HomeMy WebLinkAbout2006-P09735 - detached garage -� PERMIT
CITY OF ORONO
?750 Kelley Parkway- PO Box 66 Permit Number: P09735
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
7/5/2006
SITE ADDRESS: 3210 North Shore Dr Unit#
Wayzata,MN 55391
PID: 08-117-23-41-0002
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 438
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 421.55 Valuation: $ 27,360.00
State Surcharge Fee: $ 13.70
TOTAL FEE: $ 435.25
APPLICANT: Owner/Self OWNER: Mark Finney
MN 3210 North Shore
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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APPLICANT PERMITEE SIGNATURE 'ySSUED BY SIGNATURE�
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
/
Total Fee: $ '%�--5 � 5 DateReceived: `"�^�—� 6
Entered By: � - Permit#: ��� j`7,� S
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(�lease print all informntion)
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THE APPLICANT IS: (circle one) O�OR CONTRACTOR
JOB S1TE ADDRESS: .31� 0 �'� S l���'�- ��, ZIP: ���-j��
Lr/�4�2/ (
Will this be a Par de of Homes, Remodclers Showcase Home or other Display Home?
❑ Yes No /f yes, a specia!event permit is reqarii�ed with Police Deprn•Inaent and City Coirncrl appr•oval
60 days prior to the event. Shuttle b:�rs service�vill be required unless app/icant demonst��ates
suffrcient on-sile pur•king is avnilable. Non-pernritted events lvil!no1 bc n!loived
NAME OF OWNER: //��� �"/�ii/t.��- PHONE: (home) ��1 ^�° ��"-��1�
(work) 1�2 - p5'�� ����Z
MAILING ADDRESS: �,ll��S/I'�!�'����� CITY: G�� ���"� ZIP: S>���-' �
CONTRACTOR: �j �� Gf PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGIN�ER: d� f��� PHONE:
.M_?_d�Il�1�A��1_?ESS: ('T'I'V. 7IP:
NAM�: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �
Move �[ome Remodel/Altecation (ie: Siding, Windows)
Any earth movement may require MCW review and permits!
PROPOSED WOR (cfescribe in detain: /J?-c,�r.�'ct� ����
�L C�yfy,t�—��;�i,� �z. 1 U�a�
STORICS: �— SQ.FEET OF�ACH rLOOR: �f ��� /
NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED ✓
ESTIMATED CONSTRUCTION VALUATION(excludir.;land): $
I hereby apply for a building pecmit and I acknowledge that tl�e information above is complete and accurate;
that the work will be in confonnance with the ordinances and codes of the City and with the State Building
Code;that 1 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.
APYLICANT'S SIGNATURE: DATE: � ���� �
31
Scc.13.04 RIGk[TS OF SUI3JECT5 OF UATA
Subd. l. Type of data. The righ[s of individual on whom the data is slored 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 orcontidential data concerning himselfshall be
informed of (a)the purpose and intended use of the requested data wiUlin the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is Iegally 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 ofodier persons or entities authorizcd by state or federal law to receive the data.This requirement shall
not apply when an individual is askcd to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcemenl officer.
"Phe commissioner of revenue may place die notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those fonns.
SuUd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is die subjectof
stored data on individuals,and whe[her it is classified as public,private or confidentiaL Upon his further request,an individual who is Nte 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 of die content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data nced not be disclosed to him for sia
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 ofthe private or public data upon requezt by the individuai subject ofthe data. The responsible authority
may require the rcqucsting person to pay the actual costs of making,certitying,and compiling thc copies.
The responsible authority shall comply immediately,if possible,with any request made pursuantto this subdivislon,or within tive days of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,if imtnediate compl iance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not acciirate or completc. An individual may contest the accuracy or comple[encss of publ ic or private data
concerning himselE To excrcise this right,an individual shall notity in writing the responsiblc authority describingthe nature ofdie disagrcemen[.1fie
responsible authority shaU within 30 days either (a)correct the data found to be inaccurate or incomplete and attcmpt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he be�ieves the data lo be correcL Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of thc responsible authority may be appcaled pursuanl to thc provisions ofthe 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 lihe to infonn you that your rec�uest
for a perniit or license from the City of Orono or any of its departments may rcquire you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to detennine 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 pe�mit or license.
4. tf your requested permit or license requires Council action to approve,some inforn�ation may become
public.
5. You have certain rights uiider 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
City Statc 7,ip Phonc
I understand my rights as stated above.
';ZR/L� �
5ignxture
Reset Form 32
CHEC� OFF i�IST FOR ISSUANCE OF PERIVIITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �.�Z�v C��1�r �f L� ��? -;�f 1�;�.
PID:
DESCRIPTION OF WORK: ���f��l�F�o ;=:�=�'l r�,('t�',��'�: _
-----------___-------------------------------- ---
ZO:�I�ti G REVIE'4V BY: ��I�f��(��i i� DATE APPROVED: �?(<�' ������
BUILDING REVIEtiV BY: DAT'E APPROVED; �� z7 -o �
FEES TO BE CHARGED: Misc, Fees Calculated By:
PERMIT Yes ✓ No �`
PLAN REVIE`V � Yes � No SEWE.R COi�1NECTION
STATE SURCHARGE Yes ✓ No WATERCONNECT'ION
INVESTIGATION FEE Yes No ,/ PARK FEE
SAC Yes No ✓ SITEIltiTSPECTION
Number of SAC Units OTHER (specify)
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Z01II�IG CHE.CK LIST Zoning Districr. L� I �'J�
Fire Department: Post Office: School District:
,r ,
L,ot Area: Sq.ft. 7i�����Z� Sf� Acres f)> �{ ( � Width ��� ��`�� � Depth
Survey Submitted: Yes k' No Date of Survey:
Proposed Setbacks: U( :I � .
Froat (Lake): �ght Side: ` � _ .
Rear(Street):
��I Left Side: � �� ' 'r ���- ` }E ��,i' r . ; _ ` � l-,71 G������ �-
Adjacent Structures: c' � Wetland: � � �
��'� � !(� U�"i D����`�
Buildin; Height: Def. Hgt. � Peal:Hgt. ��� �'E'��
Lot Covera?e: 1 •�b D U
g �f����`s Council Approval Date: i; ' L= 6 f` t.��
Grading: Staff Approval Date: Y� _�;
Septic: Staff Approval Date: �`� �� BY�
Zonin� File: � ' � ����� Resolutioa: � Resolution Date: �P �D ��
Shoreland District:
AvJ. Setback: (7��/ Bluff Setback: Lo[Covera�e:
Existin� � � Proposed
�I-►'`v�U � {��c`>�-��=,� �
Hardcover: 0-75' `
�
75-250' �(I.� o ((�7U� ��` I'
2�0-500'
50a-1000'
Hardcover Variance Required: Yes � No Date of Council Approval: ' L� �V
RE`�L4RKS (in house): F'it t t r•� '" � �i '.� " ���(-���'
BUII�DING REVIEti� CHECK LIST
UBC: u-� CONSTRUCTION TYPE: �n1
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x � _
2nd Floor x =
Gazage 2�-1 X3o x Z z ��yY0 X IS.oa = 27,3 6 0
z =
TOTAL
Estimated Construction Value: $ 2'�,3C�0
Inspections Reqvired: �York Requiriag Separate Petmits:
Site _ C�Plumbing Fire
Hazdcover Removal p� Mechanical Water Coaaection
�(_ Footing ' Septic Sewer Connectioa
OC Framing Fireplace Lawn Inigation
D( Insulation (Masonry) Other
vt Wa11 Board (Mfg.) Weil (State Permit)
� F�� Grading/Filling _�Electrical (State Permit)
Other
�MARK4 (IN HOUSE):
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REVIE`V SY OTJIERS: DAT'E:
Access: Ezisting New
Access Approval: Date By;
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REtiIARKS (TO BE NOTED ON PERiI�II'I�: Pc1(Z (�c14pJ S —t—��„-- �,N,,,� Pv y 13�
8
Y � DATE TIME\ /
CITY OF ORONO CALLED IN �� A�
INSPECTION NOT C/�E SCHEDULED �-���� 10;�� �
PERMIT NO. V 73 S COMPLETED �
ADDRESS ���U � �r � S�rz t�j�
OWNER CONTR. �n.-�.�r�
TELEPHONE N0. LP �� d C� ,� � 70��
� D _ ��ON 6��-,.C.�/ : ��.�c--�"~,`��
�
� FOO�C�., 11 MECH ICAL RI J 18 EXCAV/GRADING/FILLING
Q ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO ME T YOU: Y S NO
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V � �FORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next i spection 24 hours in advance. (952� 249-46��
OwnerlContractor o i :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice