HomeMy WebLinkAbout2006-P10590 - shed PERMIT
CIT� OF ORONO
2150 Kelley Parkway - PO Box 66 Permit Number: p10590
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 12/20/2006
SITE ADDRESS: 4775 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-22-0019
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 328
Permit Class: Building
Accesso Structures Permit Sub-type(s): Shed
Permit Type: rY
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 57.05 valuation: $ 1,536.00
Plan Review Fee: $ 37.08
State Surcharge Fee: $ 0.80
TOTAL FEE: $ 94.93
APPLICANT: Owner/Self OWNER: Evan Meline
MN 4775 Bayside Rd
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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A PLI IGNATURE IS ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ Date Received: /� -� l� �' �=
Entej-ed By: �� �'L. �2�� Permit#: ,�!} j;�;_:> `t'��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(plecrse p�•i»t a/1 r�nformation)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: �C1Pcle oiie) OWN�R OR CONTRACTOR
5 (
JOB SITE ADDRESS: f ' i�� I�, n ZIP: -J��4J�_
Will this be a Parade of Homes, Remodelers Showcase Home or other Disp(ay Home?
❑ YeS �1�10 If yes, a special event pernrit is reqarired tivrt/7 Police Deparlment and City Coarnci!approval
60 dc�ys pi•ior to tlle eve�rt. Shuttle bus service i�vill be reqzrired unless c�pplicarrt demonstrates
su�cient on-site par/'i�g is a�ailab/e. Non-pern��itted events wil!r�ot be alloia�ed
NAME OT OWN�R: �v�t� � �-�Q PHONE: (home) � ' C� ��
�
(�vork)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ���` PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIY:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Hoi�1e Addition Accessory Strueture
Move Home Remodel/Altecation (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PT���OSEiJ�J4'�1?K(�l�scr�be ae: �letred�: S=t-�wo,� � ,�c�o �,1
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACH�ll
�
ESTIIVIATED CONSTRUCTION VALUATION(excluding land): � � ���—6�
I hereby apply for a buildinff 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 �ulderstand this is��ot a permit nd work is not to start without a�ermit;and that the work��-ill be
in accordance �i�ith the approved plan
APPLICANT'S SIGNATURE: � DATE: l l~ ��� - �
3t
a
Sec.13.Od RIGI[TS 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 contidential data concerning himselfshall be
infonned of: (a}the purpose and intended use of the requested data wi[hin the coliecting state agency,political subdivision,or statewide system;(b)
�vhether he may retLse or is legally required to supply the requested data;(c)airy known consequence arising from his suppiying 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 shal I
not appfy when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a la�v enforcement ofFicer.
The commissioner of revenue ma�lace the notice required imder this subdivision in die individual income tax or property tax refund
instructions instead of on those forms.
Subd.3. Access to data by uidividual. Upon request to a responsible authority,an individual shall be intbmied whether he is the subject of
stored data on individuals,and whether it is classitied as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or public dafa on individuals shall be shown the data���ithout any charge to him and,if he desires,shall be infonned ofthe 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 siz
months thereafter unless a dispute or action pursuant to this section is pending or addi[ional data on the individual has been colfected or created. The
responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible aufhority
may require the requesting person to pay the actual costs of making,certifying,and compil ing the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin tive days oP
die date ofthe request,escluding 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 tive days within which to comply with the request,eacludine Saturdays,
Sundays and legal holidays.
Subd.a. Procedure when data is not accurate or coinplete. An individual may contest the accuracy or completeness of public or private data
concerning himself. To esercise this right,an individual shall notity in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days eid�er. (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 statemenl oCdisagreement is included�aith the disclosed data.
The detennination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relatine 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:
l. The information you furnish will be used to determine your qualification for the permit or license
requested.
_. You may reii�se tv suppl-y data,but ref��sa1 may require that the City dery the perm�t c�license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the perniit 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. Yow�full name is required to process this lpplication or permit.
F���sr nuddi� i.:�sc
aadr�ss
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PERMIT
CITY �F ORONO
2750-Kelley Parkway- PO Box 66 Permit Number: p08875
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 User Defined
Date Issued: 6/22/2005
SITE ADDRESS: 4775 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-22-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu y�
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Excavation for future garage&planter at end of drive
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: Evan Meline
� 4775 Bayside Rd
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.
�
� � �
AN RMITEE NATURE UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
" ,��� City of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received: Perrnit#
O�:ea.,, O 27�0 Keliey Park��ay
� il''J:�:�'. � Cr stal B2 MN 55=2=
�, �.�,�i.,,,. � y y, Antoun[: $ C.U.P Filed:
�'���e����c/ �95����i9-=1GG0
Approved By: �e� Site Plan: �L 2'a�
Recommends: A roval Denial ❑
CITY OF ORONO - USER DEFTNED/GENERAL PERIVIIT
(All pznnits must be approved by thz Building Official and%or Zonine Department)
Job Site/O�«ier I�iforniation:
� �
Site Address: ' �� -
Owner: ��6�'�( Mailin� Address:
City: �r�v � Zip:
Home.Phone: {=-�/Z ���,� ��C(��> Alteniate Phone:
Conh-actor/ Applicant I�ifomiation:
Contractor/App.: ��'� COI1t3Ct PZl'S011:
Address: State License �:
City: Zip: Expiration Date:
Phone: Altei,zate Phone:
TYPES OF USER DEFINED PERNIYTS
❑ Stair���ay to Lalce ❑ Retai�7inQ Walls ❑ Teinporary Trailer
General—User Defined Surchar�e General—User Defined Surcharoe General—Uszr Defined
* (Per UI3C) * (Per UBC) * $30.00
"Estimated Cost: � *Estimated Cost: S
❑ Docks—4?" or Gre�ter .� Land Alteration ❑ ZoninQ Review
General—L's�r Deiined Surciiar�e Gzneral—Us.r Detined General—User Delined
❑ Conunercial—(Per UEC) � 0-�00 Cubic Yards *ForO-75'Zone-�30.00
* Estimated Cost: � 550.00(ueeds S�e: Pian)
General-User Deti,,ed ❑ 501+Cubic Yards
❑ Residential- �30.00 ��0.00 (Needs C.U.[�.)
❑ Tree Remova? �XC�✓�+7 0"� �°� F�-r�wV 6�-*��
General—User Defined �, � �!�}-e,l �„�' 4�i'�� t� ►= � (7`,��
* W ifnin 0-i5' - �30.00
I herby apply for a liser Defined Penr.it and I ackz:o�vledQe that the iniormation abo��e is comp:ete and
accurate; tnat the work ti��iil be in conforniance with the Ordinances ana Codes of the City and tivith the State
Bt::ldina Code;fna'I uncerstand this is not a peiznit and work is not to star�witnout a permit;and that the«�ork
wiil be in acco-dar.ce w�tn the approved plan.
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�,.. DESGRIPTIO(� OF Ph {�ISES : � � "� "'
1, �lock 1, CHADWICK
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I_� �'�s'i�`��.���f��:.�.e =:��1�'��� �`?�"f����.°�;� �°
denotes iron marker �,,;, �, ...,,., �
❑ ��l�.�s�o���� :1`a.��. �
danotes existing spot elevatinn, mean sea level datum ;a';� �� N ,�„o..- � �
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denotes �ropo�ed spo� elevation, mean sea I�vel da�um L'�4� F:�_��'� ��_������__ � -
d�notes existiny contour line, rnean sea level datum �
rings showrn are based upon an assumed dat�m.
AREA � 89,9�44 S(�. FT. (2.065 ACR�S)