HomeMy WebLinkAbout2006-P10396 - detached garage PERMIT
C��Y '�F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10396
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952)249-4600 Date Issued: l0/l0/2006
SITE ADDRESS: 2665 Mapleridge La Unit#
Excelsior,MN 55331
P��� 21-117-23-21-0004
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 438
Pernvt Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Garage-Detached
YP
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,273.75 . Valuation: $ 150,000.00
Plan Review Fee: $ 827.94
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,176.69
APPLICANT: Stephen Longman Builders Inc. OWNER: John Johnson
9401 Preston Place 2665 Mapleridge La
Eden Prairie,MN 55347 Excelsior,MN 55331
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.
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APPLICANT PERMI E SIGNATURE D BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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�Total Fee: $ �� � '` f'.• �%� �r� ��J Date Received: � A�3' )O
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Entered By: �% Permit#: �J D_��'f lo
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: a��s m�Pl e��c�� e C,.a.�- � ZIP:
Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �NO !f yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER:o�,,, ��� , ��„�1so� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
�
CONTRACTOR: ��-����,,, L��K�,��.� `�������..� t��.� PHONE: �Sa - �y3- �aa �
CONTACT PERSON: S�I-e v c MOBILE/�PAGE�2: G l� - �a/- a�a L
MAILINGADDRESS: G1�-{d1 Q�-�S}o.�, `�l�c� CITY: 1=-c-�e..� � ��,.�'< ZIP: .�S3�1�
STATE I.I�ENSE: # a. �1� � EXPIRATION DATE: 3- 3/ - b 7
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �
Move Home Remodel/Alteration (ie: Siding, Windows)
PROPOSED WORK(describe in detai�: �-�� a��r �, 3 5-�c��� c�ur x o -�
STORIES: � SQ.FEET OF EACH FLOOR: �S�
NO. OF BEDROOMS: U GARAGE STALLS: ATTACHED DETACHED 3
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ lSG � o o n
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 a ' not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: �U � � - a �
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31
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(p[ease pri�it all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑Yes ❑ No ff yes, a specia!event perrnit is r•eqarir•ed ivit/7 Police Department and City Cozrnci!approvnl
60 days pr•ior to the event. Shutt(e birs serl�ice ivill be required unless ap�lica��t den�onstrates
sz�cient ora-site parking is available. Non per»�itted events tivill not be allowed.
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTR.ACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detain:
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROO1ViS: GARAGE STALLS: ATTACH�D DETACHED_
ESTIMATED CONSTRUCTION VALUATION(exclucling 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 witll the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pecmit and�vork is not to start without a permit;and that the work will be
in accordance�vith the approved plan.
APPLICANT'S SIGNATUI2E: DATE:
3l
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Sec.13.04 RIGHTS OF SUBJECl'S OF DATA
Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set toRh in this section.
Subd.2. Information required to be given individ�al. An individuai asked to supply private or contidential data conceming himselfshall be
infonned ofl (a)the purpose and intended use of the requested data�vithin 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 known consequence arising from his supplying or refusing to supply
private or cont5dential data;and(d)the identiry of other persons or entities authorited by state or federal law to receive the data.This requirement shal I
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 nlace the notice reguired under this subdivision in the individual income tax or�rooerry tax refund
in�tructions instead of on those fonns.
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 classitied as publ ic,private or confidential. Upon his further requese,an individual who is the subject of
srored private or public data on individuals shall be shown the data���ithout any charge to him and,if he desires,shall be infortned of the content and
meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been collected or created. The
responsible autlioriry 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 shali comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which ro comply with the request,excluding Sawrdays,
Sundays and legal holidays.
S ubd.4.Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
concerning himself. To exercise this right,an individual shall notity in writing tlte responsible authoriry describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplate and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves the data to be correct. Data in
dispute shall be disclosed only if the individual's sta[emont of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the�dministrative 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 inforni you that your request
for a pern�it 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
p�iblic.
5. You have certain rights under l�i.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Nliddlc L�st
�;(A-��
Address
Cilv Siate 7_ip Phone
I un rstand my rights as state above.
�.�t/"`-a�
Si6 :�turc
Reset Form 32
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�CHECIK OFF �.IST FOR ISSUANCE OF �E�2MITS
FOR OFFICE USE ONLY� �
ADDRESS 4R LEGAL: z��S rH A P�R��J�� c-a,Ne
PID:
TJESCRIPri'IO�T OF WORK: Qzrv�c��� G/�-�� —
---------------------------
r .�i G REVIEtiV BY: ---- �p`^___��_ DAT'E APPROVED: �� •`�'-o`
ZO� �
gUILDIN'G REV7�tiY BY: .
� , . DATE APPROYED; !a •5 - �' .
FEES TO BE CHARGED:` � Misc. Fees Calculated By:
P�g�T Yes � No
PLAN REVIE`V � Yes _�� No SE�VER CONNECTION
STATE SURCHARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE �eS , No � STT INSPECTION
SAC OTHER (specify)
Number of SAC�Units �.
ZOYIi�IG CH�CK LIST Zoning District: .
Fire Department: Posc Office: , School Dis[rict: • '
L,oc Area; Sq.ft. Acres _ Widch Depth
Survey Submitted: Yes v� No Date of Survey: /I-5-�`�c. �.�4tT ��v�5�i" lo-b-a(o
Proposed Setbacks: � �� • ;
Front(Lake); 2�70 -�' Right Side: _ ,
Rear(Street): b 7�� Left Side: .3`�y
Ad;acent Struckures: '1 5 � Wetland: Y3 ' �-'-��'`�'?"°'� r�'`�'�
Builclin; Heipht: Def. Hgt. c�, �- Peat:Hgc.
Lot Covera?e: �°7° f
L Council A roval Date:
Grading: Scaff Approvat Date: l�'9 -0,6 BY: �1 pP
Szptic: Staff Approval Date: 'V � BY� w�
Zoaing File: �_= Resolution: k _ Resolutioa Date:
Shoreland Districc: v.PS _ �v +
Av�. Setback:r N �� Bluff Setback: N(✓� P OC�°5 a�e: � �
Ecistino P
Hardcover: 0-75' y.S ,�
75-250' 2
2�0-SQO' 2�.7
500-1000' �
Ha.rdcover Va.ri2nce ReGuired: Yes No o'� Da�z o�Cowcil Approvz:
R.EtiL�S (in house):
„�,. , •
BLTII�DING REVIEtiY CHECK LIST
�C: __ t1 —� � CONSTRUCTION TYPE: v�
Sq Footage $Per Sq Ftg
� Basement � . . ,. x _ .
lst Floor ' . x • _ . • � � � .
2nd flaor x = � � � •
Garage x = .
x _
TOTAL
Fstimated Coastruction Value; $ � J—�'t9,�do °='-
Inspections Required: `Yo�k Requiring Separate Permits:
S ite Plumbing Fire
• Hudcover Removal Mechaaical Water Coaaection
_�C Footing ` Septic Sewer Connectio❑ ��
� �_Frami.ag . � Fireplace Lawn Irrigation
_,�,Lnsulation (Masonry) Other
Watl Board (Mfg.) Well (Scate Permit)
�F�� Grading/Filling _�Electrical (State Permit)
- Othcr a
REMARK�(INHOUSE): , , - ,
-- - -- -----------------------------------------
REVIEtiV BY OTHERS: _. DATE:
Access: Ezisting New •
Access Approval: Date By; �
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REI�IARKS (TO BE NOTED Ov PERi�: � �
8
��� �� DAT � TIME �
CITY OF ORONO CALLED IN ���
INSPECTION T E SCHEDULED �'� /l�Ob � Q
PERMIT NO. �1�3g�o COMPLETED �
ADDRESS v�
OWNER CONTR.
TELEPHONE NO. 7ic7 �6D ��� �^"--� - �
� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTiON REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the xt inspection 24 hours in advance. (952) 249-4600
OwnerlConV site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�V � � /DAT�p� TIME -�
CITY OF ORONO CALLED IN —�� -b--,
INSPECTION TIC SCHEDULED J��� �-�
PERMIT NO. � COMPLETED
ADDRESS ��
OWNER CONTR.
TELEPHONE NO. ��a �Z� ���
� DESCRIPTION `����'��'"�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR u GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedContract o site:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
�I � pATE TIME V
CITY OF ORONO CAL�ED IN ��
INSPECTION NOTICE SCHEDULED /d�/�-�G�
PERMIT NO. 39 COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. I Q �� �
� DESCRIPTION �l.��iVL�L�-- l-�L�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContracto si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
< < o !� 7" /�j /� TIME ,/
� CITY OF ORONO CALLED IN ����� `"'-
INSPECTION NO SCHEDULED -��?�7�p_���
PERMIT NO. COMPLETED
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ADDRESS �
OWNER CONTR.
TELEPHONE NO. �� � ��D — ���`-��
� DESCRIPTION �C�(�.�e�/ L( �G7 ��
� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 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:
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INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n�xt inspection 24 hours in advance. (952� 249-4600
OwnerlContra ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� \� �7 ,�
, DATE TIME
� CITY OF ORONO CALLED IN � "�� � /
INSPECTION N TICE SCHEDULED �',�3 G'7 C:UC1
PERMIT N0. 7 COMPLETED
ADDRESS .� � �'C..�G��.. .� �� �iG��' ���u��.
OWNER CONTR. ��c �1 �c �� �it�����
TELEPHONE NO. ts r�- �r 7C-' °��S � �`� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
_ -SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAI 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
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INSPECTOR W4LL RETURN
O STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac e:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice