HomeMy WebLinkAbout2003 - P06575 - gazebo PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06575
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 8/11/2003
SITE ADDRESS: 4550 Wolverton P1
Maple Plain,MN 55359
PID: 31-118-23-31-0005
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 329
Permit Type: Accessory Structures Permit Sub-type(s): Gazebo
DETAILS:
Approved per resolution#: 2924
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,800.00
Plan Review Fee: $ 63.18
State Surcharge Fee: $ 2.40
TOTAL FEE: $ 162.83
APPLICANT: Todd Smith OWNER: Mr. &Mrs.James Harstad
22268 206th Street 4550 Wolverton PI
Big Lake,MN 55309 Maple Plain MN 55359
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.
APPLICANT PERMITEE SIGNATURE 4-eC'SSUED BY SIGNATURE
Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1
15
Total Fee: $ .g3 C (70 S�Uate Received:
Entered By: ! I Permit#: /Z Z %e
. 5)l �Tsk eou 7 n L I I I<
CITY OF ORO O - 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) ri : CO y CT•
JOB SITE ADDRESS: 1/5-- 4/04 ,g 7 ZIP:
NAME OF OWNER: J/NK /-f,-',a S A-I) PHONE: (home) ? - 5/7 3-17/5s—
(work)
—17y5S—
(work) "m
MAILING ADDRESS: S O CvV t.t/ rrii1- CITY: U/ ZIP:
CONTRACTOR• PHONE: `V'
CONTACT PERSON: -7rzsht) Sou,.t MOBILE/PAGER: 7G.3.- 6r76-- gfSoZ
MAILING ADDRESS: 572.2-a% � S.„, CITY: Ft6 L/cf-t e ' ZIP:„clEka,
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): C,4Z6-I3o - Fr,vr '-, OFF ( ib(1
•
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: • GARAGE STALLS: ATT. DET.
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 permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNAT L,1 DATE: 7— 2 7 --dj
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
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 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.
Sig -tore
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y s S O c o U L Pc a c-e-
PID:
DESCRIPTION OF WORK: ACcess0ell ske
ZONING REVIEW BY: 7:F DATE APPROVED: -7-3 I - 0 3
BUILDING REVIEW BY: OIP DATE APPROVED: -I.31-0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes No WA[ER 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. ,1W' Acres /0 Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
p Front (Lake): 2251 Right Side: 435 I
Rear (Street): N /R Left Side: 21-(a
Adjacent Structures: 32_4-1 Wetland: N (A
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage: ni k
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # 0 3-2g 2'-( Resolution: # Resolution Date:
Shoreland District: /QC
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): 3U`s 574,./Pc)
7
BUILDING REVIEW CHECK LIST
UBC: v- ' CONSTRUCTION TYPE: VA)
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x
x =
TOTAL
Estimated Construction Value: $ 3,WO `Z°
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)
oL 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
••„, ,
CITY OF ORONO • -
BUILDIN 40- Pi IT PLAN REVIEW
, .
INSPECTOR 4.
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'geq...co.:,,,n.s fl....!-,...,tr,j.:,_-,ts Ft(...i.spernt,c3iiy rt-oted in this.r.e.view..• i ' •
KEEP THIS PLAN SET OWSITE AT ALL TIMES
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�, .� N 89°27' 30" E 673.93
o�� .,� 2 oy o CERTIFICATE OF SURVEY FOR
W,\ -„,
_ JAMES L,AND JULIE R. HARSTAD
a
\...,,, ,.,
DRAINAGE AND OF LOT 1 , BLOCK. 1 , FOXFYRE ESTATES
UTILITY EASEMENTS'' ~
• EXISTING HENNEPIN COUNTY, MINNESOTA
•
GAZEBO
ss UNDER CONSTRUCTION
CITY OF ORONO
x,73 s, X,BLACKTOP DRIVEWAY i( SITE FLAN ___ CF.ir-i�.`-�NG PLAN
U N
11 IQ�
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O o L 4fPPFI[tI C ) ra'l i` rtf, :� 310i$
CA
, ,, BY 1/1 d9_-"------
1
. DATE -7 - -3r -03
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EXISTING..------ '' a 1 I 1393 ---.—_._.......1.
<x7 1393
HOUSE 33.t ....................._._._.._._
r21$:(1,�N ,
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4P,/'1
J N LEGAL DESCRIPTION OF PREMISES
v vs�O3j, Lot 1 , Block 1 , FOXFYRE ESTATES
.4r- r)11/2 o : denotes iron marker
J� , 6
d`/ `SOS
Bearings shown are based upon an assumed datura.
46
• L4 -_- This survey intends to show the boundaries of the
`1 �� R` s above described property, the location of an existing
' 2house, driveway and gazebo under construction thereon.
4-,s3.`-e.00 I t does not purport to show any other
C--12 �3'Op�� WEST 232.88 improvements or encroachments.
DESICi O �� DATE DESORPTION I HEREBY CERTIFY THAT THIS PLAN, SPECFICATION, OR REPORT S E
GRONBERG 8c ASSOCIATES, INC. THAT WAS PREPARED
AEDULY LICENSED PROFESSIONAL CENGI EER AND LAND T SUPERVISION AND 1I_
DRAWN SURVEYOR IIOER TIE LAWS Cr TEE STATE OE M111EESOTA. GATE
ECD I CONSULTING ENGINEERS, LAND SURVEYORS, SITE PLANNERS ��� 7-15-03
445 NORTH WILLOW DRIVE, LONG LAKE, MN. 55356 /3-e-- .1,
i�, /� /
M 952-473-4141 DATE 7'2f3 LICENSE NUMBER X771/' JC6 NO.
03-301
03-301 ,