HomeMy WebLinkAbout1993-005357 - garage & deck PEI�MIT �
CITY OF ORONO � s � � PE�RMIT TYPE:
� 2750 Kelley Parkway • P.O. Box 815 Permit Number: ���`T i�.������
Orono, Minnesota 55356-0815 `-`����'��
(612) 473-7357 Date Issued: ��—,=i i_;�_�;_;
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: — �;F=��1 i��f��t. — °r,T . L I i: .OWNER:
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APPLICANT/PER E SIGNATURE ISSUED BY:SIGNATURE
" ' � CITY C1F OR'�L`NO, - BUILDING PER�IIT APPLICATION
Total Fee• $ �7-�p� 1 � Date Received: � � ��� �
Date Approved:
Entered By: :(9,�Z� �
Ferm�t r: �j��
AT•T• INFORMATION MIIST BE SIIBMITTED IN FDI,Z BEFORE PLA2�1 REVIEW WII�L BE STARTED
(See Check-cff List Enclosed)
--------------------------------------------------------------
THE APPLICANT IS: (circle one) O�VNER or CONTRACTOR
JOB SITE ADDRBSS: GI(�C7 S�2CU,LUOUC �vo_c� nnono l�l� ZIP: ��39�
(work)
N� OF OWNER- �?n. and l%1��. 2vl�eat �len�vn PHONE: (home) �7/-7�'c46
MAIZ�ING ADDRESS: Same CITY: ZIP:
CONTRACTOR: l n��.�e � �Yorrce Zmn n v v 2men _ pH��= �,Z?t���---n--
�v Qox ll2 CITY: Lonr� l_uh.� ZIP: S�?S6
MATI�ING ADDRESS:
000�845
STATE LICENSE: �
ARCHITECT/ENGSNEER• Cv���n c� �inon,�en�, Znc. pgp�: L���_�l�/
MAII�ING ADDRESS: ��2 �umanach �ive CIq*y: L�n� L��e ZIP: �53�6
l��a n h .S. G Q REGI STRATION T l 2 7 S 5
N�g; nvnben
TYPE OF WORR: New Addition Accessory Structure x riove
Demo Remodel/Alteration X Renovate Land Alteration x
PROPOSED WORR (desc=ibe in detail) :22nzvve a.�.� I-and coven �.C��i P�%nT���n^_
Qu�.Ld 2� ' x 26 ' attachea �arca�e- �u�.Ld cF' x 2� ' �ech - �n�ta.L.L ��ve new dovn� -
bu�.Ld l2 ' w�de a��ha.Lt da�vewar.� - �vd �aad- aeta�n�n� cua.C.L a�. needed a.Lon�
STORIES: SQ. FEET OF EACH FLOOR: a�n�vewu�
NO. OF BEDROOMS: GARAGE STALLS: ATT._�_ DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ 28, 000
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 p it and work is not to start without a permit; and
that the work will be in ccordance with the appro,�ed plan. •
s.:
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APPLICANT'S SIGNATURE: DATE:
CHEC� OFl�LI,ST _FQR ISSIIANCE OF PERMZTS
rOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z.l(s(,v Sl-��fJ�1WOOd 2�� PID- .
DESCRSPTION OF WORR: Ca�1LAC�L A�"4 '�'�'t�
------------------------ --------
--------------------- � Z 0
ZONING REVIEW BY: DATE APPROVSD: � ' -�'i?i �
BIIILDING REVIEW BY:
DATS APPROVED: �T `� —� 3 _
------------------ -----
FEES TO BS CHARGF.D- Misc. Fees Cal.cul.ated By:
PERMIT Yes •�No � -
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SIIRCHARGE Yes-�� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE _
SAC � Yes No SITE INSPECTION
Number of SAC IInits OTHER (specify)
ZONING CHEC�C I�IST -----------------Zoning District CQ.'!�-
Fire Department: rYk.��� Post Office: [.�J�1'`r--�? — School. District: QlLeitl�
De th: Z'� � �
Lot Area: � g �� �3 S�r �t"Width: 6 ��A�t!'� P
Survey Submitted: Yes� No Date of Survey: �- � '�ts
Proposed Setbacks: 6AM� R�k ro/� �'�
Front (Lake) •� G7' Right Side; Z {G-'?
