HomeMy WebLinkAbout1998-010617 - det garage � PERMIT i i �
CITY OF ORONO PERMIT TYPE:
' 2750 Kelley Parkway- P.O. Box 66 ��x��!=�?I�€��
' Crystal Bay, Minnesota 55323
Permit Number: �_;��_;;.,�;
(612)473-7357 Date Issued: t�;_;;•� 4;;��;`;
SITE ADDRESS:
's_=:i�.� �°�_;�T ;'T ±=+:�
�•,._;
}-° E ���f . d=7 f—1 �, i—•-�:�_:�,'w—i'ti i:;��;
DESCRIPTION:
�''s�� �;w�C;�;�
����i �.3�Ill°a t-`�l'fi11� I y�=�=? nt_(�"•;�ii�F9��?�`.��
f•'•
F:i{7 �t��.i;�� t����t^t:; !y�,�,� {;(:�F'}ai��,"�}�-I"�-;�•(-t��!
i�i��:: i�ir r��.�p:����_��r �!�i
�::��j���.t's�i?�.},�«��; G'L.�F, 4}�`�
•�}�}1 i 111:a !�'—�-�'
�} ( i �
I..,F'���L�{: �.S�i��F+ .t.=,+'_' 4"IF ! . L.,,'ti-;���_'F%
REMARKS:
:=���'r�r�';�i�. F`����I E ;;M�;�t 1�.�:�i+ ���;�; c:°w�1.,� �E r��t='i�°I�=I i�=_:s �,
FEE SUMMARY: I
�r;�,_t i�.t�I ivE�� �•i�,1 i:�:ii:i I
�
�;���� �a:� ���'���. . . _
F`1��.�-, �,��;�i w� ��:��, ,f,�:�
����t'��Ci�tt'�� _.....____ �.t._=:=:`
�f��..�#�, �r�;� �� f`•�� . ��4
CONTRACTOR: OWNER: -- �;�_��1 i_a?-�f. --
c�i��-i'.°_�i:��j;• _!�-{i�i��j:-a'_�
1 _:�.% �i°�`•���� �-`i ��i
j_{`,`S_{{`,�i_; 1°�Sy - - -
;:i r',,_ s;"=:_`i%
I
� ' """`•_• _ —'-' ' - - - - - _ . _. ..�. _
.. -, � ——�• �:„ •— - -
, .- -
Tt-IF �'��li�+��':`�I'.�C�F's� r-l:�;�,r�._� ��t:�,:.__ .�� _. .. ._ _ _ _ _. . _ ._ ._ _. ._ ..__ .__ _ . _ �
--- �--• --- - . .. ,._., ;,._'.��._- --•-� -��-: �;s�� 1� t �st�:�� c����µ• Lrt:_ . . ����. I
r-.W�{.�; t F�`� N;��a{,: ,-;c;�L 4�, t_� �r._ . ._�. �i3"Ei-�.;i�:?� _ . S.T�.w#�ffs ..; xt j�`:__ .. ._�_ . _ . . . . . ___ _
: : _ _:*; i} �_�{ ;�+�,.�.
�='; i,;1 i ,L � `-
�,, i;'�: : ' �
i�i.�`ElCt��,l :�S;Z'ij+j('Si:�f�i;tY� £-�.+``�fiJ T�#t-?�s.�... �_#1= !*i T(:jl'•»�_'•���,i ) i-} L�i r;_��'1�`•�',� '_i,{t"_t� (:'s,;;ii_� :!=�`�,_i•;;��,��3°� .
L - � J
�
C� - o- -� �-�.,.�J �
�
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. �
Total Fee: $ h �,Sf;_�� Date Received: `t�- �-? ��
` Entered By: f�; �; Permit#: � G � ( �
�,,
CITY OF ORONO - BUILDING PERMIT APPLICATION =
All informatian must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: \��5 `���;� Qo:�� �Zi�� ZIP: �cj���
NAN� OF OWNER: ���,,�` \�;��5���� PHONE: (home) ���-��-`��b
- - (work) �\b •- "�'S`�S
MAILING ADDRESS: \�1oS ���� �o��� '�� CITY: Cy�ee�o ZIP: � �_�
CONTRACTOR: `��� ������.�.\ PHONE: `�`'c� '�y�G �I
CONTACT PERSON: ��.�„�`�,.�`��,�,�„ MOBILE/PAGER: `�\D� y���� '
MAILING ADDRESS: CITY: ZII':
STATE LICENSE: #
ARCHITECT/ENGINEER: � PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION# I
TYPE OF WORK: New L Addition Accessory Structure
Move Remodel/Alteration Land Alteration I
PROPOSED WORK(describe in detai�: � �y�.�.� ��ca � �. - ,4: �y�p, �
� �.p. •�-� � � • � . � � � �o\a .,f
- �� �C� '
STORIES: SQ. FEET OF EACH FLOOR: ��' ���-�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �
ESTIMATED CONSTRUCTION VALUATION (excluding land): $���p��,
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 SIGNATURE: �'��.;,��� �� � DATE: C.� . �:,�
��
NOTE! Parade of Homes events require separate permit approval by Police Deparlment ar2�
City Council 60 days prior to the event. Non permitted events will not be allowed.
,,
�}-;
�; � 5
� �/�= -
� .
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2. Information required to be g'tven individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,policical subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to suppiy investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or nronertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible 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 co�dential. Upon his furrher 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 its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or actio�pursuant to this secaon is pending or additional data 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 authority may require the requesting person to pay the actual cosu of making,ceRifying,and compiling the copies.
The responsible authority 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 ro comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private dara concerning himself. To exercise this right,an individual shall notify in writi�g the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipienu of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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 determination of the responsible authority may be appealed pursuant to the provisions of the admirustradve 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 fumish 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.
�c�p.c.aS '����.c�� ���'C ��c����
First Middle Last
\��S ``�_'� '�i��:�� '���
Address p
(v�'^�--���.'�U �'��� C�"_,�� \ ���� \�v
City State Zip Phone
I understand my rights as stated above.
�
����� h�`F��•._�:��-_�.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR L . 3(�S C2,G—s� (�o c.,�—r �.e A�
PID: =
DESCRIPTION OF WORK: Q�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: � DAT'E APPROVED: g3 •�b ���3
BUILDING REVIEW BY: DATE APPROVED: g -/o -5�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNEC'ITON
STATE SURCHARGE Yes �� No WAT'ERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: LQ-IL�
Fire Department: ✓1�t.o v�vt/) Post Office: v�.t�✓,•r� School District: ca..t�Tvr(k�-
Lot Area: Sq.ft. 2 1 , 31 Yj Acres • `�� Width / ZS Depth Z�g'•S f1crC
Survey Submitted: Yes p� No Date of Survey: �- l'l - 4�
Proposed Setbacks: �
Front (Lake): �(9-? Right Side: �4 y
Rear(Street): I`t 0� � Left Side: � 3•`(
Adjacent Structures: 25 � Wetland: /l///�
Building Height: Def. Hgt. Q ,� Peak Hgt. U�l�.
Lot Coverage: 7.a�p
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: -- By: � -
Zoning File: # �,�i'� Resolution: #_�� Resolution Date: 7. 27- Q`�
Shoreland District: .��p 5
Avg. Setback: N�� Bluff Setback: n! //1 L.ot Coverage: ��a
Existing Proposed
Hardcover: 0-75'
75-250'
Zso-soo� ►b o �� 7�
soo-i000�
Hardcover Variance Required: Yes No D� Date of Council Approval: "
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: U ` ( CONSTRUCTION TYPE: �/�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ /,S�O 0 0 �
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) ,
_�c Final Grading/Filling �Electrical (State Permit)
Other
REMARKS(IN HOUSE): �
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOT`ED ON PERMIT�:
8
� �y;, ? -�4`, �� � ���
_.�y ___,____ __- - �
�s� ��r� ���x�- \ �. �
------ \ ..
� , �
�RONO COPY ,�- �
�'..`��f � � � �U � �' '(j��
' ,r`,; �f3� �(�.�-G 'l_,--'' �. ,F,'G, ����,t;c , y � �`L`, �'�SSeS ' � '� _ �N
�-. � S' O` � 3 ' '
,
; �; \r;�� .. . . ,
,
�� • , � -'` -_ _ �' �
� '���C�,J . ,.�
�J r / r f ......_ \,
� • '
,� �'",,,�.., �r
� ' a" �� ���� �� � .. .. _ --. ... ...._ .4
� i . ___._ ._ ... --- � �.
� a,� c ����,�,.� , '� FI,AS�HIF�iG ��
r�'�— __-._--_____-_.-__=:=—"3�__.�.
�.¢'��c c --1 . � � —_
��,i `J. "d.���'i •�4," � ;��� c�'nr � � \ r
�� 5,Q t. `c i'• �.`� ! ��j�(� (�Ue(�.Pc.�� V� G��ce ��c. , .
