HomeMy WebLinkAbout1995-007375 - detach garage PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number
Crystal Bay, Minnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
ciLo :
' 11S -41-000R,
DESCRIPTION:
DE
ACCIBARAGES
G;.*.-iRA -JE-DETAC:HED
-!' ype VN
SIJ. f7::: 4
77: 9,6
7 7 -
REMARKS:
RERMIT
FEE SUMMARY:
F- $212 . 25
CONTRACTOR: - . C: OWNER:
Lui-la----LR cc, 14-1G1G12 B72S DYTON BRUCE
LiING LAKE RD
mN ORONO MN
-1E12 476
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE:: REAL IMP0OVEMENTS,
.
SPECIFIED AND AES GRFTO DO ALI WORK IN !STRICT COMPLIANCE WITH ALL CITY OF -
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE RE0UIREMENTS'.
L
C ‘,
APPLI NT,'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFF,CE SE •NLY _ �� �o J
ADDRESS OR LEGAL: q(c)5 ! �.=� eAL„ IID: "J .i12 -,:;23 -•3 ,3
DESCRIPTION OF WORK: Ua.x" &A-9. 6::,e
-
ZONING ZONING REVIEW BY: Q ���--- DATE APPROVED: 9 • ZD 9
-------
BUILDING REVIEW BY: f �' CICiio ( _ DATE APPROVED g -- -4 5
TEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes l� No
PLAN REVIEW Yes - -. No SEWER CONNECTION
STATE SURCHARGE Yes .� No WATER CONNECIION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No Sim INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: 6-2-1 4-- Shoreland District :
Fire Department: LCA
Post Office: l...-c- School District: 0 4-4.wO
3 641.S"( 'De th 73°1. 5'f
Lot Area: Sq.ft.`87, 3y`1 I.-- Acres Z Width P
Survey Submitted: Yes OC
No Date of Survey: 4-10-93
Proposed Setbacks: /1.04O /5.5-1.-g)Front (L q S -� Right Side:
Rear f-St-re�):
'9 g•7 t Left Side: ( ) y .L W
Adjacent Structures: t O. S Wetland: A/61
Building Height: Def. Hgt. D.fr--- Peak Hgt.
Avg. Setback: A Bluff Setback: Lot Cov age
Existing Prop ed
Hardcover: 0-75'
75-25')'
250-"00' /
500 000'
Hardcover Variance Required: Yes oo Date df Council Appro al:
Grading: Staff Ap aroval Date: By: r Council Appro al Date:
Septic: Staff Ap• oval Date: By:
Zoning_ File: # Res. ution: # Resolution Date
REMARKS (in house):
26
BUILDL\G REVIEW CHECK LIST
UBC: (> -t CONSTRUCTION TYPE: VA)
Sq Footage S Per Sq Ftg
Basement x
1st Floor x
2nd Floor x =
Garage x
x =
TOTAL
15 ds:
Estimated Construction Value: $ 13, t
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal MechanicalWater Connection
K FootingSeptic Sewer Connection
/( FramingFireplace Lawn Irrigation
Insulation (Masonry) Other
ward (Mfg.) Well (State Permit)
pc FinalGrading/Filling pc_ Electrical (State Permit)
Other
REMARKS (LN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT): •
27
Total Fee: S 3 S to. I Y DateReceived:
9f) Date Approved:
Entered By: Permit#: 1 3 -
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL PNFORIIATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OWNER ( LuN R-CTO)
JOB SITE ADDRESS: Rc 5- oCi\ 2-D N6- 41-te . P044 ZIP: 3-5-'5q I
NAME OF OWNER: )k_ktC, ,b,f,„) PHONE: (home) 476--03,24
(work)
MAILING ADDRESS: qq0 oz.,z,Na .CITY: w/{-y21}-vet_ ZIP: q
CONTRACTOR: it( /Lei-4 O,i, t-e in .4-0J ( O PHONE: 'r'4 4- /6/0
MOBTLE PHONE/PAGER: 9- 0/1/S-'-'
MAILING ADDRESS: ,o d o y a 64-, CITY: (f/ f€riou ZIP: sy-rr-l`
STATE LICENSE: #00 03 7
ARCmTECT/ENGLNEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New 2( Addition Accessory Structure
Move Remodel/Alteration 1 2nd Alteration
PROPOSED WORK(describe ndetail): r � 4itkit6- -
� �
STORIES: 1 SQ. IEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. X
ESTLI IATED CONSTRUCTION VALUATION(excluding land): S 111 I
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 permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE:
sp'-1 DATE: 9•;1.;7`_7,S_-----
,/,
NOTE! Para Homes event require separate permit approval by Police Department and
City Council 60 days prior to the event. Non-permitted events will not be allowed.
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 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 olace the notice required under this subdivision in the individual income tax or oroperty 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 noor permit.
• e-e.02 S 4 d 0 . Cid/- `' ,4
First Middle Last
69,9 /
Address
City State Zip Phone
I understand y rights as st •bpve.
'r
'_nature
•
ii
CITY of ORONO
li ti,, 44, ------) C) .
Municipal Offices
t •1 I Y Post Office Boz 66
\��, i, y, jl_•-;•�" ,,,A. I Crystal Bay,Minnesota 5MM3 0066
�EsK� '
DATA PRIVACY ADVISORY
ike
In accordance with M.S. 13.04, Subd. 2, "Rights
subjects the Citytof Oronoe oroana�lor its
to
inform you that your request for a permit or licensefrom
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 fort e
permit or license requested.
/. 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 otherstate 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 (see following page) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRL\'T
/ Pk 6 SS i ; •A)
First
Middle Last
I ' 0iffrk ► L6&& Z_ ' •. i
Address
•
IA _ AL (L Phone
City
State Zip
I understand my rights as stated above.
k. 1,..,d4...0.,-- ateot---
Signature
TELEPHONE-473-7357• FAX-473-0510
10
•
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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 iof: (a) the purposend
individual.
ainformed individual
lv asupply
pivate or confidential data concerning himself shall
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
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.
11
CI)
t ' to -
O' o 0
cZS
cn
- I ,J 0') V) i-� J,
op t4- eil 4- i Ca L
(I'y {4. ° c1 1 1 I-1.'2y i l/1 ^I 1iC7 s:
..., .
ice - ` L • .
:'-': f i t J
:', a,,l; \ ii:,, :. .....-; . :-- . ,
•
l'i `-\ mak[ ;d t { ,
ter•�� l� p, -(OO ;,17; ��`
��
y
�1 • 1
\ �+q� � � a._
S CI ly`• ' r..
^ r
•
•! ? W 1
¢ r v: ���
i 4 M f 119
'S'
•
///
I \
i1 v •
/� . .
/ O O
K K
O Q • Ii
o
^
'�� � ••
N
I s` Jj
F ....7" Si
T.
01,
tAIc
� •
ej
j J J
X o CA
a
V
f Q, 0
Is °' o
p . •
U
U -:::::-....„.._7-;.;..-.......-
_. .-__.„-_- •
e ,
4 '
7t
1 i °
1;r
r 1
i'
I • i
.--------..-_ • i
. i
' 1.
I t
,
' I
11/ 1 1 i 1 1 1'.
K i 1 1
'
I 1
H
H 1
L 1
I 1 i ••-
Hti)!...\.,y...
1 I
1 I
\
i 1
I 1
. •
. 4...... 1)
. Zj)
0
I; —11,—I— •
o •
10 -
.....- —..r---..---------r-------1--.----........-..—_ —
Li I' e 01,c, 52-6 fi f I
ac
1/-
/ /-2.41? - t..4/cy.5& .,. ' -
ti,... .., 1
1
K°
•-ftrq.7 i' sp ra"
1
f
i
1 .
.....
ll' 1- !;-.),r4i_se d IJc, L0 . Ono i-
i •
i
,
-..... _...... ...
j.: C/Z_ri :51-/' 1 7: / ' 0 "
•
......m....4
r .
--1
,. 0.H.
, _____, _. _
II till II_____ 11. i 111 -----1 J--- -In
i
1
1 if Lil ___Ji _rill ii
r___,11,
ltti
.
. • • 0 • t •
• 10,/
si4,7 •
i ll 11
yir ..,, / p--
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �i-27-5 S r, c7
PERMIT NO. s COMPLETED
ADDRESS ' 'S DC-16 (_.‘*=. 1C, C., '
OWNER D'iN CONTR.
TELEPHONE NO.
DESCRIPTION G 6k'A-6 c S C__Ary3.
4,C3POOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 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
✓ 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
(,)• COMMENTS:
cc
O
CC
O
W
CC
W
lieO
ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
vner/Contract`rn e:
ectoc
White Copyllnspector's Fl Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 7- S / mac' ,2
INSPECTION NOTICESCHEDULED " A-l¢
PERMIT NO. 'I�j� COMPLETED '�
ADDRESS 19r%D c�� 4 j f
OWNER v CONTR.
TELEPHONE NO. 7.6 0 gc 4
DESCRIPTIOa4tit
1U 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
ccl• COMMENTS:
ec
cc
O
cc
O
U-
W
cc
W
cc
LIORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on Otv(`
Inspector. U
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 7375" COMPLETED
ADDRESS 9'6 5- OkL L Lct, cte
OWNER 1)4.417sin CTR.
TELEPHONE NO.
3: DESCRIPTION Qarar� Q.
im 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 W• BD. 12 WATER HOOK-UP 17 SITE INSPECTION
alp14 SEWER HOOK-UP 06 PROGRESS
I O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Izy 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
cc
Q.
J
O
cc
O
W
C:
Q
12
W
W
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
C ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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
OwnerIContracto�s'
Inspector: CUdt
White Copy/Inspector's File I Canary Copy/Site Notice
563571
CERTIFICATE OF SURVEY FOR
LARRY CARLSON
IN SECTION 35-118-23
. HENNEPIN COUNTY, MINNESOTA
NE Cor.of+GteSE,V
ofsec.35-118-23
NW Cor. o{ +4e. Easf ilur North b.tie ac+I7e $E/
aF+lx r SE%vPSec.3S-118 23 of 5e4. 35-Ile -23 N 89°49'38"E 366.39 899.30
•
, .
E— 90.0 w
East linea,
_ "p c• oc5er35-118 Z3
O ,
to VI
r ..
. Q.,
Wes+ lrhe
of 41e.Earn 2.4:0 .,
61-1 yr it c Exisfiv w
SE 1/4 0F v kiousa
. Vi
5 . 35-iid-23 m
0
..-_.-.......----145.4 - • - ------- •---- ----- ---195.0----•-•--•-- •--- ---40
Proposed
•
ras•' , a1'"e parallel o ti
Garage line parade( wi+ti
c .fh t-he West ji/E. .S± line. a- '
line of *lie fas+
A Sec. 35-118-23
G>u1f of'+tie SE Y4
oc Scc. 35-I/8-23
,
N89°449'38'E 363.60 t
GAP ,iY4,PA R CEC Po
Toury \;
_ .
. .
N
o: denotes iron marker
All hearings are based upon an assumed datum.
LEGAL DESCRIPTION OF PREMISTS SURVEYED:
The North 239 . 5 feet of the .Following described tract: Beginning at a point
on the North line of the Southeast Quarter of Section 35 , Township 118 North,
Range 23 West of the 5th Principal Meridian, distant 899 . 3 feet West of the
Northeast corner of said Southeast Quarter ; thence South nar-allel with the
East line of said Southeast Quarter to the northeasterly line Of U. S . Ifighway
No. 12 ; thence northwesterly along said highway line to a point 90 feet East
from the..West line .of the East half of said Southeast Quarter ; thence North
to a point on the North line of said Southeast Quarter 90 feet East of the
Northwest corner of the East half of said Southeast Quarter thereof ; thence
Fast to .the point o.f beg nning. .
CITY OF ORONO
X SITE PLAN GRADING PLAN
_1'. APPROVPD 44r 6.4144,e
Af-.):PPOlvi ED WITH REVISIONS
r.' .j`r1 0Y
BY
9 3 OLD (bi,1_, L/( ATE-- '1-zx"-CS
ac�m�
( Ov--)3 -75 9
I hereby certify that this survey was prepared by me or under my direct super- DATE 9-/0-93
COFFIN & GRONBERG, INC. vision, and that I am a duly registered Civil EnginOer and Land Surveyor under
\l`� O u UIJUI I.n,�rrreern.baud Srrr,ti,/or..Site I7,,Iu1,'1, the laws of the State of Minnesota.
_ SCALE r_5 r
482 f ni Track Avenue • Long lake,MN 15356 .�`%:'/ /�
612-473-4141
Mark S. Gronberg Minnesota License Number 12755 JOE NO. 93-398