HomeMy WebLinkAbout2007-P10701 - detached garage PERMIT
CITY `OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10701
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 4/23/2007
SITE ADDRESS: 177 Glendale Dr Unit#
Long Lake,MN 55356
P��� 34-118-23-32-0053
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Reli ious
g Census Code 437
Permit Class: Building
Accesso Structures Permit Sub-type(s): Garage-Detached
Permit Type: rY
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Must Sign Reso#5586 Before Issuing Pernut-Done
FEE SUMMARY: Permit Fee: $ 111.25 valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 113.50
APPLICANT: Hickory Fine Homes OWNER: Calvin Presbyterian Church
1844 W Wayzata Blvd. 177 Glendale Dr
Long Lake,MN 55356 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINN O BUILDING C DE REQUIREMENTS.
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APPLICANT P ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ �' s� ✓�� `� � Date Received: f "����
Entered By: �� - .�-� Permit#: ,�j �'���> 1
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan revie�i�will be started.
(please pf�irzt all informat�on)
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THE APPLICANT IS: (ci��cle oite) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � 7 7 �. �� ���.�4 �t„ C_ ;'� ZIP: � � � S ;_
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � NO lf yes, a specin!event perrrrit is reqlrir�ed ti�vith Police Depnrhrzent a��7d Cily Council crpprovnl
60 dca>>s prior to the ei�ej�t. Sl�zrttle Gus service lvill be r•equired unle.rs applicarzt clemorutrares
sa�fftcier�t on-site parJcing is availnble. Non-permitted evet�ts tivill not be allot�ved.
NA1VI�OF OWNER � c• ��r : -'� � ���--'��. �� PHONE: (home)
(work)
MAILING ADDRESS: � 7 7 � �` -^<<� << CITY: 7IP:
CONTRA�TOR: �IGI�OI� r!/VE �V�7�L�7 PHONE: 6�2��66-�S'8$
CONTACT PERSON: � �v/�iQT' MOBILE/PAGER: S/M�E
MAILING ADDRESS: /8t�1� GV G✓ CITY:Lp�JG �'KE ZIP: S5 3S�o
STATE LICENSE: # 2030 j�Z.Z- EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAIL,ING ADDRESS: CITY: ZiP:
NAIVIE: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessocy Stcucture �_
Move Home RemodeVAlteratioil (ie: Siding, Windo�vs)
Any earth movement may require MCWD review and permits !
S R����EI�V`✓ORK(describe in detain: COiW,�,Q�JIGT �� �C Z� ��J4/o�E
STORIES: SQ.FEET O�EACH FLOOIZ:
NO. OF BEDROONIS: GARAGE STALLS: ATTACHE� DETAC�-�`E�J�,
_.__----..__.
r , � "�,�
ES�!CIMt�'TEI)CONS'I'R�1C�'I011T V�I,�JAT'ION(e�cluding lancl(j: � ��', ���C-' � _ �,
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_.
I hereby apply for a building permit and I acknowledge that the information above is ctSt�Zplete and�cciii�arc:
that the�r�ork�vill be in conformance with the ordinances and codes of the Citv and with the State E3uildin�z
Code;that I understand this is not a permit and�vor{:is not to start�vithout a pennit;and that the w ork��ill be
in accordance �vith the approved plan. �''�`
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APPLICANT S SIGNA'�URE: DATE: � �� �
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3 l /X t C i'l
Sec.13.Od R[GHTS OF SUBJECTS OF DATr1
Subd. l. Type of data. The ri�hcs of individual on whom the data is stored or[o be stored shall be as set forth in this section.
SuUd.2. Infonnation required to be given individuaL An individual asked to supply private or confidential data conceming himselfshall be
informed of: (a)dte purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whedler he may refuse or is legally required to supply the requested data;(c)any known consequence arisine from his supplying or refusing ro supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal l
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofhcer.
The commissioner of revenue may place the notice required under this subdivision in the individual income taz or propertv taz reFund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infornied�vhether he is the subject of
stored data on individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual�vho is the subject of
stored private or public data on individuals shall be sho�vn che data�vidiout any charge ro him and,if he desires,shal I be infonned of[he content and
meanin�of that data. After an individual has been sho�vn the private data and informed of its meaning,the data need not be disclosed to him for six
months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected 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 authoriry
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal I comply immediately,if possible,with�ny request made pursuant to this subdivision,or�vithin tive days of
thc date ofthe request,e�duding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
widiin that time,he shall so inform the individual,and may have an additional tive days�i�ithin which to comply�vith the reques't,Cxcluding Saturdays,
Sundays and le�al holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy orcompleteness of public or private data
concerning himself. To exercise this right,an individual shal I notify in writing the responsible authority describing the nature of dle disagreement. The
rcsponsiblc authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempc to notify past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)noti'ty the individual that he believes the data to be corrcct. Data in
dispute shall be disclosed only if the individual's stacement of disa�reement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
'��. 'w� .� . ` y: 't� i•. 1 �• " 1 � -,' , �• ..
' ' ' � � ' ` Dr�TA P�1VA�Y AD�Y�SORY � °�� ' '
;+.�',:�•�'. . �"��a`-�, .. ij��'s.
