HomeMy WebLinkAbout1993-005730 - detached garage - PERMIT
C F ORONO PERMIT TYPE: �,�j�E �..,���
2750 Kelley Parkway • P.O. Box 815 Permit Number: ���;��:;�}
Orono, Minnesota 55356-0815
(612) 473-7357 Date Issued: � � ; �i;��_�;:;
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �':���°�. i�:��tt� —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE . �/ �
t � —
CITY OF ORONO BIIILDING PERM_IT APPLICATION
Date Received: � " -� ��
Total Fee: $ ;� `t y � I � �
^ Date Approved:
Entered By: � ,���=�/' - permit�: .5��.���
ALI. INFORMATION MDST BE SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
Z'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: /4r� ��T��'�fc .., . � ZIP: ��� �/
(work) `� �/�- � t(?�:>`�
,/ � _�
�i7� OF OWNER:�,�,,`'U� r.� f'ic' ,r.�. _t� C.___ PHONE: (home) i��� rr.`�! i
i, , � � �r ;' r�
MAILING ADDRESS:�' � ��'�;X" � ��_j � CITY: (�J,,� ~,,.��' ZIP. ti, � � i t
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/ �""- � r..1-�7 �/' �F�.�'�
CONTRACTOR: /^ �,) !� . . y, �_-� � �Y1�--!_ PHONE: / {' � � � - /
MAILING ADDRBSS: CITY: ZIP:
STATS I,ICENSE: �
ARCHITECT/ENGINEER: ����e� PHONE:
MATLING ADDR$SS: CITY: ZIP:
N��: R$GISTRATION �
TYPE OF WORR: New •�C. Addition Accessory Strncture Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �, �-fa,h . � ����' �1 -�•
STORISS: I SQ. FE$T OF EACH FLOOR: � `.a c,7--
NO. OF B$DROOMS: GARAGB STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ��' � � ,�
�
I hereby appl.y 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 wil 1 be in accordance with the approned plan.
� ��.
APPLICANT'S SIGNATURE:'� -r- -�----'"'�. DATE: //�.{ � � `J
� CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
C' ; �'" - � '(� . PID: �� i/X ;�-� -%-' < <'�3Z
ADDRESS OR LEGAL: /G / �(��� �-�-��-��rr%z-z , ��"�
_.
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DESCRIPTION OF WORK: ������*`/`'-�� ���` �`''�� �
--------------BY:----------------------DATE APPROVED: II� =;-y � -
ZONING RL�VIEW
� � - � - �
BIIILDING REVIEW BY:
- DATE APPROVED: � �
----------------------� -----
----------------
----------------------------------
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes �� No
PLAN REVIEW Yes 1/� No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No� PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------
---------------------------------------------------- / .
ZONING CHECR LIST Zoning District: %�/�-1 �
Fire Department• �.,A�� Post Office: �.�A-r,�,4.-r�4_ School District:�R�.�,9��76�
Lot Area: ��! ►cs� a�+ �i-i-�' Width: z33+ A� Depth: 31�=� Aw�
�
Survey Submitted: Yes C� No Date of Survey: !a � Z p ' S3
Proposed Setbacks:
Front (�`) : 1�t0 � -�' Right Side: !3�� �
Rear (S�-�eet) : �� -� Lef t Side: .S`�� �'
Adjacent Structures: �� Wetland: �D' �
BuiJ.ding Height: Def. Hgt. �y5 Peak Hgt. t 5
Avg. Setback: /� �� Lot Coverage: /V' �f�
Existing Proposed
Hardcover: 0-75 � ' -
75-250 '
� ,
250-500 �
�
�
500-1000 �
,
Hardcover Varia ce Req ' red: �es N ;'Date of Cotncil ApprovaJ�:
��__,"_�-.__
Grading: Staff pproval ate: ' By: Counci Approval. Date:
�
i
Septic: Staf f A�provaJ. Dat�: � BY�
\
' Reso].u�ion Date:
Zoning File:# Res �u�tion #:
, i /
REMARRS (in ho e) : � .
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BIIILDING REVIEW CHECR LIST �
IIgC: �`' � N'��( CONSTRIICTION TYPE: � �[N
Sq Footage $ Per Sq Ftg
Basement x -
lst Floor X -
2nd Floor X -
Garage fS'32-- x /s= �3 =
X —
TOTAL
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Estimated Construction Value: $ /,j�(�Ob
Inspections Required: Work Requiring Separate Permi.ts:
Site � P�umbing Grading/FiJ�J.ing
� Footing Mechanical. Fire
XFraming Septic Water Connection
Insulation Fireplace Sewer Connection
WaJ.1. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other WeJ.I (State Permit)
�Electrical. (State Permit)
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REMARRS (IN HOIISE) :
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RLVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By�
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REMARRS (TO BE NOTED ON PERMIT) : G.e�J� S GP n�.- l NS,�-p GZ '� ���''"'�,�'
�r2h,�.r c"�c�so c�+ c,�a-;i o,�v c.� c?,�c�4-�Tt o� -�-� n iz��a���SS D rL<<.�2 c.tru�,
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'n��fi CITY of ORONO
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Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Officea
•
� - � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike 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 will 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 iocal., state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Counci3: action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�L
data on yourself.
6. Yc,ur full name is required to process this applicatian or
permit.
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��First Middle Las
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Address
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City State Zip
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Phone
I understand my rights as stated above.
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Si ature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
.�._.. ------�--- -- �
�.04 RIGS15 OF SIIBJECTS OF DATA �
gubdivision L Type cf data- The rights of indivfduels on whom the data is
stored or to be stored shall be as set forth in tliis section.
. Subd. 2. Information required to be giv� ����' An.individuel asked to
(a) the
� ' supply private or confidentiel data a un�c�eea n�BmWitel�hin the collec�ting state agency,
purpose and intended use of the req tem; (b) whether he ma� ref use or is legally
political subdivision, or statewide sys . �own consequence arising from his
required to supply the requested date, (�) anY �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other persons or entities authorized by stete or federal law to receive the data. This_
requirement shall not apply
when an individuel is asked to supply investigative data,
pursuant to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue tng rolert tgX re°und u structio�nsteadh�S
subdivision in the individuel income tax �r
on those orms. . - � --- - -- -
Ac� � �� � ����. Upon request to e responsible
Subd. 3. �
authority, an individusl shall be informed whether h=VBteeoruconfidentisl.e UPon hi�
individuals; and whether it is classified as public, p ublic data on
further request, an individuel who is the subject of seo��mri��if he desires, shall
individuels shall be shown the deta witho of�hat da a• After an individuel has been
�e informed of the content end meaning the data nesd not be disclosed to
shown the private data end informed of its u���BcUon pursuant to this section is
him for six months thereafter unless e �SP �
� pending or additional data on the individ�h h�8te or p blic dataruPon request bY
responsible authority shall provide eepies of P �ible authority may require the
the individuel subject of the data. The respe
requesting person to pay the actuel costs of making, certifying, and compiling the
copies. immediately, it pessible, with any request
The responsible authority shall comply of the date of the request,
made pursuant to this subdivision, or within five ��immediate eompliance is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the requ et �t within which toh mp1Y wi h the
individuel, and may have en additional fi YS
request, exeluding Saturdeys, Sundays and legal holidays•
fiae when data is not accurate or complete. An individuel maY
Subd. 4. Proce himself. To
contest the accuracy or completeness�of public or private � the�respensible authority
exercise this righi, an individuel shall notify in ��e 8uthoritq shall within 30
describing the nature of the disagreement. The respo
� days either: (a) correct the data found to be inae a aei°��ng reec pients namedt by
notify past reaipients of inaecurate or incomp
the individusl; or (b) notify the individuel t��dusl's statementofadisag�'eement is
Date in dispute shall be disclosed only if the i
• included with the disclosed data. � 8ppe�ed pursuBnt to the
" The determination of the responsible authority may
provisions of the administrative procedure act relating te contested cases•
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICEs� SCHEDULED �
PERMIT NO. ✓ ��Q COMPLETED � _�Q
ADDRESS �� �'�-e-���"��
OWNER � � n-�es-ci CONTR. —'
TELEPHONENO. y7� ` ��� �
� DESCRIPTION �
U 01 FOOTING 11 M HANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
'n 031NSULATION 24125 WOOD BURNER/FIREPL.ACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FINAL— 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 D SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t xt i pection 24 hours in advance.473-7357
OwnerlContr ct n s e
Inspector.
White CopyllnspectoPs File Canary CopylSite Notice
DATF TIME,,�l
CITY OF ORONO CALLED IN ������ �� � C///
INSPECTI4N NOTICE SCHEDULED %/ ' �2'�I� I/ ' �v Ct_m
PERMITNO. :��D COMPLETED � � '
ADDRESS �� �(� G�-c" _
OWNER > ONTR.
TELEPHONE NO. '-�7 C�-9�i�j
� D ON �C�L C,-��
�� Ot FOOTING ( 11 M HANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNEHICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L pHOTOTAKEN
INSPECTOR WILL RETURN
[-; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ne t inspection 24 hours in advance.47�7SS7
OwnerlCo r or ite:
Inspector.
White Copyll�spector's F e Canary CopylSite Notice
Estoblished in 1962
LOT SURYEY:� COMPAHY IlilC■ �NVOICE N0. 35662
� F. B. NO. 603-�2-b3
. LAND SURdEYORS . scA�E �" = an�
o Denotea Iron Monument
R.EGISTERED UNDEK LAWS OF STATE OF MINNESOTA p Denotes Wood Hub Set
. ?601 - 73rd Avenue North 6sa3o93 For Excavation Only
Minneapolie� Minneaota 6b428 x0�0.0 Denotes Exittinq Elevation
KEVIN THOMPSON HOMES O Uenotes Proposed Elevation
�p�pr� ��Z�� � Denotes Surface D�ainaqe
��"°�°� Proposed Top of Biock
Property located in Section 36,
Taanship 118, Range 23, Proposed Ga�aqe Floor
� H�nepin Cotmty, Minnesota.
_______ Proposed Lowest Floor
`° Type of Buildinq -
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Lot 7, Block 1, MYRTLEWOOD
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Proposed buiiding information must be checked with approved building �
plan before excavation and construction. �
��oniy wert�nts�hown ars from plats ot record or inforrnat(on provided by "���
Vw henby art�ry tt►at this�s a true and corroct re ' � � �
presentation of a aurvey of the ,.
boundariea of iM�bow d�sc�ibed land and the locatfon of all buildin9a ar►d vla-
Ible encno�chm�nb,if any,from or on aald land. Signed v�!
Survsy�dbyusthle 28th dayoi October 19 93
aymond A. Prasch Minn. Req. No. 6743
;