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HomeMy WebLinkAbout2007-P11473 - detached garage PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11473 Crystal E1�y, Minnesota 55323 Permit Type: Accessory Structures (952)249-4600 Date Issued: 10/16/2007 SITE ADDRESS: 1377 North Arm Dr Unit# Mound,MN 55364 PI D: 07-117-23-41-0094 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residenrial Census Code 438 Permit Class: Building Permit T e: Accessory Structures Permit Sub-type(s): Garage-Detached YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 3��•25 Valuation: $ 23,565.00 Plan Review Fee: $ 245.21 State Surcharge Fee: $ 11.80 TOTAL FEE: $ 634.26 APPLICANT: Remodel&Repair Inc. OWNER: Martha Williams P.O.Box 454 1377 North Arm Dr Watertown,MN 55388 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. �����,����'` APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE 1 Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ (l'�� 1 z �� DateReceived: 9-�'�� Entered By: -�'�� Permit#: A/I�7� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print a[l information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: f� �� � r�-G� � ,,..� ��'` ZIP: � lo Will this be a rade of Homes, Remodelers Showcase Home or other Display Home? ❑ 1'es O If yes, a special event permit is required with Police Department and Ciry Council approval 60 days p��ior to the event. Shuttle bus service will be reyuired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER ,/r//�r�-�` K �'��� /�l.ri►5 PHONE: (home) '/ (work) MAILING ADDRESS: /3�7� �!c2�r-� �r" CITY:,���,r�, N� ZIP; ,T5 3� � , / CONTRACTOR: � �I�- u.l � - PHONE: 6CZ�ib 9595 CONTACT PERSON: ,� , �� ; -r-� � (s f--U� BILE/PAGER: MAILING ADDRESS: ��.a oeE3�,r y5-y CITY:��;r-��td.-�� ZIP: �S"-��� STATE LICENSE: # � 4�l 2 3`I y 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(deseribe in detai�: �-�ctC �c�G� �cr � c�c�1 � J� STORIES: r SQ.FEET OF EACH FLOOR: (��6 NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED��a ESTIMATED CONSTRUCTION VALUATION excludin land : $ 8b00•� � ,,' �� � g ) ,/ �,� ����1-� (J" 1 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 is not o sta itho t a ermit;and that the work will be in accordance with the approved pla -�''��� � � APPLICANT'S SIGNATU . DATE: ����—�� 31 Sec.13.04 RIGHTS OF SUBJECI'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 forth in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming 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 known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized 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 officer. The commissioner of revenue mav ulace the notice required under this subdivision in the individual income tax or prooerty tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual sha(I 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,shall be informed ofthe 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 dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual s�bject 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 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 ofpublic or private data conceming himsel£ To exercise this right,an individual shall notify in writing 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 notify past recipients of inaccurate or incomplete data,including recipients named by the 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 adminisVative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subj ects 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: 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. Y ur full name is required to process this application or permit. �- ��a � C / �CC' irst Middle Last ���� ��� Address / G� fP/��vt�� ./��-�/ �� �'� 6/2-l/6 �S�S� C�tY State Zip Phone I understand my righ as sta bov 9 Signat ' i V 32 � CHECK OFF LIST FOR ISSUANCE OF PERMITS v FOR OFFICE USE ONL,Y ADDRESS OR LEGAL: !? � 7 /1/�(�/�y�v7 PID: DESCRIPTIDN OF WORK: ��(� y.�{�.Q l.��/-��jr ZONING REVIEW BY.• DATEAPPROVED�y��~r BUILDING REVIEW BY.• ' DATEAPPROVED: i o •�S•o� FEES TO BE CHARGED: Misc. Fees Calculated By: ��_________�_ _ PERMIT Yes ✓ No PLAN REi�IEW Yes� _ No SE�'ER CONNECTION STATE SURCHARGE Yes ✓ No GiATER CONNECTION INVESTIGATION FEE Y'es No ✓ PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units OTHER (spec�) ��__����__���_��__�_��_�_�_�� _��,w----�-�--��_��_��--�-- ZONING CHECK LIST Zoning District: ��� Fire Department: Post Off ce: School District_ Lot A�•ea: Sq.ft. � Z�3(p 4 Acres W'idth Depth Survey Submitted: Yes � No Date of Stu-vey: �r28' �r7 Proposed Setbacks: [ � � Front (� ��nd Irc�T R�kt Side: ��•5 G �t c�� � �;v�?sf l` / Rear(�reat�: QJ S �Side: �Z 7 / Adjacent Structures: �� Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: �C55 �y�r ��J�p Grading: Staff Approval Date: !4 - /Z- a� Bi: Tj� Council Approval Date: Septic: StaffApprovalDate: �_ By: � Zoning File: # Resolution: r# Reso[ution Date: Shoreland District.� � MCGG'D Pe�mit: Avg. Setback: {7�,� BluffSetback: f�E'} LotCoverage: Existing Proposed Hardcover: 0-?.i' — ___. 7.i-2�0' -- ._._, '.i0-.500' — — soo-�oon� /�v �r� Hardcover I ariance Requir-ed: Yes !�'o 't/� Date of Council.4pproval: REMARKS(i�rhouse): �l� fv ,-e��rw �y�(iny Sz�,y� �C/'Z C'/�'c�r.t���-/S �{v u c t,�c�a �— R D�M�rP �1 T K� . i e -�z.-ct - . o. 33 BUILDING REVIEW CHECK LIST UBC: V - 1 CONSTRUCTIONTYPE: V� Sg Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage „�` 6QL� x � _ (o'i(. z 3�-(• �b - 23,S6S'` roT�L Estimated Construction l�alue: S �3%5 6� lnspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcove��Removal �Lfechanical Gf'ater Connection _ C Footing Septic Sewer Connection _�Framing Fireplace Lmvn Irrigation Insulation (Masonry) Other W'all Board (Mfg.) G�"ell(State Permit) ___�Final Grading'Filling Electrica/(State Permit) Other REMARKS(I1V HOUSE): REVIEW BY OTHERS: DATE: Access: Esisting New Access Approval: Date By� REMARIiS (TO BE NOTED ON PERMIT): 34 � � a � - �tt�istaedt I n�. � . : .. k. , a�. : . .x �♦ : t • B u i L c� ������ �;��� _ _ _ _ _. _ , __ .__ �_ � _ _ _ . � _ , � _�____� 3 ; � � � - �� 3 �/(�.Y-� �.-.� !�/i � 1, ��^.s ._ _°__�€_ , �___�__._�___; __ ,�LTY__.._m .�F o���o : ,. � � ; � i ' B�11LL?ING P� MlT t1�i��REViEW � �� � � 3 �_� /I� �-r wt �r� � ___.� _�_.__�,�_�._._..__ ._� �� �� . _ _ _ _ ... . � "" 3P"�CTQR __. � � � �� r , � # � �(� � � _. r "" � � _ _ � _ . c-�� � � � C.� .M /1/ S'"�� , __ � �. �__ _. �_�_ oA� �� � u, � F�. ������� � , � � ❑ AF�iiC)V�C rtS S!�!` " .:i f��� ,'_ __. .r_ � _ _ _ -r � ��rT"'' � ---�---, �- � .� �„��.. -� ����e� �� �- r JTED " ' � ' � , � � � ___��__--�--__'.❑ �' �.�,�,�.:,.-E ��;�-:��-+-��t�-,):� �. _ _ �� ;. � ` � � � __...__ C �� i f,,-: � . _., . .._ _ _ _r__ -s—�-. .,� _.�._ � ' � .�-� " ,�.,%. ,�� !y�� .. . � � ' [ fihes'com��r,.n!��r # �ycl:r in�;,,�:�:..��n.ry��s�✓or�:sn.�!;be tlone __�_ _...__�___;__ _� _ �___ �� _e._ ��__ � _ ._ _ �{;.�; ' t�- �,r}it~�c,e-'�u drt�;�ar�zGrii�sg� ° ' �_..-,--�:__�_ � ��nc°udirf�o,sNecir�calry this revi�. � --�--- kt#t� , ` Req,y'teme�3,s i � ;notad in � _. _.___� __.._ ___�_ _a �..___ ..�____ _ . �. _� ;._, ����:N�.� -UW�'fE�ti f�li�'iMES " - , �. , . . s : � � . . �. - a ._ ..� .,�__._..._ . - ... _ m _ _ . .,�__ �' /" ;, �: ' , --e_. . -�`--'�`-`-- - �.. .... .. .._._ .�.; . . __ _ _ _.. � � _.. . � � � � � � /� � . t i ; , ' ,4 ; . , _ . .��._ - - - ___, _..__.._ 7.__.�� ..�._._ _.. - -_ }�.. _ - _� _- __-_. ._,�. .�.rv _ � , , ; �� � � "` ° ; ; � � � + __.. �._ w ..__ �__ �..v___�______ _. _. _ �_ . ___ � � _ � � _ _ . . _� - F , � � ; : � � _W _�_ ___m___ _ ___� _ . . � �� _ __ � . ��� __ _.____� ___ _ _ . _�. _ �_� __� - - p , ; ; � : � � � , _____ _�.._,.� _ _ _ � _.. .. _ �' : _ __ . _ � _ ., _.,_ _._;_. � � __�_ �� � � ; . ; � ���, � -� �.� P� . r- � . � ;r `�� j � . � i _ _ �. ... ... _ .. . . : � r y.��_ . �-. __,� .�_. __... .. .__ . _ �.. ---^---- •- ,... � a _. , � -"';'�E� ./ � -�r--_..�... r �_ .:�.._�i.� �... .. . i � �, r �� , / ' . t 3 -.—�.�—._.._�.� .__...�.. ... ..__ :1'"",zy ;...�..�,�....�.._..� " . . * ' . 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C-� �� �I�(.-' -`�(.c C�7 � DESCRIPTION ���7i�C ����'�n� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA ' e ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTIO���� ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS `,/�„ f � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ���� � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING Rt ❑ S T C FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO YES_NO � COMMENTS: � w e J �� f�� � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. 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