HomeMy WebLinkAbout1995-006751 - elevated storage It PERMIT
4 CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- PO. Box 66 Permit Number:
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: OWNER:
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THE UND'ERSIGNED HEREBY RE00ESTS PERMISSION TO MAKE THE REAL- IMPRWEIMENTS' '
'ONPLIANCE WIT4, ALL CITY OF
SPEC I F I ED AND AGREES TO Df,-ALL; WORK IN TRICT IC!-S
N TS
ORON, ANCES AND STATE�'W MINNESOTA BL)I LD I NG, CODE REQUI REMEN
A+LICANT,'PERMITEE SIGNATURE ISSUED BY:SIGNATURE.
1 CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $_A5 Date Received:
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) OWNER or (CONTRACTO
JOB SITE ADDRESS: WAY2A7✓I G(_Q 0 ZIP:
(work)
NAME OF OWNER: `'/�K1/'r/f 0, PHONE: (home)
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MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: :� /-b PHONE:
MAILING ADDRESS: ��zY�C S��' " L�F ll� CITY: ZIP:
STATE LICENSE: u
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate 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) : $ t2
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 acco e / ith the approved plan.
APPLICANT'S SIGNATURE: DATE: ��_
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.
SSS r,(- �fA-N
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i/rst � Middl/e�� Last
Ad ss
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cit§ State Zip
STI- 7 7
Phone
I unders n y rights as stated above.
Sig at e
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 RIGHTS OF SUBJFZTS OF DATA
Subdivision L 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.
iven individual. An-individual asked to
Subd. 2. Information required to be g
be informed of: (a) the
supply private or confidential data concerning data the collecting state agency,
PP Y requested v refuse a is legally
purpose and intended use of the req tem; (b) whether he may
political subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (c) any
supplying or refusing to supply private or confidential data; and (d) the identity of
state or federal law to receive the data. This
other persons or entities authorized by P investigative data,
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.821 subdivision 5, to a law enforcement officer.
The commissioner of revenue ma 1 ert tax refund Instructions insteadMired under hos
subdivision in the individual income tax or r•
on those forms. - --
Access
c� to data by ����, Upon request to a responsible
Subd. 3. subject of
d data on
authority, an individual shall be informed whether h VBteeor confidential.e Upon his
individuals, and whether it is classified as public, p or public data on
further request, an individual who is the subject of st r derivate andy if he desires, shall
individuals shall be shown the data withoutany charge. After an individual has been
Be informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its ute Bacton pursuant to this section is
him for six months thereafter unless a lispcollected
ending or additional data on the individual has e been
public datarupon request by
ted. The
P require the
responsible authority shall provide copies
r private
authority may ilia the
the individual subject oftthe he actual costs of making, certifying, and compiling requesting person to pay -
copies. y possible, with any request
The responsible authority shall comply immediate) , if
made pursuant to this subdivision, or within five days of the date of the reis not
quest,
compliance
excluding Saturdays, Sundays and legal holidays,thnithammm immediate
hall so inform the
possible. If he cannot comply with the requestwith the
have an additional five days within which to comply
individual, and may el holidays•
request, excluding Saturdays, Sundays and legal
dime when data is not accurate or complete. An individual may
Subd. 4. Prose himself. To
contest the accuracy or completeness of public or private g theresponsibleauthority
exercise this right, an individual shall notify in writing
authority shall wit
describing the nature of the disagreement. Ter Po c�. omplete and attempt to
days either: (a) correct the data found to be inaccuratets named by
notify past recipients of inaccurate or incompleteedata
rdatb including
ecipieo be correct
the individual; or (b) notify the individual that is
Data in dispute shall be disclosed only if the individual's statement of disagreement
included with the disclosed data. appealed pursuant to the
The determination of the responsible authority may be
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZCo $7 WA4ZATn eu\ji0 PID:
DESCRIPTION OF WORK: E(-e-VA TE O &2E74 _M EZZ/�111/NC
------------- -----------------------------------------------------------------
ZONING REVIEW BY: N 1A DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
--------------------- -------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yeses No SEWER CONNECTION
STATE SURCHARGE Yes v No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No 4---- SITE INSPECTION
NumberofSAC-Units
OTHER (specify)------ ------------------
------------- -------------------------------
ZONING CHECK LIST Zoning District:
Fire Departmen Post Office: School i trict:
Lot Area: Width: Depth:
Survey Submitt d:\ Yes No Date of Su'rvey:
Proposed Setbacks: '
Front (Lake) : Ri ht Side: I
Rear (Street) : Le t Sid :
i
Adjacent Struc ures: / Wetland: /
� I
Building Height: De Hgt. Peak Hgt._�
Avg. Setback Lot Coverage:
E isting Proposed
Hardcover: 0
75-250 '
250-1500 ' _
i
500-11000 '
Hardcover V�riance Requi ed: Y s No Date of Council Appr val:
i
Grading: St ff Approval te: By: Council Approval Date:
Septic: St ff Approval Da e: By:
Zoning Fil : # R so ution # : Resolution Date:
REMARKS (in house) :
c
BUILDING REVIEW CHECK LIST L
UBC: 6-2 CONSTRUCTION TYPE: YlU
Sq Footage $ Per Sq Ftg
Basement x -
1st Floor x
2nd Floor x -
Garage x
A13!f x 10.0a -
TOTAL
Estimated Construction Value:
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
Final (Mf 9.) 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) :
r ORONO COPY
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CITY, OF ORONO
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i.11LDING PERMIT PLAN REVII
MSPECIroff
TE .. PERMIT NO. _.._
f� P'rJv i; t AS NC;TEr
rv7 sp, Tommi ,nts c! yJ3,r i'1!ci .',"anon. fi!i '.NGiV F!ail Ue
,r fuQ ctim,a' ce with s,3
,�;rements ircludinp items nr�i specif'tca!fy noted in this rvvto-
KFFP THIS PLAN SET ON SME AT ALL TiW14
DATE 'TIN*
,'Y OF ORONO CALLED IN J" - 42)
jSPECTION NOTICE SCHEDULED
,ERMIT NO. 7`� COMPL ED
ADDRESS �I
OWNER
TELEPHONE NO. .S�S� V-7 7
DESCRIPTION
LL
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
Z0 ALL 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
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
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
CO MENTS: Lk
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Wcc ❑WORK SATISFACTORY:PROCEED ElPROJECTCOMPLETE
W ❑C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. c PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR F' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra n ge:
Inspector. U
White Copy/Inspector's Fi Canary Copy/Site Notice