• z3.�
Rear (Street) : �23�'� iV�l4 Left Side` II•S�
Adjacent Structures A-'�GKC� Wetland: i(/��
3uilding Height: Def. Hgt. ' .� _ Peak Hgt �J<•
�,vg. Setback• (�/�lZ�✓�C� Lot Coverage: I� ,3 G�
Existing Proposed
Hardcover: 0-75 ' �.• 7yo �j'7 �a
75-250 ' 8�'f�I��o `�6 .���
250-500 '
500-1000 '
Hardcover Variance Required: Yes_� No Date of Council Approval: �'-Zs"'�3�'
Grading: Staff Approval Date: N�� By: Counci� Approval Date:
Septic: Staff Approval Date: rt/�I'4 BY=
Zoning File:# jf�2-L Resolution �: .��%S Resol.ution Date: 6 �2 �'"S 3
REMARRS (in honse) :
�
:�IZDING REVIEW CHECX I�IST • - " ' -
TJgC. �$' �• 3 CONSTRIICTION TYPE:
� " .
Sq Footage $ Per Sq Ftg
3as�*nent X -
'.st Floor X -
2nd Fl.00r X -
�arage X -
x =
'�'OTAL
�
� Sstimated Construction Valne: $ �� ��" tl-
�nspections Reqnired: Work Requiring Separate Permits: -
Site � P�umbing Grading/Fill.ing
Footing
Mechanical Fire
��' Septic Water Connection
�Framing
Insulation Firepl.ace Sewer Connection
Wal.l Board (Masonry) Lawn Irrigation
p�'inal (Mfg.) Other *
Other We1J. (State Permit)
— � �Electrical (State Permit)
�--------------------------------------------
�iARRS (IN HOIISE) :
--------------------------------------
�VIL�Ti�l BY OT�FtS: DATE:
Access : Existing " New
Access Approval.: Date BY=
�----------------------------------
�2RS (TO BE NOTED ON PERMIT) :
x
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:yu3� _::�:, � � `::
,,_�� . �: Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
��M1; �� _� _
� � .. �^ ��- 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
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:
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 Ioca3, s�ate or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii actior_
to approve, some information may become pub3.ic.
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
pe�-mit.
l�enn�� G nvh.�
First Middl.e Last
6/5 C.Larcence {lve
Address
l�vund lt]��f SS36/�
City State Zip
/��2-29�/
Phone ,
I u derstand my rights as s e above.
�
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Signature �
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-�73-7358 • PUBLIC WORKS-473-73�9
ASSESSING
. . _ � . � .
�.p,� RIGHTS OF SIIBSECTS OF DATA "
_ gubdivision L Type of data- The rights e ti n�vld� on whom the data is
stored or to be stored shall be as set forth ir► thzs s
� gubd, Z, Information reQuu'ed to be g�ven �n���� An.individual esked to
• • 'vate or confidentisl aeta concerning himself,S t� �pllect ng state agency,
supply pri uested data within
purpose and intended use of the req tem; {b) whether he ma� refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
the requested dats; (a) �Y
required to supply rivate or confidential data; end (d) the identity of
supplying or refusing to supply P State or federal law to receive the data• T�-
other penons or entities authorized by �vesti ative data,
requirement shall not epply when an individusl is asked to supply g
. pursusnt to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma la�t t� re°un�Instructio uinsteadhos
subdivision in the individu8l income tax or �r• er
on those orms. , _ ..._�. _. --�- • .
Subd. 3• A��
to data bp individusl- IIpon request to e responsible
authority, an individuel shall be informed whether h��ateeoruconfidential.e IIpon his
��ividueis, and whether it is classified as publi�� P ublic data on
e ta him and, if he desires, st�all
lurther request, an individusl who is the subject of stored private or
individuals sha]1 be shown the data witho of�hat da a. After an individusl has been
�e informed of the content and meaning the data need not be �sclosed to
shown the private dats and informed of its u���action pursuar►t to this section is
him for six months thereafter unless 8 �P n request by
� endin or additional data on the individuel hes 8 een�r p�lic�taru�eated. The
� P g require the
responsible authority shall provide copies The hrespensible authority may
the individuel subJect of the data- certifying, and compiling the
requesting person to pey the actual costs of making,
copies. lmmediately, if possible, with any request
The responsible authority sha71 comply ' of the date of the request,
made pursuant to this subdivisi�� le �t������immediate complianae is not
excluding Saturdays, Sundays �
ossible. If he cannot comply with the request within i��n��ch tohcomPlY i++►i h the
Individual, and maY ha�e e� gdditionel five deys _
request, excluding
Saturdays, Sundeys and legal holidays.
Subd. 4. Procedure when data is not acccffate or complete. An individual maY
himself. To
contest the e.ccuracy or completeness�of public or private � the�responsible authority
exercise this right, an individuel shall notify in writing
the nature of the disagreemenL The responsible authoritq shall within 30
describing lete and attempt to
days either. (a} correcf ineecaurate or incorr►P ete a tae��u�g recipients named by
notify past recipients o
the individual+ or {b) notify the individual ��du�,��tementof disagreement is
Data in disPute sha]1 be disclosed only if
• included with the disclosed data. � gppealed pursuant to the
' The determination of the responsible authority mo c�ntested cases.
provisions of the administrative procedure act relating .
DATE TIME
CITY OF ORONO CALLED IN �"�-3 " `��
INSPECTION NOTICE SCHEDULED � �
PERMIT NO._ 7 3-�� COMPLETED � ''�� �-3 �—
ADDRESS ��
OWNER ���✓ia-t�� CONTR. �✓}-��� �
TELEPHONE NO. �/ 7�3 ' O `�SC�
� DESCRIPTION /�� ��a,P
� 01 FO TING 11 ECHANICAL RI 16 WELL TEST PUMP
Q G 11 MECHANICALFINAL 18EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 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 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL REfURN J
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73rJ7
OwnerlContra o ite:
inspector.
White Copy/lnspector's File Canary CopylSite Notice
ATE` TIME
CITY OF ORONO CALLED IN �`�--�
INSPECTION NOTICE SCHEDULED '��Zg l`3 �� 3��'
PERMIT NO. _�3� � COMPLETED I.I 1,� '
ADDRESS �/�n CA�„����%�.�,..-,�.-r-���`
OWNER�,����.J CONTR. ' •
TELEPHONE NO. y �> ~ � `/S v
� DESCRI�TION C :'� /
�
� 01 FOOTINCy� 11 CHANICAL RI i6 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREP�ACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 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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O ❑ CORRECT WORK,CALL FOR REIN&PECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN
�-' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.47�73rJ7
OwnerlContra n it :
Inspector. �
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN —oZ � .3 � �
INSPECTION NOT1C SCHEDULED ��..30 �9�
PERMIT NO. -�-3� � COMPLETED R '�.
ADDRESS �
OWNER .���J CO TR. ��d��.Ct-� �
TELEPHONENO. �73' G��� �7�` � �8
� DESCRIPTION �Ze�-x.o�
� 01 FOOTING 11 MECHANICAL RI i6 WELLTEST PUMP
Q 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPIACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPT�C MAINT. 21 COMPLAINT
= 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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O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor i
inspector. ''
White Copyllnspector's File Canary Copy/Site NoNce
DA E TIME
CITY OF ORONO CALLED IN ' r'13 � 3 O
INSPECTION NOTICE SCHEDULED 8�5 -9.3 !0 i tt�,
PERMIT NO. .�`�3 57 COMPLETED /�"` .
ADDRESS
OWNER CONTR.�='� � 9��-�.
TELEPHON E NO. �7 'J" U�Sb
� D ON (JC�Q Cf�.
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAI 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 MEfER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPIAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTO TAKEN
INSPECTOR WILL RETURN •
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanc:e.473-7357
OwnedCon o o site:
inspector. � �
White Copyllnspector's Flle Canary CopylSite Notice
\
DATE TIME
CITY OF ORONO CALIED IN ��3� y
INSPECTION NOTICE SCHEDULED "� �� �� �
PERMIT NO. -5 �s /� COMPLETED �_ �
ADDRESS ���'�P _�tr��c-�c-L.i��--C.
OWNER � a.evti— `� CONTR. /� i� —
TELEPHONENO. C� %-� C� S�SU
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMI� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 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
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance.47�73�J7
OwnerlCon or o site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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� 'f°` ���� � � � �� N� ''''.*�;,
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T1VSP6[�Tb!'t
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��/.�T. �D�� - C�ATE _ �^1 S 3 PERMT7 N(A. ..,.......�,,.,
I AP��C��;�Q AS ss!r'r1►.'TED
� 7 j�Ar=�RC�rF� V`,ITH COR�'EC7'IONS AS NOTED
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