HomeMy WebLinkAbout1993-005519 - garage addition . . PEI�MIT
;
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ��l���--�'���'��-"�
Orono, Minnesota 55356-0815 Date Issued: ''ytf.�r�.�}
(612) 473-7357 i)'z!_-':;�,=�:_: !�
SlTE ADDRESS:
DESCRIPTION:
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REMARKS: _
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FEE SUMMARY:
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CONTRACTOR: _ �:3�,�,Z ����f�, _ OWNER:
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APPLICANT/ TEE SIGNATURE ISSUED BY:SIGNATURE
.
. �
� � CITY OF ORONO - BOILDING PERMIT APPLICATION
Total Fee: $ ij�(�. �-S Date Received: //C�' �
, Date Approved:
Entered By: �j�
Permit#: �'rj-/ %
AT•T• INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BS STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: 6 S— /V ST v� bj ,d'c. /1' o a aL ZIP:
Ss.�s6
Lm�y [.likc
(work) �
NAME OF OWNER: D�Lk 'f- A,-n t(a frr'oe pe.� PHONE: (home) �176- 6/16
1KAILING ADDRESS: 6� rc� s��6�s r�uX �d cz�: Lo�S ��c zzp: s s.��6
CONTRACTOR: J`/e dp� t r/r+ F�r�✓ �a n fr PHONE:
MAII,ING ADDRESS: 7 O`j' t�TlT 4 ('f.� /s.r d CITY: `a�� �o�Q Z IP: SS.?.1'�
STATS LICENSB: # �O O '7,5�6�
ARCHITECT/ENGINEER: pH��=
MAILING ADDRBSS: CITY: ZIP:
NAML: REGISTRATION #
G�.vf<..
TYPE OF WORR: New Addition� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ao�� ly�c 10� STaI/ � /1 e��-
� ,
c F e xr s r �n9-__�Q•-� 5�C -
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BBDROOMS: GARAGE STAI�LS: ATT. DET:�'��_
ESTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ ,5�6 �"�
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 SIGNATORS: f� ( / "'�"""- �_�_ DATS: f�' /o - �T
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`
- C ITY of ORONO
Post Office Box 66•Ctystal 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 reques� 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 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 Iicense.
3. The information may be shared with other local, s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or license requires Council act�on
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
permit.
G�`h �/1 d/Aaf /�/o���'int '�s�l'
First Middle Last
7oq �-r7"�k� h�.Q�Iari d �h
Address
L v.,� (�li.� t�in ss"3r6
City State Zip
u�11- �l 7.�- �/ o� �
Phone
I understand my rights as stated above.
���-`-, �
Signature �� �
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
—--- ----- -----_ _._ _ . �
�.p,4 RIGHT'S OF SIIB�7ECTS OF DATA �
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section. •viduel asked to
� Subd. 2. Information reqnired to be given indivifi�al- An.indi
� ' su 1 private or confidentiel data concerning �mWithin the collecti g state ageney,
PP Y
purpose and intended use of the req em�d �b) whether he may refuse or is lege]lY
political subdivision, or statewide sys ��� �y �own consequence arising from his
required to suQply ihe requested dat8;
supplying or refusing to supply private or confidentiel date; end (d) the identity o
other persons or entities authorized by state or�e�ke lto s pplyein est gat ve da a
requirement shall not apply when an individual
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue ma lg�t tgX re�und mstructio insteadhos
subdivision in the individuel income tax or r• er
on those orms. . - �---- - -- " .
Subd. 3.
Access to �ata by in�vidu�l• Upon request to a responsible
authority, an individusl shall be informed whether h r�ateeor eonfideni el.e UPon �
individusls, and whether it is classified as public, p ublic datn on
e to him and, if he desires, shall
turther request, an individuel who is the subject of stored private or��u� � been
indiviauels shall be shown the data witho of�hat da a. After an indi
�e informed of the content and meaning t� �ta nesd not be disclosed to
shown the private date and informed of its u���8ction pursuant to this section is
him for six months thereafter unless e �SP n request by
� ending or additionel data on Lhe individual h�a eeor public datarupoeated. The
� P rovide copies of th p require the
responsible authority shall p The res onsible authority�a compiling the
the individual subjeet oftrie actual costs of malcing, certifying,
requesting person to pay -
eopies. ssible with any request
The responsible authority shall comply immediatelY, if po ,
made pursuant to this subdivision, or withinl�e �f Simmediateatcompliance eisu not
excluding Saturdays, Sundays and legal ho ys�
ossible. If he cannot comply with the request �thin�i��ntW�ch tohcomPlY with the
P and may have en additional five ys
individuel, S��� �d legal holidays.
request, excluding Saturdays,
Subd. 4. Proced�e when data is not ac��te or complete. An individual maY
° himself. To
contest the accuracy or completeness�of public or private da the�nresp g
in writing onsible authority
exercise this right, an ind�v�du81 s� notify �ible authoritq shall within 30
describing the nature of the disagreemen� T'r►e resp°
days either: (a) correct the data found to be inae a�ae���ng Pee�ipl��nameat by
notify past recipients of ineccurate or incomp
the individuel; or (b) notify the individuel lnd�v ausl'slstatementof disagreement is
Data in dispute shall be disclosed only if the
• included with the disclosed data• � 8ppeeled pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
, t
.' • CHECR OFF LIST FOR ISSDANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �� �i.�,�-� �.��c;� ��',� �� PID: �� '/l� �- `� 3 �tf C�00�
DESCRI PTI ON OF WORR: �f�,� �-���
--------------------- ---------' --- --------------_---------------------------
ZONING REVIEW BY: (��,,,� �y�_� DATE APPROVED '� /6 -`�i �
-�
BDILDING REVIEW BY:� ' - DATE APPROVED: � -16 �y�
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMI T Ye s �� No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes (i� No WATER CONNECTION
INVESTIGATION FEE Yes No C� PARK FEE
SAC Yes No �l� SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: L/L � (��
Fire Department• ' � Po �/ O f ' c s �� �ooJ. District:
Lot Area : � Wid _...-De�
Survey Submitted: Yes_� No Date of Survey: 6 -/- 7F�
Proposed Setbacks:
Front (La�ce) : �v(,� Right Side: h/�
Rear (S�-�ee�) : �5`� f �' Lef t Side: �/O `-� �
Adjacent Structures: S"D� Wetland: ti��,�-
Bui].ding Height: Def. Hgt. � • (� Peak Hgt.
�
Avg. Setback: Lot Cove�age:
� Existing Propos�d �
�
�I \
Hardcover: 0-75 ' �i
�
75-250 ' �� `;� �;
250-500 ' i �
� ,� �
�
500-1000 ' � ,� � ;
Hardcover Varianc� Requi�ed: Yes No_� Date of Council Approval:
i ._-------- �.
Grading: Staff Ap�roval. D`�te: By: Council App ova� Date:
� �
Septic: Staff App�ovaJ. Dat�: _ By:
� � i
Zoning File: # Re'solution # : Resolution�IDate:
REMARRS (in house� :
, —
f
; �
! �
BDILDING REVIEW CHECR LIST , �
IIBC: � I� ` � CONSTRDCTION TYP$: �V-LL'-
Sq Footage $ Per Sq Ftg
Basement x � _
lst F�oor x =
2nd Floor x =
Garage x =
x =
TOTAL
Esti_mated Construction Value: $ S (�j�
Inspections Required: Work Requiring Separate Permits:
Site PJ�umbing Grading/Fil.�ing
�Footing Mechanical. Fire
Framing Septic Water Connection
Insu�ation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
Electrica� (State Permit)
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�_7?NIARKS (IN HOIISE) :
--------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARRS (TO BE NOTEU ON PERMIT) :
,�;-� � �
.. - �� �� n r '�
�i�o V ��
�-. . !1
. . _ _ . 5 s� ��
.. � . �: -•:�` Plat of Surti'ey -" �
� _ .., �•...:. .•-.
- ' , � for 2�`�ar�oria D. ?ierbruck �{-g���
r ` -'"..� :- � � . i_� the Soutruest 1�4 of Section 32-118-23 .
� _-_ I , i" � .
" �� ��, � • � �q ��3t .
' ', � '^ � o{ CFnIFrIinP ✓��c9� '� $ ���� i��� i1►��•1
�� nr-p roxlm P .� � �Dl�7)
� ef/rcvo/ o{!t/�{vrfawr� RoQd'' �
°.'.. .. -_. �^�vi .� \ ��`����t����
. . i � \ � i
' II 4�, �� .._......�
. . . �:;r,.p,78, j\ � ,
•�.��.+Jd.P4� . N � Ectf�nt o -rj4�� �eTY 0 F 0 R01�0
•�..� e`.St'C�%Ci7 '�•//B•i3•1
� ,
�'�L � �����`� r�f..AN GRADING PLAN
;` �'r6>e � t
o �.s�� .: y� , �")
� ", . . � ;) WITH RE��`l�O��S�
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' v�SY�;.�'. c}�.�aciion:2•!!8•13 ho''��} � 0
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Certificate of Survey: �
,,.I hereb3T certLfy that this is a trve an3 correct reprzse:�t•r.tion o?' a sur,ey Gr trle bcun-
daries'of thet ;.:rt of the Southuest.o�iarter of Section j2, To�;�snip il8 I�iorth, P.�r.be 23
k'zst of ��the 5t-'� �'incipal 2�rinian� described as follovs: �e�i�n�n6 �t a point on tne ;ast �
line of said Sout.h�.rest quarter. distznt. 264 .feet North fr�m the Southesst r.orner of said
Sout�vest quarter; thence Sdest parslle3, uith the Soiit}i li::e of said Southwest cuarter a dis-
tance �of 1,b2.�9 feet; thence North p:rallel xith thg Fzst line o: said SouLhvest ou:rter a
dis�nce of 350.18 feet; the^ce deflecting ribht 11�°�5' to �ai.a. �saG line; thence Sovth to
tha point of te�nning, EXC�PT the Northerlp 10 feet thereof, and the loc�tion of �11 exist- .
�g buildings t5ereoa. ' It does not purpo=t to show o�':er i�norove;x:nts or encroQchmnts.
; �
Scalet 1� = 100' �
I3at�a i b-1-78 Gordon R. C�offin P.ag. No. 6064
• t Iron �'�er found . . . ` ?�nd Surveyor and Planner
o . Iron z�sker set , %� � Lono �ke, D':innesots
,�Ci��i�' l✓Y-� .�'J"u�i/.iN J�g'1�
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DATE TIME
CITY OF ORONO CALLED IN D�.�'��j
INSPECTION NOTICE SCHEDULED /</�i %3 %/ �C�Z�
PERMIT NO. '`�=��� C LETED _i j� �--
7
ADDRESS ' � ' �-�'.
� �
OWNER NTR. �/0.7� � �...
TELEPHONE NO. �`�-`�`� -��C�
� DESCRIPTION. ��'��..Oi,��,- �z ��2_.�.�-r.,tJ
�
� 01 FOOTING 11 MECHANICAL RI � 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 IAKESHORFJWETLANDS
O
Z 04 WQ�L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
� OS F�L 13 METER SET(fURN QN 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP O6 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 MEET YOU:_YES_NO
� COMMENTS:
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W� �WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINBPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. J pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr or n site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
DATE ? TIME
CITY OF ORONO CALLED IN `�+�-� �J
INSPECTION NOTICE � SCHEDULED � - �-3 �% ct
PERMIT NO. �S�/ � COMPLETED r` � '
ADDRESS �S �I ;�L��z-�-L ��-L���
OWNER�'`��i-c�� CONTR. ��t��i���
TELEPHONE NO. � 7S' /��3
� DESCRIPTION
�
� 01 F069'tNG�, 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
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 06 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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W� ORK SATISFACTORY:PROCEED �� PROJECT COMPLETE
W CORRECT WORK&PROCEED i-' ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr o n site:
Inspector.
White Copyllnsp tor's File Canary Copy/Site Notice
. • . , . ,
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