The URL can be used to link to this page

Home My WebLink About2005-P09071 - detached garage PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09071 Crystal E3ay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 10/21/2005 SITE ADDRESS: 3480 North Shore Dr Unit# Wayzata, MN 55391 PID: 08-117-23-43-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 438 Permit Class: Building Permit T e: Accessory Structures Permit Sub-type(s): Garage-Detached YP DETAILS: Approved per resolution#: 3133 Separate permits required: NOTICES/REMARKS: � Replace Existing Garage FEE SUMMARY: Pernut Fee: $ 391.25 valuation: $ 25,000.00 Plan Review Fee: $ 254.31 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 658.06 APPLICANT: Structures Unlimited,Inc. OWNER: Bruce Nusbaum 5425 Clayton Drive 3480 North Shore Dr Maple Plain,MN 55359 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGR O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNE TA B DING CODE REQUIREMENTS. ' �`�.-��. � ��'Y� C.t__� �l.D.� RMITEE SIG TURE ISSUED BY S[GNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, l-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page l �l�`''—_ �-t� • g,as oS' J Total Fee: $ .6 Date Received: p '��✓"0� Entered By: Permit#: ��90 7/ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print a/C information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR O TRACTOR JOB SITE ADDRESS: �� 612 2 �� ZIP: SS Will this be a P rade of Homes,Remodeters Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Sharttle bus service will be reqz�ired zmless applicant demonstrates sarfficient on-site parking is avnilable. Non-per•mitted events will not 6e allowed. NAME OF OWNER: �2. ''�' +� , PHONE: (home) 2 ` d�9 (work) MAILINGADDRESS: �V1� l�.g q�v-e CITY: O(�ND ZIP: '�i �39? CONTRACTOR: v� �rn`�.�• t'� � PHONE: ,�IZ� � � „3 CONTACT PERSON: 3 r, MOBILE/PAGE : 6 MAILING ADDRESS:,�Z 5 � 1 .e CITY: ` ZIP: J��9 STATE LICENSE: # O EXPIRATION DA E: � � 3 /—ZL�� ARCHITECT/ENGINEER: � �� 4�1�-e PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure� Move Home Remodel/Alteration � PROP SED WORK(describe in detain: e STORIES:( �� Q.FEET OF EAC�-I FLOOR: �� NO. OF BE ROOMS: GARAGE STALLS: ATTACHED CHED Z_ — � ESTIMATED CONS RUCTION VALUATION(excluding land): 25. .� �hereby apply for a building permit and I acknowle e that the information above is complete and accurate; that the work will be in confor�nance with the nances and codes of the City and with the State Building Code;that I understand this is not a permit work is not to start wi t a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 31 L Sec.13.04 RIGHTS OF SUBJECTS 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. Infonnation required to be given individual.An individual asked to supply private orconfidential dataconceming himselfshall 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 may place the notice reauired under this subdivision in the individual income tax or property tax refund instructions instead oY 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 publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. ARer 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 col�ected 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. 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 of public or private data concerning himself.To eaercise 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 fhe 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 infonnation 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(avai(able 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 State 2ip Phone 1 understand my rights as stated above. Signaturc . 32 ' CHECK OFF LIST FOR ISSUANCE OF PERMITS • FOR OFFICE USE ONLY ADDRESS ORLEGAL: 3'`�($O NOR�i SH-��-t. Di2• PID: DESCRIPTION OF WORK: �C--r • (n A t�A�� ZO.�tI�Ti G REV�W BY: DATEAPPROVED: 8-Z�(-oS BUII.DING REVIEW BY: DATE APPROVED: g•z�c• �� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLAN REVIEW � Yes �/ No SE�VER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) ZO�TI�tG CH�CK LIST Zoni.ng District: C-�- i �- Fire Department: Post Office: School Districr. Lot Area: Sc.ft. �,SG�3 Acres .2Z Width SO Depth Survey Submitted: Yes X No Date of Survey: �-/��1°1 Proposed Setbacks: Front(Lake): � �n ' � Right Side: ►1,.� � Rear (Street): I�•`{ Left Side: 1 t�` Adjacent Structures: I �� Wetland: IJ 1�1 Building Heioht: Def. Hgt. (9,K- Peal:Hgt. p.�C. Lot Covera�e: 143.2 Grading: Staff Approval Date: 1 - 12-O� By:�M �:.�'�8uncil Approval Date: Septic: Staff Approval Date: /�►�/�} By: Zoning File: # DS-3i33 Resolution: � Resolution Date: 8'�3 -OS Shoreland District: v�25 Av;. Setback: ��_ Bluff Setback: /'� ��1 L.ot Coverage: i�.2 Ezistina Proposed Hardcover: 0-75' Z,°?o 2°�a 75-250' 3�•�l 2�0-500' `1)'7° 5a0-1000' Hazdcover Variance Required: Yes� No � Date of Council Approval: 8'�' 0 S RENIARKS (in house): � • ' BUII.,DING REV�W CHECK LIST UBC: V-� CONSTRUCTION TYPE: �N Sq Footaae $Per Sq Ftg Basement x _ lsr Floor x _ 2nd Floar x _ Garage x _ x - TOTAL Estimated Construction Value: $ 2S�U c'�O °`° Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection �Framing Fireplace Lawn Irrigation Insulation (Ivlasonry) Other Wall Board (1�Ifg.) Well(State Permit) —1�F�� Grading/Filling �_Electrical (State Permit) Other REMARKS(IN HOUSE): . ---___---__-------------------------------------------------- REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; . RENiARKS (TO BE N01'ED ON PERMIT�: ~N------------------------------------------------------- 8 �� ,� DAT TIME " � CITY OF ORONO `�f caLLEo iN � INSPECTION T C 7 SCHEDULED - � PERMIT NO.�D • COMPLETED ADDRESS 3 G C�� [�V OWNER CONTR. TELEPHONE NO.�1,Q�Z 3g`f ��3 � DESCRIPTION YI. � 01 FOOTING 11 MECHANICAL R 18 EXCAV/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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � � O � � O � W � Q � 2 w � W � � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspecti 24 hours in advance. (952) 249-4600 OwnerlContractor on si Inspector. White Copyllnspector's File Canary CopylSite Notice Y DATE �.- TIME V ` CITY OF ORONO CALLED IN �3 INSPECTION NOTIC SCHEDULED �-/�'-US PERMIT NO. C� C%� I COMPLETED ADDRESS ��I�Y(� �JO�2t k -S �-`� �� OWNER CONTR. S/d"'L'��f7iv��S L�'� ��.�� a- TELEPHONE N0. ?Lc ^� ��- �( �S �� DESCRIPTION �� "`` � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �/-�' !. S ♦ � J O a � O � W � Q � Z W � W � � a W ❑WORKSATISFACTORY:PROCEED [7 PROJECTCOMPLETE � ❑ RRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next'nspection 24 hours in advance. (952� 249-4600 OwnerlContract n Inspector. White Copyllnspector's File Canary CopylSite Notice ��` ATE IM � � O a t Ios �-r:�s OF ORONO CALLED IN ��, INSPECTIO TI�j SCHEDULED /�, � 1�)� `7 . 30 PERMIT NO� `�7 ( COMPLETED ADDRESS 3 �8 � l�-.1 •�� OWNER CONTR.�C,'�'UC�.t�✓ (�{�`�n�..I�t-�r TELEPHONE NO. C��°� 3�`�- '��' �3 � (DESC�iIPTION �a�( � `�OTIN� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O a � O � W � Q � Z W � W � j d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-46�� Owner/Cont�o o site: Inspector.� ' White Copyllnspector's File Canary Copy/Site Notice � ` DATE TIME � CITY OF ORONO �ALLED W �-� INSPECTION N TIC SCHEDULED -Z �� /D:3D PERMIT NO. � COMPLETED ADDRESS e3��D /U�''7��`O [-(� �v OWNER CONTR. c�7�Y�U`C�tp/J GG�L� TELEPHONENO. U/�Z- ��`t' 7�p�03 � DESCRIPTION r� �� ` — IJ� G�•� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � °t..G C r�v�, �C� �u. � G E a �. � � �. ��.t�vU. �` W � Q � z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the n inspection 24 hours in advance. (952� 249-4600 OwnerlCont o n i - Inspector. � White Copyllnspector's File Canary CopylSite Notice