HomeMy WebLinkAbout2008-00203 - detached garage ,.� CITY OF ORONO PERMIT NO.: 2oos-oo2o3
' � 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/29/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2178 SHADYWOOD RD
PIN : 17-117-23-42-0009
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 017 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE-DETACHED
ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS
VALUATION : $ 16,163.84
NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE)
NOTE:REUSE IF PORTION OF FOUNDATION TO BE EVALUATED ARTER STRUCTURE IS REMOVED
APPLICANT pERMIT FEE SCHEDULE 295.00
SHORELINE BUILDERS PLAN REVIEW 191.75
2184 SHADYWOOD RD
WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 8.08
(763)506-0629 TOTAL 494.83
Minnesota State License#:20630814
OWNER
ANDERSON,MR.&MRS.CURTIS
2178 SHADYWOOD RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. T'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if wnstruction is
suspended for a period of ys at any time after work has commenced.
The applicant is responsi e f assuring all required inspections aze
re mstEd c�on o��'aa w' the State Building Code.This permit may be
r oked at any time for u ca�se.
l 29 /zoo�
9� ��
Applicant Permitee ignature Date Issue y ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• � �_ o �
�
Total Fee: $ 5�• 3 Date Received: �- /p—Q�
Entered By: Permit#: �q�g_ ���,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please prdnt all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) WNER OR ON RACT R
JOB SITE ADDRESS: � ; �,/' (�
Wi(1 this be P rade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes o If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su,f,j`'icient on-site par `g is available. No permitted events will not be allowed.
NAME OF OWNER: C U I � 11 PHONE: (home)
. (work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: h e �I� �U( lJ 'S PHONE:
CONTACT PERSON: C MOBILE/PAGER:
MAILING ADDRESS: 1,�f S CITY: ��9(l ZIP: ��
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �
Move Home Remodel/Alteration (ie: Siding,Windows)
Any earth movement may re ire MCWD revie �and permits!
PROPO�S D WORK(describe in detai�: /� �
1 Q
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $��
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 permi d ork is not to start without a permit;and that the work will be
in accordance with the approved plan. -
APPLICANT'S SIGNATURE: DATE: �� �
�
31
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 conceming himselfshall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence azising from his supplying or refusing to supply
private or confidential data;and(d)the ideMity of other persons or entities authorized by state or federal law to receive the data.This requirement shal l •
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 nlace the notice reauired under this subdivision in the individual income tax or�roperty tax refund
instructions instead of on those fortns.
Subd.3. Access to data by individual. Upon request to a responsible suthority,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 chuge to him and,if he desires,shall be infortned 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. 1'he
responsible authority shall provide copies of the private or public data upon request by the individual subject of the daffi. 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comp�y 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
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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
inaccuratc or incomplete dat�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 adminisVative 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 ce in rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your� 11 n e is required to process this application or permit.
��
First iddle � L st
Addre_��o nr1 ! /1 / � / ���/ ����� "���
C�tY State Zip Phone
I understand my rig s ted above.
Signature
� ,
32
. .
� CHECg OFFLIST'FOR ISSUANCE OFPERMITS
FO OFFICE US ONLY
ADDRESS OR LEGAL: 2 �h-�d� w�
PID: -
DESCRIPTIONOFWORg:�'Q�q�� _ s,U «`� �
, r�tc.�h„�.y- � �z�,Y
ZONING REVIEW BY.• �"-�-. DATEAPPROVED: g-i@y -��
SUILDINGREi�IEWBY.• DATEAPPROVED: q -,a -oS
FEES 7'O BE CHARGED: Misc. Fees Calculated By.•
PER.MIT Yes ✓ No
P���E� Y�S—a� N� SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No.�r� PARK FEE
SAC Yes No �/ SI�,�SPECTION
IVumber of SAC Units OTHER (spec�)
ZOMNG CHECg LIST Zoning District: d
Fire Department: Post O}fice.� School District: -
Lot Area: Sq.ft. • Acres Widih
Depth
Survey Submitted.• Yes No Date of Survey.•
Proposed Setbacks:
Fron1(Lake): Right Side: - . .
Rear(Street): Left Side: ..- . .
Adjacent Structures: Wed nct.• -
Building Height: Def. Hgt, pe� -
Lot Coverage:
Grading: StaffApproval Date: By; Council Approvcrl Date:
� Septic: Sta,fJ"Approval Date: 1 t/ !'� gy; �
Zoning File: # Resolution: #___ Resolution Date: �
Shoreland District: MCWD Permit.
