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HomeMy WebLinkAbout2003-P06769 - detached garage PERMIT CITY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P06769 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 9/26/2003 SITE ADDRESS: 150 North Shore Dr W MAPLE PLAIN,MN 55359 PID: 06-117-23-22-0023 DESCRIPTION: UBC occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 438 Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached DETAILS: Approved per resolution#: Separate permits required: Electrical(stai6) NOTICESIREMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00 Plan Review Fee: $ 81.38 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 210.13 APPLICANT: Colson Custom Homes OWNER: S D&J A DZUBAY 180 North Shore Dr. 150 NORTH SHORE DR W Maple Plan,MN 55359 MAPLE PLAIN MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TBE 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. 1,&—4 - APPLICANT PERMMf9 SI 'A ISAMI)BYSIGNATCTRE Conies: 1-File(Sienitures Required), 1-Awlicant,1-Month1y Revorts, 1-Assessing,I-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: 7659 N CITY OF ORONO - BUILDING PERMIT APPLICATION / �j All information must be submitted in full before plan review will be started. ar�1lease print all information) (P P f ---------------------------------------------------— -- ----------------------------------------------- THE APPLICANT IS: (circle one) 6�OR CONTRACTOR JOB SITE ADDRESS: A10 r-fk Svld ZIP: NAME OF OWNER Ju �i � �y PHONE: (home) 5:--� - (work) 6/.;2-e13(�.- ( '70 MAILING ADDRESS: /5� n/o �� -510 re / CITY: 66V,,JO ZIP: S-S s M CONTRACTOR: ul e C Ca o n VS+" PHO COti-TACT PERSON: ti e MOBILE44rOR: -1,2 2 2 '- 8� MAILING ADDRESS: YO Ao,-f, CITY: In . ;n Zl1P: ,5,Y35j STATE LICENSE: # Qq ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA-NIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration /� PROPOSED WORK(describe in detail): / -�aChed -r/o,,4-;n� �S/q,6e.t CLQ STORIES: -�-- SQ.FEET OF EACH FLOOR: y� O ' . O F BEDROOMS: GARAGE STALLS: ATT. DET. 1\ ESTBIATED 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 wiff be in accordance with the approved plan. APPLICANT'S SIGNATURE{{r - / O DATE: 03 Y 61/ ff NOTE! Parade of 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. 5 Sec.13.04 RIGHTS 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 given individual. An individual asked to supply private or confidential data concerning himself shall 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 required under this subdivision in the individual income tax or to rtv tax refund instructions 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 any charge to him and,if he desires,shall 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 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 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 exercise 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 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 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 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 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. 6t j1 L- A r i �j l7-Z-� First Middle Last ISO Klor tipre -r)ri 'S� Address n"t x cipw 57330 V10-0719 City State Zip Phone I understand my rights as stated above. Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR"OFFI E USE ONLY ADDRESS 1 r� PID: DESCRIPTION OF WORK: g-rAct4apo 6A24Ao':- ZONING REVIEW BY: DATE APPROVED: q 19. 0 3 BUILDING REVIEW BY: ' DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes v No SEWER CONNECTION STATE SURCHARGE Yes �� No WATERCONNECTION 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. Acres Width Depth Survey Submitted: Yes A No Date of Survey: Proposed Setbacks: , Front(Lake): !yS t Right Side: Z7 ' Rear(Street): t Left Side: /5011 Adjacent Structures: `15 Wetland: Building Height: Def. Hgt. O.f Peak Hgt. Lot Coverage: n/f.4 Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # Resolution:# Resolution Date: Shoreland District: AD Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS Cin house): 7 r BUILDING REVIEW CHECK LIST UBC: 12-3 CONSTRUCTION TYPE: Nrt Sq Footage $Per Sq Ftg Basement x = 1st Floor x. _ 2nd Floor x = Garage N x- /S go = G,GOo x = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _X Footing Septic Sewer Connection dC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling _j Electrical(State Permit) Other REMARKS ON HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PER1MM: 8 { a S 0 Quality Craftsmanship ORONO COPY CITY IF OPONO 3 _ -__-- k,'tf'Tj-J16 PLAN Sf=1 ON 91 AT ALL TIMES ;nor✓ n A fck F ff rpoe r i2©oma 21470 Excelsior Boulevard, Excelsior, MN 55331aAF, S PhonelFax: (612) 474-0383 C s '-4,VCT O-N N41 L 7I1 NOJXV auo Ar �'8£'0'ILp (0I9) : dl yd ' I EgSS A[K `.�ozsjaaxg 'p-m2olnog jozslaaxd oLpI Z w'nj Ota: 0 0 er I �• i J � w J ood -------------- �0 y J ti T V Y { h 5 Y �Y �o fit ot ' rU! oP ��oJb 4/-76�! � �,�,��o� Pjood -61101 -Peat ,p 61Vl5 do,ac:,( x �,,.���/ aq �1 ! a �� � oa �-Pu,�.©o ff „y,►', '"► �q�'�S' r� cfiysuvut0j'v,t,q dl!l ono l Jb. Jx vfr, m 0 S' . DATE TIME CITY OF ORONO CALLED IN �c) 1 `v INSPECTION NOTICEI G SCHEDULED pq 3 PERMIT NO. I�Q J COMPLETED ADDRESS OWNER CONTR._mac/ (�,m C w,4 TELEPHONE N0. /- d DESCRIPTION �' t 1 "� '6utr 01 FOOTING 11 MECHANICAL RI 18 E AV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: CC VtN(2A a t1 J O — O LQ CC Q 2 W z W EC_ O WW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contracto ite: Inspector. White Copy/inspector's File Canary Copy/Site Notice oe !/DATE TIME CITY OF ORONO CALLED IN INSPECTION ��E q SCHEDULED //-051-03 3:o PERMIT NO. �r07� 1 COMPLETEDnn- Iy- ADDRESS__ 1,5-0 ) key. 5 OWNER CONTR. eD��tJ TELEPHONE NO. DESCRIPTION 1 01 FOOTING 11 MECHMICAL RI 18 AV/GRADING/FILLING 14. hFRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES-NO COMMENTS: a j O C O W W Q Q W W Or O LU ,0,6210 ORKSATISFACTORY.PROCEED ❑PROJECTCOMPLETE QC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 Owner/Co site: Inspector. White Copylinspectoes File Canary Copy/SRe Notice Established in 1962 INVOICE NO. 50530 LOT SURVEYS COMPANY, INC. F.e.NO. 805-41 LAND SURVEYORS SCALE: 1 " = 5o, REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA 0 Denotes Iron Monument MATTSON CONTRACTING 7601 73rd Avenue North 812-580-3093 ❑ Denotes Wood Hub Set Fax No. 560-3522 for excavation only Minneapolis, Kainesota 55428 x000.0 Denotes Existing Elevation Property 1 in Section �u r v P ors T P r t i f irate 000.o Denotes Proposed Elevation Hennepin oun y, nnesoxa-6, Township 117 117, Range 23, � _••.w— Denotes Surface Drainage CITY OF OR00 NOTE: Proposed grades are subject to results of sol tests. SITE PLAN GRADING PLAN Proposed building information -- S-APPROVED-►09-i-• GAr AC e must be checked with approved building plan and development or FJ APPROVED WITH REVISIONS grading plan before excavation 11 DISAPPROVED ROVED a and construction. BY _� ,�7 Proposed Top of Block - DATE 9 -10 ,o 1110 Proposed Garage Floor 162"5 Proposed Lowest Floor 1 hype of Building 5Uu. J tali i 1 VJ a(.IG 0V r 77 4 I- � prJ' •�\ � ' M -•-�-- - -. - 93.1 -^ � u q ,�- �y _ o N �9 LM per.\41, tA lot 5, Block 1, CHADKICK �'� " UP' -he only easernents shown ore- from plats of record or information provided by client. Ne 'ereby certify that this is a true cr.d correct representation of 3 survey of the boundaries of the above described lend end the ocation of cll buildings and visible encroachments, if any,from or on said 'and. Au ust Signed Surveyed by us :his Qtjy_dcy of 9 i s 98 Charles F. Anderson, Minn. Reg. No.21753