HomeMy WebLinkAbout1995 - 007639 - detached garage PERMIT
0 - CITY OF ORONO PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323
Date Issued:
(612)473-7357
SITE ADDRESS:
1125 WILLOW DR N
.55
P. I . N. : 2.3-118-23-4:1-0002
DESCRIPTION:
DET(- C:HP) (-i AR PI(-i E
1314i g Perini t Ty1L-,e A C C SG A R A GES
Bk...d. .1 ri i rpm Work TY Fs:,e GARA GE:-E)E:T A C:1-1.F D
()BC Occupancy R--•:::-', .
C.:011c;t•r t.4 C t•i On Type VN
" r11 v-I• RR-1R
,nr.1
1:e nsils Coci,.-.,.:, 047=8 ALT . GARAC;E
REMARKS:
FEE SUMMARY:
VALUAT ION $10,570
Base Fee $174 . 75
Plan Review $113. S9
Surcharge $5.29
Total Fee $29:3 . 63
CONTRACTOR: OWNER: - App). I,.-.:ant -
E.:RS1-:::I NE HILTON
1125 WILi„OW DR N
MN 55:356
473--2:5,42
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Total Fee: S ,q 2.2 (0 3 DateReceived:
Date Approved:
Entered By: '/�h/�^ Permit#: �(P �, l
' I{J
CITY OF ORONO - BLIZDLN G PER FIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW W t t L
BE STARTED
THE APPLICANT IS: (circle one)(O\ R CONTRACTOR
JOB SITE ADDRESS: 1 \ .)J ;J 1 L.,Lk (Ai 0 &l. ZIP: S S.3-C,;
NAME OF OWNER: j� l 1--1'' N 4-- (k.SlX--tipiE PHONE: (home) ('73 "5S a'
(work) ?4'+ -.7`!
M AILI G ADDRESS: ) \ ).5 CQ i u.,4 W CITY: Q AQ VNI a ZIP: S sxR
CONTRACTOR: \,C'Walt Q V\/ Kirr.R. PHONE:
MOBLE PHONE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGLNEER: k)/4"-------'
PHONE:
MA LLGADDRESS: CITY: ZIP:
NAlv1E: REGISTRATION #
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel Alteration Land.Alteration
i
..-1/4N.) �
PROPOSEDWORK(describe indetail): N . 1/4DA cat 9`'�' �C 9`
0 .7.- '4- 0 w i t I . k kip A._ i C ' 17 e S.. c ; 'ii-
i
izi C 1z(--tic,Z 7i. C <- 4 T t. 1,
STORIES: SQ. rEET OF EACH FLOOR: G,.-11._ -e, _4--
N0.
4NO. OF BEDROOMS: GARAGE STALLS: "ATT. DET.X.
ESTLMATED CONSTRUCTIO`'V ALUATION(excluding land): S 5760 .0 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 under: : •,. this is not a permit and work is not to start
without a permit; and that the wor.
T' fi be, a, •rdance with the approved plan.
APPLICANTS SIGNA ' . /4_ .�_ - DATE: / A A
NOTE! Parade of Homes events r-quire 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 dam;(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.
k.
First Middle Last
' / (''' At! , I c �f,l
Address `�, lam/ J S 3S. �"C 73 v 2 `K
City i State Zip ( 1c..q _7 C is
I understand •;+ as ed ove.
e-
/.-
CHECK OFF LIST FOR ISSUA1NCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL:
c / sic cvw D2lcre PID:
DESCRIPTION OF WORK: =2,4GL
2��--'- 7`��
ZONING REVIEW BY: DATE APPROVED: 1
!
DATE APPROVED: ��__ z7— `�S
BUILDING REVIEW BY: . � �-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes t No SEWER CONNECTION
No WATER CON-NEC:110N
STATE SURCHARGE Yes
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No S[ h INSPECTION
Number of SAC Units OTHER (specify) _�_--
ZONING CHECK LIST Zoning District: 1e2-1e
Shoreland District : ND
Fire Department: (,On�G G4KL:
Post Office: �N� C,aru� School District: o/Loev o
�J r 7 Width S.$`1•�� Depth ySZ .q
Lot Area: Sq.ft. 2.25,z ns.2_ Acres
Survey Submitted: Yes _
No Date of Survey: 7-z5--`ay
�N Fllc
Proposed Setbacks:
Front (Lake): 1 00' Right Side: Li/5 —
Rear (Street): 3 301± Left Side: 1:3-) `= 5
Adjacent Structures: IC) Wetland: t zo
Building Height: Def. Hgt. v - /6 Peak Hat.
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:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning
o File: # Resolution: # Resolution Date:
REMARKS (in house):
26
BLThDL\G REVLEW CHECK LIST
UBC: 12-3 CONSTRUCTION TYPE: UN
Sq Footage S Per Sq Ftg
Basement x
1st Floor x
2nd Floor x
Garage 612 x (5.73 = dig to,5 7v
x
TOTAL
Estimated Construction Value: S I O i 5-10='---'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing -
Fire
Hardcover Removal Mechanical Water Connection
.x FootingSeptic Sewer Connection
p( FramingFireplace Lawn Irrigation
-
• Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
-
>(- FinalGrading/Filling Electrical (State Permit)
Other
REMARKS (LN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
27
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i11EMN0 P PLAN
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1AYE t L '2..-9 PERMIT NO. —_-.--.
)--4-)3�APPROV ED AS SUBMITTED C/S'
1 APPROVED WITH CORRECTIONS AS NOTEDGill
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N01 APPROVED — CORRECT& RESUBMIT
"tea comments are tot your information.AM woods abet!Se Mime
tom" with aIt applicatile Waft&mils at*At
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iCEEP THIS PLAN SET OM SUE la AL.MAW