HomeMy WebLinkAbout2003-P06271 - shed < < PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po62�i
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: sii2i2oo3
SITE ADDRESS: 1850 Concordia St
Wayzata,MN 55391
PI D: 17-117-23-23-0023
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use:
Buildin Census Code 434
Permit Class: g
Pernut Type: Accessory Structures Pernut Sub-type(s): Shed
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 480.00
Plan Review Fee: $ 15.28
State Surcharge Fee: $ 1.00
._,...._�_.._._�� TOTAL FEE: $ 39.78
__..
APPLICANT: �teveriTowle �- OWNER: StevenTowle
1850 Concordia St 1850 Concordia St
� VVayzafa`NIN 55391 Wayzata MN 55391
THE UNDERSIGNED�EREB�R�QU�SI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BiJILI�fi�G CODE REQU�REMENTS.
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AP LICANT PE MIT E SIGNATURE � ISSUED BY SIGNATURE
Cooies: 1-File(Si2nitures Required), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ 1 � � � Date Received: �j�j-0 3
Entered By: c Pernut#: /-� ('C�a�/
CITY OF ORONO - BUILDING PERNIIT APPLICATION
' ,� � ti\p�7 All information must be submitted in full before plan review will be started.
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, '�(� \ (please pnnt all information)
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THE APPLICANT IS: (circle one) O`�NER OR CONTRACTOR
JOB SITE ADDRESS: � ��� �-�N LaTz-�?�/a S� ZIP: �'S 3 a 1
NAI�IE OF OWNER: S i r�K t N +o vJ��. PHONE: (home) ��� �'�'�v
. (work)
MAILING ADDRESS: I �ta o C���o�D��, �� CITY: o Ro N� ZIP: �S 3 q `
CO\�TRACTOR: � �-Lr PHONE:
CO\�TACT PERSON: NIOBILE/PAGER:
1VLAII..P�tG ADDRESS: CITY: ZIP:
ST�T`E LICENSE: #
ARCHITECT/ENGI�1i EER: PHO�TE:
MAII.,Itii'G ADDRESS: CITY: ZIP:
NA.IIE: REGISTRATION#
TYPE OF WORK: New x Addition Accessory Structure
Move Remodel/Alteration Land Alteration
% .K����,
PROPOSED WORK(describe in detai�: S�-�t� (, �C g ��/Z �_ � (�
Y
STORIES: SQ. FEET OF EACH FLOOR:
1`'O. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
EST�IA.TED CONSTRUCTION VALUATI0�1 (excluding land): $
I hereby apply for a buildin� permit and I acknowled�e 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a
pemnit; and that the work wi�I be in accordance with the approved plan.
APPLICAI�iT'S SIGNATURE: ��� � j�•-� DATE: a-�-�3
NOTE! Parade o�'Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS 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 forth in this secdon.
Subd.2. Inforination required to be given indiridual. M individual asked to supply private or confidentiai data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcat subdivision,or statewide
rystem;(b)whe[her he may refuse or is lega(ly required to supply the requested data;(c)any laown consequence arising from his supplying or
refusing ta supply private or confidendal dara;and(d)the idenary of other persoru or enddes authorized by sate or federal law to receive the data.
This requirement shali not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement o�cer.
'I1ie commissioner of revenue mav�lace the norice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions mstead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who
is the subject of stored private or public dara on individuals shall be shown the data without any charge to him and, if he desires,shall be informed
of the contenc and meaning of that data. After an individual has been shown the private data and informed of ics meaning,the data need not bz
disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secaon is pending or addiaonal data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data.
The responsible au[horiry may require the requesrin,person to pay the actual costs of making,cerrifyin„and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the dace of the request,excluding Saturdays, Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request wichin that time, he shall so inform the individual, and may have an addirional 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 of public or
private data conceming himself. To exer�ise this right,an individual shall noofy in writing the responsible authority describing the nature of the
disagreement. 'Ihe responsible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy
past recipients of inaccunte or incomplece dara,including recipienu named by the individual;or(b)notify the individual that he believes the data
[o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The decermir�adon of the responsible authoriry may be appealed pursuant to the provisions of the adminisQaave 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 license from the �ity 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 a?encies 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 Ni.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 Middle
Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
i
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Signature
6
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I�S v c,oivLo2o i� s i.
PID:
DESCRIPTION OF WORK: 6 x�d sk+-e,0
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Z0�1Il�'G REVIEW BY: � �--- DATE APPROVED: 5-�-0 3
EUII�DING REV�W BY: DATE APPROVED: s-o,0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�VIIT Yes ✓ No
pLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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Z0��1G CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Widch Depth
Survey Submitted: Yes_�_ No Date of Survey: "]-�+'7 �
Proposed Setbacks:
Front (Lake): � Z-o�' Right Side: 80 ` t
Rear (Street): �� � Left Side: �s��
Adjacent Structures: 30' Wetland: N/�1
Building Hei;ht: Def. Hgt. `j � Peak Hgt. (o '
Lo[Covera�e: n.1�
Gradin;: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: —' By:
Zoning File: # — Resolution: #� Resolution Date:
Shoreland District: �„oS
Av�. Setback: .� /�9 Bluff Setback: �.J/.9 I.ot Coverage:
Existino Proposed
Hardcover: 0-75'
7�-2�0' D,j�
2�0-500'
500-1000'
Hardcover Variance Required: Yes No� Date of Council Approval:
RE�iARKS (in house):
7
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BUILDING REVIEW CHECK LIST
UBC: V ' ( CONSTRUCTION TYPE: V N
Sq Footage $ Per Sq Ftg
Basement R =
lst Floor R =
2nd Floor � x =
Garage x _
c�/-�"� Y� x �o ,o e =
TOTAL
Estimated Construction Value: $ yS?o °`—'
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)
OC Final Grading/Filling Electrical (State Permit)
Other
REI�IARKS(IN HOUSE): �-----�-
- -----------------------------------------------------------------------------------------------------------------
RE`'lEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERNIIT�:
8
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http://www.popularmechani cs.com/home_improvement/home_improvement/2001/7/super... 9/13/2002
� Plat of Survey ,
for Town Buildere� Inc.
of Lot 6� Block l� Maplegate Inlet
Hennepin County, Minneaota
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❑ APP�Q�,'� '<,��:ti v`1 �?`=4�l5���S �k Z ' �;�
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BY
DATE----.__ s-� �03 -
------_�
Certificate of Survey:
I hereby certify ttiat tliis is a true and correct represeritation
of a survey of the boundaries of Lot 6, Bloek 1� Mrzplega�e Inlet,
ar�d t}r� iocation of all existing buildings ttiereon. It does not
puroort to show other improvementq. or er_croachmente. -
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Gordor� R. Coffin � Re� o. 60�4
Scales 1" _ l+0� I.and Surveyor and Planner
IJ�ate : 7-9-76 -Lon� I.ake, Minnesota
o s Iron marker
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DATE TIME
CITY OF ORONO CALLED IN ����'
INSPECTION Nq,T�E_ �� / SCHEDULED 7'�-�3 G7'�J
PERMIT N0. ��'� lo COMPLETED
ADDRESS i'0 S� C�-�����1 �7�
OWNER s���`e--� T��e—CONTR.
TELEPHONE N0. �7l^ 7s3�
� DESCRIPTION /i��i-�'� � �5��
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL
Z WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL 14 SEWER HOOK-UP O6 PROGRESS
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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' � ORKSATISFACTORY:PROCEED � ROJECTCOMPLETE
W ❑CORREC7 WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
"--O ..,p CORRECT WORK,CALL FOR REINSPECTION _ TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIOFiWITH1N HOURS. ppHOTOTAKEN
INSPECTOR WILL FiETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
0 INSPECTION RE�UIRED.CALL TO ARRANGEACCESS.
Call forthe next' spection 24hours in advance. �95Z� 249-46QQ
OwnerlContrac s :
Inspector.
White Copyllnspector's File Canary CopylSite Notice