HomeMy WebLinkAbout2004-P07684 - storage building PERMIT
CITY OF ORONO Permit Number:
2750,Kelley Parkway- PO Box 66 P07684
Crystal Bay, Minnesota 55323 Permit Type: Accessory structures
(952) 249-4600 Date Issued: 7/23/2004
SITE ADDRESS: 3745 Togo Rd
Wayzata,MN 55391
PID: 17-117-23-31-0046
DESCRIPTION: UBC Occupancy Ul
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 437
Permit Type: Accessory Structures Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 50.95 Valuation: $ 1,397.46
State Surcharge Fee: $ 1.20
.TOTAL FEES
APPLICANT: Owner/Self OWNER: Gerald Mackey
MN _: :. -3745 Togo Rd - .. . .
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.
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APPLICANT PERMITEE SIGNA ISSUED BY SIGNATURE
Conies: 1-File(Siknitures Reauired). 1-Applicant, 1-Monthlv Reports. 1-Assessine. 1-Finance Page 1
L 1 /
Total Fee: $ ij2' 2 2 Date Received: fiy -7Co 8 ct
Entered By: \ ,,,t', Permit#: 4;P, —7/ -7 /ay
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �� -� 504-C� ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes Q No If yes, a special event permit is required with Police Department and City
Council approval 60 days prior to the event. Non permitted events will not
be allowed.
NAME OF OWNER: E MAC IKC- PHONE: (home)
_ (work)
MAILING ADDRESS: -57q-6 logo f of CITY:WAVZ� MIV ZIP: 5,504/
CONTRACTOR: se Z,�f PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Accessory Structure
Addition Move
Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): "'i L.j J.,jq_
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /-5q'7, y�p
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 work is not to start without a permit; and that the work will be in accordance with
the approved plan.
APPLICANT'S SIGNATURE: (._ DATE: _ Q
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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 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 requestwithin
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 or permit.
,flL7 -, Oand MAOn<V,
First Middle Last
3145 "Toio I��a
Address
W� Y-Y]AJ ss��i 9�a -471- ci88 ?
City State Zip Phone
I understand my rights as stated above. f�
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 37 y S 17-D6 o 12o/-
PID:
DESCRIPTION OF WORK: S F{
ZONING REVIEW BY: DATE APPROVED: -?- Z z
BUILDING REVIEW BY: DATE APPROVED: -7 . ZZ-oy.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes k` No Date of Survey: 01&3
Proposed Setbacks:
Front(Lake): Right Side: 5 Z
Rear (Street): Left Side:
Adjacent Structures: N Wetland: N14
Building Height: Def. Hgt. 0-K-- Peak Hat.
Lot Coveraae: p rl
Grading: Staff Approval Date: ^J 119 By: Council Approval Date:
Septic: Staff Approval Date: .4/1 q. By:
Zoning File: # Resolution: # — Resolution Date:
Shoreland District: /V o
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: U—( CONSTRUCTION TYPE: \j N
_ Sq Footage $Per Sq Ftg
Basement _
1st Floor x _
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
_ Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
__ _- _____-----------------____-----------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------- ------------------------------------------------------------
REAIA,RKS) (TO BE NOTED ON PERIIM):
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CITY 0ORONO
x SITE PLAN __I__ GRADING PLAN
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❑ DISAPP OVPn
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PICKING LIST - GUEST COPY
STORE#3027 GOLD PHONE: (763)541-9300 CASHIER - PRESS RECALL TRANS GOLD 73788
6800 WAYZATA BLVD FAX: (763)541-1347
GOLDEN VALLEY MN 55426 AND SCAN BARCODE
CASHIER: PAGE I OF I GUEST NAME-ADDRESS-PHONE
GUEST
PLEASE STAPLE 6800 WAYZATA BLVD
SOLD BY: clh GOLDEN VALLEY, MN 55426
DATE: 07/01/04
RECEIPT HERE.
Ph: (763) 525-5564
UANTITY DESCRIPTION SKU NUMBER UNIT PRICE EXTENDED PRICE
3 EACH PATRIOT WHITE VINYL BSMT WINDOW 32X14 403-4904 51.99 155.97
4
4
i
This is a quote valid today.This quote becomes a yard picking list upon payment.
Guest Instructions: PRE-TAX TOTAL: 155.97
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup,please verify all quantities/items being
signed for. Menards is not responsible for shortages after leaving the yard.)
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE
* PICKING LIST - GUEST COPY
STORE#3027 GOLD PHONE: (763)541-9300 CASHIER - PRESS RECALL TRANS GOLD 73781
6800 WAYZATA BLVD FAX:(763)541-1347 II"IIII�II'llllllll'II�I'lll�lll'I
GOLDEN VALLEY MN 55426 AND SCAN BARCODE _>
CASHIER: PAGE 1 OF 2 GUEST NAME-ADDRESS-PHONE
MACKEY, GERALD
PLEASE STAPLE 3745 TOGO RD
SOLD BY: BW Wayzata, MN 55391
DATE: 07/01/04
RECEIPT HERE. Ph: (952) 471-9887
UANTITY DESCRIPTION SKU NUMBER UNIT PRICE EXTENDED PRICE
1 DELIVERY FEE 39.95 39.95
DELIVERY CHG ZONE A 1-15 M
1 HANDLING FEE 0.00 0.00
41X8' HANDLING EXPENSE ON DRIVEWAY 5 @ .00
41X8' HANDLING EXPENSE ON DRIVEWAY 6 @ .00
41X8' HANDLING EXPENSE ON DRIVEWAY 12 @ .00
12 EACH 2X4X7' SPF CONSTRUCTION STUD 102-1088 2.05 24.60
4 EACH 2X4X8' STUD/#2+BTR SPF CONSTR LUMBER 102-1101 2.67 10.68
1 EACH 2X4-12' #2+BTR SPF CONST LUMBER 102-1127 4.27 4.27
2 EACH 1X4-71" #3 STANDARD BD APPROX LENGTH 103-1007 1.46 2 .92
7 EACH 1X4-8' #3 STANDARD BD 103-1010 1.95 13 .65
5 EACH 1X4-14' #3 STANDARD BD 103-1049 3.49 17.45
4 EACH 1X6-71" #3 STANDARD BD APPROX LENGTH 103-1104 2.22 8.88
4 EACH 1X6-14' #3 STANDARD BD 103-1146 4.99 19.96
4 EACH 1X2X8' FURRING STRIP S4S PINE/SPRUCE 103-1515 0.97 3.88
4 EACH 2X4-14' AC2 TREATED AG ARSENIC FREE LW 111-0847 6.89 27.56
5 EACH 3/411 (23/32) 41X8' AC2 TRPLYWD GC PAD 123-5090 37.97 189.85
This is a quote valid today.This quote becomes a yard picking list upon payment.
Guest Instructions: PRE-TAX TOTAL: (CONTINUED)
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup,please verify all quantities/items being
signed for.Menards is not responsible for shortages after leaving the yard.)
I
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE
PICKING LIST - GUEST COPY
STORE#3027 GOLD PHONE: (7 3)541-9300 CASHIER- PRESS RECALL TRANS GOLD 73781
6800A BLVD FAX:(763)541-1347 AND SCAN BARCODE => IIINIIIIIIIIIIIIIIIIIIIIII IIIIIIII
GOLDENEN VALLEY MN 55426
CASHIER' PAGE 2 OF 2 GUEST NAME-ADDRESS-PHONE
MACKEY, GERALD
PLEASE STAPLE 3745 TOGO RD
SOLD BY: BW Wayzata, MN 55391
RECEIPT HERE. DATE: 07/01/04
Ph: (952) 471-9887
UANTITY DESCRIPTION SKU NUMBER UNIT PRICE EXTENDED PRICE
6 EACH 7/16"-41X8' ORIENT STRANDBOARD -WHITE 124-2728 13.99* 83.94
12 EACH 5/8" (19/32) -41X8' PINE 8" OC SIDING 145-.1140 24.88* 298.56
1 EACH #15 FELT UNDERLAYMENT 4 SQUARE 151-1789 11.68 11.68
6 EACH SUPREME FBGLS 25YR ONYX BLACK 151-3004 10.39* 62.34
6 EACH STYLE "D" 10' ROOF EDGE BROWN(ROYAL) 157-2094 2.47 14.82
8 EACH 10' GABLE FRAME EZ BUILD 187-4510 31.49 251.92
1 EACH HASP STAPLE 4-1/2" 75-4579 225-1187 2.54 2.54
6 EACH HINGE 4X4 SQR CORNER ZINCO0077 CD1804S-Z 225-2555 2.99 17.94
1 BOX NAIL 6D GALVANIZED BOX 5 LB BOX 229-5538 3.98 3.98
1 BOX NAIL 8D GALVANIZED BOX 5 LB BOX 229-5554 3.98 3,98
1 BOX NAIL 10D GALVANIZED BOX 5 LB BOX 229-5567 3.98 3.98
1 BOX NAIL 3/4" GALV ROOFING 5 LB BOX 229-5774 3.88 3 .88
1 EACH 10X1-1/211W.SCR PHLP 00228 5/CTN 233-4279 1.98 1.98
This is a quote valid today.This quote becomes a yard picking list upon payment.
Guest Instructions: PRE-TAX TOTAL: 1,125.19
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard,present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup,please verify all quantities/items being
signed for. Menards is not responsible for shortages after leaving the yard.)
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE _> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII