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HomeMy WebLinkAbout1998-010178 garage addition � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: �;f°''��-�'�:;'�i� Crystal Bay, Minnesota 55323 S��-�-`- {�= (612) 473-7357 Date Issued: - ;1 ; . - i's�,, : ,, :`�'�; SITE ADDRESS: i s�;�� ._���t,+;�{Tn°`x �,i�:_��=, r�°� ��� �' . � . �`�!. , r::�—� �,��—'�`:�;—�::_;—i 7i l:i;_' DESCRIPTION: i;��,;:;r�t�3� ��;ri!�ji_ifi.; ��3�i i��i�-►�� F':_►•r��i t. T y�.�= r:t_�_:��a���:�;,;��_. '_�I�j, i i�i )'j� f��_,;'�:; �°�:'�c= :���-t.`r�ll_ii�--�-'9 t �i-if,:�':��f :.{"�`. '•�j�i I�t=�.�ilt Y �'.—_ t_:i t)Z�t.}�_{i fi.�,ti;;i;� i y F���'_ :%{'�( �+�;?1?l� (._`t.—�H :���S{�3,�� t.i�il�F� 13..�'Li F'!L � , l:Fi�.i-�i`t� REMARKS: =��.�`��°r?i� . =�';'�I 1" �i�i:s�1 I.��`t+,� ;s,��=i �'s_�{:��;�i{�Hi_.. . _�i�1 TE:� . FEE SUMMARY: '�1yL.,I:i�:t '# 1 E_s�,( �'(t i; :;ti(_'t �;,�.�;,-,, }=k,.� �,� -y� -:L i= !�S Cl t i !,.:?'y��,i�ti�'a, 2 S�7 L� , Li.f1 _���i i'i f i:i 1'��� _�__.�� �•.`� l�1�j i { = L� ___ _ t=+ •�+.c . �' '��_.!�� . ;'1 CONTRACTOR: OWNER: — ��,�,� ; ��;,;t_. — ��:�i��Ei�l :�!_Etvtv �.'�'�;`� t_i_i(1i��f'i,�`,' {:[_iiE; f;`�i ��];�iij°,fi_! k•II`� _ _ ==�il�, ��—:_- -;'_; �'E .' .�iii�I�.:,o i�,3i'u W�y � :....�._...�.. i t�+.�{.x1.:,,,`��.;.�y= r.s�'... . . _ �-s;- i_1V€1 . .._�"`-'s"' "` ,� �` _ I . .=�`.i°i!`_;`-;1.s_l�� ir_i t';;-�;�:.�, ? �-i� ?�%.F_=�ii_ !;`jj-';,_�,i,'�?'°ii=!�.jT`=: ..�.. _.... .s..�. .y} ,_ � �.. �. ' r.} : .'_ �.. ft� ,..,�� _ _,y..� ;•. � •_ _ _�'}• 1 r f. :�::-`''-i' ' �'� i-E 7 :-;�s,. ,r'�i_�I�:'z_t-.:�: j !_f L:t i f•�y_�_ ix;'1_.�(-;��., �,,; �� ({.�[:� ::f if�i}-`I I i—�iV%.L... trL.'i,i h; i:;:�.�... _�.i f ._Et- L i€;���;:;;�'s i_i�:�.�L.?.'-?. .f__'=� �?I�..,' �_ ! =}Tr i��- i��1 �1�f,�.:_ _� � r-} i_ii_�3���r i�:a _I_�:�;�� ;•`.�;.��;_i!�:�i`�`r� � � . � � � A PLICANTiPERMITEE SIGNATURE ISSUED BY SIGNATURE. �, Total Fee: $ ii'�%� �',' Date Received: �- ZI- `�� Entered By: ,G�t . Permit#: j��j����Y CITY OF ORONO - BUILDING PERMIT APPLICATION 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: ( �� � � ���� �-, �1� !�� �' ZIP: � � ..3�E� NAME OF OWNER: �f-�.f<x g```-�'s t'1����-�-n PHONE: (home) �--1�13"-�%Z�'� (work) MAILING ADDRESS: 1 Q;L� C�u,r�s �l ��C'' CITY: - �ZIP: 5 S 3}'� � �-e��r t� � ,� ��, c , �.�� � �� CONTRACTOR: -��"� P�3.QlY,�: .���w'-jL CONTACTPERSON: �.����c �-��'•.� y< MOBIL PAGE �' y1 �-�/�S 3� MAILING ADDRESS: 1 <<1:s�'��,,�f;, c!:i<<( CITY: C?s_pst,� ZIP: .��s� 3�`�' 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�: `� �r ��`G (.?-�rr�,y �;/�' STORIES: � SQ.FEET OF EACH FLOOR: � � ��� NO. OF BEDROOMS: � GARAGE STALLS: ATT. v'� DET. ry t Y� ESTIMATED CONSTRUCTION VALUATION (excluding land): $���, l''`�- I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ardinances 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. T 1 _� APPLICANT'S SIGNATURE: /� �-� ��ii...C,r� DATE: . 1. � �Z��� NOTE! Parade of Homes events require separate pernzit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 6 Sec.13.04 RIGH"TS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set for�h in this secdon. Subd.2. Information required to be given indiridual. An individual asked to supply private or confidenaal data concerning himself sha11 be informed of: (a)the purpose and incended use of the requested data wi�hin the collecdng'srace ageocy, polidcal subdivision,or statewide system; (b)whether he may refuse or is leeally required to supply the requested data;(c)any Imown consequence arising fmm his supplying or refusing to supply private or confidenaal data;and(d)the idendry of o[her persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesdgaave dara, punuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place [he noace required under this subdivision in the individual income tax or properev tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subjec[ of stored data on individuals, and whe[her it is classified as public, private or co�den[iai. Upon his futther request, an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to him and,'if he desires, shall be informed of the contenc 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 secaon is pending or addidonal data on the individual has been collected or creaced. The responsible authoriry shall provide copies of the privace or public data upon reques[by the individual subject of the data. The responsible authoricy may cequire the requesting penon to pay the actual coscs of making, cercifying, 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 reques[ within that tune,he shall so inform the individua(,and may have an addidonat 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 accumcy or completeness of public or private data conceming himself. To exercise[his right,an individual shali notify in writing the responsible authoriry describing the nature of the disagreemen[. The responsible authoriry shalt within 30 days either: (a)correc[[he data found to be inaccurate or incomplete and attempt to noafy past recipiencs of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual tha[he believes the data to be correct. Data in dispute shall be disclosed only if the individual's s[atement of disagreement is included with the disclosed data. T'ne determination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive 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 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 suppiy data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, sta[e or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pernut 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. .-- � �'' /�� ,-c- /{ C�,L �11 l( (�`G� <<r C 1'T �f� ' �= First `tiddl � Last l C� �,� ��l� 1i�<< � L- � h ��c' � Address ,�! � � ,, ! 5 ���'"�� / , � z� - �9 1 �- j jL� � �i �, � �7 �,_ �i ! C�ty State Zip Phone I understand my rights as state� above. �'C�z---- �/ --' Signature .. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �°►2-� C�o�w z'�-cT Cl,�,/� �Ca MO PID: DESCRIPTION OF WORK: ('��M�,c- r/�-Dr� ► �on� • -------------------------------------------------- -------------------------------------------------------------------- ZONING REVIE�'�J BY: DAT`E APPROVED: �- Y• S� BUILDING REVI�;W BY: DATE APPROVED: b- Y- 5$ 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 PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONI�'G CHECK LIST Zoning District: L/z-�� Fire Department: G�N s Post Off ce: (�� (�vt� School District: b n,o�ru Lot Area: Sq.ft. No Acres — Width Depth � Survey Submitted: Yes oC No Date of Survey: S• IS�• ts� Proposed Setbacks: � Front (Lake): $2 � ; Right Side: j Z � Rear (Street): 23^?� '� Left Side: ,$� � � Adjacent Structures: /�TT1A�.L(�.� Wetland: N C� Building Height: Def. Hgt. p. (�- Peak Hgt. �" Lot Coverage: O•�� Grading: Staff Approval Date: By: Council Approval Date: eptic: Staff Approval Date: By� Zoning File: # Resolution: # Resolution Date: NIp, Shoreland District: �� Avg. Setback: Bluff Setback: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 10 ♦� Bua.n�rG xEv�w c�cx i:.�sT UBC: R ' 3 CONSTRUCTION TYPE: �IN • Sq Foo[a�e � Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL 0 C)Oo °= Estimated Construction Value: $ ( i Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection o� Footing Septic Sewer Connection _� Framing Fireplace Lawn Irrigation � Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling �_ Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERi'�IIT): , 27 � D TE TIME CITY OF ORONO CALLED IN /'�//�� INSPECTION NOTICE SCHEDULED / b 9 a' �/: .3 � PERMIT NO. l '��' COMPLETED ADDRESS -1 � OWNER � .�����J NTR. TELEPHONE N0. ''/'7�� -- .'�����9 � DESCRIPTION � 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 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 � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W . _ _ � � � _ _ . .. O � � _ . �. � W � __ .. Q � Z W � W _ � j d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION� TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAF�CONQITIONWITHIN HOURS. ,- PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473�73rJ7 OwnerlContra o s te: Inspector. White Copyll�spector's Fi Canary CopylSite Notice CITY OF ORONO CALLED IN 7�f�E�`7 TIME INSPECTION NOTICE SCHEDULED ���� '��� PERMITNO. 1C/'7�o' COMPLETED ADDRESS I�/al5 GOu.'h;� c'!•-'�°��i �'� OWNER I"�«��'r�- CONTR.� TELEPHONE NO. ��3^ 3��� � DESCRIPTION �� ^ ''''`z,`�- ly� 01 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 IN 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � j d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.4 -7357 OwnerlContr t o site• Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �� SCHEDULED l� ' ��`� PERMIT N0. � COMPLETED �` (2-''�" ADDRESS ( � Z5 C��7v'1-�'L�, �(,� /GO� OWNER CONTR. TELEPHONE N0. �� 3-3�� I � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q�SULATION 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 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: � W � � � O � � O � W � Q � Z W � W � � d � ORKSATISFACTORY:PROCEED OJECTCOMPLETE ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �-; PHOTOTAKEN INSPECTOR WILL RETURN C' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on s'te• inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN 1 INSPECTION NOTICE SCHEDULED 9 � 9 /O�O-� PERMIT NO. O � � COMPLETED t� �� ADDRESS � OWNER �.<</trnJ ONTR. TELEPHONE NO. 'S�7.3 � _3 � �,cj � DESCRIPTION _�,�,��i� � 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W a "'�� r�c+~�i `�-� �/� � �'s�s�5�� � J O �. � O � W � Q � Z W � W � � d RKSATISFACTOFIY:PROCEED ❑ PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �' PHOTOTAKEN INSPECTOR WILL RETURN C' GTATION ISSUED ❑STOP ORDER POSTED.CA�L INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract on si - Inspector. i White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN s A I3��0 TIMEZa INSPECTION N TICE SCHEDULED /D��t� PERMIT NO. O COMPLETED �� ADDRESS OWNER��L��.2.G�.P.?in� ONTR. �,Q,(�4- �a��� TELEPHONE NO. I 7� 0 S � � _ � DESCRIPTION � OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 = 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: � w 4 � J O �. � O � W � Q � Z W � W � � d _: WORK SATISFACTORY:PROCFED ,- PROJECT COMPLETE W � f l CORRECT WORK&PROCEED -' ISSUE CERTIFICATE OF OCCUPANCY O I I CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Ll CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL REfURN PHOTO TAKEN f' CITATION ISSUED I 1 STOP ORDER POSTED.CAL.L INSPECTOR f_I INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. 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