HomeMy WebLinkAbout2002-P05081 - barn PERMIT
CITY Or ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05081
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 5/7/2002
SITE ADDRESS: 3415 Watertown Rd
Long Lake,MN 55356
PID: 32-118-23-44-0011
DESCRIPTION: UBC Occupancy U1
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 328
Permit Type: Accessory Structures Permit Sub-type(s): Barn
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 41.80
Valuation: $ 1,080.00
Plan Review Fee: $ 27.16
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 70.01
APPLICANT: Owner/Self OWNER: Ward&Mary Ferrell
MN 3415 Watertown Rd
Long Lake MN 55356
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.
AP LICANT ERMITEE SIGNATURE ISSAD BY SIGNATURE
Conies: 1-File(Sienitures Required). 1-Applicant, 1-Month1y Reports. 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received:
'Entered By: pp Permit#: 772 7 70-
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) NER R CONTRACTOR
JOB SITE ADDRESS: ZIP:
NAME OF OWNER: SPHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): !P`"j �� zy,411W
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ v�
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: 0DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
i
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 nlace the notice required under this subdivision in the individual income tax or uronerty 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 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 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signa e
6
r
i
BUILDING REVIEW CHECK LIST
UBC: U- ( CONSTRUCTION TYPE: �N
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
S14%co 2-140 x S•o G =
TOTAL
Estimated Construction Value: $ /, 0 8 0
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
y Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
G Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------
REMARKS (TO BE NOTED ON PERMIT:
8
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: -2-41's w�A�2'row�1 l�Odd
PID:
DESCRIPTION OF WORK:
-----------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: V-3v-o 2-
BUILDING
BUILDING REVIEW BY: DATE APPROVED: 4-3 o -o
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ci No WATER CONNECTION
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. $lioSU Acres I-9rt Width 21tp Depth 7(! *4-,
Survey Submitted: Yes 0,- No Date of Survey: pnr r'i c,Z
Proposed Setbacks:
Front(Lake): 080 + Right Side: ?oo' +
Rear(Street): Ito , + Left Side: 50` +
Adjacent Structures: lot + Wetland: A14A
Building Height: Def. Hgt. 6.lc Peak Hgt.
Lot Coverage: —^JtA
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: AN
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
-F.-9 Impost
L Y
ry
ro
sou
11?0' �\
CITY OF ORONO
64 SITE PIAN GRADING PIAN ^�
APPR0VP0 /L x 1 Sa SfF�� i � g9.yl'It
C , ?PR�)'vED WiT REVISIONS
DISAPPRO "-D
p
BY ? �K
t� t' r
DATE Y- -o i t,,;' .Pit a
Per` 0
+) /cW.
•�
GfS
4.0
MIN I "1 .7qA '°ti��
.Z>:U
I
til
f-- /yo
90 ,e t
/.7?8.0'
Sou�Li /,nr of enc _I°�'
3.2-6
:s a true and correct representation of a survey of the east, south and west boundaries of that p,�
North , Range 23 West, described as follows:
i the South line of said Southeast quarter, 1088 feet West of the Southeast corner thereof; thence
�t; thence North at right angles to said South line of the public road; thence Southeasterly along
.h a line drawn North through the point of beginning at right angles to the South line of said Sou
.o the point of beginning: 'Also,
the South line of said Southeast quarter. 1228 feer wart of th-
CITY OF ORONO
!c- PP 0 1 T P, tN REV!EW ORONO COPY
I T;-It U,'S AS INOTED Clv'Lcl-t-0 z-T�nK
.-jr AP
The!-�comwnrt3 fri)!or yci.,r iiniormatioin, %i vivk sha01 be dong
In 1�i curnplianm with ail app!ic,,lj;a tulid:rg ind zoning nde.
Req::,,mans ir.-,Iudirg items not specifical;y rated in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES
71
0c:
Aj V'l
44 1 Al 32," 0 -C
-2
4X l
4-
fw4rT