HomeMy WebLinkAbout1998-010054 - move garage � PERMIT �
� CITY OF ORONO PERMIT TYPE: �� -�
2750 Kelle Parkwa P.O. Box 66 �' � �."' '��``
Y Y- i i��.t:��iF,�.
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: ���E��=�-j:'=�--�
SITE ADDRESS:
�_ . �'��°=it�+�{ ��i:`�� .._
F' . . . . . . . _.. _ _. �: - ..:_.. _ �- _ __-_
DESCRIPTION: �
i°�Ili�e�- i;F�r;i;;-;
h _ �.:— _ _
���1 t t.�1 tl�� l �'1`��1 I T_• i r��C � ._ .... ..::-i i;.,;;�i�-_�_:
7 � �-t:_:
L�t.�{}. 1 f_i��V��� �i�l���:� { i��si�. {°fi_.1'.�...
't_ii;:(_ k.�C t!��°c+.11�=1' �'I--�.
�.,.i_t�";�;�.5'11i_�.��_:t; I }'�'.k.a E�;1;
:::��1�1 ll?� �1=i._:,;�,:
- .. _.. ._. -� - - - -
c_,>..:��•-,:��_.. :.���-:i'� _ . !'-t.._ � . _.. .. ...._ .
—— ----
R�M�F�K�: _ _ : _..__ - - -
- ,r .��_.
_. ._ � .. , _
: :. , < .
; . :
,.., .. � .. ... .� : . . __. . ... _�._ _ . ._,_:_ . .._. _ :�._ . ... . . . .. . .
4 �
_ _ _- -- ------ -- ------
F�E �i�.lNl�16AR�: . _ _..- - - - -
. =�+.?� ?�::a`,::i ��;� ��._; . r�.-�
•=��1.,�_�'��=.t':=:� --__._______ �' . _;`
CONTRACTOR: OW,NF,�: 4- `�'�':��� ''-�"' - �
=�1 s`�t�ai�l`�
�°�;f:1 C:t�`��t:i�t F`I_f�3 h!i P:°�;
t�:�'��1i�:i�1 �1��1 =�'��`�1
'.1,i'�,—'�t i,';' I
- �-a�-• . . � s -� � .-. - - - - - - -
i's;"ti �t-'-c.�';t ��;.,.,-. `� .�! _-. �� f'_�.t'i'€:_�y�`�_ � �_(_ ri� ._ .I . . I'•'.`�i i�'!,•``� �'`i'�"'l� l `=
f�� t�'�< < ��'�;_° E ,_�� ;;,4�; ;����. F i;• i , !;�i,_ 'r-�I� i,._ `'t`.i_i
:��?-'Yt_���- ;L!i ��:f'J[,i r:;f�;�=`L,�'=' T!�! !ii.! i-ii{ ��.���'f:. ��',� '_�'�;'_i!�: ; �:i_it{�-`_T�':t`�:_:i- �'=4 %" . ._.! s: : j `� sWi�-
if;�`i_ii�if_i 4_Eh'�li!�!:1�°d_�= {�!�di1 _� ;;i�i� #ii i`I�i�.W�`�+�»tii� t�_'�!�i!'•l4.� t_s_t�l." . .,_�:l;1T"�°`C��:i�? E _ ,
� �
X � � - �
,- � ��, �� .
PPL NT%PERMITEE SIGNAT RE _ ISSUED BY:SIGNATURE
. ` `,
� Total Fee: $ -`L.S�'-:.��`� ��� DateReceived:
��' Date Approved:
Entered By: �� Permit#: /Ci'C��
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WII.L
BE STARTED
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
U
�=�'% I� =-,� ,,�{� i � �� ZIP: -�.,
JOB SITE ADDRESS: � f � �� %����i � � '"7 � ='��
NAME OF OWNER: ��� � ���� � PHONE: (home) �� I ���� �
(work)
��/ �� �SC�! �T �`t�' CITY: ✓�Di�l U ZIP: ✓',�,;_�, ..�,���
MAILING ADDRESS: .
CONTRACTOR: PH���
MOBILE PHONE/PAGER:
MAILINGADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: '� , � ,� � �' � PHONE: ''� ; j - ,'%� �
MAILING ADDRESS �' � ' ��:;, '"- �`� CITY: '�� � ZIP: �� � � ,
NAIVIE: �� ; " ; , _i'� ,�,�i K 1 REGISTRATION # �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration ,`<
PROPOSEDWORK(describeindetail): '�����' ` ` �"` ��� � � � �� � � �� ��-�` � " �' �
1 �•i�:',�J: �` ' .
