HomeMy WebLinkAbout1991-003758 - car port PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66
Permit Number: +•_��::.��;=�_=_
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
_f4'•_3 N}._f fIrl-7 J#'iOiir_ f_if�l +dJ
DESCRIPTION:
Ouii+�iil��t Permit- Tyr' -ii_i. �T if:sC:;tJir—
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REMARKS:
FEE SUMMARY: _
IN
Base Fee
4.:-'1
CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE <13Y: GNATURE
CHECK OFFLIST FIR ISSUANCE
SSU NCCLEYOF PERMITFOR 7
ADDRESS OR LEGAL: 9qa M® S 9-09j OX IN • PID:
DESCRIPTION OF WORK: Cow
------------- -----------------------------------
ZONING REVIEW BY: DATE APPROVED: b''! 7r
BUILDING REVIEW BY: DATE APPROVED: 4-/7-V
-------------------- A-------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes &/ No
PLAN REVIEW Yes 1/ No SEWER CONNECTION
STATE SURCHARGE Yes +l**" No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes NoSITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------
ZONING CHECK LIST Zo ing District:
Fire Department: P t Of is School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey: S�- 2�C/O
Proposed Setbacks: �}
Front f�}ee�1 : S 1 Right Side: t7�
Rear (S4�-moi : N Left Side: ( C(O ' 4'
Adjacent Structures : A -r7*ufcJ) Wetland: AIX
Building Height: Def. Hgt. AJIA Peak Hgt.
Avg. Setback: AIM Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Da e: A Council Approval Date:
Septic: Staff Approval D e By:
Zoning File:# Res lut on Resolution Date:__
RRMARKS (in house)
BUILDING REVIEW CHECK LIST
UBC: 8e rA l CONSTRUCTION TYPE: --0E7
Sq Footage $ Per Sq Ftg
Basementx -_
1st Floor x _
2nd Floor x -
Garage x
-- x
TOTAL
Estimated Construction Value:
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Mechanical Fire
rating Water Connection
raining Septic
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
Final —(Mfg. )
Well State Permit
Electrical (State Permit)
---Other-------------------------------------------------------------------- -
REMARKS (IN HOUSE) :
-------------------------------------------
REVIEW BY OTHERS: I DATE:
Access : Existing New
Access Approval: Date By: _
----------------------
-------------------
REMARKS (TO BE NOTED ON PERMIT) : 3 SerdAc-
CITY OF ORONO - BUILDING PERMIT APPLICATION // /
Total Fee: $ 5 3 ` Date Received: 6—(P
Date Approved:
Entered By: Permit#:-3 7 s.9
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)-
--------------------------------------------------------------------------------
THE APPLICANT IS: �[(circle one) OWNER
-o_r-CONTRACTOR
JOB SITE ADDRESS: p�i'(J ®a l t� ZIP: S�
(work) c/'�� �$�0!7
NAME OF OWNER: f 4) �, PHONE: (home) 41 7 0.$Z3
MAILING ADDRESS: ? o C). S Lo-@o 47. CITY: e2oQnd ZIP: X573(�vG�
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
o
Demo Rema /Alteration y,._ Renovate Land Alteration
PROPOSED WORK (describe in detail) : 0,1tc- W / Peet ,d
STORIES:_ SQ. FEET OF EACH FLOOR: )4-
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 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 SIGNATURE: A ',- DATE:
CITY ®f ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
9
® • ® ® 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
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 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 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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
VL-11-11
-
/Address
Cict/y State Zip
q-72-z 0 X Z
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING -
513.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information tequin,,
d to be given individual. An.individual asked to
supply private or confidential data concerning d taniwi within telf he collecting be state agency,
purpose and intended use of the
requested
(b) whether he may refuse or is legally
political subdivision, o sta ewi de da a (c) any known consequence arising from his
required to supply
y of
supplying or refusing to supply private tate orconifederal law to receive the data.itThis-
other persons or entities authorized by s g
investi ative data,
requirement shall not apply when an individual is asked to supply
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
er
The commissioner of revenue may DlertV tax reound insttice QuctQonsunsteadhos
subdivision in the indivdual inc
iome tax or pro'
on those orms.
Subd. 3. Access to ds3ta by individual- Upon request subject of a responsible
data on
an individual shall be informed whether he
sateeor confidential.e Upon his
authority, public,individuals, and whether it is classified as , P public or data on
further request, an individual who is the subject a stored oimriand if hdesires, shall
individuals shall be shown the: data without an' charge
a. after an individual has been
Be informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a dispute has
action
enn collected oursuant � crleatedtioThe
pending or additional data on the individual public data upon request by
responsible authority shall provide copies of the private or p require the
the individual subject ofual•costsThe
of making, cert fyingyand may
the
requesting person to pay the ac
copies. possible, with any request
The responsible authority shall comply immediately, if
made pursuant to this subdivision, or within five �fSimmediateatompliance e of the request,
not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shallso inform the
p within which to comply
individual, and may have an additional legaldholidays.
request, excluding Saturdays, Sundays
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy orcompleteness of public or private data concerning himself. To
exercise this right, an individual shall notify swo sibletauthorhe ty shall within authorityonsible 30
describing the nature of the disagreement. P to
days either: (a) correct the data found to bre incoinacmplete including urate or recipientsenamed t by
notify past recipients of inaccurate or inco p
t.
the individual; or (b) notify the individual
individual'she istatementeves the of disagreementc s
Data in dispute shat be disclosed only if th
included with the disclosed data. appealed pursuant to the
The determination of the responsible authority may be
cedure act relating to contested cases.
provisions of the administrative pro
copy
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CTIONS AS NOTED
I%EC'f e,,. RESUBMIT'
-m n. All work shall be done
I;tvl!dlrg & :,ming code re-
P, it ri-A an fico y noted in this revlaV4
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LST:-JitiS AS NOTED
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t.li vooa t shall he don/ y�
aoidln, &cvning code ra•
rin this'reYiOYI.
' ,:i7?R; i1�n ^n •>. ;'J, s(?etilili 311j� note
--T QN SITE AT ALL TIMES.
DA E IM
CITY OF ORONO ��� ATy
LLED IN "
INSPECTION NOTIC SCHEDULED 91
PERMIT N0. 50w COMPLETED /0:0n�
ADDRESS tJ
OWNER CONTR.
TELEPHONE NO. �o� " D �'. Z-5
N
01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILUNG
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
i05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER Ho6K-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC jNSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS•
S cam,
j
O
O
W
rc
Q
W
W
W J WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑bORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
t'J BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours in advance.473-7357
OwnedContract sit!:
Inspector.
White CopyMspectoes File Canary Copy/Site Notice
ATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �J`� —{�
PERMIT NO. coMPLET
ADDRESS d
OWNER u CONTR.
TELEPHONE NO. 7 0 y -a -a,
D ION
01 FOOTING 11 MECHANICALRI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
0
Z 04 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 06 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
OWNER/CONTRACTOR TO MEET YOU:_YES NO
Z>-
0 COMMENTS:
CC
� 0.A: Sv
cc
J
cc
O
O
W
CC
Q
Z
W
Z
W
cc
j
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Qc
w El CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
W
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
7, CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
F1STOP ORDER POSTED.CALL INSPECTOR I-] CITATION ISSUED
Ll INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. r'
i'
White CopylInspector's File Canary Copy/Site Notice
_ f
c CITY OF ORONO
SITPPR E PLAN
- GRADING PLAN
ONO PPROVE D
COPY WITH
❑ 1SAPPRO `ED REVISIONS
BY
DME
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drivf; Garage �
B! umineus �-
24.3 '
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I I , A line Parallel w1,4h fhe nerm line of S�
S89° 37 '09''E
T herehy rrl,fy that this surrey, plan or report
w,t9 rreprnreri r,y me or under my direct supervision
,jr,tt fin, f.rly (o,)tpe. f Land Surveyor ALL-METRO LAND SURVEYORS - (��t
r,dp� th,,,},ra .�f �hN `;t-�fP of Minneaoto. ------------ ----- —_=--= V tJ
1Z 2340 Daniels street, Long Lake , Minnesota 55356
,r 000___ REG.N0. 17025 Ph' 475 - 1433
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