HomeMy WebLinkAbout1995-007369 - detached garage PERMIT
�:�ITY OF ORONO PERMIT TYPE:
'2750 Kelley Parkway- P.O. Box 66 Permit Number: -�
� Crystal Bay, Minnesota 55323 . . = .. _.
(612)473-7357 Date Issued: _ _
SITE ADDRESS:
DESCRIPTION:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE /Q�•C/� �
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� CITY OF ORONO - BIIILDING PERMIT APPLICATIO
~ _„�_, �. Date Received: '�J�����__
Total Fee: $ �'�> � / /"
Date P.pproved:
Entered By: � ('f i Permit Q: '�/�-1
AT•T• INFORMATION MIIST BE SDBMIT`�� IN FII�I' BEFORE PI�N REVIEW WII`I' BS STARTED
(See Check-off List Enclosed) _________________
---------------------------
------------
�*HE APPLICANT IS: ( circle cne) OWNER or CONTRAC'"OR
Jos sz� ��x�ss• �� �C���-��"� )'�i fi"���'i �� �-��t ���-� � �-1��' zzP:
(work)
- PHONE: (horne) `�/�' ���'�'��.
NAM�: OF oWNERs �'��L � �� L�� lC i�f��rL� �' I\� - -�
T•tATLING ADDRESS: � 't �
/�l�"��l � ��/�cz�: �,�'Z�r�. �� zzP:
CONTR�CTOR: � -; ; � c �-- ,�' K�- PHo�: i
-, • , - ' F -� j?�t L L- zIP: '_� -� ) �' `�
N�_AII�ING .ADDRESS:�'�L�' � L"L:'C`1� 1Z1 C_ l� ) A\, , CI�Y: ��
STAT'S LICENSE: n °'� �' ����
' -��) �C i� I ��v( ('� PHONE: (,•c�`��� c���-�� Z,
ARCHSTECT/ENGINF�Z: I,L� r� ��--'J� � -
MATLING �Dx$ss: (__71, 1�;� ��"h�Z t i i�, �� cz�: T� 1�� �,i _ zzP: ��-� I �,�
x�:_����'�`�' i �� ti'�' i �_= =`�`�-�-- _ xsczs�Tiox A T���� r� � tv ��:. _
TYPE OF WORR: New
Addition Accessory Structure �✓ Move
Demo ✓ Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in deta.il) : `� 7 C�
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STORIES: � _
SQ. FEBT OF EACS �LOOR: l � /
NO. OF BSDROOMS' G�GS STAI�S: ATT. �- DET. � ���,t �"��� ,, � �� �
, �(• ,
/ , �� .
ESTIMATED CONSTRIICTION VALUATION (eacluding Ia.nd) : $ ��f � � ,
= hereby apply for a building permit and I acknowledge that the informatic
above is cou�plete and accurate; that the work will be in conformance wi�h �h
u
ordinances and codes of the City and with the State Building Co e�it; an
understand this is not a permit and work is not to start without a p
that the wor}c will be in accordance with the approved plan.
��� / , `
i /�- � ���� DATE: C%'^ /�`'i� �_�_
A.PPI,IC�NT'S SIGNA2'IIRE:
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.�_;;�t. Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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�- a -`�o o On the North Shore of Lake Minneton a
DATA PRNACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
data" , we would I.ike to inform you that your request for a permit or
Iicense 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 wi3l be used to determine your
qualification for the permit or Iicense 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 i.ocal. , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Y�ur full name is required to process this apr-Iicatian o�
permit.
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First Middle Last
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Address
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City State Zip
<�' �� �( (� �� � �° �--<'���1 `� C;.�. t-i
(<' / "
Phone
I understand my rights as stated above.
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Signature
BUILDING&ZONING—4�3-7357 • AD!�iINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
`� --- ' ,
513.04 RIGHTS OF SIIB.TSCTS OF DATA
Subdivision L Type of deita-
The rights cf ind�viduals cn `^►hom the data is
stored or to be stored shall be es set forth in this section. An.individual asked to
to be g'j�� ��ivi�ual-
Subd. 2. �or�a�On �d himself shall 5e informed of: (a) the
� suQply private or confidential data concerning
. whether he may refuse or is lega]lY
intended use of the requested data within the collecting state agen�
purpose and tem, �b� uence arising from
political subdivision, or statewide sys � 8ny �own conseq
required to supply the requested dat8; ( ) �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
' 'es authorized by state or federal law to rlcenv st gat ve da a
other persons or entiti
requirement shall not apply whenlo;ndt�vla law en orcementuofflcer.
pursuant to section 13.82, subdivLs �
' ner of revenue mav place the re°�a i�tructions�nsteadh°S
The commissio or propertV tgx
subdivision in the individual income tax —
on those orms. ' onsible '
����. Upon request to e resp
Subd. 3. Access to daLa bY
' dividuel shall be informed whether h=�ateeor ecnfident al.e UPon h�s
authority, � ln ified as publ�c, p ublic data on
individuaLs� e�d Whether it is class ect of stored private if he desires, sha11
further request, an individual who is the subj e to him and,
Af ter an individu� � been
individu8ls 5� be shown the data withouof�h t �a• �sclosed to
6e i n f o r m e d o f ihe content and meaning the data need not be
shown the private date and informe d o f i t s u�Q�action pursuant to t h is s e c t i o n i s
him for six months thereafter �� 8 �P or ublic data upon request by
' ional data on the individtiai has been collected or created. T e
. pending or aa�t rrvate P �re the
{ responsible authority shall provide copies of the P o�ible authority may req
the actual costs of makinB� ��rtifying, and compiling the
the individuel subject of the data• The resp
requesting pe�on to pay - y�th �y request
copies. ccmpl immediately, if possible, u�t,
The responsible authority shall y li��Q ys not
e ursuant to this subdivision, or within five days of the date of t e re
maa P S�asys snd legal holideys, if immediate comp
excluding Saturdays, 1 �„�ith the request within that time, he shall siinfw h �he
possible. If he cannct comP Y within which to. comp y
individual, and may have an additional five daYs
request, excluding Satu�'daYs� S��Y� �d legal holidays•
te or complete. An individual To
Subd. 4. Proce�a'e �►hen data is not g�a ivate data concerning himself.
contest the acciu'acy or completeness�of public or P the responsible authority
en individual sha11 notify in �'1�
exercise this flght� eemenL The respcnsible euthority shall within 30
describing the nature of the disagi' lete and attempt to
(a) correct the data found to be inaccurate or incflmPeci ients named by
days either. lete data, including P
notify past recipients of inaccurate or incomp eement is
• dividusl; or (b) notify the individual thatVhe���elis�atemen of di 8� �orrec .
the ln lf the indi
Data in dispute shall be discl°Sed °nly � u�t to the
• included with the �isclosed data• � appealed�purs
' The determination of the responsible authority to contested cases•
provisions of the administrative proced�u'e act relating .
_ � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
` FOR OFFICE USE ONLY
ADDRESS OR LECAL: Z(oU5 I/V�R�c-E- 2t��r'r" (��t' PID:
DESCRIPTION OF WORR: � • C��2A - = ----------
---------DATE ---
------------------------------
—� APPROVED: � - Z�- �►�
ZONING REVIEW BY:
` DATB APPROVED: q' - 2�-S �
BIIILDING REVIEW BY: '�� --- --------------------
--------------
-----, ------------------
FEES TO BE CH.ARGED- Misc. Fees Calculate y�
PERMIT Yes ,/� No
PLAN REVIEW Yes �' No SEWER CONNECTION
WATER CONNECTION
STATE SURCHARGE YeS � N� pAgK FEE
INVESTIGATION FEE Yes No r�'�
SAC Yes No � SITE INSPECTION
OTHER ( specify)
Number of SAC Units -----------�
----------------------------
ZONING CHECR LIST Zoning District: �./� -/6
Post fi Se-Yrool District: _
Fire Department: � /,-- .
