HomeMy WebLinkAbout1999-010623 - basement finish PERMIT
CITY OF �tONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 =����=-���'�t'�
Crystal Bay, Minnesota 55323 Permit Number: :^;; :_.;:;�::'::+:
(612) 473-7357 Date Issued: �_- --
;��v , _ _ .
SITE ADDRESS:
_ _ . , ����s'=�°�Tt-I ��`;•i ;;t,`
.:-�
. � . i'�? . . _ ; 1 ;'—='=—4.�—�t_!t,,;;,-�.
DESCRIPTION:
_..y.:_��:��.�:,�-� ��r,,;�;_;�
L+�i� i��;.���� ��}_3�i(�}'], I• { 'i�il� •�i�.�1'��.}�.�f.S"t{'_1�f� ii..s�+�.'..���..
. L�!.�S 1 i�3:i�� iLi�i)�}:, � +i�C�F' I"ty�„�ai{�f t��t�!�F'fi.�.t���.i����.._
;_P�;{_. t_t_:�4���_:�};�w j� , ;t',—�
_a„��'{:'�.;'Ei�_#.ja�c'{'i � j`�=c. {,il',#
':;'.`."._..., _ ..� ". _. . _._T . �'.`''�:Ti��='�.l�'T;=�3...
I
I
I
I
I
I —___ —_ --
REMARKS:
_._..Y .._ _._.. . .. --— - �— — — — — -— -- _. _. _
�-'r'���,..,�";� ��L�,r�; � �_, F-�;. �}I i-�=-;_i {-i_i�; F`,,._.�_-�; t��'._•!-i . .°'„i.� - ;�< j w �s r E. �:i.
� :�., , :•::
� , ri, � . >-:,_
._... . .:,*� . _ . _.. .� �_ �_. .:__•�,�_ • _.. _ _ .
FEE SUMMARY:
_��_;!�_'-I s=li:� �.�,i:i: .z;.;ii��
__ ,� ...,c
� : . _� ;. �
I _ _:ti: ��,�i r�w . � _. . ���;
�`�=- y i -
_..'i�r':.��'c:�r_ __.__....._... A':;�'�._=�
I _ , _ ,
I
I
I CONTRACTOR: OWNER: —� �::4.:�,_ i r��.y—;t. —
�-i+�►�:►�#w�t�r�F:: ..����t;t�
�:�,!? i�,�s�i?::T�-{ ;�{_�°:*� :);;�
,_;-:'s�ii�!��3 �°sj:k ��i�;;�,:1
_.r;�:�C:
" , i� '�— �1 1.4:yf `'i '•'!� `��wi��a' / ,". i_;:--�; ; — . - �i. �: i `,
���. ���+�E.�!w�?�_ _ _. .`_.:} i .�._ ._� . t;._..a:»t.__ e W� ; �.:s��� � ` �
_�.r�G d_iiy (f� ����r._� I '•'�� ;� -�,.._ 1�!. s ..i . �__4..�_�y��`W�
;=:�'��:�� ��;�� �.�(°yi) . :-1- i�_f �,,�,1 . � �:'��Ei';f��. .f. . � . . .�s"_-C [_:i,iC�ti'-'� i ! . __._ �'•���'� '.w�,� t ;��?' �_.r�',
�ts °
. . .._��
—;. ,,.�� - � � ,_ . # ..f . {=;_ 71_ Fi _�t _4_'_ ?".,_ �� :;'
, „ �, ,«, � ._
. .r•<<�..;t..
,, � .
i_ls� �El�1! _ i�.�.i ����;_ _ . .�:3��_! �= . t-i �:..: r� ;���� k+._ � i -� t 1.. .3 _ '°� i. .!=. �'€ �� I
� '���.' • �1
/ j
�
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
� � Total�Fee: $ ��3� � � Date Received: ?-- 3 6�`��
Entered By: � Permit#: �C�:�3
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: .�b�.�-�i��'1 � ZIP: ,.- :���>
NAME OF OWNER: �1(�n rl �-�C������r,�16� PHONE: (home) �' � �
(work) ' -�� _��. .
MAILING ADDRESS: S'���r`' '�.� �i'��-'�, CITY: �'/'`C ' l� ZIP:����
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
P�Iove Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: � SQ. FEET OF EACH FLOOR: ����i
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building pernut 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 ot a permit and work is not to start without a
pernut; and that the work will be in a�cordance the approved plan.
APPLICANT'S SIGNATURE: DATE: `�
NOTE! Parade o�Homes events re uire separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGI-ITS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored sha(1 be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or con£dential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecring state agency,polirical subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or
refusing to supply private or confidencial data;and(d)the idenary of other persons or enddes authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secrion 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or orooertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a respoasible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of i�s meanin„ the data need not be
disclosed to him for six months thereafter unless a dispute or acdon pursuant to this section is pending or additional dara on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua]may contest the accuracy or completeness of public or
private dara conceming himself. To exercise this right, an individual shall nodfy in writing the responsible authoriry describing the nature of the
disagreement. 'Ihe responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy
past recipients of inaccuratz or incomplete data,including recipienu named by the individual;or(b)noafy the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
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 �ity 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 local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�
�'>�'U�1 � I�r�S�C-��
i st Middle Last
�� 7 1��1r�-� :�Z�
�. �
Add���-��v� � � ���� �.; � ��- y� �
Ciry State Zip Phone
I und d my ig_hts s s ted e.
igna
6
� � /
�oh� � �l�� f/��o;��l� l8 = / of .
/(�
13 7 7 /l/or��i r9��n Dr,t�2 .
pro�✓�,in,��, � ss3 6 y �
y�a- y3so
. �ro pos�e� ��s�e�e� � Ayou� s����:�
BE���'��J!`.� .����3���`J'�1 S s�� n�,qx. r:�:s�rz �;��:�i�l. -r�:�_no
F��� �;;2� �:=�J��s�t� GUARflRAlLS ��-s�� r.�i��. �i�r�u,,.�o:vi
�o�� r,���.�. ���__�::��-.-�z,�.:��;3�}-r��
`� r., j ^ t•, �� AT LCAS�f OI�•!E H,hN37�ir11L R�QUIREU
`�." ���. �..,_.��;-.ri � yc1��HT 36" fV}!N': 9--zClC-iHT GUAhDliA)L OPEN SIDES
5.7 SC�E. F=T. ��.�4Rl. i�PrNfNC 4" t�'ir��:. Or'��--!�If�iGS
44" M�Xr SiLL HEIGHT �6 � 7 �
� �
� SP�CIAL [VOTE
�ql'�SS a� ; i � S�E ATfi¢+C�-!'ED ��-6EET
�✓ , �`o ' . �AJ� ,�t�41c�
(,�, do � , yT , �oR �
� /3' �V 7� a� 6'' CODE RE4UIREN9ENTS
� .. _ _ . _
.
` � pos� V _� � al��sl� �F��.���.�,,. ��'�'�
� �.st �E�� .�,�7:�'1`�:�'�t:� �;-aE�'�'
�°Z�„ �•� �CBf�! � �"r59 c S�f� �O�Lzt��
� N � C;�I�E C,?E 't�?U)�2�:�v:E�T�
o O� �J -- `� w e�
ti
� � : ° �� 5o e�¢`
a
7 r �'�p�� �6� CITY OF ORONO
� ' BUILDIN �RMIT I.AN REVIEW
, �O�ID��AT��A,�s��� INSPECTOR
DAT�_ "IC�•�� ---PEFi�r!IT P:O.
' LAY�D O�COr� ❑ APPfiC1YF+7 AS SU�L';r,:Ti�cJ
�e'F,�'��o���.L��:�;;�c�,rcrcn�r,s as t�or��
❑ �VV•I ri��Y i'��1�:�:_D"'G`{l�.�fi'_GT�`i l��vv�G'L'��T
' �!B:�i:�n'li�'li5�.t?f,�""i!I!'f`� � U v�,.,��
. ,,.�rT�3t:nn.A',�r;orl:„.4�i bo d�:na
in (u!: comF;iac�.;� s;i:�; <��i sppiica��te bu�fdir.g ar.d zoniny :��+a.
R2q��remen:s;fiCiU;i!il�!iv�T'�li.+t•spec.��Cd:i)!f?Q(�d in thi3 ra•,ia,y,
KEEP THIS F'LNN SET ON SITE AT ALL TIMES
A
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � 3-1�l I'�10 tZ.T�1�+ Pr RaA/� I�2
PID:
DESCRIPTION OF WORK: �crv�5 l-�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: r4 DATE APPROVED:
BUILDING REV�W BY: DATE APPROVED: �3-(d `5 9
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �1 No WATER CONNEC'ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: (/U'U C�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peal:Hgt.
I,ot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: I.ot Coverage:
Existing Proposed �
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REi�1ARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: 2- 3, CONSTRUC�'ION TYPE: _��r/�I
Sq Footage $Per Sq Ftg �
Basement �O V x /'7.37 = 1�,4 Oa
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ �c9��il9t,�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal �Mechanical Water Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�(_Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
r- Final Grading/Filling _�Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMII�:
8
DATE IME
CITY OF ORONO CALLED IN //- �'�� ,ar
INSPECTION NOTICE SCHEDULED /—/� •' a�
PERMIT NO. D lo � 3 COMPLETED _(�� tT_
ADDRESS � � � �--�
OWNE��'1�.�A-.z-'�.�.�' CONTR.
TELEPHONE NO. �7 �- �3�d
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIFEPLACE 34 TREE REMOVAL
. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� �WO.RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex 'nspection 24 hours in advance.473-7357
Owner/Contra on it :
inspector. -
White Copyllnspector's File Canary CopylSite Notice