HomeMy WebLinkAbout2004-P07841 - detached garage � PERMIT
�CITY OF ORONO Permit Number: Po�s4i
50 Kelley Parkway PO Box 66
Crystal Bay, Minnesota 55323 Permit Type: A��essory sm►��ures
(952) 249-4600 Date Issued: s�2�izoo4
SITE ADDRESS: 2745 Ethel Ave
Wayzata,MN 55391
P I D: 20-117-23-24-0016
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required: ���mcai(siatej
NOTICES/REMARKS:
�� __ ,,, _
..� ..., �b�::b�
FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 15,000.00
Plan Review Fee: $ 163.28
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 422.53
APPLICANT: Warner Building&Remodeling OWNER: Benjamin&Lisa 7ensen
P.O. Box 172 2745 Ethel Ave
Waconia,MN 55387 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 BUILD CODE REQUIREMENTS.
,'
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APPLICANT P ITEE SIGNATURE (SSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
, , C��'o�
g.a
Total Fee: $ �ZZ`'S3 Date Received: �/(o -C�`�
Entered By: `� �Y'� Permit#: � (� �.f(�'
�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pri�it all information)
-------------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle o�te) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 2 �y� �fi/� / �-✓� ZIP: j�3 f�
Will this be a Para e of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes No If yes, a special evertt permit is required wit17 Police Department arad City
Council approval 60 ciczys prior to the event. No�z perrnitted eve�zts will not
be allowed.
`�SZ� �YI' 2 ^�'3'� �
NAME OF OWNER: ��; ' `�� .�iU SC N /PHONE: (home) ' ' �
(worky - '' i S�5')�c,�37
MAILING ADDRESS: ,� 7'yS �'f�e I � ✓-� CITY: �� f���� ZIP: 5 '3
CONTRACTOR: � ' PHONE: ��- -
CONTACT PERSON: ' MOBI /PAGER: �� -
MAILING ADDRESS: p,� ,�-,� �'1� CITY: ��,���Q : .�--�
STATE LICENSE: # �-_- �o���� �y T
/
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: 7IP:
NAME: REGISTRATION #
TYPE OF WORK: New Accessory Structure
Addition P� Move
Remode(/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �1�,`=� •,� ��(� C�����.��P �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� �'��
I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate;that the
work will be in confo�nance with the ordinances and codles�of the City and with the State Building Code; that I
understand this is not a permit and work is not to start � out a permit; d that the work will be in accordance with
the approved plan. j
i
APPLICANT'S SIGNATURE: �°''� DATE: � -
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
inCormed 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 coniidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to suppl,y investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner o!revenue mav nlace the notice required under this subdivision in the individual income tax or pronertv 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 whethec it is classified as public,private or confidentiaL Upon his further requcst,an individual who is the subject of
storcd private or public data on individuals shall be shown thc data without any chargc 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 unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days o(thc
date ot thc requcst,excluding 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 five days within which to comply tvith 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 himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature otthe disagreement. The
responsible authority shall within 30 days eithcr: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients o[
inaccurate or incomplete data,including recipients named by the individual;or(b)noti(y 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 determination of the responsible authority maV be appealed pursuant to the provisions o[the adminish•ative 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 tlie permit or license requested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or licensc.
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 Last
Address
City State Zip Phone
I understand ig�s st � ove.
�
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ig
CHECK OFF LIST FOR ISSUA1�tCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z-1 ti�j �T-t-��A L A�l G
PID:
DESCRIPTIQN OF WORK: �pt-�C�1� 6�ARAGL
ZO�iG REV�W BY: ,,._ DATE APPROVED: �' -z3 -oy
BUII.DI�1G REV�tiV BY: DATE APPROVED: 53 •z 3 ��y
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERi�IIT Yes _/� No
PLAl�t REVIEW Yes ✓ No SEWF�CONNECTION
STATE SURCHARGE Yes �/ No WAT�ERCOivNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO�G CHE.CK LIST zonino District:
Fire Department: Post Office: School District:
L,ot Area: Sq.ft. � 3� Acres I 5,O o O Widch t O c� Dep[h �S�
Survey Submitted: Yes� No Date of Survey: �'3'��1
Proposed Setbacks:
Front (Lake): `�0 Right Side: Z�`
Rear (Street): 3v Left Side: �-(y• �
Adjacent Struc[ures: (o' �Vetland: �(�
Building Hei;h[: Def. H�t. �•� Peak Hot.
Loc Coverage: I� 0
Grading: Staff Approval Date: — By: Council Approval Date:
Segtic: S[aff Approval Date: — By:
Zoning File: � — Resolution: 1# Resolutioa Date:
Shoreland District: �QS
Avg. Setbac : �v��4 Bluff Secback: ��A L.ot Coverage: ,�
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500' I 4•4`�
500-1Od0' 3j•S"o
Hardcover Variance Required: Yes No�_ Date of Councii Approval:
REMA.RKS (in house):
7
BUII.,DING REV�W CHECK LIST
�C� u—� CONSTRUCTION TYPE: ���
_ Sq Foo[aje $ Per Sq Ftg
Basement x _
Isc Floor x _
2nd F1oor z =
Garage x =
x —
TOTAL
Fstimated Construction Value: $ � 5,0 0 0 °`�
Inspections Required: `Vorl:Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�_ Footing ' Septic Sewer Connection
____�__Framing Fireplace Lawn Irriga[ion
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Perm.it)
—1�F�� Grading/Filling D< Electrical (State Permit)
Ocher
REi�IARKS (I.�'HOUSE): .
---------------------------------------------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gY;
-------------------------------------------------------------------------------------------
REi�IAR��.S (TO BE NOTED ON PERivII'1�:
8
8/25/2009 11:02 AM FROM: Fax TO: 952-299-9616 PAGE: 003 OF 003
� � � �
r�� -,: . . .—'--, —f 'F ,
yn' IiARDCOVER CALCULATION WORKSHEET �
� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-Z50' 250-500' 500-1000'
'� U � N ZONE QL/
� A. House x =
— -��J� G�"7� S.F.
u� � w�d�,
" �.� s ______�'�Si.P.
X _T T� = 7/� S.F.
x = S.F.
H. Garage x = S_F.
�i-�t..in i nq,cS
C. Driveway �d� x 1� _ ���� S.F.
G rr�r�� x .�� - s.F.
D. Sidewalk �-3 x 3 = �� S.F.
x � S.F.
E. Patio/Deck x //• 3 - .3� S.F.
X = S.F.
F. b�i»ape ��"!1� X � 2 •
� , _ S.F. .
X – S.F.
Hy Plastic x � S.F.
�-C�d�e x �� _ ��f� S.F.
TOTAL HAR.DCOVER IN ZONE - � S.F. A
TOTAL PROPER7"Y A IN ONE - S.F. B
A + g x 100 R . %
' '4 �" B x 100 = %
�ROPOSED COV � IN ZONE
A. House x ,2�'.�j = �-S� S.F.
Width
x ��,� = s.F.
2� X 7•'Z s $.F.
x a S.F.
B, Garage 2Jr _ x �S = `� S,F.
//s�
C. Driveway / x – S.F.
– x _ s S.F.
8
D. Sidewalk 10 x $� _ � S.F.
ZJ�' �'�ee? x � = s.F.
E. Patio/Deck x = S.F.
x � S.F.
F. Landscape x = S.F.
Undertain x =
S.F.
By Plastic x �- S.F.
� G. Other X !
S.F.
TOTAL HARDCOVEIt IN ZONE - cp S.F. A
- TOTAL P�ROPERTY REA ZONE � B ���� ' � S,F. B
x 100 gia
__ — _—_ 8/25/2009 11:02 AM FROM: Fax— TO: 952=299-9616 —PAGE: 002 OF 003 � .
!�. �� '', ,,~
�. . , t 1 � �.Ft �M '
G *�`b';}�'� �.
; ��1ItDCOVER CALCULATION WORKSHEET
,�`� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' Z50-500' S00-1000'
r
HARD OVE IN,Z�N�
A. House x �/� = JrJ� S.F.
��' x �7�?� — ��� S.F.
x � — S.F.
X = S.F.
B. GazaQe x =
_ S.F.
C. �iv�ay �Co x /�-'� _ .�'Y� S.F.
x = S.F.
D. Sidewalk x a S F
x � S.F.
E. Patio/Deck � x �.—'z = `-�_S_F.
X — S.F.
F. Landscape x = S.F. .
Underlain x = ' S.F.
By Plastic x r S.F.
G. Other x �
S.F.
'TOTAL HARDCOVER iN ZONE - � S.F. A
7'OTAL PROPERTY A A Rd ZONE - S.F. B
A � B �0� �� x100 = %
A �` e x 100 - %
�'ROPOSED H RDCOV � ZO
A. House x ,2� _ .���p S.F.
Len th Wi th
-- X `' � = 1�d5 s.F.
x = S.F.
x — S.F.
B. Garage .2S x /l-'.2 = _ f.3 7 s.F.
C_ Driveway x — S.F.
X = S.F.
D. 5idewalk x = S.F.
x = S.F.
E. Patio/Deck x _ = S.F.
' x " S.F.
F. Landscape x =
Undcrlein � S.F.
X S.F.
By Plastic x = S.F.
6�-C�tter •'Y x '�.� _ /�� S.F.
TOTAL NARDCOVER IN ZONE - � (fl� S.F. A
TOTAL PROPERTY A A RJ ZONE - S.F. B
A T g x 100 = %
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��+� TUTAL Fi?G�.E�1 a:�:
G DATE TIME �
CITY OF ORONO CALLED IN L ` 7 ' V
INSPECTION NOTICE G SCHEDULED �1-7-0`1 % � 4�
PERMIT NO. d 0 �� COMPLE fD
ADDRESS S �" �� ` --.�Tl���
OWNER CONTR.
TELEPHONE NO. �.S^� c�i � v� a�� �/
� D ION
lL 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W 'O CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlCont o s te:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice
� `� DATE/,_,/ TIME �
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Z 04 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
J 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
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INSPECTOR WILL AETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContr or ite:
Inspector.
White Copy/l�spector's Fil Canary CopylSite Notice
�j I � RAT TIME v
CITY OF ORONO CALLED IN �v-�3 �/�
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� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr r o site:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice