HomeMy WebLinkAbout1997-009006 - det garage � PERMIT
- CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: ^
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: ' ' - :-.` . ;..3��; OWNER:
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APPLICANT%PERMITEE SIG URE ISSUED BY:SIGNATURE , ����
D CITY�F
,�. ORONO D
. Total Fee: $a�;3- `�� Date Received: ���
Entered By: �'�,; Permit#: �'j(�Q�
CITY OF ORONO - BUILDING PERNIIT APPLICATIOl�T��Y � � ��97
All information must be submitted in full before plan review will be started.
(please print all information)
-----------------------------------------------------------------------------------�----------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR'
JOB SITE ADDRESS: �`��3 �1���'��� .i4 Li� z�:
,
NAME OF OWNER: V ����;l� � �/��.����j�/vPHONE: (home) � �/' �b��3
(, /� (work)
MAILING ADDRESS: �j('�� �j C, ��i��y � (,�r CITY: ��,�C/'ri�� ZIP:�I��
CONTRACTOR ��'v'�S���'•1/ CD�'t S��U�'J`l0�✓ �-C; PHONE: ��G'���1
CONTACT PERSON: �S�t(1�,�T /� CN;4�i��1VIOBILE/PAGER:
MAILING ADDRESS: �{,�3�I �}l�'Y `7 �%/� CITY: S�/' ZIP: '��S`tlG��- .5����j'
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
_____--
MAILING ADDRESS: _ ___ �________.._._ _ CITY -�__ZIP:
NAME: �-�� REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ,�,� �� X ,�(�, � f����� ht� ��.��'-� � �
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: -- GARAGE STALLS: ATT. DET.�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Dao�. ��'
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conf ance with the ordinances and codes of the City and with
the State Building Code; that I unde stan� this is not a permit and work is not to start without a
permit; and that the work will be in o dan /with the�pproved plan.
�
APPLICANT'S SIGNA �'� ����_,C: -Z(,� 'C � _''i`���� DATE: �� l�
- ;..
� �
NOTE! Parade o Homes events require separate�it approval by Police Department and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SLTBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shal]be as set forth in ihis section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,political subdivision, or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidentiaf data;and(d)the identity of other persons or entities authorized by state or fedeial law to receive the data. This requirement shall
not apply when an individua]is asked to supply invesdgaave data,pursuant to secdon 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 proper[v tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private 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 without any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an 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 secdon is pending or addidonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authority 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 comptiance is not possible. If he cannot comply with the request
within that time,he shall so inform the 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 completeness of public or private
data concerning hunself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, includine recipients named by the individuai; 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 authoriry may be appealed pursuant to the provisions of the administrative procedure act relaang to
contested 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 information.
You are notified that:
1. The information you fumish 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 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. our full name is required to process this application or pernut.
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Firs Middle Last
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Address
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City State Zip Phone
I und rstand my ri ht , s ated above.
� ��
Signature
- CHECK OFF LIST FOR ISSUANCE OF PERII�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: s�`i 3 L H�tZtL� �vc,
PID:
DESCRIPTION OF WORK: t-��z'� C���-'t�Z+'�C:.��
-----------------------------------------------------------------------------------------------------------------------
ZONING REV�W BY: -;' � C�,=���-- DATE APPROVED: 5-Zz.``i 7
BUILDI�i tG REVIEW BY: 'vw„�. DAT'E APPROVED: �- Zz-� -)
-----------------------------------------------� ---------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No .
PLAN REVIEW Yes �' No SEWER CONNEC"ITON
STATE SUR�HARGE Yes ✓ No WATERCONNECTION
INVESTIGA'I'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: e:,2 - I C-
Fire Department: �'�-�%�.'��f� Post Office: :ti�---�cS' School District: �,�.�c'��:o+�.�
Lot Area: Sq.ft. I�i; �t� Acres � 3� Width (�U' Depth � y �• � `�
Survey Submitted: Yes '� No Date of Survey: Z.-� - y 2.
Proposed Setbacks:
Front (L�c): . ��i � �' Right Side: bb� �
Rear (SEfeet): .3�� i Left Side: �c�•� � `
Adjacent Structures: i�r Wetland: N �0�1
Building Height: Def. Hgt. C�K Peak Hgt. � �K
Lot Coverage: l 3•� `�=
Grading: Staff Approval Date: By: Council Approval Date:
�
� Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict: ��C 5
Avg. Setback: >v i fk Bluff Setback: /v �,ra Lot Covenge: �_� �`��
Existing Proposed
Hazdcover: 0-75'
75-250'
250`500' , 7. 3� � z ( _ 1 c
500-1000'
Hardcover Variance Required: Yes No � Date of Council Approval:
REMARIKS (in house):
• 26
BUII.,DING REVIEW CHECK LIST
UBC: t� � 1 CONSTRUCTION TYPE: ti!�v�
� Sq Foota�e $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage ZZ x � =�;?2 x ��� 3� = j� �r ?3
x —
TOTAL
Estimated Construction Value: $ j U� �"Z�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
} Footing Septic Sewer Connection
v� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling v� Electrical (State Permit)
Other
--------------------------------------
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERNIITj: �
27
� ���� �� -������� . � ��=��� �� ����
. ����� � �:�� �
Bob Anderson .�,�����,� �_
......�.�...�e�._,.
