HomeMy WebLinkAbout1996-00824 - pole barn - -
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 BUILDINci
Permit Number:
008024
Crystal Bay, Minnesota 55323 Date Issued: OE/06 p3
(612) 473-7357
SITE ADDRESS:
4765 WATERTOWN RD
CH
P . 1 . N . : 31-118-2:3-22-0002
DESCRIPTION:
POLE BARN
Building Permit Type SF-ACC STRUCTURE
Building Work Type ACCESSORY STRUCT
UBC OccuPancY U-1
Construction Type VN
•
RR-1A
Census Code 375 OTHER NONRES .
REMARKS:
SEPARATE PERMIT REQUIRED FOR ELECTRICAL (STATE) . BUILDING MUST BE LOCATED ON
PROPERTY BY A SURVEYOR AT FOOTING INSPECTION .
FEE SUMMARY:
VALUATION $13, 465
Base Fee $212. 25
Plan Review $137 . 96
Surcharge 73
Total Fee $356 . 94
CONTRACTOR: - Applicant - ST . LIC. OWNER:
NEW LEAF BUILDERS 15465500 20047617 ESTERLY DENNIS
'2561 MAYFLOWER AVE 4765 WATERTOWN Rn
M INNETONKA MN 55:305 ORONO MN 55359
546-5500 473-5993
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE
ISSUED BY:SIGNATURE
•
Total Fee: $ . 4/ DateReceived:
Date Approved:
Entered By: CA , Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � � '1 / 1_J1ZIP: � 3$ 7
NAME OF OWNERS l /hd/S' l PHONE: (home)
(work)
MAILING ADDRESS: Sa.)/6271/ CITY: r'14(./ ) ZIP: ,SSS-g
CONTRACTOR: /j ' - ) 11( PHONE: 645S"0 P)
MOBILE PHONE/PAGER:
MAILING ADDRESS: leA`///3j4c0C et 4OE CITY: /r' A ZIP:AriAA
STATE LICENSE: # 2 547 k7
ARCHI'I'ECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
Addition AccessoryStructure V
TYPE OF WORK: New
Move Remodel/Alteration _ Land
Alteration
PROPOSED WORK(describe indetail): (c "'",4/9"-P1/%./ x<' ,c):1:62- 11-3R7/
a,-
( SQ. FEET OF EACH FLOOR: ��'7'O
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 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 in accordance with the approved plan.
AV" z2,1
APPLICANT'S SIGNATURE: DATE: ,S-2--2 9f,6‘
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.
•
Sec.13.04 RIGHTS OF SUBJECTS 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.
)76V • —ZarZd_ /4Q, its/4. 17'kk/i-
First Middle st
�'C(J t � X16142-046 -/# &
Address , �P ) /A 4141,
City State Zip Phone
I understand m rights as stated above.
Signature
• , CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1-796,S Ctm- YLTO',J
PID:
DESCRIPTION OF WORK: Poc, Gfl2nO
ZONING REVIEW BY: tI DATE APPROVED: 5-z$-
BUILDING REVIEW BY: 0 z DATE APPROVED: - z e -9 to
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 ri PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: R Q- I A Shoreland District : N 0
Fire Department: /r/PGG /v4/n) Post Office: MATt/Crcilit./ School District: 0/()Ara
Lot Area: Sq.ft. 4/0 Acre( (c/U(c dm Depth
Survey Submitted: Yes O` No Date of Survey: MM 98
Proposed Setbacks:
Front (Lake): f oo ` `- Right Side: AO t 4 E
Rear (Street): 50' -4- Left Side: . C.)1-!: (.."3
Adjacent Structures: ?0( Wetland: N(4
s-
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Building Height: Def. Hgt. / ( t Peak Hgt. /(P
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
fHardcover Variance Required: Yes No Date of Council Approval:
N`A' Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: if Resolution: # Resolution Date:
REMARKS (in house):
BUILDING REVIEW CHECK LIST
UBC: 4 U -/ CONSTRUCTION TYPE: VA
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ / ?/V
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Fire
•
Hardcover Removal Mechanical Water Connection
Pe Footing Septic Sewer Connection
o4_ Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
pe- Final Grading/Filling <' Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT): 13 ,1 d2c tii
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•. NOT APPROVED ---• CORRECT & RESUBMIT
i;o0ms comments are tor your InfoTniation AI work soeli oe ftv.4
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DATE TIME v/
CITY OF ORONO CALLED IN " 7 -96 / _?
INSPECTION NOTE SCHEDULED (p-�O -% /p 3O�
PERMIT NO. �( COMPLETED /,) (�
ADDRESS l 7CP,� ��a �
OWNERf-) /6-A-221 CONTR.
TELEPHONE NO. 'i( .55 ec
DESCRIPTION 1--)7Z.
W 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
I. 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
a COMMENTS:
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� ❑�• WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
W CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
LI CORRECT UNSAFE CONDITION WITHIN HOURS. ` PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ET CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContr n le:
Inspector. 7s
White Copylinspector's F e Canary Copy/Site Notice
L
D,TE TIME
CITY OF ORONO CALLED IN L.
INSPECTION NOTICE SCHEDULED %' . 3 o
p
PERMIT NO. /3 CJS `f COMPLETED k It
ADDRESS 0��'� 7l0 5 1 cryo
OWNER (a..,G9�� CONTR. w,c_7z52
TELEPHONE NO. (/ ��5� - -5--S-0 v/
DESCRIPTION01 ��_2 ��/
4.144 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h /W
02 FRAMING 13 MECHANICAL FINAL 19 IAKESHOREETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
0 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
MO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBI 36 FOUNDATION REMOVAL
• OWN CONTRACTO TO MEET YOU: YES NO
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W ElWORK SATISFACTORY:PROCEED E7 PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
C PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerIContracto I
Inspector. — al
White Copy/Inspector's File Canary Copy/Site Notice
DATE /- TIME
CITY OF ORONO CALLED IN 9 -
INSPECTION
-INSPECTION NOT4 E // SCHEDULED 7 / - q ,
PERMIT NO. _ COMPLETED
ADDRESS 7 /if c' t-(ht�c-cam'",'�
OWNER fcd'6 .,,,L CONTR. i 1--t'" 4"
TELEPHONE NO.
DESCRIPTION iC� a't-nom
tt 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
• 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
I` 7 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
–4 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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0
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CC WORK SATISFACTORY:PROCEED PROJECT COMPLETE
❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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 next inspection 24 hours in advance.473-7357
Owner/Contractor on site: 4(fA2-i--e--a- 6/ iul
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice