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HomeMy WebLinkAbout2003-P06917 - detached garage ' PERMIT CIT`e OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06917 Crystal Bay, Minnesota 55323 Permit Type: a��essory smz��res �— (952) 249-4600 Date Issued: 11�4�2003 SITE ADDRESS: 1325 Shoreline Dr Wayzata,MN 55391 P I D: 02-117-23-34-0011 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 438 Permit Type: Accessory Structures Pernut Sub-type(s): Garage-Detached DETAILS: Approved per resolution#: Separate permits required: Eiecuicai�siaiej NOTICES/REMARKS: � --- �-�.-�--� - -- - - ......». ..G�.�.........1....0.....::) G............:, b.:'..:bG FEE SUMMARY: PernutFee: $ 643J5 Valuation: $ 50,000.00 Plan Review Fee: $ 418.53 State Surcharge Fee: $ 25.50 TOTAL FEE: $ 1,087.78 APPLICANT: Michael Homes Inc. OWNER: Craig&Beverley Miller 3622 Highway 101 1325 Shoreline Dr. Wayzata,MN 55391 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , ,'' r , �C�GL �.��LC j�ti`�- � � �`�'l�� � ,���-� / PPLICANT PERMITEE SIGNATURE ISS ED BY SIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Apnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 r � . � �� �� 0 '1 � ' � ; , � , Total Fee: ;�$ � � �`��� -.�� Date Received: � ���"�-C.% -C.:3 � Entered By: ,�,;,' n i � ��t ,�` ���,'� Permit#: ���'.'�p �� �� � ry �:___, � CITY OF OR�O - BUII.,DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICAIV�' IS: (circle one) OWNER OR CONTR.ACTOR JOB SITE ADDRESS: ��p�� .51�c�„'�(' l i1�,Q �,1,� ZIP: �j3�( � NA1�� OF OWNER: �i� ����� PHONE: (home) A work) MAILING ADDRESS: � �� � ;, �.t,� �'�u.�ITY: ` ZIP: 5�" tl � COV`TRACTOR: ���C�('0(,�� ��y.�C_ PHONE: ��L� �0� ����5 COr�'ACT PERSON:�' �1 � NIOBILE/PAGER: �_(D� t S�' `' NLAII.ING ADDRESS: - �1 CITY: �A� ?c�Z\ ZIP: ��� ST�iTE LICENSE: # ���`�_ YV� ARCHTI'ECT/ENGINEER: PHO�TE: MAII.I�i 1G ADDRESS: CITY: ZIP: NA.1IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure /� Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � C� �-�i��.r� CiC c� �T5`�,(C,�i,t,�.-� � '�.-e�1 STORIES: y,� SQ. F'EET OF EACH FLOOR ���( X�-�� NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET.� ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ �(� ,n��°� �,C,�Y�'L�JC �e�:i� �c� � c_c�-t i��u� �•Go b i d� I hereby apply for a buildin� permit and I acknowledge that the information ab�e is complete and �P�'; accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a perm.it; and that the �,vork wiTl be in accordance with the approved plan. APPLICAlVT'S SIGNATURE: �� �(;�t� �U�,(,�,C.�lL,� DATE: �'(,� ���� � �U—� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events wi11 not be allowed. 5 � •' " • , � Sec.13.04 RIGHTS OF SIJBJECTS 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 secuon. Subd.2. Information reqirired to be given indfvigual, p�n i�ividual asked m supply private or confidential data conceming hiauelf shall be informed of: (a)the purpox aad inunded use of the requernd data wi�hin the collecang state agency,polidcal subdivuion,or statewide rysum;(b)whe[her he may refuse or is legally required to supply the requesud data;(c)any Imown consequence arising from his supplying or refiuing m supply private or confidendal daa;and(�the identi�y of other persont or enoaes authorized by sate or federal law co receive the data. T6is requirement shall not apply when an individual is asked ro supply investigative data, punvant to secaon 13.82, subdivision 5, to a law enforcement officer. 'Ilie commissioner of revernu mav olace the notice rcwired under this a�bdivicion in the individual income ta=r+r.,r�.,,. tax refund instrucdons mstead of on those forms. Subd.3. Access to data by individual. Upon nquest w a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as pablic,private or confidendal. Upon his further request,an i�ividual who is the subject of stored private or public data on iadividuals sha11 be shown the dare without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Aher an individual has been shown the private data and informed of iu meaning,the data need not be disclosed w him for six months thereafter unless a dispuce or acdon pursuant to this seccon is pe�ing or addiaonal data on the individual has been collecud or creared. The responsible authoriry shall provide copies of the privau or pubiic dara upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual costs of making,cerdfying,and compiling the copies. Tl�e responsible authoriry shall comply immediatcly,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 nquest within that dme,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, ezciuding Samrdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public oc private dard concerning himself. To exereise this right,an individual shall noafy in writing the responsible authority describing the nacure of the disagceemen4 The respoas�'ble authoriry sha11 within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past mipients of inaccurate or uuomplete data,i�luding recipiencc named by the individual;or(b)noafy the individual that he believes the data m be correct. Data in dispute shall be disclosed only if the individuat's statement of disagreement is included with the disciosed data. The deurminaaon of the respoacible authoriry may be appealed pursuant W the provisions of the administrative procedure act relating ro wntes[ed cases. DATA PRIVACY ADVI ORY 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 �ity 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 shazed 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 pemut. First Middle Last Address C�ry' Sate Zip Phone I understand my rights as stated above. ,. Signature 6 � •►, r.. J � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1�Z.S 5 H-o�'�:fi�/�� lJ� PID: DESCRIPTION OF WORK: (.��TAc�-c=-� G/��G C: ZOi�TING REVIEW BY: DATE APPROVED: �o•a�- 03 BUILDING REV�W BY: DATE APPROVED• �0 2 q►- 3 __________- _____ �-�-_____--------------------__________________ � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No pLAN REVIEW Yes v No SEWER CONNECTION STATE SURCHARGE Yes v No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOti�TG CHECK LIST zoning Districc: Fire Department: Post Office: School District:_ Lot Area: Sq.ft. Acres Width Depih Survey Submitted: Yes�t_ No Date of Survey: S-6 •�3 Proposed Setbacks: , Fret��(Lake): Z"d`� � Right Side: tO � � R�ear(Sueet): ��O� ''�- Left Side: 1 5 S�� � Adjacent Structures: �3{ � Wetland: Building Heiaht: Def. Hgt. 0.Ic Peak Hgt. Lot Covera�e: it! (/a. Grading: Staff Approval Date: � By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: f� — Resolution: # Resolution Date: . Shoreland Disuict: /'�.1-PS Av�. Setback: ,�v� � Bluff Setback: �v /� Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' " 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REVIARKS(in house): _ 7 ' � ..1 .► . i BUILDING REVIEW CHECK LIST � �C� U ' ( COYSIRUCTTON TYPE: �/l� Sq Footage $ Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x _ Guage x _ x = TOTAL Estimated Construction Value: $_ 5'U,v�p d� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �F��g Septic Sewer Connection _Q�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) � F� Grading/Filling ( Electrical(State Permit) Other RENIARKS(IN HOUSE): � _____w__�__________�_�----------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gY: REMARKS (TO BE NOTED ON PERMTI�; ~--�-wM--�-�-��_��___� _ 8 ✓ DATE TIME CITY OF ORONO CALLED IN f'/ - �� - t"-� INSPECTION NOTICE SCHEDULED '/- �7 �'/' <�'� PERMIT NO. �'G �' I/ � COMPLETED AD DR ESS ���5 -_� lu-L:--k=1,.�-�-- � '�.� OWNER ��ti r��� I1't.�.('_�f,i CONTR. l�"L�.e-GLc�...�. � �� TELEPHONE N0. G� �Z - �y �' �- %�� � 5� a ��ON ..�i4�t �tz�,y� � OOTING 11 MEC�NICAL RI 1i EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 `'i 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � � � f�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor 't : Inspector. White Copyllnspector's File - Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION OOTI���7 SCHEDULED �� �% � PERMIT NO. COMPLEfED ADDRESS �32cS CS �� OWNER CONTR./���=�� �� TELEPHONE NO.__ ��2 8c�1 7' QD O.S. � DESCRIPTION T/ � v � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA G/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANOS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINL 21 COMPUUNT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a j 0 �. � 0 � W � Q � z W W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'NERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL HETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe nex inspection 24 hours in advance. (952) 249-4600 OwnerlContracto i : Inspector. White Copyllnspector's File Canary Copy/SNe Notice o�`�'�� �/ DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED ` -� //%o� PERMIT N0. � COMPLETED , ADDRESS- ��� -s D�� OWNER CONTR. �l�`d.L.� ��i� TELEPHONE NO. �P�7� U� 7 7 OD � � DESCRIPTION r�� - � �C�"��.- � 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/PILLING 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 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES 1�NO � COMMENTS: � ` � a j 0 � 0 � W � Q � W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY V BEFORECOYERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next�nspection 24 hours in advance. (952) 249-4600 OwnedCon on i e: Inspector. � White CopyAnspector's File Canary CopylSite Notfce