HomeMy WebLinkAbout1997-009424 - detached 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:
_. .. . t�,�°`3` _.. . . .__ ._,- . ..._
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR .:,,: : .. ; �. -,. . OWN,ER:_.
_ ; . _; � . ._:� � -,:. -: : : .
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APPLICANT-PERM1 EE SIGNATURE ISSUED BY:SIGNATURE ��
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Total Fee: $ , ;4" " �� ' Date Received: r� ) -- '3 �
Entered By: , - �,, Permit#: =� ,'.� �
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: .3 �j v�) C���� S t��f � 4„ 1� �, ZIP:
T
NAME OF OWNER: �� � /�eh � l� �' C� �• f s PHONE: (home) �t 7 f �� �Ty
(work)
MAILING ADDRESS: -S « �=r .� /:�s �L���- CITY: ZIP:
CONTRACTOR: �" �1._s s � I � : ��y' �9 . PHONE: Lr`f 5� C�r3 Z /
CONTACT PERSON: J c�� l� • MOBILE/PAGER:
MAILING ADDRESS: 1 � s",Z � � �ti� v t � �,�f' _� ZIP: _ •�- ��S"'/ �,,f�
�] CITY:�� 7 z< <<
STATE LICENSE: # / y� �
ARCHITECT/ENGINEER: �I PHONE:
MAILING ADDRESS: ` �' CITY: ZIP:
NAME; •' �, REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
i
PROPOSED WORK(describe in detai�: 1 �� �( 2 G'� ��- f� (�--- <<r� �tc:, ��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.�
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $
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 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: �J� ` ' DATE: �"`J-- `� �
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
, �
Sec.13.04 RIGHTS OF SUBJECTS 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 confidendal data concerning himself
shall be informed of: (a)the purpose and intended use of the requesred data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the idenary of other persons or entiues authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or oroaertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible 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 conf'idential. 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 iu meaning,the data need not be
disclosed to him for six months thereafrer unless a dispute or acuon pursuant to this secuon is pending or additional 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 cosu 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 ro compty with the request,
excluding Saturdays, Sundays and legal holidays.
Subci.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individua(shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either. (a)conect the data found to be inaccurate or incomplete and attempt to nodfy
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 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 fumish 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 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.
� ��1'� ��� << �C_ � r,i'�� _
First Middle Last
/ � 1��_� �, c2� � � �+--�,
Address
r � -�
� � i� �� �t � ����1�, s�s < <� �- ��� �-��s ��-3 �
C� � State Zip Phone
ty
I understand my rights as stated above.
��-'� �
�' O(.L
Signature ,
6
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3'-{p� C2-�S�Y�- QR�-t ��
PID:
DESCRIPTION OF WORK: c� C -�
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ZONING REVIEW BY: ' � ��.•...._. DATE APPROVED: �� - t 1 -�? �
BUILDING REV�W BY: � � .� „ ,� DATE APPROVED: '�1 - t 7 - ��?
-----------------------------------------------C -----------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SUR`I�ARGL Yes �.--� No WATERCONNECTION
INVESTIGA'I'ION FEE Yes No PARK FEE
SAC Y::s No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: !�'��
�:� -r�-;�►
Fire Department: rti����+� Post Office: ���� School District: v�il���'
Lot Area: Sq.ft. i 0,;�j�`t•?,� Acres � 2� Width sv � Q�`�l Depth ( (�� �c
Survey Submitted: Yes �� No Date of Survey: 7�`/� (�`-(
Proposed Setbacks:
�reat (Lake): �(;,� Right Side: �� �
F�ear (Street): j(,` Left Side: l� `
Adjacent Structures: �� � Wetland: ti ��
Building Height: Def. Hgt. �i .I� Peak Hgt. �
Lot Coverage: �:,CL
Grading: Staff Approval Date: /� i � By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict: ��s _
Avg. Setback: ni ;/1. Bluff Setback: �--' '�- Lot Coverage: ti'f c�
Existing Proposed
Hardcover: 0-75' �-�''�
75-250' Z- '1 v ��� 5`7
250-500'
500-1000'
Hardcover Vaziance Required: Yes No ;� Date of Council Approval:
REMARKS(in house):
� 26
. •►
BUILDING REVIEW CHECK LIST
UBC: v - � CONSTRUCTION TYPE: ii/v
' Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage Z�ii C> x ��.� 1 = ,�, i Z i.,.�i,,
x =
TOTAL
Estimated Construction Value: $ j� I Zf, �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
�� Hardcover Removal Mechanical Water Connection
�t Footing Septic Sewer Connection
,!C Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Pemut)
Other
REMARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS(TO BE NOTED ON PERMIT):
27
' 1M�RK ORDER �4�� ��°�
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*�r���� , t14ME �MON�:���r��z7 y
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ST PRUL. M 55108 ,
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�Batkfill: L18y Own $Y Sussel � b' a�– �
1�1a�nte�n B' Total Wa I Hei hc . � �
9 = � � � ,
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$ire of exlsting.,_.__ � .
