HomeMy WebLinkAbout1994-006450 - detached garage PERMIT
CITY OF ORONO PERMIT TYPE: F-: T�j
27'51) Kelley Parkway- P.O. Box 66 Permit Number"
OrystaJ Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: ff
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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THE UNDERSWANED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS'
'SPEC IFIflD AND AGREES TO DO ALL WORK IN STRICT COQ IPLIANCE VITH ALL CITY Of',
'fit NC:f� STATE OF, MINNESOTA BUILDING CODE REQUIREkENTS4 .
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10,APPLIANTARMITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $
/ • �� Date Received: d?/.Lfl��
Date Approved: 9 ' (q ' `?
Entered By: * r
Permit#: G>`f5y
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: ZIP: 575 3 5 I q
(work)
NAME OF OWNER: ` PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR:
ojAL�i�M .�caw Wl 1 I e PHONE: 14-74- 4 1(G�.,
n
MAILING ADDRESS: �S �G'� 2 CITY. ZIP:
STATE LICENSE: $ j5 O/
ARCHITECT/ENGINEER: S PHONE: 12A -C44r
r
MAILING ADDRESS:. 2k CITY: 1" U'Llj� ZIP: 155
Nor: 1-� SP&jCQL REGISTRATION #
TYPE OF WORK: New Addition Accessory StructurA—eration Move
Demo Remodel/Alteration Renovate Land
PROPOSED WORK (describe in detail) :T115 N N-Aj ��:= '' 6fty
SLI I(,D N-ri� Srto I C)
STORIES: SQ. FEET OF EACH FLOOR: � 5-7t,
Z' S
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <30Dew. 0 D
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
understand this is not a permit and work is not to start without a permit; a-
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE DATE:cl(
i
APIL '41
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.
�'k. �t'LJOR-
First Middle Last
Address _
City State Zip
k-714-4-k(�
Phone
I and st d r' s as stated above.
Sign ur
BUILDING do ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGHTS OF SUB=CTS OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shell be as set forth in this section. individual asked to
Subd. 2. information required
to be given individuaL An.indi
1 private or confidbe informed of: (a) the
ential data concernindg data witelf hin the collecting state agency,
supply P requested
purpose and intended use of the reg tem; (b) whether he may refuse or is legally
political subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (c) �Y and (d) the identity of
supplying or refusing to supply private or confidential data;
other arsons or entities authorized by state or federal law to receive the data. This
° p1 when an individual is asked to supply investigative data,
requirement shall not apply
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
der
the 9'',111111111111
The commissioner of revenue ma la rt tax re and instructionsuinsteadhos
subdivision in the individual income tax or r� e
on those orms. - -
Subd. 3.
Acc� to data by individuaL Upon request to a responsible
authority, an d data on
individual shall be informed whether b c hpr vateis eor confidential.ct of Upon Upon his
individuals, and whether it is classified asp + public data on
e to him and, if he desires, shall
further request, an individual who is the subject of stored private orhas been
charg
individuals shall be shown the data withoutgof that data. After an individual
Be 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 data upon request he
pending or additional data on the individual has been
eeor public d or created.req. The
P g provide copies of the p require the
by
responsible authority shall p din the
The responsible authority may
the individual subject
of
he ache tual costs of making, certifying, and compiling
requesting person to pay
if possible,copies. y with any request
The responsible authority shall comply immediatel ,
made pursuant to this subdivision, or within five days of the date of the request,
P holidays, if immediate compliance is not
excluding Saturdays, Sundays and legal with the
possible. If he cannot comply with the request within that time, he shall so inform the
P have an additional five days within which to comply
individual, and may
request, excluding Saturdays, Sundays and legal holidays.
to or complete. An individual TnaY
Subd. 4. Procedure when data is not accura concerning himself. To
contest the accuracy or completeness of public or private data co
writing the responsible authority
in wr
exercise this right, an individual shall notify itingauthority shall within 30
describing the nature of the disagreement. The responsible to
da either: (a) correct the data found to be inaccurate i°�udingPee�ipients attempt
by
Ys
notify past recipients of inaccurate or incomplete ,
the individual; or (b) notify the individual that he individual's statementeves the of disagreement is
d the indiv
Data in dispute shall be disclosed only ' pursuant to the
included with the disclosed data. be appealed p
' The determination of the responsible authority to may
cases•
provisions of the administrative procedure act relating
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 Z-O 'T-u 2N PID:
DESCRIPTION OF WORK: ne._ &AoA off
1J-----------------------------------_---------------
-------------------- -
ZONING REVIEW BY: DATE APPROVED: 9-
BIIILDING REVIEW BY: DATE APPROVED: to, -C14
-------------------
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 NoSG PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District 9A-1A
Fire Department:__fm�plr P44mf
Post Office: M,,-' School District: 0461VO
Lot Area: ! 3}5S Z'�d Width:-- 3S/ Depth: z S2.
Survey Submitted: Yes/ No Date of Survey:
Proposed Setbacks:
Front (Lake) : ( �3•? Right Side:
Rear (Street) : Zpv' f Left Side: 190 14-
Adjacent
4-Adjacent Structures: 5�� 'r Wetland: N
Building Height: Def. Hgt. 23 Peak Hgt. 23 S
Avg. Setback: A L t Co erage:
E isting Pro osed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 / — 1,
Hardcover Vari nce Requir d: Ye::;o Date of Council Approval:
Grading: Staf Approval D te: BYT— Council Approval Date:
Septic: Staf Approval Dat By:
Zoning File # R solutio #: Res lution Date:
REMARKS U house) :
� I
BUILDING REVIEW CHECK LIST
UBC: `L-3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x _
Garage x -
x
TOTAL
Estimated Construction Value:
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
1 Footing Mechanical Fire
Septic Water Connection
_Framing
NInsulation Fireplace Sewer Connection
.4Wall Board (Masonry) Lawn Irrigation
p�Fina l (Mf g.) Other
Other Well (State Permit)
�CElectrical (State Permit)
---------------------------------------
REMARKS (IN HOUSE) :
-----------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------
__
REMARKS (TO BE NOTED ON PERMIT) : . U P P-c—qu ema /N
c v A-?1 0^1 C.1 GQN 1 ��/Lt� •w O P�121�"r� ����nP�S
�'/ior►� /Lo -- �� 0vedE ���2G �.r4C.�S A,5•/l.P
DATE TIME
CITY OF ORONO CALLED IN 30
INSPECTION NOTICE!„(�� SCHEDULED
PERMIT NO. 44'' COMPLETED h "�
ADDRESS 2147&g/%� 20 owj
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
,:E 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
R COMMENTS:
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2
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
WL CORRECT WORK 8 PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r 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
Owner/Contractte•
Inspector. gr
White Copylinspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 12,1-9-Sy
PERMIT NO.- _2' COMPLETED I 7--t-57
ADDRESS 3?-,CP -ru a'^j"-
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q &NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UO D6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
U0 COMMENTS:
CC
W
Q.
cc
J
O
O
LL
W
CC
Q
2
W
z
W
cc
Z)
0 ,w ORK SATISFACTORY:PROCEED
PROJECT COMPLETE
CC
W El CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 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
Owner/Contract n s'
Inspector.
White C yllnspector's File Canary Copy/Site Notice
563571
Certificate of Survey
for Brian Kipfer & Greg Sargent
of Lots 1 and 2. , Block 1 , CHIPPEWA THIRD ADDITION
Hennepin County, Minnesota
589'26'45"E _-` ' �1 -- 352.00 -
212.00
l 140.00 --
I
C
ORONO _
COPY
Ln I
sn I a
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--------------------------------------123.7---------------------------
24.3
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Exist.
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--------•----- -------87.7----•--- ------------- i 9 9-
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Yi N F�
$ Existing�o;Ur' -
n- "3p2 CITY OF ORONO
3.3
pt SITE PLAN GRADING PLAN
I V APPROVED
l,'~ 'PR iVP.D WITH REVISIONS
-� I-?I''APP ` V
BY N
74 I DATE -r� -
CA-77 0 Af 14
&A"A5-e- SuS f CA(
2/2.00; 140.00 -
589'24',4 5 E 352.00
w
Chi � w
ppewo _ _ _ Lane
Legal Description
Lots 1 and 2 , Block 1 , CHIPPEWA THIRD ADDITION.
This survey shows the location of all existing buildings on the
above descrioed property . It does not purport to stow any other_
improv :nients o:�- encroachments .
•: Iron marker found ,
O: Judicial Landmark found Al
I hereby certify that this survey was prepared by me or under my direct super- DATE
9- 3-91
vision,and that I am a duly registered Civil Engineer and Land Surveyor under
the laws of the State of�� Minnesota. SCALE
JO8"° 91-357
Mark S. Gronberg Minnesota License Number 12755