HomeMy WebLinkAbout2002-P05039 - detached garage • �
� - PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poso39
Crystal Bay, Minnesota 55323 Permit Type: a��eSsory sm��cures
(952) 249-4600 Date Issued: a�3o�2002
SITE ADDRESS: 345 lvorth Arm La
Mound,MN 55364
PID: 06-117-23-24-0015
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Census Code 438
Pernut Class: Building
Pernut Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required: �i��icai�siatej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 265.25 Valuation: $ 16,000.00
Plan Review Fee: $ 172.38
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 445.63
APPLICANT: Morton Buildings Inc. OWNER: David&Carla Sipprell
113 Thomas Park Drive 345 North Arm La
Monticello,MN 55362 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'WCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE �I5SUED BY SIGNATURE
Copies: 1-File(Sienitures Repuired), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
._ '` � . ' J �.� V
Total Fee: $ � �' �� ��ate Received: ���d�-
Entered By: ;; � �� Pernut#: �o �0.3 ?
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CITY OF ORONO - BUIL ING PERMIT APPLICATION
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) OWNER O CONTRACTOR
JOB SITE ADDRESS: 3N S �l� A�M L M. ZIP: S 5 3 Z 3
NAME OF OWNER: 10a v�'� 5�,�w��t�� PHONE: (home)
(work)
MAILING ADDRESS: 3�/S /V0�� ��.n Lh CITY: ���a ZIP: �N
3'�3�
CONTRACTOR: /j'Ip��,+ :/d%� S =�t r. PHONE: 7�e 3 - �?g5 ��
CONTACT PERSON: �;d �' � MOBILE/PAGER:
MAILING ADDRESS: ar i CITY: /l�on�;�t�/s ZIP:_:�►��2
STATE LICENSE: #
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ARCHITECT/ENGINEER: �q�su PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: Ci���.yt
STORIES: I SQ. FEET OF EACH FLOOR: �— Z�.�� ,c 33•S = �q�,6S
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���:�-
! �o, c�c�o�o
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 be in accordance with the approved plan.
APPLICANT'S SIGNATURE: '� DATE: �— �S � �Z-
NOTE! Parade o�.Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGATS OF SUBJECTS OF DATA
Subd. 1. 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�ven individuet. An i�ividual asked ro supply private or confidential data co�erning himself
shall be informed of: (a)the purpose a�inte�ed use of the requested data wid�in the wllecting srate agency,political subdivision,or statewide
system;(b)whether he may refuse or is legaUy roquired to supply the requested data;(c)any lmown conseque�e azising from his supplying or
refusing to supply private or wnfidential data;and(d)the identiry of otber persons or entities authorized by state or federal law w receive the data.
This requirement shall not apply when an individual is asked to supply invesdgadve data, pursuant to secdon 13.82, subdivision 5,to a law
enforcement officer.
The commissioner of revernie mav otace the notice reauired u�er this subdivision in the individual income taz or orooertv taz refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on i�ividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is d�subject of stored private or public data on individuals shall be shown the data without azry chazge to him and,if he desires,shall be informed
of du content and meaning of that data. After an individual has been shown the private data a�informed of its meaning,the data need not be
disctosed to him for six months thereafter unless a dispute or action pursuant to this section is peid'mg or additional data on the i�ividual has been
collected or creared. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the,actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with azty re;quest made pursuant to this subdivision,or within five days
of the date of the request,excluding Sadu�days,Sundays aad legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the i�ividual,aixi may have an additional five days within which to comply with the request,
ezcluding Saturdays,Sundays and legal holidays.
S�bd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private da�concerning himself. To exercise dris right,an individual shall notify in writing the responsible authority describing iha tiature of the
disagreement. Tl�e responsible authoriry shall within 30 days eithee (a)comect the data fowd to be inaccurate or i�omplete a�attempt to noafy
past r�ipients of inaccurate or i�omplete data,i�luding recipients named by the individual;or(b)nodfy 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 administrafive prceedure 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 Gity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze 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 eztent 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
Ciry State Zip Phone
I understand my rights as stated above.
Signawre
6
, . .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3`i 5 N�tZ'I��l /4�t� l�r� -
PID:
DESCRIPTION OF WORK: _f��}{�,4�4.
ZONING REVIEW BY: DATEAPPROVED: _y. 2 S' -u2
BUII.DING REV�W BY: �- DATE APPROVED: y- Z S -�z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �G No SEWER CONNECTION
STATE SURCHARGE Yes ,J No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. �I 5�°t9`� Acres Z.-�v Width Depth
Survey Submitted: Yes_� �10 Date of Survey: i Z.3r� -S°r
Proposed Setbacks:
Front(Lake): Z.�o ` '�' Right Side: �� f
Rear(Street): Zo' '� Left Side: 33p' ±
Adjacent Structures: /.5 � Wetland: ��A
Building Height: Def. Hgt. c�. �c Peak Hgt. D.(�
Lot Coverage: N(/�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: �' By:
Zoning File: 1t — Resolution: # Resolution Date:
Shoreland District: N�
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUII.DING REVIEW CHECB LIST
UBC: � U—( CONSTRUCTION TYPE: ���
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ I b,0�o�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
pL Final Grading/Filling � Electrical (State Permit)
Other
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REMARKS(IN HOUSE):
REVIEW BY OTHERS: � DATE:
Access: Existing New
Access Approval: Date By:
REMARI�.S (TO BE NOTED ON PERMI�:
8
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N�IC _ SCHEDULED � -" �'.��J1`� /L9
PERMIT N0. COMPLETED L �l%`�
ADDRESS . % � � L-�L�lw
OWNER CONTR. ���� ��� �.5.
TELEPHONE NO. _ ��O� � %1 S^ � �.� �
� ION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 G 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 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� '¢�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr r on site:
Inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTIC scHEou�E� � _�—✓
PERMIT N0. COMPLETED `
ADDRESS � L-����-�.
OWNER CONTR.���''�G1 �� q S.
TELEPHONE N0. ��G'�� c��� � %.��
� DESCRIPTION . Z�-�-� � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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 �•PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Ow ctor on site:
_ \
Inspector. � �
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ite Copyllnspector's ile Canary Copy/Site Notice
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Eetablished in 1962 �
LOT SURVEYS CUMPANY, INC. F.BNI�CE N0. �65733
LAND SURVEYORS SCALE: 1" = ao� '�
REGISTERLD UNDER THE LAWS OF STATE OF I1[INNESOTA o Denotes Iron Alonument
7801 73rd A�enue North 812-680-3093 o Denotss Wood Fi� Set
Faz No. 680-3622 for excwation only
lUnneapolis, Ylnneaola 66428 � x000.0 Denote, Exittinp Etevat(on
• . �1��u P l�,Q r� �P r f t�t r tt t P �o Denote• Proposed E�evatton
--�- Denotes Surfoce Drainoge
NOTE: Proposed qrades ars e�Ject
D.A. HIId,IAMS CONSTRUCTION ����0 ���� to results of wil tests.
Proposed buUdtny tnformotion
Property 1 ocated i n Secti on must b. chedced with opproved
6, Township 117, Range 23, �+���9 P� � development w
Hennepi n.County, Mi nnesota � ��t��°r� excavotton
88•5 Proposed Top of Block
9Pb,o Proposed Coro9e Floor
�96,3.-.-.----- ' �� 1 .C� .. �'8' Proposed Lowest Floor
_._...- -- � --- __.._._...___._....\ 9�d1 l TYPe of Buildin9
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The o�y.eoeements ahown are trom plata of record or iniormation -��'� '
provlded •by client.
We hereby certify that ll�is is a true and correct representotio� of
a survey ot the boundoriea of lha obove described land and the
locotion ot all buildinqs ond visible encroachments. it nny, from or on Slgned
S°"� �°"d' Charies F. �e n� Minn, Rs9. No,21753 or
surveyAd by us tn�s 3�th day or December �s 99 � �� � Gregory R. Proech, Mlrx� Reg No. 24992
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