HomeMy WebLinkAbout2005-P08842 - detached garage � � PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P08842
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 6/29/2005
SITE ADDRESS: 3898 North Shore Dr Unit#
Mound,MN 55364
P��� 08-117-23-33-0048
DESCRIPTION: UBC Occupancy R3
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: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 321.25 valuation: $ 20,000.00
Plan Review Fee: $ 208.81
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 540.06
APPLICANT: Morton Buildings Inc. OWNER: Roger Granning
113 Thomas Park Drive 3898 North Shore Dr
Monticello,MN 55362 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.
i
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APPUCANT E MITEE G TURE SSUED BY SIGNATURE
1
Copies: 1-File(Signatures Requrred), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, �
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Total Fee: $ •57`�• � DateReceived: �'�L' ����-I�-
Entered By: Perzxzit#: L�� -�� � - ��.-�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before glan review will be started.
(please pf•i�zt all infor��zation)
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THE APPLICANT !S: (circle one) O`V1VER OR ONTRACTOR
S �a r���no r� � �°�� S�?,6
JOB SITE ADDRESS: �� g �1'�•� � ZIP:
`Vill this be a Parade of Homes, RemodQlers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event per-mit is reqarired wit7i Police Departme»t and City Council appr-ovol
60 days prior to the event. Slzuttle bus service will be required unless applicant demonstrates
sa�cient o�z-site parki��g is available. Norr Per•mitted events will not be allowecl.
NAME OF OWI�TER: �C�2 r" � {'o.�n1�:�lt PHONE: (home) ����y � `y ��� /
� g � _r l r�� (work)
MAILINGADDRESS:3�� o��n � (' CITY: f-O�t� ZIP: 5 53 U �
co�vTx�cTOR: c �exo�:�� � '�4 5- 39 3`�
CONTACT PERSOv: S�-�-�' a ��. MOBILE/PAGER: � ► �.- �..y� -� � ��,$
MAILING ADDRESS: t 1 � �f L•;,�v-aS -E'"�-rk.��;v e CITY:YV�_v��t;r,�i(u ZIP: � _S 3� d—
STATE LICENSE: # �� - �-1 F� b �- EXPIRATION DATE: �� /'3(/ C�
ARCHITECT/ENGINEER: PHONE:
N�AiLING ADDItESS: CI'i Y: ZI�:
NP�!�iE: REGIS�'RATION: #
TYPE OF WORK: New Addition Accessory Structure -✓
Move Home Remodel/Alteration
PROPOSED�dOJR�(desct�ibe in detai�: � � X ( 4 k `� a �j�p �-�-p�, � a,���p G
�/`�-'�-� �a-,�-�;�-c-.,,,����� -- Jlo=1„ r. Y�� .J
SB'ORIES: SQ.�'EE�i'O���.CI��'�OOR:
I�O. OF �EDROOidIS: G��2A�E S'I'�Y.,I.S: A'TT'A�I��� DETACH��
�STII�IAT'E3) CONSTRLTC'I'IOIV VALLJA'I'IOI�i(eYcluding land): $ �- � ��
I hereby apply for a bui?ding permit and I acknowled�e that the information above is complete and accurate;
that the work wi11 be in conformance with[:7e ordinances and codes of the City and with the State BuildinQ
Code;that I understand this is not a permit and work is not to start without a permit; and that the work wi11 be
in accordance with the approved 'an.
A.PPLIC��T'S SIGNATURE: DATE: � �� �l D�
31
i , ,
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd.1. Typc of data. The rights of individual on whom the dlta 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 hirt�self shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide sys[em;(b)
whether he may refuse or is legaily required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential daca;and(d)the identiry 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 13.32,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav niace the notice required under this subdivision in the individual income tae or pronertv ta.e refund
instructions ins[ead of on thoso forms.
Subd.3. Access to data by individual.Upon request to a responsible authoriry,an individual shatl be informed�vhether 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 oi
stored private or public data on individuals shail be shown the daca without any charge to him and,if he desires,shall be informed of ihe 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 scction 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 daca. The responsible authority
may requiie the requesting person to pay the actual costs ofmaking,certifying,and compiling the copies.
The responsible authority shail comply immediately,if possible,with any request made pu�suant to this subdivision,or within fir•e days of
the date of the requesc,ercluding Saturdays,Sundays and legal holidays,if immediate corflpliance is not possible.If he cannot comply with the request
within that[ime,he shall so inform the individual,and may have an additional five days witliin which to complywith the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4.Procedure when data is not accurate or�omplete.An individua!may contest the accuracy orcompleteness ofpublic or private data
conceming himsel£To exercise this right,an individual shall no[ify in writing the responsible authority describing the nature of the disagreemertt.The
responsi6le authority shall within 30 days either: (a)correct the data found to be inaccurate or ineomplete 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 disagreemeat is included with the disclosed data.
The determination of the responsible authority may be appealed pursuan�to the provisions of the administrative procedu�e act rela!ing to
contested cases.
DATA PRIVACY ADVISORY
In accordance�vith M.S.13.04,Subd.2,"Rights of subj ects 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 fumish 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 ajencies to the extent necessary to
process the percuit or license.
4. If,your requested permit or license requires Council action to approve, some information may become
public.
5. You have c ai rights under M.S. 13.04(availaole upon renuest)to review private data on yourself.
6. Your full am is required to process this application or permit.
First bliddle Last
�
Address .
C��, State Zip Phone
I understand my rights as stated above.
Si;natur
32
, . �
BUILDING REVIEtiV CHECK LIST
�C� U- � CONSTRUCTION TYPE: VN
Sq Footage $Per Sq Ftg
Basemen� x _ .
1st Floor z _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $ Zq,o0 0`x'
Inspections Required: tiVork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing ` Septic Sewer Connection
OC Frami.ng Fireplace Lawn Irrigacion
Insulation (Masonry) Other
Wall Board (Mfg,) Well (State Permit)
—�F�� Grading/Filling ��Electrical (State Permit)
Other
REI�ZARKS(1N HOUSE): ,
---_ __----------------- -------------------------------------
REVTEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy; �
��------------------------------------------------------------
KEl�1ARKS (TO BE NOTED ON PER,�tiIIT):
8
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3Qg°e$ K�o s�o/� /J.C,
PID:
DESCRIPTION OF WORK: �,q,�t,��a
-- � _____------------------------------------------------------------
ZO.�tI�Ti G REVIEW BY: DATE APPROVED: 6•2 3-aS
BUII.DING REV�`V BY: DATE APPROVED: b•�.3-o s
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW � Yes �/' No SEWF1t CO�TNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No �/' PARK FEE
SAC Yes No !/' STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI�i TG CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. 3`�.80o Acres . '�7 Width 7�� Depth f 7 `(
Survey Submitted: Yes �G No Date of Survey: ocT 30 . i�g6
Proposed Setbacks:
Front(Lake): ��{�' 's Right Side: t Zo' '�
. _
Reaz (Sueet): N 3� '� Left Side: 3'�
Ad;acent Structures: !u ` Wetland: /l!/A
Building Heieht: Def. Hgt. � 3 Peak Hgt. i V
Lot Covera�e: G •5
Gradina: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning F:le: # — Resolution: !� Resolution Date:
Shoreland District: y r S
Avg. Setback ,v�A Bluff Setback: N/�- Lot Coverage: 6 •g
Existing Proposed
Hardcover: 0-75'
75-250' 0.k
250-500'
500-1000'
Hardcover Variance Required: Yes No �G Date of Council Approval:
RE�IARKS (in house):
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_..:�,�n �D � � .-. ��<; . ��:a�-f�:x I�'�.,.�. �. �I,�1��f�1�, 1{'��. .
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Q,X ` �•� ���,,� ,,�• ,�;� Er�etiriocrs �+ ;rurv�yc�r� a F'I�tnn�rr a aalis 'T'estin�
c� ^. t�1�1 �� '�(i55C} Wrtyzata E�oul9vs�rd
Mlinnetonke, Akn. 55343
�. .. — ...-174.00—... Tel. 546-7601
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Loi;s 15, 16 and 17 , Block 7, CRYSTAL
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O ,r � � s; .:
� 25.9 � 6 � . �S-0 Q ;�
� E'' 9'2 20 3) D - Denotes wood stake.
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� �: ❑ A�PPF�OVE VV�TH REVI�lUN � prepar�ed under my ��uper�d�isior�� and tr,at; I
Y��gq�p �Epn am a I_i censed Land Surve,�or• under the
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DATE . c• z ,o ��____�� ��-
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L O DATE TIME �
CITY OF ORONO CALLED IN �I� Z�'�s
INSPEC110N N TI E SCHEDULED �`Z q � ��
PERMIT NO. P�B��Z COMPLETED
ADDRESS 9� � �
OWNER � w`�L CONTR.
TELEPHONENO. 3 �3`fZ S'S7Z- ��
� D ON / � �
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORREGT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�1/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER PO6TED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContra 't -
Inspector. -
White Copyllnspector's File Canary CopylSite Notice
}� '`/I �����l�
V 1' �� V
DATE TIME
CITY OF ORONO CALLED IN - -/;�
INSPECTION N IC // SCHEDULED � -
PERMIT NO. `�� COMPLETED .
ADDRESS ��j d" �l�1 �l'hA��
OWNER CONTR. �/1y77/Y� �f�
TELEPHONE NO. �(�l��� a�� .�� 'f�.3�
� DESCRIPTION �-�01�` . - I�
t� 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
y
Q 03 IWSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. u ,��
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White Copyllnspector's File Ca�ary CopylSite Notice