HomeMy WebLinkAbout2006-P10489 - detached garage � • PERMIT
CITY OF ORONO � �
Permit Number: 4'Ji
2750 Kelley Parkway- PO Box 66 � P10489 �a,
Crystal Bay, Minnesota 55323 Permit Type: �,�(,4� New S rure
(952) 249-4600 Date Issued: � l0/3 /2006
SITE ADDRESS: 1447 Park Dr Unit#
Mound,MN 55364
P��� 07-117-23-42-0021
DESCRIPTION: UBC Occupancy U1 I�
Consh-uction Type VN
Proposed Use: Residential Census Code 438
Permit Class: Building
Permit Type: New Sri-ucture Permit Sub-type(s): Garage-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 593.25 Valuation: $ 45,000.00
Plan Review Fee: $ 385.61
State Surcharge Fee: $ 22.50
TOTAL FEE: $ 1,001.36
APPLICANT: Michael Gallus Construction Inc. OWNER: Mark&Pamela Palm
6306 Ehler Ave. 1447 Park Dr
Delanq MN 55328 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.
j
�
APPLICANT PERMITEE SIGNATURE ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� ,��` �� � �v
�� (y�
�� Total Fee: $ � , �' Date Received: '����-y U l�-'
Ente�•ed By: ')�� Permit#: �S — � (e
, �aL;��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review wil( be started.
(please pj�i�zt all ijifot•matioil)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: �Cll�cle o�ze) OWNER OR ONT
JOB SIT�ADDRESS: /��� 7ar� �.r. ZIP: �S 3 � 3
Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home?
❑ Yes �NO If yes, a specinl event per�nil is req�rii�ed i�vitll Police Department and City Cozrncil appr•oval
GO days pr•ior to tlze e1�e�7t. Shzrtt(e birs ser•>>ice rvill be reqt�ir•ed�u�less applicant dernonstt•ales
sz ffrcie�7t on-site parking is available. �Von-per•��rittecf e7�enls ivill not be allolned.
NAMEOFOWNER: t'�uYk ��� `��.,._ �A_�+..-. PHONE: (home)�1���Z� �°�
(wocl<) �2- C�}s
MAILING ADDRESS: J r-I+�f 7 F7o�r k ��r- CITY: (,�r-c>•1c.' ZIP: S S 3� .�S
CONTRACTOR: 1'U�ic�nc.�I Cze.I��s Cucti�.L. L"t PHONE: lv/Z�p i - i 7`��
CO�'TACT P�RSON:��� ��.II� S MOBILE/PAGER:
MAILINGADDRESS:�1�3a�. �'L�-, e4,.�. CITY: ��el�.�.� ZTP: �s 3 � �
STATELICENSE: # .:�oo�i9s'� �YPIRATIONDATE:
ARCHIT�CT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NA1�1E: REGISTRATION: #
TYPE OF WORI{: New Home Addition Accessory Structure X
Move Home Remodel/Altecation (ie: Siding, Windows)
Ar_y earth movement may require MCwD review and per;nits !
PROPOSED WORK(rlesa�ibe i�i detai�: j�,�,,.,,t�,c e�C�s_ �_� c,,�� �r-� rl� �a�-e
� � �� � � `����- +�,.�+,�
STORIES: �, SQ.FE�'�'OF EACH FLOOR: ��S"� xuE:;.-, l���e l
NO. OF BEDR001ViS: GARAGE STALLS: A�'TAC�I�I3 D'ETACI'�EDLC
ESTIMAT'ED CONSTRUCTION VAL:UATIO�(excluding lancl): � �S��•o n
I hereby apply for a building periiiit and I ackno�vledge that the information above is complete and acc�u�ate;
that the�vork will be in conformancz with the ordinances and codes of the Citv and with the State Buildin�
Code; that I understand this is not a permit and�vorl:is not to start��ithout a permit; and that the��-ork will be
in accordance �vith the approved plan.
APPLICANT'S SIUNATUR�,: DATE: l� �
3t
Scc.13.0� RICf[TS OF SUBJECTS OF DATr�
Subd. 1. Type of da[a. The rights of individual on whom the data is srored or to be stored shall be as set forth in this section.
5ubd.2. Infonnation required to be given individ�al. An individual asked to supply private or contidential data concerning himselfshall be
informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b)
�vhether he may refuse or is le�ally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the identity oEother 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 la�v enforcement o£ficer.
The commissioner of revenue mav nlace the notice re�c uired under this subdivision in the individual income ta�or Rro e�rry tax refund
instructions instead of on those forms.
5ubd.3. Access to data by individual. Upon request to a�esponsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and�vhether it is cfassitied as publ ic,private or confidentiaL Upon his further requese,an individual who is the subjecc of
stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data Afrer 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[his section is pendine 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 aulhority
may require tl�e requesting person to pay the actual costs of making,certifyine,and compiliiig the copies.
The responsible authority shall comply immediately,if possibie,with any request mnde pursuant to this subdivision,or�vithin kive days oF
the date ofd�e request,e�cluding 5afurdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform tlie individual,and may have an additional tive days within which to comply with the request,excludine Sawrdays.
Sundays and leoal holidays.
Subd.4. Procedure when data is not acc�irate or compiete. An individual may contest the accuracy or completeness of public or private data
concerning himself. To ezercise this ri�ht,an indi��idual shall notity in writing tlle responsible authority describing the nature ofthe disagreemen[. The
responsible authority shail widiin 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notif�•past recipients of
inaccurate or incomplete data,including recipients named b}'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 ta the provisions ofthe 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 inforn�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:
L The information you furnish will be used to dete�mine 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 inforn�ation may become
public.
5. You have cee-tain rights uilder IvLS. 13.04 (avaifablz upon request)to review private data on yourself.
6. 1`our full nai��e is required to process this application or permit.
Mk��- (�LTo� Qh�
First D4iddic L:ist
i�t�� P� �i vc
:,aa��55
p�D�tO 1�1�J ��3�� QS1• ��2-3675
Cily Statc Zip Phare
I understand v gh s � stated above.
10230�
s����;������
Reszt Form ?�'
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE E ONLY
ADDRESS OR LEGAL: %���� ��='�_- ��l't��'
PID: E��=f 1'7-�--� �'1�2- �d�� - - -
DESCXIPTION OF WORK: J�1�=v�' ��"TY�-e��' � _�`�-Gt=
--------------------------------- -- ---------------------------------------------------------- .----- --
ZONING REVIEW BY: ,/� ��! DATEAPPROT�ED: `D� 'Z� n 6
BUILDINGREVIEWBY.• DATEAPPROijED: �� - 2(a. • (�to
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 r/ PARK FEE
SAC Yes No � SITEINSPECTION
Nirmbe��of SAC Urrits OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning Drstrict: �-��" , �
Fire Departn:ent: C��� Post Office: �`k'�``�'� School Districl:
q �/ �- ` � ' `t-
Lot A��ea: Sq.fi. !�J� Acres Q � -3 1 Width 1�°S �� Depth �?G
Sirrvey Sirbnzitted: Yes � No Date of Stuvev: d �c� (.� �'
Proposed Setbacks: �
Fron+�Lake): �J �' Right Side: � �
t �- /
-Reerr(Streel): 2-� � Geft Side: -�
i
Adjacent Structures: �� � Wetland: ���
� I
Btri(ding Fleight: Def Hgt. �� -� Peak Hgt. �� �-
i�' � `� ��� �,6 ��
Lot Coverage: r G? �' � l.�L,�r'-,� L-��—��t"
� ����
Grading: StafJAppi•ova!Date: (�� By:� Council.4ppr•oval Date: �a r�3 `� b
Se��tic: StaffAppr•oval Date: �- By:
7_vning File: # �(' ��� Resolution: # �� j Resolzrtiorr Date: �� ? � � �
Shoreland District: E�� R�IC�F�D Perrriit �
Atig. Setback: Bh ff Setbacic: Lot Coverage: __
' �xisling Proposed .
Ha�•dcover: 0-7.i' � ; � ` ��
;�-��I/� �� r- [`
250-.i00' � ' , (�• i-- ` b
sno-ioom
Hcu•dcover �'a��iar�ce Reguir•ed: }es� ���o Date of Council.l pproval. O 23 ��
REMARKS(i�z house):
LM/�i-1�"�"T-� t'�'�y S;%� �'/�G ti' E' t-��i"7c�.�' _ t�"z,^E` t�>=-��'�
,,�� i�r'�� �=.�
33
BUILDING REVIEW CHECK LIST
UBC: � l� —� CONSTRUCTION TYPE: Y�
Sg Footage $Per Sg Ftg
Basement x =
Ist Floor' x =
2nd Floor x =
Garage x =
x =
TOTAL
oQ
Estimated Construction Value: $ WS�O�
Inspections Required: Work Requiring Separate Pernaits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
�"F►•aming Fireplace Lawn Ir•rigation
Insarlation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
pC Final Grading/Fidling �C Electrical(State Permit)
Other
REMARKS(INHOUSE): � ' S � ���
/l.)
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ONPERMIT):
� • _�..
�� ou.. ��N �� /v�_ *.�, ��
� �
��� ���° �ou.r,� S o Tt� 7� ���
�,��i1��'1� c� �rN�� �� G��� C.�-� �� .
N�-��s
�c�.J/k1—� -�N-i s
_ �
�,:��� . wT
34 �,,f�``�� L►N c`
� /�'JiO��dk /"ef t,►+� ' '�, � �" �'���.:,/—S-0 5'
. ,. ':r � � �i-,��� � , ,. ,,
FI�'��ZDCOV��.�ALCULATION WORKS'Y3L}Efi` � �-
` SETI3ACK ZQi��: (CIRCL� ONE) 0-7�� 75-250' 250-500' 500-1000' �
�XiS1'TNG HAIZDCOVT�R IN ZONE
A. IIouse __ x = S.F.
Lcngth Width
— -- x = S.F.
-- X = S.F.
--- X = S.F.
B. Garabe x _
— S.F.
C. Driveway _ x = S.F.
X — S.F.
D. Side�valk ,�o t x 5' = I�9 S.F.
- — X = S.F.
E. Patia/Deck x _ = S.F.
— -- X = S.F.
F. Landscape _ x = S.F.
Underlain _T_______ x = S.F.
13y Plastic a _
---- — S.F.
Or Pabric
G. Other `13 X o _
/PR TI E cu.cuL '� '3y S.F.
' "TOT�L T-IAI2DCOVER IN ZONE - 1 S,� S.F. A
T01'AL PROFERTY AREA IN ZONE - ,,i�',�� S.F. B
A l53 = B ��'8a x 100 = . Y�6 %
i�vu.v,�C.�r+�o FuR 6J%�cft vp --
PI201'USI?.T) }iAiZDCO�'ER TN ZONE
A. House __ _ x = S.F.
Length Width
, X = S.F.
X — S.F.
x — S.F.
B. G2r�ge X _
— — S.F.
C. Driveway x = S.F.
. - X — S.F.
D. Side4valk __ x = S.F.
— X — S.F.
E. Patio/Deck �"a e'���FES P��✓�'oJ'fo
_ X — S.F.
X — S.F.
F. Landscape x = S.F.
Underlain x = S.F.
I�y Plastic X _
Or Fabric — S.F.
G. Oiher ___ x = S.P.
TO'1 AL HARDCOVER IN ZONE - S.F. A
TOTAI,PIZOPF.RTY AREA IN ZONE - S.F. B
A ---- - B x 100 =
%
Y !1
.
, , /'91�t'Ir r.1�.yt /-S-O�
� ` HyRDC4VER CALCULATT�.IY�yORItSHEET �� _�'�'6
='`��'��1��%=`'s:: I:.RCLE 0\Ej 0-i�' 7�-2�0' 250-500' S00-1000'
, �'�:�.b a'+.1 r��E�'u��F: I\ZO�E
�. _�,� x = �Zl� S.F.
--�'- Widch •
�a�� �De� _30. ��,3, �, 3/ x = �3 S.F.
X = S.F.
�` — S.F.
.�. `=_:- x = 3`�'y S.F.
�
�,.. �_:I;:',-:.D."2,' x � _
Rvck Wn�C. _ I5� x�9.._�,�9,_ x = —��/ S.F.
D. Side�valk x = /3Z S.F.
S�i�/Gu w y x _
,sy s.F.
E. Patio/Deck �'orc(, x _ = Sd S.F.
oec k �St c os x = 49� S.F.
F. Landsc�pe Barlc oK PlasE�'c x 3io t�6o = Y70 S.F.
Underlain _ x = S.F.
IIy Plastic � x =
S.F.
Or Fabric � �
G. Oth��er x = .S2 S.F.
TO'Tf�,L HAI2DCOVER IN ZONE - 38/2 S.P. A
TOTAL PZtOPERTY AREA IN ZONE - o DS o S.F. B
A 38�Z � B /o�so x 100 = . 37. s'�a %
PROPOSED HaRDCOVEI�IN ZON�;
A. House x = " S.F.
Length , Width
x = S.F.
X = S.F.
X = S.F.
/RaoDffD G.[�t/IGf �' /�7"!
B. Gar�ge /1 FM�v� �6�f 4�t GE x = — .3 y y S.F.
C. Driveway �,���fFa �►,�tti� x = f� S6' S.F.
REMovF d�trv : x = —3,3 E. S.F.
D. Sidetivalk ��OP�l6d�w�te.K x ' : — �„�y S.F.
----�-- _
— � X ' — S.F.
E. Patio/Deck _ x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain _ x = S.F.
By Plastic X _
Or Fabric
— S.F.
G. Other x = S.F.
TOTAL HAl2.DC0VER IN ZONE ��'/Z... �1yp ,3.�?'Z S.F. A
TOTAL PROPERTY AREA IN ZO�IE - /p ps� S.F. B
� 33 7a = B /o, o sa x 100 = ,�.�.s� — °,o
, �
.
, , . /�id.C�' �i9LM �`-S-D6
� �-IARDCOV�R CALCULATION WORT�S �O���°�
SETBACK'LONI,: (CIRCLE ONE) 0-75' 75-250' 250-500 500-1000'
. EXTSTTNG HAI2DCOVER IN ZONE
A, House _ x = S.F.
Lcngth Width
- X = S.F.
- X = S.F.
X - S.F.
B. Garabe x = �'Ei�6 S.F.
C. Driveway x - 6 79 S.F.
x = S.F.
D. Sidewalk x = S.F.
X - S.F.
E. Patio/Deck x _ = S.F.
--- X - S.P.
F, Landsc�pe x = S.F.
Underlain Rork Len��� _..,,__ x = t��_S.F.
IIy Plastic X =
Or Fabric • Z S.F.
a n�k Q�ota�v
G. Other 6��1 x = zf 9 S.F.
ti R fi;ts
�Y
TOTEI.L�-IARDCOVER IN ZONE - t6 07 S.F. A
TOTAL PROPBRTY E+,REA IN 20NE - 31 SS S.F. B
A t607 + B 3�55 x 100 = . ,5'a,Qy %
PROPOS�D HAilDCOVER TN ZON�,
A. House x = ' S.F.
Length Width
- x = S.F.
X = S.F.
X = S.F.
B. Garlge /'.e'orG/�I I',/.Q.rGf x =
6�0 f S.F.
C. Driveway x = 86Y S.F.
. X = S.F.
D. Sidewalk x ' = S.F.
— X = S.F.
E. Patio/Deck _ x = S.F.
.t'�r� iec.ye�� x -
- 4''.S S.F.
ac� epmi+dr.A 2�f
F. andscape x = S.F.
Underlain X _
By Plastic X _
S.F.
Or Fabric
- S.F.
G. Oiher x = S.F.
TOTAL HARDCOVER IN ZONE - �S.3�f S.F. A
TOTAL PROPERTY AREA IN ZONE - 315S S.F. B
A lS3y = B 3 �5 x ioo = Y8. 62 °io
, �,
�� / l TIME V
CITY OF ORONO CALLED IN ` r
INSPECTION TIC SCHEDULED � z �
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.�• GG�-�la
TELEPHONE N0. �l Z- ��I / 7��0
� DESCRIPTION " ' � �
� 01 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
Z04 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
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. /
Call for the nex 'nspection 24 hours in advance. (952) 249-4600
Owner►Contr n �t :
Inspector.
White Copyllnspector's Fite Canary CopylSite Notice
-� �.�- ✓
DATE TIME
CITY OF ORONO CALLED IN ����
INSPECTION NOTICE SCHEDULED ���tr>—b'7 q�:3
PERMIT NO. P�� �'�"gq COMPLETED
ADDRESS ��-�'�'� I�at�IL �{Z,,
OWNER CONTR. ��� ����S
TELEPHONE N0. ��Z ��' �—I��
� DESCRIPTION � �� �a � . C
lL 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/ UNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
�
O 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
�u
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContr o s te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice