HomeMy WebLinkAbout1990-003342 - addition to garage �RMIT
CITY OF ORONO PERMIT TYPE: z,��Il_Cilti�#�;
1335 Brown Rd. South • P.O. Box 66 Permit Number: `!`}�';;�'�`
Crystal Bay, Minnesota 55323 Date Issued: �� .
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(612) 473-7357
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REMARKS:
FEE SUMMARY: �y'j j�i�y k i���.�# �::;,{=i�t?
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CONTRACTOR: 01iA� �,R �'��`��� i`��` '`. --�
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
. __ _ -
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� CHBCR OFF LIST FOR ISSIIANCE OF PSRMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �L-`�,� h- f-j���r�-�,,�,,._, t�;�� �:�<�_, i�-� PID:
DESCRIPTION OF WORR:
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ZONING REVIEW BY: {M� DATE APPROVED: �� -�-5-' l��
BIIILDING REVIEW BY: DATE APPROVED: /(� l/G I R�O
FEES TO BE CHARGSD: 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)
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ZONING CHECR LIST Zoning District: �'
Fire Department: �-- Post Office: �r School District:
Lot Area: '-- Width: �- Depth: `�—
Survey Submitted: Yes�No Date of Survey: � —' � -' 10
Proposed Setbacks : / ,�
Front (Lake) : Right Side:
1
Rear (Street) : f o�U Left Side: `-'
._.�---
Adjacent Structures : Wetland:
.-._--_
Building Height: Def. Hgt. 'J- Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning Fi le: # /� �(o Resolution # : � � �3 Resolution Date:16 - �"cl�
S (in hou e) : ".
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_._ _ ..____ . .----.� .__�._�. _ _. _ _ - _ _ _ --- _ _ . _ _ _ __ _ •
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BIIILDING REVIEW CHECR LIST
IIBC: CONSTRIICTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x / , = 3 5 7 _
a
X �
TOTAL
Bstimated Construction Value: $ � �� � [
I spections Required: Work Reguiring Separate Permits:
/�,Site Plumbing Grading/Filling
�� oting Mechanical Fire
aming Septic Water Connection
Insulation Fireplace Sewer Connection
�all Board (Masonry) Other
inal (Mfg. ) Well State Permit
Other Electrical (State Permit)
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REMARRS (IN HOUSE) :
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REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
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R$MARRS (TO BS N�TED ON PERMIT) :
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, . CyITY �OF ORONO - BQILDING PSRMIT APPLICATION
Total Fee: $ � ��'� � Date Received: 0 � ��' �� �
Date Approved:
r.ntered By:
Permit#: �� � �� `
:iLL INFORMATION MIIST BE SIIBMITTED IN FLTLL BEFORE PLAN REVIE'W WZ7�L BE STARTED
(See Check-off List Enclosed)
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�'HE APPLIGANT IS: (circle one ) �NER� or CONTRACTOR
JOB szT$ Annx�ss: LG 5�h 1 Rc��v�,L� �'�;� Sc, �,T/�� zzP:
(work)
r�� oF owxER: ,�'i�I��� S S _ I�� i� �J�/�`��`���� pHorrE: (nome)��73�-��//`�
MAILING ADDRESS: �C�'�.r ��}�01��� H��' >_ CITY: (��;,C��y������ ZIP: �.�i_�'j�/
CONTRACTOR: PHONE:
'riAILING ADDRESS : CITY: ZIP: '
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TYPE OF WORR: New Addition ✓ Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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:�ROPOSED WORR (describe in detail) : /=1 c�•� � �" /v C= /���Ia�i �' �.� � �y ;�-
STORIES: SQ. FEET OF EACH FLOOR:
ZIO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $��-��i.-�r L�L%
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
, . ,
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APPLICANT'S SIGNATORE:��'�7,7����:.^���)_t-���$���' DATE: -
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` CITY of ORONO
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9��?,�y.� �� �,
�"�� .� * ���i Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
4 � �_ �`�
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`'�`'���� On the North Shore of Lake Minnetonka
�, � s
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 3ike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidentiaZ information.
You are notified that:
l. The information you furnish wil..I be used to determine your
qualification for the permit or Iicense 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
federa3. agencies to the extent necessary to process the permit or
license.
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�at�
data on yourself.
6. Your full name is required to process this application or
permit.
'��1 � � 1 %C i +� ��' � ��� l�y-�;,�/� •_%/�
First Middle Last
��<�'�`� ��'CiV�I`' �,�=' �c�cJ/!-�.
Address
�''��; b�!�y:/� T`� ��'7 >L i,�} .�j��
City � State Zip
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Phone
I understand my rights as stated above.
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
S13.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision 1. Type of dat�- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
gubd, Z, Information re9�ir�d t° be g��� ����' An.individual asked to
supply private or confidentiel data concera d tamw hin the collecti g state agency,
purpose and intended use of the requeste
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply the requested data; (c) any known consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by stat�u��easkedlto supplyinvest gat ve data,
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue n►a lart� taX re�und instructeonsui steadho5
subdivision in the individual income tax or �c�re
on those orms. . - -- -
Subd. 3. Access to �ata bY in�iv��' Upon request to a responsible �
authority, an individuel shall be informed�h b���Privateeor confidentia.l.e Upon his
individuels, and whether it is classified p ublic data on
lurther request, an individual who is the subject of e to himrlande if he desires, shall
individuels shall be shown the data withou�fan�y ��g. After an individuel has been
�e informed of the content and meaning the data need not be c�isclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
, pending or additional data on Lhe individ�e h� gte or publ c dataruponarequest by
responsible authority shall provide copies of P require the
the individual subject oftrie actual•co ts of makng,lcertfyingyand compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comQly
made Qursuant to this subdivision, or with lida *s,�f Simmediateatcompliance eisu not
excluding Saturdays, Sundays and legal }
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may have ar► additional five da}�s within which to comply with the
request, excluding Saturdays, SundaYs end legal holidays•
Subd. 4. Procedise ahen �� � ublic o�p ivate datla lconce ning hirr►self• To
contest the accuracy or completeness of p
exercise this right, an individuel shell notify in Wr�bietauthort�nshell �thin 130
describing the nature of the disagreement. The respo
Y
days either: (a) correct the data f ound toom lete datae including reec pients namedt by
notify past recipients of inaccurate ar inc p
the individuel; or (b} notify the individual that he believes the data to beementci
Data in dispute shall be disclosed only if the individual's statement of disagr
• included with the disclosed data. be gppe�ed pursue,nt to the
" The determinatian of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
��
`� � • DATE TIME
CITY OF ORONO CALLED IN ` (
INSPECTION NOTICE .._._ ; -� SCHEDULED '- S- I ��.' `'D
, �.�,- �
PERMIT NO. ? '- connP�ErEo �
ADDRESS �U��'� � � `� �
OWNER " � t /ICONTR.
TELEPHONE NO. ` ' � � �l 7
� DESCRIPTION c f 4� �CC� ,
� 01 FOOTING 11 MECHANICAL RI 16 WELL ST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Q
Z 04 VyAtt-Bfl, 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINALI 13 METER SETITURN ON 17 SITE INSPECTION
� O—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 S PT C FINAL
Z OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W /E]CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 (O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlCon n site:
Inspector.
White Copyllns tor's File Canary CopylSite Notice
� DATE_ TIME
CITY OF QRONO CALLED IN ��% ' �y-��
INSPECTION NOTICE � SCHEDULED ��� - ..�d rU
PERMIT NO, �� a COMPLETED H ���
ADDRESS r�g� ��`�" ��*° S �
OWNER . ���� �{a�A�e� CONTR.
TELEPHONE NO. ���� � `f l��
j; ❑ FOOTING O MECHANICAL RI ❑SITE WELL
~ �FRAMING ❑ MECHANICAL FINAL ❑WELLTEST PUMP
�
Q ❑ INSULATION ❑ FIREPLACEIWOOD BURNER ❑ EXCAVIGRADINGIFILLING
y ❑WALL BD. O WATER HOOK-UP ❑ LAKESHORENVEfLANDS
O
Z ❑ FINAL ❑ METER SETITURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
_
� ❑ DEMO—FINAI ❑ SEPTIC MAINT. ❑ PROGRESS
J
W ❑ PLUMB�NG RI ❑ SEPTIC INSTALL. ❑COMPLAINT
_ ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
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� ❑ CORRECT WORK,CALL FOR REINSPECTION U PROJECT COMPLETE
� BEFORECOVERING ❑ ISSUECERTIFICATEOFOCCUPANCY
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
_ PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DATE C� TIME
CITY OF ORONO CALLED IN � Q� / U �' � ��
INSPECTIONNOTICE (� SCHEDULED �U' "�1a ��'!
PERMIT NO. 33 (� COMPLETED �L
ADDRESS ���S� � �
OWNER� u r���1 CONTR.
TELEPHONE NO. / � 3 l� 5
� �FOOTING ❑ MECHANICALRI ❑ SITEWELL
W ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP
� ❑ INSULATION ❑ FIREPLl�CFJWOOD BURNER ❑ EXCAV/GRADING/FILLING
�
Q ❑WALL BD. O WATER HOOK-UP G LAKESHORE/1NETLANDS
Z ❑ FINAL ❑ METER SETITURN ON ❑TREE REMOVAL
Q C= DEMO—SITE ❑SEWER HOOK-UP ❑ SITE INSPECTION
Z
� G DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
J
W C; PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT
= C PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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� i', CORRECT WORK 8�PROCEED ❑ CITATION ISSUED
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� l.� CORRECT WORK,CALL FOR REINSPECTION C] PROJECT COMPLETE
� BEFORECOVERING ❑ ISSUECERTIFICATEOFOCCUPANCY
CI CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
f; STOPORDER POSTED.CALL INSPECTOR PERMANENT
(-' INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice