HomeMy WebLinkAbout1994-006306 - detached garage PERMIT
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CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: `{`f= ''-F M
Orono, Minnesota 55356-0815
(612) 473-7357 Date Issued: i •;t; 1 ='s
VISITE ADDRESS:
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DESCRIPTION:
DETACHED GARAGE
tBui idinq Permit. Type ACC/GARAGES
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REMARKS: 111181/0115/94?°
::EE=t"E ,-€'E PERM TT REGI rTR D FOR Ei EC:TR1C:AL .
FEE SUMMARY:
CONTRACTOR: OWNER: — Applicant. —
L.A TFC JOHN
N
t•O GO Rea
4`71-81=rte
E`.UiVbEi I GNED � '� vES1$� PERM I SS ON '�D .,.I�Ri4.E
A T/PE MITEE SIGNATURE ISSUED BY:SIGNATURE
•W +4
CITY OF ORONO_ - BTULDING PERMIT APPLICATION
Total Fee: /p0� Date Received:
Date Approved:
Entered By: Permit:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: PZIP:
(work)
y G/7/r—
�1 7
NAME OF OWNER: ' V� � PHONE: (home)
=SAILING ADDRESS: ,�'� 1 "L r, ��n V. CITY: ��d ZIP:
CONTRACTOR: �75D�\ 1 ✓'�C�� PHONE:
MAILING ADDRESS: CITY: ZIP:
aTATE LICENSE: #
.ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
,'YPE OF WORK: New Addition Accessory Structure Move
Demo Rem del/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : F2,
Q,,(� � i/Q
STORIES:_ SQ. FEET OF EACH FLOOR: 73 -(-
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) :
I hereby apply for a building permit and I acknowledge that the information
obove is complete and accurate; that the work will 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
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
/ _T
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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 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 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 review private
data on yourself.
6. Your full name is required to process this application or
permit.
�-�� t
First Middle Last
.-2) '+
Address �(
U O''V\ t% t L ilk 317
City State Zip
"-1-7 L X17
Phone
I understand my rights as stated a .
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
'h
513.04 RIGHZS OF SUBJEM 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. An.individual asked to
Subd. 2. Information required
to be gien individual
v
sbe informed of: (a) the
ir 1 private or confidential data concerning t8mwithin telf he collecting state agency,
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purpose and intended use of the requested (b) whether he may refuse or is legally
political subdivision, or statewide system;
the requested data; (c) any known consequence arising from his
required to supply private or confidential data; and (d) the identity of
supplying or refusing to supply P state or federal law to receive the data. This-
other persons or entities authorized by p investigative data,
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re wired under this
subdivision in the individual income tax or ro ert tax re and instructions instead o
Subd. 3. Access to data by
individuaL Upon request to a responsible
subject of
d data on
authority, an individual shall be informed s public,Pr vateis eor confidential.e Upon his
individuals, and whether it is classified asp public data on
harge to him and, if he desires, shall
further request, an individual who is the subject of stored private or
individuals shall be shown the data withoutof hat data. After an individual has been
6e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, pursuant to this section is
him for six months thereafter unless a dispute or action p
private or public data upon request by
ending i additional data on the individual has been collected or created. e
P provide copies of P require the
responsible authority shall pThe compiling the
the individual subject of the ata•actual cos of making, certifying,'and may
g
requesting person to pay th
copies. possible, with any request
The responsible authority shall comply immediately, if of the
made pursuant to this subdivision, or within
ldfii a days of t e datcompliance request,
not
excluding Saturdays, Sundays and legal holidays, with the
possible. If he cannot comply with the request within that time, he shall so inform the
p and may have an additional five days within which to comply
individual, and legal holidays•
request, excluding Saturdays, Sundays g
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness of public or private data concerning
himself. To
hor
onsible aut
exercise this right, an individual shall notify bletauthorhe ty shall within 130
describing the nature of the disagreement. The Po incomplete and attempt to
days either: (a) correct the data found to be inaccurate or incomQed by
notify past recipients of inaccurate or incompleteedata
rda a, including recipients
s nam
correct
the individual; or (b) notify the individual thatBement is
Data in dispute shall be disclosed only if the individual's statement of disagreement
included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
e
ADDRESS OR LEGAL: 3'72S -TV6 O f20Prp PID:
DESCRIPTION OF WORK:- Q E-FAC- f(LO Ghf-`t Ge
------------------- ---- ------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: -� Y
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes --' No
PLAN REVIEW Yes G--**�No SEWER CONNECTION
STATE SURCHARGE Yesy No WATER CONNECTION
INVESTIGATION FEE Yes No-(C PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: LIZ-1L-
Fire Department:(/1A,Pv.-,J Post Office: W!"24r;4- School District: g710,yX-4-4-
Lot Area: S34 3 c y S _ Width: Z`'(If Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake) : Right Side:
Rear (Street) : Left Side:
P0- �1�5
Adjacent Structures : Wetland:
Building Height: Def. Hgt. CPPeak Hgt. V , /c--
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500
500-1000
Hardcover Varia ce Requi\te
es o Dat of Council pproval:
Grading: Staff pproval By: Council Appr val Date:
Septic: Staff A proval DBy:
Zoning File: # ti n # : Resolution D te:
REMARKS (in hou e) :
BUILDING REVIEW CHECK LIST
AA
1n t
UBC: 9-?j — I CONSTRUCTION TYPE: \j
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ ���S•Y
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
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REMARKS (IN HOUSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT) :
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CITY OF ORONO
--- --^- - - -- K SITE PLAN - GRADING PLAN
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DATE TIME
CITY OF ORONO CALLED IN —�Y
INSPECTION NOTICE 60 SCHEDULED
PERMIT NO. 3 COMPLETED
ADDRESS 3,70'Z S ,Ed'
OWNER CONTR.
TELEPHONE NO. Z
DESCRIPTION
01 FOO 11 OECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 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 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LQI 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
Zt 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES'S NO
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WORK SATISFACTORY:PROCEED a PROJECT COMPLETE
oc
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
C. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont ite:
Inspector.
White Copylinspector's File Canary Copy/Site Notice
07 4 TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC SCHEDULED
PERMIT N0. 6 COMPLETED _
ADDRESS
OWNER CONTR. �
TELEPHONE NO. '7 p1- d l'15
DESCRIPTION _Z�.
01 FOOTING 1 ECHANIC RI 18 EXCAV/GRADING/FILLING
H FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
tQ 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
cc
J
O
cc
O
LL
W
QC
Q
Z
W
W
CC
O
W WORK SATISFACTORY:PROCEED 7 PROJECT COMPLETE
c ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
C1STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inpection 24 hours in advance.473-7357
Owner/Contractor sit
Inspector.
White Copyllnspector's File Canary Copy/Site Notice