HomeMy WebLinkAbout1992 - 004327 - garage only PERMIT
. CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Bt ITLQIN
Crystal Bay, Minnesota 55323 '
(612) 473-7357 Date Issued: 05/15/92
SITE ADDRESS:
995 W I LDHURST TR
JB
P . I .N.
07-117-23-21-0003
DESCRIPTION:
GARAGE ONLY
Building Permit. Type SF-ADD/REMODEL
Building Work Type GARAGE-ATTACHED
UBC Occupancy 88 R-3
Construction Type VN
cITY OF ORONO
JFFICE
01 6..N 162.00
1,L0100000 44
01 i;EN 105.30
122;2100000FT
01 GFN 7.50
REMARKS:
FEE SUMMARY:
VALUATION $15, 000
Base Fee $162 . 00
Plan Review
$105 . 30
Sur charge lissQ
Total $274 .80
CONTRACTOR: OWNER: - Applicant -
OLEX A JAMES
995 WILDHURST TR
MOUND MN 55364
472-1460
I GNED HE- y PERM '
:414,°,5z,
A GRE Ps TO '*K INS **54,14',q41,114,4*,7,57,414‘,.
NCES AND STAT - * ' 57* LC V-,:oF
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APPLICANT/PERMITEE IGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ .?-7 (i- O Date Received: ' f- ,)
Date Approved:
Entered By: '
Permit#: V3 3
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER .r CONTRACTOR
JOB SITE ADDRESS: C „�aa,,,,s-T �1 e,r4'‘ ` ZIP: c5---3\0
Q42r392R -- (work)( 1- 1300
'
NAME OF OWNER: .Jt�c(Ns s - � -c-c(-)\oil" PHONE: (home) `1a-t4 to U
MAILING ADDRESS: <IA r•,-e-- CITY: ZIP:
CONTRACTOR: Q \sJ�c. (L PHONE:
MAILING ADDRESS: ‘Sra��}-- CITY: ZIP:
STATE LICENSE: #
ARCHITECT/EN : oar__s•- . -kk. ZZPHONE: L--\1() - 136 t
MAILING ADDRESS: \Q \\-tA.-Ar..\di.k.,3 Sb CITY: CV,AYA‘HS ,-\ ZIP: L;"53A
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : � �;:,) au kat, QAP_A e # % 1 aU
cCQe.PIC) . 11/4Q.AA (_
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ iton ,_,
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 SIGNATURE ),\0o z C\WG, DATE: lcg �'-
•
CHECK OFF LIST FOR ISSUANCE OF PERMITS
• FOR OFFICE USE ONLY
ADDRESS OR LEGAL: PID: 6 7 - //7 .23 02/ 00 03
DESCRIPTION OF WORK: 2‹-/-61-214_41,C.
ZONING REVIEW BY: c-f 70 ,.e„_ DATE APPROVED:
BUILDING REVIEW BY: cf6(o OLDATE APPROVED: 5---13-9Z-
FEES
'13-SZ--
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes-77' No SEWER CONNECTION
STATE SURCHARGE Yesy No WATER CONNECTION
INVESTIGATION FEE Yes No-7- PARK FEE
SAC Yes No " SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING ClIECK LIST Zoning District:
Fire Department: le l.o„ dv✓) Post Office: 44.4),,m,,o School District:
Lot Area: A#149x 23,Z I O Width: )/ )• 0 0 Depth: nu t'. 23Y S
Survey Submitted: Yes K No Date of Survey: 1/- 0 - '1
Proposed Setbacks: ,
Frort (Lake) : 97 ' ± Right Side: .� b
Rcar (Street) : 57 + Left Side: /N/tl
Adjacent Structures: /¢rrif ,” Wetland: /V///i
Building Height: Def. Hgt. p.(c. Peak Hgt.
Avg. Setback: (9, k Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' O
75-250 ' • S-
250-500 '250-500 '
500-1000 '
Hardcover Variance Required: Yes o< No Date of Council Approval:
Grading: Staff Approval Date: N/ - By: Council Approval Date:
Septic: Staff Approval Date: /✓b4 By:
Zoning File:# Z(o Resolution # : , Resolution Date: ,c-fl-q2_
REMARKS (in house) : ,Q.e ` v (oe ��s.� i4T .s.9r, orn� ' f-�2 66A461-6,/
(20 4,4 0.4- 1.4_: L.-..-r-) e
BUILDING REVIEW CHECK LIST .
UBC: 8'5( g-3 CONSTRUCTION TYPE: . EL
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
la
Estimated Construction Value: $ 15;000
Inspections Required: Work Requiring Separate Permits:
Site __ _Plumbing Grading/Filling
p( Footing `Jlechanical Fire
OcFraming Septic Water Connection
__ Insulation Fireplace Sewer Connection
.'all Board (Masonry) Lawn Irrigation
oc Final (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) : Co f{RA(!E PoL-n oN OA' per\e. T ONv(/ (2 7riN
C4 el ,,),R u k Le- e-FpG ems . , i
N •
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.
�cz10 30\\ ti�Pic
First Middle Last
Address
^M k) Ss 310
City State Zip
11V C) T3.1 - PIO c)
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
573.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights of individuals 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
ithin the collecting state agency,
be informed of: (a) the
purpose and intended use of the requested
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 isaskedlto supplyto invest gat ve data,
the data. This,
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may •leV tax ce the
rnotice e i required under
this
subdivision in the individual income tax or property
on those orms.
Subd. 3. Access to data by individuaL Upon request to a responsible
authority, an individual shall be informed whether he
s the subject ont f ote Upon hon
individuals, and whether it is classified as public, p al. data on
further request, an individual who is the subject ostored llpiri�ae ifo he desires, shall
individuals shall be shown the data withoutany
thatcharge data. After an individual has been
5e informed of the content and meaningthe data need not be disclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a dispute has actioneecollected pursuant or this sectio iss
d. The
pending or additional data on the individual data upon request by
responsible authority shall provide copies of the private or publicrequire the
the individual subject of the data. The responsible
certifying,
ea�f ority and require
the
requesting person to pay the actual costs of making, yi g,
copies. ssible, with any request
The responsible authority shall comply immediately, if poe
made pursuant to this subdivision, or within five days immediate of thedat o e ofmpth ce risequest
not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request withit hant hich shallto, he soinwith the
the
individual, and may have an additional fivedays
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 er nate g totconcerniesib a authority
himself. To
exercise this right, an individual shall notifyauthority shall within 30
describing the nature of the disagreement.T inaccurate or The i n omplete and attempt to
days either: (a) correct the data found toe
notify past recipients of inaccurate or incompletet he believesthe ng dataito be
the individual; or (b) notify the individual correct.s
Data in dispute shall be disclosed only if the individual's statement of disagreement
included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases. •
/,-
DATE TIME
CITY OF ORONO CALLED IN 9/9/9
INSPECTION NOT CE SCHEDULED 9/0/9 /ch•cry
PERMIT NO. '(-1, 4g
,I/ COMPLETED�S �,{ t
ADDRESS 919l-,�Gf4��4 fie` l/�/�.c L
OWNER r. .6_'„ J CONTR.
TELEPHONE NO. .6\96S '/4' 3 5' x/413 - 3-22 3
DESC PTION _ /f� 2—C_._--i
Lu 1 FOOTING. 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
” 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IQ09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
C CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C3 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
C]STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73557
OwneriContrac r qr\site:
Inspector. v(lA
White Copyllnspector's File Canary Copy/Site Notice