HomeMy WebLinkAbout1999 - 011749 - canopy PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 -,,,--
'• " ' - - -: • •-
, f Crystal Bay, Minnesota 55323 Permit Number:
(612) 249-4600 Date Issued:
SITE ADDRESS:
P H .:;A-l -1:6-2 -21-0u02
DESCRIPTION:
CANOPY
Bu111in9 Permit Type
Builoing WOrK ype COMMERCIAL
Construction Typ Ni'-1
2i011 1 n q B-I
K9 NONELDG '• UCT .
REMARKS:
SEPERATE PFRffIT REQUIRE) FOR ELEC1RICAL (SIWE)
FEE SUMMARY:
VALUA-ION $13 , 900
Plan vi .w $1S4 . 21
r" • " ,
Total Fee1,0„ . ,-A '
„ 0.
CONTRACTOR:
GRIFFIN cr-'EfROLEUM
1 BLAINE XYLTE ..i.,T NE 1760E332 OWNER:
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1 THE UNOERSIGNED HEREBY RPQUESIS PERMISSION 10 MAKE IHE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND SfAIE OF MINNESOTA BUILDING COOE REQUIREMENTS .
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........._
APP -• , -"a- ITEE SIGNATURE
V.. 5SUC5:2ED BY:SIGNATURE (216....._
Total Fee: $ 3612 4 I Date Received:
Entered By: Permit#: ►►-1 Lig
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 OR CONTRACTOR
JOB SITE ADDRESS: a\ 6.6 z w� �j\`t ZIP:
NAME OF OWNER: * A \ ElN‘2 . PHONE: (home)
(work)(1l a l `IS X 3 3 2
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: GAio -c s v 54 PHONE: lL 1 _ 'lQ 33 2
CONTACT PERSON:c o\r\,\0 Z(1-A,k3 t 51<, MOBILES (Q 1- d.1-\ ,
MAILING ADDRESS:T1 •<,A\ \-E 3t. `N i CITY: 10;,'NE ZIP: 4LI9
STATE LICENSE: # n \-11 s r %() — (133 .2
ARCHITECT/ENGINEER: V ► Pt\ ., f c Liv c iPHONE:( _ 1 - ri
MAILING ADDRESS: 1, �, S, ci, \czta bsv CITU: ^ W a. ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New ` Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): C d,,kt19 1
STORIES: SQ. FEET OF EACH FLOOR:
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.
APPLICANT'S SIGNAT � DATE: `t) - b tt-
CI
NOTE! Parade of Homes a en s equire eparate permit approval by Police Department and
City Council 60 days prior t ,tee = - on permitted events will not be allowed.
5
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 reouired 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.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: 2 1 (JP 0 (A)cz 44-c. g I y ct
PID: q- 118- 23 zi 0007_
DESCRIPTION OF WORK: C a N r ► C.cve s i r wed aw
ZONING REVIEW BY: � DATE APPROVED: g/q J 9 7
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes V No SEWER CONNECTION
STATE SURCHARGE Yes c/ No WATER CONNECTION
INVESTIGATION FEE Yes No f PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: g-
Fire Department: L L Post Office: L L School District: 2. 1 g
Lot Area: Sq.ft. Acres 2 . S Width 5/6 81 Depth 3 3 LI• ?Co
Survey Submitted: Yes ✓ No Date of Survey: 7- 8- 9 9
Proposed Setbacks:
Front(Lake): Right Side: 2 7 0
/I 1 / $)
Rear (Street): l0 Left Side: (O
Adjacent Structures: I.2 Wetland:
1
Building Height: Def. Hgt. I $ Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
2 5 0 2 Resolution: # X712.3 Resolution Date: 7 2 (O 1 ci 9
Zoning File: #
Shoreland District: N V
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No P Date of Council Approval:
REMARKS (in house): C crl) ,\ S\JJl cxv• c o v. s
Sb+2 �t c�c��e �cry.7- S 9q d.. S S.�t�-����i �n �.����e.-d- �J
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BUILDING REVIEW CHECK LIST
UBC: /V/0" CONSTRUCTION TYPE: N //}
Sq Footage $ Per Sq Ftg
Basement
1st Floor x =
2nd Floor x _
Garage x =
x =
TOTAL
Estimated Construction Value: $ 13,c100
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Des, Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
pG Final Grading/Filling pC Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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CONCRETE WORK
The concrete work shall consist of necessary excavating required to receive the new
foundation of the canopy. The concrete shall meet the requirements of the latest
edition of the "Guide Specifications for Ready-Mixel Concrete." The concrete shall
atta:tn & minimum compressive strength of 3000 PSI &: 28 days. Slump shall not exceed
[4) inches.
The contractor shall not all anchor bolts required. Bolts shall be the size as
shown or required and shall be act with the use of i template.
The contractor shall furnish and place all reinforcing steel. Reinforcing steel
shall be grade 60, deformed, now billet steel meeti.ig ASTM -A615. Band bars at least
2'0" around corners. Splices shall be lapped at le,tat twenty-four bar diameters.
All shall be securely wired together.
STRUCTURAL STEEL
All structural steel required shall be equal to A-31. Design shall conform to the
latest AISC specifications. Tube columns are to be grade A-5006.
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CITY OF ORONO
13UILDINGP-, I PLAN REVIEW
kNSP-ECTCR
DATE . -Cf, PERMIT NO.
A RGVED AS ED
APPP0`V11_EDVVITH CORF!E:CTIONS AS NOTED
Ej IN,1,CI-i rtg
CORRECT & RESUBMIT
ThC.OMME-Ifs are for your information. Ail work shall be done
in 7.,1% cows ;,Atn all appl'iccbla building and zoning code.
wl 46
I beTaby certify that this plan, specification,
or report was prepered by me or under my
:-direct supervision and that I am a duty
IF149oisiered Professional lZrigineer under the,
(4-) /"OX 2w'�tF6 lawsoftheStateof
Mao< "0 -Ze Va IAv�
Tv& 01 A11,4Y. /2
-!.s not sPGG;il--Aliy noted in this reviem
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Q) K �— .: P 1-flS PLA14 SET ON SITE AT ALL TIM
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