HomeMy WebLinkAbout1991-004001 - demo garage PERMIT
' CITY OF ORONO PERMIT TYPE: BUILDING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004Q01
Crystal Bay, Minnesota 55323 Date Issued: 0/0f-.)/
(612)
(612) 473-7357
SITE ADDRESS:
2683 NORTH SHORE DR
LSV
P. I . N. . 09-117-23-42-0005
DESCRIPTION:
DEMO GARS
Building Permit. Type '' DEMO-ACCESSORY
Building Work T YPe DEMO-ACCESSORY
REMARKS:
FEE SUMMARY:
Base Fee $30 .00 'p
Surchetrge I_EQ (
Total Fee $30. 50
0 °/
CONT . -- APP 1 i c a� t. -- OW
:LDG MOVER 14738427 RL F T I M
185 OLD CRYSTAL BAY RD 268:3 NORTH SHORE DR
LONG LAKE MN 5535 . ORONO MN 55391
(512) 473-8427 (612)475-4017
3'H _ UNDERSIGNED HEREBY
EREBY FEQUES iS PERMISSION
EM SST N T O MAKE THEREAL IMPROVEMENTS
SPECIFIED AND A:ii EE_ TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
_R_.N_. ORDINANCES AND STATE+ r_ O MINNESOTA i' ESOTA c:UILOI G CODE REQUIREMENTS.
L_
AP LICANT/P RMIT I ATURE ISSUED BY:SIGNATURE (�6()--)
CHECK OFF`OR LISTF FOREISSII NOCE OF PERMITS
Y
ADDRESS OR LEGAL: (goo C/d ery.4„2./ 15 PID: ® 9- //7 3 /3 eco?
DESCRIPTION OF WORK:``n /776,e
'7 , , e_
9 ZONING REVIEW BY: 1. - DATE APPROVED: IU -i -%
BUILDING REVIEW BY: 4 d(Jo� -- DATE APPROVED: I 0' -c1 l
SEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes-77YNo SEWER CONNECTION
STATE SURCHARGE Yes .Z No WATER CONNECTION
INVESTIGATION FEE Yes NOSITE INSPECTION
FEE
SAC Yes No
Number of SAC Units OTHER (specify)
ZONING chECX LIST Zoning District: P.R.1(
Fire Department: �ryvy Lr
Post Office: V:A4/2 School District: d4
Lot Area: 110, 1114.4fOti i dth: Z`'1. y 7 Depth: 3c1 Rv�
Survey Submitted: Yes Q(' No Date of Survey: 10 -1- QI(
Proposed Setbacks :
Front (Lake ) : 2-6 R1cht Side :
?0'
Rear ( S•tz-ee-t-) : 15 Left Side: 22
Adjacent Structures : hm' Wetland: /U/ti
Building Hecht: Def. Hgt. /I/41- Peak Eat.
Avg. Setback: AN Lot Coverage:
Existing proposed
Hardcover : 0-75 ' A
75-250 ' A / Ai,
250-500 ' all
500-1000 '
9To
Hardcover Variance Required: Yes No K. Date of Council Approval:__
Grading: Staff Approval Date,: By/ J - Count ' Approval Date:
L.
/I
Septic: Staff Approval Dat : ;= By: /
Zoning File7eioy_i/
so utso utor. Date/ i
///// // -1.i
BUILDING REVIEW CHECK LIST
UBC: 45iC M- 1 CONSTRUCTION TYPE:
Sc Footage $ Per Sq Ftg
Basement r x
1sFloor x
2ndt Floor X
Garage x =
X
------------
TOTAL
02t-
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Plumbing Grading/Filling
Site --Mechanical Fire
X FootingmSeptic Water Connection
Framing Sewer Connection /'2 2653
^fireplace 7,, �,, -CR iti,54
Insulation ?- Other peYv ✓ \ l YW 1
Wall Board (Masonry)
(Mfg. ) Well ( State Permit )
)
pLOiher o& Electrical (State Permit)
Miler
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE
Access : Existing New
Access Approval: Date
By:
if 7K"ur�
REMARKS (TO BE NOTED ON PERMIT) : )501(0-e -r(L-14TO &ATE.5 ANBD C - -
ANI COze �I�OC.,}Tc,NS h1`K. VVL)\.Ye
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee : $ /6v)_, (31) Date Received: /0 .1- yV
Date Approved:
Entered By: .U' ;/��
Permit#: `,
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed )
THE APPLICANT IS: (circle one ) 'OWNyFR or CONTRACTOR
JOB SITE ADDRESS: /2 00 old c !' S/J J�� 4 " ZIP: 5-537/
�
(work) 33z -/87-y
.^ �^
r
NAME OF OWNER: / 1 /14 Jp1 fl' PHONE: (home) '7175--"(4)/ 31--
MAILING ADDRESS: 854,0 5 f1 CITY: C 1/vZIP: s 3`J/
CONTRACTOR: c/LiS PHONE: 5*-5 3 r
" /A ` 131
MAILING ADDRESS: 5 t-�,✓C'b''!' � ��
CITY: L ZIP:
cry 5 i,
a
TYPE OF WORK: New Addition Accessory Structure 17/Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (descri in detail) : ► is_ c N Sal — yr
/)50,,,,,,,./...., ?,,c ?5 4/ 5/.... 01__. 12-. o v } f et S
k,
STORIES: /I SQ. FEET OF EACH FLOOR: L 875-56/
r
NO. nF BEDROOMS: GARAGE STALLS: ATT. DET._ =
eel tr?- vi,;-7
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 5ii9 ,
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 accord an with t e approved plan.
APPLICANT'S SIGNATURE: ( 4--4 DATE:
f 2-(/t
•
CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
**************************************************************************
General Instructions
1. You may be required to obtain other permits, i.e. burning, well
abandonmment, etc.
2. Work must not begin unless the permit card is available on the job
site.
3. A 24 hour notice is required for all inspections. Call 473-7357.
******************************** ******************************************�/
JOB SITB ADDRESS: ��o ?j 4) f,rte; L C,,,c D _,-.e_
1.. Ck_ i2-tS1
Occupancy Type: ) V Residential Commercial 1
OWNER'S NAME: I l VA 1)10\1- Phone: 3 3 z - !? T ' G/ -yo, 7-
Mailing Address: City: S� /
CONTRACTOR'S NAME: 410y
(10 S - ti�J 5 Bus. No. : v? 3_ C) /2
Mailing Address: I City:
***************************************************************************
Demolition if planned by means of: ?ynanual disassembly &heavy equipment
burning (by fire department)
Permits Issued:
# Burning Fire Department
# Well Abandonment
In return for issuance of said Demolition Permit, the undersigned owner
hereby agrees as follows:
1. The structure(s) shall be kept enclosed and/or secured until such time
as demolition is complete.
2. Demolition debris will be kept off adjoining property and/or the
public rights-of-way unless specific prior approval is obtained in
6,-34writing for temporary use thereof. w(/l 4.e ,6,--
3
Foundations shall be completely removed from the ground Lev ow-+.%�
4. All demolition debris shall be completely disposed of off site in
accordance with all applicable PCA requirements.
5. Water wells must be abandoned in accordance with State Health
Department regulations.
6. Inspection required when all debris has been removed, before
backfilling.
7. Within 5 working days of superstructure removal , a final inspection
shall be requested. The site shall be left clean and clear of all
debris, with any excavation filled with earth level with the adjacent
ground elevation (except when such excavation is to be used as part of
a new building and such new building is actually under construction).
4
�0
8 . The undersigned owner shall and hereby does indemnify and hold
harmless the City of Orono, its agents, employees and assigns from and
against all claims, damages, losses or expenses, including attorney
fees, against the City, its agents, employees and assigns arising out
of or resulting from the demolition described herein as performed by
the property owner, his employees, agents, subcontractors or assigns.
***************************************************************************
PERMIT TYPE AND FEE CALCULATION
$50 . 00 Principal Structure
$30 00 Accessory Structure 1/
1. Subtotal of above permit requested $ 3 L
2. State Surcharge $ . 50
3.. TOTAL PERMIT FEE (add lines 1-2 above) $ 3v . 5-0
***************************************************************************
the undersigned hereby applies to the City of Orono for issuance of a
Demolition Permit, agrees to do all work in strict accordance with the
ordinances of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true
and correct. _
SIGNATURE OF APPLICANT: - ` Date:
•
•
•
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 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
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.
pr/
1,1
First Middle
Last
()-c /6//r4X---
Address MA
I�
Lt 7� � 37l
City / State Zip
� 5�-va /
Phone
I understand my right- as stated above.
011611110,11
Signa rem
BUILDING& ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473.7359
ASSESSING
x.04 RIGHTS OF SUBJECTS OF DATA
Subdivision L 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 required to be given individual. An.individual asked to
•
supply private or confidential data concerning amwithin the collecting state agency,
self shall be informed of: (a) the
purpose and intended use of the requested
political subdivision, or statewide system; (b) whether he may refuse or is legally
the requested data; (c) any known consequence arising from his
required to supply supplying or refusingto supply private or confidential data; and (d) the identity of
w to
other persons or entities authorized by s vaeaskedlto supplyeinvest give theat atave. data
requirement shall not apply when an individual is
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
nder
is
The commissioner of revenue may .lace the re°tea insiructionsunsieadhoi
subdivision in the individual income tax or r
on those orms. • - --
Subd. 3.
Access to data by individual. Upon request to a responsible
authority, an individual shall be informed whether he eor subjeoect of nfidential.ed Upon his
data on
individuals; and whether it is classified as public, private data on
further request, an individual who is the subject of stored himand, publiche desires, shall
individuals shall be shown the data withoutany charge. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of Its meaning,
argaction pursuant to this section is
him for six months thereafter unless a dispute
pending or additional data on the individual hasa n or public datacollected rupre request The
responsible authority shall provide copies of private
authority may reqie the
by
the individual subject of the data. The responsibleuirthe
requesting person to pay the actual costs of making, certifying, and comp g
copies. ssible with any request
The responsible authority shall comply immediately, if possible,
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 nhe
ot
possible. If he cannot comply with the request within that time, he shall so inform
the
have an additional five days within which to comply
individual, and may
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
_ To
contest the accuracy or completeness.of public or private data concerningnshimself. To
exercise this right, an individual shall notify in writing the resp
describing the nature of the disagreement. The responsible authority shall within to
30
days either. (a) correct the data found to berinaccurate aincluduigree�iPi�ts nemedtby
notify past recipients of inaccurate or incomplete
the individual; or (b) notify the individual int dividual'e sieves the statementof disagreementis
Data in dispute shall be disclosed only if the
•' 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.
m ThA -
1
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE' ONE) 0-75' 75-250' 250-50 ' 500-1000'
EXISTING HARDCOVER IN ZONE
i 26. 1 x 4g.1 12. r4 g
A. • HOUSE 5(a, 2' x 2.(0.4 _ 14-T3.-1
' S .7 S.F.
LENGTH WIDTH •
ExI T. '
• gAt2Ac 24.3 X 22.-22 = 541.C1 . S.F,
. ( 1:›12-2='j'. . 2-5.0 X 3i:'•0 = 81e7'° ) S.F.
AiNeetste..,
c.E4A-E2. . 4.5 X . (o.S = 2q.3 S.F.
CIIZAVOL .2.,.“ 0 X 2Q,o = 87.E .
PATH S.F.
1.0 28.0 112...c.
B. GARAGE X = S.F.
C. DRIVEWAY • X • _ S.F.1.g4T-7. 0
•
X = S.F.
•
D.. SIDEWALK ' 2.0 X 33.0 =
'.(o6...0....... . S.F,
can .... 5.42 . -4.c. • Z2.4-
1 `its ' 2.5 x I-7.C> . = . •4-2.5 ' s.F. .
LDSTS 4.0 X 5.5 = 2.2..o S,F,
E. ATIO/
ECK
U,vti s11.5. 5. 5.3 X 14.8 = 7$.S' • _.. S.F.
F.LANDSCAPE �,--/ IEx = 2-(04.0 S.F.
AREAS '.
UNDERLAIN
BY X • = S.F.
PLASTIC •
SHEETING
11 w1't.6R-- o. to X I %. ' _ ' 1 (44 - S.F.
X = S.F.
0
G. OTHER • X • = _ S.F.
s.
TOTAL HARDCOVER IN ZONE - q l,S_).�J S.F. l A 1
TOTAL PROPERTY AREA IN 'ZONE - 1109i(o. dr:'s S.F. B •
A l cia •'3 .= 1 g 1 11°9 ,4 x 100..,=. S'cl
/A/C(4,49e-is
a•
DATE TIME
CITY OF ORONO CALLED IN 4) /4/41/
INSPECTION NOTICESCHEDULED / /5 9 //7 : U v
PERMIT NO. diet",
QQ COMPLETED
L/. !1 rc
ADDRESS DSI i�.
OWNER L-/4, G CONTR.
� �
TELEPHONE NO. '<17.3 3
•
DESCRIPTION ,
OOTING' -"ECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 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
07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
cc
cc
0
cc
0
ti
CC
W
W
CC
CI
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, 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.473-7357
OwnerlContractor ,Qn site:
Inspector. V
White Copy/Inspector's File Canary Copy/Site Notice
v
DATE TIME
CITY OF ORONO CALLED IN �t7oler /
INSPECTION NOTICE SCHEDULED
/
PERMIT NO. ()0O / COMPLETED N u
ADDRESS ' I7J Oh ( (2e '.
OWNER c .�t� CONTR. ,C 11./. 4
TELEPHONE NO. -532-/d 7 9
DESCRIPTION C
4, 01 FOOTING 11 MEC NICAL RI v 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 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-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Laj 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: c/y�� oticc
1
a f S o ri`t�vta( (�e441 e �fu t • -c0r ��
a7gs Ekon14)
ec
Lu
CC
W
2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING 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
Owner/Contrtorpn site:
Inspector. 410.
White Copy/Inspector's File Canary Copy/Site Notice