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �
,
_ 4;,.:,��;-r, �,.
ESTIMATEDCONSTRUCTIONVALUATION(excludingland): $ Z ,7a� — Z,2`�� �`°ti (�'�")
P�,,,..�� �' � 8 3`t�v �u .-,�S�c�,c�b
I hereby appl_y for a building permit and I acknowledge that the information above is complete
and accurate; that the v�✓ork 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.
APPLICANT'S SIGN�TURE: _ DATE: ��%�'`�J
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
,
Sec.13.04 RIGATS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data conceming himseif shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or sratewide system:
(b)whether he may refuse or is legally required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidenaal data;and(d)the idenury of other persons 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 data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or confidenrial. Upon his further request,an individual who is the subject
of stored privace or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content
and meaning of that dara. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for
six months thereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been collected or crea[ed.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, 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 with the request
within that time,he shall so inform Ihe individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compieteness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authonry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noufy past recipienu of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes 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 determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRNACY 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 ma�� require you to furnish certain private or
confidential information.
You are notified that:
1. The information you fumish 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 pemut 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.
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.
2�N/�.� � ��h� �
First Middle Last
02��� �,�tia��r- �
Addre,�
�,-�i�� �I�lU. �'����/ .�/02 �7/��`�'7�
Ciry State Zip Phone
I understand my rights as stated above.
, � . x���� -
��� �.�-y C c,- �� �1'l� �
Signature
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z 437�t C�S C o i�o� �r T-- R o r�,�
PID:
DESCRIPTION OF WORK: rv�v-� C��Z.,4 c,G �
�___ __--- -- ----------------------------------------------------Z�--------
ZO�TING REVIEtiV BY: � C� DAT'E APPROVED: 3- --5�
BUILDING REVIEW BY: DATE APPROVED: �- z s -9 E3
F'EES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
pLAN REVIEW Yes � No SEWER CONNEC"ITON
STATE SLTR��IARGE Yes � No WATERCONNECTION
INVESTIGA'I'ION FEE Yes No PARK FEE
SAC Y;.s No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONIlVG CHECK LIST Zoning District: L�- ��
Fire Deparcment: �(Y���N� Post O�ce: W A`(Z A-'J'1� School District: W�.srto Nt�-J�
LotArea: Sq.ft. l�l�(,9(c Acres • 33� Width J/(� � �' Depth /.33 �
Survey Submitted: Yes X No Date of Survey: S- lb -�1(�
Proposed Setbacks:
Front (Lake): _�Or Right Side: �0 �
Rear (Street): � 2` �' Left Side: ,5,S�
Adjacent Structures: �3' Wetland: N�(�
Building Height: Def. Hgt. 0�l� Peak Hgt. C9�`�
Lot Coverage: �•(�
Grading: Staff Approval Date: /�(� By: — Council Approval Date: —
Septic: Staff Approval Date: — By: —
Zoning File; # ZZ�`I Resolution: # 3 43(o Z Resolution Date: 3-Z`f �9 7
Shoreland Dis�ict: v-PS .
Avg. Setback: r�1 �f� Bluff Setback: N« I.ot Coverage: —
� Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500' 23.'�8� ��j °7 0
500-1000'
Hazdcover Variance Required: Yes No � Date of Council Approval:
REMARKS(in house):
• 26
>
BUII.DING REVIEW CHECK LIST �
UBC: � ✓Vl� I CONSTRUCTION TYPE: vN
' Sq Footage $ Per Sq Ftg
Basement R =
lst Floor x =
2nd Floor R =
Garage x =
x —
TOTAL
Estimated Construction Value: $ ���p�j
Inspections Required: Work Requiring Separate Permits:
Si[e Plumbing Fire
Hardcover Removal Mechanical Water Connection
p( Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�F�� Grading/Filling _�Electrical (State Permit)
Other .
------------------------------------
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
-------------------------------���-----------------------------------------------------------------------------
REMA.RKS(TO BE NOTED ON PERMIT�: �
27
� " HARDCOVER CALCULATION WORKSHEET ` � .��
� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500� ' ' =50�-1000' � � i��
EXISTING HARDCOVER IN ZONE ��
A. House x = �� i :� S.F.
Length Width
R = S.F.
R = S.F.
R = S.F.
B. Garage !- : x � _ �I"�f"� S.F.
,_
C. Driveway x = S.F.
R = S.F.
D. Sidewalk
R t�rON1- — '� ;; S.F.
R F���-��F'. _ , ��, S.F.
E. Patio/Deck x '' i I*,;,'�`= �'-�t� S.F.
x YK(�r� = I'�-� S.F.
�, � ,�������. ' �
8 � e — �._ 7 S.F.
F. Landscape R � '��
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric ,,,.),J,,:; S /�,
� '
G. Other i , ""� ;I''; '`i`:;/�_, R = !�� S.F.
TOTAL HARDCOVER IN ZONE - `i�,,(7y" S.F. A
TOTAL PROPERTY AREA IN ZONE - -!� '. �o S.F. B
A — g x100 = : <' , il %
PROPOSED HARDCOVER IN ZONE = - � ;"� '? S.F.
A. House � x �' � %�I � !,J��:. —
Length Width
x = S.F.
� = S.F.
X = S.F.
B. Garage x = � �� S.F.
C. Driveway x = 1 (C�� S.F.
R — S.F.
D. Sidewalk x = ' S.F.
R — - S.F.
E. Patio/Deck x = S.F.
R = S.F.
,� -� _ r--,
F. Landscape x r � fa S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A - B x 100 = �� _ %
14
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , ,I SCHEDULED 5' '� ►"�'� ��` 5"�
PERMiT NO. ! 0�� COMPLETED �_ �
ADDRESS ��7� ��'� �6i^`� I��
OWNER t'�NN4 �t�<� CONTR.
TELEPHONE NO.
� DESCRIPTION
�
tL �FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
0. �
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED i. PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnerlCont c or n sit :
�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
. - w W
� N 6� 61
s �
� 2 � �
'� � .S � -�o
�� -� 9yz_� _ �° �
� � �
� �3_ .
i � / ., ae m • �
� ! � � � ,�
� �J � �
i f-�C`,�\D � / .
-', � � r-- - -� .m /
� �
i �/ i � i � / r� \\
r`� � � .�_ / � � � /
� u � / ( _� J � (
y--� 1 / \ �/ ` •� i
_ � �� I � �� � �
_ o� � � � �
I ' � � � � \
� �� i � �
�_�_� \
` � \
� �
��` p �
/ s __ _ _._ _. — —
' r,��-� � "� 22
� , � s W �� ���n�
r I �
-.t � Q \P �c� t\ � � I �
` � _.�_ k �m cj r�'�D" \
• - 2z- � � � i �
� � ��� � ---�
\ I � � a I •
\ �� /� � Q � 9f4���
, � � ��p;'�p � _,.__ _ �z�� _c_ ��
1 \ , � / i� �- • _ ' '"' ~ � -IQY'� "�_ ___ --- '�y A\
� . , . -
. �
,
� ` -' - -> "=----��_�_-- __ .,o- — _, �`_
\ _ " - '� ' � _ � _ �,� . ? � �� � �_
. • � �
, j ��.� . / _ 1� � _
� � �'�'�� � � � w �1 cS�
-� a � � � c� .� o
N � � � � `� � � �� � �� �� '
�, � � "- O � ��; \� �� Z�" �
�'ir. `n � �
_.9 � � �^ \ �� � -� 7�
� � � � �' � ���� � � �
-� � � ��-� �
_ � � � � ���
� � �����
� � c�Za aCl .
� ����� �_
� ����� �
...>�-'> �"
d� I�1
�c
. oc� �
�^ 8
L
� V\ V1
1, C � �
� o � r-; �l �l
� � �► -� �—
--� � a �.�X z W
f77 L, -ts J
� o � �; � �' N
� a � c.� �:� � n ,� r � c�
{ _.,
6' �> rr; :-� � --# .� � � �I
�� � � t �' A � N �
� � � � o � z �
`� v� W :�:: � � � � � �
; 1 , � c�; , o �, �
N r�z \11
� �
� U �� � � � Z � �
� m � � � � � � �
�F, � � � �
o r, -v a �
� � � � � �
� � � �
� Z �
�
.