HomeMy WebLinkAbout2004-P08138 - shed � �
� PERMIT
C I�Y O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Pog13g
Crystal Bay, Minnesota 55323 Permit Type: a��esso�y sm��r�res
(952) 249-4600 Date Issued: ili9i2oo4
SITE ADDRESS: 51 Hackberry Hill
L,ong Lake,MN 55356
PID: 33-118-23-44-0016
DESCRIPTION: UBC Occupancy U1
Proposed Use: Residential Construction Type V
Census Code 328
Pernut Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Shed
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 44.85 Valuation: $ 1,200.00
Plan Review Fee: $ 29.14
State Surcharge Fee: $ L 10
TOTAL FEE: $ 75.09
APPLICANT: Wilson Services OWNER: Charles D Wilson
2743 Magnolia Lane N 2743 Magnolia Lane N
Plymouth,MN 55441 Plymouth, MN 55441
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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.
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APPLICANT PERMITL[:SIGNATURI; ISSUED BY SIGNATURG
Copies: 1-File(SiQnitures Required), 1-Avolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ Date Received: ` %'
Entered By: Permit#: ,- � ' �S '
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforirzation)
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THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 51 Hackberry Hill Zjp; 55365
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � No If yes, a special event per�rtit is requirec� with Police Depaf-tment a�id City
Cozcncil appr-oval 60 days prior to tlte everat. Non perrriittecl events will not
be allowed.
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NAME OF OWNER: Charles D. W'�� n'� �� PHONE: (home)7h'�-559-2'�1 h
� (work) 612-701-9725
MAILING ADDRESS: 2�43 Magnvlia .N. CITY: PlY• ZIP: 55441
/
CONTRACTOR: r;ii1��,.,, �a,-,,;�P� PHONE: hl -7�1-9725
CONTACT PERSON: Chuck Wilson MOBILE/PAGER: 612-648-7899
MAILING ADDRESS: 2743 Magnolia Ln.N. CITY: Ply• ZIP:55441
STATE LICENSE: # 02�gg
ARCHITECT/ENGINEER: ��� PHONE:
MAILING ADDRESS: N/A CITY: ZIP:
NAME: N/A REGISTRATION#
TYPE OF WORK: New Accessory Structure �
Addition Move
Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: TnGral l �r_nrage �hed as Gi tv codes allows.
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STORIES: SQ. FEET OF EACH FLOOR: /�{t35�2 �'i
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �nn_nn
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: �',�=/� "J���- DATE: /'�/'Z��t��
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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 torth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or conGdential data concerning himself shall be
in(ormed 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 suppl,y the requested data;(c)am�known consequence arising from his supplying or refusing to supply
private or con�dential data;and(d)the identih'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 supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav olace the notice reuuired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall bc 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 data on individuals shall be shorvn the data without any charge to him and,if he desires,shall be informed o[the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data necd not be disclosed to him for six
months thercafter 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 privatc 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 immediatefy,if possible,with any request madc pursuant to this subdivision,or within five days of the
date oFthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.IC hc cannot comply rvith the requestwithin
that time,hc shall so inform thc individual,and ma1'have an additional five days within�vhich to comply�with the request,cxcluding Saturdays,Sundays
and legal holidays.
Subd.4. Procedurc when datu is not accurate or complete. An individual may contest the accuracy or completeness of pubtic or private data
concerning himself. To exercise tliis right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
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 thc responsible authority may be appealed pursuant to the provisions of the administrative 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 noti�ed that:
1. The information you furnish will be used to determine your qualitication 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.
Charles D. Wilson
First Middle Last
2743 Magnolia Ln.N.
Address
ply, Mn. 55441 763-559-2316
City State Zip Phone
I understand my rights as stated above.
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Signature
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CH�'CK OFF LIST�'OR fSSUANCE OF PER1ti.fXTS
FOR OFFICE USE O.NL Y
ADDRESS OR LEGAL: S I I-4,flc���l��� N���
PID:
DESCRIPTION OF Yi'ORh': S1-i�=� I b X i'-1
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Z0��7NGREVIEY�BY: DATE,4PPROVED: //- 5-�Y
BUILDII��G.REYIEWB�': DATEAPPRO�'ED: /r- � - �]'
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FEES ?'0 BE CHARGED: �tisc. Fees Cc�lcc�lated By:
PER�fIT Yes ✓� �'�"o
PLAN RE I/IE GV Yes �/' No SE tiY"ER CON�VECTION
STATE SURCH.4RGE Yes c� !Vo tiT%ATER CO�ViVECTI01�'
I[ti'VESTIGATIOIV FEE Yes [Vo !/ PARK FEE
SAC Y"es �Vo !/ SITE NSPECTIOtV
��,runiber• of SAC U�iits OTHER (specify)
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TO!YI�vG CHEC.Ii LIST Zorting District:
Fi,•e Depa,•hnerrt: Post Offcce: Schoo!District: __.
Lot.=trea: Sq.ft. Acres 6Yidtl: Depth
Sc�rvey S��bruitted: Yes Na �_ Date of Scrivey: 5�ri. p��+
Proposecf Setbacl,s: ,
Front(Lalce): 1�u� + Right Side: � � ±
Rear• (St�•eet): S�� �` Lef�Side: 60�
-F
Adjace�zt Str��ctures: 30� �- G�etlarz�l: NI�
B«ildi�rg Height: Dej. Hgt. �•�� Peak Kgt.
Lot Coverage: � C�� lC-
Gradirig: Staff,4pp��ovccl Date: By: Coau�cil Approval Date:
Septic: Staff,4ppr•oi�al Date: gy,�
Zorting File: �
�� Resolution: # Resolcctlo�i Date:
Slcoreland Dish•ict: n)�
Avg. Setback: Bluff Setbacic: Lot Cover•age:
Elisti�tg Proposed
Hardcover: 0-7�'
75-2�0'
250-500'
500-1000'
Narcfcover f/ariance Reqceired: Yes No Date of Couricil�ippraval:
RE1I�IARKS(in hotcse):
31
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B UILDI�VG.RE vIE yl'CHECh'LIST
UBC: l� � ( CO;YSTRUCTIO�YTYPE: �(/`�
Sq Faota,�e 5 Per•Sq Fc,�
Basenie��r � _
!st Floor x =
3nd Floor .c =
Gar•age � _
.c =
TOT.4L
Estii�tated Co�tstrt�ctio�t Vali�e: S I Z�� ��
I��specriofts Required: 6Y"ork Reqctiring Sepa�•ate Permits:
Srte Pltu��brrtg Fire
Ha,•dco��er•R�»coval ti(echaiircal GYRter Co��iiection
Footi�tg Septic Se�.t�er Coit��ectia�i
�Frami��J Fireplace Lawra lrrigntion
Insulatioa (r�lasonlyJ Odier
6Y'all Board ('Nlfg.) GYe(1(State Permit)
_�(Fina( Gradi�2g/Filli,�J Elecn•ical(Sta�e Per»iit)
Orher
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RE�titARIiS(IN HO USE):
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RE L7E tv B Y OTHERS: DATE:
.4ccess: Existin� rV'etiv
,�fccess Approval: Date B�:
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RE�tiI�RIiS (TO BE NOTED ON PER.rtiIIT):
32
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CHECK OFF LIST FOR ISSUANCE OF PER1ti�fITS
FOR OFFICE USE ONLY
ADDRESS OR LE GAL: S I I-1�4c,K�3�z R� ��< <�
PID:
DESCRIPTIO.�'OF Gt�O.Rh': �r�,s�c..�- r....�N o o`^�
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ZONING RE vIE l�B Y: �t/(d� D.�I TE APPRO VED:
BUILDING.REVIEWB�': r,/>c� • DATEAPPR06'ED: //- 5-��
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FEES TO BE CHARGED: �Llisc. Fees Cc�lculated By�:
PER�fIT Yes � �ti"o
PLAN REVIEGV Yes �Vo � SEYVER CONNECTION
STATE SURCH4RGE Yes �� ���o YV�ITER CO�ViVECTION
I�VVESTIGATIOIV FEE' Yes No PARK FEE
Sfl C Y"es �Vo SITE NSPECTION
Nccmber of SAC U�aits OTHER (specifv)
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ZONI[YG CHECK LIST Zoni�ig District: �r� C�-/�
Fire Deparhrzerrt: Post OjJice: Sclrool District: __.
Lot.�lrea: Sq.ft. Acres 6Yidth Depth
Scuvey Subntltted: Yes Date of Stnvey:
P�•oposed Setbad,s:
Fraru(Lake): Right ide:
Rear• (Sd•eec): Left Side:
Adjace�zt Struct�u•es: G�et n�f:
Buildiizg Heigltt: Def. Xgt. Peak Kgc.
Lot Coverage: �
G�•adi,lg: Scaff,4pp��ovccl Date: By: Coccr�cil Approval Date:
Septic: Stnff,4pprova!Date: BY,�
Zorzi�ig Fife: # Resolutio�� # Resol�itio�l Date:
Shoreland Dish•ict:
Avg. Setback: Ble�ff Set6acic: Lot Cove,•age:
Esisti�tg Proposed
HardCove�•: O-7�'
75-2�0'
250-500'
500-1000
Hardcover Variafice Reqicir d: Yes No Date of Coeutcil:�pproval:
.REMARKS(in {aouse):
31
1 .
B UILDI�VG RE vIE lt'CHECh'LIST
UBC: /�' 3 CONSTRUCTIO�V TYPE: �
Sq Faota,�e S Pei•Sg Frg
Basenie�tt � _
!sr Floor t =
�nd Floor s =
Gm•age .r =
.c =
TOT.�{L
Esti�riated Ca�ish�ttctioit Value: S -750��
I�ispectior�s Required: lYoi•k Requirin�Separate Per�uits:
Srte Plctntbing Fire
Ha,•dcoi�er•Reirroval tilechaitical GVater Co�utectio�i
Footirtg Sc�ptic Se�.ver Coitnection
_�C Framiug Fireplace Lawrr lrrigatiai
Insulation (��fasonry) Otlier
W'a11 Board (rLlfg.) 6•�ell(Stnte Permit)
D� Final Gradi�tg/Fillirg Electricnl(Stare Per�riit)
Orlier
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�E�tiIARIiS(IN HO USE):
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REY7E t�B Y OTHERS: DATE:
.4ccess: Existino rV'etiv
,dccess Approval: Date B�':
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REtl�IrlRIiS (TO BE�VOTED ON PER.�tiIIT):
32
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Wilson Services
2743 Magnolia Lane N
Plymouth,MN 55441
Cell: 612-701-9725
Pager: 612-648-7899
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/ / DATE TIME
CITY OF ORONO CALLED IN �'� -v�
INSPECTION NOTICE SCHEDULED P=�- [��- ��'� • 3����
PERMIT NO�'������� COMPLETED
ADDRESS .�� � I�c �C����' ��� �-I��l I
OWNER CONTR. ��'�1 Sc!;� Sv'�
TELEPHONE NO. ��' �� �U I L��L S� �
� DESCRIPTION �°� ��`-`
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q A2 FRAMING ' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q LDS�FI t� 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 FI L 35 HARD COVER REMOVAL
J 10 PLUMBIIVG FitVPct-1 36 FOUNDATION/REMOVAL
� OWN�RICONTRACTOfi TO MEET YOU: YES_NO
� COMMENI`S:
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W WORKSATISFACTORY:PROCEED XICPROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED I� SSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITAT�ON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-4600
OwnerlContra n 'te
Inspector.
White Copyllnspector's File Canary CopylSite Notice