HomeMy WebLinkAbout1998-010227 - detached garage '' PERMIT
' CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;�� ;;i't-;j�;
Crystal Bay, Minnesota 55323 Permit Number: �'��_.:�:�,�
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(612)473-7357 Date Issued: _s��i�;f,��_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — r�,���:� z=�}�t. —
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APP ICANT/PERMITE IGNATURE ISSUED BY:SIGNATURE �,�,� �
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' Total Fee: $ g � � ` 02� Date Received: S �i3-�i�
Entered By: Permit#: /i� ,� �,
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 ��R CONTRACTOR
�---_ ��
JOB SITE ADDRESS: I � C 5 �J (�e-�-Zo ���0 �/� ZIP: S �J� ��
NAlVIE OF OWNER: �., �a �a G � 1��-C S c � PHONE: (home) ��� ��`� �
(work)
MAILII�rG ADDRESS: :!ti� ( S� � �•�-,� ���� �lr� CITY: . �� ZIP: ����
CONTRACTOR o� ,'S � �- f`�e r r;S� PHO�IE:
COi�1T'ACT PERSON: ce �c_ �'( o w�.�-s� MOBILE/PAGER:
MAILING ADDRESS: "' �, � CITY: l� ZIP: 'S��
STATE LICENSE: # �}O�b � aOb
ARCHITECT/ENGINEER: u c G �o S.` /IPHONE: � .� � � � '�
MAILING ADDRESS: ,3'2� � ( � CITY: ,� �,.� ZIP: —�3
NAIVIE: �� �L 6 ��� N �, „t REGIST TION#
—�
TYPE OF WORK: New �' Addition Accessory Structure ,�
1�1ove Remodel/Alteration Land Alteration
' �.� k � 5� � �„
PROPOSED WORK(describe in detai�: d t <<., �fl� ��`� �� �
_
STORIES: ' SQ. FEET OF EACH FLOOR: ��� �
NO. OF BEDROOMS: � GARAGE STALL5: ATT. — DET. --
ESTIRZATED CONSTRUCTION VALUATION (excluding land): $ ( � `�� "
I hereby apply for a buildin� 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 accordanc�with,�Che �pproved plan.
�
APPLICANT'S SIGNATUREr, ���,��%� � � �����%'� DATE: �_� � �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual�sked to supply private or confidential data concerning himse(f
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal 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 confidendal dara;and(d)the identity of other persons or ennries authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigaave data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the norice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by indi�zdual. Upon request to a responsibie authoriry, an individuai shal]be informed wherhec 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 meanin�of that data. After an individual has been shown the private data and informed of its meaning,the data need not be i
disclosed to him for six months thereafrer unless a dispute or acdon pursuant to this szcaon is pending or additional data on the individual has been
collected or created. The responsible authoriry 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,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,Su�days and legal holidays. i
;
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or
private data concerning himself. To exercise this right,an individua]shall noufy in writing the responsible authoriry describing the nacure of the j
disagreement. The responsible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify
past recipienrs of inaccurate or incomplete data,inciuding 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 dzterminarion of the responsible authoriry may be appealed pursuant to the provisions of the admuustrative procedurz act relating
ro 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 Ciry 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. i
4. If your requested pernut 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. i
6. Your full name is required to process this application or permit. �
First Middle Last f
Address
Ciry State Zip Phone ,
i
I understand my rights as stated above. ;
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Signawre �
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, CHECK OFF LIST FOR ISSUANCE OF PERNIITS
FOR O�FICE USE ONLY
ADDRESS OR LEGAL: � -�, w: � �����-u'_ G�-1�.� f��c.�w
PID:
DESCRIP'TION OF WORK: ;-c'�-`�. �,e�-U'� ` _c�t
ZONING REVIEW BY: w DATE APPROVED: tS-r s -9 g
BUILDING REVIEW BY: �Qo DATE APPROVED: ,S-�s -g S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/ No
PLAN REVIEW Yes ,� No SEWER CONNECTION
STATE SURCHARGE Yes v No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONIl\'G CHECK LIST Zoning District: �-R-n4
Fire Department: (,o�C{ V4tc8 Post Office: �„�p�,-r,f�tl�► School District: n(�-b�•rt�
Lot Area: Sq.f[. 5�, '{O� Acres (. ZZ- Width !2Qf I�u� Depth Yp�7 •Sa A�tR
Survey Submitted: Yes D� No Date of Survey: 3-30-��
Proposed Setbacks:
Front (Lake): 1�0� "� Right Side: 10'
Rear (Street): 2�O � Left Side: �17�
' ' f
Adjacent Structures: Z�I `Vetland: SO
Building Height: Def. Hgt. (�� k- Peal:Hgt. "
Lot Coverage: 6.��-
Grading: Staff Approval Date: � By: - Council Approval Date: -
Septic: Staff Approval Date: —" By: '"
Zoning File: # 2353 Resolution: # Resolution Date: �1• 27-��
Shoreland District: y+�s
Avg. Setback: /� (y�}-- Bluff Setback: �V (/� L.ot Coverage: O-(�
Existin; Proposed
Hardcover: 0-75'
75-250' �_ 0•2.
250-500'
500-1000'
Hardcover Variance Required: Yes X No Date of Council Approval: �"Z�` 9 U
REMARKS (in house): -
7
BUILDING REVIEW CHECK LIST
UBC: U—( CONSTRUCTION TYPE: V N
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
x =
TOTAL
Estimated Construction Value: $ y�,d�p�
Inspections Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
/C Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling _�L Electrical (State Permit)
Other
REMARKS(�'HOUSE):
-----------------------------------------------------------=------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERiI�II'I'):
8 '
CITY OF ORONO CALLED IN S��9� � ''TII�IE
(TZ1
INSPECTION NO 1 E SCHEDULED - 3��
PERMIT NO. �aa COMPLEfED
ADDRESS /�'Z-
OWNER CONTR. ����-���
TELEPHONE NO. �So��� a /�S
� DESCRIPTION
� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS:
a D S
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d �'GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �0 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContrac n i :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE T �
CITY OF ORONO CALLED IN � ��� ���
INSPECTION NOTICE SCHEDULED " -� �' ' 1
PERMIT NO. � � COMPLETED �
ADDRESS ��� �� `��-��� �
OWNER �`�'`�L CONTR.�'v��Tt�th.�-��,/�Z2L.��
TELEPHONE NO.��'/ " �� � ��
� DESCRIPTION
l� 01 FOOTING 11 MEC A CAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING � 13 MEC ICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
O5 FI ' 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED _� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL RETURN
i-1 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon�or site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice