HomeMy WebLinkAbout1991-003978 -detached garage PERMIT
� �I�Y OF ORONO PERMIT TYPE: �;c��;���;;.�
1335 Brown Rd. South • P.O. Box 66 Permit Number: '"-'��°�=�'�`=�
Crystal Bay, Minnesota 55323 Date Issued: �t''f"��`%''�
(612) 473-7357
SITE ADDRESS: _;:�;_,f �:�,#;=���I��`r` �a4}�
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ('���.�
.
, � CITY OF ORONO - BQII,DING PERMIT APPLICATION
io�al Fee • $ /�1,�•.l�S Date Received: � �3 ���
- , Date-Approved:
Entered By: ,�'�i Permit#:J„34'I�
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI,AN REVIEW idILL B$ STARTED
(See Check-off List Enclosed)
-------------------------------------------- _ _
THE APpLIGANT IS: (circle one� OWNER or�GONTRACTO�
JOB sz� Annx$ss: 3 �� 7 �l, c;�r� �a�,�� _ Z1P: �`�y 3� Gf
(work)
AIAME OF OWNER: �,ct�� � c°� �w�� � �r�`�'��� _ PHONE: (home)
MAII�ING ADDRESS: ��O �) L� r� r'�/ �c'l CITY: lJ�c��r��c� ZIP: S � .j��f
CONTRACTOR: �ri � �Li l5 t!"C�t�''1 PHONE: �y � � � � y �
MAILING ADDRESS: _ �L�' Q �'C�c t.'�iK�� �. c� CITY: I��� /N �4�'�i ZIP:�j � � �_��
TYP$ OF WORR: New v Addition Accessory Structure Move
Demo Remode�/Alteration Renovate Land Alteration
PROPOSED WORR (describe i.n detail) : � �X � � `��'� � �
STORIES:�_ SQ• FEET OF EACH FI�OOR:
NO. OF BBDROOMS: GARAGE STAI�ZS: ATT. DET. � .
ESTI1�lATED CONSTROCTION VALIIATION (eacluding land) : $ �G'�C�
2 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 �ot a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
. �,y ��,r-�, DATE: 7 "Z� . �
APPLICANT S SIGNATURE: . ►
-. --. -
3���
, ' CHECR OFFFORSOFFI�CEIUSE ONLYOF PSRMITS
ADDRESS OR LEGAL: ��!�'7 ��'1 e�^►'y ��l� -PID: �0 '//'7-,,�� 3 3 C��'S
DESCRIPTION OF WORS: � � � /� � � �
------------------------------
Z ONING REVIEW BY: DATE APPROVED: LI- 3 O G!(
BIIII,DING REPIEW BY- DATE APPROQED: '�1- 3�-�(
-----------------
FEES TO BE CHARGSD: Misc. Fees Calculated By:
pggMlT Yes '� No
PLAN REVIEW Yes-7 No SEWER CONNECTION
STATE SURCHARGE Yes� No WAT�R CONNECTION
INVESTIGATION FEE Yes No-7/ PARR FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTfiER (s�ecify)
--------------------------------------------- M� �:
�r��TuC Cu�uCx yTg�r+ ZoninQ Dis�_ � c� «'��..
Fire DeDart�ent: YY�vn.,�0 �ost Of�ice: (nJ�2• Sc:�ool Dist�ict:
Lot Area: 2 Z�6
l D .51 idth: 13o Depth: l7 7 A-v-e
Survey Submi�.ted• Yes No� Date of Surve��:
Pro�osed Set�acks : ,
Front (Lake ) : �f2 �±' Rignt Side : Z��
' r ; 6�
Rear ( S��e�t ) : $4 Le_t S_de : 9
Ad jacen� Struc�ures : � `�1 � wet?and: /U�A
Building Height: Def. Hgt. � / � Peak Hgt. /?$-`
Avg. Setba c?c: �/�f� Lot Coverage: /1��/�'
r, p=
Exis�ing oposed
Hardcover: Q-75 ' ll��R
�s—Zso � NIA � � °��
250-500 ' .�`� `�� ��.�._
5��-Z��� �
Hardcover Variance Required: Yes No ✓ Date of Council Approval:
Grading: Staff Approval Date: /V Bv: Council Approval Date:
Septic: Staff Approval. Date: � Y=
Zoning Fil.e: = R s Iut ' on � � Resolution Date:
RSMARRS (in house) : '
, %
r
-- - -...---� _. . _ _�„_ . � i -�. ��
BIIILDING REVIEW CHECK LIST � ,
�C: �� (y�-( CONSTRIICTION TYPE: ��n�
Sq Footage $ P�r Sq Ftg
Basemeat X
lst Floor X
2nd Floor X
Garage X = � �r � (
x �
. � I v
TOTAL
$stimated Constrnction Value: $ �, OODov
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Mechanical Fire
_�Footing Water Connection
�Framing Sep`ic
Insulation Fireplace Sewer Connection
Wal? Board (Masonry} QC Other 6= �7nA
(Mfg. ) well State Permi�
N Final ��,lectrical (State Permit)
=��o=.Otne'-"----------------------------------------------------------------------•
R$MARRS (IN HOIISE) :
-------------------------------------
RE,'VIEW BY OTHERS: DATE:
Access : Exist��Q New
Access Ap�roval: Date Bv�
---------------------------------
j�RMARK$ (TO B$ NOT�D ON PERMIT) :
.
� ` _ . �
CITY of OROl�TO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� - � • 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
Iicense 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 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
Iicense.
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�a��
data on yourself.
E. Your full name is required to process this application or
permit.
�G'�t r Yci��� fH �l S/ /^c"t%''�
First Middle Last
c1,� ^�s o
Address '
�> ,�4,� l C����-�S rf
Cit State Zip
�� C� — �,�C!!
Phone �
I understand my rights as stated above.
�,�, ,2-��-��'i'�� � �
Signature
BUILDING&ZONING—473-7357 • ADMIIVISTRATIO[Y 8r.FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSIN G
� �y...,_____ -----------------�---- - —---- ----- ---- �
513.04 RIGHTS OF SIIBJECTS OF DATA .
Subdivision L Type af date- The rights of individuals on whom th� �gta �
stored or to be stored shall be as set forth in this section.
- - Su�d, 2. Information required
to be gi�en in�i��� An.individuel asked to
� ' su 1 rivate or confidentisl data concerning amwi�in the collecting state agency,
PP Y P
purpose and intended use of t�'►e re9 tem;d (b) whether he ma� refuse or from his
political subdivision, or statewide sys �own consequence arising
required to supply the requested dat8; (�) �Y
u 1 in or refusing to supply private or confidential date; and (d) the identity of
s PP Y g state or federal lew to rice�est gat ve dat8,
other persons or entities authorized by
requirement shall not apply wi�en a� lnatole law en orcementuofficer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue mg� lertV tax re�und instructionsuinsteadhoi
subdivision in the individuel income tax or r•
on those orms. . --- - � .
Subd. 3.
Access to �ata bY i����' �Pon request to a responsible
authority, an individuel shall be informed wh b�� pr'vateeor confident al.e Upon his
individuels; and whether it is classified as p � ublic data on
e to him and, if he desires, shall
further request, an individual who is the subject of stored private orndu� � been
individuals shall be shown the data withou�f an�y ��g. �ter an indi
6e i n formed of Lhe ecntent end meaning t he data need not be disclosed to
shown the private dats and informed of its u�e�BC�on p��uant to this se�tion is
him for six months thereafter unless e �SP
' endin or additional data on the individusl h�ateeor public dataruPonar 9uest by
� responsible authority shall provide copies The hre posisible authority may require the
the individual subject of the ��• certif n and compiling the
requesting person to pay the actual costs of maldnB, Yi g'
copies. 1 immediatelY, if possible, with any re9uest
The responsible authority shall cflmP Y S of the date of the request,
made pursuant to this subdivision, or within five day
Saturdays, Sundays and legal holidays; if immediate eDmpliance is not
excluding . with the
ossible. If he cannot eflmply with the requ et �t�withintw ch tohcorriply form t e
p have an additionel fi Y5
individual, and maY �d le al holidays•
request, excluding Saturdays, SundaYS g
te or completa An individuel maY
Subd. 4. Procedia'e �►hen data is not accssa ivate data concerning himself. To
contest the accuracy or completeness of public orlp �i� the responsible authority
exercise this right, an individusl shall notify �ible authoritq shall within 30
describing the nature of the disagreemenL The respo lete and attempt to
days either: (e) correct l�c�r8te ardincomplete datae including recipients named by
notify past recipients of
the individugl, or (b) notify the individuel in�v�u�'�statementof disagreement is
Data in dispute shall be disclosed only � �u�t to the
• included with the disclosed data• � 8ppeeled p
' The determination of the responsible authority to contested cases• • �
provisions of the administrative procedure act relating
1dEM�1���T10N OF PREMiSES REaUI��� �' 4���� �c� .
. , � �...._.. -- - — — - /=`r 4'�; z' /?G�: v� � A r ?� ,
Approved Addresses Shall Be Displayed, ,�qo � c� � ���, � � � -
Plair�ly Visible And Legi�le From The y � �/YI e u �,d', /�f�r . �5�� � G
Street Fronting The Property - ,�`' P< <G
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INSPECTOR M,Il�'I�TSPECTIOl�' i
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�i i � nrements rnC,uciiro i�ems r�at spc-cificaliy noted i 't�c�dview
�; � KEEP THIS PLAN SFT ON SITE AT A�� T t�.,�f�S
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SITE PLAN _ GRAD(NG PLAN
_ _.
_ _ ___. _______ . � ;aPPRC�V�D
__ . _._----------���_= 3_�'���_PpROVi C ��1IlTH PEVfSIONS -__
_ _ ....__ __ _ _ �� Gi�APP y`
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_ _ . _ GA'iE 9 -30 - � , —
�
/
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTI E SCHEDULED !O JD:D�
PERMIT NO. � COMPL TED -� `�'
ADDRESS � O �Pi
OWNER CONTR.
TELEPHONE NO.
� �SCRIPTION S
� 1 OOTING 1 ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ,�1 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�G O CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.47�73rJ7
Owner/Contrac on s e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
c :��
DATE TIME
CITY OF ORONO CALLED IN �/ ��
INSPECTION NOTICE SCHEDULED /a .Z 9 i : 3�,_
PERMIT N0. ���7� COMPLETED � �
ADDRESS 'I '
OWNER CONTR.
TELEPHONE NO. "`�7`/�-���'/'S
� DESCRIPTION
� 01 FOOTING 11 CHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
�
Z 0 D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C� ENTS:
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