HomeMy WebLinkAbout1999-011735 - shed PERMIT
CITY OF ORONO
PERMIT TYPE: %,i j T i I-)T •_t
2750 Kelley Parkway - P.O. Box 66
,Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS: DR Wi
N! 1R'TH 61HU t
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DESCRIPTION:
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APPLICANf,gERMITEE SIGNATURE ISSUED BY:SIGNATUREIZ�? V��
Total Fee: $ Date Received: 8
Entered By: Permit#: ) 1 -7?L.
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: g7,4 fN,)c-jkN�r_ QT W- zip: 55 7)40
NAME OF OWNER: tA.2 vA LT(Q. er PHONE: (home) 1412 y Li 5 5
(work)
MAILING ADDRESS: 113y mac{)N \�, e— CITY: M01 ZIP: 1
CONTRACTOR: i PHONE:
CONTACT PERSON: MOBILE/PAGER-
MAILING ADDRESS: CITY: ZIP:
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 detail): �-
STORIES: �_ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2=, ,C) d
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 t approved plan.
APPLICANT'S SIGNATURE: DATE:
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.
5
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights 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 confidential data concerning 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(mown 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 investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the notice rewired under this subdivision in the individual income tax or orooerty tax refund
instructions 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 him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed 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 costs 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 immediate 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 himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to 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 authority 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 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(available upon request) to review private data on yourself.
6. Your full name is requiredto process this application or permit.
142&Tt LucYNC
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First 1 Middle Last
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Address
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City State Zip Phone
I understand my rights as stated a ve.
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Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: 11 -30 OR w
PID:
DESCRIPTION OF WORK: G^"66
6
ZONING REVIEW BY: DATE APPROVED: -5-97
BUILDING REVIEW BY: DATE APPROVED: J-S-9
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 SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: 6A-70
Fire Department: M o u^i e:) Post Office: y h o o n1✓J School District: l v e STD NKA
Lot Area: Sq.ft. Acres III Width t n o Depth 3c7-7.b g AvP
Survey Submitted: Yes De, No Date of Survey: on! P t w (0-218-1(-
Proposed
0-i18-RProposed Setbacks:
Front(Lae): 30S Right Side: ( -5
Rear(Sty): 30 Left Side: --213
Adjacent Structures: (0 Wetland: N 1A
Building Height: Def. Hgt. 0.k- Peak Hgt.
Lot Coverage: (),IC--
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: N
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: U-l CONSTRUCTION TYPt: 1(1J
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3.d oo-'-
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
C Footing Septic Sewer Connection
;Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
pe- Final Grading/Filling o, Electrical(State Permit)
Other
1ZT+'�1�IARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERNUT):
8
17
ORONO COPY
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CITY OF ORONO
BUILDING ERMIAP—LAN REVIE',Al
INSPECTOR
DATE _S-
F.'t:pM!T NO.—_
SUf,,jvIITTEO
Ct-'S AS tr_,TLFD
8).PlES L 1 Ir,;,M 1 T
aliumQll work d'all be dcra
in f:j,! ccmipl�._
'Ai"" * bulldfng and zoning code.
Rqq-":ro;npnts i!icLe'jing i!emz�rot soacificafly noted in this review.
KEEPT'HIS PLAN SET ON SITE AT ALL TIMES
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MIN. WOOD TO EARTH SEPARATION 6"
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CITY OF ORONO � CALLED IN j
INSPECTION NOTICE. SCHEDULED 7h.
PERMIT NO. /�7 COMPLETEDW213 lcf!�
ADDRESS
—
OWNER ' / CONTR.
'
TELEPHONE NO. 7"7,2 q*J �
DESCRIPTION
01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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O 6
CC
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d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Uj
W ElCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Ci PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN TIME
INSPECTION NOTIC SCHEDULED � e)1,
I t 7 3�
PERMIT NO. COMPLETED U . 3 v
ADDRESS 113 C) OOV- �h ShCV-e
OWNER C CONTR. C1J__J`n4�
TELEPHONE NO.
DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
L04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES NO
Z
COMMENTS:
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W ORK SATISFACTORY:PROCEED ROJECT COMPLETE
7 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.�� lq_ c -44 J
White Copytinspector's File Canary Copy/Site Notice
oor�fj/>rt� o /� .SCC.7
y Survey for: WALTER HOl ZER � , -f
W ,I L C
Z?� DESCRIPTION: +, CU
W5m That part of the W 1/2 of the NW 1/4 of Section 7, Township 117, Range 23 West of the Fifth Principal 4-4-
z� meridian described as follows: - Commencing at the Northwest corner of said Section; thence Easterly 0—
z�m along the Northerly line thereof a distance of 402.5 feet; thence Southerly a distance of 2,124.4 feet
RC dZ along the North and South line that will intersect the- East and West Quarter Section line of said c
D Section 7, 396.5 feet East of the West Quarter post of said Section- 7 which shall be the point of Hz; Co:
beginning; thence continuing Southerly along said linea distance of 100 feet; thence Westerly and
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�{ parallel with the Northerly lineof said Section to the .Westerly line of said Section; thence North- 4-A"a
cnzxqj erly along said Westerly line to the intersection with a line drawn from the point of beginning 0.� ra o
�� parallel with the North line of said Section; thence East along parallel line to the point of o�"0
® beginning, according to the U. S. Government Survey thereof, Hennepin County, Minnesota. �4-
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