HomeMy WebLinkAbout2005-P09324 - detached garage PERMIT
CITY OF ORONO
2750 ReIley Parkway- PO Box 66 Permit Number: P09324
Ci;rystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
12/20/2005
SITE ADDRESS: 645 Old Long Lk Rd Unit#
Wayzata,MN 55391
PID: 36-118-23-32-0004
DESCRIPTION: UBC Occupancy U1
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: Plumbing Electrical(state)
NOTICES/REMARKS:
Needs CUP, for Plumbing In Detached Garage-NO PLUMBING ALLOWED,not
applied for
FEE SUMMARY: Permit Fee: $ 818.75 Valuation: $ 75,000.00
Plan Review Fee: $ 532.19
State Surcharge Fee: $ 37.50
TOTAL FEE: $ 1,388.44
APPLICANT: John Thomas Custom Homes OWNER: Kristin&Alistair Jacques
2312 Old Beach Rd 645 Old Long Lake Road
Minnetonka Beach,MN 55391 Wayzata MN 55391
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.
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A I'LICANT PER ITEE SIGNATURE ISCUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ .�3B'8 -s'• Date Received: Ay 37
Entered By: 12-D r09 /O( i Permit#: /c//,VoS
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR s ONTRACTO' /'
JOB SITE ADDRESS: 6141 p L17 1-44 4 LativE ?a^ ZIP: G59:;) I
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
KYes No Lfyes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates,.�),
c,
sufficient on-site parking is available. Non-permitted events will not be allowed. I--7 GJ �pl b
Le
/�C', ! - Imo• J 6 4J PHONE: (home) Q
NAME OF OWNER: �j '�7!� yyo
(work)
MAILING ADDRESS:2 5$C 01.0Q . CITY:b4?,01 D ZIP: 4S34I t
CONTRACTOR: 01I 1ioMd CoffeiM 440451 Its/4 PHONE: 152. 746'79)1
CONTACT PERSON: JAC . CAsa TSE( . MOBILE/PAGER:952.240. 1431
MAILING ADDRESS: (o I WAvt j1ST�1 0.1./d CITY: 1�1(eiy1lA ZIP: 9. 39
STATE LICENSE: # .4 LS EXPIRATION DATE:
ARCHITECT/ENGINEER:Te4, PHONE: n' • 929.14566
MAILING ADDRESS: CITY: ZIP:
NAME: GµIZIS 5TQ,D M REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration
PROPOSED WORK(describ n detail): , y 2Gar& • . , p` ,'. ;
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 `boo
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 ordina •-s :nd codes of the City and with the State Building
Code;that I understand this is not a permit and wor s not o start without a permit;and that the work will be
in accordance with the approved
pi
D'rAPi r DATE. t O •
PLICANT'S SIGNATU'. .mo ,;I
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.
Suhd.2._Information_required.tube.given.indixiduaLAnindivid1ml asked to supp y_private_or.confidential_dataconceminghimselfsha1 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'sst9tement 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..13.048$ubd.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.
L
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.
jk4g.. —t—. Ca05..
First Middle Last
�II tol W,` -1 /31A/00) . - 2!a
WAL?2,6(11st- MN X9391 192. 7/./ . 79,1
City State Zip Phone
I un r• n 1 .1 ights : stated above.
Sig I i//� - '-r
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: (,`"15 (9G0 (P CAte X61/0
PID:
DESCRIPTION OF WORK: tier. (o 4-M 6
ZONING REVIEW BY: JN DATE APPROVED: 10•'u{- o S
BUILDING REVIEW BY: , . DATE APPROVED: j o• 2'-f-05
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WA1'ERCONNECTION
INVESTIGATION FEE Yes No (/' PARK FEE
SAC Yes No — Sf EINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. y .31s Acres ( •oz-1- Width Depth
Survey Submitted: Yes O( No Date of Survey: oN -A Q
•
Proposed Setbacks:
Front(Lake): 131 Right Side: 1,0'
Rear(Street): 4 3 Left Side: +7'J
Adjacent Structures: 1/ Wetland: NM
Building Height: Def. Hgt. Peak Hgt. —
Lot Coverage: (o .3 (770
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: NrD
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):
1
/ U T
• F
BUILDING REVIEW CHECK LIST
UBC: U- l CONSTRUCTION TYPE: \J N
Sq Footage $ Per Sq Ftg
Basement z =
1st Floor x _
2nd Floor x
Garage z
z =
TOTAL
Estimated Construction Value: $ 1S-,CC
Inspections Required: Work Requiring Separate Permits:
Site 1( Plumbing Fire
Hardcover Removal Mechanical Water Connection
oc Footing - Septic Sewer Connection
of Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board
(pc- (Mfg.) Well (State Permit)
Final Grading/Filling 0e Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT): N 0 Pc*, cr-rioJ'\`
ii GL's * to ;!;-�
8
" r1\�� DATE TIME V
\1.5 1,0 CITY OF ORONO CALLED IN / 'QS--
INSPECTION NOTICEy SCHEDULED Q J/�
PERMIT NO. , /D 3 q COMPLETED t //--4-15-4111
ADDRESS e/5— G/- LU/?, L /
OWNER CONTR.}ifu�IO S nms-
TELEPHONE NO. (.,5/ -1/9 o 00 (- e-+L'
DESCRIPTION 6--Ct-rez-�2
14, 11 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cc cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LIJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
tn• COMMENTS:
W
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• )(WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor n site: 135
Inspector. 6i 13
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICESCHEDULED %;
P0(4:2-4007
PERMIT NO. / COMPLETED / '2.20 r J l• '
ADDRESS 4 5 (J/I Ld/+5 Z JC , 114—�
OWNER CONTR. .i-Chn ATMS
TELEPHONE NO. /v5"/ 7 0 Ct rocji`ess;Vt.
• DESCRIPTION Cared 4..)41-44/
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
hc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREETLANDS
/W
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
144 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
Q.
CC
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cc C 4( 4 13 A e— 44- -
PO 1 kJW
cc
Q _
W
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WCC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
IZO ❑ 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/Contractor on s' e: �j
Inspector. i ��J--S
White Copy/Inspector's File Canary Copy/Site Notice
a
�DATE_ TIME
CITY OF ORONO CALLED IN / I /
INSPECTION NMIC SCHEDULED O
PERMIT NO. t, COMPLETED f
Ua
ADDRESS y eta L9x LGJ - /2,4/
OWNER NTR.
TELEPHONE NO. l?-5-42 la 7F-7.?
DESCRIPTION
W 01 •- = 11 MECHANI RI 187CAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
V/ 03 I TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ccl• COMMENTS:
cc
ct
Pf0ceee •
0
W
cc
z
cc
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
• CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR II CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. (f
White Copyllnspector's File Canary Copy/Site Notice
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