HomeMy WebLinkAbout2001-P04479 - detached garage PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04479
Cry�tal Bay, Minnesota 55323 Permit Type: accessory struc�res
(952) 249-4600 Date Issued: io�26�2ooi
SITE ADDRESS: 370 Leaf St
Long Lake,MN 55356
PID: 04-117-23-23-0004
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Census Code 43 g
Permit Class: Building
Permit Sub-type(s): Garage-Detached
Permit Type: Accessory Structures
DETAILS:
Approved per resolution#:
Separate permits required: Eiecvicai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 18,772.00
Plan Review Fee: $ 199.68
State Surcharge Fee: $ 9.40
TOTAL FEE: $ 516.33
APPLICANT: owner/Self OWNER: Kennan Kroll
MN 370 Leaf St
Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�� � � � L.._ L-' Gm��
APPLICANT PERMITEE SIGNATURE ISSUEDB SIGNATURE
Conies: 1-File(SiQnitures Reauired). 1-Anvlicant 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
�
� . ,
t . , ., �_� � �- �.>--� .
Total Fee: $ Date Received: ��--%/- �;/
� Permit#: .� ` �{�{?�'
Entered By: =�._.
.�
� � r'
� e_f� � . �� y'•_� ���� :
� 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) OWl�R OR CONTRACTOR
�
r• -�
JOB SITE ADDRESS: ��C� � �� . �Jr�l�l.� ZIP: � =� � S (�
NAME OF OWNER: ��� �(��r) Ll PHONE: (home) � - ( 3 �{
(work) (c2.�Z-Z�-Ip -�"��
MAILING ADDRESS: S 7� � `' CITY: �j�v ZIP: �',S���
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure )�
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: p--�. (.`� 2 (o. X ��
STORIF;S: ' SQ. FEET OF EACH FLOOR: _��Q�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /'l, ��d_��
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: �)�-� � ( �'
NOTE! Parade of Homes events require separate permit approval by Police Department ancl
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
�, �, . 1
Sec.13.04 RIGHTS OF SUB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or ro 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 arising from his supp(ying or refusing to supply
private or confidential 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 to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under dus subdivision in the individual income tax or property tax refund instructions
instead of on those forms.
Subd.3. Access to data by individual. Upon request[o 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
privace 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 unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible
authority shall provide copies of the private or public data upon reques[by the individual subject of the data. The responsible authority may require the
requesting person to pay the actual cosu of making, 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 Satuniays,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, exduding 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
wnceming himself. To exercise this right, an individual shall notify in writing the responsible authoriry describing the nature of the disagceement. The
responsible authority sha(I within 30 days either: (a)correct the data found to be inaccurate or incomp(ete and attempt to notify past recipients of inaccurate
or incomplete data,includiug recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall
be disc(osed only if the individual's statement of disagreement is included with the disclosed data.
The detemlination 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 pernut 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.
��n a� ��;�--�� �2o L..L
First Middle Last
�7i r� l�err� �- �
Address
�p� (v� �.J. S5�sc� ��Z- y o�-q�3 y
C�ty State Zip Phone
I understand my rights as stated above.
� G
Sig ture
10
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS „
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 31 d (.�pc�' s'� �
• PID:
DESCRIPTION OF WORK: (� , �,q.�,o�e��- 5 8�� sti .�-
ZO��TG REV�W BY: DATE APPROVED: !v- i 5- �!
BUII..DING REVIEW BY: DATE APPROVED; I o-i 5 -��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER1vIIT Yes ✓� No �
PLAl�t REVIEW Yes �' No SEWER CONNECTTON
STATE SURCHARGE Yes ✓No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONIlVG CH�CK LIST Zoning District: QQ-1l�
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes� No Date of Survey: onti r=�k,
Proposed Setbacks:
Front(Lake): ZOo� + Right Side: l�5� �
Rear(Street): l b� Left Side: (Iv`
Adjacent Structures: 9 S� Wetland: N /r4
Building Height: Def. Hgt. i 5 � Peak Hgt. 1��
Lot Coverage: �• K
Grading: Staff Approval Date: i c� •� –v 1 By: � Council Approval Date:
Septic: Staff Approval Date: �" By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: N �
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REV�W CHECK LIST .
UBC: `�, l�- � CONSTRUCTTON TYPE: �1N
. Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x =
Gazage 9 b�s x t�.o o = 1 g�7�2
x =
TOTAL
Estimated Construction Value: $_ �g�7�Z
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fue
Hazdcover Removal Mechanical . Water Connection
. _�F���g Septic Sewer Connection
OCFraming Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
� F�� Grading/Filling o� Elecuical(State Permit)
Other
REMAI[ZI�S(IN HOUSE): .
-------- -------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
w�__ ---�_________
���----------------------------------------- -
REMARKS (TO BE NOT'ED ON PERMIT�: �
8
�� � ���'1✓ ��' t��?�JfVO
�Uf'�Lii''JCs }�r:�+✓i!,`' �''i..��J F:�'J�F.VU
IfJSF��CTO�i �t.vG��� ,
, CF,;�._��_Z ►-O j_—— r,--�=----------_.
, �/� -- � ri, ��;,�
/'t'�I''r;li.'Y'�.;.� i,,:;.::i ji�i'!;�f�-i t'� �--_____.,_
SUBNIIT TRUSS T3�5��i�T 1 O � r J� ��F`�,"`ir�l��i-t � l,;�rr` �Y..�;�,5 r..a?�D
,-.�� r
� /� �, -- G� i� ; r � ti �t �1c�.`.iT
�s�croR aT Fx,�avc����o�� R��� COP Th r.m ,'`,`r�`�� y�� I u::i�� i �1'� 'bE'rjr
�T'�.�� � R� . . � � z . ,:� f
- . ��, � _ . � ;
,,: , ,w.
kc��� !ni�F�L�41V S�) UiV S�I�Ai-flL�1livicS
MIN. W�OD TO EAFiTH S�PARATION 6"
v � .. �. � . N�,.�, `�
�..` �-� A�. -�..
. , ,�. ,�._' --�. .
. r:.. --i y �,�.. ��.� .,,�,. . �*��
, , . .�:.. �•�. ��.. �- �
. � -•e4 � W.•- w.r.. ,�
. . .. .. 5.n .. �-. .�... � .�,
. ,� ,T- �,r�. .�y„ �sy, �,,
r
.. +:. �at�i.. 'MR� � �r���
. .. . .. � ".%M 'y►• � ..
. . M.., a. "V.S: � .
. . � . . . . _ �r;i..� .a�i • .�'yqY•.i. � ��.
, . ... . f:�. q'' � y.
YA7
.. . . . . . . . . .. .Ar.. ..�4- , �. .
.. . . ..,. . .. ... ' �:'�
� � x, � � ��;,�,�
�` �a �.
f,�'� � p ,,: YF
t����� *� k9 .. . .
� •i1�. `k �Y•
f �
a�ct��.'h.` ''+j ,`41 � ,.1.
��� � f
�� fi :�t.
, �:' t ' �
� � �� �`" '
r . �.�a; �.+s ,I �. ,I�
„r.._y ,�� Y�.� � Y� � r � 1 �7�,.'
.!'�. y� � �f �.p 1 #.
�,�� at�, �;,Y �; .sr'
L .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTI�OTIC ` SCHEDULED G � -C���
PERMIT N � � � COMPLETE d'"���''�� G �S
ADDRESS C'
OWNER � CONTR.
TELEPHONE NO. ��� C(� I�. � -S �f`r��
� ION
-01 FOOTING ` 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� M S:
� �
a / Z�(.e-l�
�
�
O
>.
�
O
�
W
�
Q
ti
2
W
�
W
�
�
O ,�''�
W/CS,VyORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Own�edContrac r on site:
Inspector.;/�G� �' (_�-�1 r
White Copyllnspector's File Canary CopylSite NoUce
DATE TIME
CITY OF ORONO � p i-f-� �,LLED IN
INSPECTION NOTIC t SCHEDULED
PERMIT NO. COMPLETED � "� Z� �—�n
ADDRESS 3 ��� G-��'� � S 7
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTIONU" �� �� `/
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAI
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d ��VORKSATISFACTORY:PROCEED �_, PROJECTCOMPLETE
W
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR Cl CITATION ISSUED
❑ INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra or on site:
Inspector. �''t---
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED i� �`1S— �4
PERMIT NO. I��U���I 7� COMPLETED ��
ADDRESS � ��% �Q�� �r°
OWNER IC��IT.��,-u� ,�Cr� �I CONTR. �l !'t� ct2���.---
TELEPHONE N0._ ��o� a �"�U � Y�-IS�
� DESCRIPTION G(/l`zti.�:'1
� 01 FOOTING / 11 MECHANICA RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING Cj 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
� ,
W
a
�
J �
O
�
�
� _.�
W
�
Q
�
Z
W
�
W
�
�
��WlORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALITOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon or on site•
Inspector '' � �
White Copylinspector's File Canary CopylSite Notice
1
t
1
U.
J
v
f.�
J �•^�
, •
� �
�� s W
Z �
s �� �
a
/ �u�,�r
� ,�p `�
�LI ��� _ _ LO'I�2 � ' � „o� .�I .D N _
.� ,� � ^ � '� ' _ N s,o, . � — — — — — —
�
` � �'r J iC' y� � �- - - _� 1
\� 2'YY f I
•n���<b�O � N � '.
�' u� i3 �- - -.SS--
� 0hbp , N . VFS - - - � - - - - - - - .
. �� � ���� k - - .-���z- -
,. „
i �r J � � Y'� ' o
� �'. • '�� N i �
J � �� ' I�`�-�' �
J -�� I �
� � � a �
� .
, � � � �
_ � p � I r
\ W �� I �
� � g $
�r; \ � � lo �
. � \ � � � N
� � �- I �
/ -ls \ N
r�_� = y
/ ' I � �
' � Q
� ^� � LL
�� �.1 I O
� O
z
� ; o
U I � o
� o � �
a- �
� ' � I� �
i �
,. ,
I
, ►
, �
'' �� 1�6��'�2' � „0� ,°11e01�1 i -- - - - - — - - -
v ,
,. I ,
, �`
�� � .
. � � �
� � �
I
,
. ,
� � ; I
, .
� ,
, ;< . �
o � I � r-.
�D � � � �
4 � �� / i � I
� 2 _1�.� I _'� � � .l ���.,
, � r `
,L ,�. .. � , , < _'
� � � \� � �^ � � � I ���� `1
� ' '� I ` •.� ' � .
Z � � I
.�.f � _
�
.�u � I , I '
3� ` �
" I i�S7�M
,h I -LZ.�'J'� ;
t
b? ��Z � .,Q� ,'►I aG� 1`I
