HomeMy WebLinkAbout1997-009729 - attached garage PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number,
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
DESCRIPTION:
REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT,P E RM IietS755ATU R E ISSUED BY:SIGNATURE e-<
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Total Fee: $ Date Received:
Entered By: ,G/,. Permit#: 911AAF
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: Wa4ey-f o Lo 9,�, ZIP:
NAME OF OWNER: o1n 4,S v za H H e J a c IL PHONE: (home) 447!5-Z7--3/
(work) y-7 3 - 7 csrtz:>
MAILING ADDRESS: Z432-3 Mc, Ke,1 z,'c CITY: M K--f kq ZIP:
CONTRACTOR: R ati+ KSI L 3 y'•1 d ,.�„ C�„-p. PHONE: 4-73- o-3>716
CONTACT PERSON: 7;?,,u w MOBILE/PAGER: ✓o 'cam ct g e r 6447- ?4439,
MAILING ADDRESS: P 0, ao x (�zj:z, U 9a y zata CITY: ZIP: �S 39/
STATE LICENSE: # nCp p 54-7$ a4-
ARCHITECT/ENGINEER: S AM C- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: w n Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail):
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .?i`f 0
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 inacco danc ith the approved plan.
APPLICANT'S SIGNATURE: DATE: Z-9 7
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF§"MCTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
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 exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
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(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
ac _
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: RSeO t iA-rE-2To%.-w f'2.,,-)A0
PID:
DESCRIPTION OF WORK: Arc,6 t GekAr-
ZONING REVIEW BY: DATE APPROVED: i i -zo- 5 7
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c,,- No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SUR`HARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Y;;s No SITEINSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: R.R-%�1
Fire Department: CoN 6 LA(ct; Post Office: b-,4,36 U Atm School District: ORoNO
Lot Area: Sq.ft._QZ�0`� S7 Acres Z Width 29 7.o3 Depth Zc't4 Z A,4
Survey Submitted: Yes)t No Date of Survey: /I- .3-97_
Proposed Setbacks:
Front (Lake): _ Zoo' : Right Side: S 1 f
Rear(Street): —7S I 1 Left Side: Z.► (b t
Adjacent Structures: A T--Tw—t•t cn- Wetland: N 1 A
Building Height: Def. Hgt. 0. Peak Hgt.
Lot Coverage: N(/4
I
rading: Staff Approval Date: By: Council Approval Date:
eptic: Staff Approval Date: By:
Zoning File; # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
�• 75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
26
' s -
BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE: y/J
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x
2nd Floor R =
Garage x =
R =
TOTAL
Estimated Construction Value: $ l 12gO
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonty) Other '` '
Wall Board (Mfg.) Well (State Permit)
_Final Grading/Filling Electrical (State Permit)
REMARKS (IN HOUSE): ,
----------------------------- --f--.-------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMM:
27
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE "� SCHEDULED (o'
PERMIT NO. COMPLETED
ADDRESS S C,yA7L:Y�T'O�'N
OWNER +< CONTR. CAV,1 Pgvd k Qt-64
TELEPHONE NO.
D SCRIPTIO
1 OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q RAMING—PI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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COMM NTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
CC
W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING 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"t i s ction 24 hours in advance.473-7357
OwnerlContract sit
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQTICE SCHEDULED 9
PERMIT NO. i �7iZ�'J COMPLETED U _
ADDRESS�5- C)
OWNER �in��r_�J CONTR.
TELEPHONE NO. /O 'O 75�
DESCRIPTION
t4j 1 FOOTIN 11 M HANICAL RI 16 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UP 06 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 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
cc
J
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cc
O
W
Q
2
W
z
W
cc
d CORK SATISFACTORY:PROCEED
W PROJECT COMPLETE
L ❑JJ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING 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/Controrn srte:�
Inspector. `
White Copy/Inspector's File Canary Copy/Site Notice
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ORONO COPY
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CITY OF ORONO
K SITE PLM — 0HA0,11'46 PLAN
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6
LEGAL DESCRIPTION
That part of the Southwest Quarter of the Southeast Quarter, Section
32, Township 118, Range 23, described as beginning at a point on the West
line of said Southwest Quarter of the Southeast Quarter distant 442.3 feet
South from the Northwest comer of said Southwest quarter of the Southeast
Quarter; thence South along said West line to the center line of Orono Road
No. 45 (also known as Minneapolis and Watertown Road); thence
Southeasterly along said center line to a line drawn South parallel to said
West line, from a point on the North line of said Southwest Quarter of the
Southeast Quarter distant 297 feet East from the Northwest corner of said
Southwest Quarter of the Southeast Quarter; thence North along said parallel
line to a point thereon 443.5 feet South from the North line of said Southwest
Quarter of the Southeast Quarter, as measured along said parallel line; thence
West 297 feet to the point of beginning, according to the Government Survey
S'/dthereof, Hennepin County, Minnesota.
T 1/18-23
13= WOOD STAKE PLACED 0 n IRON MON. SET IRON MON. INPLACE
S.M. -
BEARINGS ON PROPOSED INFORMATION
ASSUMED DATUM 1st FLOOR ELEV. GARAGE FLOOR ELEV.
BASEMENT ELEV. TOP BLOCK ELEV,
DRAINAGE 000.0• EXIST. ELEV. (000.0.), PROPOSED ELEV. E OOP' EXIST. & PROP. ELEV.
I hereby certify that this plan, survey or report was JOB
SCHOBORG prepared by me or under my direct supervision and that I am
a duly Registered Land Su eyor der the laws of the State
LAND SURVEYING of Minnesota. 8 ok- Page
INC. 41-38
Scale
MI Cty.nd. 13 SE Date: fzRegistration . 14700 / ��
072-3221 Nlano,MN 5M