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HomeMy WebLinkAbout1994-006233 - garage foundation ,� PERMIT � C`�TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 }�t��►_�J 1�4 i7 Orono. Minnesota 55356-0815 Permit Number: �y{��.�;,:; (612) 473-7357 Date Issued: +: ����,�� ;: — SITE ADDRESS: . =i�i �;i;�,;;°'r'* r,�;�•; i�31� i_� �'�. .E . �'� . . f_?i:.-•i � :`�-"_._`::i:��—d_%(_S�1;:�. DESCRIPTION: �a�ihE;{.�E �i�tt;;:�fi��' T��t{;� ��u i I3:3 i�-��� N'�rr;�i t. "f y��� :. —�#����!�i��?.�����L E���; 1 ��i:i�j W<<�s��:: i���� ��_�i 1t�iCr�:��T i:i��: i i��(�ti i i�,L: �i�c+�������c Y i,i_�. _':=, {:.:t_�t t__t.tw��c t.i==:�� �i i'�°►� t�I'� , L11! �� L'!IVlt+Vt r�lR!l4et7t'� r,�-wrrr !iIf771t4L V! ! 14L 1�d7£'!>}{l�1��1� � yul1J11�V V REMARKS: ti'i ��! '�."" i:�'%'%:%riC��Er;rS S► x,:t:c:...v��vvv �► vi vii`i �ru.uv i.-�:.i.���%�%vvv � FEE SUMMARY: �j' `.'' `'"' `'"�" i• f`'' Tt i'i '=l Lt7141� IL .Ltl��JY _ . �'__ - - 1_��i'�r"uT_TuA;�t�' Yriii .�i'}}_!1{"'S 7 _ . , � . (}!if J ItLLrLlt 1 7!!!}! \ i tVV � l�f�1L%Vd.�JV 4VU.4 11V1 t 1.L•7r! L��_.N j N f„+ �'��•� � � tf t%�V lSJ�1'T ,i ��?) ��.���{ �l F`1\%�.F's� .tia,.l7.E';• � _�_� . . �"'��..���r�3�����'� ��..��..�_ ���y.=s� i'F-�t-a l �='� ��f'.�� . ;:�:! CONTRACTOR: ""' F4�`;-°�. .I �_ �i:'.:'. ""' OWNER: :-.� i. �-• , S ,.-.� � 1' - 4! i . �::`.::__'.._ i i_�.:.;i+,s ;�:...t'.'i_1�{�,3 =t �f:L� 3-`��•'�1 r"�;'!_' ,___.._._. . _ L c�- . . - •��t �Gf�� : _..__ �.�:�-�u �;;;. �:,,_; "�_�`{: �vt:�F�=H A�°�+ C�f� �i�,d.4 L1f_�L�G ;�i;:; t:.�?���.;``-� i.,,1[?'#�l��I I I•��� •�:�i.�:r-:l; , ,. : i! s ,;, ;. s . ,:-� . .. . _ . __ . .J . � ,_, �;��. .. : ;._� � _ _' i .7}�i:_-:._ � ' `1 ..t�"_ y ._._ _ '_. :"i'� %f.: L.�r `.'t1 �.3;..;,,, i�:. :fi�. . .., _ � : ..__ _, • _ ._. ._ . ....� .:...._ " I "_ . .... .. :.t ... .; .`_" , ? ` �-s, .� ''`i>f '— � . ._ .. . . . � . e.'# .. . i ' : �`�-'i �_. 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L . . _. . . . _ . . . ._ _ _ . _ _ _ ,_ ��� �" J APPLICANT/P EE SIGNATURE ISSUED BY:SIGNATURE � , ..► -, CITY OF ORONO - BOII,DING PERMIT APPLICATION ' t Date Received: Total Fee: $ Date Approved: Entered By: ' Permit�: ALI� INFORMATION MIIST B$ SIIBMITTED IN FULL BEFORE PI,AN REVIEW WILL B$ STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- Tf� APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: �a(��O/��� ��''� /.�/'�v e ZIP: (work) �S3 l3d� NA1�II: OF OWNE,R: ��-cT��"� G-��C �'1 PHONE: (home) �j�vs��`1�� MATLING ADDRESS: 7/�� ��"f��vlyJ CITY: �YGl�Q ZIP: CON2�ZACTOR: s���lis9v� ,��v/��S' ���. PHOIJS: S�`� �� >� MAII.ING ADDRBSS:�� � ,� / �5�`{'.�a,CIZ7: �.�� .� ZIP: �� d STATS LICENSE: � ARCHITECT/ENGINEER: PHONE: MATLING ADDR.BSS: CITY: ZIP: pp�,'r: R.$GISTRATION ,� TYPE OF WORR: New Addition Accessory �tructure Move Demo Remodel/Alteration Renovate�� Land Alteration PROPOSED WORR (describe in detail) : � G(J �G"`-�'�', v� (ir�C� _ . � �X� �e�, .� STORI$S:_� SQ. FEBT OF EACH FLOOR: NO. OF B$DROOMS: GARAGS STALLS: ATT. DET. ESTIIriATED CONSTRIICTION VALUATION (eaclnding land) : $ 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 SIGNATQRE: DA�: � / . . � � � CITY of ORONO 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 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 ful.l name is required to process this applicatian or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. Si na ure BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING a . ! S13.0.4 RIGH'I5 OF SIIB.TECTS OF DATA � Subdivision L Tppe of da�- The rights of individuals on whom the data is stored or to be stored shall be ss set forth in this section. An.individuel asked to gubd, Z. Information r�d to be given indiv�duel. � � su 1 rivate or confidentisl data concernina BmWi�in the collecting state agency, QP y P v refuse or is legally purpose and intended use of the requeste �b� whether he ma„ political subdivision, or statewide system; the requested date; ��) 8nY ��Wn consequence arising from his required to suQply rivate or confidentiel data; and (d) the identity of supplying or refusing to supply P state or federal law to receive the data. This. other persons or entities authorized by 1 investigative data, requirement shall not apply when an indtola law en orcementuofficer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma la�t taX re°una instructionsu nsteadho5 subdivision in the individual income tax or r• er on those orms. � - --- " . Subd. 3. Access te data bY ����' UP°n request to a responsible authorit , an individusl shall be informed whe blic h r vateeor eonfident al.e Upon his y ublic dsta on individuels, and whether it is classified as p � P further request, an individual who is the subject of se t�e�mri�ae if he desires, shall individuels shall be shown the data witho of�hat da a. After an individual hes been �e informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meanin�� u�uant to this section is him for six months thereafter unless a dispute or action P ta u n request by endin or additional data on Lhe individuel h�BteQor p blie da �r �eated. The • P g. require the responsible authority shall provide copies of the p �in the the individual subject of the data• The responsible��=�f°nity�a comp g requesting person to pay the actual costs of making, Yi g' copies. 1 immediately, if possible, with eny request The responsible authority shall comp y S of the date of the request, made pursuant to this subdivisi�nd le al tholidays,�f immediate compliance is not excluding Saturdays, SunaaYswith thegequest within that time, he shall s linforth the possible. If he cannot comply within which to comp y individuel, and may heve �Sundays and legalahol�days. request, excluding Saturdays, te or complete. An individual may Subd. 4. Procedure �►hen data is not accura �mself. To contest the accuracy or completeness of public or private data conce o�lble authority exercise this right, an individual shall notify in writing the resp The responsible authority shall within 30 describing the nature of the disagreement. leLe and ettempt to days either: (a) correcof inaceurate ordincomplete datae including recipients named by notify past recipients the individuel3 or (b) notify the individual that he believes the data to beement is Data in dispute shall be disclosed only if the indieidual s statement of �8� t to the • included with the disclosed data. . � 8ppe�ed pursuan ' The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases• CHECR OFF LIST FOR ISSUANCE OF PERMITS � • - FOR OFFICE USE ONLY � ` � ADDRESS OR LEGAL: � �� �`s O+ � �1^� ,�" : PID: DESCRIPTION OF WORR: ---------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: BIIILDING REVIEW BY: � -v' DATB APPROVED: � � `�" -------------------------- -- FEES TO BE CHARGF.D: � 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 SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------ ZONING CHECR LIST Zoning District: Fire Department• Post Office: SchooJ� District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks : Front (Lake) : Right Side: Rear (Street) : Left Side: Adjacent Structures : Wetland: Buil.ding Height: Def . Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes�C� No Date of Council Approval : � �a;,� q3 Grading: Staff Approval Date: By: Council. Approval Date: � ' Septi c: S taf f Approval. Date: BY= Zoning File: # Resolution #: _`��3? Resolution Date: REMARRS (in house) : . BIIILDING REVIEW CHECK LIST . r, �_`'_�_ _ .. . IIgC:� - I �� CONSTRIICTION TYPE: �-- 1 Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Fl.00r X - Garage X - x = TOTAL $stimated Construction Value: $ ��U v Inspections Required: Work Requiring Separate Permits: ite PJ.umbing Grading/Fi��ing �ooting Mechanical Fire �c ���. r�.-r� Septic Water Connection Insulation Firep�ace Sewer Connection Wall� Board (Masonry) Lawn Irrigation �Final. (Mfg.) Other Other Wel� (State Permit) Electrical (State Permit) -------------------------------------------------------- REMARICS (IN HOIISE) : ---------------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date BY= ------------------------------------------------------- REMARRS (TO BE NOTED ON PERMIT) : DATE� . TIME CITY OF ORONO CALLED IN �� " � INSPECTION NOTICE SCHEDULED 'r ' %� —�-�—%—�—"-"O-- PERMITNO. � � �� COMPLETED 7��� �� v�� ' ADDRESS ��G yi ��;'�� i'�%.� . ,.- OWNER �� CONTR.��lII(.Lv�.-L ��e�y -, .— J TELEPHONE NO. �-� -5 S �6 � O � DES TION 01 FOOTING ' 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICA�FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24I25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Q Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � l�_ � dJ2 � J O � � O � W � Q � Z W � W � � W� �RK SATISFACTORY:PROCEED C PROJECT COMPLETE W L7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerfContract o Inspector. White Copylinspector's File Canary CopylSite Notice ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 9 /l� �. 3D PERMIT NO. ��o?� COMPLETE �1 2 i ADDRESS � . OWNER CONTR. TELEPHONE NO. �O�.3 -S�� � � DESCRIPTION — � 01 FOOTING �. 1 ECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLINCa y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 T Q 05 FINAL 13 METER SETITURN ON 7 SITE INSPECTIO � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a r � � 0 � � 0 � W � Q � z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY 0 BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for U�e next i spection 24 hours in advance.473-7357 Owner/C ra on ' Inspector: White CopyAinpecto�'s File Canary Copy/SiM Notkx f� D TE TIME CITY OF ORONO CA�LED IN -.'... � INSPECTION NOTICE SCHEDULED %5 � '-�1� PERMIT NO. ���.-.:. �� cornP�ETEo �_ �_ ADDRESS � �. �. OWNER �"� .�° �_�Lz % CONTR. �''� c � , � TELEPHONE NO. _ `).�.5 -/l��7C� � DESCRIPTION ��-, ty� 01 FOOTING 1 MEC NICALRI 16WELLTESTPUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL '_05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-41P O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNEH/CONTHACTOR TO MEEf YOU:_YES_NO � COMMENTS: � �y-- � . a � _-C����� �� .C� �'� �`/ j � O � � O � W � Q � Z W � W � � d�WORK SATISFACTORY:PROCEED ,�ROJECT COMPLETE W t��r ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 Owner/CoMra n i e: Inspector. ,� White Copyllnspector's File • Canary CopylSite Notice