`..•�; • Iri2ccordance Juiph 1b4.s.•1'�lO1#,.Subd.2,"RigAts�it''sQbjabtS;o'f d'�'!�"�'���wouldSjike to inform you that your request
for a pernlit or license from the City of Orono or any of its departmeut���y'rec�Cite�yu 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.
'?. 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 rec�uested permit or license requires Council action to approve,some information may become
.. . ';,pUt�li�+ ' ..'," . ' .,.. � ,
+ b 9 ~•3
5. You have certain rights under i�1.S. li.04(availabfe upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
.
' ' First �liddlc Last
Address
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Cih• Statc 7_ip Phonc
[un e s an my�i�g�hYs s st� d , ove.
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Signaturc
Reset Form 3�
� �CHEC�, �FF i,TST FOR ISSU.AI�iCE 4F �"E��ITS
FOR OFFICE USE ONLY
�DRESS ORI�EG?�L: � 11 G�c:.JV4At-(� I�R��t� —_�.._
PLD: —
�ESCRIP'I�IO�? 4F WORK: �V(,pv L �/IZJ�C�� _
-------------- ----
---------___---__-----------
ZO;�TG REVLE�4V BY: W��P � �" �-. `� DATE APPP.OVED: 3� �3 -°-7__.
— DA.�`E APPROVF'�D: 3 �Z3 - 07
�ULI.,DII�G RE�'TE'4V BY: . —
FEES TO BE CHA.RGED:` Misc, Fees Calculated By: ` _�,_
�Eg�T Xes ✓ No
t ���-,r=�T�— No ,�� SEtiVER CON"NECTION ------- ---
��}�-���-�-`�-' "
STATE SURCHARGE Yes _1� No �4�'A`I�RC�N`;LCTION
INVESTIGATION FEE Yes No _/ PA.RK FEE
SAC Yes No _� SITEINSPECTION
Number of SAC•Units OTHER (specify)
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ZOY��G CI�CK LIS'� Zaning Distric�: _2tZ-��3
FLe Department:
Post Office: School District: _`__ __.._
De Lu
Lot Area: Sq.ft. Zol Z`� ° —Acres y.7 Width P ----
Survey Submitted: 1'es �_ h°
Date of Survey: l - 1 1 -o�
Proposed Setbacks:
Front{Lake}: �Y� �t'� �P�t Side:
Rear(Stre�tj; i ZD� �' S Left Side: 4'S�Z �w� �
Adjaceot Scructt!res: 2.v' bVetland: N l�
Bullcli��� Hei��: Dei. Hgt. 0.�<- Peak Hgc. �
Lot Coverage: N) �
Grading: ScaF� Approv�l Date: �Y�
Cauccil Aoprovai llase:
Szpt;c: 5taft Approval Da[e: N � 1� �Y: —
Zor�ng ��le: R b'1-32101 Resotutioa: r P.esoluticn Da:e: 3-Iz •�7
S`�:c_e1z.r.� D;str�.ct: rt D
, �.��J�.,�r.��.
Avg. Seiback: Blu�t Setoack: �_. __—__-----_.
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L;�:��-�.�.� ��.n��E; ---------
BUILT.�ING REVIEtiV CHECK LIST
�C� U CONSTRUCTION TYPE: �/�J
Sq Foocage $ Per Sq Fto
Ba_semenc • x _
lst Flooc x • _
2nd Flaor x = ,
Garaoe X _
x =
T4TAL
Estimated Constructioo Value: � y,50� ��
Insgections Requirea: `Vock Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Coaaectioa
� Footing � Sep[ic 5ewer Connectioa
Framing Fireplace Lawn Irriga[ion
Insuiacioa (Masonry) Other
�Va11 Board (Mfg.} Well (State Permi;)
_—� F�� Grading/Fi11in� Eiectrical (Sta[e Permit)
O the r
RENZ?�RKS (IN�IOUSE): ' -- --
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REVLE'�V BY OTHERS: DATTE:
Access: ERisting New
Access Approval; Date gy:
----------------------._-------------------------------------------------------------
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�IETAIL D - t�f�t�OL'��'�IC S�_AB 4,���TH CURB
SLOPE GRADE AWAY
1/2"DIA X 18"ANCHOR 80LT @ FROM FOUNDATION @ 8"
4'-0"O.C.EMBEDDED PER LOCAL CODE IN FIRST 8'-0"(TYP.)
8"CONCRETE BLOCK FILLED WITH MORTAR --"\ \�
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SAND CUSHION OR CRUSHED STONE —'/ ' s' `V
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(4)#5 REBARS W/#5 TIES @ 24"O.C. —
START TIES HERE 12"FROM CORNERS I UNDISTURBED SOIL OR
&BEAM INTERSECTIONS � 72" _k WELL COMPACTED FILL
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ITY OF ORONO � CAL�ED W � ��
INSPECTION TICE SCHEDULED
PERMIT NO. ��� COMPLETED
ADDRESS � `�� �'1 � �2_!'��� .�.Q ��_
OWNER CONTR. ,C
TELEPHONE NO. � I r�� �� —C�( ��
� DESCRIPTION � ��+-1 �(�b
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN ILLING
Q02 FRAMING 13 MECHANICAL FINAL � 19 LAKESHORE/WETLANDS
� 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 O6 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
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
:� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractoyatfs"it�:
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Inspector. ���� s �1�;
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