Avg.Setback.• Blu,f,�'Setback.• -
Lot Caverage:
Fxisting Proposed
Hardcover: 0-75'
75-250'
2S0-S00'
500-1000'
Hardcover Yariance Required.• Yes No Date of Council Approval:
XEMARKS(in house):
33
B UILDING REVIEW CHEC%LIST
UBC: () -( CONSTRUCTION TYPE: �(n1
Sq Footage ,F Per Sq Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage yM�d x 3 6.�SP =
x =
TOTAL -
Estimated Construction Vatue: $ ►b,l b3. �`1
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Remova! Mechanical Water Connection
_�Foofing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) YYell(State Permit)
p<Final Grading/Filling �Electrical(State Permit)
Other
x��x�s��vxovsE�:
REVIEW BY OTHERS: DATE:
Access: Existing New
Access flpproval: Dafe By:
REMARh'S�(TO BE NOTED ON PERMI7�: f?�v5�- �r �o,�-n o-� �F � �N✓ys,�dµ�
—� cS V�}w J�P�� f}�'T�� �TYLcr c�1� t s i2��c��
34
� � � DATE TIME
CITY OF ORONO a4D� .� CALLED IN /O�d'�e�
INSPECTION NO11��� SCHEDULED / 7 : O
PERMIT NiO. � COMPLETED
ADDRESS ! D �� �
OWNER CONT . c�
TELEPHONE NO! ���/�/YC - ��3�D�P-��D�
� DESCRIP1110N
� ❑ FOOTING � MECHANIC RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
p TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q �At— ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE p SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENtS:
�
W
C
�
J
O
�
�
O
� ,
W
�
Q
�
Z
W
�
W
�
�
�
d
W� ❑WORK SATI$FACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPEqTOR WILL REiURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
0 IIVSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner►Contractor on ite:
Inspector. �
White Copylinspector's File Canary CopylSite Notice
b
���-!�� ���• .
�
C�TY � �
NOTES ❑ ❑ � S1TE P'�.AN ��i�`'`�� ��,�N
� ��� Q o O � o PREPARED FOR f�AP���`�CD-R�-$a���(� �,�
S Surveyor's iron monumentfound in ground ���� l O MITCH JOHNSEN - ,
�.� 11� � �1 � � ��� �! l�� .� �i r r �°t' c:;r� , ,�'
2178 SHADYWOOD ROAD ��'y''l, ,�'1�(��p ,���j��y�")�{�p�� � ���`�� � j�`�`�
O Surveyor's�ron monumentio besetin ���r,���\,��,� ������� O ��������� ���������� LJ {„eis��li'�fl'SJV�U
ground ond manked LS 6508 U UN� U d d il ORONO,MN 55391
B`( _ Z, �S6
Bearings are on an nssumed basis. ElevaHons are ��`�/� �M(n11n�Mf1/,1pOOD �O/�D9 �ino n�n9 �nn (��TF
ncwrding to NGVD 1929.
r, Ifl1WU ll W w vit�� �ivU W �' �
1 hereby certify thpt'this survey wqs preppred by me or LAND PARCEL SURVEIPED
. under my direct supervison. I am a duly registered land HARDCOVER & AREA:B Lot 17, Block 1,WILEIf'S PARK,nccording fo the recorded
surve 6nunde e Iaws of the State of Mjnnesotp. land parcel surveyed(prqperty) 15,846 SQ. FT. plat thereof in Hennepin County,Minnesota.
/" A driveway,walk, ret wall 2,53i SQ. FT.
' � Easements,if ony,uffecting the land parcel surveyed by
�� � - September 3,2008 B building&gprage 1,782 SQ. FT. (y usage,of public record,or otherwIse indicated on any plat
'� �' C lan ara e ,
Prank R. Cardarelle, L.S. p 9 9 448 SQ. FT. �J� � or map were not reviewed qnd are omitted,unless
� D existing garage 448 5 FT. �
Registration No. 6508 � � Q• �t+i � otherwise indicuted.
u
� E patio 161 SQ. FT �� � � � I j
� � I � II
� exisfing hardcover(A,B.D,E 4,.922 SQ. FT. 31.1 % � � � �
� � � ) � � � The above land pqrcel description is inferred from the
�� � � plan hardcover(A,B,C,Ej 4.922 SQ� Ff. 31.1 % / �j � ` j I street oddress and/or legal description provided by!he
\
I �
�� �\ , RAG � �\ \ \ \\\ \\ ���� i �I i I client,together with review,if any,of the County tnxation
� � � � n � \ \ Y \ / � y� I �� i description for the land parcel nnd/or County surveyor's
� �� �� �73,S \\ \ H��s� \ U � �� _ c�+ � 11 section map information.
O � �9 �', P`�OP��ED_ G�AF�,�,�E� TO �PLACE EX1 � , ` �� o \��� o��+' ��; ;�'i,
a ��Q � ��`__ �`��. �'� . �, „ ;�� � ��`� , `9�'�� S 89'1 �'26" �►/ ' i i�i'� � � �
� O �� � — �S ���) O ��G W � DECK � � � � � i � i � w �
a �4 -, ����c�.��___ ___ -�. �� � , �, _ ,J o ,� � �, 4.5b-,, , {��-5 � �.� ,
a ����_-N '-�,e�� --1-}£.b.bt�b�j��J��--�Sd.b��=��� rv � � �� � ------_ �_ � X � �1`1 I � �
� - ` � f S — � � i00 �'� Cfli '�i ----� � � l � �
� c � � ���v�V �p' . v � v � T� � 8'�1SH � 7 � � �
�, ��� �' 24 A H •� �- �6c�i � � � ,:Jli � � '� x�---�� (� ti ����1 � �
Q �
r:::� .����� ��P�`��' C� ` ' � i = . : � <._���i%//%////// �v�txJ Up� � ,x � ___��__ -r2'BAS� �� O� + ��.�� � i� o i
���P � z X1 ; ` : �v 4 .� / � 30 PIPiE , � �� z \' � � O co I
����a �"� '��� �., � �'I �o•E . '" "������ARAGE //%////////////�% ---- - � 12 �acus � .�� �� � � � � �
-- ����� � �w �� Y � \ \ •,�1 1 0 � I
w � �� , �- �
` � ���f� ' � j � • � � ` �� MOUSE#2178 � � 1C„i � � � �
a ° , � ,N� ; '�r Q `° W
`� x � t :�[?�1�!£�IYA :� . �% %/ �s7 r�ooR aFv s��.� p t� � �� , � `� � �
. a � -.:• -_: :, _.., .::. '=-� --<� : ' `. \ . .. :\-- _� ��': . � i i t \\ ` �y , 1 1 p� ��! I
�, U �� TY LE � ���,%������/�%����i, 1 SHORELINE OIV 8-26-08 � � � ��� 1 � � z -�
` -y-i � � �
N x �__-- 4 �,� , ��9 ._ o =-� , , , , �
cx� U1 18 ASPEI�I----�-" � 125• y. � ���.{�� (� o , ��,
,�,�� � � �, o 0
o � _ � L \` .�`., �\ \ \l.T�N( J� \ 13+�t � �i/�G�.� 1 � , ��1� z � I
� � �ZT '�, \ \ i C� _ 1\\ � � �
° �M�' � � � � � i0o �� - i"tfl i I I --_----- 1 � �'�! ���� � I
� 5•BASS a 18'EI�M_--- , �, i ' I •�
� -� ------ 294.�7 --� � -- y �,� � � , , � � >
i � � �� � i � J
� � � �� � i S �87°�j(�'�j�j" iVy /// ,!�;%/% c�� i ` �i ��o� �i �,�� w �
� �� � � I � � \ 1 � i t H 0U �!� i � , �� -� �'� �1 � c� �
� �\�ARAGE � � i � �� � SE � i ` I�- � w��;; � �`� 1 � � o
Qa � � !� i � �� � `� �� �'� � �� � �� �� �
: d ' �� �� f i` ; �\ ��\ �1 ���, �t��,���\ �
� ° /
r I
� � �
,
� ' , �� ; � '� �� i � ��� ����\' ', Frank R. Cardarelle
ad � �
�� , � ; � ', ; � �� ; �� ', Land Surveyor, Inc.
�Q `, � ' � � � �_ ��
/ � � � C� � � �� � � � 6440 Ftying Cloud Drive
� ) � � �j � Eden Prnirie, Minnesota 55344
� ��� � � �
952-941-3031 fax 952-941-3030
a��� �Sha��� �e/