HomeMy WebLinkAbout2001-P04467 (accessory structure) Cfi"Y OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po446�
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: �oiiai2oo�
SITE ADDRESS: 4485 Bayside Rd
Maple Plain,MN 55359
PID: 06-117-23-21-0003
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 328
Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required: �,iecnicai(srate�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation• $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.03
APPLICANT: Structral Builders, Inc. OWNER: Joseph Haus
12926 First Street 4485 Bayside Rd
Becker, MN 55308 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.
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AP LICANT PERMITEE SIGNATURE IS ED BY SIGNATURE
Covies: 1-File(Si�nitures Repuired),1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
Total Fee: $ �C�`7` - ��� Date Received: %�-Y- �'%
���� Entered By: �� Permit#: �}o ��/��7
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I ��n''��� CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICA��iT IS: (circle one) WNE 'O ONTRACTOR
JOB SITE ADDRESS: �i� I�'J .!Y � � � ZIP: � ^ �c
NA.�IE OF O`VNER: �;.-� No�.us PHONE: (riome) y.5� y%50�1�
: n,� (work) E 1�.? 7Y � •�G:.4:, ��
NIAILING ADDRESS: �-}y ��) :�y S�c,k';� ��� CITY:� , ' ZIP: ; �`.
,
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CO\�'Rr�iCTOR: S�i�.sc_IQ_�i- �,:�,��,� � �},,.� PHONE: ��(�-�- .�(�: � ' '-IISb
CO\�T'ACT PERSON: ' �,� t� NIOBILE/P�iGER:
�ZaiILING ADDRESS: l�-���� 1 . � S T� CITY: ��c o.c iz ZIP: l� _�3v�
ST�iTE LICENSE: # j�-I�j -�
ARC�IITECT/ENGni 1EER: PH0�1E:
�IAII.ING ADDRESS: CITY: ZIP:
NA.IZE: REGISTR.ATION#
TYPE OF WORK: New Addition Accessory Structure (
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: ���'jkt��� �� ����/(i� r�+�. ���� ly
'(� �.
�cc�Ss;;�1'Y ��(i ILYi-'!9 `��' S ja,^��`i�' L� o�r I�c�✓or.0 /19C�cyl f�r/BL�/��� C � vr�rr-r_�.
_—T i
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�SS: GARAGE STALLS: ATT. DET.
ESTLtiIATED CONSTRUCTION VALUATION (excluding land): $, / � �� ,, �%c_�
I hereby apply for a buildin� 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 Buildin� Code; that I understand this is not a permit and work is not to start without a
perm.it; and that the work wilI be in accordance with ,plan.
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APPLICA��1T'S SIGNATURE: �� �( . ��ATE: ���G 1/ Q �
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NOTE! Parade o Homes events require separate permit approval by Police Depariment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SLJB,TECTS OF DATA
Subd. 1. Type oF data. The righcs of individual on whom the data is stored or to be stored shall be as set fotth in this se:aon.
Subd.2. Information required to be given individual. An individual asked to s�pply private or confidencial data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide
rystem;(b)whe�her he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or
refusing to supply private or confidenaal dara;and(d)the idenuty of other persons or enades au[horized by snte or federal law to receive che 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 revertue mav place the norice reauired under this subdivision in chz individual income taz or orooercv et refund
instrucrions mstead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his funher request,an individual who
is the subject of stored private or public data on individuals shall be shown the data wi[hout any char�e to him and, if he desires, shall fx informed
of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning, the data need not be
disclosed to him for six monrhs thereafter unless a dispute or action pursuant to this secrion is pending or addirional data on che individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of�he data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying, and compiling che copies.
The responsibfe authoriry shall comply immediarely,if possible,with any request made pursuant to this subdivision, or within five days
of the date of[he request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request wirlun that cime, he shafl so inform the individual,and may have an addirional five days wichin which to comply with the request,
excluding Santrdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or
private da[a conceming himself. To ezercise this right,an individual shall notify in writing the responsible auchoriry describing the naaire of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to lx inaccurate or incompiete and attempt co nocify
pasc recipiencs of inaccurate or incomplete dara,including recipients named by the individual;or(b)norify the individual that he believes che data
co be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administraove procedure x:t relaan;
to contested cases.
DATA PRIVACY ADVISORY
In accordance with N1.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.
�. 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 Middlt Last
Address
C��' State Zip Phone
I understand my right sta 9d above.
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Signa
.
6
CHECK OFF LIST FOR ISSUr��TCE OF PERiI�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y y g� ,Q A y s��c:� ���
PID:
DESCRIPTION OF WORK: �4 cLes so� �c.Y>�
Z0�.�1T�1i G REVIEW BY: DATE APPROVED: � r� -�7-v�
BUILDING REV�W BY: DATE APPROVED: �d-r� •o�
FEES TO BE CHARGED: N1isc. Fees Calculated By:
PERVIIT Yes t/ No
pLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONi�TECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------ -------- ------- --
ZO��ING CHECK LIST Zoning District: (�(�� I�
Fire Department: /Yl.P Post Office: /'� P School District:
Lot Area: Sq.fr. /1� C I-t�9r�,ft Acres — Width �' Depth —
Survey Submitted: Yes oC No Date of Survey: �O-26• ��
Proposed Setbacks: �
Front (Lake): �3�- Right Side: 3Z. -4-
Rear (Street): 6Q0� f Left Side: �'{� �
Adjacent Structures: �?� Wetland: /V/�
Buildin; HeiQht: Def. Hgt. I Z Peak Hgt. f �1
Lot Covera�e: N /�
Gradin;: Staff Approval Da[e: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # 2��'-( Resolution: # `I�Y 6 Resolution Date: �(9 •Z 3-d a
Shoreland District: ��
Av�. Setback: Bluff Setback: Lot�overage:
Existing Proposed
Hardcover: 0-7�'
7�-2�0'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REl�1ARKS (in house)•
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BUILDII�TG REVIEW CHECK LIST
�C: v"► CONSTRUCTION TYPE: �6/J
Sq Foo[age $ Per Sq Ftg
Basement R =
lst Floor R =
2nd Floor x =
Garage R =
R =
TOTAL
Estimated Construction Value: $ I U ,�u o `�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_r� Footing Septic Sewer Connection
_�Framin� Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
_�F�� Grading/Filling _ p�Electrical (State Permit)
O[her
REMARKS(IN HOUSE): �� �
---------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existin� New
Access Approval: Date BY;
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REVIARKS (TO BE NOTED ON PERNII�: EX c s riN! !Z x�> d(.t�G �vST
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Vented Soffit � � � � � �',
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Manufactured Attic Truss
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2x4 side girts(typ)
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W E S T E N D E L E VAT I O N BU�LDING F�11T P� �� REVIEW
INShFCTOR
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1- 2 -2538 0.0� 0.0� 0.04 2x6 3PF 1650P-1.SC 1,4 Joint Detaii ReporG xm�at be inc2uded 1) C- 0- 0 7) 2G- 0- D 13� 20- a-12 � 0
2- 3 -2997 0.0! p,p9 0.18 8pT c]IOR�Sa 2x10 SP 2250E-1_9E hith any au�:ttal, Snepecticn, and/or 2) I- 6- 0 8) 22- 6- 0 141 3- 9- 4 �
3- 4 -1973 O,Q; O,ZI 0.31 S1SB9: 2x4 9PF 6T112m (N) fabrtcation doc�nantation. 3� 4- 0- 0 9) 24- 0- 0 L51 3- 0- 0 I
4- 5 -b59 0,0f D,18 0.16 2x6 SPF 165UP-1.3C 3.4 ZYves ae�yRea w_tr, 4U.D �f Live Load in 4Y 20- 0- 4 10) 24- 0- 0 16! 1- 6- 0 - o
5- 6 -708 0�0( D,06 0.06 �.�RJLTIPLB LC1AD8 -- Th.ia design is l.he Eo� area. 5) ]a- C- 0 1]) 22- 6- 0 17} 0- 0- 0 �
6- 7 -1773 O,Gf 0,12 0.12 co�osite reault of awltlple lo�ds. All Ctl�R8S6I0M Chords are asa�mied to be 6) 23-11-12 12) 21- 0- 0 �
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7- B -2997 G.0? O�D9 O.la 29U( 2,ZYS LOAD DSPL6CPIONi contiauauely braced un2eas noted othen+ise.
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5-14 136Z 0.0� 0.37 0.40 BC Vert L+D -20 20- 2-12 -2D 24- 0- 0 �
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.2-11 13BZ O,OS 0.18 0.23 BC Vezt L+D -160 20- 2-12
:1-10 135b 0.0! 0.01 0.06 ----2�}C. RHACFIONS ASR ABARING ILx'ATION----- 3
i�B HORCE V7Q3 FORCS X0�2- 0 2258 Hnr10 �lOftBOT� PI�
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91 SB9IYOnofrto 7M��t,Modlaoii,lY{scwt�ln 5$7 f8i• ki wlnA or p�ryx loads,pm1x1 specffl�{(ona�npeofnl appllM 6.iada. S.PACING: ZC.Q" Seqn:08.16.00-
I��'� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�✓��(fj-�sCHEDULED .. � __�
PERMIT NO. � 7�'�COMPLETED Q"���-- 3��
ADDRESS�,� � � �f C�C,P
OWNER � � f—/C�.�t�t-d-e-- CONTR.
TELEPHONE NO. _ C� �� — ��-I � ' ��/�i �
� DESCRIPTION �<� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA� GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO YES_NO
� COMMENTS:
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� .�IORK SATISFACTORY:PROCEED ,�iOJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnedContrac o n site:
Inspector. ��� �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE /� SCHEDULED ���� /C�<<'G/�-�'f1
PERMIT N0. U Uyl� 7 COMPLETED CjI �G� �U
ADDRESS yyif.� ..i S`�C�o -
OWNER_���5 CONTR.S�7^(✓r'k"�-�-t-( f3 l�r s.
TELEPHONE NO. �GJO •5..5�5- �' 7v�o-
� PTION ��i r/ "VL�.�
Ot FO 17 MEC NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
`� 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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DATE TIME
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z0 12 WATER HOOK-UP 17 SITE INSPECTION
c05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES NO
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Inspector.
White Copyllnspector's File Canary Copy/Site Notice