HomeMy WebLinkAbout2006-P10057 - attached garage PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10057
Crystal Bay, Minnesota 55323 P2rnllt Typ2: Addition/Remodel/Repair
(952) 249�4600 Date Issued:
7/5/2006
SITE ADDRESS: 35 Hackberry Hill Unit#
Long Lake,MN 55356
P��� 33-118-23-44-0018
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Garage-Attached
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Garage Addition
FEE SUMMARY: Pernut Fee: $ 181.25 vaivation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Owner/Self OWNER: R Wagman ETAL
MN 35 Hackberry Hill
Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�� ' �-.
�, � C�L�� - ' .`:L — �- �— �[
I��--�- �- � � �'�1f � ,�r
APPLICANT PERM EE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signature.r Required), 1-Applica�t, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
' Total Fee: $ DateReceived: �'�9'4�
� Entered By: Permit#: �loD57
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all info�•mation)
------------------------------------------------------------------------------------------------------------------------
33-�i 8-as-��-a�i 8
THE APPLICANT IS: (circle o�ie) OWNER bR CONTRACTOR
�=
JOB SITE ADDRESS: ��� ��.��� ���� J���22� l-ft � � ZIP: � S �j��.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � NO !f yes, a special event perrnit is re�i�ired 1vit1�Police DeparUnent and City Coz�ncil app��ova!
60 days pr�ior to the eve�rt. Shuttle bus service�vi/I be regiiired e�nless applicant dernonstrates
strfficient on-site parlcing is avnilable. Non-pe�•rrritted events�vrll not be allolved.
��rsz �'73 -ss�zo
NAMEOFOWNER: /��c./,(i�1zl� l�(//��r-ivl��-ti PHONE: (home)
(work)
MAILING ADDRESS:3-� �''��'�t���`"� ��` << CITY: ����'� �.>k� ZIP: .���
CONTRACTOR: � ��`L l= '^ PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition �_ Accessory Structure
Move Home RemodeUAlteration (ie: Siding, Windows)
Rny earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detain:
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: �TTACHED / DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � %(;� �� �-t'
I hereby apply for a building permit and I acknowledge that the infonnation 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 wlderstand this is not a permit and work is not to start without a permit;and that the�vork wi II be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: 12��'t.ex,� L1Jt-r�/1�y� DATE: �r Ly`�Z��
3l
Sec.13.04 RIGFITS OF SUBJECTS OF DATA '
�
Subd. l. 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, infonnation required�o be given individual. An individual asked to supply private or confidential data conceming himselfshall be
informed of. (a)the purpose and intended use of[he 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 refusinn to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal la�v to receive the data. This requirement shal I
not apply when an individual is asked to supply investieative data,pursuant to section 13.82,subdivision�,to a law enforcement officer.
The commissioner of revenue may�lace the no[ice required wlder this subdivision in the individual income tax or oro�ertv tax refund
instructions instead of on those fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authoriry,an individual shall be infonned whether he is the subject of
s[ored data on individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual who is the subject of
stored private or public data 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. ABer 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 authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry
may require the requesting person ro pay the actual costs of making,certitying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin tive days of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within�vhich to comply�vith the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contestthe accuracy or completeness oCpublic ur private data
conceming himself. To exercise this right,an individual shall notify in wTiting dte responsible authoriry describing the na[ure of the disagreement. The
responsible authority shall within 30 days either (a)correct the data found ro be inaccurate or incomplete and attempt to notily past recipients of
inaccurate or incomplete data,including recipients named by d�e individual;or(b)notify the individual that he believes the data to be correcc 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 may be appealed pursuant ro the provisions of the administratrve 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:
l. The information you furnish will be used to detennine your qualification for the permit or license
requested.
2. You may refuse to supply data,buf 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 infoimation may become
public.
5. You have certain rights under Iv1.S. 13.04(available upon reques[)to review private data on yourself.
6. Your full name is required to process this application or permit.
First �liddle Last
Address
Citv State Zip Phonc
I understand my rights as stated ahove.
� _ �,
ignaturc
Reset Form ��
�HEC� OFF i,IST FOR iSSUA.NCE �F PERNIITS
FOR OFFTCE USE ONLY
ADDF�.ESS OR LEuAL: S Ff�cK ��� lai z�
�PLD:
DESCRIPTION OF WORK: �p424�� /+/J����^f
---------------------------------------------------------
ZOYI�IG REVIE`V BY: DAT'E APPROVED: 6- z5-e�
----- —�-----
SLT.LLDING REVIE'4V BY: DATE APPROVED: 6 • Z� -o�
F'EES TO BE C�-IARGED: Misc. Fezs Calculated By:
PERMIT Yes �/ No
PLAN REVIE`V � Yes �/ No SEtiVER COVNECTION
STATE SURCHARGE Yes � No `VATERCONNECTTON
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC�Uruts OTHER (sgecify)
-------------------------------------------------------------------------------- -
ZONI�IG CHE.CK LIST Zaning Districr.
Fire Depar[ment: Post Office: School District:
L,ot Area: Sq.ft. �,/Z,D`t`� Acres o�11�� Width � 9y � Depth Z17
Survey Submitted: Yes _ � No Da[e oF Survey: I I• ►Z- S`a
Proposed Setbacks:
Froat (Lake): l�\.-S Ri�t Side: 16�
Rear (Scree[}: � �3 Left Side: 12�
Adjacen[ Structures: 7�� �Vetland: N(�
Buil�ling Hei�t: Def. Hgt. p,� _ Pealc Hgt.
Lot Covera�e: (7,1�
Gradino: Staff Approval Date: 0.� By: — Council Approval Date: � �
Septic: Staff Approval Date: /�l��q By�
Zoain� File: # — Resolutioa: # Resolution Date:
Shoreland District: nJ0
Av�. Setback: Bluff Secback: L.ot Coverage:
E�istinQ Proposed
0
Hardcover: 0-75'
75-250'
2�0-500'
500-16C0'
F-iardcover Va�ia.cce Required: Yes No Da�e of Council Approv�l:
R.E��LARKS (in house):
BUII..DING REV�tiy CAECK LIST � ,
UBC: �� 3 CONSTRUCTION TYPE: V N
Sq Footaae $ Per Sq Ftg
Basement X _
lst Floor x _
2nd Floor x =
Garaoe x =
z —
TOTAL
Fstimated Construction VaIue: $ �O ,Ooo�
Inspections Required: �York Requiring Separate Permiks:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Coanectioa
�c Footing � Septic Sewer Connection
� _�Framing Fireplace Lawn Irrigation
Insuiation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
_�F�� Grading/Filling _�Electrical (State Permit)
O ther
REMARKS (IN HOUSE):
-----------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
-------------------------
REI�T.A.�tKS (TO BE NQTED ON PERil�1I'1�:
8
(' ��F,i I �d i -/ ""1'C �Ls C; r�� r i r i U; �.�
.k7 �L"I'�' .0 ,.� F�'C' _. .. .l-�d . _ �. -
r.•=i: . �' . �� _ ,�". .
a�_� : . . � . . n
_"� . �; '. : . _ , _ _
i - •, � �ri
� _ _ �
���. �„�
� � � � �,i � �� ����� ��
li �. .. , .�..� .r� . .. i�. t i - y�a I N
..._,... . .. ,s ,.� : ...... .. .... _, . �_.
� . .
� i
.._.'._____. __.___'___�" '_ ..,d
.,..w, :ti,•..,—� � - — y *f
_ ..__. ..... . �' �'� c: .
, :�� . ,. ,..
-�.�.__--�------` �
� :'i`J�:��,:i�14 �,t �7
�l��s�(��,:�%.. �Aj'�i�.�I ...R�'KC�_�iV����l�� . . , - .. r'� . �• ay1N��� !.
� , . , ra �-,h' �;' r' G�� � r r -
,�;: ������� �� ���� �
, ,,:. _
� ., , r: _
. . . .-� ( . ,
a�,E:e: ` -`:' .-� f �'�/' I''�i' !'`. ...
�
. . r � . " � .. _____.._
-. ._... ----�^-n ..- -.___._...------------- -, �)�
�-:{ ' .`• Cc � ��U-� ;-I� �' =�i l.'� i .�j J'�. I �—��`r,"�//
-r� , �
; .�' , ��
:`i,
`�7+.
��o,p 1 •�-q� 'a. ���.aPa '�'C� . 9 5 .�'+e�� I J'��r
�
��o•/t/ �s �� �° �'j e�� �.�.t a6i� �-=ti�'.�'4J_I_. �e a+�d .�`��y�,�
C)�.
` ��G�
'�i'` 4 ����
�,.� -
' ;.,.yf�
r �
„
:
�. ----._--------._.__._...._,...__..__.__....___,.-�,//
�, �(,� cr, �ti �� �
„v .:��... -�-------/./
��,
,-:.;�}.f`�—✓'
�.i-j,,'� � � ,e:
�9". + ���,�'_�. {
�,11`�-�" j i,7,�"
�'�`�_' { yr��=
e�rj��•�l' L+�
�'"� ;l
y.. Y'Z,�t��„E� �
,✓',.,� .
�
/
1 t';..�'4 . ,.,u- . . . . . �. _ , < . . -
� �.J����. ,.. _�:-i a �a,..�F S ���� ;�d/a�3:.Y.��� . .
. .. ��.rc F'� � .. .. .HOc . . � ...... .---_. . . . . ._` .�.y.1 _ 9". _ S` . , . .
. � .1.?��i.;.S G�.i�:�M3`1J1�, . ,
;
'���� ����� _ .. .___..... '' ` �
,
... ._ ._......
--- �Q:{ .
:"sS � :`I . -;} Y,� �'C� _
� ��r�a .: . � . . . . • '� u�.�:t=±f_
� ��
i���
�`1���' ` �' ` '
.� �����
� ►
�-- _--�,_
� 5
� �
� ��
� L�'�
� �
q
,�1��, N �
`'e— ��s'� Z
�� ;,j � 1
� � � I �
�r--� I I
f �j/ i !
L � i '
:, --- � i
,�,� � '�� i '
. � ' �
1�. �v``� � �
4 1
� j ,
� I �
��+ � .
i
i
r
� L G ' '
� _ . _.. ... _.____._. _ _ ._�_
i
I
. �
..� .
;,=` �� i
:� . �
..-�. �=� ... �
�:a � �
� ti�� �
/�~ �w q �, n �
�} / � �
/ �...f_.�'
--�, . �_'�' �
��' ��
�✓ y 1
1�
� �
i
� _' _ _ '
_ .--- _ i
- -----.. --- _ _ r
,:jS �(AGKSEFLR�� r�
Plat of Survey
for R.ichard 4J, bda�man �`�^��: • °4 -.��,�, ;
of Lc�ts 1]_ and 1?_, Blc�ek 2, D�.ni�l°s Long Lake Heights �r��'`, �� -{ ° * ' ;���
Hennepin Couz�t;j, Min:�zesota "`'������`��k �`�� ti
�,
.,..,.
, � ..,....i......�....�...�.�.�..�.A.+-
� . �i'�Y 0� ������ �
._ :
. . � : �� �YY � � i 9 r
'._�.._.___ __. ._.. . . ......_ _ _ �: ���•��.�iU _._.__ iar��;G! �!t� �'��. ,�;
� �}i�•�J�''Ft�,����.i.� (Z� �Ap�� C' t�O o ��r-�o•^�''
. � I 1 1�n����l 1'�r��l�.p , ln�i P� i0w�'�Yid�'���.�:�
� �a�'
� ❑ `) ,
1?i�:������'��`rlY t� i
j i
/ � �'^! � ------•-+�—�-----------,..-..-
r., � I � d.���:ly� {a =��`C7 (o ..�,.....-._
�.,� l �_�,,.�a,.�,.a.......... �i
' i '
�
I �
�
� __ . _._...� �
---__.__....._..._ _ _.,_.. _ . . ._ �
r--------._._ i
i i �
; r--_--� ' �
'� i I 1
: � i ;
. � , '.Z ,
I � � i
:4� ,� �_ i- , i •� ' t
�n` � �' r j ; I
; 1 �� � � _- - i
; z_�__�a , ,i
� -. � �- , �
�- _-_-----.-.-!---�. i . :_ f�. - --,;
, ;
i _i � , I i
` i _. , i
; _: �.,
,
; �
� �_
�,�,
Certificate of Survey:
I Y:ereby certify that thls is a true arid correct represen�tation of a
survPy of the boundaries of Lots 11 and 12, Block 2, Daniel's Long Lake
Heights, and of the location of all buildings, if an�, thereon, and all
visible encroachments, if any, from or on s�.id l�.nd, '1'Yiis survey is made
only in connection with a mortgage l�an now being plr�ced on the property;
and no liability is assumed except �o the holder oi such mortgage or any
ot'r:er in�er�s� acn,uired by reason of such morLgagee Tt is uncierstood and
agr�ed no monlunents have been placed^i'or tihe purpos�e; of e�tablisYiing lot
lir�es or boundary corners, j'. ' ' -�-� ,.% ;-�:�
I� ,.�-��'-�--,-� �� �-'' �''� '/�,�
Wm e S. K�11 e;�, Jr a Re�;e�' Io. 1342
Bruce R., K�l1ey R��o ivo, �713
Scal?0 1" = 50° KFi�L�`i R� KF�LLEY, r��inAers
�L�GP. � Plov. 12, 195� Long Lake, �Linnesota
� / LLS �
� .:�� ` ` ;'j r , � �% ��
, ..,�.j � : . ; �S -Hc�cr� �
,: :, , �
� . � � ,.. �. _,. �. .
� � � �� I � � � � �ATE TIME
CITY OF ORONO CALLED IN �-� ���� /
INSPECTION I F. SCHEDULED �✓���' �
PERMIT NO. � COMPLET � %
ADDRESS � �'`� �
OWNER �✓ CONTR. ��'Y� L'JVLP
,� T
TELEPHONE N0. �� �` � 3� C��'( J
� DESCRIPTION
l� 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MEC CAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
� 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
a �'. r f?C�`-�r n�' C, �L 'T�� �� v�
>. -
�
0
�
W
�
Q
ti
Z
W
�
W
�
�
d
WQ�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W C CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
OCl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on s' e:
Inspector. �� �� �
White Copylinspector's File Canary CopylSite Notice
�/� DATE TIME �
N �-� ��
CITY OF ORONO CALLED I
INSPECTION NOTICE ^-� SCHEDULED ' � �
PERMIT NO.�l�iC1� � COMPLETED
ADDR/Ncl��� J '!L " f� C�-/,'/'�f' r ��
OWNER ��%'✓j?�� CONTR.
TELEPHONE NO. �f S. ��. �,>J�c�D
�
� DESCRIPTION ��o�c� .�t-
t� 01 FOOTING 11 M HANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
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
� 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,; PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (J52� 249-4600
OwnerlCont o si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice