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HomeMy WebLinkAbout2002-P05553 -detached garage PERMIT G!TY•OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Posss3 Crystal Bay, Minnesota 55323 P21'fTllt Type: Addition/Kemodel/Repair (952) 249-4600 Date Issued: 9�9�2002 SITE ADDRESS: 625 Deborah Dr MaplePlain,MN 55359 PID: 31-118-23-23-0003 DESCRIPTION: UBC Occupancy U1 Proposed Use: Residential Construction Type VN Pemut Class: Building Census Code 438 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Garage-Detached DETAILS: Approved per resolution#: Separate permits required: i'iumoing iviecnanicai niecRicai�statej NOTICES/REMARKS: TI__"__1_"__- ""_ � ______"-. _."___�_"__ '.____'..__ _"�_ ___1 _____"'"1 _"""'___ a:u:::v:i�' :i:::vv�.:�:�v:.. :�i:u�.i�i.v .-......-� . .." 'vvu::v:. ' b 1 ...y......,,....J ...YY'.;:». FEE SUMMARY: PernutFee: $ 818•75 Valuation: $ 75,000.00 Plan Review Fee: $ 532.28 State Surcharge Fee: $ 38.00 TOTAL FEE: $ 1,389.03 APPLICANT: Paul Sorenson Construction Inc. OWNER: Randy&Chrisrina Arneson 525 County Road 92 625 Deborah Dr Maple Plain,MN 55359 Maple Plain,MN 55359 THE UNDERSIGNED HEREBY REQUESTS 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 BUILDING CODE REQUIREMENTS. � � � �--� x ~ �1.��� ,��C�C-!� l ��' APPLICANT MITEE SIGNATURE I�SIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 '�• Total Fee: $ � �''���°�'��� Date Received: �--a �-O�'' Entered By: Permit#: �% �.5 r,' -3 CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR,CONTRACTZ� __ � JOB SITE ADDRESS: �;�� i\ ;-, ���i;�. �;�,�,� ZIP: �S 3 S�' NAME OF OWNER: ��,�,��,� �/ PHONE: (home) �Sa-�y5�OSSJ (work) `�5;�-,�H9 -c�y9� MAILING ADDRESS: ,;-,2S �_ � vr�� ,",��e CITY: ��r��uv Z�' SS�S�`"% � ` 1 7Es. ' CONTRACTOR: � �,�,I o�e,�sr,� C o.U�i,^�..f',���_ ��rHONE: �'I7 7'��.��I CONTACT PERSON: fjr,�„v So;e.�;��t/ MOBILE/PAGER: (J�',,� , s,�G c��_ ,;/ 3� MAILING ADDRESS: S�S �'.�-, ��, �1'� CITY: � _le I� n� ZIP: ��� STATE LICENSE: # S�I �' ARCHITECT/ENGINEER: ��� � ,� o •c,�.� PHONE: I� ` � ���S-%l'J�o? - MAILII�'G ADDRESS: rl I !/ ��[f� r����. t"��_; CITY: ��7 _ 1 ' r ZIP: :`�� NAME: REGIST TION# TYPE OF WORK: N�w Addition Accessory Structure X Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � `f,•�t'���f,n,� �f �.� xh0 �'��f�ec.� -;�,;��� �jG:'o� .��ri���c;� �n1'�`�l �. STORIES: � SQ. FEET OF EACH FLOOR: � `� �(j NO. OF BEDROOMS: _� GARAGE STALLS: ATT. DET.� ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ '7S�U�%�, 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 accordanc� w' the approved plan. ,�� APPLICANT'S SIGNATURE: � '� : ,,., DA'TE: �-�7-�},� 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 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 confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision, or statewide system;(b)whether he may refuse or is legally required to supply the requested data; (c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)ihe identiry of other persons or endties authorized by state or federal faw to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reouired under this subdivision in the individual income taz or oro�ertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public da[a on individuals shall be shown the data without any charge to him and, if he desires, shall be informed 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 disclosed to him for six months thereafter uriless a dispute or acUon pursuant to this secdon is pending or additional data on the 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 the data. The responslble authoriry may require the requesting person to pay the actual costs of making,certifying, and compiline the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with . the request within that time, he sha(I so inform the individual,and may have an additional 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 concerning hunself. To exercise this right, an individual shail notify in wriring the responsible authority describing the�ature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu 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 statement of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuan[to the provisions of the administradve 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 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. 