HomeMy WebLinkAbout2003-P06889 - shed �
,� � PERMIT
ITY OF ORONO Permit Number:
150 Kelley Parkway- PO Box 66 P06889
;rystal Bay, Minnesota 55323 Permit Type: A�oessory s�u��es
�952) 249-4600 Date Issued: io�2��2003
SITE ADDRESS: 1280 North Arm Dr
MOiJND,MN 55364
P I D: 07-117-23-41-0009
DESCRIPTION: UBc occupancy u1
Proposed Use: Residenrial Construction Type VN
Census Code 328
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Shed
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 250.00
Plan Review Fee: $ 15.28
State Surcharge Fee: $ 1.00
TOTAL F'EE: $ 39.78
APPLICANT: Owner/Self OWNER: TIMOTHY&JEAN PANCHYSITYN
1V1N 1280 NORTH ARM DR
MOUND,MN 55364
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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AP I P RMITEE SIG TURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Auplicant,1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
i
Total Fee: $ �j���l�` Date Received: �Q-��� -p�
Entered By: -�,��'— Permit #: � �� �,�`�'
� � ''L� �, CITY OF ORONO - BUILDING PERMIT APPLICATION
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I� 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) �W�'OR CONTRACTOR
JOB SITE ADDRESS: �':,�. �C% �,tY ti,�'�-l� 14►�� d�✓l �Z ZIP: �3�� (o �
NAME OF OWNER: �j�.�.� �,.r� � ��� �__ +�:_i PHONE: (home) �/y- � ��r/- �z jay
(work)
MAILING ADDRESS: 1;�- �'�> �L.��,�L� ti-��� �– ,S�� 6 S/
CITY:����,,,�, �,( ZIP•
CONTRACTOR: �t(-� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
I�TAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure �
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: a.f:��r 5+��� r� . IL Fc� �-
�''•_ �.s /�/f�tR?� � 07 /� ,f 5 isi;[° .r , .�� ��3 - vru .S�-�d�cy� �lc(ys
,
STORIES:� SQ.FEET OF EACH FLOOR: y��
NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �,� DET. ,�/�<r�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v'�5U,oG
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 b in accordance with the approved plan.
�__
APPLICANT'S SIGNATURE: , C;�,�� � , /� DATE: o
�°'� % , / .� , �� ,L
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NOTE! Parade o,f Homes events require separate permit approval by Police Department anel
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
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Sec.13.04 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type ojdata The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Injormation required to be given individuaL An irrdividual asked to supply private or confrdential data concerning himselj
shall be informed of (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or stalewrde
system;(b)whether he may refuse or is legally required to supp[y the requested data;(cJ n�ry known consequence arising from his supplying or
refusing to supply private or conf:dential data;and(d)the rdentity of other persons or entities authorized by state or federal!aw to receive the data.
This requirement shall not apply when an indivrdual is asked lo supp(y investigative data,pursuant to section 73.82, subdivision 5, to a law
enforcement o�cer.
The commissioner ofrevemre mav place the notice reouired under this subdivision in the indivrdual income tax or nronertv tax refund
instructions instead of on those forms.
Subd.3.Access to data by individunL Upon request to a responsible authoriry,an indrvidual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public,privale or confidential. Upon his further requesl,an individual who is the
subject of stored prrvate or public data on individuals shall be shown lhe data without a�ry charge to him and,if he desires,shal!be informed oj
the conteret and meaning of that data. After an individual has been shown the private data and injormed ojits meaning,the data need not be
disclosed to him for six months theseafter unless a drspute or action pursuant to this section is pending or additional data on the rndividua!has
beere collected or crealed. The responsible authority shall provide copies of the private or public dala upon request by lhe individual subject of
the data. The resporurble authorily may require the requesting person to pay the actual costs of making,cert�ing,and compi/ing the copies.
The responsible authority shall comply immediately,rf possible,wilh any request made pursuant to this subdrvision,or within frve days
of the date of the request,excludrng Saturdays,Sundays and[egal holidays,rf immediate comp[iance rs not possible. If he cannot comply with the
request wrthin that time,he shall so inform the individual,and may have an additionalfive days within which to comply with the request,excluding
Salurdays,Sundays and legal holidays.
Subd.4.Procedute when data is not accurate or complete An individua!may contest the accuracy or comp[eteness ofpublic or private
data concerning himself. To exercise thrs right, an individual shal!not�in writing the responsrble authority describing the nature ojthe
disagreement. The responsible authorityshall within 30 days either: (a)correct the datafoernd to be inaccurate or incomplete and attempt to not�
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the indrvidual that he believes the data
to be correct. Data in dispute shall6e disclosed only if the irrdividual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions ojthe administrative procedure act relatrng
lo contested cases.
DATA PRIVACYADVISORY ,
In accordance with M.S.13.04,Subd.2,"Rights ofsubjects ofdata"we would Irke to rnjorm you that your requestfor a permit or[icense
from the City of Orono or any oJits departments may require you to furnish certain prrvate or confidential information.
You are notifred 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,bu!refusal may require that the City deny the permit or license.
3. The injormation may be shared with other/oca/,state or federal agencies to the extent necessary to process the permit or
license.
4. I,f your requested permit or licerrse requires Council action to approve,some information may become public.
S. You have certain rights under M.S. 13.04(see jollowing page)to review private data on yourself.
6. Your fu11 nam¢is required to process this application or permit.
PLEASE PRINT
� ► � � �01 vl G�f c.� .l�iL c� �-�1
First Middle Last
Address
City State Zip Phone
1 understand my rights as stated a ove. p
igrratur
� •
10
, � ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I 2 8� N a��� �R v� O R, �
PID:
DESCRIPTIOV OF WORK: SHE D
ZO�TPi TG REVIEW BY: DATE APPROVED: I�•t 3-�3
BUII.DI�i TG REV�W BY: DATE APPROVED: �o-L 3-0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ No
PLAN REV��V Yes_� No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WA'TERCONNECTION
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No SIT'EINSPECTTON
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: ..
Fire Department: Post OfFice: School District: •
Lot Area: Sq.ft. Acres � �idth Depth
Survey Submitted: Yes No_� Date of Survey: -V s�-� Ex�P n o'�r
Proposed Setbacks: , �
Front(I.ake): / 3 7 Right Side: (O �
Rear(Street): �/�'j � fi Left Side: !c�
Adjaceat Structures: S�'� f Netland: --
Building Height: Def. Hgt. e .l� Peak H�.
Lot Coverage: c�.Ic
Grading: Staff Approval Date: _ iu i,�► By: Council Approval Date:
Septic: Staff Appmval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: �.,�S
Avg. Setback: tic v; Bluff Setback: � l� LotCoverage: N/✓�
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' 1► •GS /Z-"t-2
Hardcover Variance Required: Yes No� Date of Council Approval:
REMARI�S ('ln house):
7
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BUII.,DING REVIEW CAECB LIST
UBC: U- 1 CONSTRLTCTION TYPE: V N
_ , Sq Footage S Per Sq Ftg
Basemeat . . x _
lst Floor x _
2nd Floor x _
Garage x —
x =
TOTAL
Estimated Construction Value: $ Z,�p °�-'
Inspections Required: �Vork Requiring Separate Permits:
Site. Plumbing Fire
Hazdcover Removal Mechanical
Footing ' Water Connecdon
. Septic Sewer Connection
- Framing Fireplace Lawn Iiri ation
Insulation g
Wall Boazd ��0�`� Other
_�F�� • � �MfB•) Well(State Permit) .
Grading/Filling Electrical(State Permit)
Other
REMARI�.S(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New .
Access Approvai: Date By.
REMARKS (TO BE NOTED ON PERMIT�; � � �
8
1 HARDCOVER CALCULATION WORK5HEET �� � ���� �,��`' � ,��%�
�
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000' � '`'��'��� f-
c..
EXISTING HARDCOVER IN ZONE
A. House '" x ✓ � _ %SG=��> S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage � � x ,,2 �? = 7 1 � S.F.
C. Driveway � � x 7 5� _ � e �5 :, S.F.
i z R j r� = I `i � S.F.
D. Sidewalk �> y x �� = I�l L S.F.
x = S.F.
E. Patio/Deck / G� x � G = i c r, S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other jy x � _ ,� �: S.F.
�/e�,ylz I
TOTAL HARDCOVER IN ZONE - _�; � O 3 S.F. A
TOTAL PROPERTY AREA IN ZONE - ,3�i�Gq,� S.F. B
� �f�!D :� — B .�r�C �'y 3 X 10� _ �,, �) y °�o
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length W idth
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
C-�•.��i;:� S��c�(
G. Other � C'i x g = `%o S.F.
TOTAL HARDCOVER IN ZONE - .3�1 `i' b' S.F. A
TOTAL PROPERTY AREA IN ZONE - ,j.<, 6 w.3 S.F. B
p �y`1 � — B ��� ��� .•; x 100 = j,,l . � Z %
13
. � � Hennepin County, Minn�sota
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Arrow 10 x 9 ft. Storage Building Page 1 of 1
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� ����``�'"�.� � ��� � � � ��� Arrow 10 x 9 ft. Storage
��,1����'� _� ,: , .x�, � �� �� � � Building
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�``��`"�"°�`'"�''s ` -� �z High gambrel storage building. Woodgrain steel
� " � finish offers the beauty of wood with the strength
$329.99 � �, �� of steel. 7 ft. tall interior center height and wide
Reg. a379.99 �F` �� � , � � � door opening for mowers/other large equipment.
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Save 550.00 =� � �s
Sale ends 10/11/03 ���� ��� .< Sears item#07168515000
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delivered within 7-10 :' u ¢,;� , .` , '�I�,
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business days.
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{�roduc#appearancc. ��l ,� � �'�,'���, ,�-.
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� Ywe'0 match any �r�ll �arc��iuc:t t3esCCa�ti�� ` '`�;''�
price plus...
• * Not available in Florida
�,���� ����;�,: • Look of wood, strength of steel
• 10 x 9 ft. storage building
•Only$10 per month . 553 cu.ft. of storage space
on your Sears . Outstanding storage capacity and a walk-in area with a 7 ft. 2 in. center
Card� hetght
• Gambrel roof style offers more headroom and space for hang tools
• Corrosion-resistant finish features baked-on polyester enamel paint over
galvanized steel
• Hot-dipped galvanized steel frame parts for the durability you're looking for
Not all products are available at every Sears store.
Online prices and promotions are for the continental U.S. only.
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http://www.sears.com/sr/j avasr/printProduct.do?B V_UseB V Cookie=Yes&vertical=LA WN&pid=07... 10/1 Q/2003
Arrow 10 x 9 ft. Storage Building Page 2 of 2
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Dimensions:
Height 87-9/10 in.
Width 123-1/4 in.
Depth 107-1/2 in.
Interior 86-5/8H x 102-1/4D x 118-1/4W in.
Installation Requirements:
Setup Assembly required
Not all products are available at every Sears store.
Online prices and promotions are for the continental U.S. only.
_.�._..._..�..�.._.�.
Clase�rin+�w�
http://www.sears.comisr/javasr/printProduct.do?BV UseBVCookie=Yes&vertical=LAWN&pid�7... 10/10/2003
V
/D � TIME
CITY OF ORONO CALIED IN i
INSPECTION NO ICE SCHEDULED �
PERMIT NO.��� COMPLETED
ADDRESS 1a�o �C�1L?—f-/ f� �2-.
OWNER�%rM PQ.�C/S'h�ti CONTR. ����
TELEPHONE N0. 9s�a Y� � a/o
� DESCRIPTION `t f � �-�--�—�
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q F� 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC AAAINT. 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 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES O
y COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY
V BEFORE C�/ERING
PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDEH POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-4600
OwnedContra � o site:
Inspector.
White Copyllnspect r's File Canary CopylSfte Notice