HomeMy WebLinkAbout2007-P11698 - detached garage PERMIT
CITY OF�ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11698
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 12/3/2007
SITE ADDRESS: 3324 Navarre La Unit#
Wayzata,MN 55391
PID: 17-117-23-44-0060
DESCRIPTION: UBC Occupancy U1
Construction Type V
Proposed Use: Residential
Census Code 438
Permit Class: Building
Permit Type: Accessory Shuctures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 349.25 Valuation: $ 22,000.00
Plan Review Fee: $ 227.01
State Surcharge Fee: $ 11.00
TOTAL FEE: $ 587.26
30,�
APPLICANT: David Peterson �� OWNER: Catherine Sallas
P.O.Box 412 �� 7� 3220 Bohns Point La
Buffalo,MN 55313 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.
�
APP PERMITEE S NATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
_ ( �'D�
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Total Fee:� $ � o /, � Date Received: I�— T�—�7
Entered By: Permit#: �����
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infoYmation) .
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 3�9 I�1t4JA�,� L+J ZIP: s.S`39l
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No !f yes, a special event pernzit is required with Polrce Department and City Coz�r�cil approval
60 days pr�ior-to the event. Sl�uttle bus service r>>ill be required z�nless npplicant den�onstrates
sarfficient on-site parking is crnailable. Non-permitted events will r�ot be allowed.
NAME OF OWNER: C�� �� PHONE: (home) �iZ q�� g-7�
(work)
MAILING ADDRESS: j P�:.�,,..s P.� L�.! CITY: U1��ae ti�h„! ZIP: �����
CONTRACTOR: �1�s r-� �-�--�-�%�S�'�L..� PHONE• «� ''� �-%�f�' ��3�8
CONTACT PERSON: ,7`jpv��`' jJe�-�i.se r�MOBILE/PAGER: v
MAI•LING ADDRESS: -�� 0� Bc,r: y i,�- CI'I'Y: �ir°f'/4 /o ' ZIP: ,$�5 3/ �
STATE LICENSE: # �.�0 3% /y/D EXPIR.ATION DATE: .3-3/ -Og
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �C _
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
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PROPOSED WORK(descri6e-in detain: (�,�-� ��; 4 �e,p�}.�.A.v+�c,�' o�-
St�n�, s�-cac.�u,.
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACH+ED DETACHED�
�
ESTIMATED CONSTRUCTION VALUATION(excluding land): � L2,pOp, �SiG v,t f�L �a�
I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate;
that the work will be in confonnance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit and wark is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: ��..�.—�' DATE: �,-Z(n-�"]
31
. .
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set foRh in this section.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming 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 refuse or is legally required to suppiy the requested data;(c)any known consequence azising from his supplying orrefusing to supply
private or confidential data;and(d)the identity of other persons or entities suthorized by 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 law enforcement o�cer.
The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or properry rax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,a�i individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. 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 to him and,if he desires,sha11 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 disputc or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authoriry shall provide copies of the private o�public data upon request by the individual subject of the data. The responsible authoriry
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 pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal 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 additional five days within which to comply with the request,excluding 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 data
conceming 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)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 bel ieves 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 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 City of Orono or any of its departments may require you to furnish certain private or
confidential infoimation.
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.
First Middle Last
Cl�'—� L- �2St�lj1
Address ^
t►-a.,�-a-- r�J s�.�1 cQ�2 Z z r-��93
City State Zip Phone
I understand my rights as stated abov
Signatur
_
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CHECK OFF LIST FOR ISS UANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �G�.�} I���-v r 2�.►�
PID:
DESCRIPTION OF WORK h C � S
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ZONING REVIEW BY.• 2.� DATEAPPROVED: I l v
BUILDING REVIEW BY.• DATEAPPROiIED: ,i-r.5 -��
FEES TO BE CHARGED: Mrsc. Fees Calculated By.�
PERMIT Yes f No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No � SITEINSPECTION
Ni�mber of SAC Un�its OTHER (specify)
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ZONING CHECK LIST Zoning Distr•ict: L.�. � � �
Fire Departnaent: Post Office: School District:
Lot Area: Sq ft. Acr•es G�'idth Depth
Sui-vey Submrtted: }es No Date of Sc�rvey:
Proposed Setbacks:
Front(Lake): Right Side: T( �IS 1 S � n
Rear(Sti�eet): Left Side: � h - �lV�d r�e.,p�raeeam�-�
,�djacent Stra�ctirres: YI%tland: ���5'1� S�U C-�,
s Zlme.- �� �`��
1�.
Birrlding Height: Def. Hgt. Peak Hgt. � �� (�C A (.��
Lot Covei•age: ��n��� �� Q� q q,��� �
Grading: Stafff9pproval Date: By: Council Approval Date:
Septic: Staff.4ppi•oval Date: By:�
Zoning File: # Reso(z�tion: # Resolution Date:
Shoreland District: �IICGi�D Permit:
Avg. Setback: Bla ff'Setback: Lot Coverage:
Existing Proposed
Hu��dcover: 0-7�'
?�-?�0'
�sn-sno�
S 00-1000'
Hardcover [�'a�•iaf�ce Reqt�ired: I'es _ ,1�'o Date of CoTrnci!Approval:
REMARKS(in{touse):
33
BUILDING REVIEW CHECK LIST
UBC: U- � CONSTRUCTION TYPE: �� —�
Sq Footage $Per Sc�Ftg
Basenaent , x =
Ist Floa� x =
2nd Floor x =
Garage x =
x =
TOT�1 L
pU
Estimated Construction Value: $ ZZ,ooa
Inspections Reqccired: Work Requiri�rg Separnte Permits:
Site Plu�rabing Fire
Har�dcover Removal Alechanical bT�ate��Connectio��
_�Footing Septic Setiver Connection
Framing Fireplace Lmvrr b�rigation
Insulation (Alasoniy) Other
Wall Board (N(fg.) l�Vell(State Permit)
_�Final Grading/Filling _�Elecb-ical(State Permit)
/Jther
REMARKS(INHDUSE):
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REVIEW BY OTHERS: DATE:
,4ccess: Eristing New
Access Appi•oval: Dute By:
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REMARKS(TO BE NOTED ON PERMIT):
34
ATE TIME ✓
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CITY OF ORONO �/ - CALIED IN �G'7
INSPECTION NO CE SCHEDULED �
PERMIT NO. �� COMPLETED
ADDRESS �� �� `
OWNER CONTR.
TELEPHONENO. �U/,��1��`7L�// �
� DESCRIPTION \ � '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADIN ILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL � ^ ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOu�YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-46��
OwnerlContract on 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice