HomeMy WebLinkAbout1998-010622 - garage addition �—
. PERMIT
, CI�Y OF'ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��'��1 !.�.[T:��=�
Crystal Bay, Minnesota 55323 Permit Number:
i'y f i�E�iyp:'�
(612) 473-7357 Date Issued: :.. "� -
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SITE ADDRESS:
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DES�CRIP ION: � �
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: _ �G,��� ; _:,;t. -
'=�t 4°=�=_�I :��ii=.°�=i�i�`.�t l I�i�� _ � :��_-,: � �:•�-�;:�;_ �• _ '_ . ��-'ij�-�i;�i�
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t ih;i#jys�� sjE�i,i!'�y{-�iE`;i�:l�'=� E{I�i,j , . � �' �`�s�'�I�,_W�_ #-� ��� . , ._
� �C:...--e, ����s�C.�'/,R�, �
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE , � '
,. , , , •
' Total Fee: $ � 5/� S �% Date Received: 7�--.3 ��' °j �j
Entered By: Permit#: �C�/a ;��,
J
CITY OF ORONO - BUILDING PERNIIT 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: � �� S �:._�" 4�,��a�,1�1 , ZIP: � 3 'I
�/"L'v c.t��/�E- �
NAME OF OWNER: s -c? � �j��� 1^�/PHONE: (home) � 1/� �d.�"1 �
�/} r (work)
MAILING ADDRESS: � � �� �S' f�l jj,�i�'Y: ZIP:
'�'
CONTRACTOR: S ��L�s `t PHONE: Ca���C�� �
CONTACT PERSON:�ci� c . - OBILE/PAGER:
MAILING ADDRESS: / �,�� a, �� � CITY: � '�'' ZIP:�.� / L�
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAIL�tiG ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
Accesso Structure I
TYPE OF WORK: N�w � Addition ry
Move Remodel/Alteration Land Alteration
i
PROPOSED WORK(descri�ie in detai�: -2 � L �"'
STORIES: �_ SQ. FEET OF EACH FLOOR: I
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� C��_
I
I 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 not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLIC�NT'S SIGNATURE:�� � DATE: � �� Q' �CJ Q
NOTE! Parade of Homes events require separate perntit approval by Police Depar�tent an�
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individua]on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information re�uired to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legaUy required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to snpply private or confidential data;and(d)the identiry of other persons or entities 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 orooertv tax refund
instructions 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 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 its meaning,the dara need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section 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 authoriry may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible authoriry shall compty 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 writing the responsible authority describing the nature 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 recipients 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 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�ity 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 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--Li �'�r�L�J� �Qi'1
First Middle Last
����� n� /�1 �+ � 1� °�
Address
�� � !' L�� ��� / �/ N l�S�� /✓.f' Y T�/�"�-� ��
City T� State�-�Zip Phone
I understand my rights as stated above.
�Q-i-.� ��
Signamre
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3'y�� Ct�-�(STY}L (���v c_.C_.
PID: =
DESCRIPTION OF WORK: � L 7��� �-� ��,��,�
----------------------------------------- - - -------------------------------------------------------------------
ZONING REVIEW BY: � .� DATE APPROVED: g ��(� c���,
BUILDING REVIEW BY: � c �';�, ��. DATE APPROVED: jy' r c% <<�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes � No SEWER CONNECTTON
STATE SURCHARGE Yes c/ No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L/'�i C-
Fire Department: (,cr�,• U��U:; Post Office: Lt;r�c�(.�,L School District: v,�t�,v�
Lot Area: Sq.ft. (�, b'� lo Acres � �5 Width 5Z%' Depth 1 '��
Survey Submitted: Yes J� No Date of Survey: !- �Z-�1 �
Proposed Setbacks:
Front (Lake): i b Z Right Side: Z 3 �
Rear (Street): _� Left Side: �
Adjacent Structures: 2�� � Wetland: hJ ��
Building Height: Def. Hgt. L . I� Peak Hgt. "
Lot Coverage: 2 Z
Grading: Staff Approval Date: /� {�`' By: Council Approval Date:
Septic: Staff Approval Date: J�( � By: • -
Zoning File: # "Z-��S Resolution: # Resolution Date:
Shoreland District: y'f 5
Avg. Setback: /U i��a Bluff Setback: !`'/�� Lot Coverage: 2`
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' `� ,(o
Hardcover Variance Required: Yes >-- No Date of Council Approval: 7 -Z-7 �7�
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: (,' - I CONSTRUCTION TYPE: �/�ti�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
�G�
Estimated Construction Value: $ �� ,�(l��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
;x Footing Septic Sewer Connection
_;�Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling �_Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
R�VIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARI�S (TO BE NOTED ON PERMIT�:
8
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' ��LTS�EL GAR.AGE S ROOF: ABLE REVERSE GABLE HIP
, EAVE OVERHANG: � ��
RAKE OVERHANG: -------
SEAL DOWN SHINGLES WITH PLYWOOD OR
�2 WAFERBOARD ROOF SHEATHING AND 15 LB. FELT.
�
Roof Sheathing
Seal Down Shingles
Trim
Manufactured Trusses 2"x 4"Triple Top P�ate 1"x 4"
Sub Fascia
NOTE;�-"� � Fascia
Soffit
1) Roof approved by Minnesota State Buliding Dept. as meeting Minnesota Sta
Code Requirements of 40#snow load. 3/4"Cove
2) ip ro �
hi fter ` pans eater are t
RAFTERS: rus s@ 24"0 . 2"x 4"Studs
STUDS: 2"x 4" 16"O.C. /�
�j _// �--Siding
WALL SHEATHING: �, �/�� 1SGC.rU(
SIDING: -i� ��/"�/
OVERHEAD DOOR HEADER: uble 2"x 1Z'or 2- icro Lams x
2"x 4"studs
Z��x g��
Treated Bottom Plate \
Sill Sealer �
�
�
1 Row 6"Concrete Blocks
�
� 1/2"x 7"Anchor Bolt
_._._._._._...-' �
2"x 4"Treated Bottom Plate
Slab on grade construction approved per Minnesota State Code.Refer to State
Building Code Letter Number 11.
_ SLAB_q„WITH MESH 6'_X 6:_ #10 Gauc�e � �
- Above Grade
A
I $ I
�♦ Grade
�U�SEI:GARAGES Ms. Stephanie Kroeger #8435 �'a z s Z
3465 Crystal PI.
1852 COMO AVENUE NAMI Navarre, MN 55392 '��'�' y
ST. PAUL, MN 55108 H 471-0237 S 928-8204
Pe�mit by �OB �
L.ec�a� Description_ 20x24 Det.Allbllt W/Cot1C. ��0�� pv
�oc e�oc 5R�98 Loel Brandstrom �ol /
Bik
Add'n_ SALE /��
Value _
Type Const.
S L A B: � � �� -------
�By SUSSEL _ �
By Owner Approx. �
❑In
2-STARTING POINTS ONLY - ' - s� L• '
S.P.L. ! �-!/✓9�'E OG �t�c��..Cl � -
S.S.P.L. '�.. _
. _____
R.P.L. _
Alley
House _
F. Street I - .
Other --_ _ _ �
❑Square With _ ._
❑Sod Rem. - By _ ___ _ . . _.._�._.:___...._
O A.B.U. —. � � _�
��I Grade Point `` .. �
Conduit � � �
_ _ __._.
---------------- -------- �
Blocks OBy Owner�By Sussel � _y�, c> �U/ i7
? [.
Wtr.proof: ❑By Own. [,'By Sus. +_ --- (/
❑Backfilt: ❑By Own. ❑By Sussel a__. 3 -�- -
f�dMaintain 8' Total Wall Height .. -" �
Including Blocks OR . - ~"" " '" v
O Maintain 8'Wall Height on J 3+ � �' �
Top of Blocks -- � � �,�� � _ �_�� _ � �
Block Size (Top coursel - _._
� ,. „ „ � , . : \
�8 �6 �� � i-���4�1�E���� - -- � � .. �
--------- -------------------- , :
all Height other than $' _.
�- _ , �
�1 -� --- -._.. .,
__.. . _ _ _._______.__�__..__
a __ __ ;___
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❑ - ..
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° �--- --_� - ; _ _ _ ���_. . _� �_
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- - � ; ;
, j_ . . . _ � :_ _ .
_ _ _ . . Y _ _ : ,
Existing garage: No O ' •"
_ _ � _ _ :i�
G Detached ❑Attached Yes �7 - - � ��
Size of existing: r.'�-�c� - .- - ; (r17�' : OF ORONO
Existing garage will be: f
� �eft as is - � BUII.DIN�i � M PLAN R�VI� _ _
._ _ _, ; ._ � ; _ _
.___ _.. ___ _ ------ ------------1�� ___ _._ ._ ._ '
❑Converted to L.S.-By owner --.:— .--._-__ ._._._
_____._
�Removed By: Owner ❑ ' � L1AT '�� � � PERhA1T NZS._
Sussei �il �,FPROVED AS S138f�4l�ED ; � _ _
. _
Junk Must Be Removed By Owner _ i�'1 �PpRG'V�J.V�II?ti C�����TIO�1S A5�IOTED
� i�IQT a��'PR3VED---CO��ECT&RESU��1ii'f
Stakes visible - O Yes No � � ���__��=����r:T��*���'��-'�'� �
.. ._
Survey available - O Yes No � •• `tt;,�I '�' ''����-�`-;
D SPecial instr ti s from - -.—__� ��s�lga ' �' , ���,;;���wtmw__ __
�¢j�lv1��iir�C�-�.sir�.'��� _ . _._
Cement Ma : ;�,��+ l!4.S IF'�t���'t�Jl S'if�'�A��t$:O�d�'3
.�' L� . ; ._ _
.�- � _ :_ . . �u �"�w�t
...�, � ' (o•i z - 9 S3 �
__ � _ . . ._. . _ :� N
��Good ❑ Fair ❑ Poor �iR�C'T�orv
PURCHASER'S INITIALS:
SE1T BY�M1�ICr1il11HC 7- b-9t� . ?:3�P11 • 1ililC �;12/9'?'?-��'?3- F1?�7311�10:= 2� �
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� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04. L BD. 12 WATER HOOK-UP 17 SITE INSPECTfON
�05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
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❑STOP ORDER POSTED.CALL INSPECTOR �7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the�xt spection 24 hours in advance.473-7357
OwnerlContracto s :
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