Lot Area: , Width:
! ` P�
Survey Submitted: Yes_ C� No
Date of Survey: o N -4-� � Z� �� �a"�'
Proposed Setbacks:
Front (Lake) • z-zO� �= Right Side: �1 p r "�
Rear (Street) : ?"Z � t Lef t Side: N�/}'
Adjacent Structures : �S � t wetland: N�/�
Hei ht: Def. H t. �U ` Peak Hgt. //. S
Bui�ding g g
Avg. Setback: �� l< Lot Coverage: Nl�
Existing Proposed
Hardcover: 0-75 '
75-250 ' 23.� 2S�v
250-500 '
500-1000 '
Hardcover Variance Req
uired: Yes No�_ Date of Council Approva�:__
Grading- Staff Approval Date� /'� /�� BY= �Council Approval Date: �
Septi c: Staf f ApprovaJ. Date: `^ BY= �'
File•# — Resolution tt : -_` Resolution Date:�_
Zoning - �
� _ . __ 2�� ;-U�� ���c 1?"� r�'C, U /�'�'_1�
REMp,RgS (in house) . JU�-��.,�,_.._-, ;�.�-`��-., � .
BIIILDING REVIEW CHECR LIST • -
IIgC- � V - ( CONSTRIICTION TYPE: �N .
,
Sq Footage $ Per Sq Ftg
Basement x -
lst Fl.00r X -
2nd Floor X -
Garage X -
x -
TOTAL
Estimated Construction Value: $ y/�G� �^ -
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Fill.ing
� Footing Mechanical Fire
o�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wal�l Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
p� Electrica� (State Permit)
----------------------------------------------
REMARRS {IN HOIISE) :
------------=------------------------------------
RL�7IEW BY OTHEFtS: DATE:
Access : Existing New
Access Approval.: Date BY=
-------------------------------------------
FtEMARRS (TO BE NOTED ON PERMIT) :
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DATE/} TIME
CITY OF ORONO ��/� CALLED IN �� �-7�
INSPECTION NO E � SCHEDULED /G - 9 � �'►�1
PERMIT NO. COMPLETED l� �1�_
ADDRESS � �v ds �G�R/u-�4�, ��
OWNER�' CONTR.�S � �7T.¢� •
TELEPHONE NO. Ca �� � �l� �
� D S�CRIPTION
ly�1 FOOTI— N��� c 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRA�IN���3` � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. n 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL � �v�� 14 SEWER HOOK-UP O6 PROGRESS
= 07 DEMO-SITE /� 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL v"rJ"� 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI (��23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN f I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon on s te:
Inspector.
White Copylinspector's File Canary CopylSite Notice
�
-'9ATE TIME
CITY OF ORONO CALLED IN '�`/�9 %�
INSPECTION NOTICE SCHEDULED _a� �a
PERMIT NO. �T�<v 1 COMPLETED �
ADDRESS
OWNER CONTR.
TELEPHONE NO. �`1�% 'l/ �o Z3
� DESCRIPTION
� 01 F 11 CFIANICAL RI 18IXCAV/ORADINC�/FIWN�
�Q FRAMINO 13 MECFIANICAL FlNAL 19 LAi�SFIOREJVYETLANDS
Q 03 INSULATION 24/251NOOD BURNER/FlREPLACE 34 TREE REMOVAL
� 04�, 12 WATER HOOK-UP 17 SITE INSPECTION
e p5 Fl 14 SEWER HOOK-UO 06 PROQRESS
�
v 07 DEMO—SITE 27 SEPTiC MIUNT. 21 COMPLAINT
W 07 DEMQ-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
2 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOHECOVERING pERMANENT
❑CORRECT UNSAFE CONDITION WiTHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract e:
Inspector. •
vimi�e coPynn:Pec�ors i. Canary CopylSite Notice
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