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Home My WebLink About2001-P04458 - accessory structures • t CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po44ss Crystal Bay, Minnesota 55323 Permit Type: a��esso�-y stru�cures (952) 249-4600 Date Issued: toil2i2ooi SITE ADDRESS: 4196 North Shore Dr MOUND,MN 55364 PID: 07-117-23-44-0090 DESCRIPTION: UBC occupancy U1 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 328 Permit Type: Accessory Structures Permit Sub-type(s): Shed DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 450.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 24.00 APPLICANT: owner/Self OWNER: B M COOK& S B CAMPBELL MN 4196 NORTH SNORE DR MOUND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BiJII,DING CODE REQUIREMENTS. �� V � �:+�'�ti-� ` APPLI ANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE Copies: 1-File(Sigrtitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 ' � t G`' Total Fee: $ �� ! Date Received: /�-�'�� Entered By: ,�� Permit#: ✓�(��j�/S�' � �'�I ' � j CITY OF ORONO - BUILDING PERMIT APPLICATION ' (1 ��'� �'` All information must be submitted in full before plan review will be started. �� (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNE R CONTRACTOR JOB SITE ADDRESS: y\`�b ��Q,�� RE �� ZIP: �531�� NAME OF OWNER!�� PHONE: (home)�5Z-�15-c�1� (work) �,��Z-�75►- 7 5�(v MAILING ADDRESS: ��lv 1Jop.�k 5�� c�ITY: C,�Q,��i� ZIP:�_ CONTRACTOR: (,iw�� PHONE: CONTACT PERSON: MOBILE/PAGER: M AILIN( ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detai�: (o+X(�� ST�R�� ''-��-�-�� STORIES: SQ. FEET OF EACH FLOOR: �j(� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� 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: � �`�'1.,� DAT'E: (� NOTE! Parade of Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rigbts of individual on whom the data is stored or to be stored shall be as set forth in tfiis secdon. Subd.2. Information reqwlred to be given individual. An i�iividual asked ro supply private or confidendal data concerning himself shall be infomied of: (a)d�e purpose a�itrce�ed use of the requested data withii►the collecting srate agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from lris supplying or refusing to supply private or coofideadal data;arn!(�the identity of odier persons or entities authorized by shate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply inves6gative data,pursuant to section 13.82, subdivision 5,to a law enforcement officer. The commissioner of revemie mav olace the notice rewired under this subdivision in the individual inwme tax or orooertv tax refund jnctructi�n�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,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without arry charge to hiun and,if he desires,shail 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 diereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been wllected or created. The responsible authoriry shall provide copies of die private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of maldr►g,certifying,a�compiling the copies. The respons9ble 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 wlthin 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 compl�teness of public or private dala concerning himself. To exercise this right,an individual shall notify in writing the res�nsible authority describing the�nature of the disagreemecu. The responsible audioriry shall widun 30 day$either. (a)cornct die data found to be inaccurate or u�conoplete and attempt to notify past recipiems of inaccuraoe or incomplete dara,i�luding recipie�s named by the individual;or(b)notify the individual that he believes the data to be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The detenninadon of the responsible authority may be appealed pursuant W the provisions of the administradve 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�ity 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 extent necessary to process the permit or license. 4. If your requested germit 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. ��c C��- First Middle Last ��1� �v�0-�sa �1��- '��— Address � ��, 1�v�9 �-;�(��5Z�`1cel��C�i!� City State Zip Phone I understand my rights as stated above. Signadtre a 6 ' • � ,,` CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �1 t� b N n 2� s tt��2.�, �p R PID: DESCRIPTION OF WORK: S 1-��.� ZONING REVIEW BY: DATE APPROVED: _�o -t� -�t BUILDING REVIEW BY: DATE APPROVED: �� -�o-c� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/ No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes ✓'' No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of 5AC Units OTHER (specify) ______------------------------------------------ ZONING CHECK LIST zoning District: L.2• �� Fire Department: YY�rvu N/� Post Office: nn.o�...�0 School District: _W`,��1cA Lot Area: Sq.ft. � Cir�r�„C Acres � Width Depth � Survey Submitted: Yes No a Date of Survey: i� (�� C C�o�n a N) �. �-r Proposed Setbacks: L Front(Lake): j 10' � Right Side: �6 Rear(Street): 7 0� t Left Side: 3�� '� Adjacent Structures: �`'t' Wetland: IJ,h Building Height: Def. Hgt. C9.1c. Peak Hgt. Lot Coverage: t� �- Grading: Staff Approval Date: �J�A- By: Council Approval Date: Septic: Staff Approval Date: -- By: Zoning File: # — Resolution: !� Resolution Date: Shoreland District: �o Avg. Setback: Bluff Setback: L.ot Coverage: Existing Pro�sed Hardcover: 0-75' 75-250' � 250-500' 500-10i10' Hardcover Variance Required: Yes No Date of Council Approval: REMARI�S(in house): 7 � � e T BUII..DING REVIEW CHECK LIST UBC: U' l CONSTRUCTION TYPE:�'`I��'''� Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ �(S�•00 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) , �Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): � . REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI�: 8 f. I � 1 - � A ��11� �R�� - t� ► � ; , . . . ► � c�r�/�� a�a�� SIT� P��1 G�,;�!Nu �LAN � �r,P�'f tC1�'� � S+�1L� �1 �,r�'r��::�V�} ;;?!�� ?�ViSI 1�•'.S � 1 v�-,'+a�pr�(1'.;�.; �Qv� (��Cl� �E� ��,�, � �� _� DA��►�. / , o-�o-.� � AsP �t�-�T J � i 1 « ;, I ,� % _. i� ' .�- � . ' �� ,� � � �� ' � . � t`� : ^ `` z�.� � � � � � `.�' � r�� -� � � - - � �� I �� ' � � ++^ [ r� � 1r � � 1 f 1 V � � `L / , \ . ° `�` �Z- STUeY �6-a '. c�� ¢S � F�E Na�� -. -- � � �4/g� � �' z2-o �v �ti � • `� �6. o ` , � l -� � ` ,� . , � � � � � � . � � ! � � � � ; Zo � , � � � ' , 0 ,�o � 1�Q , � , � � C� � v�, � � y ` ' �;7V C?� O Ft�(�JO . 'sU;!G;i�lt� p�'':��IT ViS� RcVIcW INSpECTOR DAeE !n-{0 —G ( PERUitT NO. � ' �� rc�v�-%j�� s��:�i�rr�u � ; � ' i ��i. . , �c '.'-�I CC�?RcCTIONS JOT I ' ❑ �'<�T AP?�Ob��D---C�RfiEC ES �11T ' i 'fl'��:o cr.m:�;er�ts ere for y��i:r iniorrr,a' .All shali�be dons + :' i ' in •:II conpliarcc wilti sll arplic�',a huilc'. aad zening coa� � i 'Asti:�iraments�;ic;uding iter.:s specif' y notod i revlew - � �WOOfl; w I _. _�..�� KcEP THiS PLA T O li AT TIMES ' � I I I � ' � , ; ; � ; � f i � � � I � o--�- -�' I �'J x� �Oc��__._ , � � ; I ; O 9 ; ; I � � ' ' � , i ; I ; ; ; � � : ; � ; ; ; ; ; � � � � ' I � � _ .---------- . . _ _-_ _ _ _. _ __. -------_ --- - �,o„ _ - -- _----- r _�__.__ ___ ._-----�---- -- . - - ��--�c_ _ _��-`-�-P�� ____—�J__.�-E..�----- V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT��_ SCHEDULED ' "U PERMIT NO. COMPLETED D IZ-� � �- -� �� ADDRESS �f'7�4 CJI�T��il� ,�/� . OWNER e.�`' C�vc K CONTR. G�'-��C TELEPHONE NO. �S�v� ��}' S' -0() /(� � � c��.0 � DESCRIPTION � I � �iL� � Ot 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 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 v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OW NERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W �C7 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETUFiN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: /1 I. �' � ��_ Inspector. � -� ��' White Copyllnspector's File Canary Copy/Site Notfce