HomeMy WebLinkAbout2004-P08222 - detached garage ` � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Pog222
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: i2i2i2ooa
SITE ADDRESS: 3435 Livingston Ave
WAYZATA,MN 55391
PI D: 17-117-23-43-0063
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 18,230.00
Plan Review Fee: $ 199.68
State Surcharge Fee: $ 9.65
TOTAL FEE: $ 516.58
APPLICANT: Owner/Sel£ OWNER: D V&E N BRUCE
MN 3435 LIVINGSTON AVE
WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN Sl'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
, �``�°� '1/.�p� �� c�2SCo
�^ S.�`�_�
h:�
Total Fee: $ J�/�O• 5 � Date Received: ��" '�j
Entered By: , Permit#: ZZZ
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infor»iatio�z)
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THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 3 �{� S�� � ��/2� -l'-� S%Zi`Z� i�l�L ZIP: ���/�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ,�, No If yes, a speciczl everit peri�zit is requii�ed with Police Depaj�tmelzt arid City
Counci�l app�°ol�al 60 days prior to tlze eve�zt. Non per�mitte�l eve�zts will not
be allowed.
NAME OF OWNER: ,����'��ti��S Y��'��/C��l ,�G(e �" PHON�: (home} l���l-7 6 ��
�/ (work)
MAILING ADDRESS: �� �`J��'L�v/i'���S���>���ITY: Cc� � �i� ";/t ZIP: ��.3
CONTRACTOR: ��f ti���� PHONE: ��� �7f�`7 � ��
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: 7IP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
..������ �,�e.-�1- D�-f—3Cj�� C...,�=< <F.,�--�;��
TYPE OF WORK: New Accessory Structure �
Addition Move
Remodel/Alteration Land Alteration
PROPOSED WORK(describe i�a detain: /1'1�'��� 6���"`j� ' ��-/� 9� (�/�-,�.D
� C/Yl ��r� J �f�' �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �-
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ !. .� � ='� �
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. �
9 �j (�
APPLICANT'S SIGNATURE: ` � � � ��%� DATE: �l'��-�T
} `
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type of data. The rtghts 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 con£dential data concerntng 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)
whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to suppiy
private or con�dential data;and(d)the identity ot other persons or entities authorized by state or federal law to receive the data. This requirement shall
nat apply_when an indlvidual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement of�cer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or arooertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsibie authority,an individual shali be informed whether he is the subJect of
stored d"ata on individuals,and whether it is classified as public,private or conCdential. Upon his further request,an individual who is the subject of
stored private or public data on individuais 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. After 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 indiv(dual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the iadividual subject of the data. The responsibie authority may
require the requesting person to pay the actual costs of maWng,certifying,and compiling the copies.
The responsible authority shall compiy immediately,if possible,with any request made pursuant to this subdivision,or wtthin five days of the
date of the request,excluding Saturdays,Sundays and legal i�olidays,if immediate compliance is not possible.If he cannot comply with the request within
that time,he shail so inform the individual,and may have an additional Cve days within which to comply with the request,exciuding Saturdays,Sundays
and legal holidays.
Subd.4. Proccdure when dnta is not accurate or complete. An individual may contest the accuracy or completeness of publicor private data
concerning himseif. To exercise this right,an indivtduai shall notify ia writing the responsible authority describing the nature of the disagreement. The
responsible authority shall wlthin 30 days eitl�er: (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 ahall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority muy be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.5.13.04,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:
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.
D���vls 1/� ,��uc C �
First Middle Last
.�c���" Li��/v� s To iv ���
Address
(,�r�vz�-�l9- i�1� ����9/ 9�-�71-7� �7
City State Zip Phone
I understand my rights as stated above.
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Si at
CHECK OFF LIST FOR fSSUA1VCE OF PER�ti,tITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3`l3S L�v �N�sZ-o�v Av e.
PID:
DESCRIPTION OF yl�O.RK: 1^/1 o u� ��' ���6�
------------------------------------- -------- --------------------------------------------------------
ZOtYI[VG REVIEyV BY: ,_ DATEAPP�OVED: / z -i-o Y
BUILDING REY,fEW BY: DATEAPPROVED: i z- �-o X
--------------------------------
FEES TO BE CHARGED: Nlisc. Fees Calccclated By:
PERI�IIT Yes =� No
PLANREVIEyV Yes r/ �Vo SEYVER GO�VtVECTION
ST�lTE SURCHARGE Yes � !Yo tiVATER CO�Wt ECTIOIV
I��TVESTIGATION FEE Yes �Vo �/ PARK FEE
Sf:tC Yes No �/ SITEINSPECTIOtV
Nu�nber of SAC Units OTHER (specify)
-----------------------------------------------------------------------------------------------------------
ZONI[YG CHECh'Ll'ST Zorting Dlsb•ict: CJQ-��-
Fire Departrreerrt: Post O�ce: Scl:ool Dfstr•ict: _..
Lot.�trea: Sq.f't. C�,"1�1'1 flcres . �� YYidtf: SO � Depth
Survey Subrriitted: Yes X No Date of Sitivey: �oT 30• o`(
Proposed Setbacks:
F�•ortt(b�e): `{�•� Riglit Side: 2-�
Rear(St�eE+i): 51 Geft Side: 1�
Adjc�cent Structures: '2�7' Wetland: N I A
Berilding Height: Def. Hgt. U•k Peak Kgt. —
Got Coverage: f q�fl
Grading: Staff.�pprovnl Date: — By: CotuTci!Approvc�!Dc�te:
Septic: Staff.�lpproval Date: — BY�
Zonir:gFile: # 0�1-305� Resolution: # Resoli�tionDnte: I,-ZZ' o`I
Shoreland Dish•ict: �p-e� _
Avg.Setbnck: N�— Blceff 5etback: — Lot Cover•age:
Existing Proposed
Ha�•dcover: 0-7.i'
75-250'
250-500'
500-1000' 3S ; .
Hardcover Variance Required: Yes No �� Date of Co�c�scil Approval:
RE1I�IARKS(in hottse):
31
B UILDI�VG RE vIEW Ch�ECK LIST
UBC: � -� CONSTKUCT70NTYPE: �N
Sg Faotage .�Per Sg Ft,;
Basenie�it x =
!st Floa• ,r =
?nd Floa• x =
Garc�e s =
x =
, TOTr{L
0
Estimated Catstructiac Value: �S ��,�30'
Irespectioris Required: 6Vork Requiri���Separate Permits:
Site Plulr�bing Fir•e
Hardcover Rernoval Nfechanicc�l YYater Connection
oe Footing Sep[ic Sewer Connectiaa
Franiing Fireplace Lativ�i Ir•rigation
lnsulation (r�lnson�l.) Other
GYaI!Board (l1�Ifg.) 6�ell(State Perniit)
D� Final Gracfing/Filli,tg Eleca•icat(Stc��e Permit)
Other
REltiiARliS(IN HO USE):
RE f�IE yV B Y OTHERS: DATE:
.4ccess: E,ristin,� rVerv
Access�lpprovc�l: Date By:
REttiiARh'S (TO BE NOTED O�YPE.,RcYIIT):
32
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,-.-i-/ter�rr� Ows�� /�'�� �o�r $ 6� o•�. b�o�! Z p?-�-. �es c.�..
-���'�5�The detached garage rr�ust be focatec6
'f�� ���P�P4ftnJ O.rr � , �
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DATE TIME
CITY OF ORONO CALLED IN I� "J � �'��I
INSPECTION N TICE SCHEDULED i�� �L' C"I C:"i�4��.4
PERMIT NO. � COMPLETED '
ADDRESS . =��I �� � 1�r/?� S��T�'� �G"��-
OWNER j>�C't1�1 r�S �I�UCR. CONTR. �i� ��I i������
TELEPHONE NO. � �.�7 � y 7 � ��`��
, (
� D�SC�ON �- (Ga.�""1 � S � ��.t� Z�r �-�_(��c�c.�
1y��1 �FO�_O�TI-N-G. 11 MECHAN ALRI 18 EXCAV/GRA ING/FILLING
Q0'£FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a --T��`.Y> D�� ��E
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance. (J52� 249-46��
Owner/Contra ite�
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�� � - �/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED o�d'�D �.�,�)
PERMIT NO. ,��$�Z COMPLETED
ADDRESS ,�� .3� Lr (�i v1qS��'� /�'Z-�--
OWNER l��'1�7/S CONTR. '��
TELEPHONE NO. 7 � a � 7l ' �Co � -1
� DESCRIPTION �/7�% ` CZ.�'GrC�,
l� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMEN S:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O � �
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlCont r site:
Inspector. � `
White Copyllnspector's File Canary Copy/Site Notice