HomeMy WebLinkAbout2004-P07562 - detached garage CITY�OF ORON PERMIT
� Permit Number:
2750.Kelley Parkway- PO Box 66 P07562
Cry�tal Bay, Minnesota 55323 Permit Type: A��essory s�u�cures
(952) 249-4600 Date Issued: 6i2ai2ooa
SITE ADDRESS: 2280 Shadowood Dr
Long Lake,MN 55356
P I D: 27-118-23-32-0015
DESCRIPTION:
Construcrion Type VN
Proposed Use: Residenrial
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolurion#:
Separate permits required: Eiecmcai(siatej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 522.55 Valuation: $ 38,000.00
Plan Review Fee: $ 339.69
State Surcharge Fee: $ 19.50
TOTAL FEE: $ 881.74
APPLICANT: Holmund&Sons OWNER: Stephen&Sharon Coleman
3949 Idaho 2280 Shadowood Dr
Crystal,MN 55427 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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�LICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
�ay-10-2004 12:16am From-CITY OF ORONO +9511494616 T-183 P.012/036 F-246
' ��1 �y � Date Received: ��� �75��G
Tota1 Fee: $
� EnteredBy• 1�(� f`��Sc� C�(I� Permit#: Lo// �%—
CITY O� ORONO - BUILDING PERMXT APPLICATION
All information must be submitted in t}ull before plan review will be started.
(please prirct all ir�fornzation)
---�------------------�-------------------
-----------------�------ ---------- -----------------------
THE APPLYCANT YS: (circle one) OWNER O CONTRACTOR
' J4B SITE ADDRESS: 2� c� S �!����..�� � 022YP:
NAME OF OWNER: S-�-4 �� Cc�1 e_w�►�1 PHONE: (home)GIS-2-�l7s- I�i�
(work)
MAYLTNG AnDRESS: 2.2�� C ��cwe.c� CITY: CS,2�.��v r1 2'Yp:_,,,_�,
CON'I'RACTOR: � � w.�l� � �c Ev S PHONE: 2r.��C-� � 3`3 3 C°�'�
CONTACT P�ItSON: MOBYI.E/PAGER:
MA.ILYI�IG ADDRE.SS: L �41-u; CITY: �R��i�L ��5 5^4'?�
STATE LICENSE: � L
' ARCHY'Y'ECT/ENGINEER: PflONE:
M�+iII,ING ADDRESS: CITX; ZIP:
N��: REGYSTRA.TION�i
TYPE OF WORY�: New�_ Addition Accessory Structure
Move Remodel/Alteration Y.and Alteration
PROPOS�D WORK(describe in detail�: .�r.a S�H � l I .A� �s�=/�e,k
, ���� �
STORIES: SQ.FEET UF EACH FL40Yt: (�C'i�
NO. 4F BEDR40MS: GARAGE STAY,LS: ATT. DET.�
ESTIMAT'ED CONST'RUC'Y'YON VALYJAT'ION(excluding land): $ � g. o�� --
I hereby apply for a building permit and I acknowledge thaz 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 Cade; that I understand this is not a permit and work is not to start wi[hout �
' permit; and that the work will be in accordance with the approved plan.
�
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APPLYCANT'S SIGNATURE:�,�v� q..� �
I NOTE! P r�af Homes events require separate permit approval by Police D�purtment aRd
Ce�y Counci! 60 days prior to the event. Non permitted events will not be allowed.
0
Total Fee: $ ,�' ' Date Received:
Entered By: Permit#:
� �
CITY OF ORC��TO - BUILDING PERMIT APPLICATION
;..
All information must be�,submitted in full before plan review will be started.
�ease print all information)
----------------------------------------------'�---------------------------------------------------------------------------
THE APPLICANT IS: (circle one` OWNER OR CONTRACTOR
'\ �
JOB SITE ADDRESS: �
�, •
Will this be a Parade of Homes, Remodeler Showcase Home or other D' play Home?
❑ Yes ❑ No If yes, a special e ent permit is required wit Police Department and City
Council approval days prior to the event Non permitted events will not
be allowed.
NAME OF OWNER: HONE: (home)
(work)
MAILING ADDRESS: CI . ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: OBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CI Y: ZIP:
NAME: RE STRATION #
TYPE OF WORK: New Access ry Structure
Addition Move
RemodeU lteration Land A1 eration
PROPOSED WORK(descr' e in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROO GARAGE STALLS: ATT. DET.
ESTIMATED NSTRUCTION VALUATION (excluding land): $
I hereby app for a building permit and I acl�owledge that the information above is complete and accurate;that the
work wil e in conformance with the ordinances and codes of the City and with the State Building Code; that I
under and this is not a pernut and work is not to start without a permit; and that the work will be in accordance with
the approved plan.
APPLICANT'S SIGNATURE: DATE:
.�
��
Sec13.04 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(orth 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 oL• (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or st�tewide rystem;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplyino or refusi�g 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 requaement 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 mav olace the notice reauired under this subdivision in the individual income taY or oroaerh ha 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 tLe subject of
stored data on individuals,and whether it is classified as public,private or confidentiaL Cpon his further request,an individual Hho is t�e 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 intormed of its meaning,the data need not be disclosed w 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 a-eated. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible aathority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,i[possible,with any request made pursuant to this subdivision,or within fice days of the
date oCthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot compi��w ith the requestwithin
that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excludin�Saturda}�s,Sundays
and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may coutest 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 tbe disagretmeot. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)noti(y 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 ad 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��our 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 necessarr-to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some informacion ma� 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.
'C c� I�e�� � ,,... - �--�� � �,.�. � �L �,�_
F�rst Nliddle Last
��1 L1 � `��� I,�, � �,� �:L. �,
�lddress
�' � y' S"� � �� �' ���Z"� ��, � � �� � �r�
C�b' State Zip Phone
I understand my rights as stated above. -
�/�� hi�- �� '�-�
Signature
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
' ADDRESS OR LEGAL: �Z�C� S�-4►��Do�s v o,� D2 .
PID:
DESCRIPTION OF WORK: _��-i- ��,,q,R,¢��s
ZO�tG REv�W BY: DATE APPROVED: 6 -�o- oy
BUII�DI�i 1G REV�`i� BY: DAT'E APPROVED; �,-t c�-o y
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �/ No
PL?,i�T REVIEW Yes �/' No SEWER CONNEC"ITON
STATE SURCHARGE Yes —� No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SIT'EINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHE.CK LIST Zoning District: .
Fire Departmen[: Post Office: School District: �
Lot Area: Sq.ft. Acres � Widch Depth
Survey Submitted: Yes r/ No Date of Survey: n�+ f-�u�
Proposed Setbacks: �
Front(�ee): I I l�' � Right Side: �133 �
Reaz(�t�ee�t): � � U Left Side: `� 7 � �
Adjacent Structures: (`i� �Vetland:
Building Height: Def. Hgt. �5� Peak Hgt. ?�'
Lot Coveraoe: G ��-
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: # '— Resolution: fl Resvlution Date:
Shoreland District: �J
Avg. Setback: Bluff Setback: L.ot Coverage:
Ezistin; Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BLTII.DING REVIEW CHECK LIST
UBC: V -t CONSTRUCTTON TYPE: �I�
_ Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd F1oor x =
Garage x = �
x =
TOTAL
Fstimated Construction Value: $_ 3�l,doo°�
Inspections Required: Work Requiring Separate Permits:
S ite Plumbing Fire
Hazdcover Removal Mechanical Water Connection
� Footing ' Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
�F�� Grading/Filling �Electrical(State Permit)
Other
REMARKS(IN HOUSE): .
-----_---_----------------------_---------------------
REVIEW BY OTHERS: DAT'E:
Access: Ezisting New .
Access Approval: Date gy;
--------------------------_ ------------------------------------------------------------
REI�Z�i,RK,S (TO BE NOTED ON PERivII'1�:
8
r•,t a;Jf7?1
GITY OF �RONO '� ; ; R ,' ^ � ��'"' �,
BUILDiNG P RM PL.AN REVIEW ' � ����
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Holmiund and S�n's Construction ��ECTOR
Z�C� Sr�c?_S �`' z•. . : : -
DATc.._�..(U-u�_-._.__PERMIT NO. 1 U .s �3� �.�'�,.� •~`� �1(' t`S1�"(�
3949 Idaho AVenUe Norih ❑ ;;^FRGv��A5�,����:<<"i�E� 2 ,
GyStal,Minneso#a 55427 �•r ,?;`;:_rJ;�v;`:i��0?r�CTI O(VS AS NOTEO � �� �,,,S.�c..n t:. �� i'�d`�'-.C.. e.ru c�'�i;
Cell:612-386-b393 Office:7b3-531-0843 n ; ;p��;��;:,��.n_._�:�,���.,,T g,S�SUBMR L
��.me 9 •iu� y.ur�rra�n.J.on. F'I wcrk s^a!t be dooe � ° ��,�,,,_,t, (2.4�tC
Fc�x:763-535-7895 State lkense No.8454 �k:, � �
' in ,..^:�,:i�,r::;� sr�".i� a9 ��;.�caole �uuding and zor,ing code. �
f4eq� ,r :.:. �!,,i��- ��.� e i;;��:Yy noted in this review. � ; -�����
KEtP T� 5 P:.%'-,h S�'l"ON�1TE AT All T{MES � �t,��L� �
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CITY OF ORONO CALLED IN �
INSPECTION N CE SCHEDULED �O- (/%O�Z
PERMIT NO. ?56u COMPLETED
ADDRESS ��� �
OWNER CONTR. � �'��'�
TELEPHONE NO. ��/Z. -3S� ���c3
� DESCRIPTION f `��fi�
� 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
'� Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
' Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
�� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT
�,Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
li 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
Iv 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W�i WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W. �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
�'OwnerlContra ite:
Inspector.
White Copyllnspector's Flle Canary CopylSite Notice
� � U'�` TIME /
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CITY OF ORONO CALLED IN '
INSPECTION N,Or^�T-7ICE/ SCHEDULED � ���
PERMIT NO.�Il /�102 COMPLETED
ADDRESS O�a�D ��"`GLO�-c�w0��
OWNER CONTR.��1_ �F �
TELEPHONE NO. � �Z ��� �03 '�1 3
� DESCRIPTION rr
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next spection 24 hours irt advance. (g52) 249-46��
OwnedContract si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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^'pq7F�,j TIME
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CITY OF ORONO CALLED IN � �
INSPECTION NO CE � SCHEDULED ' /'G -
PERMIT NO. COMPLETED
ADDRESS � � �t"6l'`}p�
OWNER: '��� CONTR. SU�I S
TELEPHONE NO.�M �C� (��S� ���'� ��'� �1 �L� 3���
� DESCRIPTION � ° ` �r�-��
LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� MBING FINAL 36 FOUNDATION/REMOVAL
OWN ONTRACTOR TO MEET YOU: YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-46��
OwnerlContr o s e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notir `
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REMISES :
)OD FARM
ot elevation, mean sea level datum
;pot elevation, mean sea level datum �
d upon an assumed datum.
how the boundaries of the above described property,
n of a proposed house thereon. It does not purpori � � �—����
�vements or encroachments.
� 22 � d ��,�d�� �Q,
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