HomeMy WebLinkAbout1993 - 005276 - shed PERMIT ,/
CITY OF ORONO PERMIT TYPE: [
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUD DTI}
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Orono, Minnesota 55356-0815 '- -'2
(612) 473-7357 Date Issued:
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SITE ADDRESS:
111.5 i4 I L _OW DR=
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P . I . N 10-117-"7:1:-'24-0017
DESCRIPTION:
1(3' X10' SHED _ STRUCTURE
Pert:€' t•_ Type SF-ACC
Builciing Work Type SHED
UBC: Occupancy M-1 53
Con.--..tri4ction Type VN
CITY 1 ! L''! ORONO
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01 ig- 15.00
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REMARKS. CHECK EC 1 ti e z7
iL7CEIPT-7HANK YOU
#277000 2/1/V 4001 101 • 10L1
FEE SUMMARY:
VALUATION 200
Base Fee $15 . 00
Surcharge
T t_;v t.x:1 T-E: i' $15 . 50
CONTRACTOR: OWNER: - Applicant -
GAB'R.°I ELON TODD
111 III W DR t
oRONO MN !_ i:331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK:: IN STRICT C OMF'L I ANC-E WITH ALL CITY OF
L_ ORONO ORD INA 'E'S AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.t.
t' CY i
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ( )
CITY OF ORU !O - BUILDING PERMIT APPLICATION
Total Fee: $ /550 Date Received:
Date Approved:
Entered By: J2A1 u,
Permit#: .ice
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) 6NER)r CONTRACTOR
JOB SITE ADDRESS: ///5 (--,-/67//oL,0 Z)r ,S-6 ,-(7-11 ZIP: SS 3`7
(work) 587- 35-73
NAME OF OWNER: 0/I G� h r i r /So^/ PHONE: (home) y 7x Z
/
MAILING ADDRESS: /1-AL✓ CITY: O ao/J o ZIP: SS 3
CONTRACTOR: 1.0 S PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure > Move 'C
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : /o CA Tc /0 X /0 / f�C c �.5Sb y 5 C
LL4..id (g/1,r4C ,ec�C11 0 o Nr .4a-g- L,
S /
STORIES: SQ. FEET OF EACH FLOOR: 700
NO. OF BEDROOMS: ,- GARAGE STALLS: ATT. DET.
�U
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ZOO
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:/�
ems% DATE: &//z/41.3
o �� Or7-q3
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•_
CITY of ORONO
C Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
OF
_QRONo 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.
First Middle Last
/// ///d``.) c_c"J a �i
Address
i9-7.✓ SS 35/
City State Zip
Phone
I understand my rights as stated above.
Signature •
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ///sr iN11lCuJ ea c . PID:
DESCRIPTION OF WORK: A9+r G J4e61,
ZONING
REVIEW BY: T .:I4A1
DATE APPROVED: 6 -?-f3
BUILDING REVIEW BY: $ .V DATE APPROVED: 6-7-93
.7
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes x No
PLAN REVIEW Yes No 1 SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes ?( No Date of Survey:
Proposed Setbacks: / ,(
Front (Lake) : //o Right Side: 1,
Rear (Street) : /5-01 Left Side: 41.-
3Q
Adjacent Structures: asWetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage: oK
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 File: # Resolution #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: "1 g 8 CONSTRUCTION TYPE: N
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x _
Garage x =
x =
TOTAL
Estimated Construction Value: $ /40200
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 (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) :
TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�F. SCHEDULED 7//1/9-
PERMIT NO. -, ' 7 CO LETED//'
/$°"145ADDRESSi/5.����.p7,r,-A -
OWNER
CONTR. ...det
TELEPHONE NO. SS 7 -.557 3
DESCRIPTION
t.„ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 04 WA L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
cr 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
MO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
U 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: _.;T72-A ,cc
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CI• ORKSATISFACTORY:PROCEEDROJECTCOMPLETE
CC CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION // TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
El PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
Owner/Co a r site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice