HomeMy WebLinkAbout1991 - 003663 - gazebo PERMIT
CITY OF ORONO PERMIT TYPE:
E:UILDING
132 Brown Rd. South • P.O. Box 66 Permit Number: 00366:3
Crystal Baii, Minnesota 55323 Date Issued: OF.../10/91
(612) 473-7357
SITE ADDRESS:
450 WOODF-IILL RD
P. I . N. ; 02-117-23-42-0003
DESCRIPTION:
GAZEBO
Building Permit Type SF-ACC STRUCTURE
Building Work. Type GAZEBO
UBC Occupancy
C:onst.ruction Type VN
REMARKS:
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13131TV
01
FEE SUMMARY:
VALUATION $20,000
Ease Fee $207 .00 ,L
Plan Review $14. 55
u1-charge 11Q-00
Total Fee $351 . 55
CONTRACTOR: -- Applicant. -- OWNER:
LANDSTYLE DESIGN St CONST 14209860 LEVINE KENT
7987 LAWNDALE LA 450 WUODHILL RD
MAPLE GROVE MN 55369 WAYZATA MN 55391
(612) 420-9860
41- CITY 1;44'414-
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APPLICANT/PERMITEE SIGNATURE ED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 3 51 ,,( -S' Date Received:
^� Date Approved:
Entered By: Permit#: 3C,6,
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 CONTRACTOR
JOB SITE ADDRESS: 46-0 L)o op A \\ ZIP: 553Q
(work)
NAME OF OWNER: LAY 1►v 1 FAST h4) PHONE: (home)
MAILING ADDRESS: \SO U.)00 D X2-1? • CITY: C2 Q-0 v c ZIP:
CONTRACTOR: L-P►vto STYLE tlow IkkAo C c'JIV51= LTY) • PHONE: 1 86c,
MAILING ADDRESS: r 1 d.97 LAwW ? L� l.4..i- CITY: IN/Wt.-a- b/2 ZIP: 553!6
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land A teration
PROPOSED WORK (describe in detail) : fU9("E_
STORIES: I SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2e coo
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 a• - ordance with the approved plan.
APPLICANT'S SIGNATURE: \'\ 1k_ DATE: " I `0
„. ,
c :
.,_._. _ \
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, . CITY of ORONO
-- Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ctRaNcr 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.
Z_AQ P`f-ii r O&_c21 1 I-CiowS r Grp.
First Middle Last
7 GI dol 1---AWryi0A. �ii,_
Address
1/1 ((,/1 Gro, Ah w 55361
City State Zip
Zp- i cab(,
Phone
I under - d my rights as stated above.
n
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4kjvt/ bivG_e_lll At col c ? r�5 .
Si• -ture
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
r )
513.04 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 Anindividual asked to
•
supply private or confidential data concerd t himselfa the be
informed
state agency,
of: (a) the
purpose and intended use of the requested
political subdivision, or statewide system; (b) whether he may refuse or is legally
the requested data; (c) any known consequence arising from his
requireduto supply private or confidential data; and (d) the identity of
s
other persons or refusing itoe supply P y state or federal law to receive the data. This
requirementqua entities aytwhen anhorized individual is asked to supply investigative data,
shall not apply
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may pace the r
lace the notic
instructions rered under
his
subdivision in the individual income tax or or
on those orms.
Subd. 3. Access to data by individual• Upon request to a responsible
authority, an individual shall be informed whether
hprivatis e or confidential.subject of e Upon his
individuals, and whether it is classified asp + data on
further request, an individual who is the subject of stored orivat him and, ifo he desires, shall
individuals shall be shown the data without any charge. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, ursuant to this section is
him for six months thereafter unless a dispute or action p
pending or additional data on the individual has ate or n collected
orupere created. bye
mayrequire the
responsible authority shall provide copies ofthep
the individual subject oft�a the
costsh of me aking, cee rtifying, and compiling the
requesting person to pay
copies. ssible, with any request
The responsible authority shall comply immediately, if poof the est,
made pursuant to this subdivision, or within
fiadf ysimmediate of theda compliance eiqu not
excluding Saturdays, Sundays and legal holidays, with the
ossible. If he cannot comply with the request within that time, he shall so inform the
P have an additional five days within which to comply
individual, and may a 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
ht an individual shall notify in writing the responsible authority
describing
exercise
this rig ,
the nature of the disagreement. Tinaresponsible
�Po a orencomplete and attempt to
authoritY shall within 30
days either: (a) correct the data found to be data, including recipients named by
notify past recipients of inaccurate or incomplete
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 disagre
ment 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.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
s , �
ADDRESS OR LEGAL: 4G0 tatNILII PID:
DESCRIPTION OF WORK: �aZ.G(1')
ZONING REVIEW BY: •V DATE APPROVED: 41/ 4/
BUILDING REVIEW BY: C} DATE APPROVED: 1-1 -2-9 -C U
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes a( No WATER CONNECTION
INVESTIGATION FEE Yes Nom/ PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: RE: -/f;
Fire Department: Post Office: School District:
Lot Area:N q5 000 6 Width: 416119 , Depth: WV
Survey Submitted: Yes)( No Date of Survey: 4//1431
Proposed Setbacks : /
Front (Lake) : Right Side: //7
Rear (Street ) : 75I Left Side: 55!
Adjacent Structures : Wetland: A Nni►k_
Building Height: Def. Hgt. /21(0 " Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' a
75-250 ' ----,TI-
250-500 ' /1t
500-1000 ' 0 2 o ib
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 REVVIEW CHECK LIST
UBC: H-I - I tBS CONSTRUCTION TYPE:,
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
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) Other
77(
Final (Mfg. ) Well ( State Permit)
Other Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
(a , D•TE TIME
CITYA)F ORONO CALLED IN a
4
INS EC'fl(3N NOTICE— -3 SCHEDULED . A? 0-7-)PERMIT NO. - / '- COMPLETED e
"z7/ (f) / K
ADDRESS �t l lu-e� i *
OWNER Lc &- CONTR. 2
TELEPHONE NOn �
o — 98"66
. 7 r?
01 FOOTING_ ) 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02-FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
Co) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 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
tgli 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLU FIS 23 SEPT C FINAL
OW(ERICONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
Q.
cc
O
CC
O
W
CC
W
W
CC
O
WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerIContra o s te:
Inspector.
White Copyllnspector's Ie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 6 3 SCHEDULED kd, ID ft e'te
PERMIT NO. /3 COMPLETED G(
ADDRESS
OWNER ,L-
_ CONTR.
TELEPHONE NO. `i Oz 0 9P4
DESCRIPTION n -6
ILI 01 FOOTING cri 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 LAKESHORE/WETLANDS
Z 04 WI__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
tu 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
CD COMMENTS:
W
O
CC
O
W
12
W
CC
?• 'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
C ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra r on ite•
Inspector. Val
White Copy/Inspector's File Canary Copy/Site Notice
D. T EI A TIME
CITY OF ORONO CALLED IN CT
"', r //
INSPECTION NOTIE SCHEDULED ! —2
PERMIT NO. Co 3 COMPLETED —&) ':
60
ADDRESS 45-0
OWNER J /A-e-c-e\-e- CONTR. / •
TELEPHONE NO. (7/A — D
DESCRIPTION .7 &
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 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
Q 0 INAL 13 METER SET/TURN ON 17 SITE INSPECTION
• •—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
0p/JS
j {,
O
cc
0
W
cc
Q
W
W
W ElWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• DO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 G/ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
17 CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr�e�t it site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice