HomeMy WebLinkAbout1993-004957 - pole barn PFRMIT �
CITY OF ORONO ,,/, ,,� PERMIT TYPE:
L;;lILLfI€�t�
1335 Brown Rd. South • P.O. Box 66 Permit Number: t j;_a,�=��;�
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 `}'=i��_�f'_�:=:
SITE ADDRESS:
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CONTRACTOR: – F�����1 a c ar-►�. – OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO - BQILDING PERMIT A.PPLICATION
� J .
`� ` � `� Date Received: � �� - l �
Total Fee: $ �� �
c� �,
Date Approved: �3 � � � �`Z ''
Entered By: � -
Permit�: �<��� ,� �
ALL INFO�TION MIIST B$ SIIBMITTSD IN FDLL BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: �300 �v �d}�F11aUC' /Ut� ZIP=
(work) 8�3-545�
x� oF owxaz: (�rru �- �obir ��►2ourKe psorrE: (home) 4'75 b105
MAII,ING ADDR.ESS: IS(ob1 �D5'�- R[� CITY: L�QUZC�.Tu ZIP% S�J�tI
CONTR�CTOR: �J;v e r si�i�,� C'�u� Id�nG �u.S+em� Paox$: G Z� - 7 23 �
MAII�ING ADDR$SS: ?D I D ►�iah��au 7 CI�: �- �-D�cis �xrK ZIP: 55�a�
�
STATS I,ICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION #
TYPE OF WORK: New Addition Accessory Structure� Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORK (describe in detail) : Po le hG�r n
STORISS: I SQ. FEBT OF EACH FZOOR: ,�jOO O
NO. OF B�DROOMS: GARAGS STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ?0,00�
I hereby apply for a building permit and I acknowl.edge 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 wvrk will be in accordance with the approved plan. . .
APPLICANT'S SIGNATURE:��IYr\`�l •��� DATE: o�-/l.l l��
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 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
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:
1. The information you furnish wiI.l be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may reguire 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 Iicense requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review priva��
data on yourself.
6. Your full name is required to process this appI.ication or
permit.
�bi r� �- • ���ot,�r K�e
First Middle Last
t S(o0� PO�-f- ��,1
Address
�UQU?_G�--�f.� (� � 5�i�l /
Cit State Zip
8�3-�U5�- �75-010ti
Phone � �
I understand my rights as stated above.
. �
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING ,
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------ - -------___ _ - ._ � �
' � ��
�,p,4 RIGSTS OF SIIBJECTS �F DATA �
Subdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
_- to be given individuaL An.individual asked to
gubd, Z. Information required
� �' su ly private or confidentiel data concerning himself shall be informe�a�e aae�,
PP
purpose and intended use of thaereq t med �t whether he may refus or is legally
political subdivision, or statewi � y�own consequence arising from his
required to supply the requested date; (�) �Y . �a (d) the identity of
supplying or refusing to supply private or confidentiel data,
other penons or entities authorized by state or�edaeske �o S Ppiye�vest gat ve� dats,
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lart t8X re°und �nstruct�onsuinsteadh�s
subdivision in the individuel income tax or r• e
on those orms. . - � --- - - " .
Subd. 3. � A��
to data by indi��� UPon request to a responsible
authority, an individusl shall be informed wheu�c h rrvateeor eonfidential.e Upon his
individuaLs; and whether it is elassified as p � P ublic data on
further request, an individusl who �s the sub7ect of se to himrland, if he desires, shall
individuels shall be shown the data witho of�hat data• After an individual hes been
�e informed of the content and meaning the data need not be disclosed to
shown the private date and informed oi its meanin8� u��t to this section is
him for six months thereafter unless a disPute or action p
� ending or additional data on the individusl hMVBte or p blic datarupon request by
� p require the
responsible authority shall provide copies The respensible authority may �in the
the individual subject of the data- �rtif 'n and comp g
requesting person to pay the actual costs of making, Yi g�
copies. immediately, if pessible, with any request
The responsible authority shall,comply ' of the date of the request,
made pursuant to this subdivision, or witliin five �Ys,mmediate compliance is not
excluding Saturdays, SundaYs and legal holideys,
ossible. If he cannot comply with the request within that time, he sha11 so inform the
hsve sn additional five daYs With�n Wluch to comply with the
individual, and may �d le al holidays•
request, exeluding Saturdays, Sun�aYs g
Subd. 4. Proced�a'e when data is not accs�rate or complete. An individual may
- ublie or private data concerning himself. To
contest the accuracy or completeness�of p the responsible euthority
exercise this right, en indiv�d�a� s� notify � ��e authocity shall within 30
describing the nature of the disagreemenL T1�e =�P°
days either: (8) correct the data found to be inae a�e���ng Pee�ipl��namedt by
notify past recipients oi inaccurate or incomP .
the individuel; or (b} notify the individual that he believes the data to �ement is
Data in dispute sha]1 be disclosed only if the individual s ststement of disagr
• included with the disclosed data• ealed pursuant to the
' The determination of the responsible suthoFity may be apP
provisions of the administrative procedure act relating to contested cases.
� CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
` .
ADDRESS OR LEGAL: 2 30v (� '� �- N� PID:
DESCRIPTION OF WORR: 1�dC.0 C3ARN
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ZONING REVIEW BY: DATE APPROVED: Z - i k -- `i `�
BIIILDING RLVIEW BY: DAT$ APPROVED: Z-�`Y- � �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No—�/ PARR FEE
SAC � Yes No �/ SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECR LIST Zoning District: /ZQ-/�
Fire Department:��?�"i�, Post Office: C,��-ca C•F,c� School District: 0 2bN0
Lot Area: b �'� Width: �q3•S'� Aut Depth: $31.8'6 /�v-C
Survey Submitted: Yes�C No Date of Survey: /2 -9 Z
Proposed Setbacks:
Front (F�k�) : 5 32g,`r8' Right Side: 516.?6
Rear ('_'=�_�) : n� iy�' Left Side: i,J - ?5 �
Adjacent Structures : /,Sb� Wetland: /t/�/4
Building Height: Def. Hgt. !S.25 � Peak Hgt. l8.5 �
Avg. Setback: N�/3� Lot Coverage: 6 • I�
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varian Requi ed: Y s No ate of Co ncil Approval:
Grading: Staff pproval. ate: By: Counc 1 Approval Date:
Septic: Staff pproval D te: BY=
Zoning File:# Re olutio #: Reso ution Date:
REMARKS (in ouse) :
BIIILDING REVIEW CHECR LIST �
UBC: Q$' 1'Yl - 1 CONSTRIICTION�TYPL: ��
Sq Footage $ Per Sq Ftg
Basement X =
lst Fl.00r X -
2nd Floor X -
Garage X -
x =
TOTAI�
$stimated Construction Value: $ �Ol� �
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/FilJ�ing
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel� (State Permit)
• �Electrical. (State Permit)
---------------------------------------------------------'-`--------------------
REMARRS (IN HOIISE) : �
--------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
-------------------�-----------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED % 3 -S 3 �
PERMIT NO. COMPLETED —.,� �' �
ADDRESS �.�Uv '��� ��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� �FOOTING �o�� r��,-/'.t„11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 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 SETITURN ON 17 SITE INSPECTION
h 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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�ORKSATISFACTORY:PROCEED r PROJECTCOMPLETE
❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �- PHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR '�- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac r n si : _
Inspector.
White Copyllnspector's File Canary CopylSite Notice
✓
DATE� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED .�- 3 9 s•.3 p
PERMIT NO. COMPLETED Y �
ADDRESS�;� �� ����1��
OWNER�G�y.�t� CONTR.�,cA�?h��p-� ��-r±-��
TELEPHONE NO. 9a� - �� 33
� DESCRIPTION �� f��hi�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y N 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANOS
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
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W(❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL REfURN
C STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlCont r q�t site:
Inspector. • �
White Copyll�spector's ile Canary Copy/Site Notice