HomeMy WebLinkAbout2007-P11168 - attached deck � � ' PERMIT
CITY OF �JJRONO
2750 Kelley Parkway- PO Bo�t 66 Permit Numb r: p11168
Crystal Bay, Minnesota 55323' Permit Type: Addition/RemodeURepair
(952)249-4600 Date Issued:
6/29/2007
SITE ADDRESS: 2133 Shevlin Dr Unit#
Wayzata,MN 55391
P��� 03-117-23-34-0004
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DESCRIPTION: � UBC Occupancy R3
I Construcrion Type VN
Proposed Use: Residenrial
Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
YP
DETAtLS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Adding on to exisring deck ;
FEE SUMMARY: Pe 't Fee: $ 139.25 va�uation: $ 7,000.00
Plan Review Fee: $ 90.51
State Surcharge Fee: $ 3.50 i
TO'PAL FEE: $ 233.26
APPLICANT: J Brothers hlome Improvement OWN R: Eric&Jennifer Martinuzzi
150 Bluebi�d Ln 2135 Shevlin Dr
Clearwater,iMN 55320 � Wayzata,MN 55391
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'I`HE UNDERSIGNED HEREB I REQUESTS PERMISSION TO MAKE TH REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL W RK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CO E REQUIREMENTS.
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APPLICANT PE TEE SI NATURE I SLJED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Ass sing,(If Septic, 1-Septic) Page 2
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TotalFee: $ ����Z.�' DateReceived: -�'��
Entered By: ( ���� �y� Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � � �j � ���,�IN t I� � � U�� , ZIP: J j��jC� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO If yes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be requii•ed unless applicant demonstrates
sufficient on-site pa�•king is available. Non-permitted events will not be allowed.
NAME OF OWNER:��rlC �. �,f('���I��(� b��Vf�U (c Zz� PHONE: (home) ���-ZS����Ya
(work)
MAILING ADDRESS: ���j `�y1�v�IZ� �f. CITY:���"��N Q ZIP: —���->�I�
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CONTRACTOR.J '�` � '� PHONE: ,"Z� UZC� �%
CONTACT PERSON: ^ � � MOBILE/PAGER:
MAILING ADDRESS: `� � L- � CITY: � a ' • �, ��ZIP: S 5�!�
STATE LICENSE: # 7�� ��(R�k(�, EXPIRATION DATE: �� �/- ��8'
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition �/ Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED W ORK(describe irt detai�: ���{.���_�-��;� �L� -r'�f��i,� ��'c"�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
1
ESTIMATED CONSTRUCTION VALUATION(excluding land): $�,' '� � �
I l�ereby 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 wark is not to st rt without a permit;and that the work will be
in accordance with the approved plan.�
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APPLICANT'S SIGNATURE: ��� �i. DATE: ��J � 7
31
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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 sha11 be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming 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 rcquirement shall
not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice reouired under this subdivision in the individual income tax or propertv tax refund
instructions mstead 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 shal l 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 ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making certifying and compiling the copies.
The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he can�ot comply with the request
within that time,he shall so inform the individual,and may have an additiona]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
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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:
L 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.
��>i��.��� ���'(�'�ti'� �, l���1�11��%�
First � Middle Last
�.�ct:ytit�
Address
C�tY State Zip Phone
I understand my rights stat ab e.
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Resei Forro . 32
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CHECK OFFLIST FOR ISSU CE OFPERMITS
FOR OFFICE ZIS ONLY
ADDRESS OR LEIGAL: 2l� Ss�/l�iV(I✓�
PID:
DESCRIPTIONOIF WORK:
______________�______ ___________________
ZONING REVIEt�BY.�M GL,�/�/�-- DATEAPPROVED: �
BUILDING REVIIEW BY.• DATEAPPROVED: �• Z� .v 1
FEES TO BE CH�lRGED: Misc. Fee�Calculated By:
PERMIT �'es ✓ No
PLAN REVIEW Yes_�� No SEWER CONNECTION
STATE SURCHARiGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No r/� PARK FEE
SAC Yes No_� SITEINSPECTION
Number of SAC Units I OTHER (spec�)
ZONING CHECK LIST Zoning District: �
Fire Department: Post O�ce: School District:
Lot Area: Sq;ft. Acres Widt� Depth
Survey Submitted: Yes No Dc�te of Survey:
Proposed Setbacks: , ��
Front(Lake): V ght Side:
i
Rear(Street); Le t Side: �
Adjacerrt Structures: Wetland: '
Building Height: Def. Hgt. Peak Hgt. ���
Lot Coverage: V '
Grading: Staff Approva!Date: By: �_ Council Approval Date: ��
Septic: Staff Approval Date: By: �
Zoning File: # 1"F'� Resolution: # Re�solution Date:
Shoreland District: MG'WD Permit.�
Avg. Setbac% B1uffSetback.• LotCoverage.• _
Existing Proposed
Hardcover: , 0-75'
75-2.50'
250-500'
500-1000'
Har�dcove�� l�ariance Required: Yes A'o Date of Council App��oval.•
REMARKS(in hause):
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33
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B UILDING REVIEW CHECK LIST
UBC: IZ•3 CONSTRUCTION TYPE: Vnl
Sg Footage $Per Sq Ftg
Basement x =
Ist Fdoor x =
2nd Floor x =
Garage x =
x =
TOTAL
EstimatedConstructionValue: $ 7�Ooo�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanica! Water Connection
�_Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
�C Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
REMARKS(TO BE NOTED ONPERMI7�:
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� Ce�i�i`ca�e 'o''����r�iey
��� �� �� � � for John R. Skartvedt
� SITE �k(v �'��+�':'�� �'�-���� ; of Lot 7, Block 1 , Webber Hi115
� qp�E������� p�c�, --� PE�G� f Hennepin County, Nlinnesota
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I hereby certify that this is a true and correct r�pres�ntation of a survey of
i;he boundaries of Lot 7, Block 1 ,Webber Hills, and th� location of all existina
buildings thereon. It does not purport to si�ot,i other improvements or encroach-
ments.
Scale: 1 " = 50' COFFIN & GRON3ERG, INC.
Date : 8-5-86
o : Iron marker
��'.�--�_��/ �1.� !��_.
Mark S. Gronberg, Lic. No. 12755
Engineers, Land Surveyors & Planners
Long Lake, Minnesota
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� CITY OF ORON� �
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1NSPECTOR
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J- BROTHERS HOME /MPROVEMENT MARTINUZZI RESIDENCE SCALE=N/A DRAWN 6-7-07 ' SHEET# 2
2135 SHEVLIN RD. ORONO, MN.
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_ � `D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �1 'L�CSI i'�0
PERMIT NO. �1 I I�Q4� COMPLETED
ADDRESS 2 �,
OWNER � CONTR. �T �
TELEPHONE NO. � � �� �
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� DESCRIPTION
l� 01 FOOTING it ME CALRI 18 EXCAV/GRAD G/FILLING
� 02 FRAMING 13 ME HA CAL FINAL 19 LAKESHOR ETLANDS
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Q 03 INSULATION 24/25 OOD BURNER/FIREPLACE 34 TREE REMOV L
Z 04 WALL BD. 12 WA R HOOK-UP 17 SITE INSPEC ON
Q OS FINAL 14 SE ER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEP IC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVE REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATIO REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: '
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W ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE O OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR
V BEFORECObERING PERMANEN
❑CORRECTUNSAFECONDITIONW17HIN HOURS. ❑ pHOTOTAKEN i
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSP�CTOR
❑INSPECTION REQUIRED.CALL TO dRRANGE ACCESS.
Call for the next insp�ction 24 hours in advance. (952) 2 9-46��
OwnerlContractor on site:
Inspector. �� �s
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White Copyllnspector'slFile Canary CopylSite Notic
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(r� DATE TIME /
CITY OF ORONO CALLED IN —1•Z3.(li .30
INSPECTION NOTICE SCHEDULED 'I•Z�CT7 I I:���
PERMIT NO. ��� �� COMPLETED
ADDRESS ZI� ��I�f� �.
OWNER CONTR.1 YLI�k ��'I
TELEPHONE NO. `e�2 — � �� � ��-�llLILJ
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� DESCRIPTION �i�1��_ R� I�CC��-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 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
v 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
� COMMENTS:
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� ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46��
Owner/Co or site:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice