HomeMy WebLinkAbout1999-012048 - shed � PERMIT
CITY OF ORONO PERMIT TYPE: - _ .. . _
2750 Kelley Parkway - P.O. Box 66 --� =�:��`-�
Crystal Bay, Minnesota 55323 Permit Number:
(612) 249-4600 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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�� i SIGNATURf ISSUEDBY_SIGNATURE
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Total Fee: $ � �P Date Received:
Entered By: ;r- Permit#:
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) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ?� CD p ZIP: �j��3��
NAME OF OWNER: PHONE: (home)��--��'�'l'c� Z�
(work)
MAILING ADDRESS: T� e __ CITY:���. �r� ZIP:�_"'���
CONTRACTOR: Cj�+L� PHONE: �'j f}-�'jj P
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: NPw � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPq SED WORK(describe in detain:
W O f°,� �-{�c I�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2� DD
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�n accordance with the approved plan.
APPLICANT'S SIGNATURE: � DA�: ( b— 7 `� ��
NOTE! Parade of Homes events require separate perntit approval by Police Department 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 ro supply private or confidential data concerning himself
shall be infortned of: (a)the purpose ancl 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 supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the idenuty of other persons or enriries 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 o�cer.
The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income tax or prooertv 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 confidential. 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 data need not be
disclosed ro him for six months thereafrer uriless a dispute or action pursuant to this secrion is pending or additionai data on the individual has been
' collected 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 making,certifying,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 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
privace data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry 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.
First Middle Last
Address
C��y State Zip Phone
I understand my rights as stated above.
Signature
6
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1 .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �`-{ `'I I� l C�c L� ��= p�Z
PID:
DESCRIPTION OF WORK: ���c_-�
------------------------------------ ----- -- ----------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: (�- �s •°� `�
BUILDING REVIEW BY: DATE APPROVED: r� • 2 S - °t�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes v No SEWER CONNECTTON
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: R R' �Q
Fire Department: ��,n� (,f�t•c..'' Post Office: �✓5 �-t�" School District: aLLc�r�d
�—
Lot Area: Sq.ft. �UU GN�hN�Acres '— Width -- Depth "—
Survey Submitted: Yes D� No Date of Survey: 7 ' �o' �Y
Proposed Setbacks: �
Front (Lake): (10 Right Side: �5 � 'E'
� �
Rear (Street): ��O Left Side: � �
Adjacent Structures: ��r � Wetland: N��
Building Height: Def. Hgt. � �� Peal:Hgt. O �C
Lot Coverage: d ►L
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
n Avg. Setback: Bluff Setback: Lot Coverage:
.�J(� Existing Proposed
�v Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
7
, • t
. 1
BUILDING REVIEW CHECK LIST
UBC: V ' � CONSTRUCTION TYPE: �!/`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
�ro
Estimated Construction Value: $ ��2-5�—'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire �
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation i
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling Electrical (State Permit) �i
Other I
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�:
I'
8
----- _ . .,, .. ...,,., �N���„�y ���u �y -
just right tor stonng bicycles and yard equipment. �g2-go54
10' x 8� ��Lexington" e�x,z� ,92-90�0...........$669* ,o�x,z� ,9z-9,os.. .....s749* .
Metal Storage Shed s�X,s' 192-g083..........$�O9* ,o�X,4� ,92_9„9... ....$gqg* �
Sale :-=USA ,o�X,o� ,9z-9o96 ..... $689* ,o�X,s� ,92-9,2z.........$899* �-;_ �
� 1Each r . '` � _ k 8' x 8' E-Z Build �f
� ^"e� - Yard Barn
Mail-In . . . ..,., — �...
����� ���� Reee�e•� � �� � ��� Approx. Price _
Sale Price 199.00 � "�� �� � � �:
Mall-In Rebate Coupon "20.00 -7T7 .��_ '° � � i. � ��� � �'�`
� � Your Flnel Cost 179.00 ' 4�, { i ��
This atiractive gambrel style shed is perfect tor all of your � � i V, � y7
R�W outdoor storage needs. Features a quality Rust-Oleumc� ����� � ;; �, f� i � �� �, � c !f � �� ,
•���- paintfinish.Floorsoldseparately. ls3-z737 �;; �,� �� � � � i MatenalsAsListed f=�•aY Q� ORONO
T J�. Rebate Llmit 2 Sheds Per Household. 'f ;�� . � � Store your patio(urniture, grills �.��
Rebate Is In Form OI Merchendise Credit Check. �, a : � , � ?�� � r` i-C:�� �I f
,(1` and more. Feawres a large E �- �.�':-A r'. �1,%,•T'�,V REVIEW
_ ��-._ door o enin that allows eas �
� � � ��` P 9 Y IN r�r;�'��JF',�-
- � 12 X Z� x 7 Steel access. Select the size to fit �
<� '�� ��,. Your needs. i92-9m ;: -__ �(9•Z 5 -,.;,,T
a'
- ; Storage Shelter �.� � �� _ _ . �5 _ , ,: n;�._____
„_:- _-�j�� 9'x 10' 1sz-s�so.... $ * $ * " r�.•-i J^�_.i � �. _"'
�, ��� Approx. Price ,_=�sA $559* ,2�X,s� ,9z-92,6... 1 � e�-'7�``,. �_:.
Xgf��,Tuk,� �� I Ili 8'x i2' 192-9193 .. . 6�9 iz'x 20' isz-s2zs....$��4�;� !; HPf t )` i '� �;' , _:C'i:�.��hS!�1�?i�D
�; , � 12'x 12 t9z 9zo3. �1 029* �,+� � '��� rt�,� -
�' Assembles �I�� � , � '`�•- : , t., r::` r ����,";l
i�. 4 E Z Build Bwldings Are Not Available In Richfield. !�,�
In3- �" , _,._, .--
��P Hours! -'-:�.�I Materials f .:- . . ,.- k . . .�,,.� ..�.. ...r. �. . ......,-, ,�.-. , . T (.�T� . ��:�, � i� ��1 1,��Y:w�h S^dr, :�@ Ci0fl9
� .� As Lisled , .
*These prices are approximate.Actual price may vary slightl higher or I �'( )� .p � . �
�nOmiC81 storage unit that is designed to go up fast! IdC81 fOf lower due to pricing changes after publication date.Stop in at and - �' f , -., r � " ' ��1f17 '�d Z��'`�� �'C(�•
ecting boats,campers,vehicles or whatever you choose.Materials review the specifications. You may buy all the materials or any part at low " ' _ J � ; �w^'?,I��IIt�S�9Yi2'N.
ude galvanized steel frame kit,10'white 29 gauge steel rooi panels, casn and carry prices some iiems may be special order. Because ot code Y�._�' „:- . ',;_: �„�';,,i�;�;T ALL�FIf�1�S
�I lrim, screws and ground anchOrS. Engineered to meet a 40 psf variances,�.F7 cannot guarantee the materials listed will mee�your code
w load and withstand a 90 mph Wi�d vBlocity! AsS2mbIES with requirements.These,are suggested designs and material lisis only.We do not
imon lOols. 190-1399 guarantee Ihe compleleness or prices. Labor,concrete floor/toundation,steel
beams, bricks,fireplace,paint,elecirical, heating, plumbing and delivery not
Special Order At Some Locations In Approximately 2-3 Weeks. included.Some special order trusses must be jobsile delivered.Delivery is extra.
PAPER. PLEASE RECYCLE TO HELP PROTECT OUR ENVIRONMENT!
VE ELK RIVER FRIDLEY MAPLE GROVE HUDSON MAPLEWOOD RICHFIELD
AS 19521 EVANS ST.NW CENTRAL AVE. 16500 96TH AVE.N I-94& 2280 MAPLEWOOD NICOLLET
'A (HWY 169 N.) N.E.&I-G94 OA_KDALE CARMICHAFL DR. & I-49h
FOREST LAKE GOLDEN HWY.5&I-694 �U.(EXIT 2) WEST ST. PAU_L LIMITED
E 22600 EVERTON AVE. VALLEY STILLWATER 1441 S.ROBERT ST. BUILDING
NORTH(HWY 2--JUST 394&LOUISIANA HWY.36&HWY.5
WEST OF I-35) (STILLWATER BLVD.N.) FULL LINE OF BUILDING MATER/ALS
'RE OF EVERYTHING! MATERIALS
;O AM -10 PM SAT 7 AM - 9 P!I/1 SUIV 8 AM - 7 PM °
. '
- ,j
__—'_ .. . ... .. ....... ..N���„�y u��u ��
jusirightlor storing bicycles and yard equipment. �s2•go5a "
1,0� X 8� r�lexington" 8'x 12' �92-so�0...........ss69* 10'x 12� ,92-q,os.........s749*
Metal Storage Shed e�X,s� ,9z-�oe3.... _ .5809* ,o�x,a� ,9z-9„9. . $849* t'�
- .
-=��A ,o�x,o ,s2-soss $ * a899* ��
� �ale 689 ,o�x,s� ,s2-s,zz......... ,;
� "� 8' x 8' E-Z Build ��
�Each --g�-"'� �?,
"'te� '�`' Yard Barn
� Mall-In .Z
� � Aena�e•• '� � .i APprox. Price
'i��� ���� 9ale Prlce 199.00 c .7 L � " �� ���� ti.
Mnll-In Re+beto Coupon "20.00 i z �r7_I.� � x
f I' � I � � ����: � t;:�. r:: �.
� Your Final Cost 179.00 � .�
� This adrachve qambrel slyle shed is perlect for all of your �'� �' +,/��
��W ou�door storeqr, needs. Features n qunli�y Rust-Olewn�� � �� 4"��� �� `1
painl linish.Floor sold separately. 19J-2737 j� � � Malerlals As Listed .��
���=J Rebate llmlt 2 Sheds Per Household. � �.,� � '.� � Store our - ���
"Rebate Is In Form OI Merchandlse Credit Check. Y patio fUmitUre, grills F t�-�;� ,,
and more! Features a large .�� ���r�'� -' "� �f� �'
�` door opening that allows easy ��
� '� 12� X 2�� X 7' Steei access. Select ihe size to fit `.� � x �a~
_ i� $ ;� .�wc��� �,
� ' Storage Shelter Your needs. is2-sin ,,�
�. �,_-
, ;11 � _ �'
� . 8'x 10' i9z-9�ao .........
� I _.� --
�' APProx. Price ;--�.sA $559* �z�X ie� ,92-92,�...$1„�3�;s
a�X,z� ,���-�,�:�..... a609* ,z�x 20� ,s�-s��y...
YQr.��.T�u.� � s1,449* ;�
� • � 12'x 12' i92�203 .a��029* �;;
� I', ASSCft1bIBS II� _ c E Z Dulld�ultdin s^Are�o�Av�Ilabic In Richllcld. � ' .
. li' HOU�S! .._J� ���•. �.' ��� Materlals ;.<',7. .'-yr_. � ..�.,_9 . , : . .'.,,� _ ' �•!3 _
� � � . •:. .. As Llslod
*'These prlces nre npproximate. Aclual price mny v�ry slighlly h�gher or n��J �� ,!1 ti 4 4����
�nomical stora e unit that is desi ned to o u tasU ideal for v���
g y 9 P lower due to pricing changes atter publicatbn date.Stup in at and �� • ' 'tr: T
��cting boats,campers,vehiGes or whatever you choose.Materials review ihe s ecilir,ations. Vou ma bu all Ihe malerials or any parl at low , r; �--._,;°. t
ide yalvanized steel frame kit,10'white 29 gauge steel roo(panels, r.asn and carPry prices. Some items may be special order E3ecause ot code � �;__ �_c� i : ~�J REV{E
I �rim, Screws and groUnd anchors. Engineered lo meet a 40 psf variances,CL1'L'.I��cannot yuarantec Ihe malerials listed will meel your code _ -- -
w load and wilhs�and a 90 mph wind vClocity! Assembles wilh requiremr,nis.These are suggested desiqns and malerial lis�s only.We do not � ,� �N.�
-�mon�OOIs. 190-7399 . guaramee Ihe completeness or prices. Labor,concrele Iloodloundation,steel � — p . n',"',;r+,`_
beams, bricks,lireplace,paint,eleclrical,heating,plumbing and delivery not f �;:, b-2`J !_ ._
Spednl Order At Some Loeatfons lo Approximntely 2-3 Weeks. included.Some special ordr.r irusses musl be jobsite delivr.rr,d.Delivery i;extra � � J �
!" ` ..✓�'� J
PAPER. PLEASE RECYCLE TO HELP PROTECT OUR ENVIRONMENT! i�! '��r~`�� ` , _'. � � � � ,����, � ��j^��n
aa��T
, ' n:r.i� ,�.f�!i..�,.�EJ .._.... �.i f c� t�..:)�.�� ��i i
, ., � . .... �-.. ..-. . .�r :t(5('i'. .':r10�10
V_E ELK RIVER FRI_DLEY MAPLE GROVE HUDSON MAPLEWOOD RICHFIELD ,, �� , _ '� � ,.d z�� , -c�ia.
!1S 19521 EVANS ST.NW CENTRAL AVE. 16500 96TH AVE.N I-94& 2280 MAPLEWOOD NICOLLET ; ,` ; � =�'r,th, Y,°'+�.
:A (I1WY,169 N.) N.[.8 I-694 pAKDALE CARMICI IAFL �� g, 1-494 ;.._ , ,.,;,� , _. .`. a v� .��1�t:T ALL�FIM�S
FOREST LAKE GOLDEN HWY.5 8 I-694 RD.(EXf�2) y�/EST ST PAUL LIMITED
� 22D00 EVERTON AVE. VALLEY STILLWATER 1441 6.ROF3ERT sT. BUILDING
NORTH(HWY 2--JUST 394&LOUISIANA HWY.36 8 HWY.5
WEST OF I-35) (STILLWATER BLVD.N.) FULL LINE OF BUILDING MATERIALS
�RE OF EVERYTH/NG! MATERIALS
�O AM -10 PM SAT 7 AM - 9 P�!l1 SUIV 8 �4M - 7 PM °
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