. _� •
�,�,����:;� � � , � d��,. � `_
L�or � 1 - �.r�w;. r . _
• � ; s d� _� -
# ,•:'a,`���, `�'`',t c G�-� �a,''
, — ,r�
� r _..�..-;.r -----------. ...__ __.
_j__.______ 1!� ���te'h�e�a� �c,De 'V � � ��,d�t'S '
�6T`�t' OF �RONO - cv �C �r�,�c.-l'�c?�J__.
8L'iL�l�lG P IT LAN REVIEV`J �-----
iNSPECTOR
DATE '(V `�� _PERA�IT NO.
❑ A.P�ROVE��AS SU0"v1i'�ED
, ' . '' '� I� �PP�,�J�JrD i'd'T�I Cr�R�CTIv�iS AS NOTED
� ���`E �D(�j '`]-���`' � ;�!Q E APPE;O�'��R---Ci)i�t�EG'i&F�:SU�!�1{T �---- _____-- . ._ _._.. ___.. _ .
The�e crr�r.ie-,�s a-,����:;our ir:formati�.*i. AI!work sha!i re dor.e L,c� �r�
1.'?iw C','tTu��af!Cf' v'alt'.i �.i7 �t F!!i.u��B�1U1��'ing and zonin� co�� ' ����1,! �j"�`�� t��~ �`r
Req:;iremer.,;'^ci;;dir,�,itam;no;sr�ci'ic214yno,ad in this re' w• ��f h ����� .�'``N
KEcP 7N�S;'lA!S SE i ON S!TE AT ALL T ES �� ,zl`'
i`�� Ce��- a��.�y�`
" _____ . ________----;�--- .---,- -
�I � --, ____.
� w�+�c.�.,)�
! ��
�t�-�`�� �a�e{� .
, __. _
i
r , ,.�
.. �� �rr �I�tS��c
____
�, � _
; ,
�._. ------—---- __---__—_
y �� �� � -�-��'""'� ��"�""" � MIN. WOOD TO EARTH SEPARATION 6"
�� - ---�----.- << �
__
_ �, . ,
(" � � ►
(. �l ,;y L� - —...__�,�.I_lnl�i�[���� _.._—.
.�E�-f��'�t o-,l ��� �-�1
_ !.
� C��a.c�:,:��,e _---__�c�u��..�_ ��,.� `�'Q�� ,�������r��a
- ��
-
��----�-�_ r�� ---`�c�.,��--___-�- _4 i�
� . _��---— -
CITY OF ORONO DATE IME
INSPECTION NOTICE � ,(p( � CALLEDIN -�f= �'� , ' �
i V SCHEDULED � �' v
PERMIT NO. cOMP ETED
ADDRESS S' �� ,
OWNER e�rn t� ���'n��rONTR.
TELEPHONE NO.
� DE N
01 FOOTING 11 MECHANICAL RI
� 02 FRAMING 18 EXCAV/GRADING/FILLING
y 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE
= 04 WqLL BD. 34 TREE REMOVAL
12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP
� 07 DEMO-SITE 06 PROGRESS
27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL
15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL
� J
10 PLUMBING FINAL 35 HARD COVER REMOVAL
� � OWNER/CONTRACTOR TO MEET YOU:_YES._Np 36 FOUNDATION/REMOVAL
� COMMENTS:
W
a
�
J
O
a
�
; O
�
W
�
Q
�
W
�
� �
� i
d
� ORK SATISFACTORY:PROCEED
C; PROJECTCOMPLETE
W ❑CORRECT WORK 8,PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION
V BEFORE COVERING TEMPORARY
❑CORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN �� PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
L INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47$-]$rj7
Owner/Contracto s te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
ATE/�� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE /fj(�j � SCHEDUIED � � � - ���
PERMIT N0. � COMPL ED (�
ADDRESS / �o S - -
OWNER � 1D_c� CONTR.
TELEPHONENO. '�` 7� - oZC/�C�
� DESCRIPTION
l� 01 FOOTING 11 MEC ICAL RI 18 EXCAV/GRADING/F�LLING
� FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J�✓ BING FINAL 36 FOUNDATION/REMOVAL
OWNE ICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
� �� � � ew �t`i; �
�
J
O � ;�1
� � C� �
O
k
W
�
Q
�
Z
w
�
W
�
�
d WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEFi POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
Owner/Contractor on s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice