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HomeMy WebLinkAbout2005-P08974 - accessory structures T PERMIT CITY OF ORONO 2750 Keliey Parkway- PO Box 66 Permit Number: p08974 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 8/1/2005 SITE ADDRESS: 400 Leaf St Unit# Long Lake,MN 55356 P��� 04-117-23-23-0010 DESCRIPTION: UBC Occupancy U1 Construcrion Type VN Proposed Use: Residenrial Census Code 328 Permit Class: Building Permit T e: Accessory Structures Pernvt Sub-type(s): Building Undefined YP DETAILS: Approved per resolution#: Separate pernuts required: Electrical(state) NOTICES/REMARKS: Pool houseBuilder doing R/I work&owner building structure FEE SUMMARY: Permit Fee: $ 111.25 valuation: $ 5,000.00 Plan Review Fee: $ 7231 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 186.06 APPLICANT: Anthony Thomas Homes OWNER: Lee&Lisa Goehring 4100 Berkshire Lane 101 Whitegate Ln Plymouth,MN 55446 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 BUILDING CODE REQUIREMENTS. 1 �--L � > > / �_ � APPLICANT PE EE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 67119/2005 69:49 6123368600 NOVUS PRINT MEDIA PAGE 01106 -� �-�1d�,�' i s do�nc� a11 �ou.a�1�- i�1 �►a�'� � D�►n� . i S b�a � id��� �- 5�r'u��i�.r-�.� l� � .�;(r 7-/q -d� Tota�Fee: $ DateRecpved: E�atered By: �',Z Pe�it#: i4D �9 7 `✓�"iy""-:� �I � "�' � ''°� CITY OF ORONO -BUILDT.�TG PERIV�T APPL�CATION All�nformation xnqst be submitted in full befoxe�lar�review w�ll be staxted. (rilease prant aZ1 information) _�_�------------ , ��1 THE,A,PPLICANT�S: (circle one) OWNER OR CONTRACTOR JOB S�TE ADDRESS: �i00 L2a F S�rt e, _zir: 5535Go Wi��tbis be a Parade of k�ome�,Remodel,e�s Sb�owcase Home ar ot�e�-Display Hvme7 ❑Yes �NO If yes,a speciai eventAver►nir rs raqx�ired with.Police Departmenr and C�ty Council a,�,prova! 60 days,�rior fo the event. Shuttle bus service will be re�uired unless applieant demonstrates � su,,�icient on-site,parking is avai(able. Non-permitled eversts will not 6e allowed. � NAME OF OWNER: I�,� �- �.1� G-e�e.in r �►n q — rxo�: (lxom.e)�CJa�-11� �1(D 3 � (work)4'�13)OCo�'q 2' MA�LING ADDRESS; f�1 �J h��'C q C�TY: WAy ZU,�'� Z�: 55 3q I � CONTRACTOR: S I�Y1�� PAO�tE:(D � �D � CONTA,CTPERSON: 1' � MOBIT.E/PAGER: � MAILING ADDRESS:�1 I��(`Y�-�d11 Y'� '1 CI1'Y: . 7�Y: `��C* � STA.TE LICENSE: # E�PIItATIO�V DATE: ARCHITECTlENGINEER: �1 Pk�ONE: � � CITY: Z�: � �VIAILING ADDRESS: N��: REGXSTRyA,TION: # � o�' C' TYPE OF WORK: New Addition� ,Accessozy Shvcture � � � � Move Hoxne � �t,emodeUAltezation �,1 � 0o h U - bu�Id�r � �o a 1 I � � PROPOSED WORK describe in detai�: � f0U h �I�l w 0 r� Ow fu�r I r�c., � � � . STORXES: , � — SQ.F�ET OF EAC�FLOOR: � �D � U�^ NO.OF BED�.200�S: GARA,GE STALLS: ,ATTA.CHED DETAC�ED_ T70N excludin lan�d : $ 5 '� � � EST�.MATED CONSTRUCTION VALU.A. ( g ) �- I hereby apply£ox a bni�divag perxnit a�oid I ac�owledge that t1�e infonm.ation above is cozxi�lete a�ud accuzate; � that tb�e work will be ixa confozznance wxth the ozdinan.ces and codes of tb,�City aud witb.t1xe St3te Building � Cod�;khat I w1derstati,d this is not a p ' �d vv k is not to stazt without a penaai.t;and tk�at the wozk will be � in accordance with t�b.e approved pl . APPLICA,�iT'S S�GNA DATE: � � O I�� �` � 3] �,f� 07/19/2995 