HomeMy WebLinkAbout1994-006535 - detached garage ` PERMIT
CITY OF ORONO PERMIT TYPE: ;y;i`��,_+�»��_��-^
2750 Kelley Parkway- P.O. Box 66 -.._
Crystal Bay, Minnesota 55323 Permit Number: �;t s�::,.;�:
(612)473-7357 Date Issued: ; ��„- � �=;:��_r:
SITE ADDRESS:
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APPLICANT/P MITEE SIGNATURE ISSUED BY:SIGNATURE !� ,
•� . _ CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ ,T�O � � Date Received: /Q���y�G
Date Approved:
,�
Entered By:� ' '
Permit�: �(i 'J � �
AI�L INFORMATION MIIST BE SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
-----------------
T� APPLICANT IS: (circle one) OWNER or NTRACTOR
- .__�_____. _
. , . . _ ,_ -. \` -; c/
JOB SITE ADDR$SS: ` >(� ,� �� . ,������t �`�f;����-� �� ZIP: � � ��.
(work)
NAML OF OWNER' , I f_ � ` � i � � . t � � � �. PHONE: (home) `��:',<� T,S�
MAILING ADDRESS: =�E:�� ;�r , 1.�.',. , ;�c__ CITY: �,r�./tir - ZIP: � �7 �.i
-'; � /
CONTRACTOR: f�f�j��1.�.-- �: _e.�;' PHONE: �-t ��__:�l /�.�
MAII�ING ADDRESS: ��(�-.�",, t,, , 4,�M t,�C . ' CITY: / � �:� r. ) ZIP: " ? � ��� `/
, --, .:.
�- -
STATS LICENSE: � _� ' �-�:>
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRSSS: CITY: ZIP:
N�: RBGISTRATION u
TYPE OF WORR: New Addition Accessory Structure� Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��f��� r� %�� x 5'� I�z�i�-JCl�� �%��f • � w
� .
� �<<�t-���'�l.C_
STORIES:_�_ SQ. FEST OF EACH FI�OOR:
NO. OF B$DROOMS: GARA�S STALLS: ATT. DET.
- � "`r�~ �
�STII�ATF.D CONSTRTCTION VAL�aTI�N (eacludin� Iand) : $ ;
I hereby apply for a building permit and I acknvwl.edge 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
tnat the work will be in accordance with the approved plan. �
��
/ � �% � �.
� � DATE: �,/�� 7- �c
APPI�ICANT'S SIGNAZ'URE: r i. ,. . .
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� ��`���� CITY of ORONO
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�-� �.� ,,�-.,:;.:-,, Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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� _ � � 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 woul� Iike 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 wil.l 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 local , 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��
data on yourself.
6. Y�ur full name is required to process this applicatian o�
permit.
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First Middle Last
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Address
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City State Z1p
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Phone
I unde�stand my rights as stated above.
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Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&.FIrANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� . . ..�_
513.04 RIGSTS OF SIIB.TEC'I5 OF DATA �
gubdivision L Type of date- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
_ Subd. 2. Information r�d to be given in�vi�usl. An.individusl asked to
� ' su 1 private or confidentiel data coneernina BmWi�in the collecting state agency,
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
p the requested date; (c) any known consequence arising from his
required to supply to su 1 rivate or confidentiel data; and (d) the identity of
supplying or refusing PP y p state or federal law to receive the data. This.
other persons or entities authorized by P investi ative data,
requirement shall not apply when an in divi d u s l is asked to su ply g
pursuant to sec ti o n 1 3.6 2, s u bdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und uLstructions instead o
on those orms. . - � --- " - .
Ac� t� �� � ����, Upon request to e responsible
Subd. 3.
authority, an individual shall be informed Wh uti c pr vateeor eonfident�al•e UP°n his
individuels; and whether it is classified es p � ublic data on
turther request, an individuel who is the subject of e to�mrl�ae� he desires, shall
individusls shall be shown the data witho of�hat da a• Atter an ino��c�ed te
�e informed of the content and meaning the data need n
shown the private dats and informed of its u�e�BC�on pun�nt to this sectien is
him for six months thereafter unless a �P n request by
endin or additionel data on the individusl h�ate or p blie datarupoeated. The
� responsible authori ty s h a l l p r o v i d e c o p i e s o f t h e p y r e q u i r e t h e
The responsible authori t m a y �in the
the individual subject of the �ta• certif 'n and comp g
requesting person to pay the actual costs of making, Yl g�
copies. lmmediately, it possible, with any request
The responsible authority shall comply ' of the date of the request,
' made pursuant to this subdivision, or within five ��immediate eomQlianas is not
excluding Saturdays, Sur►deYs and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so in�or h the
p h ave an a d d i t i o n a l f i v e d a Y s N►ithin which to comply
individuel, and maY �d le al holidays•
request, exeluding Saturdays, SundaYS g
Subd. 4. Pmced�n'e when data is not accurate or complete. An indi�►iduel mgy
himself. To
contest the aceuracy or completeness�of public or privste data conce�ible authority
ht an individuel shall notify in writing the resp
exercise this rig � The respensible authority�shall within 3 0
describing the nature of the disagreement. lete and attempt to
days either: (a) correct the data found to be inaccurate or inconzPeci ients named by
notify past recigients of inaec�hete��V a��p�t he belie esdthe data to be correct.
the individual, or (b) no Y the individual's statement of disagreement is
Data in dispute shall be disclosed only if
• included with the disclosed data. � BPpe�led pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
1
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: S�O �b(L T1-� 'f4 R.�h p2 PID:
DESCRIPTION OF WORR: Y.�ETMv1-�`=-� ��2�C°�
--=------- -----------------
ZONING REVIEW BY: DATE APPROVED: 1(� - �'�'lK
BIIILDING REVIEW BY: DAT$ APPROVED: l0 - b' "I�
--------------------- -
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes_�No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No �' PARK FEE
SAC Yes No v� SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------
ZONING CHECR LIST Z n� D' st ic :
Fire Department: Po t Off ol. District:
Lot Area: Wi epth:
Survey Submitted: Yes� No Date of Survey: ON �'�� y�2�` J3
�
Proposed Setbacks: � N�
F�� (Lake) • /10 �` Right Side: � �2'
&e.a� (Street) : ZYS r } Left Side: r�3 � �`"/
Adjacent Structures: 3 5 � Wetland: ���
Building Height: Def . Hgt. (9• �� Peak Hgt. (�• I<
Avg. Setback: C� � ��- Lot Coverage: � �
Existing Proposed
Hardcover: 0-75 ' �
75-250 ' /y�� ��°
250-500 '
500-1000 '
Hardcover Variance Required: Yes No �- Date of Council Approval:
Grading: Staff Appr al Dat : By: Council Approval. Date:
Septic: Staff Appr al D e: Y=
Zoning File•# Resol tion # . Resolution Date:
REMARKS (in hou e) :
.
BIIILDING REVIEW CHECR LIST ,
IIgC: /�/�- ( CONSTRIICTION TYPS:
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X - �
2nd Floor X -
Garage X -
x =
TOTAL
�
$stimated Construction Value: $_/1.SZIO�"
Inspections Rem�ired: Work Requiring Separate Permi.ts:
Site � Pl�umbing Grading/Fill�ing
�Footing Mechanica7� Fire
Framing Septic Water Connection
Insu�ation Fireplace Sewer Connection
WaIZ Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other
Other Well (State Permit)
�E�ectrical (State Permit)
--------------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------------------
REVIEW BY OT�2S: DATE:
Access : Existing New
Access Approval: Date BY=
------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
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�7 ��� NOT APrROVED — CG���� & RESUBMI7
�- cornrrents are tor your infcrmat: � . AI( work shall oe.��:��.
'i �asnali�nc J✓itr aN aF�d1 ��;e [�c :.i�p & zoning o�c� ;g;
_. :ts ir,c � ^;- ite�rns not �:c��f�r��y nnted in th� r��s.«:
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DATE TIME
CITY OF ORONO CALLED IN l/
INSPECTION NO ICE SCHEDULED �/ �'� f'�
PERMIT NO. 5 COMPLETED �e� �—
ADDRESS
OWNER CONTR.
TELEPHONE NO. '�`� 7-�o���'
� DESC IPTION -
� FOOTIN 11 M HANICAL RI 78IXCAV/CiRADIN�/FIWNO
�Q 0 ING 13 MECHANICAL FINAL 19 LAi�SFiORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROORESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
�
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 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
� COMMENTS:
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d f�1NORK SATISFACTORY:PROCEED ^ PROJECT COMPLETE
� �L CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR '=� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor si
inspector. �
White Copyllnspector's File Canary CopylSite Notice
�
_ D�`�' TIM�, _
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � - ��_ �777 � �-�
PERMIT NO. �:-��� COMPLETED ��
ADDRESS `� � '
�
OWNER C�'� �I"!/4Z�' CONTR. f_-!�U
TELEPHONE NO. ���— �J f 7 �--
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 18EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
_�G��r(�;A�C� 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
`Q 07 DEM�F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O C', CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlContra t o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�
— Df ��_9�'_ TIM� _
CITY OF ORONO CALLED IN ` ''�J-�
INSPECTION NOTICE SCHEDULED / - �/ -_ a � G�
PERMIT N0. �c:��� COMPLETED � -'�"
ADDRESS 7
,
OWNER C`�' ���Z� CONTR. L-!�
TELEPHONENO. �` ��— � f 7 �--
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z���a��� 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �WORK SATISFACTORY PROCEED �PROJECT COMPLETE
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� L CORRECT WORK&PROCEED � , ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PEFMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlContra t o ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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I hereby certity that this plan, survey or �eport was JOB li TQ�
SCHOBORQ prepared by me or under my direct supervislon end lhat I am ��30
N D S U RV EYI N G g duly Repiste�ed Lend Surveyor undar the laws ot the State � ,� ^ n�• C p
tNC of Minnesota. ��' P�� /I�l/`� L /\
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Scale
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