HomeMy WebLinkAbout1996-008187 - detached garage PERMIT
� CIT� OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �:t i i; :��;�st;
Permit Number: ;ji z,�;i;',;�
Crystal Bay, Minnesota 55323 _
(612)473-7357 Date issued: 4�.r;��_;��:���,
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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APPLICANT;P MITEE SIGNATURE ISSUED BY:SIGNATURE
• iotal Fee: � %,�7 �/ DateReceived:
DateApproved:
Entered By: �' f, , Permitr�: .?�'/-��
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
ALL Pi 1FORMATION�tUST BE SLBMTTT'ED I�i 1 FULL BEFORE PL��i REVIEW WII�L
BE STARTED
THE APPLIC�VT IS: (circle one) OWNER R CONTR.ACTOR
JOB SITE ADDRESS: l�-5� �{�1�� ����ZIP: ���� ��i
NAil�1E OF OWNER: f� -� ��5f'��'I PHONE: (home)����—(o`L�g
(work) � —
VIAILIi�'G ADDRESS: �'D� �f r� ���I CITY: ZIP: Z
CONTRACTOR: ��%! PHONE:
�IOBILE PHOVE/PAGER:
v1AII.,1��1G ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHO�IE:
MAILItiTGADDRESS: CITY: ZIP:
�;��,�: REGISTR.ATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Larxi A1 � n
� ! � �
PROPOSED�VORK(describeindetail): �� � �G ������ L��
�2-����������- _
STORIES: �_ SQ. FEET OF EACH FLOOR: ��� -s . 7��_
NO. OF BEDROOMS: GARA G E S T A L L S: A T T. E T.
EST�I�,TED CONSTRUCTION VALUATION(escluding land): $ ,�J�`�. � �T�f��
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
�vithout a permit; and that the work will be in accordance with the approved plan.
:�iPPLICrli'�1T'S SIGNATURE: G' / DATE: �
NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permztted events will not be allowed.
Sec.13.04 RIGHTS OF SLIB.TECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forrh in this secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesced dara within the collecang'state agency, poliacal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the iequested data;(c)any l�own consequence arising from his supplying or refusing to suppty
privare or confidenrial data;and(d)the idendry of other persons or entiries auchorized by state or federal(aw to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgaave dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or propertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, priva[e or confidential. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After aa individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this seccion is pending or addidonal data on the individual has been coflected or created.
The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of[he data. The responsible auchoriry
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry shall compty immediately, if possible, with any request made pursuanc to this subdivision, or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is no[possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal ho(idays.
Subd.4. Procedure when data is not accurate or complete. An individual may con[est the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry dzscribing the nature of the disagreemen[.
The responsible authoriry shafl within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, including recipients named by [he individual; or(b) notify the individual that he belizves the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administracive procedure act relating to
concested cases.
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 fumish cer[ain private or
confidential information.
You are notified that:
1. The information you furnish will be used to detemune 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 a�encies to the extent necessary to process
the permit or license.
4. If your requested pernut or license requires Council action to approve, some,information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First �tiddle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ►2� � (�,iZ��2 5 T
PID:
DESCRIPTION OF WORK: �J c=�-f�1�P C9i42aCo�.s
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ZONING REVIEW BY: DATE APPROVED: 'Z -�3- 9�
BUILDING REVIEW BY: DATE APPROVED: �- 2 3 - g�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �' No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SUR:HARG� Yes c/ No WATER CONNECTION
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Y�s No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: /1 R-I(3
Fire Department: (�On� C,a�c,2 Post Office: � School District: (�No�vo
Lot Area: Sq.ft. ����� Acres - 2-`'� Width '7 S Depth 1�-(U
Survey Submitted: Yes o( No Date of Survey: Z-Z�-5 b
Proposed Setbacks:
Front (L-�cc}: I(� � �- Right Side: Z �
Rear (�eet): 1 0 � Left Side: S S�
Adjacent Structures: y�� 1 Wetland: eV(A
Building Height: Def. Hgt. � • <<- Peak Hgt.
Lot Coverage: �.�6°7�
Grading: Staff Approval Date: i✓�/-� By: Council Approval Date:
Septic: Staff Approval Date: /�/iA- By:
Zoning File: # 2-� `'� ( Resolution: ' ,�� Resolution Date: G -2�f- 9�
horeland Dist:ict:
Avg. Setback: Bluff Setback: Lot Coverage:
�•� Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
� 26
BUILDING REVIEW CHECK LIST
UBC: V — ( CONSTRUCTION TYPE: (2 -3
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage 3�o x I.S•Oo = S,`-f o0
x =
TOTAL
Estimated Construction Value: $ 5�`{ O�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection
_ D<, Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� Final Grading/Filling �_ Electrical (State Pernut)
Other
REMARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By�
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REMARKS(TO BE NOTED ON PERMIT):
27
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D TE TIME
CITY OF ORONO CALLED IN �� i ,'Y
INSPECTION NOTICEr SCHEDULED � �/`'� ,�i'"i'C?�,
PERMIT N0. ���,� � COMPLETED _�_ �
i
ADDRESS l�S% ��� f_«:�-
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OWNER������`-' CONTR.���
TELEPHONE NO.
� DESCRIPTION � - ' ' �' �
� _Q__C 1�Il�lp-l 11 CHANICAL RI 18IXCAV/GRADINO/FIWNO
y 02 FHAMINO 13 MECHANICAL FINAL 19 LAl�SHORE/WETLANDS
Q 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES v'NO
� COMMENTS: ��l ! ,l�� , � ��C�� -'�� � C'
y � � i_ t_ �- ,�' G ts
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W � CORRECT WORK 8 PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WOqK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-=� CITATION ISSUED
❑ INSPECTION REQUIFiED.CALL TO ARRANGE ACCESS.
Call for the next inspe tion 24 hours in advance.47�73�J7
OwnerlContractor s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
V
OATE TIME
CITY OF ORONO cA��E�iN �l/-�•���a � l� �r�>�7
INSPECTION NOTICE SCHEDULED // -5� �
PERMIT NO. ��� COMPLETED � �_
ADDRESS :��S / /;;"'L-C�.-� �-�
OWNER �f�-�� CONTR.
TELEPHONENO. � 7 ��' ' C<''�� �
� DESCRIPTION CG2�c �
� Oi FOOTINCi � 11 MECNANICAL HI 18 D(CAV/GRADIN(3/FIWNO
�Q -�--�� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� FINAL ' 14 SEWER HOOK-UO O6 PROCaRESS
J 07 DEMO�SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTiC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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O
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W
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2
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d RK SATISFACTORY:PROCEED �ROJECT COMPLETE
W
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITH�N HOURS. r pH0T0 TAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOFi �=CITATION ISSUED
O INSPECTION REQUIRED.CALL TO AfiRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCont n i :
Inspector.
White Copylinspector's File Canary CopylSite Notice