HomeMy WebLinkAbout2004-P07418 - detached garage � � PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po�4is
Crystal Bay, Minnesota 55323 Permit Type: a��essory sc�u��ures
(952) 249-4600 Date Issued: si�i2oo4
SITE ADDRESS: 4760 North Arm Dr w
Mound,MN 55364
PID: 06-117-23-23-0010
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required: �iectricai�sraie�
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 293.25 Valuation: $ 17,500.00
Plan Review Fee: $ 190.58
State Surcharge Fee: $ 9.25
TOTAL FEE: $ 493.08
APPLICANT: Durabuilt Associates-Inc. OWNER: Patrick&Cindy Fleming
6318 Cambridge St 4760 North Arm Drive
St. Louis Park,MN 55416 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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PER SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ � �� �,,� Date eceived: � �� ! � �'
Entered By: !';�� �,,�� Permit #: ��� ���
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in fuli before plan review will be started.
(p/ease print al/informafion)
-----------------------------------------------------�--------�-------------------------------------------------------
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THE APPLICANT IS: (circJe one) OWNER OR CONTRACTOR
�—..-
JOB SITE ADDRESS: �47(�U �i���.�-N-� ��r� l��_ ZIP: � .5 �,-
NAME OF OWNER: ��a+ 1-(f�f�� ��� PHONE: (home)�S�Z��/1 L-l�I S Z
' (work) �IL - 7�//- �`��7� �
MAILING ADDRESS: L/7��C� /�;�,�ffl ��i i�rZ CITY: �,;('�i�r�C� ZIP: J.�3C�� �
CONTRACTOR: D:��r� �, rl- A 5���,�: � � f 5 - yti�, PHONE: ��L'`�.��3" `�3SG
CONTACT PERSON: I��✓� i�a5��z.z��.. MOBILE/PACiER: ��r I Z. �3 t;,.3 � /�35,
MAILING ADDRESS: ��3��S C A w�vr;4X-i ��- CITY: ,Sf i,.e k��s �'K. ZIP: s j�l/� _
STATE LICENSE: # �3��v'�-I
ARCHITECT/ENGINEER: PHONE:
MAILINC ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
,
TYPE OF WORK: New Addition Accessory Structure _ _ _____
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe m detai�: _� c:c:�ssc;�� ;�-�-c u c.+�.cc�'
_ 2�5 X `3G�. S� ��:�:..,-tis -
STORIES: � $Q. FEET OF EACH FLOOR: (C�p(-, . 5���{ _
N0. OF BEDROOMS: �A GARAGE STALLS: ATT. DET.�
ESTIMATED CONSTRUCTION VALUATION (excluding land): 5���, �'c r. .
I hereby apply for a building permit and [ 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 be in a dance with the approved plan.
APPLICANT'S SIGNATURE: � ��'?�` DATE: �- Z5 C1�7
NOTE.� Parade of Homes events�equire separate permit approval by Police Depa�tment and City
Counci/60 days prior to the event. Non permitted events wiU not be allowed.
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. 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 individuai. An indi�4dual asked to supply private or confidential data concerning himself shail 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 place the notice required under this subdivision in the individual income tax or propertv tax refund
instructions 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, pri��ate or confidential. Upon his further request, an individual who is the subject of
stored private or public data on individuals shail be shown the data without any charge to him and, if he desires, shall 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 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 oi the data. The responsible authority may
require the requesting person to pay the actual costs of making,certitying,and compiling the copies.
The responsible authority shall comply immediately, ii 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 (i�e 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 concerning himself. To exercise this right, an individual shall notih• 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 oi 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 shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. [f 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 (a��ailable upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
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First Middle Last
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Address
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City State Zip Phone
d un e my rights as stated above.
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Signature � +
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y�6C� N�o2-r�+ A�2w• pr2
PID:
DESCRIPTION OF WORK: pc-rp,ct-�-c_-�'J Gd�4�?,46�
ZONING REVIEW BY: DATE APPROVED: .�'-3-o y
BUILDING REVIEW BY: DATE APPROVED: s-3-o�
FEES TO BE CHARGED: Atisc. Fees Calculated By:
PERMIT Yes ,/ l�o
PLAN REVIEW Yes �' 1�'o SEWER CONNECTION
STATE SURCHARGE Yes �/ l�'o WATER CONNECTION
INVESTIGATION FEE Yes l�o PARK FEE
SAC Yes l�o SITE L�ISPECTION
Number of SAC Units OTHER (speci�y)
----------------------
ZONING CHECK LIST Zoning District: R����
Fire Department: Post Office: School District:
Lot Area: Sq.ft. �4���109 Acres (.$ Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (�el�e): .so Ri;ht Side: (oo� '�
Rear(Stie�t): 3�' fi Left Side: toa' } .
Adjacent Structures: �?O� � VL'etland: —
Building Height: Def. Hgt. Z2� � pealc Hgt. 2 3'
Lot Coverage: —
Grading: Staff Approval Date: — Br•: Council Approval Date:
Septic: Staff Approval Date: — B}�:
Zoning File: # y- 2.q�t� Resolution: # Resolution Date: �-�Z–��1
Shoreland District: NO
Avg. Setback: BIufE Setback: L o t C o v e r a g e :
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: t3 - � CONSTRUCTION TYPE: Nn�
Sq Footage $Per Sq Ftg
Basement x = �
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ .��ID t 'l,�So�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing F'Ue
Hardcover Removal Mechanical Water Connecti�o�
_�Footing Septic Sewer Connectian
�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
_�Final Grading/Filling _g Electrical(State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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�M I�R I V E S 89°58' 30" W 236.82 SGALE 1"_3Q'
— — — — — — — — — — — — — — — — — — — — — — — — —
��'� � � DATE TIME ✓
CITY OF ORONO CALLED IN � � �
INSPECTION NOTICE 7��l� SCHEDULED �
PERMIT NO. ��`�� COMPLETED
ADDRE S �� !jo O /\.� �I%�✓t ,vi'c -
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OWNE �`"�� ��" � �-t-������ CONTR.
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TELEPHONE NO�����— Cl' 1 � �- JU' � � � I� n�
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� DESCRIPTION I'`� �� f�/�r�', -- �—�r1i�c�r�--
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
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 ext inspection 24 hours in advance. (g52) 249-4600
OwnerlCont�r o site:
Inspector. _
White Copyllnspecto's File Canary Copy/Site Notice
�, - i �
�� TIME
CITY OF ORONO . n Eo iN � ���� ��'Y
INSPECTION N TICE CHEDULED ��•�- _,��
PERMIT NO. COMPLETED
ADDRESS � �� � �
OWNER CONTR.
TELEPHONE NO. �' �� - ��/ " �7 ��C�
� DESCRIPTION �a��� �l � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL NG
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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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_NO
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