HomeMy WebLinkAbout1991-003966 (Garage) �'ERMIT
CITY O� ORONO PERMIT TYPE: �;t;sL_��;t,��
1335 Brown Rd. South • P.O. Box 66 Permit Number: t?'����'=j�.==�=�
Crystal Bay, Minnesota 55323 Date Issued: _�=�i i'i;`'��
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY: �I
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CONTRACTOR: OWf��E�• —�" `�`'��a.4F�:�;ft��„f-�r�fzj r�,o•�7
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. . . . G��L��c�z�� q���-��9�
CHECR OFFFORSOFFI�CEIUSE ONLY�F P�MITS
ADDRESS OR LEGAL: I��� ��c� ���' ��r� K� PID: d �- i/ �- � 3 3 y a�o��
DESCRIPTION OF WORR: �E.�t-�C�-/GC��� -
------------------------------------ --------
ZONING REVIEW BY: �� DATE APPROVED: �i - Z3' ��
BUILDING REVIEW BY: � L� DATE APPROVED: �!-L3'y�
--------------------
FEES TO BE CH�,RGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � 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 CHECK LIST Zoning District: G R��Cr
Fire Department: �pvN� Post Office: (NMI�LhT►�} School District: o��"°
� /
Lot Area: `d�8 9`f s5 �r Width: � Depth: /9 V� I 6 7
Survey Submitted: Yes�C No Date of Survey:_ SG�P i � �1 � —
Proposed Setbacks :
Oec.�� b�►R�� ,�c4K v a,2o�
Ftviit' (Lake ) : Sa� /�!/ Right Side: 11•f� •5�
.�ee�.r- (s treet) : N � 2.0,� Le f t s i de: g 5 y •6-3
Ad jacent Structures : �Ae Z-1 � �p.e�u r�*tM�u+ Wetland: pl/1�-
Building Height: Def. Hgt. /5 � Peak Hgt. 1 �7 �
Avg. Setback: OGc.1c �s NnN E-NG/Lu�4c.�+'w�n,.,�F Lot Coverage: lfl•S
Existing Proposed
Hard�cver: 0-?5 ' $.3�7�d �S•39�b
�s—zso� �f��� 3S.��fo
250-500 '
500-1000 '
Hardcover Variance Required: Yes� No Date of Council Approval: S•26 -�+1
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: Iv �� BY�
Zoning File:# I(,b5 Resolution �: 3�D� Resolution Date:
RSMARKS (in house) :
BIIILDING REVIEW CHF:CR LIST
�gC: �� �-�- � CONSTRIICTION TYPE: ��
Sq Footage '" �$ Per Sq Ftg � - •
Basement X —
lst Floor X -
2nd Floor X -
Garage X —
x =
TOTAL .
O•
Bstimated Construction Value: $ �����
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
�0 Framing Septic Water Connection
�Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
�Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
�R_MARR$ (IN HOIIS$� S
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New '
Access Approval: Date BY=
-------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
' CITY OF ORONO - BDILDING PERMIT APPLICATION
' Date Received: d ��
Total Fee : $ ��� � �-�
Date-Approved:�
�
Entered By: .�ti� Permit#: ��cri �
ALL INFORMATION MIIST BE SIIBMITTED IN FOI,L BEFORE PLAN REVI�r1 i�TII.I, BE STARTED
(See Check-off List Enclosed)
T�E APpLIGANT IS: (circle one) OWNE�lor CONTRACTOR
JOB SITS ADDR$SS: / � � 1 1� �"�I���r ��"��� \��° ZIP: 5�� 3���
� 5(`C W t V � �� Na
(work)
NAME OF OWNER: �
�t� r.� �'i.5 �, �� �c�t �� �' PHONE: (home) ��r���lGa/
MAII,ING ADDRESS: ���� �«��+.1 r I"���(� �� CITY: ����'�%►�� �I"''`; ZIP: ��3`1/
CONTRACTOR: �f=y( � PHONE:
MAILING ADDRESS : CITY: ZIp=
TYP$ OF WORR: New� Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe i.n detail) : � I G't c 1� ' ��vi C �� �`ct r� ��r�� z ��� � ���'�``�
L� f � ` ;,U:,,^v� ��.(, =. �o Lv�` GZc��K l ���''►�
"'_c�r ��I uC�irQ c -r i��� c_ l�a' (CtC i v�
5�(�� LC S r''!`t sc v.'� � v�
�.
STORIES: � SQ. FEET OF EACH FI,OOR:
N�. OF B$DROOMS: � G�GE STALLS: ATT. DET.� ,
� ��'C:% �'�
SSTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ / > -
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 tved alan. ithout a permit; and
that the work will be in accordance with the app � p
��V''u`,�' � -'lC � � �
� . /� DATE: (
APPLICANT S SIGNAT'IIRE'
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a�
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CI'��' of O��l�T
. Post Office Box 66•Crystal Bay,Minnesota 55323•Muaicipal Offices
•
� _ � � 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 f rom 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 Iocal , state or
federal agencies to the extent necessary to process the permit or
3.icense.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
E. Your full name is required to process this application or
permit.
O i='��d' � ��►u(S ,�C ���z�'T�'2
First Middle Last
�`l rJ� � 4-��A,C'�u r r�r(� '�c!
Address
�� � � � �
11(`v 1�'i� �5 ...� l�
City State Zlp
�7r - c� 4_�� l �y.� � ���� ,� ��t,,��:It)
Phone "
I understand my rights as s ted above.
��
, � ��� � C .
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION�FINANCE-473-7358
• PUBLIC WORKS -473•7359
ASSESSING
513.0.4 RIGHTS OF SIIBJECTS OF DATA . .
Subdivision L Type ef data- The rights e ti�viduals on whom the data is
stored or to be stored shall be as set forth in thLs s
� to be given ind�v��l- An.individuel asked to
Subd, 2. Information required
� ' 1 rivate or confidentiel data concerning �m�i�in the collecting state agency,
supp y p uested date
purpose and intended use of the re9 tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys �oWn consequence arising from his
required to supply the requested date; ��� �Y �d (d) the identity of
supplying or refusing to supply private or confidential data;
er ersons or entities authorized by state or federal law to receive the data. This_
oth p 1 when an individu8l is esked to supply investigative datg,
requirement shall not app Y to e law enforesment officer.
pursuant to secLion 13.B2, subdivision 5,
The commissioner of revenue ma lace the notice reQuired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead oi
on those orms. � - -- -- .
t� �� by ����L IIpon request to e responsible
Subd. 3. Access
authorit , an individual shall be informed whe b�c h r vateeor confident al.e UPon tus
y ublic data on
individusls, and Whether it is classified as p � P
data without any charge to him and, if he desires, shell
further request, ar► individu e v�►ho is the subject of stored private orndu� � been
individu81s shall be shown th of that data. After an uidi
�e informed cf the content end meaning the data need not be disclosed to
shown the private data end informed of its u���action pursuant to this section is
him for six months thereafter unless a �P n request by
� ndin or additional data on the individuel h� 8 e or public datarupoeated. The
• pe g rovide copies of the p
responsible authority shall p The resporisible authority may reouire the
the individual subject of the data• certif n and compiling the
requesting person to pay the actual costs of maldng, Yi g'
copies. 1 immediately, if possible, with any request
The responsible authority shall comQ y
made pursuant to this subdivision, or within five �ysimmediateat ompliance e�ue�e
excluding Saturdays, Sundays and legsl holidays,
ossible. If he cannot comply with the request within that time, he shsll siin�orth the
P have an additional five daYS within which to comp y
individual, and maY �d le al holidays-
request, excluding Saturdays, SundaYs g
te or complete. An individuel maY
Subd. 4. Proced�u'e �►hen data is not acc�a ivate data concerning himself. To
contest the accuracy or completeness�of public o ln �i� the responsible authority
exercise this right, an individugl s� notify �ible authority shall within 30
describing the nature of the disagreemen� The respo lete and attempt to
days either: (a) correct the data found to be lete dataeincludingPecipients named by
notify past recipients of inaccurate or incomp
the individual; or (b) notify the individual t�'v dual'slstatementof disagreementcis
if the mdi
Data in dispute shall be disclosed only e�e� p�u�t to the
• included with the disclosed data• � 8pp
' The determination of the responsible authority may .
provisions of the administrative procedure act relating to contested cases.
. .. .� a�c�a c��y
.-,�;�;� ..,. ;ir`- ����- ,i Ia��TO��IIC�i����� QF PREI�IS� � -, : ,
�.�...m.._.�...�._..��_,....�.
� ���������
`��,.�' ���.� �z,r� ct P��( �`e �luc� ►�-�c��ti�` fipprvved Ar.iclres�e�: Shall Qe Displayed,
' Plainly Vis�il�ln� lir��l I.egible From The
�Street Fronting TI�Ea Property
: .-��(�
�) �� -- ,_
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�> f!C/�> '' � �
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.;, �� �. ��.s�>,�,� ��-���� ��CKSLSTAIRS � PQ��I��� .
// �:�.(j�� l'.c'i�/.�� — �/`�. iC�r��L. ►
,,y� �y --- -- !'�II Structural Members Must Be Approved
Wood Qf Natural Resistance To Decay (l�
d re�ted W��d.
`�---- ._.. ��,� _.___._. ..i �42" MIN Frast Footings
----.___.__.----..... .______
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f3U1L[a1N� C e 7' PLAN REiYi�!r
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,�/� i;Pf'i;t;)V[=t� �'v'I�i H CGf;r'�:CTIO�J�= A� N��TED
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^ /� L r�U APPiOVEC — C��hr E(�T cx RESi:�'i�:il i
O f��V � '"�- �• ��;:"• •�o�r;n:nnt� �rq f;�r y�i!�r infC!f11'1fiOfl. A�II '.tifylC �h i
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full � _ !;�J!ri;�,c w�t'� rr.i a�ry,l!c:i��1_. [ui��Jin II be
L!!;iri�:rr>>�I�: i���lu�iinc; � 8 a ZOnihv COda rr•
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ORONO ADMINISTRATIVE OFFICBS
INFORMATION DISCLOSIIRE REQIIEST
MINNESOTA GOVERNMENT DATA PRACTICES ACT
REQDESTER NOTE:
A. Request Frequency - Private Data on individuals. After you
have been supplied the data and informed of its meaning, the
data need not be disclosed to you for six months thereafter
unless a dispute or action is pending or additional data on
you has been collected.
B. You may be required to pay actual costs in making,
certifying and/or compiling the copies of information
requested.
�
Date of Request: `�-�^ '� � ( �� l -
� /�
Requester Name: / t� i�-� � C ( `�l�T�-� t'
Address: ����( ��� /r ��C V�� City: � 1�=� ���
zip: ��?� `I / •
C� t Business: ��.�/�t�� e-t,
Home Phone: �'( �� ' �' �'�'
Description of Information Requested: d �' ��'�t i`l�s
� � � ! � � ��-
Reqnester' s Signature: ��°�`` ' ` _
BELOW INFORMATION TO BE FILLED IN BY DEP TMENT ONLY
Department: Handled By:
Request Type: In person Mail Phone
Requested By: Subject of Data Not Subject of Data
Information Requested is Classified: Public Private
Confidential Non-Public Protected Non-Public
Request is: Approved Denied Approved in Part
Remarks/Camments:
Authorized Signature:
Fees: x = $
No, of Pages Rate per Page Total Due
DATE TIME
CITY OF ORONO CALLED IN � �'–
INSPECTION NOTICE SCHEDULED �lii/9z- � '� 3 C
PERMIT NO. coMP�ET� �
ADDRESS � r z�� '
OWNER � C CONTR. �j'1�--.��/2�
TELEPHONE NO. 17�� - �,� ��--
� DESCRIPTION . i�"p� �� � �.-z�? o _ >>v�c���
� // �—
� 01 FOOTING 11 MECHANICAL RI�/ U 16 WELL..TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
0
Z 04 L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 F A 13 METER SET/TURN ON 17 SITE INSPECTION
� 0 EMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED !� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto i :
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �/ SCHEDULED �D�-2( 1.��
PERMIT NO. ����` � COMPLETED
ADDRESS ��a� �GU:CW� TG�`
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION T' �
��OOTING 11 M CHANICAL RI 16 WELLTEST PUMP
Q/�RAMING 11 MECHANICAL FINAL 18 EXCAVIGRADWGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 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
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. G pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor n ite:
Inspector.
White Copyllnspecto's File Canary CopylSite Notice