HomeMy WebLinkAbout1996-007967 - detached garage . � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 �;t t i�.;)T;•J[
Crystal Bay, Minnesota 55323 Permit Number: - -7,_�r=�
Date Issued: s"�t's
(612)473-7357 e�t�,!'�:`i;''�;F.
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- �:��c�1 i r�:��t. —
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APPUCANT E EE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: � ���� �'�� DateReceived:
Date Approved:
/ Permit#: 9�, "�
Entered By: .��.�ti �
CITY OF ORONO - BUII..DING PERMIT APPLICATION
ALL INFORIVIATION MIJST BE SUBiVITTTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
---------------------------------
-------------------------------------
THE �PPLIC:�vT IS: (circle one) O N , OR CONTRACTOR
�� -
JOB SITE �DDRESS:
--- ; � ZIP: ��
�( I �W
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NA;��IE QF O�iVNER: ���'� L���,� PHONE: (home)
(work)
v1AII..INGADDRESS: ,~ -�v� CITY: ZIl':
CONTRACTOR: PHONE:
I�IpBILE PHOi�1E/PAGER:
MAII.ING ADDRESS: CITY: Z��
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILI�i 1GADDRESS: CITY= Z�'
���;�: REGISTRATION #
TYPE OF WORK: New Addition� Accessory S�ucture
Move Remodel/Alteration Larxi Alterarion
( I � �
PROPOSEDWORK(describeindetail): ��, ,�`�, 1 4�%7�' � �1,�` '� 7�°�—
C��N '� a4,iJ� t �,oo..s -t-� �/-�(L4-�c�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
��
EST�IATED CONSTRUCTION VALUATION(eYciuding land): � �(�-r � —'
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 �vith the ordinances and codes of the Ciry
and with the State Buildin� Code; that I understand this is not a permit and work is not to start
without a permit; and that the work ill be in a�cor,�ance with the approved plan.
,�
APPLIC��1T'S SIG�tATURE: � DATE: � ��i"��C,
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non-permitted events will not be allowed.
�
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Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The righcs of individual oo whom che dan is stored or to be stomd shall be as set fonh in this secdon.
Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidenrial data conceming himxlf shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'statE agency,polidcai subdivision,or starewidc sysaem;
(b)whether he may refuse or is legally mquired to supply the rcquested dara;(c)any known consequeace arising from his supplying or refusing to supply
priva�e or confidenrial data;and(d)che idenciry of other persoas or entides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgaave dan,pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav vtace the norice required urder this subdivision in the individual income tax or orooem taz 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 whethec he is the subject
of stored dara on individuals, and whe�her it is classified as public, private or co�denrial. Upon his further request, an individua!who is the subject
of stored private or public data on individuals shall be shown the data without any charge to hicn and, if he desires, shall be informed of the content
and meaning of that data. After an individuai 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 actien pursuant ro this secdon is pending or addidoc,al dara on;he indiviuuai nas beeu cotiected or creatad.
The responsible authotity shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the actual costs of making, certifying, and compiling the copies.
The responsible au[horiry shall comply immedia[efy, if possible, with any request made pursuant to this subdivision, or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wi�h the request
within that time,he shall so infocm the individual,and may have an addiaonal five days within which to comply wi[h the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accucacy or completeness of pubiic or private
data concerning himself. To exercise[his right,an individual shall notify in writing the responsible au[horiry describing the nature of the disagreemenc.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienrs of
inaccurate or incomplere data, including recipienu named by the individuaf; or(b)notify the individual that he believes the data[o be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administra[ive procedure act relacing 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 furnish certain private or
confidential iniormation.
You are notified that:
1. The information you furnish wiil 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.
j. You have cerain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this application or permit.
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C�n, = State Zip Phone
I unde and my g ts as stat d above. "-�-
Signa[ure
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CHECb' OFF LIST FOR ISSU��iCE OF PERI`ZTI'S
FOR OFFICE USE ONLY
?,DDRESS OR LEG�,I.: T � (��2-�w N �2�1 5 � -
PID:
DESCRIP'T'ION OF WORK: ��J� i-n o�S -I�o ��a4���
ZON�1G REVLEW BY: DATE APPROVID: S` -"�-0C�
BLZLDING RE'VLE�V BY: DATE APPROVID: 5--- �- ��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER'v1IT Yes ✓ No
P�N ��p� Yes f No SEVJER COi�NECTION
STATE SL�RCHARGE Yes � No WA'I�R COi�TNECITON
INVESTIGATION FEE Yes No � PA� FEE
SAC Yes No � SITE INSPECITON
Number of SAC Units OTHER (specify)
ZO�I'�iG CHECK LIST Zonin�District: 422 -\� Shoreland District : /UC�
Fire Department: (�o rv (�
Post O�ce: u� �School District: p(L2`�/st�
Loc?.rea: Sq.ft.�lU C.� G H�d�sGQ
Acres Width Depth
No Date of Survey: ckC�17o-�
Survey Submitted: 1'eS � � S�,� �� r�,,,� ���,,,,,,,,a�- y i,3
Proposed Setbacks: � -�.
Front (Lake): /��/4- Ri?ht Side: I.S�U
Rear (Street): (�o ' � Left Side: 2- � 5 � �—
Adjacent Struccures: ( 4� � � Wedand: N//�}
Buildin� Height: Def. Hgt. 0 �{�- Peak H�t. /J��
Av�. Setback: Bluff Setbac . L,ot Co er e:
Ezistin� Pro sed
Hardcover: �-� '
75 _50'
25 -500'
5 -1000'
Hardcover Varian e Reouired. Yes No Date f Council Approv : __
g Council �pproval a[e:
Grading: Staff . pproval Date Y�
Sepcic: Scaff proval Da[e: BY�
Zoni.n� File: esolution: � Resolutioa Date:
(in house):
� . , - , �
�u�n�rG �v�w cxEcx �sT
UBC: U — � CONSTRUCTION TYPE: U/`�
Sq Fooca�e S Per Sq Ftg
Basement z —
1 st Floor x —
2nd Floor z —
Garage X —
x =
TOTAL
�
Estimated Construction Value: � � ��
Inspections Required: Work Requirin; Separate Permits:
Si[e Plumbing Fire
Hardcover Removal Vlechanical Water Connection
x Footing Sep[ic Sewer Connection
Framing Firepiace Lawn Irrigation
Insula�ion (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
oc Final Gradin�/Filling Electncal (Stace Permit)
Other
P:�±�V7[ARKS (Ii�1 HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezistinj New
Access Approval: Date By�
REI�LARKS (TO BE�tOTED ON PERiti�TIT):
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED —
PERMIT NO. COMPLETED
ADDRESS z � `��� �/v''� (�—.l� �1�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION � � �
LL 01 FOOTING 11 MECHANICAL RI 18 EXCA RADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z0 D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL I
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� [7 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice