HomeMy WebLinkAbout1997-009658 - pole barn 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. �
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE —.
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' Total Fee: $ .) / , � y�� Date Received:
Entered By: �;��u' Permit#: ���- ��'
CITY OF ORONO - BUILDING PERMIT 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: `�' � �"��>���k�. ��; � a�� � ZIP: `' ��3 S %
��r.. �-1 d 11 �,5 E- PHONE: home `�� �-a a S �'
NANIE OF OWNER G ( )
(work)
MAILING ADDRESS: �► � `� �h�-F�, 1� r�� CITY: 1���,� y�'�'„� ZIP: `�'�=3< <i
CONTRACTOR:C= ����r C,o r�-�rt, „ ���;�, PHONE: `�c� - � �� �!
CONTACT PERSON:�� �-�-.�,���,,,,„ ,S-�� MOBII,E/PAGER:
MAILING ADDRESS:`�� s U �1 z ��j �G � ��X��1 CITY:���TZ�r� ZIP: `���S �
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure X
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: t 14 ;�,,� ,J - Y-,-,.�-►-�
�f��x .� � .
STORIES: � SQ. FEET OF EACH FLOOR: �� ��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I-�a�-� � `�'
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:�n-:�jn��%, - . <: -�-- DATE: ��> _>'�- > 7
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.
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. T'he rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be utformed of: (a) the purpose and intended use of the requested data within the coilecting'state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
� priva[e or confidenrial data;and(d)che idendty of other pzrsons or enudes au[horized by stare or federal law to receive the data. This requirement shall
not appiy when an individual is asked to supply invesrieaave dara, pursuant to seccion 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund
instruccions inscead of on those forms.
Subd. 3. Access to data by individual. Upon reques[to a responsible authority,an individual shall be informed whether he is the subject
of scored data on individuals,and whe[her it is classified as public, priva[e or confidential. Upon his further request, an individual who is the subject
of stored private or pubiic data on individuais shall be shown che data wichout any charge to hun and, if he desires, shall be informed of the contenc
and meaning of that data. Afrer an individual has been shown the priva[e data and informed of its meaning,t1�e data need no[be disclosed to him for
six months thereafter unless a dispute or acdon pursuan[to this secnon is pending or addidonal data on the individual has been collzcted 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 requesring person to pay the actual costs of makinz, certifying, and compiling rhe copies.
The responsible authoriry shall comply immediately, if possibie, 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 canaot comply with the request
within that time,he shall so inform the individual,and may have an addi[ional 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 conceming himself. To exercise[his right,an individual shall noafy in wriang the responsible authoriry 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 nodfy past recipienu of
inaccunte or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disciosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsibte 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, "Ri�hts of subjects of data", we would like to inform you that your request
for a permi[ 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 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 a�encies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some informa[ion 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.
`/r, � L ia n� /�!a ��C� � ' � _!-�
First Middle Last
� / � ��c�iz� lt � r-
Address ' �I �1� ���� � c� 4 � �" ���� �
�(�t-1 n -� > > �
Ciry
�—# , � ~ State Zip Phone
I understand my rights as stated above.
�. �./�;-i �
Signaprte
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� CHECK OFF LIST FOR ISSUANCE OF PERil�1ITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �/.� ��-�--��r �;';:' �.��---f /�t,' ��'-
PID:
DESCRIPTTION OF WORK: %;-�r `
ZOivING REVIEW BY: DAT'E APPROVED: ��• 6 - �i ?
BUII..DING REVIEW BY: DATE APPROVED: �� - �• � �
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
pLAN REVIEW Yes ✓ No SEWER COi�1I�TEC'TTON
STATE SUR:HARG�� Yes �/ No WATERCONNECTION
INVESTIGAT'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
�ONING CHECK LIST Zoni.ng District: R(L-1 A _
Fire Department: �Apu: pb4i� Post Office: MA�PtAr PtR��! School District: �j(2:�N�
Lot Area: Sq.ft. �S�i.y 3 D � Acres �{.S 7 J s- Width �R.(�c�u��2 Depth
Survey Submitted: Yes pc No Date of Survey: I D- 2-�,?j
Proposed Setbacks: �
Front (Lake): . �$ t' Right Side: 5� � �
Rear (Street): 3 5 � � Left Side: I 3 c�` r
Adjacent Structures: (�� Wetland:
BuIlding Height: Def. Hgt. ( 3� Peak Hgt. 1� '
Lot Coverage: /�J (�
Grading: Staff Approval Date: /�f (� By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict: _
Avg. Setback: Bluff Setback: L.ot Coverage:
� Ezis[ing Proposed
Hardcover: 0-75'
75-250'
�� 250-500' �
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
MARKS (in house):
• 26
BUILDING REV i W CHECK LIST �
uBc: __ �/- r covs�rxvc�ox�E: v�
� Sq Footage $ Per Sq Ftg
Basement R =
lst Floor R =
2nd Floor x =
Gazage x =
R =
TOTAL
Estimated Construction Value: $�?,��y��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
?C Footing Septic Sewer Connection �
a Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (l�Ifg.) Well (State Permit)
_�, F�� Grading/Filling Electrical (State Permit)
Other
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REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
----------------------------------------
REMARKS(TO BE NOTED ON PERi�IIT): �
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Certi`'icate oi Su�.�ey
for Tho:�as Ft. L"�t;:.
of L,ot 7, pZ�cr_ 1, �;cCu�l�y �arm
Ner_t:epir. Cour.ty, r�inr.asot�
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I hereby certif;T t�3t tris is 3 t���,e
anh correct renrPsen�atior. of s `� ��-s,•.._ ��'
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su;-�•a�r of t}:e �unaari�s o�' "c�t 5, o' �
:lo.^_':� l� 2%�CCt.:ll�y F:�r.^.!� th� LOC&— �� h o 0
tior. of ��1 ex�stir.�; buil�'in`�, • "�^¢
if ar_f, t�-:�reot:, ar.r tne �ro�o�ad
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Tt uo�:s r.ot pi�r�ort to sho� other +�' o �
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DATE TIME
CITY OF ORONO CALLED IN I� �' l�
INSPECTION NOTICE 1, SCHEDULED �o - 3c�-��>
PERMIT NO. `,�� d COMPLETED �
ADDRESS
OWNER � � CONTR. ' 2� �-�L�
TELEPHONE NO. ' � — ��� �5�� ���>
� DESCRtPTION
� 01 FOOTING 71 MECHANICAL RI 18 EXCAV/GRADING/F�LLING
� 02 FRAMIN('a 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� OS FINAL � 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINCa FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�d ' ORK SATISFACTORY PROCEED
PROJECT COMPLETE
W l ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
OO C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
CI CORRECT UNSAFE CONDITION WITHIN HOURS. – pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAL�INSPECTOR CITATION ISSUED
C� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next i�pection 24 hours in advance.473-7357
OwnerlContra�t on ite�
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE y TI E
CITY OF ORONO CALLED IN �� 'I7"9` ���—�--��I
INSPECTION NOTIC /�` �}� SCHEDULED /vZZ���Z. S���U�//7
PERMIT N0. (�'`✓ COMPLETED �_ �_
ADDRESS � �5f � =�="Z.,s..G�..
OWNER�.'�'7�l � ,Q Q c�� CONT
TELEPHONE NO. __ �0��� ���
� DESCRIPTION
� 1 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 26 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�d ORK SATISFACTORY:PROCEED
. PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t� xt insdection 24 hours in advance.473-735�T
OwnerlContracto sit '
Inspector. —
White Copyllnspector's File Canary CopylSite Notice
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29 Ci/�.CO���sn. � �:-4_' 'i ''-4;i� : :!'e :.' Y-�� 'if;-.`�?t�S���s'S`,. A!:;�!Y;$�'t$i:��7�
2x4 PURLNS�12'0�. ':a� r-� � Y.`; +-:�;€�:e�c*-:L �'r^>•�3 d4 �eit'!�:�l�E�
ROOF TRUSS�8'-0'O.C. `''�`�r'r�e .'r � .� ,�' „' ,o, C.�=�;".�3'�t '�!+ect gn �his��w
W/LOAD 40/4/1 48'-0" `'•�k+►..� •,-�;c �}'�`;; 'v? ��� c��r�. �r�•,• � �iA-3
+.ks ! • �:�, �i�„
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NOTCH POLE FOR 4 �� 4'-0" 4'-0"
TRUSS BEARNG - -
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2x6 TRUSS SUPPORT � �
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FACIA SYSTEAI 2�-�� M � o M
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�----' 8'-0" 8'-0" 8'-0" 8'-0" 8'-0' 8'-0"
--•�18'DIA.�•---
TYPICAL WALL SECTION FLOOR PLAN
SCALE 1/4" = 1'-0" SCALE 1/8"=1'-0"
m/22/s� ,Znss
a o "�� TOM HALLQUIST �WN BY: PJN ��N
D � 9350 COUNTY ROAD 19 s PA.BOX 97 s CORCORAt��IN 55357 DATE:10/22/97 REV510N
PROJECT//TYPE SCALE: NOTED REVISION
6 0 m � � � 0 6 � 0 0 m �ONE 612-498-7844 s 1-800-627-1669 s FAX 612-498-9951 S T 0 R A G E B U I L D I N G �,�N
���THE PLANS FURNSFiED F�REWfTH WERE PREPARED UPON REQUEST BY EBERT NC'S.DRAFfNG STAFF,WHO ARE NOT REGISTFRED ARCNfTECTS OR PROFESSbNAL Q�ERS. EBERT,NC.IAAKES NO WARRANTES WHATSOEVER AS TO THE FTiPESS OR MEf2q-IANTABLR`f FOR A PART1ClAAR PURPOSE OR PLACE �J�
USER(S)ON NOTICE THAT RELIANCE UPON SAD PLANS S11ALL BE AT TF�SOIE RISK OF THE USERS. NO WARRANTES IXPRESSED OR MPLm NCIUDNG COMPLIANCE OF TH6 PLAN WfTH APPLICABLE BlA_DNG COOES REQURE1rEIJTS ARE MADE,DCCEPT THOSE N WRITNG SIGt�ED BY THE AIAf�R.
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�GA.COLO�S� I I I I I � , I I I I I I I
,� � �� I I� I �� � �� � �► � � � � �
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as2o wwow 4s2o wruow
10'x 10'SLDNG DOOR �sg � �
SERV. I � � .
DOOR 29 GA.i Oi ORED ST i I
END ELEVATION SIDE ELEVATION
SCALE 1/8"=1'-0"
SCALE 1/8"=1'-0"
10�71�9� 1214:,�
0 0 �� TOM HALLQUIST �WN 8Y: PJN ���oN
D � 9350 COUNTY ROAD 19 s P9.BOX 97 s CORCORAK AW 55357 OATE 10/72/97 REVISION
PRO.�CT#/TYPE SCALE: NOTm REV6'ION
� o m � � o o � � o o m �OFE 612-498-7844 s 1-800-627-1669 s FAX 612-498-9951 STORAGE BUILDING �,,�,�N
���THE PLANS FlJF�Hm HEREWffH WERE PREPARED UPON REQUEST 8Y EHERT NCS.DRAFTNG STAFF,WHO ARE NOT REGLSTERm ARCHfTECTS OR PROFESSIONAL EN(',t�EERS. EBERT,NC.AIAKES NO WARftANTES WHATSOEVER AS TO THE FlTPESS OR MERqiANTABLfTY FOR A PARTICUTAR PIJRPOSE OR PLACE ��J 2
USER(S)ON NOTICE THA7 RELIANCE UPON SAD PLANS SHALL BE AT THE SOLE RfS1(OF THE USERS. NO WARRAPlTES E)�RESSED OR MPIID NCLUDNG COMFt.NNCE OF TH6 p�qN WfTH APPLICABLE BIADNG CODES REQUREAIENTS ARE AUOE,IXCEPT THOSE N WR(TNG SIC�ED BY THE I�Af�R.