Ex�st�n�qafage w��l be• ' .
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af Lot li BZo 3., "Wi3ey�� Park" It�k? Minn�tonka L�,K� �"� :
_ Ae epin Co�unt ' 2�rulesota ; ' _-- :
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I hore � c�:rLify that th?� is a t,rui end � ", rg�nek�a r.
correct r presentatia�ri of a surv�y o£ th� �.. :;.�": :�::�.::.:�:���'- "`
boundarie of Int I, �t.ock 1, "�131ey's Par�" `-�' j4 �
L�k� Mi,ur► tonket� and �t' the locatip� of all � d� �
bui�cii.n�s thereon, and'' all visi.bl�a ericroQch� � p��
m�snts� if any�, i'rom �r pn said land. N�. J �° - - - - "
Huz�ter�s etuR1 le�al tieecript�on is of -- ' � �,in� A�4Km
I,a+„ � exc pt that part; tt��reof ].yin� bAtWeen ��• �"';� "�
aelve4arlin� �
tha North r�.y line o£ Count�y Road and C2",yat.Rl � � � fraval
ga�; hoM1ra gx, na informeticm wes obta�.ngble �
on a cent r�ine or ri$ht-of--�.ray linb for -' ' �
Crystal p RcFtid othar th�n thP blacktopFAd �'"" V L �
ro�:d �e t evRl.�+�d. �auri�.n� th�� tlack'top " ,0' i�ck ►t- ��
ro�d �e c nt�red ot1 tt}� r��ht-�f-uey rei'9rred i•� - -�-- t °-
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Scel�: " = 40� � � Q ( ' . � �t ��S a.
Date a -9-b4 �� �>�'� �
o s on marker - �p,,,r�°°'c
' l�c�C�E-T� D^� Yvt�5 T" l�-p S r74/c-�� p��r�.+�H
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G��� ROOF: GAB� REVERSE GABLE HIP
t � �1
��� EAVE OVERHANG: `"'
��JBli�i1TTRUSS DE�IGN TO RAKE OVERHANG: 1 ��-- �,
�I'S�CT�R AT�'RAMING INSpECTTOT'
SEAL DOWN SNINGLES WITH PLY'WOOD OR
l� WAFERBOARD ROOF SHEATHING AND 15 LB. FELT
� �
Roof Sheathing
Seal Down Shingles
Trim
1"x4"
Manufactured Trusses 2"x 4"Doubte Top Plate Sub Fascia
�
Fascia
—Soffit
3�a"Cove
NOTE
1) Roof approved by Minn. State Building Dept. as meeting Minn. State 2"x a"Studs
Code Requirements of 30# snow load.
2) ip ofs o�sis��" x 6"{afters, 2"�x cross ties 48",0.C.,2"-x 8" Siding
i r s anti-no pl,lw�g�sse�are��ci-� �..-'" -
RAFTERS: Trusses � 2_�
STUDS: 2"� 16 O.0 � 24" O.C.
WALL SHEATHING: —_ � Z`� C= �"�
SIDING� L�`� l-�+.�Z-l.� �G �9��
O�ltER H�A D�OQ�HiE�iA D FJ�,,:
`Nr 1 y� f a� �3n �.� �.. .
�+:�r�vl��.li,���.:7 ���*'aR'��, g£�. r�p' x .
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� � � 1 i2"x 7"Anchor Bolt
, _. .,s. ;:�;
- , �; .,� }., ,J:_,3<
_ -Slatr.�n�grade constrr�etion app�oye� p.�r M�tlesota State Code. Refer to State
.:gui}d�4�S;�odgr�,ettec Num4er_�,1,4, �,,� .a;_: s,��
SLAB a" WITH MESH 6" x 6" #10 Gauge 2��x u��Treated Bottom Plate
�� v Grade.--�, -
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45 � ��i%������/ ����
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' HARDCOVER CALCULATION WORKSHEET
' +SETBACK ZOYE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House x = ��� S.F.
Length Widch
x = 3 i H s.F.
x = S.F.
x = S.F.
B. Garage x = "Z�{ C� S.F.
C. Driveway x = . 7� S.F.
z = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = y �J Z S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other ✓�� ���'� x = Z� � S.F.
TOTAL HARDCOVER IN ZONE - Z`r cl�o S.F. A
TOTAL PROPERTY AREA IN ZONE - t O��3�_2.�S.F. B
A 2y�z� — a io,b3� x ioo = z_3.�� �
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x — S.F.
E. Patio/Deck x = S.F.
z = S.F.
F. Landscape x = _ S.F.
Underlain z = _ 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 - _ S.F. B
A Z �i t� — B t o,6 3t� R ioo = _2 Y .5 q �
2`��Ik — IOXIi� �n.�/t d� ��j 1c�w,�el = Z33� � Z�� PrtAPo�� G�� _ �
14 Z6!lo
.
(REi�VAL WO�:K 012llER)
Mr. Robert Nichols #75Q6 --
��i�� ���Gp_,�, 34Q7 Crystal Bay Rd.
1852 COMO AVEN E 3T.?AUL, MN 55148 drono, MN 55�91
M�. � . ��i� H 471-8274
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SALESMAN 12�6"x20 Det. Allbili WlGonG.
CONTfiACT DATE � � � � 7�����7
Loef Brandstrom
{�ARACiE
C�►WI►rc3z�atvu t+r+�Liri�p��.,.,�a
Size x -
, _____....—
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- Wood a "—'
Stucco
Brick
Block . __
� �
interfar Finish f�'�..�' Z^O
Partition S��
Ceiling
l,oh
HeigM
,1
FLOOR
t
(Include ou�d8- .
None tian r ovai}
Found. _F.
c
COf1CrQCA� .F. •
(inciuding apr n) �
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Wood �. ' _ �
,
Asphat�t S.F, �
:t
OTHER
Disconn�ct Ei c.
Clothes Po{e �,ti,.,
,;
Sldewalk S.F. ��`��� � ���
' Conc. drive S.F. � �r �
Asph, Drlve S.F. (�� �
��M� �_.
Trees a. ���►.1 p �ra�t- �
StumpS �ia. �� ��lv�-�
8ushes L.F. �;��.e c� �
Fence .�. (7��
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� Uv�� 1�..4r,.��1�. {-,
�l0 7'�.
_ . DIHECTION
DATE TI�1E
CITY OF ORONO CALLED IN � :.7 �7 7 � `'r� 1�
iNSPECTION NOTICE �� SCHEDULED /� �- 3�',�
PERMIT NO._� �' COMPLETED �_
ADDRESS �`,� , 1,. � ��` � / �
OWNER�L��f`-��-'1 � CONTR. �-
TELEPHONE NO. ��� C�� �� � -'> I
� DESCRIPTION �� � �.
� 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADIf�G/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTIi�N
Q
OS FINA 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEM�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 FiEMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION iREMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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2
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ; CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
Q C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. —• pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA�L INSPECTOR � CITATION ISSUED
0 INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the n t i s ction 24 hours in advance.473-7357
OwnerlContract site:
�
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice