HomeMy WebLinkAbout1993-005627 (building-detached garage) P�RMIT �
CITY OF ORONO PE�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ;;?_�;�,�;;t�;�,
Orono, Minnesota 55356-0815 Permit Number: �,
Date Issued: {`:..S�,;-``:`�
(612) 473-7357 : 3::=;'',i ; _. _:
SITE ADDRESS:
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APPLICANTlPERMiTEE SIGNATURE ISSUED BY:SIGNATURE
. CITY OF ORONO - BIIILDING PERMIT A.PPLIC�,TION
Tctal Fee• $ ; "� , Date Received: �d���_3
Dat�.' P.DDroved:
Entered By: � � _ .
Pe�it�: �
ALL INFORMATION MIIST BB SIIBMITT� IN FiTLL BEFORE PZAN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
-----------------------------------------------------------------------
2'� APPLICI�NT IS: (circl.e one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: `��Z�� �" f�SCC> �J( ,�'_C-.�-E ZIP: � J J� / �
(work) �' 73 ' Sc��y
�I
NA.� OF OWNER s I D g C� ( �'Z � �u G I S� _ PHONE: (home) 5�7/- '�1 Z/�
:�SA2LING ADDRESS: 3 Z�-�/ ��i�;CU �(2 G L C CITY: �,�'c�/2rU ZIP: SS� y/
CONTRACTOR: U�/f�=2 PHONE: ���-
_jAIZING ADDRBSS: Sc�-zL�= _ CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: �/AMGS �E/2�3Elcl� PHONE: �%�I�� �I�Z7
u.AII.SNG ADDRSSS: I���>5 S ��'�4KCt�c�Zl C�C'2 i/C Cl2R: �UR/N S✓/LL.� ZIP: S 5�37
:-i�: S�ti-c� RBGISTRATIOA A �//��Ci
'"YPE OF WORI�� New Addition X Accessory Structure X Move
Demo • Remodel/Alteration Renovate Land Alteration
?ROPOSF.D WORR (describe i.n detail) s ��� C"r���,t�' G-����� ���'�'�e7 ��'`�
�/-t,l4kX CrOC��C CT�.-�- `K� "i `,(�—rh^F��"'� �j�eC LE'� ��-Q ��'�Cx— '�lL�t.v �C➢��i
TORSES: d41 LQ SQ. FEST OF EACS FI,OOR: Cz����t,� C�/(�� � _ � !���oy-- '��A��'�Le' �`� �
s-
;O_ OF B$DROOMS: GARAGB STAZ.I�S: ATT. DET. �
:STII�TED CONSTRIICTION VALIIATION (eacluding land) : $��j ��'�'j
' hereby apply for a building permit and I ackaowledge that the information
�ove is complete and accurate; that the work will be in conformance with the
-3inances and codes of the City and with the State Building Code; that I
:<derstand this is not a permit and work is not to start without a permit; and
::at the work will be in accordance with the approved plan. .
(� �i� ,� � � � DATE: /O �'- /�
?PT.ICANT'S SIGNATIIRE: 1 O`"V�-'� �' `�-�`'
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R �i�l FS� Y5h'
� s� ����:;: I�Y Of OR�I111T�
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;����I����'.�i Post Office Box 66•Crystal Bay,Minnesota 5�323•Municipa1 Offices
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: � �.�a � 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 Iike 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 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 �ocal, t�?� o�
federal agencies to the extent necessary to process the p
license.
4, If your requested permit or Iicense requires Councii. action
to approve, some information may become public.
S. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6, yauz full name is required to process this application or
permit.
Ko/��nr � , �- ���ss�
First Middle Last
:� �- ��� �°'ASc �i � /2 �L_ �
Address
�.r���� ���N j s� ��
City State Zip
1��.�_ �7/-yz�s- — ���.z/�_ �� �3-- s��Zy
Phone
I understand my rights as stated above.
� ;
�
� ��
Signature �
BUILDING&ZONING—473-7357 • ADMIIVISTRATIOV&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
—.. _ , �
t
513.04 RIGHTS OF SIIBJECTS OF DATA �
Subdivision 1. Z`yPe
of data. The rights of individu�s on whom the data is ,�
stored or to be stored shell be ss set forth in this section.
Subd, 2. Information required
to be given in�iv��' An.individual esked to
- � su ly private or confidential data concerning amwit�h�in th collecting state agency,
PP
purpose and intended use of the requested da
(b) whether he ma� ref�se or from his
political subdivision, or statewide system; �oWn consequence arising
required to supply the requested dat$; ��) �Y
� su 1 ing or refusing to supply private or confidential data; and (d) the identity of
PP Y
other pe:sons or entities authorized by state��e�ke �to s pply e�Veth ga ave da a
requirement shall not apply when an individu
pursuant to section 13.8?, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav plg=iV taX reiund instr�uctionsunsteadho2
subdivision in the individual income tax or pr��e
on those orms. . - -- - � .
Subd. 3.
Accsss to �aYa by in�ividual- Upon request to e responsible
authority, an individual shall be informed�h ublic pr vateeor confident a.l.e Upon his
individuels, and whether it is classlfled p � ublic data on
e to him and, if he desires, shall
further request, an individuel who is the subject of stored priva e or
individuB.Is shall be shown the data Withou�fan�y ��a. �ter an individual has been
6e informed of the content end meaning the data nesd not be �sclosed 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
ending or additional data on the ind.ividu e h�gte or public datarupongrequest by
p rovide copies of th p require the
responsible authority shall p
the individual subject of te a���'�os h of makinB,lcert fYingyB�d compiling the
requesting person to pay th _
coQies. ssible, with any re9uest
The responsible authority shall comply immediatelYof� date of the request,
made pursuent to this subdivision, or within five days
S�aays and legal holidays, if immediate compliance is not
excluding Saturdays, With the request within that time, he shall so inform the
possible. If he cannot comply within which to comply with the
individual, and mey hsve sr► 8dditio� i v�daY���.
request, excludin g Saturdays, Sund�Ys g
Subd. 4. Proced�e �►hen aata is not ac�s,u'ate or complete. An individugl mEy
or completeness of public or private data concerning
himself. To
contest the accuracY notify ia writing the responsible authority
exercise this right, an individual e�n� The responsible authority shall within 30
describing the nature of the disagr
days either: (a) correct the data found.tc�e� �e dataeincludingreec Pienu namedt by
notify past recipients of inaccurate or in P
the individual; or (b) notify the individual 1��dua�l,s�statementof disagreement is
Data in dispute shall be disclosed only � th e�led pursuant to the
• included with the �isclosed data. � apP
' The determination of the responsible authority to c�ntested cases.
provisions of the administr'ative procedure act relating
� CHECR OFF I�IS�i FO�t ISSIIANCE OF PER*iITS
- FOR OFFICE USE ONI�Y
ADDRESS OR I,EGAL: 3Z-y `T G4"SC-� Gl2Cl.C. PID:
DESCRIPTION OF WORR: �A�R�� - Ro/✓�no� _____
---------------------------------------_---
----------
ZONING REVIEW BY: DATE APPROVED i �+--- -
BIIILDING REVIEW BY:__5���.Lr.r..-- -DATS APPROVED:
---------------------- --------------
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes �No
PLAN REVIEW Yes�� No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No_J� PARK FEE
SAC � Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------
----------------
ZONING CHECR LIST Zoning District: L/1 -��-
Fire Department• w�c� Post Office: WAM'7i4�►'�- School District: (,veS��''p
n � ,4v2 Depth: Z53 =� Av�
Lot Area: (S� f��t 5� t�" Width: (c 3
Survey Submitted: Yes�( _ No Date of Survey: n- 2�l'�f3 -
Proposed Setbacks: Z ,c f ' N
�-� (Lake) : � kU � Right Side:
.�a� (S treet) : 1'B'` Lef t Side: � 3 � -�" SO
Ad j acent Structure s : �,?TlQE:G�� Wetland: �v��
Building Height: Def. Hgt. /� // � '�' Peak Hgt. (.3�
Avg. Setback: �/�/� Lot Coverage: l6 •3 �O
Existing Proposed
Hardcover: 0-75 '
75-250 ' �t�•Z o
250-500 '
500-I000 '
Hardcover Variance Required: Yes� No
Date of Council Approval: �2-�`�-4Z
B Council Approval Date:
Grading: Staff Approval Date: � Y�
Septic: Staff Approval. Date: � �!9 By'
Zoning File: # I �6 Resolution � : Resolution Date: 2/
REL�SARKS (in house) : • _
BIIILDING REVIEW CHECR LIST � � �
� . _
IIgC: �'L(,-( CONSTRIICTION TYPE: ���
Sq Footage $ Per Sq Ftg
Basement X = .
lst Fl.00r X —
2nd Floor X =
Garage x —
x =
TOTAL
oa
Estimated Construction Value: $ (0� 0 c�0'-'"
Inspections Required: Work Reqniring Separate Permits:
Site � Plumbing Grading/Fil.ling
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation FirepJ.ace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
�Fina 1 (Mf g.) Other
Other Wel 1 (State Permit)
�Electrical (State Permit)
-----------------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------------------
�
REVIEW BY OT�fZS t DATE:
Access: Existing New
Access Approval.: Date BY=
--------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
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DATE TIME
CITY OF ORONO CALLED IN � "7a- I`�
INSPECTION NOTICE �- SCHEDULED ��3 �G'� c f
PERMIT N0. 5 � '� / COMPLETED ' ` �
ADDRESS -S�<"�{�/ ��-�-�-c (`-( �-
OWNER ���-��'-- CONTR. —
TELEPHONE NO. y ��— 1,`�/'�
� DESCRIPTION ���`"``��` � �y""='��-�-��'�—
ly� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� �FRAMING 11 MECHANICA�FINAL 18 EXCAVIGRADINGIFILLING
�
031N ULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �WORK SATISFACTORY:PROCEED ' PROJECT COMPLETE
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� C'.CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
W
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C7 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
!- CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContra site:
Inspector.
White Copylinspecto s File Canary CopylSite Notice