HomeMy WebLinkAbout2006-P09881 - attached garage PERMIT
CITY OF ORONO
2750 Kelley Park,way- PO Box 66 Permit Number: P09881
Crystal Basy, Minnesota 55323 P2rmlt Typ@: Addition/RemodeURepair
(952) 249-4600 Date Issued:
9/8/2006
SITE ADDRESS: 30 Myrtlewood Rd Unit#
Wayzata,MN 55391
PID: 36-118-23-33-0011
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Garage-Attached
YP
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 421.55 Valuation: $ 28,000.00
Plan Review Fee: $ 274.01
State Surcharge Fee: $ 14.00
TOTAL FEE: $ 709.56
APPLICANT: D&S Building Blocks,Inc. OWNER: Bruce&Lori Paulson
938 Brooks Ave 30 Myrtlewood Rd
Roseville,MN 55113 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATCIRE
Copies: l-File(Signatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: �
�C� ��� Date Received: �`' u ����
Entered By: Permit#: `� / I -7 /�"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) OWNER O CONTRACTOR
C�
JOB SITE ADDRESS: � �) I r� '�"� �"��� 1 �� �� ZIP: S � � �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No !f yes, a specia!event per�rnit is required wrth Police Department and City Cozrncil approval
60 days pr�ior to tlle event. Slzz4ttle bus service�vil1 be r•ega�ired ainless applicant demonstrates
sufficient on-site parking is available. Non-permitted events ivill not be allowed
NAME OF OWNER:� 1�l�� ���-S ��� PHONE: (home) �S Z ��! 7� ' �'LZ%
(wock) �I 2- 3 3 6 -i 3a�1
MAILING ADDRESS: S �'^�� CITY: ZIP:
CONTRACTOR:��S �a������� ��-�-��-��1 i ti �-- PHONE:�i 1 - ��'E - �l�t L �-
CONTACT PERSON: t ��Jc.- Cr����,�.� �f��- MOBILE/PAGER:
MAILING ADDRESS: ��� 'b�L���j ' � CITY: ILci c✓'��c= ZIP: ,S�/�3
STATE LICENSE: # �Zv� 3 3 F����( EXPIRATION DATE: �/ 2r � �-c v �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition ✓� Accessory Structure
Move Home Remodel/Altecation (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detcai�: i '7 X��- �"1f����� ��t,�"��--
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �/ DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��� ,rvZ `
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 oi•dinances and codes of the City and with the State Building
Code;that[ understand this is not a permit and wock is not to start without a permit;and that the work will be
in accordance with the approved plan.
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APPLICANT'SSIGNATURE: ���-.� DATE: C�
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set Yorth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshall 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 retLse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or contidential data;and(d)the identiry oY od�er persons or entities authorized Uy 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 la�v enforcement officer.
The commissioner of revenue mav olace the notice re uired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classitied as public,private or contidentiai. 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 ro him and,if he desires,shall be informed ofthe content and
meaning of that data. After an individual has been shown the private data and informed of its meanin�,the data need not be disclosed to him for six
months diereafter unless a dispu[e or action pursuanc to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of die priva[e or puUlic 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 shall comply immediately,if possible,with any request made pursuan[to this subdivision,or within tive days o[
the date of the request,e�cluding Saturdays,5undays and legal holidays,if immediate compl iance is not possible. If he cannot comply wiYh the request
within that time,he shall so inform the individual,and may have an additional five days within whidl to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not aceurate or complete. An individual may contest[he accuracy or completeness of public or private data
concerning himself. To etercise d�is right,an individual shal I notify in�vriting 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 notity past recipients of
inaccurate�orincomplete data,including recipients named by[he individual;or(b)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating[o
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 City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
l. The information you furnish will be used to determine your c�ualification for the pern�it 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 rec�uested permit or license requires Council action to approve, some information may becotne
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.
� � � �
First �liddlc Last
� C'� 'i�- �
Address
Cih� State Zip Phone
I understand my riehts as stated above.
� �
Si�naturc
Reset Form ��
1
�CHEC]K OFF i.IST FOR ISSUANCE OF �ERMiTS
' FOR OFFICE USE ONLY .
ADDR�SS OR LEGAL: 3 a rV�`I��-�°f c �•,.�.,,�
PID:
nEscx�o�oF woRx: �-��ZZ ��tt�acl�� �Y��w
----------------------------
ZO�tG REVIEtiV BY: � ^ (�,ti�(, __.._�_ DATE APPROVED: - G •06�
' I�ATE APPROVED: q- b•�6
BUILDIN'G REVIE�'� BY: . .
k'EES TO BE C�IA.RGEA: Misc. Fees Calculated By:
pEg�T Yes ✓ No
PLAN REVIEtiV � Yes ✓ No SE�4VER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTION
INVESTIGATION FEE Yes No i/ PARK FEE
SAC Yes No -�'� SITEINSPECTION
Number of SAC�Units OTHER (specify) .
------------------ ��
ZONI�IG CHE.CK LIST Zoning District: � .
Fire Depaztment: Post Office: _ School District: • �
Lot Area: Sq.ft. �� ��� Acres (.Q� � � Widch Depth
Survey Submitted: Yes IVo � Date of Survey:
Proposed Setbacks: � • :
Froat(Lake): li�' � Riaht Side: s(��-1•S .
Rear(Street): 6 00 ''� Left Side: `�l ZO
NOT ��oJ 14/g
Ad;acentSt:uctures: yb� '�-0 SH�� Wetland: ,nf1A �s—o y�q�t,�f
Suilcling Height: Def. Hgt. b .Ic Pea.l:Hgc. —
Lot Covera�e: N � 'A
Grading: Staff Approval Date: N � 14 BY: Council Approval Date: '
Septic: Staff Approval Date: ��' ��'�1U �Y� �
Zoaing File: � '—' Resolution: �f _ Resolutioa Date:
Shoreland Districc: ,�� �t Cove�age:
Av�. Se[back: Bluff Setback:
Eustin� Proposed
0
Hardcover: 0-7�'
75-250'
2�0-500'
500-1040'
Ha.rdcover Va.riance Required: Yes No Da�z of Couacil Approvz:
RE�L�S (in house):
r
BCTII�DING REVIEtiY CI�ECK LIST
�C� 2 ' '� � CONSTRUCTION TYPE: �[!ti
t
. Sq Footage $Per Sq Ftg
� Basement � . .. x _ . .
lst Floor � . x • . • � � � ,
2nd Floor x _ � � .
Garage x = .
x =
TOTAL
Estimated Construction Value: $ Z S,Oc�o °�
Inspections Required: `York Requiring Separate Permits:
S ite Plumbing Fire
� Hardcover Removal Mechanical Water Connection
_2C,Footing ` Septic 5ewer Connection •
o! Framing . � Fireplace Lawn Irrigation
Insuiation (Masonry) Ocher
�tBoard (Mfg,) Well (Scate Pecmit)
_,�F�� Grading/Filling �Eleccrical (State Permit)
Other
REI�ZARKS (IN HOUSE): - -
-- -----------------------------------------
REVIE'4V BY OTT�ERS;�. DA'I'E:
Access: Ezisting New •
Access Approval: Date By; '
---------------------------------
REI�IARKS (TO SE NOTED ON PERi�II'I'):
8
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READ IMPORTANT DISCLAIMER INFORMATION
Property IG Approximate Property Perimeter Approximate Property Area
36-118-23-33-0011 2,424 ft. 299,449 sq.ft.=6.87 acres
Property Address Market Value Total Tax(2006)
30 MYRTLEWOOD RD ORONO, MN 55391 $984,000.00 $9,872.84
The data contained on this page is derived from a compilation of records and maps and may contain discrepancies that can c
disclosed by an accurate survey pertormed by a licensed land surveyor. The perimeter and area (square footage and acres)
approximates and may contain discrepancies. The information on this page should be used for reference purposes only. Hen
does not guarantee the accuracy of material herein contained and is not responsible for any misuse or misrepresentation of
information or its derivatives.
Provided by Hennepin County Taxpayer Services Department.
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� � ✓DATE TIME
CITY OF ORONO ���LLED IN �� � -bb
INSPECTION TI E SCHEDULED 'd� �'�:� �%�Q
PERMIT NO. �� S)O�MPLETED
ADDRESS �� �7/ !,J o� ��
OWNER CONTR. ��S , �.� .B/.,,,,/�
TELEPHONE NO. �l/�a Glr�h��c�Z�
� DESCRIPTION `���"�'1
FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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 �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContr n s te:
Inspector. -'
Whiie Copyllnspector's Fit Canary CopylSite Notice
�� "`°n-"t�.� �
D E TIME
CITY OF ORONO CALLED IN � ' � '
INSPECTION N�T/�IC� �-.-!��.l SCHEDULED �� � ��n'1
PERMIT NO. w l i �� ` L' I COMPLETED ` '
ADDRESS �� ���1��'C-� W c?c'E� j�c
OWNER CONTR. ��ns f-�1����t`� ����5
TELEPHONE NO.
� DESCRIPTION �r�T//�`I ��i�f��L�6�t
� 01 FOOTING 11 MECHANI L 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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W ❑ RRECT WORK 8 PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN
INSPECTOR W{LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �95Z� Z49-4600
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