HomeMy WebLinkAbout1991-003986 - double attach garage � PERMIT
� �ITY OF ORONO ,
PERMIT TYPE: E:t�I��IPa�
i 335 Brown Rd. South • P.O. Box 66 Permit Number: 11!f-��a�;��_
Crystal Bay, Minnesota 55323 Date Issued: ��i''-������
(612) 473-7357
SITE ADDRESS: �.�i� :_;.�ia���:`. ��.� �;� ��
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REMARKS:
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FEE SUMMARY: ,�Ht �F��_��`_+� : .: i
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P ANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �p��
- -�
't C�C:� OFFFOR50FF�C�IL'SII ONCLEYOF Pffi2�iITS
ADDRESS OR LEG�L: r U � � PID: ��-//�- �3 /3 De�p,�.
DESCRIPTION OF WORR: � � '
-------,�- --------------------------_ ------c�-----------
--------------- �i DATE APPROVED IC� 3- �i
ZONING REVIEW BY:�� ��=�-�-
BIIII�DING REVIEW BY: •-�,�CJ C �"v�� _ DATE APPROVED: 1� � ' `� (
-----------------------�--------------------------------------------------
FEES TO BE CHARG�� Misc. r^ees Ca.Iculated By:
pERMIT Yes ✓ No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SIIRCHARGE Yes � Na WATER CONNECTION
INVESTIGATION FEE Yes No� PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SaC Units OTHER (specify)
--------------------------------------------
ZONING C�CI� LIST Zon�g District:
Fire De�artment- os Of"�ce: Scizool District:
Lot Area: id . Depth:
Survey Submit�ed: Yes� No Date of Survey: 5 w -`�1
Proposed Setbacks :
Front (�aac�-? : IOy � � Riant Side : /✓�/�
Rear ( St�e�t ) : I I 2 •5� Left Side: I�1I. l
Adjacent Structures : /�-���-�Eo Wet?and: /U�i4
�uilding �e�ght: Def. figt. /3� Peak �gt. /� �
Avg. Setback: /V�f}- Lot Coverage: /U�/�
Existing Proposed
Hardcover: 0-75 ' �
75-250 '
250-500 ' fI
I
500-I000 ' I
Hardcover Variance Re ired Yes o D te pf Council Approval:
` ` � � ouncil A proval Date:
Grading: Staff Appro al Dat :_�;',_,�_ BY��_ � P-
� i ' ' "��
Septic: Staff Appro�'ia1 Date: � �`� BY��
p' `
Zoning File•� � Res ,l�ition���x: �� Resolution Date:
Rffi�iARKS (ia house� . ,'`' ,^ ��; , �
" _ � ..�_�' .._ . .� _�r"�. ' � _ C 4
.�
BIIII.DING REVIEW CHF:CX LIST '
�C: g� m. , CONSTRIICTION TYPE: �
Sq Footage $ �er Sq Ftg
3ase�:e.^.t x —
lst Floor X
2nd Floor X -
Garage x � _ �� � — x /S•�3 _ /�, 633 �"
x
TOTaL
Sstimated Construction Value: $ in 6C�Oo�
Work Reqniring Separate Permi.ts:
Iaspections Required: pl�bin Grading/Filling
Site g
Mechanical Fire
Footing Water Connection
� Septic
_raming Sewer Connection
Firealace
I.^.sulaticn (Masonry) Other
Wall Board �M fg. � Well ( State Pe�nit
�Final o( Electrical (State Permit)
---Othe'-"----------------------------------------------------------------------•
ggMl�ggS (IN HOIISE) :
-------------------------------------
?L,FVIEW BY OTHERS: DATE:
Access : Exis�inQ New
-----�ccess_Approval---Dat-------------------�V--------------------------------
RRMARKS (TO B$ NOT� ON PERMIT) :
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„ � CITY OF ORONO -- BIIILDING PERMIT APPLICATION
Total Fee: $ J .3 � , � � Date Received: 9” o? �� �/�
p . ./ Date Approved:
Entered By: /t�L
Permit#: ��O �
ALL INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PLAN RRVI�W i�IILL B$ STARTED
(See Check-off List Enclosed)
-------------------------------- ------------------------------
--__-,----�---------
THE APPLICANT IS: (circle one ) �OWNER s�r CONTRACTOR
. � f ���_ _ -+� ��
JOB S ZTE ADDRSSS: :? ��_,`� ";.-`-i�,=�'''� 'i� ��.i •, ;��'� ��'� Z IP: �,',� � /-
�
(WOL'�C) r•i+ : � . �--,
"� .� �
NAME OF OWNER: �r11 � �.���1j F- �.��Y1�1� /.f= {� PHONE: (home ) . ;�:�° ._ ''•-,.�--
MAILING ADDRESS: -=; �!;' i � i r ^ '� /! -r �� CITY' ! > �, e ' ZIP: `�i '��+ �G
��._.�.r,� �� -�
:� • � }
CONTRACTOR: � '', i" � �� �� ^ " r � " r^;�1.� PHONE: � � �%�L
/ , :�.�-� ��� r.'�,�.:� �.,ns:���� � I II ��'.� /
MAILING ADDRESS: ��I I�IG'//'� ��/�L'�..�� ������ CITY:�� • �A,f ZIP: ��� ; �
TYPE OF WORR: New Addition�` Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ���� �-7�� � ��„��,E
STORIES:�_ SQ. FEET OF EACH FLOOR:JG�1C t� �' b�c� ,a� ,�' . _
,� ��=
NO. OF BSDROOMS: � GARAGE STALLS: ATT. .� DET. ,
BSTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ � , (� i,/j'�j,�/'�j/l�(�lJ`yl����C(�
�lr�- 9�'�U���2�� �
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work wi 11 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�ith the approved plan.
R
APPLICANT'S SIGNA � -ll '� ,�'�n �/� DATE: � /�' l/
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S�34J�>. V �,.y4tt�-�s�l
' ,..,, Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
;�;�;����;u��^�
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� ' - a � � �' On tlze North Sicore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
license f rom the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. 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 Iocal , state or
federal agencies to the extent necessary to process the permit ar
Iicense.
4. If your requested permit or Iicense requires Council act�or.
to approve, some information may become public.
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�
� ��� ��� ������2
� �� �
First Middle Last .
� 3 t� �`�' s n �r /il,
Address
l/�l�/r ����� �S.3S�
City State Zip
��� � ����
Phone
I unde and my, rights as stated above.
//
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BUILD[NG&ZON[NG—473-7357 • ADMINISTRATIOIV&.FINANCE —473-7358 • PUBLIC WORKS—473-7359
ASSESSING
.'
•,
�.p,4 RIGHTS OF SIIBJEC'15 OF DATA
gubdivision L Type of data- The rights acftion.viduaLs on whom the data is
stored or to be stored sha11 be as set forth in thzs se
Subd. 2. Information required
to be given in�i��' An.individuel asked to
(a the
� ' su ply private or confidentiel data concera a BmWi�in the collecting state agency,
puprpose and intended use of the req tem; (b) whether he may refuse or is legally
political subciivision, or statewide sys �o� consequence arising from his
1 the requested dats; (�) �Y �d (d) the identity of
required to supp y 1 rivate or confidentiel data;
supplying or refusing to supp y P
other ersons or entities authorized by state or�e�kedlto supplyeinVest g�ve da a
p 1 when an indrvidual
requirement shall not app y to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und mstructions instead o
on those orms. . --- - � .
Ac� � �� � �����, Upon request to a responsible
Subd. 3.
authority, an individuel shall be informed wh ub�c h r vateeor confident al.e IIPen his
individusls; and Wt►�ther it is clsssified as p + P ublic data on
further request, an individuel who is the subject ef st to �mrl�� if he desires, shsll
individuals shall be shown the data witho of�hat dat�a. After an individusl has been
�e informed of the content snd meaning t� �� need not be �isclosed to
shown the private date and inf ormed of its ut��eC�on purs�t to this sectio T�e
him for six months thereafter unless a disP
ending or additienel datg on the individuh h�g e�or public dataruponarequest by
� p require the
responsible authority shall provide coples o P o�ible authority may
the individusl subject of the data. The �P ��rtifying, and compiling the
requesting person to pay the actusl costs of making,
copies. 1 immediately, ii possible, with any request
The responsible authority sha]1 comp y of the date of the request,
made pursuant to this subdivisi�d le �th lidays,�f�immediate compliance is not ,
excluding Saturdays, SundaYs �
ossible. If he cannot comply with the request within that time, he shall so inf�orth the
P heve en additionel five daYS Within which to comply
individuel, and m S turdays, Sundays and legal holidays.
request, exeluding
when data is not accurate or complete. An individuel maY
. Subd. 4. P�� ublic or private data concerning himSel�• To
contest the accuracy or completeness�of p ln �t� �e ���ible authority
exercise this right, e�n indi�� g� notify �ible suthority shall within 30
describing the nature of the disagreemeaL The respe lete and attempt to
days either: (a) correct i�c�ivate oraincomple e datae�n��ng�ecipients named by
notify past recipients of
the individuel; or (b) notify the individuel i������tatementof8dis��'eement is
Data in dispute shall be disclosed only if
• included with the disclosed data• � apPeaied pursuant to the
' The determination of the responsible authority to contested csses.
provisions of the administrative procedure act relating .
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DATE TIME
CITY OF ORONO CALLED IN O 9�
INSPECTION NOTICE SCHEDULED ia/�/�'� _`�
PERMIT NO. ad 3 9�6 COMPLETED
ADDRESS . ��
OWNER � � � NTR. '
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� 01 FOOTIN 11 MECHANICAL 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 2M25 WO00 BURNER/FIREPIACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOYERING PERMANENT
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INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra e:
inspector:
VYhita CopyAnspsclors Is Canery CopylSNa Notke
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 'jg��o PLETED - /D.'dD
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OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q RAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PFiOGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECO'VERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARFiANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor site:
Inspector: ��`
White CopyA o�'s Flls Canary CapylSite Notkx
� DATE TIME
CITY OF ORONO CALLED IN 9i
INSPECTION NOTI E SCHEDUIED //��/9/ /D:3 0
PERMIT NO. G COMPL ED �►C rr -
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� DESCRIPTION ��`ie� �-�--��.�•��
� 01 FOOTING 11 MECHAN LRI U 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGFiADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMONAL
FINA 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 1 BING FINAL 23 SEP.T�IC iNAL
2 OWNE NTRACTOR TO MEET YOU:�YES_NO
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V BEFORECQI/ERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑GTATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Ovmer/Contract e:
inspector:
Whke CapyAnspsctw's k Canary CopylSite Notice