HomeMy WebLinkAbout1995-007120 - storage shed ____ � �
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ _ -:i:���:�:
, Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: - : _ _
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: '�`"'-�- '':"`'', '`—'`�<
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CONTRACTOR: . __ : ; - = ...: '._: ;...:':°;". OWNER:
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� ` A�LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .
��
CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ �'�� �.�� Date Received: �- - u7� " y-S
f Date Approved•
Entered By: � ��� a, ,...
Permit n. �/ ..Z C�
ALL INFORMATION MIIST B$ SDBMITT� IN FULL BEFORE PI�N REVIEW WILL BB STAR�ED
(See Check-off List Enclosed)
-----------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or COiQ'I'�=
JOB SITE ADDRSSS: ,�(��� �r��I/� U�� �'�' �✓C�` ZIP:
�r�—_.
(work)
N� OF OWNER: ��'.�.0 '�` � i`vt.-UGc_ �� c:ce�� �-`� PHONE: (home) �`-�c( - `����
MAILING ADDR.ESS: ���7 S �< <��� J��'�`''� �i'CITY: ��'e�t�G ZIP:
i%�(� _ �'�-�4'��
CONTRACTOR: � �-�-,��.�R--- �CJa--�•�-�- C-C�� `� PHONE: �(Q `� ' c�S� �
1 \
MATLING ADDRESS: ��-j � ' W�.`�`-"�_ �-✓t.,���- d��-CITY: � �c_l.-�.; -�-�t! ZIP; rj��2 v�_
.�� ,�— .s
STATS LICENSE: $
�ItCHITECT�LPIGINEER: �%v� `�� PH�NE:
MAIZING ADDRSSS: CITY: ZIP:—
N�: RBGISTRATION A
TY'PE OF WORK: New Addition Accessory Struczure .x Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : `�r-�-�}�e � �-r�o_` --4-'c� �`"`-`-��"`-
.���,`._-�'l �' c:II—('cc..r
STORIES: SQ. FEBT OF EACH FI,OOR: (( �
�JO. OF BSDROOMS: CARAG$ ST�LLS: ATT. DET.
ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �{��,� —
� hereby apply for a buiiding permit and I acknowledge that the information
above is complete and accurate; that the work wi11 be in conformance with the
:�rdinances 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
�hat the work wil 1 be in accordance with the approved plan. �
�..PPLICANT'S SIGNATIIRE: �— ` DATE: �o '",�� ` �S
;,�.°�^,,,�y,
�... ��,�,��,� ��x� �--
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'SS+ .SFa�;�SEy ?;;tT N'.�..
� ,_�,.,`"-�,3: Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
�
� - � � 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
Zicense 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 license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to revzew prica��
data on yourself.
E. Your full name is required to process this a�t,3.ica�iaa or
permit.
� ���
...�-4-.��:�,o. ��� �
First Middle Last
L� '�k�� L�.�....`.�-�."F �:'�--�-- �.�.,��__.___ `��
Address
V�;c�.�;�\c� ✓�-1. � �d�f� �z�
City State Zip
�a���J ` �S`.{ `?�'
Phone �
I understand my rights as stated above.
t=�
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FIN�INCE—473-7358 � PUBLIC WORKS—473-7359
ASSESS[NG
,_:
�.� �G� �g gpgJp,CTS OF DATA
Subdivision L T9Pe
of data. The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section. An.individuel asked to
g�d. Z, Information re9ui�d
to be given in�ivi�uaL
. � te or confidentiel data concerning �mWit�h�in the collecting state gency,
supply priva
purpose and intended use cf the requ em'd �b� whether he may refuse or is leg y
known consequence arising from his
political subdivision, or statewide sys �d (d) the identity of
required to supQly the requested date; (c) any
supplying or refusing to supply private or confidentiel data;
other persons
or entities authorized by stete or f ederal law to rece��e st gat ve da a
requirement shall not apply when an individual is asked to supply
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The c
ommissioner of revenue ma lace the notice re uired under this
sub
division in the individual income tax or ro ert tax re und instructions instea o
on those orms. • �
�� b� ����y Upon request to a responsible
Subd. 3. Access to
an individuel shall be informed whethec h r vateeor confident al.e UPon h�s
authority, ified as publ� � P ublic data on
individuels; and whether it Ls cless if he desires, shall
further request, an individuel wh° is tne subject o� se to�mri�ae or P been
individuels shall be shown the data witho of�hat da a• After an indindual hes
�e informed of the content and meaning the data need not be disclosed to
shown the private date and informed of its u���acUon pu��►t to this section is
him for six months thereafter unless 8 �Sp n request by
e
� ndin or additicnal data on the individuh h�gte or public datarupoeate ' the
• Pe g. rovide copies cf P require
responsible authority shall p onsible authority maY �in the
the individual subject oft�e actual��o� of m�g� �Qrtifying, and comp g
requesting person to pay - re uest
copies. immediately, if possible, with 8ny 9
The responsible authority shall comply
de ursuant to this subdivision, or within five da.ys of the date of the reques ,
m8 p Sundays and legal holidays, if immediate complianes is not
excluding Satu�'daYs+ With the requesi within that time, he shall so inform the
If he cannot comply within which to comply with the
possible. �Ve � gdditional five days
individu8l, and may Sundays and legal holidays.
request, excluding Saturdays,
te or complete. � ���1� To
Subd. 4. Proced�e when data is not accura ivate data concerning himself.
contest the accuracy or comQleteness of public or p the respensible authority
ht, en individual shell notify in writing
exercise this rig nsible authority shall within 30
describing the nature of the disagreement. The respe
days
either: (a) correct the data found to be inaccur�aelo��ngpeec pients namedt by
notify past recipients of inaccurate or incomplete a , I1
• ��d�; or (b) notify the indi�iduel that he ��elis�8tementof disag'reement is
the in �f the mdividu
Data in dispute shall be disclosed only �
• included with the disclosed data• � appealed pursuant to the
' The determination of the responsible authority m p contested cases•
provisions of the administrative procedure act relating
- CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� � FOR OFFICE USE ONLY
' ,�titC' r.J .(fN PID: .�� - //�- ,:�3 �j�,:2 D C'/,.2
Aa�DRESS OR LEGAL: �I�j �.5� �� �-��
�
DESCRIPTION OF WORR: w�C�Z �-�--�� �j--E' �'�
� ---- -------
----------------------j� ------ ------------- --
ZONING REVIEW BY• d" DATE APPROVF�D: -] �S-`YS
BIIILDING REVIEW BY: ' DATE APPROVED: � -S^` �S
------------------------ --------
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes ✓� No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No v PARK FEE
SAC Yes No l/ SITE INSPECTION
Number of SAC Units OTHER ( specify)
------------------------------------------
--------------
ZONING CHECR LIST Zoning District: (�(L-��
Fire Department:_ Post ff � c : �hool District:
, ��-.
�
;
Lot Area: Widt �h=
Survey Submitted: Yes� No Date of Survey: 0 N �i t�
Proposed Setbacks : �
Front (Lake) : Z3C� Right Side: 3��
f
Rear (Street) : S' Lef t Side: 3�� �
Adjacent Structures : (SS Wetland : iv �i4
Building Height: Def . Hgt. o_k'- Peak Hgt. —
Avg. Setback: L Coverage
Existing , Proposed %
Hardcover: 0-75 ' �
75-250 '
�'
250-500 '
500-1000 ' \' —
�
Hardcover Varian e Require : Y�s o I�ate of Counc' 1 Approval:
Grading: Staff A proval. Dat : By: ;'�_ Council A proval. Date:
Septi c: S taf f Ap roval. Date: $�Y=
Zoning File• # Reso ution # : ` Resol.ution Date:
;
REMARRS (in house :
BQILDING REVIEW CHECR LIST . _
IIgC: V - ► CONSTRIICTION TYPE: �� � -
V
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X
2nd Floor X -
Garage X -
x -
TOTAL
Estimated Construction value: $ y� �' G�'' �v
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Fil�ing
�Footing Mechanical Fire
p�Framing Septic Water Connection
Insu�ation Fireplace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
.� Fina 1 (Mf g.) Other
Other Wel.l (State Permit)
E�ectrical (State Permit)
-------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------
REVIEW BY OTHEFtS: DATE:
Access : Existing New
Access Approval: Date BY=
------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
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Steve Dahl Construction
6420 Wentworth Ave So �'��"� ��� l�R���
Richfield, MN. 55423 ���"Di� �M� 1!I,:AN R
�nr�e
Phone: 530-8479 :.�TE � -5-5 PERMt'I' NO. �.
�•� APPROvcD AS 3UBMITTED
��l�i�i�4GVED WtTH CORRE�'t'14N9 AS NOTEO
_j (`��1� Ar'PROVED — CORRrCT & RESUBAAIT
���ese c�mments are fcr your informetfai. All work sfiell re�pbe�
'v:i. cornpliance with aif appEtcaktle buildtr� & tonN�g at7�ws:
��•�rrents inciud+n� items not speettiCalty noted in tfifs re�*Mf�c
<<F.N tHifi PLAN �ET JM S'1TE AT ALL TEM�.
OA E TIME
CITY OF ORONO CALLED IN b�'� —�
INSPECTION NOTICE SCHEDULED 8'� 7
PERMITNO. 7/.ZD COMPLETED �_ ;�C�
ADpRESS 7S U �
OWNER �-Q-�� CONTR. �� G�'�.
TELEPHONE NO. S3 0-P'�] y
� DESCRIPTION � •'��'�
� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FI AL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPtAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCa RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES�NO
� COMMENTS:
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� ,�WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT VNORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAIdCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITH�N HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins�ection 24 hours in advance.473-7357
Owner/Cont�sit� �
inspector. �, `'
White Copyllnspector's File ; Canary CopylSite Notice
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