HomeMy WebLinkAbout2007-P11537 - two small Accessory Buildings - partial survey • � PERMIT
CI�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11537
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952�24��-4600 Date Issued:
10/16/2007
SITE ADDRESS: 1377 North Arm Dr Unit#
Mound,MN 55364
PID: 07-117-23-41-0094
DESCRIPTION: UBC Occupancy U1
Construcrion Type VN
Proposed Use: Residential Census Code 438
Permit Class: Building
Pernut T e: Accessory Structures Pemut Sub-type(s): Garage-Detached
YP
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Move 2 Car Garage/Setbacks Ok,Per Site Inspecrion L.O.
FEE SUMMARY: Permit Fee: $ 125.25 valuation: $ 5,760.00
Plan Review Fee: $ 81.41
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 209.56
APPLICANT: Owner/Self OWNER: Martha Williams
MN 1377 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.
�c.l���;'�i�'.��� �
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNAN
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
5� �5, �
� _ Total Fee: $ �U� ' Date Received: � a
Entered By: Za� �rz�Sr� ��'/�- Permit#: --'�
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 OR CONTRACTOR
�
JOB SITE ADDRESS: t;� �7 7 ��r� ,�� j�zlP: �-`�� ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS �,lv0 If yes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be reyuired unless applicant demonstrates
, sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: /L�,�,v �-1na �� ��'�� ` �t u-vr�`� `� PHONE: (home) �S� -4�7,-Ja..l�j
W i l 1 I,c::i vn H - i �s� (work) cIS� -4 7� 3 .�-1�.
MAILING ADDRESS: � �, -� � n,�r f f� �r,,1,, � �CITY: G,��p ZIP: 5 13 G�-/
CONTRACTOR: ��� PHONE: ����,--�}7�-?��,� y
CONTACT PERSON: /1,,L�7,q-�i�ii I/I/r l I �C.�vt�c MOBILE/PAGER: «/S� -a,G/Z-1 �--I 8'
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
C-�Q_V'�-c�,�
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(desc�•ibe in detai�: ,;1 G�'����,� .�T-v(�/1{,� SN-�,�S
STORIES: I SQ.FEET OF EACH FLOOR: ��
NO. OF BEDROOMS: D GARAGE STALLS: ATTACHED DE�ACHED
ESTIMATED CONSTRUCTION VALUATION(excluding 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 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 wark will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: �y�b7�� ��',C-Q�C"c;�7 DATE: I D/ �b�_
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA ,
Subd.1. Type of data. The rights of individuai 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 himselfshall be
informed of: (a)the purpose and intended use ofthe 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 place the notice reauired under this subdivision in the individual income tax or property tax refund
insWctions instead of on those forms.
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 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,shal l be informed of the content and
meaning of that data. After an individua]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 subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
1'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the datc 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 himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 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 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 shazed 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
Address
C�tY State Zip Phone
I understand my rights as stated above.
�.� �,°,.� ' ,
S�gnature
� ,',
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY ,
ADDRESS OR LEGAL: 13'7'1 rV prZ,T'�—) /�cz� �2
PID:
DESCRIPTION OF WORK: Z - 1 �.. x i b t-�-=roS
ZONING REVIEW BY.• DATEAPPROVED:10-�S -�I
BUILDING REVIEW BY.• DATEAPPROVED: LQ -r S � v7
FEES TO BE CHARGED: Misc. Fees Calculated By: � s���
PERMIT Yes �/ No
PLAN REVIEW Yes i/ No SEWER CONNECTION
STATE SURCHARGE Yes�- No WATER CONNECTION
INVESTIGATION FEE Yes No �/� PARK FEE
SAC Yes No� SITEWSPECTION
Number-of SAC Units OTHER (specify)
---_---_--------------
ZONING CHECK LIST Zoning District:
Fire Department: Post O�ce: School District:
Lot Area: Sq,ft. Acres Width Depth �
Survey Submitted: Yes /C No Date of Survey: a� -�,�e �-Z�-G�
Proposed Setbacks:
Front (Lake): Right Side:
Rear(Street): Left Side: �D�'� D•�
(,1�,. s�-n� �►�vsP.t�►c��v_
Adjacenf Structures: Wetland:
Building Height: Def Hgt. C�.l�- Peak Hgt.
Lot Coverage: � �p �o
Grading: StaffApproval Date: � (�k By: Council Approval Date:
Septic: Staff Appi•oval Date: /•� �� By:
Zoning File: #� — Resolution: # Resolution Date:
Shoreland District: �,..�y MCWD Permit:
Avg. Setbac� �.//�/} BluffSetback.• �((i} LotCoverage:
Existing Proposed
Hardcover: 0-75'
75-2.i 0'
250-.i 00'
500-1000' � �,� ��,--�
Hardcover variance Reguired: Yes No�_ Date of Council Approval:
REMARKS(in house):
.i 3
r
BUILDING REVIEW CHECK LIST
UBC: (� "'� CONSTRUCTION TYPE: yN
Sq Footage $Per Sg Ftg
Basement x =
I st Floor x =
2nd Floor x =
Garage �2,.�fb=t°rZ�cZ�'(x 1 S.OJ =_�q,��,76 D
x =
TOTAL
Estimated Construction Value: $ ,S�768
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical T�Y'ater Connection
1 Septic Sewer Connection
r�a g Fireplace Lawn Irrigation
nsulation (Masonry) Other
d (Mfg.) _ Well(State Permit)
��Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Eristing New
Access Approval.• Date By:
REMARKS(TO BE NOTED ON PERMIT):
34
. <, i ,` ,, :. �; -
- „ ?
`��`' �� � �� `�r�.
�����.�� �� ;��, ��' �.
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
X = S.F.
B. Garage x = S.F.
C. Driveway x = 3.F.
= 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 Fabric mesh x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE 0 S.F. A
TOTAL PROPERTY AREA IN ZON$ 0 S.F. B
A 0 + s 0.1 loo � 0.0 �
PROPOSED HARDCOVER IN ZONE
A. House x = S_F.
Length Hidth
S.F,
S.F.
S.F_
B. Garage S.F.
C. Driveway S.F.
S.F.
D. Sidewalk S.F.
S.F.
E. Patio/Deck S.F.
S.F.
F. Landscape S.F.
Underlain S.F.
Sy Fabric Mesh S.F.
�. Other
TOTAL HARDCOVER IN ZONE O S.F. A
TOTAL PROPERTY AREA IN ZQNE O S.F. B
A 0 T B 0.1 100 = 0.0� �
SSTBACK ZONS: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
SXISTING HARDCOVER IN ZQNS
A. House x = S.F.
Langt6 �rtane
_ X = S.F.
x = S.P.
x = S.F.
B. Garage x = S.F.
G. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.P.
F. Pat3o/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
x = 3.F.
ic = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE 0 S.F. A
TOTAL PROPBRTY AREA IN ZONS O S.F. B
A 0 + B 0.1 100 = 0.0 �r
PR080SSD HARDCOVfiR IN ZONE
A. House x @ S.F.
r.anycn wtnch
S.F.
S.F.
S.F.
B. Garage S.F.
C. Driveway 3.F.
S.F.
D. 5idewalk S.F.
S.F.
E. Pat].o S.F.
S.F.
F. LandsCape S.F.
Underlain S.F.
By Fabric Meeh g.p,
G. Other
ac
TOTAL HARDCOVSR IN ZONS 0 S.F. A
TOTAL PROPERTY AREA EN ZpNE 0 S.F. B
A 0 + B Q.1 100 = 0.0 �
.
. `"
SS�TBACK ZONB: (CIRCLE ONE) 0-75' 75-250' 250-500 500-1000'
$XISTING HARDCOVER IN ZONE
A. FIouse x = 3.F.
y�q� ridth
X = S.F.
X = S.F.
X � S.F.
8. Garage x = S•F•
C. Driveway x = s.F.
X � S.F.
D. Stonewalk x = S.F.
Future Stone Walk x 6 s.�'.
8. Patio/Deck x = S•F•
X = S.F.
P, Landscape x • S.F.
iTnderlain x = S.F.
By Fabric Mesh x = S.F.
Future Landscape
G. Other Retaining Wait x =
TOTAI, HARDCOVBR IN ZONS 0 3.F. A
TOTAL PROPERTY ARfiA IN ZONE 0 S.F. B
A O � B O 100 = O.O t
PROPOSED HARDCOVBR Ild__ZONB
A. Houae x � s•F-
Length Midth
x 6 S.F.
x � S.F.
X n S.F.
B. Garage x = S.F.
C. Driveway x = 5.8.
x = S.F.
D. Stonewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x m S.F.
Underlain x = S.F.
By Fabric Meah x = S.F.
G. Other x =
TOTAL HARDCOVSR IN ZONB O S.F. A
TOTAL PROPSRTY AREA IN 20NS 0 S.F. 8
A O � H O 100 m �.O �r
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' i00' 500-1000'
fiXTSTING HARDCOVER IN ZONE
A. House x = 2449 S.F.
Lenqth � Xidth
X = $.�''.
x = S.F.
x = 5.F.
B. Garage x = S.F.
C. Driveway x = 5008 S.F.
x = 3.F.
D. Sidewalk x = 950 S.F.
x = S.F.
E. Patio/Deck x = 203 S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Fabric Mesh x = S.F.
G. Other walis and ste�s x - 225
TOTAL HARDCOVER IN ZONE 8835 S.F. A
TOTAL PROPERTY AREA IN ZONE 52364 S.F. B
A 8835 ;- H 52364 ioo = 16.9 �
PROPOSED HARDCOVER IN ZONk;
A. House x = 2449 S.F.
Length KidCb
S.F.
S.F.
S.F.
B. Garage 678 S.F.
C. Driveway x m 5272 S.F.
x - S.F.
D. Sidewalk x x 950 S.F.
x = S.F.
8. Patio/Deck x = 203 3.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Fabric Mesh x = S.F.
G. Other walis attd steps x = 225
TOTAL HARDCOVER IN 20NE 9775 B.F. A
TOTAT, PROPERTY AREA IN ZONE 52364 3.F. B
A 9775 r s 52364 10 0 = 18.7 �
/
� DATE / TIME
�CITY OF ORONO /1 CALLED IN �/��`4 �.�^
INSPECTION NOTIC ,C� SCHEDULED ��� o�� U U
PERMIT NO. COMPLETED
ADDRESS �� • ���
OWNER CONTR. /�'
TELEPHONE NO. "G�+
,-�, n r--
� DESCRIPTION �-Q- �l Y�-�" � �i
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING �
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION p WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP p SITE INSPECTION
Q�INAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
v�, COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF CCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECANDITIONW�THIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the n�xt inspection 24 hours in advance. (g52) 249-4600
Owner/C r�n�site:
Inspector. V
White Copyllnspector's FI Canary CopylSite Notice
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