HomeMy WebLinkAbout2003 - P06275 - detached garage PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06275
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 5/12/2003
SITE ADDRESS: 2450 Woodhaven Dr
Long Lake,MN 55356
PID: 33-118-23-41-0005
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25
Valuation: $ 6,000.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 210.13
APPLICANT: Owner/Self OWNER: Kim&Bonnie Walter
MN 2450 Woodhaven Dr
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.
C 01711/X)
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessine, 1-Finance Page 1
mu-
Total Fee: $ :72/0. /3 Date Received: � /03
Entered By: 641e— Permit #: Z. 76
AP CITY OF ORONO - BUILDING PERMIT APPLICATION
4 �� All information must be submitted in full before plan review will be started.
�\ (please print all information)
THE APPLICANT IS: (circle one) ( I3)JR CONTRACTOR
JOB SITE ADDRESS: 2.4 D ZIP: S
NAME OF OWNER: \ !\ (, 121 )3 PHONE: (home)CI�"-�Z i5 7
(work) L 2_ le7j 'W
MAILING ADDRESS: 711-q) WtaDOPcliYb l OCITY: Cs () ZIP: 55
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):
-0-POZPee, -�1�2 Vs.t `U�.�- O't'-L O --
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
1"991�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ D
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 acco ince with the approved plan.
APPLICANT'S SIGNATURE: DATE: ) 03
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.
9
T-11'
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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 lmv
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 ofpublic 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 datafound to be inaccurate or incomplete and attempt to notes
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notifii 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 requestfor 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:
I. 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(see following page)to review private data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
.kms
First Middle Last
' cDoi ��-
Address
0\1013 nO. I n
City State Zip Phone
I understand my rights as stated above.
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2Ll S o w o o t-i-w vi i 41012
PID:
DESCRIPTION OF WORK: (J e--1-. G fA R A 6 t -Z r 3S•S
ZONING REVIEW BY: 4) , � DATE APPROVED: S- 12 • °3
BUILDING REVIEW BY: It Alp . DATE APPROVED: s Z 03
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes V No SEWER CONNECTION
STATE SURCHARGE Yes // 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. q 3,-)o7 Acres 2.1 Width Z ti S Depth 3 152- y g
Survey Submitted: Yes 5c- No Date of Survey: /
Proposed Setbacks:
Front(bake): 32M.4l p, Right Side: (.0
Rear(Sheet): 3 0. Left Side: /1i •)
Adjacent Structures: i 7.0 4- Wetland: N(R
Building Height: Def. Hgt. o.( . Peak Hgt. —
Lot Coverage: N/+4
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: 1Vo
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: •..f A.1
Sq Footage $Per Sq Ftg
Basement x
1st Floor x _
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ (0,0 OJ 44
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
p< 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:
REMARKS (TO BE NOTED ON PERMIT):
•
•
8
• •
‘ ,
URU11
Certificate of Survey
1111$ ITEM HAS BEEN
for Lute aore11 MICRFof Lot 2Sloct 1, :,averir.z's ,cca•:er. y
ennepin County, M-ir_ escto
Ea s-71 1s5 04'
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DATE_ _s Z_0 3 ---- Z �_ -
—(D U2 iS < ,000 Si .T
C dra;rage
- wh5 6111 oN Ner,"6400J, ,ii;r,, casd.,e,./
P,w , 3'45— w r l(o .s d2 N — —La 265.00
drg-7 -0; _ _
it ,?Y43 1
- (&„,kci W i LAg3r 1-1 Cer✓ST. oaf/of A s1
I hereby certify that this is a true and correct rerresert tion of a
survey of the boundaries of L,ot 2, .riocn 1, _,ev6rir.5'.. ccs aL'er., t:-.9.
location of all existing builcin`s, if any, thereon, and the proposed
lccaticn `,f a prcr,osed building. It .foes not purport r,n snow other
ir-creve ent: or encroachment?.
Scale: 1” = 100'. .G�oraer. R. Coffin Reg. ..o. 6C64 -
_._ sand Surve ----'or and Planner -` - - _
Date _. 1-5-81-
o _= Iron marker Long Lake, Minnesota - -- ----
DATE TIME
CITY OF ORONO CALLED IN • >
INSPECTION NOTIC SCHEDULED 5- �7 -03 c ?4.,>�4
PERMIT NO. 190 U7c 2 7S COMPLETED l
ADDRESS -->N O G ((&(-e/I L)4?
OWNER JCS/14 ,.( r vG���S CONTR. 071, �(
TELEPHONE NO. / Imo` 3 67 30
D ' ' ON
W 11 FOOTIN 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
02 "v •ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES 1,4;
c.)• COMMENTS:
cc
W
cc
O
cc
W
cc
Q
W
cc
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
• ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
p 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑
0 CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractoit sitfr:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
(ope-f\)
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7—/7—/ti 0112-"---1
PERMIT NO. l [A 7 r COMPLETED
ADDRESS ' 25/5"..-0 GvD
LC�Cc-�� CONTR.
TELEPHONE- NO. 952- 97c-
DESCRIPTION � �
t 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Cl) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 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
▪ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
t.,• COMMENTS:
CC
CC
O
CC
LL
W
CC
LU
W
CC
/ORK SATISFACTORY:PROCEED ROJECT COMPLETE
W
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oti BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract ite:
Inspector.
White CopylInspector's iie Canary Copy/Site Notice
D/L O .24 , �. (OR
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sdz CLLSS '
DAT_Eq _ TIME D.0.8.
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L� � 15Oc7 7—/ — S-51
DRIVER
5® u�l�LYf jA ✓ET/ 2
CITY
M STATE
MAEHICLE LIC. NO.
LOCATION O �® /AUC/'-'
NOTIFICATION OF h
ILLEGAL EQUIPMENT TRAFFIC
1 Illegal Brakes 1 Park on Highway
2 One Headlight Out 2 Park -No Lights
3 Lights out of Adj. 3 Park-Wrong Side
4 Insufficient Light 4 Thru Stop Sign
5 Windshield 5 Pass On Hill
6 Rear Lamp Not Lighted 6 Pass in Curve
7 Horn 7 Over Center Line
8 Licenses Plates 8 In Wrong Lane
9 License Plate Light 9 No Signal- R Turn
10 Rear Vision Mirror 10 No Signal- L Turn
11 Exhaust Not Muffled 11 No Signal -Stop
12 Front Bumper 12 Illegal Speed
13 Windshield Wipers 13 Cut in on Pass
14 Turn Signals 14 D/L not in Poss.
15 White Light to Rear 15 D/L Expired
16 Automatic Semaphore
0 You have violated the law by operating your vehicle ille-
gally equipped as indicated by the (X) mark which must
be corrected within 72 hours. Have the reverse side of this
card signed by a Police Officer or garage after he verifies
the correction and mail or deliver to address on reverse
side. TO AVOID ARREST THIS EQUIPMENT MUST BE
CORRECTED WITHIN 72 HOURS
ORDINANCES—WARNING
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BADGE NUMB 1 ZONE J71
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