HomeMy WebLinkAbout1994 - 006480 - det gar/chg driveway PERMIT
CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway - PO. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
LSV
P . I . N . ; 10-117-2:?- 24-0007
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
1.7 . 00
CONTRACTOR: OWNER• _
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THE U..41)ER'.2.:ICiNED F-J.EQUSTS PERMISION TO MAKE THI7 REA- IMPROVEMENTS
SPP::IFTED AND A(.4,:ki_S TO DO ALI. WORK :IN STRICI (.:OMPL1ANCE WJTH ALL CITY OF
ORONO OPOINANCP:40'41) r3.FATE OF NINNC3OTA eiJa.DING COOE REWIREMENffj .
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APP ipANT/••-M EE SIGNATURE ISSUED BY:SIGNATURE
•� CITY OFv OROIv'O - BUILDING PERMIT APPLICATION
Total Fee: $ / 11• t°-< Date Received: (0179j
Date Approved:
Entered By: ,&V
Permit#: c 7o
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) COWNE.F or CONTRACTOR
JOB SITE ADDRESS: 1I C5 kb1,3 Ki, g. ZIP: . s �csi 1
(work) -S0$
NAME OF OWNER: A'Zsk-t "7---E.,(. 11/•\:"E.:172_ PHONE: (home) L0 - ( l`i G
MAILING ADDRESS: --1..Atx.J, �4 CITY: L',Pu'ZA7y. ZIP: '�S�ci 1
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure )( Move
Demo Remodel/Alteration Renovate Land Alteration K.
PROPOSED WORK (describe in detail) : 5 e. ci C -2-Atc f C.-1Z":2-A---,T WO
-1k-Cr-- -.e; _i"b, 'a Q a c Q ZV.J• lZ L l w 12 Q 1 cl��i -k. c
STORIES: I SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ O CICw
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:--
( DATE: V ` LCR ` Z
CHECK. OFF--LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (/SS 3RUc4JA) R OA,D S. PID:
DESCRIPTION OF WORK: (3 G---T14c-t-t-eO (940 e + CIQl A (, cid-T'1 b J
ZONING REVIEW BY: 72,g, (11/1.,‘r,__ DATE APPROVED: Cl' 2 ff- 9V
BUILDING REVIEW BY: 46d14,4.-- DATE APPROVED: 9 -ZT-'1
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW No SEWER CONNECTION
STATE SURCHARGE Yes 47' 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: 2R- U3
Fire Department: L.L . Post Office: G✓4yz School District: p441.-/VO
Lot Area: 33,99O sY k+ Width: 2.171. (f0 Depth: /V1 '1.1
Av
Survey Submitted: Yes L No Date of Survey: 'i-if-1f
Proposed Setbacks: ��
Front (Lake) : -27 / 1: Right Side: 5�
Rear (Street) : 45-1 Left Side: 137'1--
Adjacent
37'1=Adjacent Structures: 27 ' Wetland: NM-
Building Height: Def. Hgt. (P. K Peak gt.
Avg. Setback: Lot •verag: :
Ex. ing P •posed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varian - Required: Yes No Date •,f Council Appr•val :
Grading: Staff •,•proval Date B : Council Approval Date:
Septic: Staff A•proval Date: By:
Zoning File: # Resol ion # : Resolution Da
REMARKS (in ho se) :
BUILDING REVIEW CHECK LIST
UBC: AI-1 CONSTRUCTION TYPE: Ac ert‘f
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage 776x- X IZ.. o = 2. 2--c-- -0
x =
TOTAL
o
Estimated Construction Value: $ `�, � o ---
d
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
k Footing Mechanical Fire
)Framing - Septic Water Connection
Insulation - Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Fina l (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) :
, - . ...
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.
r------ F-51-Pi.j 41\7Si. ‘,. "E-C.w i.),- 71-Z
First Middle Last
Address
( 2-A-1. `M VO • � -39c I
City State Zip
(LZ. c—V-1 3 Lc LI
Phone
I understand my rights as d above.
Signature db
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE -473-7358 • PUBLIC WORKS -473-7359
ASSESSING
a
SI3.04 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
withthe be
informed
state agency,
of: (a) the
purpose and intended use of the request
subdivision, or statewide system; (b) whether he may refuse or is legally
Political suthe requested data; (c) any known consequence arising from his
required
to supply private or confidential data; and (d) the identity of
uheling or refusing to supply ive the data. This_
other persons or entities authorized by state dual iseaskedlto supplyto einvest gat ve data,
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the notice re•uired under this
subdivision in the individual income tax or •ro•ert tax re and instructions instead o
on those orms.
Subd. 3.
Access to data by individual- Upon request to a responsible
authority, an individual shall be informed�h ther he is privateesubject of or confidential.ed data on
Upon his
individuals, and whether it is classifiedpublic, public data on
further request, an individual who is the subject of st to hi privatem ifo hdesires, shall
individuals shall be shown the data withoutoanyicharge. After an individual has been
Se informed of the content and meaning the data need disclosed to
shown the private data and informed of its meaning, neednot beels section iso
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been collected public datorupere created. bye
require the
responsible authority shall provide copies of the private or may
the individual subject of thecral•costs of making,The l certifying,e and compiling the
requesting person to pay the
copies. ssible, with any request
The responsible authority shall comply immediately, if poof the est,
made pursuant to this subdivision, or within
fia si iff he date
compliance eigsu not
excluding Saturdays, Sundays and legal holidays,
P
possible. If he cannot comply with the requestshall
with the
withinwiys vthat time,
which he complyllsoinform the
individual, and may have
an additional five request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness of public or private data concerning
o
exercise this right, an individual shall notify in writingresponsible
describing the nature of the disagreement. The arer�ate nsiblscan omQlet and attempt to
authority shall within 30
days either: (a) correct the data found to be incinaccurate
notify past recipients of inaccurate or incomplee data, includingcrecipients
s named
d b
the individual; or (b) notify the individual that correct.s
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.
CITY OF ORONO CALLED IN 14 -5T C-( `fr. '44)
4, poi
INSPECTION NOTICE SCHEDULED 0-b `-, Cr m
PERMIT NO. (o 41 v COMPLETED /�d_/ IQ
ADDRESS //S6 I`
OWNER Ste. ✓> rut+z, CONTR.
TELEPHONE NO. 4-1-1 3 JL0
E DE TIONp
1 FOOTIN 11 MECH CAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 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
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
14.4 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
W
Q.
cc
O
cc
0
W
W
cc
W
W
W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerIContrac n s e
Inspector. -
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /// 4/Y
INSPECTION NOTICESCHEDULED /,/ /7 ✓ � C D
PERMIT NO. ; COMPLETED
ADDRESS
OWNERC;'G-yJzc' � CONTR. %
TELEPHONE NO.
DESCRIPTION Z
▪ 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
X• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
• 031NSGLATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
14.1 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
•.J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
2
O
cc
O
W
CC
W
W
CC
O WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W
CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pe t n 24 hours in advance.473-7357
OwnerlContrac r n site:
Inspector.
White Copy/Inspector's File Canary CopylSite Notice