HomeMy WebLinkAbout1998-010498 - replacement garage PERMIT
� CI�Y OF ORONO PERMIT TYPE: �
2750 Kelley Parkway- P.O. Box 66 `_�'-`'��--+'�;�i�'
Crystal Bay, Minnesota 55323 Permit Number: ����}�.'�:=;
(612)473-7357 Date Issued: i 3;i i�, �'�_;
SITE ADDRESS:
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DESCRIPTION: :
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REMARKS:
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FEE SUMMARY:
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APPLICANUPERMITE SIGNATURE ISSUED BY:SIGNATURE .l�
� Total Fee: $ ��` 3�� Date Received:
Entered By: � _ Permit#: /C���,�
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACT R
JOB SITE ADDRESS: ���/C� /lf����'lshlO/�� 4�'' ZIP: ��.�j/
NAME OF OWNER Qd�(1�c-S F�r�'7"/F�/�c�. PHONE: (home) �f 71 ° �/g2(�,
(work)
MAILING ADDRE�S: .��`Jr� I��%r'�-�'SHc�� Dr2 CITY: G��..C�nl`G ZIP: ���3 11
CONTRACTOR: I�ti��'S���..i✓ C��.S�'�'.�fc-7ic�n/ c:�� PHONE: `�ZC.? ����
CONTACT PERSON: G A-� ��i25s��� MOBILE/PAGER:
MAILING ADDRESS: �3c� K��v'"� 7 rt �t S`" CITY: 5T t.��rc�i S f�i���IP: ,S"�i�o
STATE LICENSE: # �/���
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New �_ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: /�F'-r�tr��� �u �,�- 'Z Z �q�,r�.�,�?-
STORIES: � SQ. FEET OF EACH FLOOR: �4d
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �c,,- �
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��'k.��.i .c.�;�
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 Ciry and with
the State Building Code; that I understand this is not a permit and work is not to start without a
pernut; and that the work will be in accordan with the approved plan.
APPLICANT'S SIGNATURE: � DATE: ��/•5�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SLTBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidenrial data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instruccions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to hirn and, if he desires, shall be informed of the content
and meani�g of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual cosu of making,certifying, and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if urunediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning hunself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt ro notify past recipients of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
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 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 will be used to detemune 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 local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
, �-1 b ���� Y l� �l�"` �%'�'
First � Middle � Last
�'.�� �� S -�'� Jl� ���� �
Address - �
�.�� " � ,/� � ��.���� �
Ciry � State Zip Phone
I understand my rights as st above.
L�� �
Signamre '
. CHECK OFF LIST FOR ISSUANCE OF PERi1�IITS
FOR OFFICE USE ONLY
ADDRESSORLEGAL: _ 35�i(� /�t(�2T1-4 sN-BR.�. �i� �
PID• �� � // �7 - �z 3 � 3 o c, �
DESCRIPTION OF WORK: �� � ��
-------------------------------------------------
ZON1:�1G REV]Eti� BY: DATE APPROVED: ?�Y-�rd
BUII.,DING REVIE�� BY: ._ DATEAPPROVED: �-(�{-�
. _--------------------------- --
FEES TO BE CHARGED: Misc. �'ees Calculated By:
PERMIT Yes _� No '
PLAN REV�W Yes _� No SEWER CONIVECTION
STATE SUR`H1�RG� Yes � No WATER CO'VNEC"TION
INVESTIGAT'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
--------------------- -----
Z0�1ING CHECK LIST Zoning District: (r,/Z./�
Fire Department: ��ls Post O�ce: _�q,�,.t,q.�,q. School District: p/l,a�U`p
Lot Area: Sq.ft. 11 C Acres — Width '�- Depth �"'
Survey Submitted: Yes_� No Date of Survey: ?_Q� .cr�'J
Proposed Setbacks: ,
�'�aa�(Lake): . ��-(b Right Side: t0�
Rear (Street): 1 Z�J . Left Side: � � �
Adjacent Structures: ZS` �Vetland: yS� !
Building Heioht: Def. Hgt. [>.jC. Peak Hgt. —
Lot Coverage: p.K. No ��Q
�-I
Grading: Staff Approval Date: nI I/; By: � Council Approval Date: '
Septic: Staff Approval Date: /f �/1 gy; "
Zonino File: #� — Resolution: #t � Resolution Date: �
Shoreland Dis�ict: y�,S _
Avg. Setback: /�c 1�} Bluff Setback: N I�} Lot Covenge: N.�-. •
� � Existing Proposed
Hardcover: 0-75'
75-250' .
250-500' . NO G+�An��
500-1d00'
Hardcover Vaziance Required: Yes No_?� Date of Council Approval:
Y
RE�ZARKS (in house):
r �
• � ,26 .
BUII,DING RE`VIEW CHECK LIST •
UBC: _ U� CONSTRUCTION TYPE: �l/J
� Sq Footage $ Per Sq Ftg
_ Basement x
. . . lst Floor . X � . _ �
� 2nd Floor . � • . x . _ . . �
Garage . x _ . .
x
TOTAL
Estimated Construction Value: $ 1,0 0 0� �
Inspections Required: • Work Requiring Separate Permits:
Site Plumbing Fire �
Hazdcover Removal Mechanical �
�_Footi.ng Water Connection
. �C Framing Septic Sewer Connection '
Insulation Fueplace Lawn Irrigation
Wall Board ��O�Y) Other - . �
� F�� . rn'ifg'� Well (State P�rmit) �
Grading/Filling �,Electrical (Scate Permit)
Other
. REMARKS (IN HOUSE): � _'��-------------------- _
RE'V]EtiV BY OTHERS:-------------------------- DAT'E: ------- - - -- --_---------
Access: Eziscing � rJeW � -
• Access Approval: Date �
-------------------------------- By:
REMARKS(TO BE NOTED ON PERiI�IT): �w`� _ _� -- -
� �
. . • _ 27 .
..,�` . _ _ . . , .
3 '
�y � . .
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0 NO
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c���;�„���s
Slab
• 4"floating monolithic cement slab w/8"thick,E"wide perimeter
� minimum 4"sand fill
• 400Q#/6 bag mix/4%air-entrained
• 6x6x10 wiremesh reinforced
• deu�le ii2"rerod�round slab perimeter
• 1/2"x 9"anchor bolts,embe�ded 7",6'0 oc and 1'0 from cornerlsill plate joint
• 2' apron
I+Yame
• 2x4 treated bottom plate
• 2x4 wall studs 16"oc,triple stud corners
• overlapped double 2x4 top plates w/dauble lapped corners
• double 2x12 overhead door header
• double 2x6 service door/window headers
• 7/16"OSB wa11 sheathing
Siding
+ .44 mil Vinyl siding
Roof
• 4/12 engineered factory m�sses 24"oc
• 7/16"OSB sheatling w/H-cligs CITI�
s 235#asphalt shingtes �F Q R�NO
• 15#felt ux�derlayment BUILDING PERMIT PLAN REVIEW
INSPECTOR
Openings oA i E
• 2'8x6'8 steel serr-ice door PERMtT Nq,��
• 16x7 steei overhead door � AppROVED AS SUBMITTED
• aluminum slider window RO 4�"x 20-3l4� � �'�'+�OVED WITH CORRECT?ON$qS NOTED
L7 NOT APPROVED•--CORRECT 8 qESUBMIT
Thase Commenis are ior your inforrrwqan,qp y„o�s�u��
in full compliance with etl qpplici�bls btrildiro pnd zoning cow,
Requirements indudin�(lem���p��e0 in this revHw
KEEP TFfIS pLqN S�T pN SlTE AT ALL TIMES
/, ��nI DATE�^ T`I�E
CITYOFORONO `� dr CALLEDIN ��O'7� `GUQ/yl
INSPECTION NOTICE SCHEDULED :�_�� ,�'6�u�Q.�
PERMIT NO. COMPLETED
ADDRESS U
OWNER CONTR.U✓ s!�2�'ild ��
TELEPHONE NO.���� �S'� �d
� DESCRIPTION
� 01 FOOTING 11 M HANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINA 14 SEWER HOOK-UP O6 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��VORK SATISFACTORY:PROCEED ROJECT COMPLETE__
W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL RETURN �
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerfContra on sit •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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