HomeMy WebLinkAbout2008-DENIED permit application Buil*ing Permit Application !� �'`� �� �
- DENIED
Total Fee: ` Date Received: 4 p
Reason(s�t�{e�,��i�l• Permit#: 00
� � � � �f}�- �i - BUILDING PERMIT APPLICATION
Staff: Date:—����
All information must be submitted in full before plan review will be started.
(please print a[l information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��`"l S( S��./W o s � �� ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
�Yes � No If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
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NAME OF OWNER: � q.._�./ � d-�� ��� � '� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �a••-IL �. VJ�`\,�-w•S Cc�S}��� �"L PHONE: Co I� - �S I — °l7 S O
CONTACT PERSON: �a�1� MOBILE/PAGER:
MAILING ADDRESS: I va �„�P S� S��-- S�. �t CITY: C t��.j k� ZIP: S'S S t Fl
STATE LICENSE: # �6''1 q �!�-(c� � 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 require MCWD review and permits!
P,R�OPOSED WORK(describe in detai�: �o�o( o(o-+-,,,� ,,_ ,,A�_� f, �e,
�"� � �� �� ��/
STORIES: �- SQ.FEET OF EACH FLOOR: ��� a
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $�4c a G�'
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 w is not to start wit out a permit;and that the work will be
in accordance with the approved plan. �
APPLICANT'S SIGNATURF� - ` - ' DATE: d'I�a���° �
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
_ ,3i{�(�:r�-:��'-
Subd. 1. Type of data. The righu of individual on whom the data is stoced or to be storet}��halhtre�s'seYfditli in this section.�
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be�N� �
. _...... _...__
mformed oE (a)the purpose and intended use of the requested data within the collecting state agency;polidcal subdiViSlor�,ot"statewide sy�m;tb)
whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supptyjng or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authonzed by state or federaE lawto receive the data.This'requiremen�s6all
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
T'he commissioner of revenue mav place the notice rec�uired under this subdivision in the individual income tax or propertv 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 infortned 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 chazge to him and,if he desires,shafl be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of iu 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 creafed. 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,ifpossible,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. Ifhe 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
conceming himsel£ 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
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 Ihe 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 fumish 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'bcal, 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 Middle Last
Address
C�TY � State Zip Phone
I understand my rights as stated
�gnaturc
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Reset Form �" 32
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' ' �' CITY of ORONO
�'�� a �i������ '� � I�
` �`,,� f ; ,:Y ���a G�Fr Municipal Offices
� ;r;� _���.� Street Address: Mailina Addross:
9$�+gg0�' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
May 2, 2008
Mark D. Williams Custom Homes
Attn: Mark
102 West 5th St#1
Chaska, MN 55318
Re: Building Permit Application for 2248 Shadywood Road
The City has begun our review of the building permit application for the above address,
received by this office on April 24, 2008. The above referenced property is located within
the LR-1 C zoning district. This district requires a side yard setback of 10' for the principal
structure. According to your submitted plans, the proposal is an addition to the existing
home. According to the survey on file, the existing home does not meet the required 10'
side yard setback; therefore neither does the proposed addition. As a result, the building
permit for the addition at 2248 Shadywood Road has been denied.
The resolution of this matter will consist of submittal of a new building permit application
reflecting the addition to be constructed meeting the 10' side setback or a different
alternative plan meeting Code requirements. An updated hardcover survey will be
required as any p�oposed addition will result in added structural coverage and hardcover.
The survey on file was conducted in 1985 and revised in 1993 to show existing hardcover.
A revised hardcover survey showing existing and proposed hardcover and structures is
also required with any new building permit application. The survey should also show 2'
topographic contours on the property and extending onto the neighboring lots.
Please feel free to contact our office directly by phone at 952.249.4620 or contact me by,
email at mcurtisCa�ci.orono.mn.us if you have any questions at all.
Sincerely,
City of Orono
Melanie Curtis
Planning &Zoning Coordinator
enclosures
c: Sandy & Jeff Thoele �
2248 Shadywood Road
� Wayzata, MN 55391
Lyle Oman, Orono Building Official
Telephone(952)249-4600 • Fax(952)249-0616
www.ci.orono.mn.us
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CHECg OFFLIST FOR ISSUA�VVCE OFPERMITS
� FOR O FICE LISE ONLY
ADDRESS OR LEGAL: �� �( �,�J�
rm:
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DESCRIPTIONOF WORg:
ZONING REVIEW BY.• DATEAPPROVED:
BUILDING REi�lEW BY.• DATEAPPROTrED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
P���E� YeS No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE --
�C Yes No SITEINSPECTION
1Vumber of SAC Units OTHER (spec�)
ZONING CHEC%LIST Zoning District: �
Fire Department: Post Office: School District. -
Lot Area: Sq.ft• ' Acres Width Depth
Survey Submitted.• Yes No Date of Survey:
Proposed Setbacks:
_ .. .
Front(Lake): Right Side:
�� .
Rear(Street): LeftSide: - y'�-�� IU t��c.,
Adjacent Structures: Wetland.• ���--�--= .
Building Height: Def.Hgt. Peak Hgt.
Lot Coverage: .
Grading: StaffApproval Date: By: Council Approvcrl Date:
� Septic: Staff Approval Date: _ gy�/J
�r
Zoning File: # Resolution: # __ Resolution Date: �
Shoreland District: MCWD Permit:
Avg.Setback: Blu,f�'Setback; Lot Coverage:
Existing Proposed
Hardcover: D-75'
75-250'
250-500'
500-1000'
Hardcover Yariance Reguired.• Yes No Date of Council Approval:
REMARKS('ln house):
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B UILDING REVIEW CHECg LIST
UBC: CONSTRUCTION TYPE:
Sg Footage $Per Sg Ftg
Basement x = '
1 st Floor x — �
2nd F7oor x =
Garage x =
x =
TOTAL -
Estimated Construdion Va1ue: S
Inspections Required: R'ork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Luwn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling Electrical(State Permit)
Oiher -
RE1I�IARSS(I1V HOi1SE):
REVIEW BY OTHERS: DATE: �
Access: Existing New
Access Approval: Date By:
- REMARSS(TO BE NOTED ONPERMI7�:
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