmi�ted: Yes No Da�e o� Surve_�:
P�o�osed Se��ac�cs : �� .
�ror.t i�ake i : -�'
�- ( S��ee� ) �e=� _ce .
Rea�
Adjacer�� St_sc�ures We�'_a:c �
Building fie� ght. DeT gt �-��r�'a`
_ �
Avg. Se�bac:c: Lo�Cove=age:
EXiSting � PrOpOSeQ �/ � .
�
�ardco�rAr � 0-75 � _ � �,
�'
75-250 '
%
250-500 ' �
/
500-1000 '
Hardcover Variance Required: Yes No Date of Council A�proval:__
Grading: Sta:f Approval Date: By: Council Approval Date:
Seatic: Sta�� Anproval. Date: By=
Zoning File ' = Resolution T- Resolution Date:
RA.MARK$ (in house) :
BIIIS�DING R.EVZEW C3EC� LIST �� '
�C: � _ 3, CONSTRIICTION TYPE: •
Sa �ootage $ ?�- Sq r�g
Base�:er_� + X =
?s� �loor X _
2nd Floor X
Garage X =
x
TOTAL
$stimated Constrnction Value: $ ���
WorJc Requiriag Separate Pe=ml-ts:
Iaspections Re�,;red: Di�ing Grading/Filling
Site
Footing Mec::anical Fire
�"ral`^ing
Septic Water Connection
^-reDlac� Sewer Connection
�Ins�laticn (Masonry) Ot�er
a?I Boa;d (Mfg. ) Wel? ( State Per:n�.�
F=�zi El.ectrical (State Permit)___
---0-�e---------------------------------------------------------------
RSMARRS (IN HOIISE) :
--------------------------------
REVIEW BY OTHERS: DATE:
Access : r.xis�_:.Q New
�ccess Ap�rova_: Date - ---------
----------------------------------------------V-----------------------
REM2IR.RS (TO B$ NO2'ffi7 ON PERMIT) -
, • CITY OF ORONO - BIIII�DING PERMIT APPLICATION
Total Fee : $ Date Received:
Date Approved:
Entered By: -
Permit�: ��`��
�LL INFORMATION MIIST BE SIIBMITTED IN FQLI� BEFORE PLAN REVI�T ieTILL BS STARTED
(See Check-off List Enclosed)�
T� APPLICANT IS: (circle one) �or CONTRACTOR
Jos si�$ Annx$ss: 1�2�C� l�aw�c, L.iNa4 /�ve zzP: �53��/
(work) 311-1�,SU
rn� oF owN�x: Scor-� OcyNA�D uD�LL. pHor�: (home) tl7�-SS/7�j
MAILING ADDRESS: 1250 �-orwc��wr�1 AvP �I�: Y�uN D ziP: 553��/
CONTRACTOR: �t"1 Q Q S Ot�J he'(� . PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New� Addition Accessory Structure Move
Demo Remode /Alteration Renovate Land Alteration
PROPOSED WORR (describe i.n detail) : �\Y��S� �e�''�eY��
'�y 6A�rl� 2 �ediaa�-�s l'=/��/�%Ra�
STORIES:�_ SQ. FEET OF EACH FLOOR: I3��.t
NO. OF BSDROOMS:�_ GARAGE STALLS: ATT.�_ DET. '
BSTIMATED CONSTRQCTION VALIIATION (eaclnding land) : $ �'�J�ti/ Oo
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 S IGNATQItE: �--��'�'"l� J G`x^'� DATS: �'2.�� � �
• �.
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Post Office Box 66•Crystal Bay,Minnesota 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
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 wil.l 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 Iicense.
3. The information may be shared with other Iocal, s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council act�or.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
�'oTT �ON/�L1J U DEl-L
First Middle Last �
1�`1,� L.o� t��N n/�- /a1��
Address
Y"1U1�v`'C� Y"�� 5S3�o��
City State Zlp
�1�2-Sy��I / 3�-�-�rZga
Phone
I understand my rights as stated above.
Signature �
BUILDIIVG&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�,04 RIGHTS OF SIIBJEC'I5 OF DATA .
Subdivision L Type of dats- The rights of individuels on whom the data is
stored or to be stored sha11 be ss set forth in this section.
Subd. Z. Infor�a�on �d t� � ��� ��vidvaL An.individuel esked to
� � supply private or confidentiel data concera a BmWi�n the collecting state gency,
purpose and intended use of the req tem; (b) whether he ma� refuse or is legally
political subdivisionthe request d data, (c) any lrnown consequence arising from his
required to supply rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply p
other persons or entities authorized bydi 8dua1 iseaskedlto supply�in est gat ve� data
requirement shall not apply when an m
pursuant to section 13.82, subdi�ision �, to a law enforesment officer.
The commissioner of revenue ma ro1e�� t� re°una�nstruct o unsteadho�
subdivision in t h e i n d i v i d u e l i n c o m e t a x •r
on those orms. . . .--- -- �
A�� � �� � ����y Upon request to a responsible "
Subd. 3.
authority, an individuel shall be informed whether h=V8 eeor eonfidential.e IIpon his
individusls; and whether it is classified es publi�, P ublic data on
further request, an indivi�ual who is the subject of e to himrlande if he desires� shall
individuals shall be shown the data withou�fan�y i�g. �ter an individuel hes been
�e informed of the content and meaning the data nesd not be disclosed Le
st�own the private dats arid informed of Its ute��BC�on purs�t to this s�ction is
him for six months thereafter unless B disp
� � pending or additional data on the indi�f uh h�ate or p blic datarupongrequest by
responsible authority shail provide copies P a�ible authority may require the
the individusl subject ofthe actusl costs o maldng, csrtifying, and compiling the
requesting person to pey .
copies. immedietely, if possible, with any request
The responsible authority shall comply ' of the date ef the request,
made pursuant to this subdivision, or within five �Ysimmediate cempliance is not
excluding Saturdays, SundaYS and legal holidsys, '
possible. If he cannot comply with the request within that time, he shsll so inf�th the
individual, and may hsve an additi°nal �°e �Y� within which to comply
request, excluding Saturdays, SundeYS and legsl holidaS'S•
Subd 4. Proced�e �►hen de.ta is not acc�ate or complete- A� ��ms�. To
contest the accuracy or completeness�of public or p�VBte � the�nresponsible authority
exercise this right, an indivi� s� notify � ��e authoritq shall within 30
describing the nature of the disagreemenL The respo
days either. (a) correct the data found,t�bn ete dataeincluding ree�pients namedt by
notify past recipients of inaccurate er in P
the individuel; or (b} notify the individuel that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagi'eement is
• included with the �isclosed data• � a�pe�ed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
.�s���.`� � ✓
3���Q� � DATE TIME
CITY OF ORONO CALLED IN f G ' - �
INSPECTION NOTICE SCHEDULED l0 -� % 0
PERMIT NO. COMPLETEO � r►
ADDRESS �o��I 6 �o�'n,�c- ��-�-+�-�
OWNER����� CONTR.
TELEPHONE NO. y 7 � � s � � �� � /a�d
� DESCRIPTION IJ
W 0 11 MECHANICAL RI 16 WELLTEST PUMP
02 F MIN ��� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y LATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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 O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMB G R — 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO /
y COMMENTS: �-�-'� �
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� �WORKSATISFACTORY:PROCEEDl�7�[L��� (/ ❑ PROJECTCOMPLETE �CII
O �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY �
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCs PERMANENT �
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITAT ON ISSUED
�INSPECTION REQUIRED.CALLTO�R�I�IGFtiAA�C SS. O w 1 �,p �
1\ _� u (��ic_ �
Call for the next inspection 24 hours�advance.473-7357
Owner/Con on site:
Inspector: '
wni�copyn�$ or$�a Canary CopylSiM Notke
DATE TIME
CITY OF ORONO CALLED IN � - �3-y�'
INSPECTION NOTI/C�E�'"� SCHEDULED � �-/ 3 `-� d
PERMIT N0. � 7✓ " COMPLETED � �`�
ADDRESS 9 6 a-- �
OWNER ���2(��( % CONTR.
TELEPHONE NO. ��� - -�y �5`
� DESCRIPTION i�-�-� /��-�'�-s' � � ��vl��
4i 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y
03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP .34 TREE REMOVAL
Z
Q 05 FI A 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4Qi 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
Z
� COMMENTS:
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� WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContra r on ite:
Inspector.
White Copyllnspecto s File Canary Copy/Site Notice