HomeMy WebLinkAbout1994-006164 - detached garage PERI!![IT
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CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �"��=-�-�}'�"�_'
Orono, Minnesota 55356-0815 Date Issued: i�l�;�,;�',�
(612) 473-7357 '=:�-:�:��:=��=��
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �;�_�_? i c=1�;t. —
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AP ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
, CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR d�'FICE USE ONLY
ADDRBSS OR LEGAL: �� I.��w w N ""� S PID: �
D$SCRI PTI ON OF F�ORR: ��"T- ��l4�Ar��
------------------- --- -----------------------------------------------------
ZONING RBVIEW BY: /�� DATB APPROV$D: C�'7' �l �'J
BIIILDING REVIBl�T BY: DATS APPROVSD: �j'�-CI y
--------
F$BS TO B$ CHARGBD: Misc. Fees Ca�culated By:
PERMIT Yes. �No
PLAN REVIEW Yes �No SEWER CONNECTION
STATE SURCHARGE Yes �'No WATER CONNECTION
INVESTIGATION FEE Yes No C� PARK FEE
SAC Yes No �� SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------e-----------------------
ZONING CHECR LIST Zoning District: /Q/t��,�
Fire Department: ost ffi c o District:
Lot Area: idth
Survey Submitted: Yes� No Date of Survey: Z-'�-�7�
Proposed Setbacks: '
Front (-��) : 132�� Right Side: 3'y� �
Rear (S�x.cet) : 230� 3' Lef t Side: N�A'
Adjacent Structures: (0 � Wetland: Tt��� '�
Bui J.ding Height: Def. Hgt. C9 •� Peak Hgt.
Avg. Setback: t Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000
Hardcover Vari ce Req ired: Y s No Dat of Coun ' 1 Approva].:
Grading: Staff Approval Date: By: Council pproval Date:
Septic: Staff pprova]. D te: By:
Zoning File:# esol tion : Resoluti n Date:
RffiKARRS (in h use) :
BDILDING RSVI$W C'�QC LIST ,
., . _ � •
DBC: /'�- � CONSTRDCTION TYPS: .�--
Sq Footage $ Per Sq Ftg
Basement x = •
lst Floor x =
2nd Floor x =
Garage x =
x = �
TOTAL
$sti.mated Construction Value: $ /2,00��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/FiJ.�ing
�Footing Mechanica� Fire
o<Framing Septic Water Connection
Insulation � - Fireplace Sewer Connection
Wal.l Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel 1 (State Permit)
E�ectrical (State Permit)
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Rffi�RKS (IN HOQSB) :
------------------------------------------------------------------------------�
REVIEW BY OTffitS: , DATS:
Access: Existing New �
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARRS (TO BS NOTED ON PSRMIT) :
CITY OF ORONO - 80ILD7NG PERMIT APPLICATION
rJ �
Total Fee• $ � °�`�` �� Date Received: ������
/ ) Date Approved:
Entered By: �'� ^ ��
Permit#: �- �
ALI� INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: ���J V�OZc/� /��" �' ZIP: ����6
(work) ���"c��
/� . J/ I /
rr� oF owri�x: /"G��f �'�h��,Q /y'� l PHorrE: (home) ��S���b
MAILING ADDRESS: � OS ����tl/� F�'� J. CITY: LQ�� �� ZIP: �����
CONTR�CTOR: PH��=
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDR.F3SS: CITY: ZIP:
N�,ME: REGISTRATION #
TYPE OF WORR: New� Addition Accessory Structure� H1ove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : � f � �iQ � � � � � �� '
STORIES: I SQ. FEBT OF EACH FLOOR: �� !
NO. OF BEDROOMS:�_ GARAGE STALLS: ATT. DET.�
ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ ,O'� v0�
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 acco dance wi the approved plan.
APPLICANT'S SIGNAZ'ORE: DATE: � �J�y
�
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 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:
l. 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 local, s�ate or
federal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Council ac�ion
to approve, some information may become pub].ic.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your ful.l name is required to process this appl.ication or
permit.
