HomeMy WebLinkAbout1998-010324 - attached garage � .
� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���_�i f_�i�T.v�`
Crystal Bay, Minnesota 55323 Permit Number: t_�i;_;:�;;;�L�
(612) 473-7357 Date Issued: s_;�:,f��-j,�::�;_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — r;==��1 ����.��1:. — °��1` . f I�: .OWNER:
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APP NT/P R T IGNATURE ���� ISSUEO BY:SIGNATURE ���'��•
Total Fee: ����, �q DateReceived: ,�'a g`"�8
Date Approved:
Entered By: L� Permit�: /.S4 ,��
CITY OF ORONO - �UII.DNG PER1l�IIT APPLICATION
ALL TiV�'ORI�IATION l�1UST BE SUB�iITTED Tiv FULL BEFORE PLAN REVIEW tiVII.L
BE ST�RTED
---_____--- ------------------------------------------------- ---------�-----------------------
THE APPLIC�'vT IS: (circle one) OWNER OR ONTRACT �
JOB SITE ADDRESS: �� C �,j�c� i ��j/9.5� �� ZIP:
�
N�IE OF O`VNER: � /��� �(r������rU l'� PHOiVE: (home) `��������
(work)
MAILINGADDRESS: ,� ��.����% ��s` �� CITY: ��r� %? c ZIP:
SELA ROOFING&REMODELING,IN� � (�
CONTRACTOR: 4100 EXCELSIOR BLVD• pgQ�; ���" �C% L1 C
• HO��tE/PAGER:
ID#000 CITY: Z��
MAILItii 'G ADDRESS:
S'�'A'I'E LICENSE: #
�RCHTI'ECT/ENGII\TEER: P��=��
I�iAILING ADDRESS: CITY� Z�'
NA11�TE: REGISTRATION #
TYPE OF WORK: New Addition �(rFk��Accessory Structure
Move RemodeUAlteration �_ Land Alteration_
PROPOSED WORK(describe indetail): S r� ,N���t���� � � �r � �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDR OMS: GARAGE STALLS: ATT. �_Z DET.
EST�IATED CONSTRUCTION VALUATION(excluding land): $ �, `�
�, G, r c�—
I hereby apply for a building permit and I acknowledge tl�iat 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.
� ��_� �-
APPLICANT'S SIGNATURE- > i�,� < e� DATE: -� �l t
NOTE! Parade of Homes events require parate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose a�d intended use of the requested data within the collecring"state agency, polidcal 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 confidendal data;and(d)the idenriry of other persons or entiries authorized by state or federal law ro receive the data. This requirement shall
not apply when an individual is asked to suppty invesdgarive data, pursuan[to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revense mav place the norice required under this subdivision in the individual income taz or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidenaal. Upon his furthec request,an individual who is the subject
of stored private or public data on individuals shall be shown the da[a without any charge to him and, if he desires, shall be informed of the content
and meaning of[hat data. Afrer an individuai 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 pursuanc to this section is pending or addidonal data on the individual has been collected or created.
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 acmal 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 compliance 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 himself. To exercise this right,an individual shall notify in wnting the responsible authority describing the namre of the disagreement.
The responsible authoriry 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, including recipienu named by the individual; or(b)nodfy 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 relating 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 pernut or license from the City of Orono or any of its departments may require you to fumish 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 permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
pubiic.
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 pemut.
First '.vliddle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
CHECK OFF LIST FOR ISSUANCE OF PERII�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: G' �� ',C�C-� ` '�.� /�'�.-
PID:
DESCRIPTION OF WORK: ;q r;���c:,-`�'� G A�2�4��c
ZONING RE'VIE`V BY: DATE APPROVED: 6- 3-�►Y�
BUII.,DING REV�W BY: DATE APPROVED: G � 3-9,�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes t/� No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SUR`HARG� Yes � No WATER CONNECITON
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes � No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning District: 2- t�A .
Fire Department: W�i2h�J4- Post Office: W Arsr-Lv1�� School District: O f1.6�1a
Lot Area: Sq.fr. 2°1 ��31 Acres •6� �Vid[h 1i'Ll'�yv� Depth
Survey Submitted: Yes�_ No Date of Survey: 2-1�3 �S�o
Proposed Setbacks:
Front �ake): 1�'1� ``— Right Side: I p�
Rear (Strcet): 7 5 � '�' Left Side: l Z Z �
Adjacen[Suuctures: /�T`C�iO►c(-E�`� Wetland: �/(�
Building Height: Def. Hgt. �• (�- Peak Hgt. —
Lot Coverage: �� �o
Grading: Staff Approval Date: --' By: Council Approval Date:
Septic: Staff Approval Date: —" By:
Zoning File: # -� Resolution: # Resolution Date:
Shoreland Dis�ict: Nv .
Avg. Setback: Bluff Setback: I.ot Coverage:
� Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500' �
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RE�ZARBS (in house): —
• 26 .
BUII.,DING REVIEW CHECK LIST -
usc: r2� 3 covs�vc�ov�E: v,�J
� � Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _ .
2nd Floor z _
Garage x _
z =
TOTAL
Estimated Construction Value: $_ Z s���po �
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_� Footing Septic Sewer Coanection "
�_ Framing Fireplace � . Lawn Irrigation .
Insulation '(Masonry) Other
. Wall Board (l�i If?.) Well (State Perm.it)
� F�� � Gradin�/Fillin� _�C Electrical (State Permit)
Other
--------------------
--____---_---__----------------------
REMARKS (IN HOUSE):
--- DATE ------ ----______�--
---- --------------
REVIE`V BY OTHERS: ,
Access: Exiscin; New
Access Approval: Date BY:
---- __�____�_�_�-------
REMARKS(TO BE NOTED ON PERitiiIT): � ~ �
27
DATE TIME
CITY OF ORONO �, CALLED IN
INSPECTION NOTICE � . = '�. scHEou�E�
PERMIT NO. �� COMPLETED � Z_ � ���
�.,�,
ADDRESS � Z� �-�•'�� ��"�r�
OWNER CONTR.
TELEPHONE NO.
� �CRIPTION
�(,�:v�00TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d�/ORKSATISFACTORY:PROCFED f PROJECTCOMPLETE
W �
� I I CORRECT WORK&PROCEED ' 1SSUE CERTIFICATE OF OCCUPANCY
W
O f l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
f� CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WILL RETURN
f I STOP ORDER POSTED.CALL INSPECTOR I_i CITATION ISSUED
C! INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra ✓
Ins ector. ��`''—�
P
White Copyllnspector's File Canary CopylSite Notice
�r
...,..._...�..._..�._..�,.......�
C:ERTIFIC.ATE OF SURVEY
f o r 1�� e�P�
���
David and Jean �ahlstrom
� �
Address: 129 Clievy CliAse Drive
�
I DETAIL B DETAIL C
�—i.io
I0,�}S 0.35 '
SEE � �
DETAII. B � 7,,95
0.08� X
�
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I / o►'
ti '
� � s�. � ^��'o /
� � c�p��'Q , S E E ��'�i o o�� �
` �-- 6�9s� DETAIL C ii ���`tio�� rsj �O
� ,��' v o� �. � ��:?rl,�p /
n .r/ 1' � O
� PR❑P❑SED a3,2a ii��4 '�Z, j
3 � ADDITION ���� / �� �i
` ,O� 10 m23, 6 19A� � /
�-+ � o d v
�� � CANTILEVER�` � � � � �
�0� FIREPLACE 30 � ,
N� I �a.00 2•�
(°�r)•-+ I �- � x I �' ` _ _ _'. _ — _ — —
0 � o �w � Q r 50
�- � a
� y ¢ L, p � , I
•Z ` N l�i q 7 � O
� o� �I' W �
�� '—" " 42.46 I
� 63,85 �
(� ...�
I ��� �'�'� - O V� � ^I
� x BRICK '
- . ._.._.._
_ .��__. �_._:
_ _._.. ,::_ ;
� � I FIREPL E , '�`�*` � .O
tV ��+�
� � x CYCLONE °C SlTE P � � p��G �qp�
� J I FENCE �APP�O�JED� (�j . �L �T� C�
�._, APPROVED ITH��MS
-, , ., _ . , I
L: DiSA�'��t- .. �
U ., 0,96 �{�
� 0
168,71 '
SEE D�ATE�._-------- ., 3_ .
DETAIL A N ����5'S1'' W � , ;
, _ _ ,:.,.W... .
. _. .,�...:,:.�.}.M-�- ,�. ,
,r _..._, .� � _
I � V
� o.zs x ! �
x
DETAIL A �H°ousE ARe� = 2;3 o sQ' FT'
0.51 PROPOSED
ADDITION AREA = 398 Sq. FT.
AREA OF EY,ISTING HOUSE A�dD PROPOSED ADDITION
IS 10� OF THE TOTAL LUT AREA
O DENOTES REBAR & CAP SET LEGAI� DESGRIP�!(?!N
L.S. � 23945 Lot 15� Block 1� HILL 0'WAY MANOR,
� DENOYES REBAR SE7 according to the piat of
FOR BUILDING OFFSET rAcord thereof� _Hennepin County, Minnesota.
• DENOTES FOUND IRON -�- - - �--- - -- _
MONUMENT L.S. I hereby certify that this survey was
� DENOT�� WOQD I.ATH SET prepared by me ar under my direct
FOR ExCAVATION ONLY supervlsion, and lf�al i arr� a duly
Licensed Land Surveyor under the
DASNED LINE DENOTES DRAINAGE laws o he state of Minnesota.
AND UTILITY EASEMENT AS PER PLAT. � � �
PASSE ENaINEERIN(3, INC. Donold E. Si et . No. 23945
REQISTEI2ED YROFE9S10NAL�LAND 9Uf�VEY0Ii8 g ��
8446 EA9T RIVER ROAD, BUITE 209 • Date:
COON RAPID9, MN 66488 a �3�q�/
Tel. (612) 7b6-8240 Fe�x. (812) 7G6-188�
JOB N0: 96-05 SCALE: 1 INCH =__'��__FEET FIELD BOOK: 100 PAGE: 49 DRAWN BY: GSO
33
CITY OF ORONO
BUILDING PET
,
'IT �DSAN REVIEW
INSPECTOR
DATE' (AP PERMIT NO.
,;--ell"PROVED AS SUBMITTED
0 APPROVED WITH CORRECTIONS AS NOTED
0 NOT APPROVED --- CORRECT & RESUBMIT
These comments are for your inicrmation. Ali work shall be done
to full compliance with at applicabie building and zoning code.
Requirements includil.
ng items not specifically noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES
tit
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BELA ROOFING & REMODELING, INC.
41.00 EXCELSIOR BLVD.
ST LOUIS PARK, MINNESOTA 55416
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