HomeMy WebLinkAbout1992 - 004412 - garage PERMIT
• CeirlY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: t ii� _
NG
�.�
Crystal Bay, Minnesota 55323 Date Issued: 06/ /9
(612) 473-7357
SITE ADDRESS:
1120 WILLOW DR
CH
P . I .N. : 10-117-23-24-0032
DESCRIPTION:
24X24 GARAGE
Building Permit .Type ACC/GARAGES
B:ui 1ding Work Type GARAGE-DETACHED
UBC Occupancy 88 M-1
Construction Type VN
Zoning RR-18
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REMARKS: TL
ICU
SEPARATE PERMIT REQUIRED FOR ELECTRICAL (STATE) .
FEE SUMMARY:
VALUATION $6,900
Base Fee
$90.00
Plan Review $58. 50
Surcharge 1::-45
Total Fee $151 . 95
CONTRACTOR: OWNER: - Applicant. —
VICKERMAN THOMAS J
3065 LAKESHORE AVE
MAPLE PLAIN MN 55359
479-1686
1 I GNED HEREBY REQUESTS PERM I z� �
�. 4 ANC:) AGREE,' TH Du ALL WORK'': IN x a CITurY
t= 1 D I NANCE AND '6TATE r IF M I NNE I ITA `F ` m
t _ /1 .tir-..�. •, „�,,:,.,,t-, ��o�n�r�. :mwn a..�,.�...,._sa,� ':.�.a ��
ISSUED BYSIGNATURE
APPLICANT/PERMITEE SIGNATURE : '�/'
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (110 (,V,n o c df( PID:
DESCRIPTION OF WORK: ) C9A244-&
ZONING REVIEW BY: ,�n.._ DATE APPROVED: (0-15-c2
BUILDING REVIEW BY: S1 DATE APPROVED: (y -1‘5'41 2
FEES TO BE CHARGED: �1 Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes-77. No 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 cuECK LIST Zoning District: /12-)tS
Fire Department: 00,45r t,,41w Post Office: C/L/J (- 6* School District: N/c.
Lot Area: 23) 1.1 Width: 410 &Oi'� Depth: 2_1(.. .6/ I
Survey Submitted: Yes / No Date of Survey: g, -1( - �5-
('
Proposed Setbacks: r
Front (Lake) : 'yin Right Side:
LA_
Rear (Ctrcct) : /eg1 = Left Side: Z=( 1 1
Adjacent Structures: 10 ' Wetland: /vIA
Building Height: Def . Hgt. 0 . 14- Peak Hgt.
Avg. Setback: Lot 'overage:
Ex' ing Pr.posed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varia ce Requ red: Yes No D=te of ouncil Approval:
Grading: Staff Approval Dat: : By: Co ncil Approval Date:
Septic: Staff Approval 'at - : :y:
Zoning File: ' •esoluti,n #: esolution Date:
REMARKS (i. house) :
A 111111111111111011111111111
11110111111.
\
BUILDING REVIEW CHECK LIST
UBC: SFS (M- t CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage 2y)(214-_-. 57(0 x /2•0o = (v` cro0
x =
TOTAL
Estimated Construction Value: $ 6,900 4o
Inspections Required: Work Requiring Separate Permits:
Site • Plumbing Grading/Filling
plFooting Mechanical Fire
o(FramingSeptic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
p(Final (Mfg.) Other
Other Well (State Permit)
DoLElectrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By: _
REMARKS (TO BE NOTED ON PERMIT) :_
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /51 , '1
Date Received:
Date Approved:
Entered By: 1/,,,,,4) z�
Permit#: �
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) (\OWNE)r CONTRACTOR
JOB SITE ADDRESS: // 9-C 1,3% 110k33 Or ZIP: 3-53 3
Lit (work)
NAME OF OWNER: )i)bV 19 S �`� r /I') PHONE: (home) y 7?/t &,4
MAILING ADDRESS: -301-- S t Q CITY: MAO) 1/114 >d ZIP: 533f
CONTRACTOR: e I S PHONE: 1-1747 /6 '6
MAILING ADDRESS: s CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
ition Accessortructure r` Move
TYPE OF WORK: New Addy Y
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : NG-4 Y'A-
STORIES: (f)(e__ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
au
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 900
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 acct rdance with t a/roved plan.
APPLICANT'S SIGNATURE: '(Lc ,: / / DATE:
,- _
A_
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.
-4921/1 AS 9,9,He P/It,/, ,m,,-,,,
First Middle Last
3 44 L - e t 'e
Addr s _
� ''/ii 7( , , . S-5
City / State Zip
/ 7y 1‘.37 v
Phone
I uncle -tand my rights as st . above.
41111111111111111117 _ - - /
" ignature
BUILDING& ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
e:
E'
•
S13.04 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 sn the collecting state agency,
be informed of: (a) the
purpose and intended use of the requested d
m. (b) whether he may refuse or is legally
required subsupplynthe requested or ; data; (c) any known consequence arising from his
yin to supplyprivate or confidential data; and (d) the identity of
su
other persons or refusing itoe supply P state or federal law to receive the data. This_
other or entities authorized by data,
requirement shall not apply when an individual is asked to supply investigative
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may. .lace the rnotice und instructions reird under
this
subdivision in the individual income tax or •r p
on those orms.
Subd. 3. Access to data by individuaL Upon request to a responsible
authority, an individual shall be informed�whe bile pr vateis esubject of or confidential.e Upon his
individuals, and whether it is classified P public data is
charge to him and, ifo he desires, shall
further request, an individual who is the subject of stored private or
n
individuals shall be shown the data withoutof that data. After an individual has been
6e informed of the content and meaningthe data need disclosed to
shown the private data and informed of its meaning, neednot beels section o
him for six months thereafter unless a dispute or action pursuant
is
request b
• pending or additional data on the individualohas been
collectedbliedataruponareq created.
The
Y
responsible authority shall provide copies P mayrequire the
the individual subject ofthe
actual'costs The
of making, e certifying,T and compiling the
requesting person to pay
copies. if possible, with any request
The responsible authority shall comply immediately,
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
ossible. If he cannot comply with the request days within that time, he shall so inform the
P have an additional five
within which to comply with the
individual, and may al holidays.
request, excluding Saturdays, Sundays and legal
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
onsible
exercise this right, an individual shall notify in
onslbleriting the euthority shall within authority30
describing the nature of the disagreement. TheP and attempt to
days either: (a) correct the data found to be inaccurate or incomplete named
notify past recipients of inaccurate or incomp t data,
he believes including
the recipients
ci i n s correct.
by
the individual; or (b) notify the individual t
haData in dispute shall be disclosed only if the individual's statement of disagreement is
• 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 -,>7_ ,1-(± I 0
INSPECTION NOTICESCHEDULED a3'% . ltd`. 33 a
PERMIT NO. �� COMPLETE � ) j( It
We_
ADDRESS 102 o � 11J /U
OWNER CONTR.
TELEPHONE NO. 1- / — /C° a
- ' ION o -
01 FOOTING 11 M AN� 16 WELL TEST PUMP
W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
• 07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LW 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
W
CC
O
a
CC
O
U-
W
CC
W
W
C
/$ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
• El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR H CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Connor p i site:
Inspector. Off.A•4
White Copy/Inspector's File Canary Copy/Site Notice