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 permit. First Middle � � �� 1_:Fn� i� ���'fv : _ . Address " �;�y Pi1 UL SORENSEN CONSTRUCTION INC. General Contractors I understand rights as ted o e. r�RiAN PAUL • -"� �i30-9856 763-479-2954 �� ����� � � � ���'-�c,n-�1�'O Fax: 952-938-6183 Signamre 6 ' . , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: (�25 �c f32� p(z.���� PID: DESCRIPTION OF WORK: (��-�-. (�,A�.� ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: ,,,` DATE APPROVED: y - 6 -oZ. BUILDING REVIEW BY: DATE APPROVED: 9 -�-o't.. FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes J' No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: Proposed Setbacks: Front (Lake): I 60 Right Side: 37c"� Rear (Street): � IV �,q Left Side: 7j5 � Adjacent Structures: ti Z1 ' t Wetland: N IA Building Height: Def. Hgt. �I, Peal:Hgt. Z2. Lot Coverage: N I A Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: --� By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: /V� Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 i - BUILDING REVIEW CHECK LIST usc: v -� CONSTRUCTION TYPE: y N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ 7��OVp °� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal oc Mechanical Water Connection _�Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) r-- Final Grading/Filling oc Electrical (State Permit) Other �M�s(nv xousE>: ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): Q L�3� i N A c c.2 s s o� s-M.v��,�C�,r (Lec, u� - s c � ,--L,, w.,ti�.l /�,P P�c..•,v � 8 �c /� ��-� DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �L L�z- PERMIT NO._�D ����„3COMPLETED ADDRESS � � ` �� OWNER CONTR. �` �'�-� �S C��YI",�� TELEPHONE NO. �+ ��' � .�I�,�C� ��I J,� �C-'YtS f 1�-� �t{�}.—,- � � DESCRIPTION �� �-"1C�1 . �t-� t 1�Y�.�� l� 01 FOOTING ���11sss MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING �ECHANICAL FINAL ��,< 19 LAKESHORE/WETLANDS y 03 INSULATION /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 � 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS:_����.:-�, � (, �=SdioP"i'l�' C�lLC'.- � ��LI,E l'�� � ��( ����.�Lc.f�<-� j O �. � O � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOF �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe n t inspection 24 hours in advance. (952� 249-46�� OwnerlCon r ite: Inspector. �F White Copyllnspector' File Canary CopylSite Notice �� � DATE TIM CITY OF ORONO CAILED IN INSPECTION NO CE SCHEDULED ��-�Y -��—��� PERMIT N0. -�� COMPLETED ADDRESS Yr�-�Z� 2 • OWNER CONTR. ���.��5'� Cr�.�•7 . TELEPHONE NO. (.-� I c� ��a� � 1�3� � DESCRIPTION �:�--e�C���?�-� U�C/� • L� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 F ING �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAIL BD. 12 WATER HOOK-UP 77 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL K 15 SEPTIC INSTALL. 22 FOLLOW-UP �/`vy}LUMBING RI �� 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J 0 � � 0 � W � Q � z W � W � � � O W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORAECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REDUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice \ / DATE TIME CITY OF ORONO v CALLED IN INSPECTION NO IC SCHEDULED cf_ �L. ,.z �/t� - � ��`� PERMIT N0. J , COMPLETED ADDRESS-��:"�� �,�-��i���.�) ��� OWNER CONTR. �'(�/�'i�l Sf�'.!'1..� TELEPHONE NO. L`� � `� ��' ��� �� 3� � D CRIPTION � � � � r � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 13 MECHANICAL FI AL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAI 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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: � W0. J � O � � � � O � W � Q � 2 W � W � � a W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REfNSPECTiON TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. (952) 249-4600 OwnerlCon on ite Inspector. White Copylinspector's File Canary Copy/Site Notice