HomeMy WebLinkAbout1992-004290 - finish basement ' PERMIT
` CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �tj�.��t���
Crystal Bay, Minnesota 55323 Date Issued: c:��/;��/�L
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
F I N I:��H E�A'�,�MENT
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FEE SUMMARY: � .:;.. ��`i ��1 �U'=.'
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Crp — A�F�1 i c a�-�t- — OWNER:
��,��f�IC'��'I NC: 1�2t i:�:�c7�; MCGLYiVN DAN
�.�Cr:� ��AME�R I O�;E '��T �i�.�F�TH _H�;�RE DF
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE �a�{�.�
CITY OF ORONO - BUILDING PERMIT APPLICATION
�otal Fee: $ �, ��5• 93 Date Received:
- �3 - 9Z
Date Approved:
Entered By:�/
Permit�: �L�9(�
AT•T. INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WILL B$ STARTED
_______(See_Check-off List Enclosed)
---------------- ------------- -- -—�-------------------------
THE APPLICANT IS: (circle one) OWNER o CONTRACTOR
JOB SITE ADDRRSS: �Q 1u ZIP: �5� 91
(work)
NAML OF OWNER: � PHONE: (home) r�7/ �-�3�
MAII,ING ADDRESS: ,�, �� CITY: ��J() ZIP: �iS3
CONTR�CTOR: f�0 � 1 � .L PHO /� r��
I�iAILING ADDRBSS: (} CITY: /r - ZIP: � S yZ�
STAZ'S LICENSE: � a 8 � �
ARCHITECT/ENGINEER: . � PHONE: 9�S -���7
/� ) ��//
MAILING ADDRBSS: lf�� � . UL'�S �j�c�n� CITY: • ZIP: -S .�7 1�
N�ME: ���� RBGISTRATION �
—�
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : �l�t ��
—T
STORIES: SQ. FEBT OF EACH FI,OOR: '
NO. OF BBDROOMS: GARAGS STAI�S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ���'7/7J • � �
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor3c 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. ' •
i
APPLICANT'S SIGNATIIRE: DATE: �� 2--
P
� ]
I
� ' ' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _j O q'U /��-� �/L - PID: d I- // � '�3 .3� 0 0 0 („
DESCRIPTION OF WORK: ��yu.�/fi� /��-Q �-�-e-•-��
------------------------------------------------------------------------------
ZONING REVIEW BY: N/A DATE APPROVED:
BIIILDING REVIEW BY: C�G��Li^!�r- DATE APPROVED: '�t��Z �'S�--
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes // No
PLAN REVIEW Yes—� No SEWER CONNECTION
STATE SURCHARGE Yes t/ No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No ✓ SITE INS�ECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------
ZONING CHECR LIST Z ning Di trict:
Fire Department: Post Off ce: Scho District:
Lot Area: Width: Depth•
Survey Submitt . Yes No ate of urvey:
,
Proposed Setb ks:
Front (L ke) : Right ide:
Rear (S reet) : Left ide:
Adjace Struc ures : Wet and:
Bui I.ding H ' ght: D f . Hgt. eak Hgt.
Avg. Setb k: Lot C verage:
Existin Pr posed
Hardcove : 0-75 '
75-250 '
250-500 '
500-1000 '
Hardc ver Variance R q ired• Yes No Date of Counc 1 Approval:
Grad'ng: Staff Appro 1 Da e: By: Council pproval Date:
Sept c: Staf f Approv ]. Da e: By=
Zon ng File:# Resolu ion #: Resolution Date:
RRMARKS (in house) : �
BIIII.DING REVIEW CHECR LIST � � ' " •
IIgC: fJg 2 -3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage X -
X =
TOTAL
Estimated Construction Value: $ ��� 0O� ��
Inspections Required: Work Requiring Separate Permi.ts:
Site � �p Plumbing Grading/Fil�ing
�'ooting ►C Mechanical Fire
�Framing Septic Water Connection
�Insu�ation Fireplace Sewer Connection
�p Wall. Board (Masonry) Lawn Irrigation
/C Fina 1 (Mf g.) Other
Other Well (State Permit)
�EJ.ectrical (State Permit)
----------------------------------------------------------------------
��FM(ARK$ (IN HOIISE) :
a
_______________________________________________________________________
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
---------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
;
;. '
.�a CITY o� ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
• - • • On the North Shore of Lake Minnetonka
DATA PRNACY 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 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 Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privatc
data on yourself.
6. Your ful.l name is required to process this application or
permit.
' �
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I,' � -, v
i st Mi dIe Last
A r ss
` _ , • �� ,-.— ��
City State Zip
� . ^ � ��
Phone
I understand my righ as stated ..above.
P I'
Sign tu �
�
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSIN G
� � � ,� .
513.04 RIGSTS OF SIIBJECTS OF DATA � .
gubdivision L Tppe of data- The rights of indivfduals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required
to be gi�en indind��- An.individusl asked to
• ' supply private or confidentiel data concerni a BmWi�n� �ollecting 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
supplying or refusing to supply private or confidentiel data; ar�d (d) the identity o
other penons or entities authorized by state or federal law to receive the data. This.
requirement shall not apply
when an individual is esked to supply investigative data,
pursuant to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue m8 lert tax re�und u�structiotisuinsteadh°S
subdivision in the individuel income tax or r�
on those orms. . - --- - - _
Ac� � �� � �����y Upon request to e responsible
Subd. 3. �
authority, an individuel shall be informed�he b�ec hp �ateeor eonfidential.e Upon his
individuels; and whether it is elsssif�ed p ' ublic data en
further request, an individuel who �s the subject of st to�mri�de if he desires, shell
individuels shall be shown the data witho of�hat dat�a. After an individuel hes been
6e informed of the content end meaning t� �� need not be disclosed to
shown the private date and informed of its ut��action pursuant to this section is
him for six months thereafter unless a d�SP
� ending or additional data on Lhe individu e h�8teeor public datarupon8request by
' P require the
responsible authority shall provide copres o t p o�ible authority may
the individuel subject oft�e actual�cos h of making, certifying, and compiling the
requesting person to pay -
copies. lmmediately, if possible, with any request
The responsible authority shall comply ' of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legel holidays,
ossible. If he cannot comply with the request �t�witl�un which toh mply w�th the
P have an additionel five y5
individual, and m8Y 5��� �d legel holidays.
request, exeluding Saturdays,
Subd. 4. Procefia'e when data is not acctirate or complete. An individusl maY
himself. To
contest the accuracy or completeness�of public or p��ate � the�nrespons ble authority
exercise this right• an individusl shell notify � ��e guthoritq shall within 30
describing the nature of the disagreemenL Z'1�e resP° lete and ettempt to
days either: (s) correct the data found te be inae��e��u�ng recipients named by
notify past recigients of inaccurate or incomP
the individuel; or (b) notify the individuel i��duel�S S�ementof disagreement is
Data in dispute sha]1 be disclosed only if the
• included with the disclosed data. ealed pursuant to the �
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
✓
DATE TIME
CITY OF ORONO ca��E�iN ' � �� "���'
INSPECTION NOT���� SCHEDULED � ' � `���3 �
PERMIT NO. COMPLETED
ADDRESS �3� �lJ �L'� -�L c�-�{-/��./�
OWNER Y�%�-�� CONTR. �-�"�`-� �"z�_��
TELEPHONE NO. � � � '�-�� �`'
� DESCRIPTION
W G j 11 MECHANICALRI 16WELLTESTPUMP
�� 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 I � 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN
INSPECTOR WILL RETIJRN
[ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac s'lt�:
inspector. � U
White Copyllnspector's File Canary CopylSite Notice