HomeMy WebLinkAbout2007-P11457 - detached garage PERMIT
CITY OF ORONO
275 <elley�Parkway- PO Box 66 Permit Number: p11457
Crysr I Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
9/28/2007
SITE ADDRESS: 81 Hackberry Hill Unit#
Long Lake,MN 55356
PID: 33-118-23-44-0014
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 438
Permit Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Garage-Detached
YI�
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Construct New Detached 20 x 22 Garage
FEE SUMMARY: Permit Fee: $ 265.25 valuation: $ 15,050.00
Plan Review Fee: $ 172.41
State Surcharge Fee: $ 7.55
TOTAL FEE: $ 445.21
APPLICANT: Western Garage Builders Inc. OWNER: Rob&Joy Kallenbach
4301 Highway 7#115 81 Hackberry Hill
St.Louis Park,MN 55416 Long Lake MN 55356
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 BUILDING CODE REQUIREMENTS.
, �
: •
� % .
�_; �- c-- � '�--Q C??/Y�c.Q-s� ��
} , �- j'�' / =���,K. l
APPLICANT ERMI SIGNATUR [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l
� 1�
Total Fee• � C�"`t� - �� DateReceived: �/7 D�_
Entered By: � _ Permit#• �i /��f•57
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all i�zfor�ructinti)
THE APPLICANT IS: (circle o�ae) OWNER OR ONTRACTO
JOB SITE ADDRESS: '�-IL � � �LL- ZIP: �����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
�1'CS � NO If yes,a special evenf permit is required with Poliee Department and Cify Counci(approval
60 davs prior to the event. Shz�ttle bus service will be re yui�•ed unless applicant demorzstrates
s��jftcient on-srte parking is available. Non-permitted events will rzot be allrnnecl.
� (iO� " 2�'t"
� � � ���..L.�l:��l��-� PHONE: (home) 1 J�' �
NAME OF OWNER: ��`��i �`� ----- (��-ork)'�i�3-T�}�`y ►��S��
MAILING ADDRESS: �I �-�h�u DE��v N�'L CITY: ��►`��% ZIp: `� '
CONTRACTOR: ���`�i���tv Ct�fa�i`���-r�=='� PHONE: � J2 "�'i Zc� -��1
CONTACTPERSON: C 1! � MOBILE/PAGER: ��� �� �2�'��
MAILING ADDRESS• �13�) - �-� � ���_� ��`� �TY: �T�`�'z-�?q'11�- ZIP: �f!c�
STATE LICENSE: # •7 �3l tv`511 EXPIRATION DATE: �' E-`�S
ARCI-IITECT/ENGINEER: PHONE:
MAlL1N(G ADDRESS: C1TY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New
Addition Accesson�Structure `''"
Move Home Remodel/Alteration
�. a ti'.i J�-i-l��
pRnpn�F,n W(lRK(�lescrihe iie detain: ���ST�v�-`T ���'� �
2�y X 'Z� C�-��iZ �
STORIES: I
SQ.FEET OF EACH FLOOR: �' ��C�
NO.OF BEDROOMS:,� GARAGE STALLS: ATTACHED DETACHED_
iG� C-'
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I �� �
I hereby apply-for a building pennit and I acknowledge that the inforniation above is complete and accurate;
that the work will be in conformance with the or � ances and codes of the City and with the State Building
Code:that I understand this is not a p it a w ot to start without a permit;and that the w�ork�ti ill be
in accordance with the approved plan.
-- D��:��� io 2���-
APPLICANT'S SIGNATiJRE:
31
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �jI �(,�,/<�`y �(��
PID:
DESCRIPTION OF WORK: C\e-I'r�cin�� G�¢.. � afN 14 hc� �,4.e.I
_______------------------------------______—_ _
ZONING REVIEW BY.• �i� w�� DATEAPPROI�ED:�Y � � d '�
BUILDING REVIEW BY.• DATEAPPROVED: S-Z,S-�-7
FEES TO BE CHARGED: Misc. Fees Calculated By: �__�______________
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No r/' PARK FEE
SAC Yes No� SITEINSPECTION
Number of SAC Units � OTHER (spec�)
----------------------------------------------------_----_-------------------------------------------------
ZONING CHECK LIST Zoning District: � - � �
Fire Department: Post Office: School District.�
Lot Area: Sq.ft. 2�F��� Acres Width U4 Depth Z,�7
Survey Submitled: Yes ✓ No Date of Survey: 2�
Proposed Setbacks: _ /- ,,, �
�) �-�ri I rtC,� h o�S� .&i$.bt Side: �Q
, pwFti i
Rear(Sdreelf: Q Left Side:
Adjacent SU�uctures: /�C��� j�(��q�y Wetland: �f/�
Building Height• Def. Hgt. Peak Hgt.
h�+.se...
Lot Coverage: Z Z,�O -t 4.(c{O e= z(o�0 0�`' f}-��G�2.6� 3L SS �
Grading: StaffApproval Date: By: Council Approval Date:
Septic: Staff Appi•oval Date: ��1 By:
Zoning File: #_ Resolz�tion: # Resolution Date:
Shoreland District: �� MCWD Permit:
Avg. Setback: BluffSetback: LotCoverage.
Existing Prroposed
Hardcover: 0-75'
75-250'
250-�00'
500-1000'
Hardcover Variance Required: 3 es No Date of Councll Approval.
� REMARKS(in house): � - d�.. 6w.� � �,
2Y'u�c� Srcl e_ �
� � �
i" f►' �� Sl��!/cw �� , Kc�Sc,, c s r�hl�-s�c
33
� �
BUILDING REVIEW CHECK LIST
UBC: /J—� ' CONSTRUCT]ON TYPE: �//�
�
Sq Footage $Per Sq Ftg
Basement • x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Va[ue: $ 15�0�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�C Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
T�'all Board (Mfg.) YY'ell(State Permit)
___r�Final Grading/Filling �Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE: .
Access.• F�isting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT): s w,A�,L. W /{-t�.�2 /�./W u n� ✓,
��/4(lA�E'
34
! •
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. l. Type of data. The righu 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 conceming 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)
whe[her 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)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 supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or propertv tax refund
instructions mstead 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 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. Afrer 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 authorit}�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 shal I 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 shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Sawrdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data
conceming himself. To exercise this right,an individual shal I 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)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only ifthe individual's statementofdisagreement is included with the disclosed data.
The de[ermination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects ofdata",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.
�L; /��f�= s �i` � L F' �
First Middle Last
Address
City State Zip Phone
�_
I understand my rights as stat�ed above,.' /
�-�. � �
gnature
Reset Form 32
� �
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIO
,�
All information must be submitted in full before plan review will b started.
� (please print all information)
------={------------------------------------------------------------------------------------ ---------------------------
THE APP�ICANT IS: (circle one) OWNER OR CONT TOR
JOB SITE ADD�2ESS: ZIP:
Will this be a Parad'E,of Homes, Remodelers Showcase H e or other Display Home?
❑ Yes ❑ �10 If ye�s, a special event permit is��eguired with olice Department and City Council approval
60 da.y�s prior to the event. Shuttle bus servi e will be required unless applicant tlemonstrates
.
sufficief3t�n-site parking is available. N n permitted events will not be allowed.
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
\
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # PIRATION DATE:
ARCffiTECT/ENGINEER: � PHONE:
MAILING ADDRESS: CI ZIP:
NAME: REGIS TION: #
TYPE OF WORK: New ome Addition A essory Structure
Mo e Home Remodel/Alteration (ie: Sidi , Windows)
A earth movement may require MCWD revi w and permits !
PROPOSED WORK describe in detai�:
�
STORIES: % SQ.FEET OF EACH FLOOR:
NO. OF BEDR OMS: GARAGE STALLS: ATTACHED DETACH
% —
�
ESTIMATEI�CONSTRUCTION VALUATION(excluding land): $
/
I hereby appjy�for a building permit and I acknowledge that the information above is complete and accurate;
� that the woy'ic will be in conformance with the ordinances and codes of the City and with the State Building
Code;that/�understand this is not a permit and work is not to start without a permit;and that the work will be
in accord�nce with the approved plan.
APPLICANT'S SIGNATURE: DATE:
31
AT TIME �
�CITY OF ORONO CALLED IN �� �O
INSPECTION N I E SCHEDULED -� ����
PERMIT NO. COMPLETED �_
ADDRESS �� G�C P�''/�1
OWNER CONTR. �
TELEPHONE NO. � ��Z •3lS�
� DESCRIPTION d 0�l� �S
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA�
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� �
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� " ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
i� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContra�n e:
Inspector. � �
White Copyllnspector's Fi Canary CopylSite Notice
�� � DAT TIME V
CITY OF ORONO CALLED IN ��-�
INSPECTION N I��S-� SCHEDULED �� -U 7 g: 30
PERMIT NO. � COMPLETED
ADDRESS �� �'�'�
OWNER CONTR.� C;��'7T/1-?s"
TELEPHONE N0. 7�.� cJ� ��I
� DESCRIPTION ��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. jJ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 249-46��
OwnerlContra r o i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
S�F, 10, 2007 9; 19AM ALLIANZ �I�� N0, 078� P, 2
FRANK F{. CARDARELLE L�nd Surveyox, Inc. L�,nd Surveyor
(612} 941-3031 6440 Fly�ng cloua Drz�e Eden Prairie, MN 55344
������i���L� �� � �i�i.���
Survey For�p h R ,7 ny K�1 1 p n h�r h Book Page �ile
81 Hackberry Hil �
Long Lake , MN 55356
City of Orono �,���� �'`
Plann�n &Zonm Plan Review 9'�''�I t -�'� ��� /CD,z
9 9 �'
Site Plan Review Date: y s`� ��� L o� A r e a : 21 5 9 7 S q .f t. �a�°' �� � ' .�� ��� �Il nz%r 1?
� Hse . Area : 18 04 sq , ft . r`�'° '� r'c.ci �Q' �'
I d APPROVED Concrete : 98 sq . ft. � l�'� �� !
p APPROVED WITH REVISIONS(see notes) D e c k : 280 s q . f t . /'U�' a�� ' ``
ODENIED Shed ; 102 sq . ft . o
�
Staff: � �r1�� D r i v e : 10 2 8 s q . �'t. �'� -s--�a u r``,�1,�
Total H. C. : 331z sq. ft . �
� H. C. . 1 5. 2 a -'�
� � �!`�� �I �� !� � �. `Jy ` i_ L� '`
� id��� �� ����� , q
��Jcr (L �Q-i -�'j o�t�/� � �`,1�'� ��.P,�1 ....^ Q�Aaf�l�i F'�A�l a �
1-�� � �
� c�:�P�i��s'�'��,J�4,�'roN ;� ,.
�� �l D � � �? �i�°F'.JV�c� �V!i H ;?��14�40�IS " N -
� � +� 4�1�A��r� `�� N
� � �
r �
�Y � T a �c
DA7� _ ?»c�-nY `. � - - '!(N�� ' �
� � �'1.;� d��� �Q f�v�r�n � � sa:�'
* � � �
I ��, I'
�"�_�._. � � � �� � ' � 9 �
� � �
� �.. 1 iz�� ?2' `� .q.�..3 ,9.z . �
� 17�5�,I _,. �� +��..--_..�- � I B�Yl��; �
� � N , � � 4 � � ' ��
Q
�X'� � � I 'y � ' I
^. .� 11! t�
�g � q � �
� � s � ,
. ' ' 4� � ��
�
' � 4� , �q,�
�a<�,i,� �a�,a � ,,��
/r�0 ��,'•t r J
_ . �/O/�1�� ---._..�..,-'— _
��l0/�-r '
NACKBERRY HII.L " -� r �,;��,
- -�'� � �' "���� .. _
� _--�---
+-I�� �' a�
;���� �l�o
Sca 1 e : 1 "=40 ' : �.�v
�' �-_.` Z Z 5f0 +
� Denotes Iron Mon . Found �
I n.nq wrtlh C�u e,�.L.e,,..nd corms r.vruant�do.�er..�.v.y ot a,.bo,,,daa■ot ��
� I l ' �� H�+�pn Counry.M5M�w4�na ms taation et\.qpua�mq.e+� .!�N�b�� .�hmMu,N+^Y on wd I�d
� y i ' -
�„�,,,,.a�,T.�,,�. 3 0�h d�,a J u n e 2 0 0 4 G�
�/ I�p + � I l/ ' `��� Frank R. Cardarefle
C I� �� ` � �
� � �-��' Siate Reg. No. 6508