HomeMy WebLinkAbout2000-P02408 - detached garage move PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2aog
Crystal Bay, Minnesota 55323 Permit Type: Accessory structures
(612) 249-4600 Date Issued: si23ioo
SITE ADDRESS: 3585 Crystal Pl
WAYZATA,MN 55391
P��: 17-117-23-43-0145
DESCRIPTION: UBC occupancy U1
Construction Type VN
Proposed Use:
Census Code 438
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Movge/Detached
DETAILS:
Approved per resolution#:
Separate permits required: Eiecfficai(staie j
NOTICES/REMARKS:
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FEE SUA�MARY: Permit Fee: $ �9.25 Valuation: $ 2,000.00
{��Ct'{t /l<. Y y; � „-,
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 115.23
APPLICANT: EVELYN LANGE OWNER: EVELYN J LANGE
3585 CRYSTAL PL 3585 CRYSTAL PL
WAYZATA, MN 55391 WAYZATA MN 55391
Tf{E UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROV EMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQU[REMENTS.
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APPLI �J NT PERMI ,SI NATURE ISSUED BY SIGNATURG
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Copies: City, Applicant,Assessor, Finance Page 1
INSPECTION RECORD
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po24og
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: s�2�oo
SITE ADDRESS: 3s8s crystalPl
WAYZATA,MN 55391
APPLICANT: Ev�LYN LAN�E
3585 CRYSTAL PL
WAYZATA,MN 55391
Proposed Use:
"�--:`°��'� '�`�Gara e/Detached
��.uuai�uv—iyY"\JI• g
Perniit Class: t�w►cling Move
Permit Type: Accessory Structures
Separate inspections required:
Building: Footing Final General:
Plumbing:
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..........................:............::::::::::>:.:�;:.;:............ , . :;:�..:::: .
:...:::::::.:.... ..:...:.......:.:::::::::.::.:..:.::.::::::::::::::.. :::::::::::::.: :
:.:.::::::::.......
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AI,L INSPECI'IONS MUST BE CALLED 24 HOURS IN ADVANCF;. THLS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON THE PREMISES ON WHICH THE WORK IS TO BE DONE.
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To'�al Fee: $ /i�, �,��3 Date Received:�"/2/o�
Entered By: ,r, Pernut#: f'����0 8
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CITY OF ORONO - BUILDING PERNIIT 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) OWNE R CONTRACTOR
JOB SITE ADDRESS: ,�SgS C/��/Sf�JL PI�C� Z�� SS.3�l�
NAME OF OWNER: �(�����(V � L-�� N� � PHONE: (home) � �/ - 9 4�//
(work) �f��-�'UW�
MAILING ADDRESS: 35�S�R�S7�A� P�-l�C� CITY:�,�fA ZIP: �S3�/
C0�ITRACTOR: PHONE:
C0�ITACT PERSON: MOBII.E/PAGER:
MAII,ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: N�w Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: G V� i�c�S�" d��A��FdC " R � +r- ��
�r�r� S�h���w��od � 3s�s c�,eus�Ac Pi�-� ���,e��� rs aa ca.� +-
C�'/��a j� u.� � �� ���_ pl�tc� d o�J ��o��-,��j �sC� � -- :'����II bf �s��� �� ��' s ,�y �
STORIES: �_ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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.
-� ,
APPLICANT'S SIGNATURE: � DATE: ����v {JD
NOTE! Parade o�Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS 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 forth in this section.
Subd.2. Information required to be given individual. An individual asked to su�ly private or confidential data concerning himself
shall be infornted of: (a)the purpose and intended use of the requested data within the collecdn�state agency,political subdivision, or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)an} i�own consequence arising from his supplying or
refusing to supply private or confidenrial data;and(d)the idenory of other persons or entiries auchorized 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�lace the notice reauired unde�this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authorin.an individual shall be informed whether he is the
subject of srored data on individuals,and whether it is classified as public,private or confidznrial. Upon his further request, an individual who
is the subject of srored private or public data on individuals shall be shown the data without an} 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 daci 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 section is pe:�ding 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 cosrs of makin�,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 h�e 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 ma} eontest 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 authority shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete daha,including recipients named by the individuaL er(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 disagre�ment is included with the disclosed data.
The determinanon of the responsible authoriry may be appealed pursuant to the pro�isions of the administrative procedure act relating
ro 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 Ciry deny the permit or license.
3. The information may be shared with other local, state or federal a�encies 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.
� U� Iv N ��r�i� �H y�E
First Middle Last
� S��'S C' R�IS�A L f�L,r�-��.
Address
��U;�U z/�-��9 ���I� Ss 3�� `�7/-9�F�1
C��y State Zip Phone
I understand my rights as stated above.
C�/Z�:� i ��✓�d
Signature ;
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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 35�� G 2�s��-. (� ��c.�
PID:
DESCRIPTION OF WORK: ,v C� M
ZONING REVIEW BY: DATE APPROVED: S" '9 - �o
BUILDING REVIEW BY: DATE APPROVED: g�- S- �J
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)
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ZONING CHECK LIST Zoning District: G.2- /C
Fire Department: �v�ov,�y�_ Post Office: w,q,,,�,q.��a School District:�ju.�.�Y
Lot Area: Sq.ft.��Acres � 'S Width /� Depth I Y�
Survey Submitted: Yes X No Date of Survey: �-('L'g Z
Proposed Setbacks:
Front (Lake): l�li Right Side: 11�_
Rear (Street): 1�0 Left Side: (g'
t
Adjacent Structures: Kd '�" Wetland: /���
Building Height: Def. Hgt. O.(� Pea�:Hgt. �. r�
Lot Coverage: `—'
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
�c., Zoning File: # Resolution: # Resolution Date:
V'
Shoreland District:
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: v - l CONSTRUCTION TYPE: V/`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x = �
2nd Floor x =
Garage x =
x =
TOTAL
m=,
Estimated Construction Value: $ "Z� pvt�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanic�l Water Connection
�Footing Septic Sewer Connection
Framing � Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�c Final Grading/Filling _�Electrical (State Permit)
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 PERMI'1�:
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"Tfie location of the irtprove�nents shavn on this dra�ring are apQroximate and
are based on visual inspection of the presnises_ 1fie lot dimensions are taken from the
recorded plat or oounty records._This draWing is for infonnational puzp0.ses and should
not be u.sed as a survey. It does not oon.stitute a liability of the comp�any and is
intended for mortgage purposes only."
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '�`a{� �
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
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Cali for the next inspection 24 hours in advance. 249-460�
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White Copylinspector's File Canary CopylSite Notice