HomeMy WebLinkAbout2002-P05235 - detached garage � - PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P05235
Crystal Bay, Minnesota 55323 Permit Type: a��essory snu��res
(952) 249-4600 Date Issued: 6iioi2oo2
SITE ADDRESS: 3493 Crystal P1
Wayzata,MN 55391
P��: 17-I 17-23-43-0012
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate pernuts required: Eiec;mcai�siaiej vmer-�i�emo ior exis�ing garagej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 195.25 Valuation: $ 10,920.00
Plan Review Fee: $ 126.88
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 328.13
APPLICANT: Owner/Self OWNER: Evon Paige
M� 3493 Crystal Pl
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.
C.- C,�'-�` � / c (�L-�
APPLICANT PERMI EE SIGNAT�J E ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� �� _� , r �
`>15 �.,
Total Fee: $ Date Received: " - ��-�Y
Entered By: (� i� Permit #: �� _`�� �3
� ri, i `=,� ' � / �_ �' � ��L-
CITY OF OROI`10 - 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 APPLICANT IS: (circle onel�OWNER OR CONTRACTO—R�
1._ �
JOB SITE ADDRESS: � S - ' ZIP: -SS 3�/
��
NAME OF OWNER: � " . �_ PHONE: (home) s1� � -- 1 j
(work) �-�'� �
MAILING ADDRESS: �`'� ' c�� CITY: � � . �2 � �� ZIP: .SS3
,
CONTRACTOR: a D' � -� PHONE: -f��S'Z - f���-j�Z`j''
CONTACT PERSON: MOBILE/PAGER: �----�
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �,(,� �� � � � ,/'Q �
STORIES: I SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
C�'
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .�C��
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 will be in accordance with the approved plan.
� , ,
APPLICANT'S SIGNATURE: , ,C- �� `.�' ' _ DATE: �� � �-�' �-
NOTE! Parade o Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
9
�
Sec.l3.04 RlGHTSOFSUBJECTSOFDATA
Subdrvision 1. Type of data. The rights of individual on whom the data rs s�ored or ro be stored shall be as set forth in this section.
Subd.2. Information required to be given individuaL An indivrdual asked to supply private or confidentral data concerning himself
shall be rnjormed of. (aJ the purpose and intended use ojthe requested data wrthin the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally requrred to supply the requested data;(c)any known consequence arising from his supplying ar
refusing to supply prrvate or confidential data;and(d)the identiry ojother persons or entities authorized by state or federal law to receive Jhe data.
This requirement shal!not apply when an individual is asked to supply investigative data,pursuant to sectian 13.82, subdivision S, to a law
enforcement o�cer.
The commissioner of revenue may place the notice required under thrs subdivision in the indrvidual income tax or property tax rejund
rnstructions rnstead ofon those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall6e informed whether he is the subject
of stored data on individuals, and whelher it is classified as public,private or confrdential. Upon his further request,an individua!who is the
subject of stored private or public data on indivrduals shall be shoivn the data ivithout any charge to him and, if he desires,shal!be informed of
the content and meanrng of that data. After an individual has been shotivn the private data and rnjormed of rts meanrng, the data need not be
disclosed!o him for six months thereafter unless a dispute or actron pursuant to this sectron is pending or additiona!data on the individual has
been co!lected or created. The responsible authoriry shall provide copres oJthe private or public data upon request by the individual subject of
the data. The responsible authoriry may require the requesting person to pay the actua!costs of making,certifying,and compiling the copies.
The responsible authorrty shall camply immediately,ifpossible,with any request made pursuant ta this subdivision,or withinftve days
of the date ojthe request,excluding Saturdays,Sundays and lega!holidays,rf immediate compliance is not possible. If he cannot comply with the
request within that time,he shallso inform the individual,and may have an additional five days withrn tivhich to comply wrth the request,excluding
Saturdays,Sundays and legal holydays.
Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublrc or private
dala concernrng himself. Ta exercise this right, an individua!shall not�in writing the responsible authorrty describrng the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempf to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individua!that he believes the data
to be correct. Data rn dispute shall be disclosed only if the rndividua!'s sratement of drsagreement is included tivith the disclosed data.
The determination of the responsible authorrty may be appealed pursu4nt to!he provisions oJthe adminrstrative procedure act relating
to confested cases.
DATA PRIVACYADV7SORY
InaccordancewithM.S.13.04,Subd.2, "Rrghtsofsubjectsofdata",wewouldliketoinformyouthatyourrequestforapermitorlicense
from the City ojOrono or any ojrts departments may require you to furnish certain private or confidential informatron.
You are notified that:
1. The rnformation you furnrsh will be used to determine your qualifrcation for the permit or license requested.
2. Yau may refuse to supply data, but refusa!may require that the City deny the permit or license.
3. The information may be shared with other local,state or jedera/agencies to the extent necessary to process the permit or
lrcense.
4. If your requested permit or license requires Council action 10 approve,some rnformatron may 6ecome public.
S. You have certain rrghts under M.S. 13.04(see followrng pageJ to revrew private data on yourself.
6. Your ful!name rs required to process this application or permit.
PLEASE PR1NT
� -�
First Middle Last
� 1 �_
Ad ress
� /
iry State Zip Phone �sa��,/^�3Z�
Ct" rstand my rights q.�s�ated ab ve.
�' �����' ;� . ` �` L�
Srgnature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 y�3 CR�(s�T�q L P��AC.E
PID: •
DESCRIPTION OF WORK r'J c T. �A 2��c:
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ZONING REVIEW BY: DATE APPROVED: cS - 5 -�2
BUILDINGREVIEWBY.• DATE APPROVED: G •�- �z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/' No
PLANREVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. t �f 3 g Z Acres ,�3 Width (pD Depth i 3 3.0 Z /�u�
Survey Submitted: Yes x No Date of Survey: �(-21- OZ.
Proposed Setbacks:
Front (�a�e): `j7� (J Right Side: `i 3 C
Rear (SFreet): �i7 S Left Side: 30' �
Adjacent Structures: !�-{� Wetland: rl1//�
Building Height: Def. Hgt. c�.(� Peak Hgt. C�.�c.
HOVSp �y�
Lot Coverage: l I°�o �� �r.�6
�Y�d ; �3�3�2 = 11��
Grading: Staff Approval Date: (� •5 - �2 By: �'a . Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: {f Resolution Date:
Shoreland District: N�
Avg.Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' 1 f o
Hardcover Variance Required: Yes No_ �� Date of Council Approval:
REMARKS(in house):
32
BUILDING REVIEW CHECK LIST
UBC: /2• '3 CONSTRUCTION TYPE: tiLN
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage -�Z�g x !}'.U� = 10 ,9u�
z =
TOTAL
Estimated Construction Value: $ 1 �, g� �o
Inspections Required: Work Requiring SeparaZe Pennits:
Site Plumbing Fire
Hardcover�Removal Mechanical Water Connection
�C Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
Insulation (Masonry) _� Other pL�,co i='det c-'X csnNy CvA,�L�
Wall Board (Mfg.) Well (State Permit) �� v
C Final Grading/Filling p� Electrical (State Permit)
Other
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REMARKS(IN HO USE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
33
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CERTIFICATE OF SURVEY FOR _
E V Q P A I G E {�rF��j ��i��i��.�.,. ���1 ji.,A -���.,� -
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w��.:,t.�,,.����.a �.. �
OF LOTS 9 8c 10, BLOCK 2, NAVARRE HEIGHTS
HENNEPIN COUNTY, MINNESOTA
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1 OO.O NAVARRE HEIGN7S �
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° ClTY OF OROIV4
� � SITE PLAN GRADING PLAN � •
LEGAL DESCR I PT I ON OF PREM I SES . �7 APPt�Ob'tD- ��r. 6A�.a 6�
❑ APPROV�� U4'iTH REVI�fONS �
L o t s 9 a n d 10 , B I o c k 2 , NAVARRE HE I GHT '� DISAPP �� �
BY
DATE G- �-� z
o : denotes iron marker
Bearings shown are based upon an assumed datum.
This survey intends to show the boundaries of the above described
property , the location of an existing house and garage , and the
proposed location of a proposed garage thereon . It does not
purport to show any other improvements or encroachments .
I hereby certify that this survey was prepared by me or under my direct super- SCA�E
GRONBERG & ASSOCIATES, INC. y 9 9 Y ���-20�
vision, and that I am a dul re istered Civil En ineer and Land Surve or under
��� ���� �� the laws of the State of Minnesota. 4-12 A02�Rnwir,c
M5 N. w1101M D�VE LONG lAl�, �N. 5535fi 7-z -8E F�Etew
� ' JOB N0.
952-473-4141 ��� �i , '_�'=� 02-134
Ec� Mark S. Gronber Y in ice er -
.�t-.' .,�
02-134 ,�.�"'�
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