�°�-�G� �oh,� ,�//1
First Middle Last
S8s' ��a w� ,�/ �a . -
Address
�� � �S3SC
City State Zip
y�s �3 yC
Phone
I understan my right s stated above.
Signature
BUILDING 8c ZOIYING—473-7357 � ADMINISTRATION.t FINAIYCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGH1'S OF SIIB�7ECTS OF DATA �
gubdivision L Type cf date- The rights of individuels on whom the de.ta is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required ta be g��� ����' �'n.individual asked to
� ' supply private or confidentiel data concera a BmWithin the collect g state agency,
purpose and intended use of the requeste
political subdivision, or statewide system; (b) whether he may refuse or is legally
the requested dat8; (c) anY lmown consequence arising from his
required to supply rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply P state or federal law to receive the data. This.
other persons or entities authorized by p lnvesti ative data,
requirement shall not apply when an indi�via 1a en orcement officer. g
pursuant to section 13.82, subdivisicn 5,
The commissioner of revenue m8 rolert t� re°und instructio insteadhos
subdivision in the individuel income tax �r
on those orms. . ---- -- -
A�� to �� by ����. Upon request to e responsible "
Subd. 3.
euthority, an individuel shall be informed whether h r�ateeor confidenUal.e Upon his
individuals, and whether it is classified as public, p ublic data on
further request, an individuel v�►hc is the subjecc�ge to himrlande if he desires, shall
individuels shall be shown the data withou f��y t data. After an individuel has been
6e informed of Lhe content end meaning t� �� need not be disclosed to
shown the private data end informed of its u���action pursuant to this section is
him for six months thereafter unless e c�SP
, � pending or additional data on the indivif uel h�ate or p blic dataruponarequest by
responsible authority shall provide copies o P require the
the individuel subject oft�e actusl�costs of making,lcert fyingyand compiling the
requesting person to pay _
copies. lmmediately, if possible, with any request
The responsible authority shatl comQly '
made pursuant to this subdivision, or with lide e,�ysimmediatea compliance eisu not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the request within that time, he shell so in�orth the
individuel, and maY ha�e en sdditional fve daYs Within which to comply
request, excluding Saturdays, SundaYs and legal hclidays.
Subd. 4. Proced�e �►hen data is not ac��aate or complete. An individuel may
himself. To
contest the accuracy or completeness�of public or private � the�responsible authority
exereise this right, en individusl shall notify � �'��e Buthoritq shall within 30
describing the nature of the disagreemen� The respo
days either. (a) correct the data found,tcom ete dataeinc.luding rec Pients namedt by
notify past recipients of inaecurate or in P
the individuel; or (b) notify the individusl that he believes the data to be correct.
Data in dispute shall be disclosed only if the individuel's statement of disagreement is
• included with the disclosed data. ealed ursuant to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
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DATE TIME
CITY OF ORONO �[ CALLED IN �p� �
INSPECTION NOTICE r„� (Q`i SCHEDULED . ��_
PERMIT NO. �l� COMPLETED � �
ADDRESS •
OWNER , CONTR.
TELEPHONE NO. �7 ����'6
� D ION
1 FOOTING 11 MECH ICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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 PIUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-Up
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
Z
c�„ COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� O CORRECT WORK&PHOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerlCon ct site:
Inspector.
.
White Copylinspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO � CALLED IN 5�/=%� �'.�
INSPECTION NOTICE�� `� 1j SCHEDULED ���a 3:3�
PERMIT NO. ("0(00�'E" �1� T COMPLETED � (/�
ADDRESS 5 rJ� ��i1�c�� /��G� S
OWNER .�11.-� �� CONTR. �
TELEPHONE NO. `f 7,�� �� �Co
� DESCRIPTION �' � e*-r� — � /` �°
lL 01 FOOTING 11 MECHANICAL RI 18 EXC /GRADING/FILLIN
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q INAL 14 SEWER HOOK-UP O6 PROGRESS
� 0 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
CJ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t xt in pection 24 hours in advance.473-7357
OwnerlContrac n sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice