HomeMy WebLinkAbout2003-P06179 - attached deck i
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PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06179
Crystal Bay, Minnesota 55323 Pe�t111t Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: a�23�2003
SITE ADDRESS: 217o Shevlin Dr
Wayzata,MN 55391
PID: 03-117-23-34-0018
DESCRIPTION: � , UBC Occupancy �t3
�
Construction Type VN
Proposed Use: Residential ,
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolurion#:
Separate pernuts required: Eiecmcai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 209.25 Valuation• $ 12,000.00
Plan Review Fee: $ 135.98
State Surcharge Fee: $ 6.50
TOTAL F�E: $ 351.73
APPLICANT: Twin Lake DesigniGroup Inc. OWNER: Georgayn Kramer
3071 Colbert Ave.N.W. 2170 Shevlin Dr
Buffalo,MN 55313 Wayzata,MN 55391
THE UNDERSIGNED HEREBY RE�.JESTS 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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APPLICANT P E SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(Sienitures Required), 1-t'�.pulicant, 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1
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=^c� <�� �;�
Total Fee: $ �� -� I Date Received: �-��-a�J
Entered By: e �,��� Permit#: �(o/ 7C/
✓�y rY?`/ `/%Z f
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�R CONTRACTOR �;
JOB SITE ADDRESS: 7� � ��/L I N I�fZi V� Z�:
NAl�� OF OWNER �ro�-C�rt yn/ K�-.�rnG-� PHONE: (home) �l SZ-L/U`/-Z�o
,
. � (work) �z-rn.�
MAILING ADDRESS:�i�o Sr���v c-i�-1 D�2 CITY: /�j�y��.� ZIP: -
CO\'TRACTOR: ����.1 L/�iG� ��Sj��JGTIC��-�PHONE: 7�.�J-��Z"�Z`�Co
COr'TACT PERSON: �}��/� .�ic.�.t!I LT MOBILE/PAGER: '��3-Z�:��- :3�v
M.4ILING ADDRESS: �jo7( C'�>c,6�,�T /�'�t,� CITY: �cGF/�-io ZIP: SS�f3
ST�TE LICENSE: #�-z�/�Z�3�
AR CHITECT/ENGINEER: PHO�IE:
MAILING ADDRESS: CITY: ZIP:
N�`�; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration �C Land Alteration
PROPOSED WORK(describe in detain: �E��t/� � ���« ,�-X/STIN�
L�G-£�i�=-
STORIES: SQ. FEET OF EACH FLOOR:
1\'O. OF BEDROO�IS: � GARAGE STALLS: ATT. DET.
EST'L�IATED CONSTRUCTION VALUATION (excluding land): $ i2,oc�c� -�
I hereby apply for a building perm.it 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
perm.it; and that the work wi1I be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: ' �,�.�� DATE: /'� ��
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NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLJBJECTS 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. Infornoation reqiared to be given individual, qa i�ividual asked to supply private or confidential data coaceming himself
shall be informed of: (a)the purpose and ince�ed use of the requesud dara within the collecdng state agency,poliacal subdivision,or statewide
rystem;(b)whether he may refuse or is legally required ro supp(y the requested data;(c)any la►own consequence arising from his supplying or
refusing m supply private or confidenaal daa;and(d)the idendry of other persons or entiaes authorized by sate or federal law to teceive the data.
T6is requirement shall not apply when an individual is asked to supply invesegative data,pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
'It�e commissioner of revenue n+av olace the notice reauired under this�+�bdivi ion in the individual inco tax or nro tax nd
instruc4ons mstead of on chose fortnc.
Subd.3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of swred data on individuals,and whether it is class�ed as public,private or co�dendal. Upon his further request,an individual who
is the subject of stored private or public data on iadividuals 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 individua!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 secaon is pending or additional data on the individual has been
collected or creared. The msponsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data.
The respoasible auehoriry may require che requesang persan W pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately�if pouible,wi[h any request made pursuant to this suUdfvision,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 shaq so inform the individual,and may}tave an addiaonal 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 co�erning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreemenc. The mspoasible authoriry shap within 30 days either. (a)correct the data found to be inaccurate or i�omplett and attempt to noafy
past recipiencs of inaccurare or ircomplete data,i�(uding recipients named by the individual;or(b)no6fy the i�ividual that he believes the data
to be coaect. Dara in dispute shall be disclosed onty if the individual's sratement of disagreement is included with the disclosed data,
Tt�e dererminaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminis�auve procedure act relaang
m 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 �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notif ed 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.
First Middle
I.ast
Address
Ciry State Zip Phone
I understand my ri as stated above.
.
Signamre
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CHECI� OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: Z-►Z� st�cy c.�a �2.
PID:
DESCRIPTION OF WORK: ��c�c
ZOYING REVIEW BY: DATE APPROVED: Y -t E► -03
BUILDING REVIEW BY: DATE APPROVED: �r- ►�6 -0 3
_ _________________ ----- ----------------_--____-----------___�_w
FEES TO BE CHARGEI�: Misc. Fees Calculated By:
pEgMIT Yes ,� No
pLAN REVIEW Yes �' No SEWF�t COrfNECTiON
STATE SURCHARGE Yes—�i No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units �; _ OTHER (specify)
__________ -- ------ T______--_ _____------__ -------------------------------------------------
ZOti�TG CHECK LIST i Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width DeP�
Survey Submitted: Yes_ t� No Da[e of Survey: Do�r /=� ck
Proposed Setbacks:
Front(Lake): i y 3� t Right Side: 9 49 � t
Reaz(Sueet): -1`'1� � Left Side: ?�p il�_
Adjacent Structures: �q��1� Wetland: —
Building Height: Def. Hgt. — Peak Hgt. "
i
Lot Coverage: �/(��
i
Grading: Staff Approval Date�: — By: Council Approval Date:
Septic: Staff Approval Date: — BY:
Zoning File: # — Resolution: # Resolution Date: . .
Shoreland Disuict: iV�
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-7�'
75-f250'
25d-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
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BUII.DING REV�W CHECK LIST �
. �C: 2' 3 CONSTRUCTTON TYPE: �N
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R c
TOTAL
Estimated Construction Value: $ 12,b00 a'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
�C Framing Fireplace Lawn Irrigation
Insuladon (Masonry) Other
Wall Board (Nlfg.) _ Well(State Permit)
_�F� Grading/Filling Electrical(State Permit)
Other
RENIARKS(IN HOUSE): .
_--- ___________________________----���______ _---_______--------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
---------------------------------------------------
REMARI�S (TO BE NOTED ON PERMI�:
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DATE TiME "
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED �03 �crn
PERMIT NO. COMPLETED
ADDRESS �� � ��%U'�- •
OWNER CONTR. �G�� C2
TELEPHONE N0. 7Lra3 a.�t� �s a
� D ON
� FOOTIN 11 M CHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 ING 13 M�CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEP'TIC MAINT. 21 COMPUUNT
� 07 DEMO-FINAL 15 SEP'71C INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL , � 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:+Y�NO
h COMMENTS:
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� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContr r n site: ,
Inspector.
White Copyllnspect a File Canary CopylSite Notice
/
DATE TIME
CITY OF ORONO CALLED IN I-��
INSPECTION NO�1��(� SCHEDULED - -U :3 v �I
PERMIT NO. f� COMPLEfED
ADDRESS ��70 c'S'�C-✓�1�`
OWNER CONTR.�//1'l L�-� �.Sra�
TELEPHONE N0. 7 4�3 �� 3 3 a�
� DESCRIPTION �
� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMINC, 13 MECHANIC FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD B RNER/FIREPLACE 34 TREE REMOVAL
Z 04 W D. 12 WATER H00 -UP 17 SITE INSPECTION
Q 5 FI 14 SEWER HOOK-UP O6 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLA�NT
v 07 DEMO-FINAL 15 SEPTIC INSTAILL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 PLUM 36 FOUNDATIOWREMOVAL
2 OW RICONTRACTOR T MEET YOU: YES_...NO
ti COMME .
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED 'p ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINC, PERMANENT
O CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail forthe nex �nspection 24 hou�rs in advance. (g52) 249-46��
OwnerlContr �.
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White CopyMspector's Ffle Canary CopyfSite NoNce
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