3843 Cherry Ave ��TE S.�ZZ-�
Orono, MN ��Rn�tT NO. ,�__.
H-471-8683 •�:�? qPPI?O�'�U P.S SUF'Fu��"��'�,�
�� APP�tOVtQ VUlTt� Gt��i4?��'�`���;� �� °�
22 ' x 26 ' Detach Garage � � ��>i ��`�'�OVEU -- G(��'��� �.� R I
Gable Roof ��'SSr: =a���"'�Ants a�.e for your lniormation. Rlf
�+.+r'. �rsr�,p;i�ncr w�ih a�3 e��;�itc�.'as"g k;���tt3:`rt,� �'�
Roof Overhang 4" Front &'�R��'� �n�������� ;tetr,� n�t s�,Ncitica�y n,�r
Roof Overhang 12" Sides ' ��' '•'i'�� `'�-��`� �r � `�r' ��r�== �; �� '
Studs 2x4-16" O.C . 7 '
2 rows of Blocks Left & Rear 2 x 4 Factory Truss Rafters
1 row of Blocks Right 24 inches on center
Sheathing OSB
12" Lap Siding
Headers 2-2x12-18 ' withl/2" Plywood
One Window
One 16x7 Overhead Do
1 X 6 ROOF BRACING
1 X 8 RIDGE BOARD
2X6TIES
2 X 1 GABLE STUDS
X 6 RAFTERS 18'O.C. I
1 X 4 BFACE
OOUBLE 2 X 12 OVER HEAD
pOOR HEADER WITH %:' LAMINATlON �
2 X 4 DOUBLE TOP PLATE
II I II I II i II i D �UBLE�R STUDS �
2 X 4 STUDS 18'O.C.
po��l/�s ��2 r��►�l 1e�
TRIPLE COFiNERS
I
2 X 4 TREATED SINGLE FRONT BOTTOtv1 PLATE
00TTOM PLATE
yZ��X7" A.B.AS PER U.B.C.
� ,�•p � FILL CORE WITH A.B. FULL
t a:�; ',>•.
I � y2'X 7"A.B. AS PER U.B.C. �. ;� D. � WITH CONC. MORTAR
� �� �'.�; .a•�
I;�Y� � .�•;�, D ,
i_.c +RE�WOOD OR TREAT D 2"'X4' PLA7E
' GRD. �� 6"X6"tt10 WIRE :°'v�• � , � GRO. •9.��� 6'"X6"it10 WIRE°o. �
m `� LINE ��•'a : o • �:. y••.y•. •v.� co _ LINE •0: P:o9•�p•������:�' ���� 3„ MIN. SAND
�� .o. • MIN. SAND v 'D •P'
`t p�4' ,:
GODE- SLAB ON GRADE . NO BLOCKS CODE- SLAB ON GRADE W�I-ROW OF BLOCKS
_" . HARDCOVER CALCULATION WORKSHEET °�c- `�
� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-100Q'
EXIST�IG HARDCOYER IN ZONE
A. House x = �� � ,_ S.F.
r.��a� w�aa,
n x S.F.
�" �� x = S.F.
z = S.F.
B. Gazage a = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x — S.F.
E. Patio/I�ck x = S.F.
x = S.F.
F. Landscape a = S.F.
Underlain x = S.F.
By Plastic z = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S � S.F. A
TOTAL PROPERTY AREA IN ZONE - y,L, !�� S.F. B
A - B x 100 = l 7. 3g Ic °�
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
i.e,�a► w�dm
x = S.F.
x = S.F.
x — S.F.
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B. Gazage , ���� z � _ `, �;� S.F.
C. Driveway x — S.F.
x = S.F.
D. Sidewalk x = S.F.
R = S.F.
E. Patio/Deck z = S•F•
x - S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic z = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - �_��, ��S.F. A
TOTAL PROPERTY AREA IN ZONE - I y� f��� S.F. B
A . B x 100 = �/,l`�c °/'o
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MEDTRONIC, INC. WORLDWIDE FINANCE MEETING I BREEZY POINT, MINNESOTA I SEPTEMBER 27-30, 1987
D TE TIME
CITY OF ORONO CALLED IN 'l� �� �'7
INSPECTION NOTIC SCHEDULED �- � S��] s���--
PERMIT N0. � ^ COMP�ETED �_ t�.
ADDRES� � ��
OWNERI � �� ONTR. C.t1
TELEPHONE NO. �vZU � ����
� DESCRIPTION ���21,c C.R�
4, // '
� 01 FOOTING �/ 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
�l���WA�D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q i
� i��FIN�i 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO�ITE 27 SEPTIC MAINT. 2/COMPLAINT
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W . PROJECT COMPLETE
� C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� �; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
C7 CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOPOROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlCont r s
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE �� TIME
(OF ORONO CALLED IN �
�PECTION NOTICE SCHEDULED � 2� �
PERMIT N0. CJUO� COMPLETED FI '�
ADDRESS ��`�.J7 r1-�`v ��.:�
OWNER �' CONTR. �UrZ�1�c�yr Clo����;y
TELEPHONE NO. ��� � ����
� DESCRIPTION ���
� 1 F OTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM4—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION FEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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