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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: rii :itr.: ttY 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- NTS RF, 14,k tt. t 44 4„7,44,444 ' t4:::;.,4";r-iftrrf,; ff.14Pts 1.9 Alp VIP" 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 : .,_._. _ \ ,(\.. , . 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 /4 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