HomeMy WebLinkAbout1998-010195 - gazebo PERMIT
: CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 `���I��.�'�C°���
Crystal Bay, Minnesota 55323 Permit Number: ��f�i;;:�c
(612) 473-7357 Date Issued: - - � - - -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �'{�=�:�� i�_�.�}t� — :=�T , L��:: .OWNER:
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PUC PERMI IG RE ISSUED BY:SIGNATURE . � ,
� fiotal Fee: $ :�c� �" � � Date Received�
Entered By: Permit#: 1' �l( -j �
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------ -------- -- -----------------------
THE APPLICANT IS: (circle one) OWNE OR CONTRACT
���
JOB SITE ADDRESS: i �3 � = J >j-3
`7 C� �-���.k�r1 �- �.c_.c-=n' � r ZIP: �j
NAME OF OWNER: ;��1-�r �a5x��,����— PHONE: (home) `�"/Ca "�y-�
(work) ��7� ->�0 7
MAILING ADDRESS: ;��7v %��r��f ��•��'� CITY: r���%v ZIP: 5.�
CONTRACTOR: G��'�4�YZ. 1�e7�<�tJ� PHONE: '-��- zZ��
CONTACT PERSON: ,J��,q T�,�� S�/y�j����lV10BILE/PAGER: 7���-��s��.
MAILING ADDRESS:I�;���" S-'� S:t. 5 �� ' CITY: j���ieV� ZIP: ;-��_��/
STATE LICENSE: # �y(�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
C� - �
TYPE OF WORK: New Addition Accessory Structure /'j�q�.���
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �,�;5i,,�-�T-1,� �-� �� �f-� -,�iu.��,��,�s�'
-, ' � /
_7I`1(G.�-.'�'R•� C� �;�e��ffi?2_' ���J _
r
STORIES: � SQ. FEET OF EACH FLOOR: �e��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ J��C�v �
—�
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 ordinance and codes of the Ciry and with
the State Building Code; that I understand this i� riot a permi� nd work is not to start without a
permit; and that the work will be in accorda�e with the a ro ed plan.
%� '
APPLICANT'S SIGNATU / ',�( DATE: / C�
�
NOTE! Parade of Homes ev�rits require sepa ate�J ermit approval by Police Department and
City Council 60 days prior to the event. Non permt'tted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu 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 indiridual. 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 IegaUy required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to suppty private or confidenual data;and(d)the identity 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 ro supply investiga[ive data, pursuant ro section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav piace the notice reauired under this subdivision in the individual income tax or nropertv 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 srored 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 to him for six months thereafter uriless a dispute or action pursuant ro tttis section 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 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
private data conceming 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 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 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.
First Middle Last
Address
���y State Zip Phone
I understand my rights as stated above.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � _�-7 � �=t��:�-l�t C��
PID:
DESCRIPTION OF`�ORK: ��q -z��'�ca
------------------- - - ----------------�-------;---
ZONING REV�W BY: - ,�c:SLZ�,.._- DATE APPROVED: �- ��
BUII,DING REVIEW BY: R..-. .�, (� ' DATE APPROVED: <�— �-�i 4,
-- � -�-- -------------------------------------------------__---_
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes � No SEWER COi�TNECTION
STATE SUR:�IARG� Yes ✓' No `VATERCONNECTION
INVESTIGA'I'ION FEE Yes No PARK FEE
SAC Y:;s No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO: i iG CHECK LIST Zoning Districr. �:� �I/�
k;,1%� Fire Department: Post OfFice: School District:
� Lot Area: Sq.ft. Acres Width Depth
urvey Submitted: Yes ;� No Date of Survey: �� �=i�.c:.' c'- Z�- ;``)
Proposed Setbacks:
Front (L�e): _ � l;� � Right Side: �Y � t
Rear (S�treet): ; y�' ' f Left Side: N'i�
Adjacent Structures: Z"�j Wetland: �/H
Building Height: Def. H�t. ��,/�- Peak Hgt. '
Lot Coverage: U = <<
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File; # Resolution: # Resolution Date:
,�q.� Shoreland DisL-ict: _
� Avg. Setback: Bluff Setback: I.otCoverage:
� Eziscing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
j Hardcover Variance Required: Yes No Date of Council Approval:
�--
REi�ZARb'S (in house):
• 26
BUII.DING REV�W CHECK LLST '
�C� ✓ � CONSTRUCTION TYPE: Y�'v
' Sq Footage � Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x = �
Garage x =
R -
TOTAL
Estimated Construction Value: $ j l, Uc�� ��
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�c Footin� Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�F�� Grading/Filling Electrical (State Permit)
Other
----_---__—_-----------------------------------------
REi1�ARKS (IN HOUSE): �
----------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access ApFroval: Date gy; '
REMARKS(TO BE NOTED ON PER1vIIT�: --w ---~w Y_
27
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`Mo"^..•.
Footing and� Joist Connection
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� CITY OF ORONO •
BUILDING P� M�IT,/�PLAN REVIEW
INSPECTOR d u� CJL�—
L�ATE S-�.�S�6 PERMIT NO.
,► �PPROV�D AS��5���!17TFD
I� ❑ APPROVED l^il i!�! CG;�;�C;Tiu;�S F�S Nt�TED
� ��! NOT P,°i i�G`t���U---(:,OR���.;I&RESI�B(44fT
,,
�, i hesa r,omments��re f�r your i��form-:ion. Ail werk shali be dorte
8" in full comc;arce G:�ifh �i! apaiicatrFa buiiding and zoning code.
Requiremee�ts inc!udinr.ita�r�s s:;:spr�ci�ic�iiyno,ed in this review.
KFEP THIS F"�,=�,�� �c��;�fti �-;i I'�/�T�a,'i_.Yi"✓��=5
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� � 13 Foot Octagonal Floor Plan
Joistwork: 2 x 8 #2 Btr Cedar
Top Decking: 2 x 6 Tongue and Groove Cedar
Footings: Nine
One in each corner and one in center.
Below Grade: 8" Column belled-out to 12" at base.
42" in depth
Posts: 6 x 6 cedar post - above grade
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DATE TIME
CITY OF ORONO CALLED IN ''�z�5�'
INSPECTION NOTICE ` scHE�u�E� s'��.,3 %9� // �30
PERMIT NO. ����'J COMPLETED
ADDRESS ?•
OWNER CONTR. l %��..��?� e——�„�
TELEPHONE NO. 9.3G� -..? Z� �L
�C��ION
�
lL 1 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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
J 07 DEMO-FINAL 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
� COMMENTS:
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W ORKSATISFACTORY:PROCEED i PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
['CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
C�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance.473-73�J7
OwnerlContractor-� �sit :
Inspector._ •-
White Copyllnspector's File Canary CopylSite Notice
/3 ?U �'� ��, �� -
- �. C�RNfE� � . . - . e .6030_6=00
SURVEY FOR. �U�C(J��S, f/�/�' ��� ;� ; 9 . 296.29
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Prepared By: � � �
GITY 4F ����� SCHOELL & MADS =t�;�IN-C: �-�"-���-T- -
�` SiTE PLAPd _ G�,��t��G PLAN Engineers • Surveyors • P(anners • Soils Testing
_._____ -_ __ r�AFPROI��D - GAu�o 10550 Wayzata Boulevard
. � ��' �-' �?`��Gv�J 'r��lTM �3E��SIQNS ---. Minnetonka, M
n._ 55343__.__
� �-So•oo-..-- �y�����"G!�"J Tel. 546-7601 --------�- -- _..---- - _
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a ��:•: �<- '� '�� � �`�-� - /J�� LOt 2, BlOCk 2, FRENCH CREEK. �
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� \ (�'�� � �� :. �___ :`\"�`;�< ;.\\ f n �� 1- � pike in lath in 10-inch Box Elder �'
�,. � ��•`,�,�_, ;��,;'. � �:..,, . `�•�_.;� p� 4 tree as shown. Elevation 971 00 c�
, >.� ������:�, .t. ` -r �r � e � v
A' �, � �� � ' a�.�.`�,�_;�.�'_��i;'� �m 3�6� _ �g e `_ �� q• (NG D - 19 2 9 ) � � L�
� ' � 'i,,'','�',.,� / ��= . co �9b2.o . f1.
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�^o � � � / ae�.h ?e 6�m� q69• � r / � GENERAL NOTES: �., �•_ . �
� / �ni % � - ' __ . - _ -
4b�'O `�� 4 �% \ � �` 1 ) o Denotes iron monument set.
� � �2 �
'�` 4 2 ) • Denotes iron monument found.
; �� ' -
� r•.. ' �9s� , ''�,I `� �'9\ 0� � � ° - Denotes wood stake.
,C;3?S� �: .� �111Ty Ed5em2nT / 0� � ) x966. 0 Denotes existing spot elevation.
I
�� S ) x( 969 . 5 ) - Denotes proposed spot elevation.
-9J6\`� S•O�' -•� 9S�\. • , I .� ¢'� 6 � ��-� - Den�tes direction of surface
� � � dra?nage.
8 � 7 ) Proposed garage floor elevation = 969. 5.
. ,23`.• ; - �� �5
k' •n°
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i 2 C-=375.2j O� �jikJ� ���'" .
..`�9 e (�,�,
� I hereby certify that this survey was prepared
������ ( � under my supervision and that I am a Licensed Land �
l�� � Surveyor under the laws of t� State of Minnesota. -
ji�� � � �%G�?=-�%�-�.
� Harold E. Dahlin
, a
Date: 27 February 1987 License No. 841�
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