HomeMy WebLinkAbout2000-P02262 - detached garage , �
CITY OF OR N PERMIT
O O
2750.Kelley Parkway - PO Box 66 Permit Number: Po2262
Crystal Bay, Minnesota 55323 Permit Type: a��essory st,-u�tures
(612) 249-4600
Date Issued: 4i�ioo
SITE ADDRESS: 3572 Livingston Ave
WAYZATA,MN 55391
P ID: 17-117-23-43-0150
DESCRIPTION: UBC Occupancy 1t3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage/Detached
DETAILS:
Approved per resolution#:
Separate permits required: Eiectricai(state j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 181.25
Valuation: $ 9,500.00
State Surcharge Fee: $ 4.75
TOTAL FEE: $ 303.78
APPLICANT: MARK CUFF OWNER: MARK W&KAREN L CUFF
3572 LIVINGSTON AVE 3572 LIVINGSTON AVE
WAYZATA,MN 55391 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 BU[LDING CODE REQUIREMENTS.
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APPLICA T19�_ [ ED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ _�3,7�' Date Received: �-� �'-�
Entered By: ,� Permit#: rt-C� ���: ..� ,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------- ------ ----------------------------------------------
THE APPLICANT IS: (circle one) WNER R CONTRACTOR
JOB SITE ADDRESS: 3�� �- �-�� �n�;.5��:; �V � ZIP: �5 3`i 1
C��ro,no �v.,J
/'/.�.�/���//�`35��5'Y�`f
NAME OF OWNER: y'hU��L �; 1���,,} (v F� PHONE: (home) `t-� 1-9 7`3��
(work) �i�v -`f �v I C (v+���,1�
MAILING ADDRESS: 3��1� ���,��,,.�L,FJ /-�� � CITY: �r�n� ZIP: S 5 3`� I
CONTRACTOR: s�� �= PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: ,S�L-r= PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New ✓ Addition Accessory Structure ✓
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ,6,�� (cl ��ca-r��d � Lo�- I/
V1�i D � �r�vt 1.vc . �p M1 L��- /(o -��� LJ�- /�1
STORIES: _� SQ. FEET OF EACH FLOOR: �7�-�rz�t E (��a- sf=
NO. OF BEDROOMS: C� GARAGE STALLS: ATT. DET.�_
c7�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `�Sov�
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: � � DATE: 3��'�IU�
NOTE! Parade of Homes events require sep ate pernzit approval by Police Department and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
5
Sec.13.04 RIGIiTS OF SUBJECTS OF DATA
Subd. 1. Type of data. T'he rights of individual on whom the data is stored or[o be stored shall be as set forth in this secrion.
Subd.2. Information required to be given individual. An individual asked to suppty private or confidential data concerning 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 supply the requested data;(c)any lrnown consequence arising from his supplying or
refusing to supply private or wnfidential dara;and(d)the identity of o�er persons or entides authorized by srate or federal law ro receive the dara.
This requirement shall not apply when an individual is asked to supply invesdgative data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revernie mav�lace the notice reauired under this subdivision in the individual income tax or nrocertv tax refund
instrucrions instead 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 confidenrial. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data wit}►out 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 iu 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 addidonal data on the individual has been
collected or created. The responsible authoriry 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 authoriry shall comp(y 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 tegal 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 addidonal five days within which to comply with the request,
ezcluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private da�co�erning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)wrtect the data found ro be inaccurate or i�omplete and attempt to notify
past recipients of inaccurate or ic►complete data,including recipients named by the individual;or(b)notify the individual that he believes the dara
to be cottect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administraave 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�ity 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. Yo.0 may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shazed with other iocal, 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.
Mf�l< I�a-��ur �+�
First Middle Last
3�s ��a- L�����,s+� a�s�
Address
Dr�� m� SS3�i I �7� �17��
Ci�y State Zip Phone
I understand my rights as stated above.
Si re —
6
. .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
� ADDRESS OR LEGAL: �5 Z 2 L�v i�.�v s�N
PID:
DESCRIPTION OF WORK: dJ�c rr�c.�-��..'� .,�F 2h 6�
---------- --------- -------------------__--_-----------------------:---------_____
ZONING REV�W BY: �_ DATE APPROVED• y-S-o 0
BUII.,DING REVIEW BY: DATE APPROVED: K- �=nd
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes f No SEWER CONNF.CTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHE.CK LIST Zoning District: GR-/L
Fire Department: Nl u vn�� Post Office: (�J R VZ,�+�1r4 School District: t�E S�N Ic/a
Lot Area: Sq.ft. �3�'?�o o Acres � 3 Width I b o� Depth �3 Z-'
Survey Submitted: Yes_� No Date of Survey: Z -ZT- 4 I
Proposed Setbacks:
Front(L-e�e}: y 3� Right Side: 1� '
Rear(Sueet): (�F� Left Side: (�'�'
Adjacent Structures: 2 S' Wetland: N(y�4 _
Building Height: Def. Hgt. c9•IL Peak Hgt. '�
Lot Coverage: �n.3`7�
Grading: Staff Approval Date: N �� By: — Council Approval Date: "
Septic: Staff Approval Date: /J(r4 — By: --
Zoning File: # N(�'�' Resolution: # Resolution Date:
Shoreland District: I�rU
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
. .
BUILDING REVIEW CHECK LIST
UBC: U- � ' CONSTRUCTION TYPE: V N
. Sq Footage $Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage a =
x =
TOTAL
Estimated Construction Value: $ °I,SC�p e°`—'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
�C Footing ' Septic Sewer Connection �
pc. Fruning Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Boud (Mfg.) Well(State Permit)
vC Final Grading/Filling �Electrical(State Permit)
Other_�_ _
REMARKS(IN HOUSE): �
-- ___ --- -� __---------------------�--------------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
REMAR��.S (TO BE NOTED ON PERMI'1�:
8
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, CERT = F I CATE OF SURVEY
FOR � � KAREN CUFF
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I hereby certify that this is a true and correct representation 'of a survey
of the boundaries of the above described land and of the location of. all
� buildings , if any, thereon, and all visible encroachments , if any, from or
on_ said=land. As surveyed by me this 25th d �y of February, 1991.
� -
� • � Herb F. Lemire RLS �
Minncent� Aen U.. '1 '2'2/�O
DATE TIME
CITY OF ORONO CALLED IN ` ��U O �,"�
INSPECTION NO C a SCHEDULED + � �'a ( �'��'�'
PERMIT NO. ���"'��- COMPLETED �� -_-tS ' "�`�
ADDRESS �s v� �`�-�
OWNER CONTR.
TELEPHONE NO. � �
� DESCRIPTION �
Ly 01 FOO 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
S 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�/
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
�ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspectooi��/G2`C-£����S
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN .�`� oa
INSPECTION NOTICE SCHEDULED 3/g/oa ^ �rz�
PERMIT NO. �n�z� %� COMPLETED � Z^ '"
ADDRESS _'���� rz��.c�a.�n� .�li� •
OWN ER CONTR.
TELEPHONE N . �rb�7 � C�%�(�:�--
� DE ION as���'
lL FOOTING'' 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 02 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
J 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �V�.�RKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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W CJ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. ��/c,vC- (/��
White Copyllnspector's File Canary CopylSite Notice