HomeMy WebLinkAbout2003-P06164 - 3 season porch � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06164
Crystal Bay, Minnesota 55323 PePCTIIt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 4iisi2oo3
SITE ADDRESS: 2140 Shevlin Dr
Wayzata,MN 55391
PID: 03-117-23-34-0021
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Three Season Porch
DETAILS:
Approved per resolution#:
Separate permits required: �.iecuicai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: Pernvt Fee: $ 139.25 Valuation: $ 7,000.00
Plan Review Fee: $ 90.48
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 233.73
APPLICANT: Owner/Self OWNER: John Sagehorn
� 2140 Shevlin Dr
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 BUILD G C E REQUIREMENTS.
�
� ( ' -� �
� � .�- �� %,,���
P CAN P MITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
� ,
Total Fee: $ � d �� Date Received: f� ` �'j�' c�
�� Entered By: Permit #: S�/y���3
CITY OF ORONO - BUILDING PERMIT APPLICATION
`� �
� �;I�'�� All information must be submitted in full before plan review will be started.
�' (please print 'nformation)
THE APPLICANT IS: (circle one) �7WNE OR CONTRACTOR
i
JOB SITE ADDRESS: r ; `�✓ '�;�'� �;��� �� v, ZIP: � > ��` � i
� , �
NAME OF OWNER: �u��;�,t'� °� � i���,i.V� �' �� PHONE: (home) ��� �� .n; ' � J L 3�
i (work) 1
MAILING ADDRESS: `;�� C'�LL� CITY: ZIP:
CONTRACTOR: , t PHONE:
� : . ,
CONTACT PERSON: ` MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: `� j+1,1� PHONE:
--o
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
,
,
,
PROPOSED WORK(describe in detai�: � ,�� I�'`'v^�'� �-�� �'��.��� L�`���► i � � 1 ✓
l, '
� �����
� ��.l. �` `7 �j�. �' ;; Y ��� ' i
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
I, ,,��
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� ��u U �
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 will be in �ccorda e with the approved plan.
` : '1 ' y '�
APPLICANT'S SIGNATURE: = DATE: — � � �
;
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
9
�
�`
Sec.13.04 RIGHTS OFSUBJECTS OFDATA
Subdrvision 1. Type ojdata The rights of individual on whom the data rs stored or to be slored shall be as set forth in this section.
Subd.2. Injoimation required to be given IndividuaL An individual asked to supply private or confrdential data concerning himself
shall be informed of (a)the purpose and rntended use of the requested data within tire collectrng state agency,political subdivision,or statewide
sys�em;(6J whether he may refuse or is legally required to supply!he requested data;(c)arry known coxsequence arising from his supplyrng or '
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorrzed by state or federal!aw to receive the data. '
This requirement shall not apply when an individual is dsked to supply rmestigative data,pursuant to section 13.82, subdivision 5, to a/aw
enforcement o�cer.
The commissroner of revenue mav place the notice sequired under this subdivision in the individual income tax or nropertv tax refund
iustructrons inslead olon those torms.
Subd.3.Access to data by lndividuaL Upon request to a responsible authority,an individual shall be informed wherher he is the subject
of stored data on ixdividuals,and whether it is classifred as public,private or confrdential. Upon hrs further reques�,an individual who is the
subjec�of srored private or public da�a on individuals shall be shown the data without cury charge,to him and,if he desires,shall be informed of
the content and meaning of that data. After an indrvidual has been shown the private data and irformed of its meaning,the data need noJ be
disclosed to hira for six months thereafter unless a dispute or action pursuant to�his section is pendixg or addrtiona/data on the individual has
been collected or created. The responsi6le authority sha[l provide copres of the private or public data upon request by the individual subject oj
the data. The responsible authority may require the requesting person to pay the actua!costs of making,cert�rng,and compi[ing the copies.
The responsible authority shall comply immediately,ifpossible,with arry request made pussuant lo this subdivision,or within frve days �
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate complrance 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 wrth the request,ezcluding
Saturdays,Sundays and legal holydays.
Subd.4.Procedure when data is not accurate or complete An indivrdual may conrest the accuracy or completeness ofpublic or prrvate
data concerning himsel,f. To exercise this right, an individual sha!!nol�in writing the responsible authority describing the nature of 1he
disagreement. The resporuible authority shall within 30 days either: (aJ correct the datafound to be inaccurate or incompleJe and atJempt to not�
past recipients of inaccurate or incomplete data,including recrpients named by the indivrdual;or(b)not�the individual that he believes the data
to be correct Data in drspute shall be disclosed only if Jhe irrdividua!'s statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisiorrs of the adminrstralive procedure act relating
to coxlesled cases.
DATA PRIVACYADVISORY
In accordance with M.S.13.04,Subd.2,'Rights ofsubjects ofdata"we would lrke to inform you thatyourrequest for a permit or license
from the Crty of Orono or arry of iu departments may require you to furnish certain private or confrdential information.
You are notifred 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 agencres to the extenl 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 huve certain rights under M.S.13.04(see following page)to review private data on yourself.
6. Your full rrame is required to process this application or permit.
PLEASE PRINT
First Midd[e Last
Address
Crty State Zip Phone
! nderst 'g s a state above.
Sign e �
10
� .
(7HECK OFF LIST FOR ISSU CE OF PERMITS
, FOR OFFICE USE NLY
ADDRESS OR LEG�I.: z�y o s H�v�.�� p
PID: '
' DESCRIPTION OF ORK: dcc. - ,wc� ,,•� �
ZO.VI�1i G REVIEW BY: �v��'a- � DATE APPROVED:
BUII.DI�i IG REVIE i�BY: DATE APPROVED; Y-�y-o�
FEES TO BE C GED: Misc. Fee Calculated By:
PERMIT , Yes ,/' No
PLE+u�t REVIEW Yes _� No SEWER COrINECTION
STATE SURCHAR E Yes �/ No WATER CONNECTTON
INVESTIGATION �EE � Yes No PARK FEE
SAC Yes No STTEINSPEC'I'ION
Number of SAC�Units OTHER (specify)
ZONING CH�CK �.IST Zoning Districr. o
Fire Department: i Post Office: School District: •
Lot Area: Sq�.h._�Acres � Wid Depth
Survey Submitted: j Yes No D e of Survey:
Proposed Setbacks: ' ' �
Front(Lake): Right Side:
Reaz(Sueet): Left Side:
Adjacent Struc�tures: Wetl d: .
�
Building Height: Def. �igt. Peal: gt.
Lot Coverage:
Grading: Staff Appro�}al Date: B . Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # solution Date:
Shoreland District:
Avg. Setback, Bluff Setback I.ot Coverage:
Eusting Proposed
Hazdcover: � 0-75'
75-250'
� 250-500'
� 500-1000'
Hudcover V�riance Required: Yes No Date of Council Approval:
RENIARKS(in hQuse):
7
�
�
BUII.,DING REV�W CHECK LIST .. I •
�C' — 2' 3 CONSTRUCTION TYPE: �/�
_ Sq Footage $Per Sq Ftg
Basement . . x _
lst Floor � x . _
2nd Floor x _ .
Gazage x _ .
x =
TOTAL
Estimated Coastruction Value: $_ -�, a a a °=
Inspections Required: `Vork Requiring Separate Permits:
Site pIumbing Fire
Hazdcover Removal Mechanical Water Connection
. FO°��g Septic Sewer Connection -
_,j�Framing Fireplace Lawn Irrigation
_,�Insulation (Masonry) Other
_„_,�Wall Boazd • (Mfg.) Well(State Permit)
"F�� Grading/Filling �_Electrical(State Permit)
Other
REMARI�S(1N HOUSE):
REVIEW BY OTHERS: DATE: � �
Access: Existing New .
Access Approval: Date gy,
(TO BE NOTED ON PERII�IIT�: �- - ~w-�-�---�-r-�--��-
8
- ORONO ����
, z� �-�;,o � �-� �,v � � � ,�
CiTY aF c��^��+�n
�ui��ir�G � �� ���iy�P�t�:,� ��..:_.�:_���+
��s�t�TOR � �!�— -----
� '�----- -------
DATE �l «__�-----`: . . „ .,.�..------
❑ h��'r���'"rr1<���� ' __,�..il �`._._�
.,:� �•�
�
� �AP�P,v1;'�:� y.i:.' �. . . _ . .����� , .=D
❑ �.OT AP°r:C'-�.'':�1---�_:=�'i�... :_. ..-._... .,,..�T
These co�,�:nents iii?�Cf' ..(j-fG. .._.�t2^ ;�1:'l,;ni:$i i�l�t'.•?C{IIfl�
Ifl�U!I COTrII::ilC4 �YI`�; �a�i J , ._;.ti��.. .._...... . � 70i�.l� CGJB.
R�(��I'�Tta(;�$ii C�J:� j l:: . "?�:_: " 7 I l:�.:i fi:'V!q.w.
�
.�.._�_._�____...._�.�._..,.�_�..._..____ ►cc�� �s-��s��a�v sr-�oe: ::c;�a;r-,���ir:=_s
�--�=----�—�.--�-y---.-T
����{,�� �'������:
�EE A�'T�°%�:�:�� ��--���T
�'O� 5'T�'c.c�
�t�DE i�?���1��l�,:�'s����!�'S
�
t
_ _ ___�
� �
l--
� ����' _
r ►
— ��e�.v�
�
i�O� � �y" c.or�cRetE , , P���. �� � �� - _
�'S aN D�cx� �ici�-�c`t�� `� .
�9�wiC�T� &-�x-K �oc�Da[�oN
c
'7 �"�3
-� 151 Q*�"at�tn. ��:
._Z R��cr-
� ORONO �����
� - �� �-..;.� � �-� l,v � � � ,�
,
�` CiTY OF C!��R�+�
BUILDING P"��i��ll�P•Lr���:�z ; .r._.;:=VJ
fNSPECTOR � C�i�---------
DATE �(-f�( -o?j�---. .., ..).-------
❑ h�n'r�'FS�J`r_�r�•`� _,� .:.I .._.�
��'AF�RvVtiC;'v��(�i:-� ���_... ._ : . _ „- .,,-;=D
❑ P,OT AP^�=:C`.';:C�---(..,��.� ,..... .-. ;:_. .."�;.:ei
These co���me�ts�rz „r .:r a'.. .__ . ,-, ,.�,. ,,..:i b�dons
�Il ftl!� CO(il�ll..'11C4 �Ylf}1 C'�i� , ._�..`'r�' i"_..... .'�:: ZOi„i�� C:,.�6.
(j�qJIf�3T9f'lS{i C�UC��ly�fl.'� . . .J��': ,. ...".i r1: ?'v!�VY.
.._.�..._._.._r.___._...._�...._.__._�.__._. ___-- KEEP TH{S PLr1N SEf Oir' .�,i i�A�'l,LL TIP�'��S
�P��{��.. P��d'�� �:
�EE A�'T������.�� ��"�:��T
� � �--`'`"�`' —
�O't�E R�'�ll1r 1�:'s�•��'��'S
- t
- �
_ - _.__�
�
�
�
� (
I7 '
�
, �
�.�e�:v�
.,
t�o� G �y" cor��Re'rE , , �.r,��r. �P r .� - - -
ZS �x���`'�'tNv ` - _ .
aN a�
��b�T� �t-r�CK Fcx�o fLT c aN
�,�3 '
1SI 8���. ni�
,_Z R�.�r=
t __ _ , _ -__
_ ����� ��t.� � �`� ���-z„ \�AN SP�ClA� �1OT�
� �EE ��1"T,�.�a-L�� ��i�....ET
�'C�R ►v�.o�� o�-�-�°�
kx�ST«3t� COUE ��Q����°ME[�ITS
� Z- Z.k ��C� 1-E C A!)�t�, " .
��
' ��
r �� R�M�v� Rx�c+��R ' _ �
c / N'bJ �GAR�N�. W AL�- t
� i� �r�� �
� �� �tR�Et►1 __ _ - _�
� �� �oQc;�
b �
� 8�' �� 3�e
, � t,
q� �
'� 3 o Re«�ov E �3��R►
� y- w�u.
� INST
1�.ITc�e�J z r�M.�as�
_ _ � �Z �
' �.��Et'°It- Ba'trt � LEAv � �c�
' � R�MovE !f�N t3 E� .,� ��-'"*'��N�
. �� �� sr�ckS
;� � � � :
� � � � '
9 - -� -� � - '
�----- g_ s T c �_
�` �— `��
S �
� �
� ��J �
. � � 1
�
,,.�I. ^ N
. A p 3'
U
� U �
� � --�-� ( �
; �
� LL � �� o
;
�- � - ..._....
� � ' �
� � J
`J � 2
� � � �' _:-.-�.l
�� I { � � �
_ r � ,
� � �
� � l �
d ' f a�-
i � �
� �
,
i � �
� o ' "
. -------
'� '
--.- ,
� __ _ __.. .�.. .._ ,
. __ _�,,,.
� � �
o `l � 3 i
'� � '�' � � ; � �r i
r' ,v �-- ..._._..__._._ x += � Z�
t� J + p� ; �
� �; - y� d - -� �
� ' � �
� � ;
N � �
� � �
� �
i ! i
i � �
� � �;
i
� r
i �
� ` {
i +
� �
1
. y .
. �
�
R
t
�
,
a
_ ,
;
. �
_ , �
� �
�
Z �� .
r,.l. •
a �x
�g ►s. `
� �
N--�
� � � �9S
� � � �n
�� � f � � �
� O � c f1 � � I
:n � '' x � � � �
� 'n ., �"* (r'� �L � v�
t� Q�� .�r! { x � � �
� � � LL � I � � � M tf
� �' -� i � x � � �' � � -
:�" � � � � �.
Z �. � �J �- � � �
's ,� �� ^ �''�i
� �
� , r•
; � � --�� � .- _._______
r � � �����. ��
,� �� �.�,-��Q
.�, �
,� o -.�,,�,�,..�
� x
,�
� � � -
�► �.-
,..
�� ��,
� z r Lc�
N �� �
� �' <
� � P
{�_� (�j _.___�. L t`
v ,�
�'M �
�
. �-- �{� --- -
�`
-�'�b
� ri_ �+sA h�
,
�:...
. �
_ � ��
� � -� � �
� � � L!1 N
� r
i �
i c! Z �
� C
, �
I � � �
� � �
� �-
� � � �
� ` a_ .��--- � � - ,
ui� �
� � �
t`� p I �
a �
j � �_-� _ � � �.
; E � � �
� � � � �p J �
�
� � o s �
� �� � �
. J ! � � �
z, .. ,. r � � A-
i •t � � �
� .j � � � l�.
� C� � �!
_ � � 2 p
�f S 2 ti 3
L��..� � ., ;/ �
L�
D � D Q'"
'? �
� �
� r! ul W p � t+! �
� �` _I �� 0 d O � � C � 1-
; �.. 1 d � j ,r� d ac i� �' w �
f a J � a °� � �j � � Cl
1- �'
; '� � j 9 E�� �,... � �p
,--.� �, �' C �
,
� y
{ �� � ,� �� � �> � � N �i �.
' ____�
1 ---- �
4
� i
�
!
� _ �r �__.,_.�
M
r
/' � � �/
CITY OF ORONO CALLED IN
-D5 � U3 TIME
INSPECTION NOTICE SCHEDUIED ��- �� ' `3 '► �
� PERMIT N0.1 r�f L�� COMPLETED
ADDRESS � - � ti���•'
OWNER CONTR. �' L��� �
TELEPHONE N0. ( r% � :�,���5 1
� DESCRIPTION l��:n'� �� �
tl� 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0 F2�RAM!dG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:� ES_NO
� COMMENTS:
W � �V r�t/
�
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
0 CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n xt inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContr r site:
Inspector. �
White Copy/lnspector File Canary CopylSite Notice
�s� �
� DAT TIME
CITY OF ORONO CALLED IN -C� d
INSPECTION fi E SCHEDULED - � �
PERMIT NO. �D' �lO COMPLET�D
ESS a��� oS'
OWNER -@9N�ft- L- c�
TELEPHONE N0. (o�Z 'Z7 ��`��
� DESCRIPTION ����z�'�-
� Ot FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
Q �RAMING 13 MECHANICAL FINAL 1 LAKESHORE/WETLANDS
y/03 JNSULATION 24/25 WOOD BURNER/FIREPLACE TREE REMOVAL
Z�4 WALL BD. 12 WATER HOOK-UP 1 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP PROGRESS
� 07 DEMO-SITE � 27 SEPTIC MAINT. 2 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 2 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 3 HARD COVER REMOVAL
v 10 PLUMBING FINAL `/ 3 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU: `�YES_NO
��., COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
j
� WORKSATISFACTOF�Y:PROCEED ❑PROJEC COMPLETE
W ❑CORRECT WORK&RROCEED ❑ISSUE C RTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO�/ERING� PERMANENT
❑CORRECT UNSAFE NDITION WITHIN HOURS. p pH0T0 KEN
INSPECTOR WI RETURN
❑STOP ORDER POST D.CALL INSPECTOR �CITATIO ISSUED
❑INSPECTION REQUI�iED.CALLTO ARRANGE ACCESS.
Call for t nex�inspection 24 hours in advance (952) 249-4600
Owner/Contr on�i�e:
Inspector. �- � V
/
White Cppyllnspector's File Canary py/Sfte Notfce