HomeMy WebLinkAbout1996-007441 - addition to garage PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66VILQING
Permit Number: 007441
Crystal Bay, Minnesota 55323
Date Issued: 04/24/96
(612)473-7357
SITE ADDRESS:
625 OLD LONG LAKE RD
JB
P. I .N. : 36-118-23-32-0003
DESCRIPTION:
ADDITION TO GARAGE
Building Permit. Type SF-ADD/REMODEL
Building Work Type ADDITION
UGC Occupancy R-3
Construction Type VN
Census Code 438 ALT . GARAGE
REMARKS:
FEE SUMMARY:
VALUATION $6, 500
Base Fee $124. 75
Plan Review $81 . 09
Surcharge 1:71_,25
Total Fee $209.09
CONTRACTOR: OWNER: — Applicant —
CLARK BRUCE
625 OLD LONG LAKE RD
ORONO MN 55:391
473-2560
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK/ IN STRICT OMFP WIT CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA
L "1;// iimh- 1-)tte_eguifrie 6177 / 01
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
` ' FOR OFFICE USEONLY
ADDRESS OR LEGAL: (� S 0/c/ icr,/r� .lift £ PID: .. t -//s' 3- 3.2 - d D o 3
DESCRIPTION OF WORK: ,e4-. 4,1 &v ,f4 41 C e — ifriAlke /r /0 / �-c."...°1
ZONING REVIEW BY: Jo DATE APPROVED: 1 U -11`9 S
BUILDING REVIEW BY: DATE APPROVED: I0-I1 -`f
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 r SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: (l(Z-l3
I Fire Department: /(// )
PosOf
� f cf =: School District:
V
Lot Area: Width: Depth:
Survey Submitted: Yes X No Date of Survey: S• 2-l-5O
Proposed Setbacks :
Front (Lake) : rJIA Right Side: z3.4 (t-C:>)
Rear (Street) : HO ' '17.- Left Side: MA
Adjacent Structures: u -rnAc( eb/ Wetland: ►ti l6
Building Height: Def . Hgt. (s) K Peak Hgt.
Avg. Setback: — 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 Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # 20b7 Resolution # : Resolution Date: (O- r -Rs-
REMARKS (in house) :
BUILDING REVIEW CHECK LIST • ,
UBC: (2.-3 CONSTRUCTION TYPE: \06
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 6p,S6o42
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
/cFooting Mechanical Fire
i Framing - Septic Water Connection
Insulation - Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
cle Final (Mfg.) Other
Other Well (State Permit)
pC Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
Total Fee: S 9,(1A`()1 Date Received:
Date Approved:
Entered By: Permit#: i'((/I
CITY OF ORONO - BUILDNG PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAIN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OW OR CONTRACTOR
JOB SITE ADDRESS: ‘.,ZS d/Od Com Zcr,, Fd ZIP: .5-25-39/
NAME OF OWNER: r''7 C9 (lar k PHONE: (home) 473-zS
(work)
MAILING ADDRESS: ,}''Y? L'— CITY: ZIP:
CONTRACTOR: "f../` 4PHONE:
MOBILE PHONE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: ////1 PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
r
PROPOSE 'WORK(describeindetail): /� "6" �` ' •- ayvi back
( Qcq
STORIES: / . FEET OF EACH FLOOR:
NO. OF BEDROOMS: ,/ GARAGE STALLS: ATT. / DET.
ESTI\IATED CONSTRUCTION VALUATION(excluding land): $ 1.374r
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 . • - :- 1. .ccordance with the approved plan.
APPLICANT'S SIGNATURE: ill �► _1---- 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.
AI ir
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 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 chats
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 required under this subdivision in the individual income tax or property 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 required to process this application or permit.
First ddle t
Add& x"37, V7.3 O
57..4...7
JO State Zip Phone
City "/
I understand myf
ed above.
�
Signature
-lam
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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.
,rmues 7j, /
First Middle Last
Se7, lc,. Aeolicti 2�•
Address
/nepr,4- 1 rS 3C y
City State Zip
1/22 — X95
Phone
I understand my rights as stated above.
f--4:;?2>
Sig ture
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 required to be given individual- An.individual asked to
•
• supply private or confidential data concerning himself the be
informednstate agency,
P
purpose and intended use of the requested (b)whether he may refuse or is legally
political subdivision, or statewide system;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 iseaskedral latow supplyto einvest gat ve data,
ive the data. This.
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the rnotice und i resui ioed under this
subdivision in the individual income tax or .ro.ert
on those orms. • -—
Subd. 3.
Access to data by individual Upon request to a responsible
authority, an individual shall be informed whether he is
esubject of or confidential.ed data on
Upon
individuals, and whether it is classified as public, privateadata hiss
further request, an individual who is the subject ostored to hi privatm e ifo he desires, shall
individuals shall be shown the data withoutanythatcharge data. After an individual has been
Se informed of the content and meaningthe data need disclosed to
shown the private data and informed of its meaning, neednot beeis section iso
him for six months thereafter unless a dispute or action pursuant
pending or additional data on the individual has been
or public datorupreare created.
The
by
responsible authority shall provide copl�The reof the sponsible authority may require the
the individual subject of the data. Po and compiling the
requesting person to pay the actual costs of making, certifying,yi g,
copies.
The responsible authority shall comply • , if possible, with any request
immediately,
date of the request,
made pursuant to this subdivision, or within five days
a of the de compliance isnot
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shall so inworth the
have an additional five days within which to comply
individual, and may
request, excluding Saturdays, Sundays and legal holidays.
al
Subd. 4. Procedure when data
off oot r private datate or 1lete. An concerning himself• To
contest the accuracy or completeness public exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement.
b �naresponsible
uroate or incomplete and attempt to
shall within 30
days either: (a) correct the data found
notify past recipients of inaccurate or incomplete
including i
the individual; or (b) notify the indivluahe believeshe recipients
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.
ill: r4L-, 1 ; i 4 k.)r I lit 'Jr., I / 4 Ur ...)t.l. . --.40 - 1 i (j- e.,3
HENNEPIN COUNTY , MINNESOTA
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!)A•re ....I.P-it -ci 17._..____. PERMIT NO. __,.--
7A " ---, APPROvi-.C) AS, Slik.IA;':T t,A)
/ ' i•l•-.4, APPROVED WITH CORRECTIONS AS NOTED
--- ..J NOT APPROVED -- CORRECT & RESUBMIT
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 4/- V-I -it. l I :3o
PERMIT NO. 1.V4./7 COMPLETED
ADDRESS 6Zs U 0 Go^'5 (. 0-- /a,-.4
OWNER , CONTR.
c
TELEPHONE NO. //ef- / i )
3:: DESCRIPTION
It GO3OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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2 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
lQ 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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CI ORK SATISFACTORY:PROCEEDPROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
C 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/Contra`_ .n
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice