HomeMy WebLinkAbout1994-006071 - 28x28 det garage PERMIT �-
' �IT`�Y'OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ���_31_�_�'f°wti:
Orono, Minnesota 55356-0815 Permit Number: {-�{��_�i��
(612) 473-7357 Date Issued: i}�f�^,;•_��
SITE ADDRESS:
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REMARKS: �
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FEE SUMMARY:
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CONTRACTOR: — �c���:?. i r��3�. -- - . . :.,�.�": .OWNER:
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APP I ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
l
� ' � CITY OF ORONO - BIIILDING PERMIT APPLICATION �
Total Fee: $�7'� �� Date Received:�'�.S!/s��
Date Approved:
Entered By:��� i permit�: (�,� 7/
ALL INFORI�lATION MIIST B$ SIIBMITT� IN FIILL BEFORE P7�AN REVIEW WII,L B$ STARTED
(See Check-off List Enclosed)
--------------------------------- -- ---------------------------------------
THE APPZICANT IS: (circle one) OWNER or CONTRACTOR
Jos sis� AnnRsss: I Hlo I ,rt� • A�2�M ��� 1�2o x� a zzP: � 5 3 b �
c Warx� �l72-563b
NAI� OF OWNER: /Jon>A L� W• 1C OG� PHONE: (home) �7�' ,S�7l
_���
1�i�lILING ADDRESS: � .�e� �_��.�_��_ CITY: 1/�/�� 1JN/,� ZIP: � r 7 6
CONTRACTOR:�, /7L���%�.V C l��)d�'v1 ---�U YVL►2 S PHONS:-! f�_y` 7�lld
r�zn�c �nnxBss: �9�.8� 6f1�U�2 �� Cz�r: h�v�c.h��l'� Z1P: �'�5'�,�•S�a
STATS LICENSE: �
ARGHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
N�: RSGISTRATION �
TYPE OF WORR: New Addition Accessory Structure� Move
Demo Remodel/Alteration Renovate Land A eration
PROPOSF.D WORR (describe in detail) : sc g / �( � b / I/.2 '�/9G�t�IO �,��klc�`-P ►
i�;u�c �ArtA6�e a� �fAQd cv�a. �a� � ��as ��.�� �t �3�'
W � �� �-� L.�eSS jtA�Dc��P/l,
STORI$S:�_ SQ. FE$T OF EACH FLOOR: �R
NO. OF B�ROOMS: GARAGB STALLS: ATT. DET.�
ESTIMATED CONSTRIICTION VALIIATION (ezclnding land) : $ ���,�dU
I hereby apply for a building permit and I acknowledge that the information
�bove is complete and accurate; that the work will be in conformance with the
�rdinances 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 wiI 1 be in accordance with the approved plan. .
APPI,ICANT'S SIGNATURE: �c DATE: �� � �/
�
CITY of ORO�TO
Post Offioe Box 66•Cryatal Bay,Minneeota 55323•Municipal Offices
•
� • � � 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 like 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 inf ormation you f urni sh wi 3.1 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 1.ocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Yaur full name is required to process this application or
permit.
�Ll.i l4 OG �
irst Middle Last
1�-G��1 �, , i4�vv� ,�
Address '�
oM,o urv� 1til,ti 5 5`3_b�
City State Zip
���- �-3 7/
Phone
I understand my rights as stated above.
, g ure ,
BUILDING 8c ZONING—473-7357 • ADMIIVISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
• ASSESSING -
�.p,� RIGHTS OF SIIBJECTS OF DATA ' -
Subdivision L Tppe of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd. 2. Informaticn �d tO � ��� ����' An.individusl asked to
� ' su 1 private or confidentiel data coneerning 8R►Wit�h�in the collecting state agency,
purpose and intended use of the requested da
(b) whether he may refuse or is legally
political subdivision, or statewide system; �oWn consequence arising from his
required to supply the requested dats; (�� �Y . �d (d) the identity of
supplying or refusing to supply private or confidential data,
other persons or entities authorized by state or federal law to receive the data. This.
1 when an individual is esked to supply investigative data,
requirement shall not app y to 8�W �nforcement officer.
pursuent to section 13.82, subdivision 5,
The commissioner of revenue ma oleTt t8X re°und�nstructio�nsteadhos
subdivision in the individuel income tax �r r
on those orms. . - � -- - -- - .
Ac� � �� � ����. Upon request to a responsible
Subd. 3. �
authority, an individusl shall be informed whether h=VBteeor eonfidentisl.e Upen his
individuels; and whether it is classified as public, p ublic data on
further request, an individusl who is the subjeet of se t�e�mri�ae if he desires, shall
individuels shall be shown the data withou�fan���LB. �ter an individu8� � �en
�e informed of the content and meaning t� �� need not be disclosed to
shown the private data and informed of its u��8ction pursuant to this section is
him for six months thereafter unless e �SP �
ending or additional data on the individu e h�ate or p blie datarupon8request by
' p require the
responsib le au t hori t y s h a l l p r o v i d e c o p 1 e sThe hresponsible aut hori ty m a Y �in the
the individuel subject of the data• certif 'n and comp g
requesting person to pay the actusl eosts of making, Yi g�
copies. immediately, if pessible, with anY request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complianae is not
excluding Saturdays, Sundays and legal holideys,
ossible. If he cannot comply with the request w�ithin�i��n���h toh mp1Y wi h the
individuel, and may hsve an additional five ys
request, excluding Saturdays, Sundays end Iegal holidays•
Subd. 4. Procedm'e �►hen data is net accurate or complete. An individuel maY
- rivate data concerning himself. To
contest the accuracy or cornpleteness�of public o in �i� the respensibie authority
exercise this right, an individual shall notify �ible authoritq shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found to be inae a8taeincluding reec pients namedt by
notify past recipients of inaecurate or incomple �
the individusl; or (b) notify the individual that he believes the data to be em�t�
Data in dispute shall be disclosed only if the indieidual's statement of disagi'
• included with the disclosed data. ealed pursuant to the
' The determination of the responsible authority mo contested cases•
provisions of the administrative procedure act relating
- • CHECK OFF LIST FOR ISSIIANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��'o� NG �'�' PID:
DESCRIPTION OF WORR: C9�12AC�C� � ��'�C'�G Q
ZONING REVIEW BY:--- - --------------DATE APPROVED:-- 5"�J '��1 ---------------
BIIII,DING REVIEW BY: � DATE APPROVED: s-rr-4y
------------------ - -
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 � SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------
----------------------------�`l�--
ZONING CHECR LIST Zoning District:
Fire Department: �J+�c� Post Office: ��v��^� School. District: t�57���
Lot Area: i�.y�s3 su -�T" Width: ��O Depth: j �1 �1• �3 �
Survey Submitted: Yes o� No Date of SurvPy: 3 'ZZ-5�'1
Proposed Setbacks : � r �
Front �� : � = Right Side: � �
Rear ("�F�-) : ��t' Left Side: / 2 r �
�
Adjacent Structures : 1 � Wetland: N �"
Building Height: Def. Hgt. 0 •�`- Peak Hgt. D •K
Avg. Setback: /l��/�- Lot Coverage: �✓��"
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
5oo-i000 � Z3 z6.g�7v
Hardcover Variance Required: Yes No v� Date Council Approva�: _.
Grading: Staff Approv Date: y: ouncil Approval Date:
Septic: Staff Approv ]. Date: BY=
Zoning File: # Res ution ResoI.ution Date:
_----
REMARRS (in house : ,.
BIIII�DING REVIEW CHECK LIST . - .
IIgC: /1�--( CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement X -
lst Fl.00r X -
2nd Floor X -
Garage X -
x =
TOTAL
$stimated Construction Value: $ /.$�c�c���V
Inspections Required: Work Requiring Separate Permi.ts:
Site P�umbing Grading/Fil.�ing
�Footing Mechanica� Fire
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection `
Wa]�1. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Wel 1 (State Permit)
�Electrica� (State Permit)
---�------------ �--------------------------------
-------------------------- �
� -----=�,-�z �,- . ��
��F.MARK$ (IN HOUSE) : �- ���
�j "'4�'�'� �`'141 v`�-� � �"d'�'�-�
_________________________________________________________________
REVIEW BY OTHERS: DATE:
Access: Existing New
,
Access Approval: Date BY=
-------------------------------------------------------------
��1?MARKS (TO BE NOTED ON PERMIT) : �
�f , �
• � 1
HARDCOVER CALCIII,ATION SIIM�IARY
,.
A. B. C. D. E. F.
........r....... ....................--.........r..� .._.........�
Existinq Final
Lakeahore Existiaq Hardcover Propoeed Hardcover Allowed
Setback Lot Area Hardcover Percentaqe Hardcover Percentaqe Hardcover
Zone Zn 2oae Ia 2one (B/A)x100 Zn Zone (D/A)x100 Percentaqe
...�................... ...........�........ ..........�.. ....�.......... ...............-�-.. ....� ........... �...r................
0-75' sf sf s �_sg � 0 t
75-250' sf sf • �_sf t 25 i
_'�-500' af sf • ___sf ! 30 $
„J-1000' ,�„�sf �J' �3 sf Z • , Ss sf 2�. $ 1 35 i
HARDCOVER LIMZTATIONS HARDCOVER ZNCLIIDESt
- Structures with zoofs
oN�"'q a�K^• LA�E � Decka, even if slatted
b�;,d`�� . :j p�° � - Sidewalks
F` �� ;;.:: j pv�"'' - Driveways (paved or qravel)
" , �>� �� - Decorative landscapinq areas underlain by
�S 'f plastic sheeting
���' - Tops of retaininq walls, rock walls
� ' �! ZS'�' � - Any othes surface that does .not allow direc�
�°= P,,�°'� absorption of rainfall into the ground
AJ� --
�-
w�° �,.`
. , � �..,�� �
. . . \ �-
`-. P��c9
ROA D
----- ---.__.__- ---- ------ _ —.._
_ _ -----__--__ _
_ ___
E. pTfL�,R LAI�SHORE RBGDLATIONS .
SSC. lO.ZZ, jt860i.AM01tS FOR 'LS-111', 'LR-lA-1', 'LR--is', •Ljt-i�C• 111iD 'LR-1C--1' oSS
PlU[ILZ ?.AE88SO�E ltE8IDEf?I11L DIS'1'uZC?. �3thiII any "LR-lA", LR-lA-1", 'I+R-1B", "LR-1C", or
"I.R-1C-1" Oae Familp Lalceshore Resideatial District the folloWinq requlations sha21 apply:
. Snbd. 1. Lakeaboze Set Back Requlations. The set back' from� the shoreZine for
lakeshora lota shall be et least 75 feet and no buildinq may be located �loser to the
ahoreline thaa the averaqe distance fzom the shoreline of existinq residence
buildiaqs on aajacent and aearby lots.
gnbd, 2. Lakeshore' aard Cover Requlations. within 75 feet of shorelfne there
shall be no eacnvatiag� fillinq, hard cover, temporary or permanent structures.
Within 75 to 250 teet o� the shoreline there shall be no greater than 25! hard cover.
- Nithin 250 to 500 leet of the ahore Iine there shall be no qrester than 30' hard
cover. Within 500 to I.000 feet of the shoreline there shall be no qreater than 35=
hard cover. ..
Subd. 3. Tree Removal Requlations. No trees within 75 feet of the shoreline
with the diameter of six t6) inches or more shall be renwved withouti first obtaining
a permit fro�s the Council. .
po�41 c� l�, I�ee,�.
►N1 s p,c�v� w/�s ��P/�� (3Y csi j o AssoL. ��v .
HARDCOVER CALCULATION WORKSIiEET �o w�s �s€� v�s �Eu�I SJ2�K DAiv�. f I��s �
w�2E c,A��v��+-r�� $� cdr�Pu~�t�-,�. .
Setback Zone: (circle one) 0-75' 75-250' 250-500' S00-1000' '
Existing Hardcover 8 � Total Existinq Hardcover x I00
Existinq Hardcover in 2one Lot Area Within Zone
' s.f. Z3 �
a. HouaQ _�l�2F6lll.X�2. . i d.Q c s.f. a S x 100 0
_�..L? � ���U s.f.
lenqth width
X � ! s.f. Additional Hardcover to be added in zone:
' x � e.f, Item Lenqth x Width • TOTAL s.f.
x � - e.f. ��2�� c z ,5 X 30 � _ s- g.f. •
-
x � s.f. X � � �� s.f.
b. Garaqe x • s.f. X � s.f.
c. Drivewa �an`t'��/�R
Y x � _ �qo8 s.f. X � s.f.
X . � S.f � TOTAL S.F. TO BE ADDED � (Z)
�� � � 1
d. Sidewalk x ., (� s.f Existing Hardcover to be Removed, if any:
x o �� g,t. Item _ Lenqth x Width a TOTAL s.f.
X � s.f. X a 5.f.
e. Patio/ x 4 s.f. . X a s.f.
Deck
X r :l.f . X � S.f.
f. Landscape x � 3 3 S c��t . - x a s.f.
areas
underlain x � ti �_� � TOTAL S.F. TO BE REMOVED Q (3)
:;.f. ���
by plastic
sheetinq X o Z� !'irial iiardcover Pzoposal: '
�__ J�t .
• X � �Q--- :;.r_
[r,ine (1) + Line��u Line (3) j a S 3�7
�,�� l
f. Other x � " ��_- _ .> . , � -��----�L + ` � � � �� s.f. (4)
F.xisting To be Added To be Removed Final
SN C� x ti :,. � .
' , �� -' Proposed Hardcover 9 =
. x .. � � __ S 3(e7 Z�o•�60
� �OTAL EXISTZNG HARDCOVER IN 20NE � _��3 � , � i � Line (4) x 100 a �- S•f• x 100 =!�.'�y�
{.,DL M1Yf0. Iv. 20he., ����v S.f• ��
iP 1 � , . r, '� '� 1 � �t !..
DATE TIME
CITY OF ORONO CALLED IN -���'9
INSPECTION NOTICE SCHEDULED -�—�-� � ��s
PERMIT NO. �o� �� COMPLETED � U
ADDRESS � � N�-�- G�'n °�'�• �
OWNER � �� CONTR. �i�4�u� ��
TELEPHONE NO. y 7 a— S-3 7�
� DESCRIPTION � �'-a�`J
� 1 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 0 NG 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP �PROGRESS
� 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
y COMMENTS:
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d �WORKSATISFACTORY:PROCEED 0 PROJECTCOMPLETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnedCont o on it - ;'�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLEO IN ^26 �9
INSPECTION NOTI�E SCHEDULED —�_ �"�
PERMIT N0. Co �7� COMPLETED t{ �
ADDRESS yLY�� L��i'� �"./�
OWNER /��� CONTR.�.e�z�'�i�u/ L�l�.� ��
TELEPHONENO. a3 �- ? `�/d
� DESCRIPTION ��
l� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWET�ANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 5 FI AL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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Wd �l WORK SATISFACTORY:PROCEED PROJECT COMPLETE
\�
� /�; CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O l; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract9c�e�►�s�te:
Inspector.
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