HomeMy WebLinkAbout2006-P09999 - garage attached PERMIT
CITY C�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09999
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 7/26/2006
SITE ADDRESS: 760 Brown Rd S Unit#
Wayzata,MN 55391
P��� 03-117-23-43-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Garage-Attached
DETAILS:
Approved perresolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: 7ay OWNER: Mr. &Mrs.Browne
11730 Braddock Ave 760 Brown Rd S
Watertown,MN 55388 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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AP IC T 1 SI ATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ �.X. (� C-�.-{� Date Received:
Entered By: ^'S1�vt�. Permit#: Ip U�
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C�� , ` CITY OF ORONO — BUILDING PERMIT APPLICATION
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G- All information must be submitted in full before plan review will be started.
(plecase pf•int all infor•mation)
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THE APPLICANT IS: (circle oize) OWNER O �ONTRACTOR
�
JOB SITE ADDRESS: ?(,[��� �,,��,v,� ��� ZIP: — `-
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event permit is reguired with Police Departnzenl and Ciry Cou�cil approval
GO days pr�ior�to t/ze ever�t. Shzrttle bus service wi/1 be rec�uired ainless applicarzt der�zonstrates
sa fficient on-site par/cing is availab[e. Non-permitted events will not be allolved,
NAME OF OWNER: � � (C�''_� � "� PHONE: (home}r-f���-�/7� "—�1.-Z`� 7
/ (work)
MAILING ADDRESS:7,�� S R,��w� CZ�� CITY:(��✓�� :�li ZIP: ���
CONTRACTOR: ��-e✓��v�c� a-�e-�0�'t � � PHONE:� l.2 7`� 95 y5
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: j���/'�� �o c � ,�-c� CITY: i�;,-�-c"�'t� wZ�P: ��`.�"
5TATE LICENSE: #�d,� ��3 Q�/ EXPIRATION DATE: � -7
ARCHITECT/ENGINEER: /v � � L PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition �_ Accessory Structure
Move Home Remodel,Alteration (ie: Siding, Windows)
Rny earth movement may require MCWD review and permits !
PROPOSED WOI�K(describe i�i detain: � r"�� Cy;c� �f�Cl�F S �- c� ��
C:l T-r'C�C �"�G f
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE ST�LLS: ATTACHED� DETACHED_
�; -,�-, c�,c�
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 wlderstand this is not a permit and work is not to sr.art without a permit;and that the work will be
in accordance with the approved plan. � ' ,� /,
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APPLICANT'SSIGNATU ' .� � �, DATE: (�j— lb- �'b
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Sec.13A4 R[GHTS OF SUBJECTS OF DATA
Subd. i. 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.Z. Information required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be
informed oE (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 identiry ofoNler 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 ma�place the notice required under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is d�e subject of
stored data on individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual who is the suUject of
stored private or public data on individuals shall be shown the daca without any charge to him and,if he desi�es,shall be informed ofthe content and
meaning of that data. After an individual has been sho�vn the private data and informed of its meaning,tlle 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 ofthe private or public data upon request by the individual subject ofNle data. The responsibie authoriry
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,eacluding Saturdays,Sundays and Iegal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shal I so inform die individual,and may have an additional tive days within which to comply with the request,excluding Saturdays,
Sw�days and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contestthe accuracy or completeness oCpublic or private data
conceming himself. To ecercise this right,an individual shall notify in�vriting the responsible authority describing the nature ofthe disagreemen[. The
responsible authority shall��ithin 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(icense from the City of Orono or any of its departments may require you to furnish ceitain private or
confidential information.
You are notified that:
l. The information you furnish will be used to detennine 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 ree�uested permit or license requires Council action to approve, some inforrnation may become
public.
5. You have certain rights under NLS. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First ��liddlc L:tst
rlddress
Citv State Zip Phone
I understancl.ujy ri�ts as stak abo e.
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Signatyrt �
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Reset Form ��
CHEC�K OFF LIST FOR ISSUANCE OF PERIVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��o� 3ro �s � �� ' S � -
PID:
DESCRI�TION OF WORK:
---------------------------------------��------
------ --- -------- —__ ----�-�=-7r------- r / �
ZONING REVIE�V BY: ` DATE APPROVED: CG�� "'J�G
BU]ZDING REVIEtiV BY:
' DAT'E APPROVED: 6 - 1� -0�
F'EES TO BE CHARGED: / Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEtiV � Yes �� No SEtiVER CONNECTION
STATE SURCHARGE Yes V'. No tiVATERCONNECTION
INVESTIGATION FEE Yes No _�' /PARK FEE
SAC Yes No �/ SITEINSPECTION
Number of SAC Units OTHER (speci£y)
------------- ---
---------------------------------�*---------(--'-- -
ZONii�tG CH�CK LIST Zoning Districr. � `--�`---' � f-f
Fire Department: Post Office: School District:
, �;.� r�?; j � � �: -�:
� ....
Lot Area: Sq.ft. ������-J Acres Width ' �' Depch
Survey Submitted: Yes I�fo Date of Survey:
Proposed Setbac / �ti'���Z�? � � � .
Froa (Lake • 2� Rioht Side: � �� �
G /
Rear(Street): � 1 Left Side:
Adjacent Stnscniret: i4-�ci�-�U� Wetland: C� J�
Builclin� Height: Def. Hgc. O- � Feak Hgt. --
{ :
Lot Covera�e: . � � � "'')`��t�s� �-_�
Grading: Staff Approval Date: �� C�2�u� By: Council Approval Date:
Szptic: Staff Approval Date: � (� By: � �r-
Zoaing File: {t oS-3��� Resolution: # Resolution Date:
� ��� t I ,� �/ �r r r � F �� Q �_..,
Shoreland Distric[: �..- t� ��
Avg. Secback: Bluff Setback: I.ot Covera�e:
E�istin� Proposed
� Hardcover: d-75' 2"i�H �'' '�'��
��/ 6�'�"jd �� 7�-250' Sr 7_`', C,, Zt'' �
U��" ' 2�0-500'
500-1000'
H��dco��er Variznce Requi;ed: Yes �' No Da�e of CotLncil Approval: C� Z7�l,'����
FE�L4RKS (in house):
BUII�DING REVIEtiy CFiECK LIST
�C: `� 3 CONSTRUCTION TXPE: �rJ
Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _
2nd F1oor x =
Garage X =
x =
TOTAL
Estimated Coastruction Value: $_��p�°J
Inspections Required: �Vork Requiring Separate Pecmits:
S ue Plumbing Fire
Hardcover Removal Mechanzcal Water Connectio❑
,� Footing ` Septic Sewer Coanection
� Framing Fireplace Lawn Irrigation
Insutacion (Masonry) Other
Wa11 Boazd (Mfg.) Well (Scate Permit)
� F�� Grading/Filling _�C Electrical (State Permit)
O cher
REMARKS (IN�-IOUSE): - - ---
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REV�W BX OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By;
------------------
REI�LARKS (TO BE NOTED ON PERitiIIT}:
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DATE TIME - /
CITY OF ORONO CALLED IN ��
INSPECTION N TIC Q SCHEDULED I` -��o- o /�D.'30
PERMIT NO. �D �/ COMPLETED
ADDRESS %s�- L�rU�-✓J�J ��D S� ?
OWNER //..a✓') CONTR.
TELEPHONE NO.
� DESCRIPTION CS"�/A� AC�r �/LJ
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �''!�F�. �3 C.� S�v�,aJ/ CrA/A /'�'e �
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W� ORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE
� ��ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O G CORRECT WO ALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ,�
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46Qd
OwnerlContractor on�5ite: � ^ .--� -
r:
Inspector. �{-� � �/ -� ���-
White Copyllnspector's File Canary CopylSite Notice
DATE TIME `�
CITY OF ORONO CALLED IN
INSPECTION N Gj C� SCHEDULED
PERMIT NO. � /� l COMPLETED � �� .3�
ADDRESS ��a�"�i b� �d��J �� S •
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION
��� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORKSATISFACTORY:PROCEED f� PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on 't� e: �
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Inspector. �i��
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