HomeMy WebLinkAbout2000-P02471 - accessory structures � � • PERMIT
! Ci�TY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po24��
Crystal Bay, Minnesota 55323 Pe►'mit Type: Accessory Structures
(612) 249-4600 Date Issued: 6i��oo
SITEADDRESS: �si FE[uvDa[,ERDrr
WAYZATA,MN 55391
P I D: 36-118-23-11-0013
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use:
Census Code 328
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Undefined
DETAILS:
Approved per resolution#:
Separate permits required: r,iecuicai(staie j
NOTICES/REMARKS:
RATf-I N(IITCF_N!l PT_R(: I7�T Ri.11(:TTNTIi_ ('.I I.P. TC ICCTTFTI
FEE SUMMARY: Permit Fee: $ 451.85 Valuation: $ 31,000.00
State Surcharge Fee: $ 15.50
TOTAL FEE: $ 761.05
APPLICANT: EROTAS BUILD[NG CORP OWNER: K& S TAPANI
3436 40TH ST NE 38 ADDRESS UNASS[GNED
BUFFALO, MN 55313 MN 00000
THE ERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AG ES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI7Y OF ORONO ORDINANCES AND
STATE OF INNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PER _E SI NATURE SUED BY SIGNATURE
Copies: City,Applicant, Assessor,Finance Page 1
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� � Total Fee: $ `;';��i C`� Date Received: �j- ��] �Q(�
Entered By: r�, Permit#: �O2;� ��_
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: 7�1 ����,+4l.fZ �O � I'V � ZIP: SJ�� l �
NAME OF OWNER: ��.V 1/✓ Tj�}�A/`�I PHONE: (home) ?7�
(work) $�'l"��°� � Ot�
MAILING ADDRESS: ��f��.�..��./�IQeOI.f t,. �,P3�ITY: (��,tY�J C) ZIP:-��I
CONTRACTOR: 1..�:��A�� ��.Ip�I rl�... C.�(�..P PHONE: ��� '� T�� "" � �.Sw
CONTACT PERSON: P�! ��p MOBILE/PAGER: b�'-• ,�� O
MAILING ADDRESS: �' �' t,� �° �"� �"�", �/e F CITY: J�,���A�.t� ZIP: , '"'�'
STATE LICENSE: #
ARCHITECT/ENGINEER: SA�--� ��2.�,-S PHONE: v�"' � CS� �
1�iAILING ADDRESS: �-{?, /'VW I f•� u"7` � j�,±:�� �/�1 CITY: wl 1►'�N{�. � ZIP: s /�
NAME: �'` ti,��... . �(Ai�.�'�•t1� +�-� REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: � '� �� - _ . (�t��. '�.�'TF
S s, Y..� :. �`��..,� � ��'�.�,
STORIES: � SQ. FEET OF EACH FLOOR: v�� � �'"f t���f�t..
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/ OV� � „
,� ��o .l �ss�
3�� . "
c� �p.�LI'�arG
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in cor�o�mance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not �ermit and work is not to start without a
permit; and that the work will be in a�cordan e wi - e a proved plan.
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APPLICANT'S SIGNATUItE:`, ' DAT'E: � C,�
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NOTE! Parade of Homes events require separate permit approval by Poliee 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 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,political subdivision, or statewide
system;(b)whether he may refuse or is legally required to supply the requested data; (c)any known consequence arisine from his supplying or
refusing to supply private or confidendal data;and(d)the idendry of other persons or entiries 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 place the notice required under 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 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 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 char;e 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 to him for six months thereafter unless a dispute or action pursuant to this secrion is pending or additional 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 requesting person to pay the actual cosu 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 co�test the accuracy or completeness of public or
private data conceming himself. To exercise this right, an individual shall notify in wri[ing the responsib(e 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 ro notify
past recipients of inaccurate or incomple[e 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 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 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 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.
. ���� t�1�.�,��o�.. ,������
First Middlf Last
,���j C� � �.�a 'I . �.: !',,,� � ��,, .
Addrp�s �`F/��'V (`'� 1 ���/� / �� �� ���"�
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C��y ' � State Zip Phone
✓!
I understand my rights as stat d a ve.
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Signature
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, CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: -1 g 1 N. �=�Rrv A r� c.�
PID:
DESCRIPTION OF WORK: (�c,o1 6A-rN l-�-o�se
ZOYI�i TG REV�W BY: DATE APPROVED: �- -Z,3-c90
BUILDING REV�W BY: � DATE APPROVED: S- z 3-o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes c/ No SEWER CONNECI'ION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SIT'EINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lo[Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey: (�r �i�.2
Proposed Setbacks:
Front(�ake): Z.�o� �' Right Side: ��i
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Rear (�trectj: 5 S � �' Left Side: Zo� t
Adjacent Structures: /� � 1/�J � Wetland: �
Buildin; Height: Def. Hgt. �� � Peal:Hgt.
Lot Coverage: —
Gradirig: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # Resolution: # Resolution Date:
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:
RENiARKS (in house):
7
BUILDING REV�W CHECK LIST
�C� �' � CONSTRUCTTON TYPE: V�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor z =
Garage x =
z =
TOTAL
Estimated Construction Value: $ 31,U�0°O
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
pC Footing = Septic Sewer Connec[ion
�-Framing Fireplace Lawn Irrigation
0� Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Pernit)
� F�� Grading/Filling _�Electrical (Sta�e Permit)
Other
REMARKS(IN HOUSE):
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
REMARKS (TO BE NOTED ON PER��fI'1�: (�!� t��� �r•r 4 u i c��p�,.,�, `,n,nL
�`• �• P• � s iss�e�
8
DATE TIME
CITY OF ORONO CALLED IN -��
INSPECTION OTICE SCHEDULED � ( �� Z '�
PERMIT NO. �0 a�,'� COMPLETED - �V �r DU
ADDRESS ��� ��+'�cQ��p � � �
OWNER CONTR.�-4-v S
TELEPHONE NO. ���3"�� 4�
� �QES�TION �aX tc�w0.9--l�
ly� 1 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMbVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
�l STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCon act r on site:
Inspecto��//U �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED �� �9,:3a
PERMIT N0. ���� COMPLETED � Z•�
ADDRESS ��L I ����`�� �'� h� •
OWNER CONTR. ���+vS
TELEPHONE N0. �� 3� U�R�
� DE IPTION ���`'` %�(1/'- '�/u.Gl
W 1�F00_TING� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
T 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
[1 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C. INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContracto on site:
Inspector. /i"���Z-����
White Copyllnspector's File Canary CopylSite Notice
DATE TI E
CITY OF ORONO CALLED IN �--Z�Gp ���9��
INSPECTION NOTICE SCHEDULED ��.=��-'' /C� (�(�ar�-,
PERMIT N0. G'�z-`��� COMPLETED � ��� ���
ADDRESS 7�l f--c_�--n cY�--�i� �d /�,�
OWNER T/��n � CONTR. �ro�f ns a�� •
TELEPHONE NO. 7�' 3 - '� �7 � ��3 Z-�
� DESCRIPTION � � �"� ' �� ��/ �",d�SQ
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L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� ^� FRAMINC' � 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
f7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OfIDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr tor on site:
Inspector.r, �-�� �-�/1 S
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN v.-;_C,C � /�, 1�.�-`
INSPECTION NOTICE SCHEDULED �G �- -'�h^
PERMIT NO. �l> _-7 %�� coMP�ErEo � � �
ADDRESS + 7�l �.� �.� 1_n c•C cc__.L e� 2�''1�
OWNER_7`k l=�<< r ti( CONTR. �� ��-S ��C%-
TELEPHONE NO. ��� � � �-� �3 �S
.�6'"� �� L.�_ (C�_-�-7 c,`� `"` �G?C,/ �ldq
� DESCRIPTION � /
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING/
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 0 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
T 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
Owner/Contr or on site:
Inspector_,/%"/����..�J>
White Copyllnspector's File Canary CopylSite Notice