69:49 6123368600 NOVUS PRINT MEDIA PAGE 02/06 Sec.13Ad �GHTS OF S[18JECTS OF DA�'A� 3ubd.I. Typ�of dera. 7'he ri8h�of individual on wbo"'the dats'ie awrtQ or co be soaced sba11 bc as aet fortb in this axliott 3ubd.z.1�'orn�sdoqroquitrdwbcgiva�individuai.Aatadividualasked�osupPlYpm'a�corcon�idenoaldatacoace�oinahimselfsh�llbe infotmcd of (a)tba purposE end'moeaded uec af the tequcate0 Aata airhin rhe collecunY��aB�Y�Politio+l eubdivisivw�smo�wida rys�an;(b) wh.ther ha mqy refusc a to 1ege11Y�N���PD�'���;(�)aoY Imwvn conecqua�cc�ieing from hts supplying or tefuein8��PP�Y . privar�or confdential dam;sad(�t6e identity ofo�persons or endties au�borimed by snoa vr�dera!Iaw m rea:ive d►e dara TLis requicw�cnc ahall uiot apply when an indivi4ual ie aaknd w aapply in�sti8ativs dam,pursuun to ta�tion 13.82.subdivieion 5,co a Iaw wfoxccmeat ot'ficer. '�f'hn o�..,...uai�ee oi�vq�y D1BCP!hc nodx�m��red tl0der this subdivjnion ia tlic fq{�ividuai itu'^ :ar :refimd i 3ubd.3.A,acee ro daa by imdividual.Upon requcatto a rosD�bie au�bwi�y,an ind+viduai a6a11 be iw�'arn�edwhe�be ia the subjax ot swPed d�ta at��od►viduoJs,aud w6et6ac it i�e claasified se public,pCivate ar confideputiel. Upoo bds�v�hec roqueat,an ind'Ividusl who is t6e subjoct of etored Pttivste or publlc d�ta on mGivldusl9 shall bc ahown the cWa wir6otx aoy cbarea to himi ost4 ifhe desires�shall be infOttned of tbe wnbent wd m�oin8 of tbae dara.1►fter an individual ha9 been showa tbe privabc de�a and iuforaed of ita m�enioR t6e ds�a need aot be dioclo■ed 6o him for siz moa►ths thorcafter�less a di�spu�o ac acqota putsuamt W drie secdota is pending or additioaal cbu oa nc�individwl hos baa oollectcd or craocd.Tl�e rcepone�k�ba+ry eha11 prov9de copia of the privete o[public dats upon rcquesc by she iodivldual eabject of tUa daoa. 71u Kespafuible a�tha�iry �Y►�9wn t�r��,e+cing persoQ to par the scwal costs of roeka�B,cettifi�og,end co►'npilias du�ee. T6e tesponobk au�hacrty eholl�b'immediaoaly,ifpoew'b1q with aay�st mede pwsuuat co tbia aubdivi�iom>ar witdin ftvs days of �6e datc of tbe tw+xsc,e�ocluding 8awsdeYe>Suodays ead legal holidsys,if imcnedi�oo cocnplisncs ie mtpossibk.Ifhe cauuwt canplywith d�e requeet w�ithin q�at mne,he sball oo i�artn t6e individual,eAd me�Y htve�eddition'1�ive deys witbin+vhich oo cot��y aith ehartquest,exch�ding�Ys, 5�mdeprs and lega16o11d8ye- Subd.d.l�Cocedurvwbandataieaotaccurrteorcom�pleto.Mindividuslroaycantesttheac�aeYw'°orn�leodnessofpubuaorprivpfzdeca wnoaviu6 6imself.�'o wce�cioe th+s ui�ae,an indivi�at sholl nai�'y tn writing�he rrspo�iblc aud�a�iry descr�bioa6�he mpu�e oiwe disa�oa►�aa�'Ib�e rrspppsible 9utt101'icy ehall within 30 daya dehcr. (s)eoct�.wi tbe dats faimd to be iaaeeurak ot iDeomple6e a»d stte�lpt to norify paet reeipie�s of ioauurate or incauplere dasa,iaeludiug reeipiems�by the iudivi�l;or(b)mdfy du iadirvidual that he believes the dstaw be eoarect Data in dispuce eF�e1)be disclosed only if thc it�divid�wl's sTacement of disa�raemwt is ipcluded wi�h 1lie di�tosod d.►a. 73e deteRninspion of the respoAeible authmiry may be appealed purauant w tb�provisione of tbe admioiartsdve procodure aet teleting to contes4ed naee- DATA PR�VACY ADVISORY bu aceordexlce wi�th M.S.13.04,Subd-2,"Rights ot'subjects o£data",we would like bo ie£o�noo you thst your cequest £o�s petmit o��icense from rhe Caty of Orono or any of its deparane�ats may rec�uiure you so fu��ouisb,certain pnivate or con�£idential ir�fornoation. You a�ce nolified tb�at: 1. The imforn�adon you �iunish wi� be used to determin�e ymII quali�ication for t�►e permit or licaase reqne.sted. 2. You may refuse to sup�ply data,but refiisat may require t�hat tb�e City deiay tb�e permit ox license. 3. The iva�'o�xnation naay be sha�red with otheic local, state rnr�ederal agencies w tb,e e�.teat aeeessery to psocess the�e�aait or Gcense. �4. If your requea�ed periauit oc license requires Covnci)actxot�to�pptove,some i�tfo�nooa4�un may becobae public. S. You�aave certain rigb,ts under M.S. 13.04(available u�o�tcequest)w revi�ew privace daca ou Yo�asel� 6. Yowc fiill name is uircd to process this application rnr permit, l�1� M, an� l,e.e. s . C�v�ln r � �.�' �ne rnaa� z�.�t ��b � GU�f �01 h��e a�t, �� yfln (��� ��'� f��id�n� � �d�. N �.�i 1 0 ro�0 M� 55 e�cfi�c, ���� M �� �n� � �o,� Q/�19 �nnderst�n rig6ts ss above. �-1' I� ��D ��� � w 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: H00 Cx.74 r' �• PID: DESCRIPTION OF WORK: o I ZOVI�t 1G REV�W BY: .�.•. DATE APPROVED: �•L i-o y BUII�DING REVIEW BY: DATE APPROVED: -�•z�-,s" FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW � Yes ✓' No SEWF12 CO�tNEG"ITON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No �' PARK FEE SAC Yes No i/ SITEINSPECTION Number of SAC�Units OTHER (specify) ZONI�i TG CIi�CK LIST Zoning District: Fire Department: Post Office: School District: � L,ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_� No Date of Survey: p�r /s, O y Proposed Setbacks: Front(Lake): /`1S� t Right Side: T� ` Rear(Street): (�o� f Left Side: / ZO� f- Adjacent Structures: io' Wetland: N/�4 Building Height: Def. Hgt. O�K Peal:Hgt. l�K Lot Covera�e: N I✓� Gradino: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: " By: Zon.ing File: # — Resolution: # Resolution Date: Shoreland District: /v �� Avg. Setback: Bluff Setback: Lot Coverage: Ezisting Proposed Hardcover: 0-75' 75-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Da[e of Council Approval: RENIARKS (in house): BUILDING REVIEW CHECK LIST �C� U'" � CONSTRUCTION TYPE: yN Sq Footage $Per Sq Ftg • " Basement = x = 1st Floor x _ 2nd Floor x _ Garage x _ x = _TOTAL . Estimated Construction Value: $ S 000 � Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection �[_Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) �` F�� Grading/Filling pc Electrical (State Permit) Other � • - �� REMARKS(IN HOUSE): �,. . - . , . ------------------------------------------------------ REV�W BY OTHERS: DATE: • Access: Existing N��, Access Approval: Date gy; RENIARKS (TO BE NOTED ON PERivIIT�;W----------------------------------------------------------- 8 67/19/2005 09:49 6123368690 NOVUS PRINT MEDIA PAGE 06/06 , . � rrleElLhad lo Ao� �nfV��(�`E NQ. 8B5B1 LO'� SU�2VEYS COMPANY, INC. F.B.NO., 994-30 �r(p 5URVEYORS SCALE: 1�� _�0� ' REGtaI'RnLO UND68 773F I��OF 9'GTF o�umxg90Te � 7101 7Ac4 M.nu.AortG ' 17�f�600-O�o r�t„a°�°`0°0° • O Denote6 ko(I MWnument lum..odl�.Yloow�.6M�2 . � . p Denolee W�d Nub Sek 3uruP�ars I�PT�T�TL A�P • ror ..�ro��o�,o��y � x000.0 Danolea ExieGnp flevatlon 000.0 Oenolae Proposed pevaUon ' � O�n=�� suAooe Drninaqo ANTIiONY 'CHOMAS HOMES '� � No1f: Proposed gradcs ore eudlect b rdeull� oF aotl loalo. � `�� � Propoeed butlding intormatlon Properly loaatod in SeOElori � mu�F 6e aheaked wilh opprovd 4,.Tonnohip i17, Ran e 23, �- y'1,°�- .-- ,' buildinq pbn and davelopment or grading plan bofo�a araovation Hennepin Couaty, kfnqesota , and conetructlon. ��Q-`'Propoaed Top o1 Bloak � F" ��0 9�A- Propo�ea Carage Floor ��� ���� Note: Cereee dropped 3 couraea . ,, �� , ' , i' , ` Pcopj�od l.opras'L Flaor,•; ��, , . . „ . .. �.p, . ,. - . . !�.�'�' � . '• . . Tyvr'a( BWiL�ng . �. ���DenoCeS ez�etipg contouc � FuII Bo ��� �o�� ��o� � � . , �1�°�p � � [ CI OF ORONO t"�°'9�•� 971J Ct ao.0 aooa a71 Q,,., 9�0.9 � o�.�� �� SlTE � GRADING PLAI ' 9' � rY�i��'�� Poa� (n.ov3? . f� , ' . 969.J ' � �,.�..;,�_'� °6 �°°� zoo.00 �N�-e�a�• � --- r,.�'�'�?t7�'� '�il'1TH REVISIONS I 970A -� 167.00 • q ` MN 1 J'� �71.D6 �` �'j' ��{��:'11�•� Vr�� D72.?0��/ �` ^[��� I :N* � L�l � , D� ,,����so'. ��1TE _ '7-z�•� �'� B6D.8 / � �-o �0 D � �. ,A,� � ,��9�1�6 • 9�0.7 �� �7J.7 B�J.B �!��'I� ' �� � I I � I � , ' �zr�o ��`�2.,� i �� �C� ' � � / I '"e»s�. ___--_ i �6- �� i .. `' - �. p,rr�wi '�' ` . ��a `, -.,- .� .. ��� , � i ' y 9'11. r ; P � { „ Top �ron � I �`�j 97J.5 x - 97?ti IIOi 97 p.a.Q�k.� ��....L D�3.iD 07�8 . . b �� ( ' . 97Z � � � t� W ¢ r a��• u'o' ��,,. 9 � �� m � n � ��' 77'6'� m n i aiP.o N `_ : es, ' wr � a., N j ��`� Arop�dsec( � � ,••.. . :i N �r i �\�� � Re�s�denc�^ . 9�a; ',:,�;. _ i � 1 � ` 97J' 97 97J�s���, �75�5 � 'a r S `� �� y� '�� �e'e" o-'.:'.,.� �':, n ,x, � � , � Pn rc n i � ^ 'fiD ! � • ' �' • � 4'. � � �� • I 1 M��'e• � . i �� �y.�.� �19L a�s.� _s�ae � ,°J��9�b,_ _ b �i.e �. � B� � � B7Q ' . m '��"' � � 975.5� 976.2 � b' :.:�0.6 � . . . I � \ � � � / . I \a�a;o' •9�s,i r,�k o,. 9@�7p: pT3,e+ a�,e weu, / \ @,\ � � 875,7 E•ht6ny �'`d.��'. 9�1.4 /: �c: .. , I Bviidln9 � ,'y�,,.r �^, ,: ' , � A, ••�,I �' � , • ' , I 075�7 � � ' „ �Y�i/1 . . 1 k o ,.... 87�P `� � n y4�°?a`M1'. Bc ap w� � Y � fNV. 12�CMP �� �''�J 97�. •• �9�'9^�'��•1�� �A76.6� � _ 976.f I . . 76� � . • 87200 _�1_^ rR cu $� 9 I � �_-^-- �1 E9 /NV 1�� .o. S7 � 87fi6 @� AS�E yZ7.N l' ' 97B.d � . ��975.�6 I Gc Cravel RooO -w-w-N-w,J�rs+�r �►_� - = G r a v s�`�v, ��e oo D r i v e ----i � Ria.n W-W- 9T5.0� 975.29 97�.J ' � 200.00 ____--970.1 0��' �'%rea � 97&0 p..hya0 WiYe9 ,p� - �4b~ ' DYH g�arr Lot 30, AUDITORS SUDDIVISaON No. 290 Th. ordr aasamento ohown ara kom p�ate of rocord or infarmation � pfoVld�tl Dy cq�nl. Wa qereby cerllfr 1h0� IAiB la a uua and corfoct �ep�caentotbn of � o �urvay of Ib• Duu(Morlu ol lhe ebow d��arl4�d Imd and Iba loeauen el all eu4dlno� ond vulm� �neroaohm�nu, If any,!jFbm er on aold land. �.;, • . Surveyed by ue this 151h doy of Oclobe� 2004,� �-�--• �. Slgnad � DraMn'�!" 9. .Yw�..w i0-P6-0 �o�e. allde nouae 1' � C�arloa F. M sr� n. y�„„• R�q• No. 21�'.] or ., ,-'� � � /+T s o�iv5 MiN. W0�.7. D T� !=���-, � . . :;�=.F/„';�.f i iJ « ' � m e�av�-r���E-r�.�� �,��;� �-�3���:, � 6� _ .. � ; . m -- , � � - - - �: � ���� --�, . _ - v �' t �.Y�����' ��,� t ' _ ��`�j� � `_ - J r Y -_ - - -- ���i_ . 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