HomeMy WebLinkAbout1999-012148 - shed PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelle Parkway - P.O. Box 66 �`: �3�A;`�v;:;
Cr�stal Bay Minnesota 55323 Permit Number: '�_;:z;_:
(612) 249-4600 Date Issued:
SITE ADDRESS:
__-..:�.�:_� :.. . x—i =. . _... ;`�a
;i:�,,�
DESCRIPTION:
. _..i .�.+_;j? i i�:; {—`�.,;:i�;:7•!x'!_�' < < ... -.t�—. ...i_. „��`'.,,�:.!�:—,`1-:.
'��..��. I.>."1!?°"� .��>�>;'=:: '.�'t�+` � .�1�'
!it-�t. i_!���� ._ ` I t'V ` . . —i
_t e"f��'�.;`f.(t,'[.�,s',;'"• , `r i=�:�� �`i��f
..��i�;i�_i"j*� {=i;:—,— ���
i_ ._;?'•�?_;':= _:t=�_.._ W..__ _ `��..;��'i ?`=-_f1'•�{�`._._ .
REMARKS:
FEE SUMMARY:
'-�.a•�,_ �-=:-�,_ �'t.�`'- , , _
i�-`? ;i: �.�..`�. _ �_.. ��_'_ . __._
���,�1'l�f:�=+1''�'�'� _._.___.__.._ '� � -
}F3P.r1E �.�.'-` u.C��•�` ..
CONTRACTOR: OWNER: "
—�; - —
t.�.. }��y C�.�: ;_ , . . _
��.�r€:. �J�lati.t��t"iw+��«"�.�';.... �. ....: .,..fi� E . �".t...�s-: y r S , �}�� 3_ �i.,. ..s ..... s� �'``: � ... .. �
..,o � ` :�r i .'�.� ���_.�
^s h�..... _. _ . ....� .. .S. _. ., e .. . . .. . . ... .c E.._ .�.. . � .
`=' ` t`T� �'' ,a • h r € �'! I# � ° '� ' � I ' '- 'M. { �� �' t s�-� s'��,,;� � # '� E��
�..���`_:.�. ��'__ ��'.�< , ._. ._.._... .:. C�_ ��:�� .. _. ..�. _. _ , . ..€,.: � :. _ , , _�.,.. ._:L. .. . � _
" `_�`.�_: .�_' ��! ..:F' , ., .�:.•.._ .. . _i��..� W+:�i�^1i� ���"' g.":!. .._.. t r� t_ _ ti.__ ;L:;=a _ ..;. �" ._��t i i�3�1,_�4, 3 `a� ,
�" ._ . _ _. _
� � � � � � �
l
✓ �1�' `� ` C��✓�'
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Tc?tal Fee: $ �� L�� Date Received:
' Entered By: ����� Pernut#: �.7,� l��'
CITY OF ORONO - BUII.,DING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
, u K�. c- � �
JOB SITE ADDRESS: 1 ���' �; �H� /�V� n U�' ���-� � � ZIP: �, � � � b
NAME OF OWNER: ��'�; : K�� �"; �� � ` � h;�� PHONE: (home) '����,� "I����,��
(work)
MAILING ADDRESS: C:��� � � %� h��'��'1L� I�r��CITY: 9=�en F'ra�n;� ZIP: � 5 3�
� w,� � �> � ,..>.-�"J
ce�oR: N U fi h � h z ��� � �c�� PHONE: � � q-6 `6 �.�'
CONTACT PERSON: T MOBILE/PAGER:
MAILING ADDRESS: 7 q`� ��h V e h � CITY: L��u q k�- ZIP: S 5 � �
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
1ViAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move �� Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �r 1 �'`/� � �� �h ��'
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/(,� L�
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 accordance with the approved plan.
APPLICANT'S SIGNATLTRE: /��'�,v' C,� ����V DATE: � � /� /� T
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
v
Sec.13.04 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. Type oP data. The rights of individual on whom ti�e data is stored or to be stored shall be as set fonh in this section.
Subd.2. Information reqirired to be�ven individual. An individual asiced W supply private or confidenrial data concerning himself shall
be informed of: (a)the pucpose and inunded use of the requesud dam within the collecdng Ytace agency,poliucal subdivision,or statewide rysum;
(b)whether he may refuse oY is legally required co supply the requesud dara:(c)any la►own consequence arising from his supplying or refusing to supply
priva�e or confidential data;and(d)the idendry of other persons or enddes authorized by state or fedecal law to receive the data. 'I'his requirement s6a11
not appiy when an individual is asked to supply invesdgadve data,pursvant to secdon 13.82,subdivision S,co a law enforcemenc officer.
The commissioner of revenue mav olace the nodce rewired under this subdivision in the individual income tax or orovertv tax refund
insttucdons inscead of on[hose forms. � '
Subd.3. Access to data by individual. Upon nquest to a�espoasibte aurhoriry,an individual shall be informed whether he is the subject
of stored data on individuals,anci wherher it is class�ed as public,privace or confidendal. Upon his further request,an individual who is the subject
of swred private or public data on individuals shall be shown the dara without any charge W him and;if he desires,shall be infora►ed of the content
and meaning of rhat data. After an individual has been shown[he priva:e data and informed of its meaaing,the data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuanc to this secdon is pending or addidonal data on the individua(has been collecud or created.
The responsible authoriry shall provide copies of the privau or public dara upon mqaest by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately, if pouible,wirh any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Satucdays,Sundays and legal holidays,if immediau compliance is not possible. If he canaot comply with the request
within that time,he shail so inform the individual,and may have an addidonal five days widiin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may conust the accuracy or completeness of public or private
data eonceming himself. To exercise chis right,an individual shall nodiy in wricing the responsible authority describing the naare of the disagnement.
The responsible authoriry shall within 30 days either: (a)cornct the dars found to be inaccurate or incompleu and aacmpt to nodfy past recipients of
inaccurate or incomplete data, including recipients named by[he individuai;or(b)norify the individual thac he believes rhe daca to be correct. Data
in dispute shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant W the provisions of[he administrarive procedure act reladng to
contesud 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 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 fumish 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 pertnit 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. 13.0� (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First �tiddle �t
Address •
City State Zip Phone
I understand my rights as stated above. .
Signaaro
CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY •
ADDRESS OR LEGAL: Z5`�(t� 5 � x t-r4 t1 v� .
PID:
DESCRIPTION OF WORK: S
ZO.�tI�ti G REY�W BY: DATE APPROVED: J�- I Z-g�
BUILD�TG REVIEW BY: � DATE APPROYED; �1 —��ti �S�,
FEES TO BE CHARGED: Misc. Fees Calculated By:
pERNIIT Yes ✓ No
PLAN REVIEW Yes v- No SEWIIt COrfNECTION
STATE SURCHARGE Yes �.-- No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZON7NG CH�CS LIST Zoning District: R2•1� ..
Fire Department: (�•��-t� Post Office: .v l�1�.�3 School District: O•�r.�.Wa
✓
Lot Area: Sq.ft. /�'�+ GNTn�r�Acres � Width Depth
Survey Submitted: Yes K- No Date of Survey: y S
Proposed Setbacks: �
►
Front(Lake): � Right Side: �S� �
Rear(Street): ?v� Left Side: �l�S�
Adjacent Structures: 7io Wedand: /`f ��
Buildin;Height: Def. Hgt. �,�L Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Sepdc: Staff Approval Date: By:
Zoning File: # Resolution: # Resoludon Date:
Shoreland District:
Avg. Setback: Bluff tback: L.ot Coverage:
� Exist' Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
• r
BUII.DING REY�W CHECB LIST
�C� V' � . CONSTRUCTION TYPE: VN
Sq Footage $Per Sq Ftg
Basement . - . x = .
�, lst F1oor . x � _
2nd Floor x = � �
Gaza�e x =
x -
TOTAL
Estimated Construction Value: $ 9 0 O Q'=�
Inspections Required: Nork Requiring Separate Permits:
Site � Plumbing Fire
Hudcover Removal Mechanical Water Connection
F��B Septic Sewer Connection �
�Fr�S Fireplace Lawn Irrigation �
Insuladon (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
_�F�� Grading/Filling Electrical(State Permit)
Other
REMARKS(1N HOUSE):
REVIEW BY OTAERS: DAT'E:
Access: Eusting New �
Access Approval: Date gy;
RENIARKS (TO BE NOTED ON PER1vII�:
8
I
���
�o
ca�
r
� -•.�Nr,/
�t�'�' �t� �Ro�� �
BUILDIZG P 'y��pLA!V REVIEW
fNSPrCTC�3 ��„_
L?";i'E_ l f •I Z '�j --P;:'?N;I'N�.
.�•"t;,r.-•n�„4_r� �:. ,c�:�-;-r�-� "
r .L. . ��..� :L_ -,i� .cL
❑ AP�PIi`r'�.:''J',:'�'.i1^r.�-.r-.;`n•�I�'I`v����t�C.}"'�'�
, .._.._ ❑ f��J i A;'i'�`iC',v'�:l.) --i�i:�s:=:�'�'�;'c R'c�!;+;.`FIT
..�..._.. Yi7-��::cemin:�r.!s�,.?r:.r yCJ!i,^.i(3f`T!�..3i1. :1ii`.•yCiy S:`�.w�l 4���!6�
_ - ..._. If� 1ui� C'1�ni l;I,cn y�:1h flii �.�.'Cc.L'd F'..1li";fi.7 a-,� i-. ;i� C3�8.
� ,t Ft.� ;r;:: > I ,����:: �. .y..'r: � -,:cY ��I C:�i!�.!'^8:i Ifi�i�.- fcYi�Y/.
�
►cE�� s�,�:��tAN S�T r�^a 5���at A�_L�'iMEs
;
;
f
l
r
i
I
I
i
�.
-- _ ___
_.�,�...�-�"
� "------ ._..__.___.____...._._
� � ,;�—�_
�� � �y� (
.�� � '' '� l
,
� � � ___ ___.__,
�
��- __ _ _ _ ;; , � .
_ � �� � ; _
' � � ,
, �
y _. _.__ . �_ --! � � � � ; �
I r � ; _
i � � �
,
' ' Ii
R j �
M } b �
' � y �
� T__._ : _ . _ .__..__ ► ._ _--_ _.. _ _ ....�._
..__._...... _. ...I � �r - � �
B �� ` 1.-,. _ �
3 � .---- ��---`Y f���!
5 ' r� � �--"-�.'—�-"—�---- �
�
� � Z �
____w_ �
_, � '
.
�__._____..____ � � 9 _ _ a I
�
e , ; __ �
�, . _� _
� _ _ __ __ _____� �
. _ __ _ __ _ __
; � ��
, ,,
�. �
-, ; a _ , j
___ _- .
� _ _ _ _ __.. .
. _, ___�
�
; .
, . _ _ ____ � ,
. ; : -____�___ >>
_ ____
�, � '�,. _...._,�, ---,---- � ���
, F
� ' �
� .�,„�` '� �� . .-_.__.�.�? `
� � I � ! J �
4n ' � � t
. .� '. . �..,� � r 1
, a ��� .,-_'.. - �'....._._.. .._�. .-.._....._.�++�%� { ..
;r
, `'Jf, r ` � ^.�-.-..�...' .� .. _-s..�_..,..�...�_...,.,+,.=w.+++.�.--w�.,....�.- ���.r�..- _ .r....w.n.a�r7t.a .� +`
\ �a ' 1 � �M f� ...���_,...�......_...,._�._._._... �� '`` ,f .
,, _� �`' � y- � ,`-{
N ' �• __._�._.. . _ � � � ';�: ��
- � ; �a_ -=-.---- i, � ___� f � �
� -� �-- � .�._���.� N= �'��
` K, i , ' „�- �r"�-- 7�
, .1�i � - -/,' '� �
� W � � r -
_�
� . .__ -----�..�....�._� �
-�--- �
; �� ��..�.__,.�,...u�----__ _____ _.�- � .�. .. ;
► -- � f fi �-
� - w_ �,, --�-
;
.. __ _ �__� �
-�--.-Q�� F`-�-* ,,,,,_ .�`
_� � � E � �� s` �
- .
.
�
`, ' . 4 . ,�, s
,�.: ,,f- ___ _ _ ,
_ __ -- _ fi tt
t - __._....._.._.. _....._ ..^_._�.__._.--
. �— w
�'�. �. �n
\ n _ __... . . �_ - � �� ��
� �, N_ �
.�-�►. G„� a �, � -
.��. � . �
� �
� � � � �-
! � 4 � 9
_H ° � . —
� � �
� � s
:
.� �: ��
- ��� _
.,; �•.
V'
, �
.--
---fi '
.�._,
� �� ��
, � �
� �` -^``tl
, +
+� C.�
P----
_-�' `'��- � .
. .� ,�
N I
� � .my.��----�y
�
�
� �
� ,,�
. ___==�
�
ij
� ;
�
�
�
� ��
� '
�
i;
��
�;
�� �_ ._______._._._......��-
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT N0. I2 � �� COMPLETED �S
ADDRESS �a L�O �� �"V�
OWNER ���0��'1� CONTR. .�-�-��
TELEPHONE NO.
� DESCRIPTION b� �s� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FIN 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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 MEET YOU:_YES_NO
D COMMENTS:
�
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
� ��
t�j��ORK SATISFACTORY:PROCEED /❑1Ra,OJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr�ctor on site:
inspector.�/,:t,u �
White Copy/lnspector's File Canary Copy/Site Notice
. a,. s �.,.y�, ..., �,•,.;�+��� � - '-'.. 4'� �A`"r *� 4.. ..
•� 4 a..�p - w»g�t nv a+ (� � � �
- � `�' :�.� ._ ry, y."c �t t , �.� �,
`'�`t'...y � K: �i1qS r ` � �'i � r# }}u. �.fr `� S :s �,
4��1.� � �. � r�y �S
�`F,
. s r
,d'
Z �+'�;r
- ,�- W �
L7EVISIONS BY
��-; � T cA Q EsMNr,���Qf.P,t��� eC�P6
�.' Q '_' K � BaLS• I D�3TA�vC'E"f //'��'
��
`- � � v'� � = gouav.r�y , Ni sr?6
� (} � U �"' 'e°�p /
�=` "' X
Q P' _ '� � fd•%w�Nwc�� 6a6
�;;, ,�. � � 1 C/�on9.d e,��f lo���. r- �/`-
, F-' 0 � ^ •
�', � Z � 3 w � � �oa�v F-s�+ • 6,e6
� � � C� � =� � ooc.�o.i9s�o9t �-si-
� w Q � � Z /0 4c�e �ru G,�
� � � � //- -
in ci
� � � u1 � �40.g9A. Agri.
Q � 0 f--
o� B.�t,C,.
�)[�1 ❑ Ci � � 'f' = Parcel �_5-95
°� Q �a�s to,RREcnvns G4C3
m
� `� �o e�s 3-Z�s
,
�339•B4 --- - ----_ _ , —�S 0°28'12' w �84. S � __ _.�
.
74,3.�6 --' 3, �
� ` ;3 'n
I �4 �� !^ �!I
I I � "' �° �
�
I 4 41 0� '1' � ~ O
I � . ,�� q o
i'� c� � � • o
� � �� y U �
� � � �� -- ; Z �
^ �
� W� � h 3 �
�
r�r I 2�` � � °� � •
. o f� N r. -
/ � �1. I 2' � \ ",� � o� � ° �
C 1 ` rv �` � � 0`W ll n* `� � o � �O � � � c�
� � ,� . �^J ; f a� ti ; '� � �c,
� � o � � w CD • �. 3 �n
W I � 2 �vh � „ i
�� 'C •�' I 2 O `O w N d � Z
1 W YJ ^ I � �' �� °,�,�: �p � V = �
o � '�" � ~A �l �v��' � � � ¢
� o `n 3 t � _ ` � F.-
W Q
W � o � ►�.? I/� '� „CJ�:� o'c � , 0. � rv
� � O cA s 4 I I \ � 1 �i tr--S ��'� � � Q
t �v N � I � \` � � k r �W � � �' � �
i �o W
w � � �� � �' W z� ; �- � � •
� �
�t �h � I � W �
�^ o� ���� �, �`� �c � h � �.. � Q .
oh � O ?o� I � C� �y� �!� h 1 �
3s. as Wo � � _ � ,, �� °� o��3 J W a
.�.��.►. 2.---�---� h ^ I � 3 o M m � �hc� � O
°�o �cD � W � �( � p� � i. 7` W `o p : T Q
W� 'v�o ��U' � I • �b �3A � $ ;� ~ ��v.',, i m
o� ^�° � �02 � I �� �qkko3��'�► - - �t� `L,�^� ° �V: � E-_-
Q h � .� I ��-,_� �,3 � 1 R�Gi+r v i wAr �5 z o.
�� 1, � �0�� ( /'l \ ,�� � ¢ � MOniu,HEN7fD �P�\ � ^ �6� Q O
1 ♦ � t� �• l� V
�,\0 , , �j-. 1 ,k,�(�, ,- I � , c�'',, �� �o� � �
BARN b�oi�ti ,�i�- -�� '1•�p11 I ( ��Ni°9736`E Np°39�0/�E N/°/,%fl'Yv,• wv..q�d
a� S�Ay `�5 � � hA9 �� � � �o9.3z - , �9�.3� _ _ �, +�73•bZ� v M o
� � �� ��o , , '�� I , �4 0� - --i+== - - --r _! ��' .-
11r3 ?O� �J ��'_�_ �_'. �_ • _ _ �
�
—��—
� � , �-- r —t ,
- 256.99 ' � �:, - �� �� . _. - ---- .4 --�— _
,,¢2_'E, Q - � , �` �� ' 83S 8
����� ' " � �'' ��ti�:• '1 � T2.�5 NO°46'j4'"E AS
SH�S �J �0� �l� �3 �i9� N0�074?��E �y0
•� ,,� frb� ��'9 �� '1�o k1 �o P9' �
� ° � ,; o� Q,���3k �c,�1 ti° � :�-
\ � oJ� a`.��� L .ef� ` r
' A �O �'���j p'� ti`�' 8 M � �
� Q-3.Rb� � �
�� �
� P � 1 .�
w °� �g .. � � ti
�h �j��/ ��' n �� v i T '�) �" ��ti3
�� � ��� 1
� � � �:
�� � �_ -� `_ � `�
/ `_�_..
<�
�/
�
.
a
� ac
0
v
W
. C�
. C�
. �
�- O
� N