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HomeMy WebLinkAbout2003-P06021 - add/remodel/repair PERMIT CITY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P06021 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 2/25/2003 SITE ADDRESS: 180 North Shore Dr W Maple Plain,MN 55359 PID: 06-117-23-22-0024 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Building Undefined DETAILS: Approved per resolution#: Separate permits required: Eiecmcai(state NOTICES/REMARKS: t:G: :.::::::::::::::................ FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,952.88 Plan Review Fee: $ 63.18 State Surcharge Fee: $ 2.50 Misc.Fee: $ 63.18 TOTAL FEE: $ 226.11 APPLICANT: Owner/Self OWNER: Rodney Colson MN 180 North Shore Dr W Maple Plain MN 55359 THE UNDERSIGNED HEREB QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO RK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA DE REQUIREMENTS. ICANT PERMITEE SIGNATUREf ISSUED BY SIGNATURE Copies: 1-File(Skenitures Required),1-Applicant, 1-Month1y Reports,1-Assessing, 1-Finance Page 1 Total Fee: $ ��� ��✓ .� Date Received: O Entered By: �� �v� Permit#: IL Ci f ff g CITY OF ORONO - BUIILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) 14 ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: '(circle one) OWNE OR CONTRACTOR J SITE ADDRESS: I (9 )6 5 ot-e d r ZIP: JJ 3s� NAME OF OWNER: I&Jtl eV Co 15017 PHONE: ome S9 0113 (work) RESS: CITY: /f? a : ZIP: ,s'3 s CONTRACTOR: ©L'�k l �P PHONE: CONTACT PERSON: S MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move 7Remod Alteration Land Alteration PROPOSED WORK(describe in detail): C1114aa- le ex4,�,rjl L✓ ,ape,, � above- STORIES: I SQ. FEET OF EACH FLOOR: �k NO. OF BEDROOMS: 4�> GARAGE STALLS: ATT. DE'I-*.� 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 ' of a it and work is not to start without a permit; and that the work will be in acco e w' approved plan. 9 APPLICANT'S SIGNATURE: DATE: �� �7 F3 NOTE! Parade of Homes eve equire separate permit approval by Police Department and City Council 60 days prior to a 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 concernini 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 property 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. ell First Middle Last Address City State -dip Phone I under y ights as stat v . Si to 6 a a BUILDING REVIEW CHECK LIST UBC: %Z-3 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor g• Z5 x yy. 2g = 3g52,�$ 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 35 S Z•el 5 Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection yc Framing Fireplace Lawn Irrigation K Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) r Final Grading/Filling _Electrical (State Permit) Other -------------------------------- REMARKS(IN HOUSE): -------------------------------------------------------7---------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 a CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1160 X VZ PID: DESCRIPTION OF WORK: ----------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY: , DATE APPROVED: BUILDING REVIEW BY: 02, DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes ✓' No SEWER CONNECTION STATE SURCHARGE Yes ,/ No WATER CONNECTION ,*,-INVESTIGATION FEE Yes No J J PARK FEE SAC Yes No SITEINSPECTION 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_� No Date of Survey: Z-- L-S V C oN F,tz� Proposed Setbacks: , Front -7 Right Side: 1 04 t ± Rear (Stream: std�'� Left Side: 236 t Adjacent Structures: Wetland: too -- Building Height: Def. Hgt. O.V� Peak Hgt. d.V- Lot Coverage: N 1 A Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # -- Resolution: # Resolution Date: Shoreland District: N b 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 (in house): -Nk, Woav- Ggl l� d.¢..„,.,-►— — 4r SFf-CCT-/LuUQe-J6 --Vnbf W14-6ry !'L- -nue 7 oaky C015 lco,� SFIECIAL NOTE SEE ATT 'C 'E'D Z] -rlET FOR 5rv►ov-� CODE REQUIREMEN2 OCC4 t _ ORONO ti 1 may, L 1 7 � l KtcP fti,6 rLAN:icl ON Si i E AT ALL TIMES � 2-AIL 2�r�ovS inrs�Pcx I 3S y, EXIsTlNL AA SFWnc 012-t,O f svl3C��y�S�b rJ f �� •� f .8C CCAa.IMATED MATED. ATZ24P Mow ;EAI.PNr ,ONE 2TAL -_____------ WAI,�TO FXR F?MM N Jl1t�CVYVtAGR tet• OU OR IT'M i fm.ri.Y.Y 6G'PI2(i rMaw for(7-Pay nm vProtz�P�� i Nrl WALL IN. WOOD TO EAR h .:Li=r'�tsAl iON 6" COV, i -- FW15K G 0VF�•M NNAY ' PND M-51AXON j =+ F1 M D��.�!► Pat QY oltr) i 20 5t'iap5 I2t'O.C. pOLYENm.I:NE t✓i!M(iJ PJ�b^�1.P4"�J i i/2ttWTcDIn��tivC�T% y 1/2"59M fWIV...M'V \\ •.•ii.• MA MOW UGY+TiL✓ 0, p01.YDYxym p0OU MATO TO M �. 2X8 FGOiVNG t'LA1E I,Ii7iF: i/4"Akt VULM PEA MAX,,*MILL Or f0 E)EV 72° 5row OR caw 2d 5fM WTH W F9(YAN5. F OUNPA11 ON WALL ( 2X6) i Gj Wee:T T COG7 rV 'Q�j OH XH-d 1 t12iy"1 at: j / Y(p pqr �, 9 7�92r7 hOCCA FRI,JAZ MAWL •a PO WrPKKFS WaM%f ML pA%M%TFL�OOE 5LAO 6 FOR M WALL tG FLC FttAWNG non MP t OR Tl rh-'ityh OATM 5(%M ---- ;--- KAMWA.LW)MdD(WFLS $+ � 15 N FI.ACE ANV PPLT*,-Y AffAGl�v". p,r0 P6M PO ItN`e;�'�W,VCV?ILL . 1/2 9 M.IY.0?' ,XAVVrCN VO A WM 5.m am AWRY I W'AiNING IMIUVi. : G�Y")AV .- ; , FROM F A1fON ;,;:' GOUF.E"WK.k•..d NAgAl!PAW Gd?I�pOA�II�SfALLEO '�° �"s-'-'-". � Elv"f ER�NG 11�Sits:✓'PJ�NP'�51'S1EM, AM FNA.OM 15 ESrApLl�t7 �? C.*O A.` ?�,AT WY�LLS��,'M1P�151A1r�ir &pm✓ N6v:IrCq w, WOQO MWLL MA1NK F ARX-N WALL 501,0 2 PRKW iNY;11 tE 5A,' !ALMft115E0 ON WAV MARZ PAW ":' MA50 ORY P-we,In1 WALL5. sow AWAY FROM SNMO 9E�Jclw C0�'�1!�IJS�Y AC�11f FOI9�7AfiON I'-C"MZW?E(M-LM FCP,pASMENr5 I/4 5(m O.FCII,CWW LI *TCa W2TAiL5 60AW CONWIG i. MW TO t"EW ANG M5 V 2' FAMP fG MP..Of N51KIM WALL GGNC.5LA0 .... . ,�,,; FrNCCLS• I w6 acre: NW ITCH+r,�.rls 01stl�G � MUM i',Paa,;ply i-&. I ION F. aECICW.NOT: t...•^AL.Y.- 5MED PEA 5r01e OkM( OR ohm FII.I. I CLACK-]LUNG fH� woop FoUNPA ION Td WH82:TT.• '20W- SO 'fid'fid 'ON XH3 A,IM I HLIJdJ DATE TIME CITY OF ORONO CALLED IN A)-j&-y3 INSPECTION NOT Cl SCHEDULED JG �0 �3 O til PERMIT NO. Q-) I COMPLETED }} ADDRESS 06ZIN S I r. r— �J OWNER d LL " S-(JCONTR. nujoQ.r TELEPHONE NO. Lo )I0" ll DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 2�FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J MBING FINAL 36 FOUNDATION/REMOVAL OWNER)CONTRACTOR TO MEET YOU-ZYES_NO � CO NT c O O cc O W W cc Q Z W z W O Wl ❑W SATISFACTORY.PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Con o- te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice lHY-LAND SURVEYING INVOICE NO. 10028-18 F. B. NO. 187-10 LAND SURVEYORS SCALE I" = 80, xv Proposed Top of Block ORONO COPYo Denotes iron Monument Proposed Garage Floor t] Denotes Wood Hub Set 7845 Brooklyn Blvd. Brooklyn Park,Minnesota 55445 For Excavation Only Proposed Lowest Floor 560-1984 wnx000.0 Dotss Existing Elevation Type of Building - O Denotes Proposed Elevation Denotes Surface Drainage NOTE: Property located in part of Section Township Range , COLSON CONSTRUCTION 40'-0" Note: Elevation datum assumed. PROPOSED 0 1 GARAGE 0 1�_0fl 401_01• � coft •15 _011 J�t.i; ' URUN 26.0 101,0 2� CITYFt Quo O � (� . s_ � , P. &�'' s Q) ° j/' _� SITE 11A1 G.MING PLAN O r �;'1:1.)��GD ^C-NT2 IA�btT7c�rJ C)7. 85 DATE 26.0 \ L4 Q7 Ilo.S� II�•n1 1 Z w � � ��Se,,V1e ,.14 � l l � I o `" I t �, � �, 1 8 1 ', ;i 'til of o l I ' I_. I , ,� n � l °t°t•� -w•l I W r� � i I OI 100.V for� �l See. \ pl � I �•� Exas�-;may O tJriVe- t0 857.48- - C6TY ON NO��C X SITE PLAN ---- G�•irl:ING PLAN 11APF�FI)1 �1/ ATT+1{k-C /+(L1fcE LOT 6, BLOCK 1, CHADWICK [] AF'�;RC3�.,''.�i , , f`�:„�,, IGBYS The only easements shown are from plats of record or information provided by DATE__ (r— client. 1 hereby certify that this survey was prepared by me or uncier my direct supervision, and that t am a duly Registered land Surveyor under the laws of the State of Minnesota. Siwd Sixwyed by us Ns 2ND d yof DECEMBER t9 96 Milton E. Hyland, M . No. 20262 a