HomeMy WebLinkAbout1995-007044 - detached garage IVY OF ORONO PERMIT PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: TKi
j
Crystal Bay, Minnesota 55323
Date Issued:
(612) 4A-7357
SITE ADDRESS:
-Tc:
T
DESCRIPTION:
1DI 14
I F
CT ACC Tf%r
, A X40E A j A Ef
il A A 6A
A Mi Ji
P 7.Li VVVVV #
REMARKS: 01 U11 801 t.2Af
00000
';.Z.7
A9-4..!-4.v lViLf{IV
44 &C
FEE SUMMARY: V.& truyl
p-'- A 4.5.71
I T T-"d,i
At
a Tr
4 jv i1v A )A
0 7 7 7'jA PO! &,)i TA-F IA:11�
" 01 1
IC
v
r
----------
t:-4
CONTRACTOR: OWNER:
rl t.
J
-r T
A
C C C i.-
'IN
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENP-5
SPEC:IFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITIS
-ALL CITY
ORONO ORDINANCES AND STATE C-IF MINNESOTA BUILDING CODE REQUIREMENTS.
of
—C4
APPLICANT MITES SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 7� ` Date Received: ����5` -
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) OWNE or CONTRACTOR
JOB SITE ADDRESS: QC7oC0 ��a� flaj � ZIP: SS3E6
(work) �'13-aoZ g
NAME OF OWNER: i d- ��� �►y���'1 PHONE: (home) ��3-
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure X' Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : o /"P,(�� �� Q
ro
STORIES: SQ. FEET OF EACH FLOOR: /� X p77
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ AM,4
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
-nderstand 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 �/ �J
CITY of ORONO
Post Office Box 66•Crystal 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 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.
F rst Middle ast
Address
City State Zip
_
17123 Y IJ 3'
Phone
I understand my rights as stated above.
�Wwl !
Si ature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —47 3-7 35 9
ASSESSING
513.04 RIGHTS OF SUBJF•CTS OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
Subdi
stored or to be stored shall be as set forth in this section.
An•individual asked to
Subd. 2. Information required
to be given individual.
private or confidential data concerning himvsitlhfin the collecting state agency,
be informed of: (a) the
supply pv refuse or is legally
purpose and intended use of the requested (b)whether he may from his
Political subdivision, or statewide system; known consequence arising
required to supply the requested data; (c) any and (d) the identity of
in or refusing to supply private or confidential data;
supplying state or federal law to receiveeth gat to data,
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
juired
nder
is
The commissioner of revenue ma lace the
re°und lnstructions-instead hof
subdivision in the individual income tax or ro art
on thoseorms. --
Upon request to a responsible
Subd. 3. Access subject of
to data by individual
authority, an individual shall be informed whether
he ivatteeor confidentlal.e Upon his
auth y, public data on
individuals, end whether it is classified as Pub ' P if he desires, shall
further request, an individual who s tout athe ny charge to himsubject of stored and,
or p
individuals shall be shown the data of that data- After an individual has been
in informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its utenor action pursuant to this section is
him for six months thereafter unless a dispute n request he
or additional data on the individual has been
or collected
dataupon
req The
pending provide copies of the pri P require the
by
responsible authority shall p The responsible authority may din the
the individual subject
of
actual costs of making, certifying, and compiling
requesting person to pay
copies. y possible, with any request
The responsible authority shall comply immediately,
if
or within five days of the date of the request,
made pursuant to this subdivision legal holidays, if immediate compliance is not
he
excluding Saturdays, Sundays
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
Sundays and legal holidays.
request, excluding
to or complete. An individual o
ot aee
Subd. 4. Procedure when data public or p ivate data concerning himself. T
contest the accuracy or completeness of P in writing the responsible authority
exercise this right, an individual shall notify responsible authority shall within 30
describing the nature of the disagreement. The to
da either: (a) correct the data f ound to m late d tae or incomplete
eecipients attempt
by
notify past recipients of inaccurate or incomplete e ,
the individual; or (b) notify the individual thatif the individual'he sleves the statementOf disagreement is
Data in dispute shall be disclosed only
included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority m o contested cases•
provisions of the administrative procedure act relating
_ CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS QR LEGAL: 2-4y7-0 Gv.f r& 2TTSw�/ RJ PID:
DESCRIPTION OF WORK: COAA4 6C Gt 27-4,,#40 r, 2�
------------------- -- ----------------------- K _
ZONING REVIEW BY: --- -- -DATE APPROVED: 6
BUILDING REVIEW BY: 04AAA, DATE APPROVED: &--------------------------------
-------------------- ---------
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 No PARR FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------
ZONING CHECK LIST Zoni D' t ict:
Fire Department: 4Po t Off * e: S o
K",
Lot Area: the D p
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: /
Front (hvrk-e) : 0 5� Right Side: 1 o c
/
Rear (S h-L ) : 10 Left Side: S 5 �✓
`-�
Adjacent Structures: �0c7 - Wetland: A11A
Building Height: Def. Hgt. C�• (�- Peak Hgt.
Avg. Setback: Lot C erage: 0• �c
E i ting Pro osed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varia ce Requi d: Yes No Date of C uncil Approval:
Grading: Staff Approval D t B Coun it Approval Date:
Septic: Staff Approval Da By:
Zoning File: solut•on #: Re olution Date:
REMARKS ( ' house) :
BUILDING REVIEW CHECK LIST
UBC: U- 1 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x -
2nd Floor x =
Garage x
x =
TOTAL
Estimated Construction Value: $ �i
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
Fina 1
(Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
--------------------------------------------------------
REMARKS (IN HOUSE) :
-----------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
7 COPY
. � Q 0
z � L
i
nH ANCHOR BOLTS REQ IVN".9
! I EAMBEDDED IN MASO-N'Rjf WNT
I
6' 0.0 AND 2 PER PrECE
i
:
—y�-- U
�1 mvS7 6,e o-v _s�+DSS px� cr.T
U D S Y? �• !.c�� N 5 .4(3� / �L`� NC�4 T?c—s
m e
-- —72 Ky OS '
i
-_t CIT Y = -
OfILD1MO PER?NiIT PLAN RLFVlJW
I
v4spec-roR v WV •�--
! SATE L R=?iMl7 ENCS.
.... ..-
i APPROVED _ --fir; PS AS rr /OTEV
3;
NO i APPRU,+_„ — i;v:ti:Z T & RE S,.� 1..
t
n4)4 ,e comments are for your inrOrmgtion. A14 .-,oris ±!in i be Ila-*
itq# cornNiancs with an c„y';ican$it, owdins & pkv aade 4m
.F�►tams inciucting fiams nos speaYicaay note.' in ails rein
AT ALL-TIV.7 .—
CERTIFICATE OF SURVEY '�'�`'
Prepared for . SOHNSON- REST PENCE
vi TN
Dc SITPLANrz-
�
I
[_] APPRO
[_] C11�iAF; 12 K ZN GtAQAC
DATE._
o) o
Q --- —— 9 0.0 --------► 'i
M� O
of I �
North line of Lof 10
N Proposed
J
3 `� `I • .
Cxisl n9 \ o.o
I�Glory Hobe- (Sato G o
LEGAL DF SCR I PTION:
_ t
The westerly 90 . 0U feet of 2 0.3 24_.5� X1'1 Q� _
Lots 10 and 11 , Block 3 , 12.0 29.z
11.-. • _ 7 _ T -��-.` T -.Ion ItA1 nfl}'cll
DATE �r TIME
CITY OF ORONO CALLED IN zu _
INSPECTION NOTICE SCHEDULED4-3
1I
PERMIT NO. OMPLETED
ADDRESS Q
OWNER CONTR.
TELEPH NO. q 7 3 7 54.3
DP6RfP.'[ION
FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
W v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
C
O
cc
O
W
W
QC
Q
2
W
Z
W
_W
d
W0; ORKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 11 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Lj BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne n 24 hours in advance.473-7357
Owner/Contractor 7' pT,
Inspector.— ',T�) _�,, V aAwko
White CopylInspector's File Canary Copy/slte Notice
L�
D TE TIME
CITY OF ORONO CALLED IN �-plc-6
INSPECTION NOTICE SCHEDULED
PERMIT NO. '/ 7 AN COMPLETED
ADDRESS =q 44,?
cQ'
OWNEI CONTR.
TELEPHONE NO. '-/2 3
DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ EMO�ITE 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
JBIND FINAL 36 FOUNDATION REMOVAL
OWNER ONTRACTOR TO MEET YOU: S NO
MENTS:
Cr
W
a
0;
Z)
O
a
O
LL
W
QC
Q
2
W
z
W
CC
1�
� WORK SATISFACTORY:PROCEED 3�PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for in pection 24 hours in advance.473'7357
OwnerlCo a e:Inspector.
White Copyllnspector's File Canary Copy/Site Notice