The URL can be used to link to this page

Home My WebLink About2003-P06940 - shed CITY OF OR N PERMIT O O Permit Number: 27�0 Kelley Parkway- PO Box 66 P06940 Crystal Bay, Minnesota 55323 Permit Type: a��essory srru�c�res (952) 249-4600 Date Issued: ioi2��2o03 SITE ADDRESS: 4360 Chippewa La Maple Plain,MN 55359 P I D: 31-118-23-42-0015 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Perniit Class: Building Census Code 328 Pernut Type: Accessory Structures Pernut Sub-type(s): Shed DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 23.50 Valuation: $ 400.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 24.50 APPLICANT: Owner/Self OWNER: Dana&Theresa LeMoine MN 4360 Chippewa La 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. �� i� :�\�� -' APPL[CANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �ITY OF OR N PERMIT 27�0 Kell� Parkwa -OPO BOox 66 Permit Number: Po694o Y Y Crystal Bay, Minnesota 55323 Permit Type: a��esso�y sc�u��ures (952) 249-4600 Date Issued: loi2�i2oo3 SITE ADDRESS: 4360 Chippewa La Maple Plain,MN 55359 PID: 31-118-23-42-0015 DESCRIPTION: UBC Occupancy 1 Construction T e VN Proposed Use: Residential Pernut Class: Building Census Co e O/S-Building Permit Type: Accessory Structures Pernu ub-type(s): Shed DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 23.50 Valuation: $ 400.00 State Surcharge F e: $ 1.00 TOTAL FEE: $ 24.50 APPLICANT: Owner/Self OWNER: Dana&Theresa LeMoine MN 4360 Chippewa La 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. i' , y !.� I� �:� /� ' ,. Y APPLICANT PERMITEE S[GNATURE [SSUED BY SIGNATURE Copies: 1-File(Si�nitures Required). 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page I � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO — 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) OWNER CONTRACTOR JOB SITE ADDRESS: � 3 � C� � �� ZIP: � 5 � � �I NAI�IE OF OWNER: ��c? Vtcx �--�, �2 �'�a ,��. PHONE: (home) �(S:� �5��7 a p (work) G c 2 7�1 " 13�t 6 MAILING ADDRESS: `-f 3 6� � ��.;� .� �� ,� CITY: ��ti'�„ �,:.. ZIP: 5� 3 s�`1 CO\�RACTOR: PHOl�'E:_ COr'TACT PERSON: NIOBILE/PAGER: 1VLAILI�i 1G ADDRESS: CITY: ZIP: ST�T'E LICENSE: # ARCHI'I'ECT/ENGINEER: PHO�IE: NIAII..ING ADDRESS: CITY: ZIP: �,T��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure C Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: .C�r�<< � lG �klU � s�� __ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOVIS: � � GARAGE STALLS: ATT. DET. ESTL�IATED 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 wi1I be in accordance with the approved plan. � APPLICAI�iT'S SIGNATURE: � ...,►, I�, � I''��.. DATE: �U " � 7� � 3 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 SUB,TECTS OF DATA ' , Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shal(be as set forth in this secrion_ Subd.2. Information required to be given individual. An individual asked to supply private or confidendai data concerning himseif shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or stauwide system;(b)whether he may refuse or is legally required to supply the requested dara; (c)any lmown consequence arising from his supplyiag or refusing co supply private or confidenoal dara;and(d)the identiry of other persons or enoaes authorized by srate or federal law to receice the dasa. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income taz or orooem rai reftmd instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an iadividual shall be informed whether he is t3c subject of stored data on individuals,and whether it is classified as pubiic,private or confidendal. Upon his further request,an individual w�o is the subject of stored private or public data on individuals shall be shown the dara without any charge co him and, if he desires, shall be infor�ed 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 duclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addirional dara on the individua!has be=a collected or created. The responsible authoriry shall provide copies of the private or pubiic dara upon request by the individual subject oi che da� The responsible auchoriry may require the requesring person to pay the actual costs of making,certifying,and compilir.g the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five day-s of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply w�h the request within thac time, he shall so inform the individual,and may have an addicional five days within which to comply with tt:e reques, 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 oz private dara concerning himself. To ezercise dvs right,an individual shall nodfy in writing the responsible authoriry describing the flaaue of tir disagreement. The responsible authoriry shal]within 30 days either: (a)correcc the dara found co be inaccurate or incomplece and attempt co no�.`y past recipiencs of inaccurate or incomplete dara,including recipients named by the individual;or(b)nodfy the individuai that he believes[he da� to be correct. Data in dispute shall be disclosed only if the individual's s[atement of disagreement is included with the disclosed dara. The determinadon of the responsibie authoriry may be appealed pursuant to the provisions of the adminis�adve procedure act rela� 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 �ity of Orono or any of its departments may require you to furnish certaia 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 Ciry 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 pemut 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 pernut. First Middle Last ?�ddress C�ry State Zip Phone I understand my rights as stated above. � , � � � �'� .� signature 6 • 4 . ' CHECK OFF LIST FOR ISSUAI�tCE OF PERIVIITS _ FOR OFFICE USE ONLY ADDRESS OR LEGAL: y36 8 C�i�P��i4 ��'N�s PID: DESCRIPTION OF WORK: {/V��,�e �,�, � o x c a s(�') ZOivING REVIEW BY: .� DATE APPROVED: lv -2� - �3 BUII.DING REVIEW BY• DATE APPROVED: � v - z 7 -o� F`EES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes r/ No pLAN REVIEW Yes No v SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZOti�Il�TG CHECK LIST Zoning District: Fire Department: Post O�ce: School Disuict: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front (Lake): Y3 0 � Ri�ht Side: �� r Rear (S[reet): /.S� � Left Side: 3 S� Adjacent Structures: 7� a ' Wetland: it/ff� Building Hei�ht: Def. Hgt. � Peal:Hgt. — Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Da[e: Septic: Staff Approval Date: By: Zoning File: � Resolution: # � Resolution Date: . Shoreland District: Av�. Setback: luff Setback: I.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' � 250-500' � 500-1000' Hardcover Variance Required: Y s No Date of Council Approval: REVIARKS (in house): � 7 . / .. BUILDING REVIEW CHECK LIST �C� v �� CONSTRUCTION TYPE: ��,1J Sq Footage $ Per Sq Ftg Basement R _ lst Floor R _ 2nd Floor R _ Garage z _ R = TOTAL Estimated Coastruction Value: $ LfQ� � 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) �F�� Grading/Filling Electrical (State Permit) Ocher RENIARKS(IN HOUSE): �� ------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: ExistinQ New Access Approval: Date gY: ----------------------------------------------------------------- REtI�IARKS (TO BE NOTED ON PER�vIIT�: 8 Certificateof Survey for Larry E . Martineau in Lot 3 , Dlock 1 , Chippewa Third Addition Hennepin County , Minnesota � , , , �, ' '�� .1,. . l�`!',��';'.;,:i�� "' _ �, , ;:,; � �;� �..�4r�� ? ' � ��r �� 9 6¢.1C� L=��-_,��.�_-�-.��y�.�,_.„�_ . - � G�� . _._Y._z..z..t�_-�.�._ . � �� s�r� :}��,� __ c�„��h a ��Aiu ' N ' 4��'j";�c,t`��i.1 —wwve.sl.. t,�r s ctcr'� � + � ,,t � o. PvoPoiP � N"C��•J �---' 1 , �F�� ,o��,`�. ��;..r,i F,x-`Ji�rrt�Y� ! V 5 � � tJ Nm <'� Ho�se 10 x� .� �< ,;�� ! m _.... . . . . ...._ �o � � 3 '�,` �. ...� � � � M �� -F � 7.. � � ,�,...,,� ---_�._ ? (rl � y � S` �.......�. �� Z�^�� o �_...._.. _-._..�_-..��__. - s o � , �y o 27.98 p� • �� I Jvd ici al ' I • ��„JMa.k ' 447.03 ' ZBQ.'2 , , � � , � �..�.: � ;= � N N � i � � � r- ��y N . . , . ..... , � N ' i �1 I' � � •• • . . . .. .. ;'_ N O • 4,. N . � • � �' /¢D.02 ' 60.00 � . cNIPPE wA � � nNE M , ,� . � � � Scale : 1 " = 100 ' Date : 7 - 10 - 86 o : Iron marker I hereby certify th��t this is a true and correct representation of the proposed location of a propo�ed house in relation to the boundary of Lot 3 , f31ock1 , Cl� i ��pewa Thircl /1cicJil ioii , lt clo�.�s noC ��ur��ort t� sl�ow oClier� im��rovenienls or� encroacl�ments . COFFIN & GRONE3ERG , INC . _ , _ ��,�-`-� Mark S . Gronberg Reg . No . 12755 Engineers , Land Surveyors and Planners Lon� Lake , Minneso�;a ;h,;� r >,a�r�2+ . r�,'��N�4'l� 4'�F��,�� r L; � � �r o. [ .,. � , � r ,L i: , ,�� ,;.+',r' '��J.�C"��?'��I', ' ''��'��'� �� ti,': . � ��';.