HomeMy WebLinkAbout2002-P04765 - addition PERMIT
C�.�Y'�F ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P04765
Crystal Bay, Minnesota 55323 P21'tlllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 3i2��2o02
SITE ADDRESS: 2010 Shoreline Dr
Wayzata,MN 55391
P I D: 10-117-23-31-0001
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: riumbing iviec;nanicai Eiec;iricai�siaiej
NOTICES/REMARKS:
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FEE SUMMARY: Pernut Fee: $ 993.75 Valuation: $ 100,000.00
Plan Review Fee: $ 646.03
State Surcharge Fee: $ 50.00
TOTAL FEE: $ 1,689.78
APPLICANT: Sarber Brothers Construction OWNER: Michelle Hudson-Miller
11979 Winnetka Ave N 2010 Shoreline Dr
Champlin, MN 55316 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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APPLICANT PERMITEE SIGNATURE ISSUED QY SIGNATLRE
Copies: 1-File(SiQnitures Reouired). 1-Applicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
1 , Total Fee: $ ��I ' �� Date Received: r -�-��
� J Entered By: � � '
, ' Permit #: ��i �/ �(��j
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CITY OF ORONO - BUILDING PERNIIT 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: :�C; I�� �j �1�, ;�� �"�,,,� �'�,. ZIP: j'S j�� �
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NAME OF OWNER: �C�� � 1�� ;� ni.� ���, ,�5,^ PHONE: (home)
(work)
MAILING ADDRESS: S�<�w� CITY: Gv�wc�zc�.=<.E ZIP: S"S�>�j /
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CONTRACTOR: ��,�:�+�� �rU�"�lr�v S ����S�v�'����.-• PHONE: 7�3 --4d-7-�71 �
CONTACT PERSON: {�c,�-c,�� ��,,h�, MOBILE/PAGER: 7(�3 -�`�(�� �Jo7�
MAILING ADDRESS: �\�{��l �,i!1 r n��I�. , �wC �t.�- CITY: (�'`�,;;,.,�/,� ZIP: $S s'/(�
STATE LICENSE: # (,'jL ��� (�(�U�
ARCHITECT/ENGINEER: � S �o h✓t S�/� PHONE: ��o.��-�I�-S� U I 7�7
MAILING ADDRESS: CITY: (�S S z��' ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition t/ Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: ( SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ - � I� Q(�, dU
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: f�r��►�'��-��f2 DATE: � - �I� ��
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed:
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� _ �. CHECB OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y o t n S�0 2�c L�n��c �'�s'2
PID:
DESCRIPTION OF WORK: ,�t bti� 1 T I O N
ZO�1G REVIEW BY: ' DATE APPROVED: Z •Z.�-�z
BUII.DING REVIEW BY: DATE APPROVED: 2.z�.�z—
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ,/' No
PLAN REVIEW Yes �G No SEWER CONNEG�'TION
STATE SURCHARGE Yes ✓' No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTTON
Number of SAC-Units OTHER (specify)
ZONING CH�CK LIST Zoning Districc: C.12-/r4
Fire Departmenr. Post Office: School District: �
Lot Area: Sq.ft. S��6 2 3 Acres !•3? Width Depth
Survey Submitted: Yes �C No Date of Survey: oK F��r
Proposed Setbacks:
Front(Lake): Z��� '�' Right Side: S�� �
Rear(Street): �iL' � Left Side: k�` -t
Adjacent Structures: p.�rr�ac.�.c�✓� Wetland: YU TA.
Building Height: Def. Hgt. D.l� Peal:Hgt. d.K
Lot Coverage: 0.1�
Grading: Staff Approval Date: -- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # Z-2't5"17 Resolution: # Resolution Date: Z-Zs -a Z
Shoreland District: �G 5
Avg. Setback: VA/+.t�r+C„r Bluff Setback: LotCoverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hudcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house): __
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BUILDING REV�W CHECK LIST
�C� � � 3 CONSTRUCTION TYPE: _ vN
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _ � r
2nd Floor x _
Garage x _
x = �
TOTAL
Estimated Construction Value: $ � 0 C��C�t�0�
Inspections Required: 1�Vork Requiring Separate Permits:
Site �Plumbing Fire
Hazdcover Removal oC Mechanical Water Connection
_�Footing ` Septic Sewer Connection
OC Framing Fireplace Lawn Inigation
�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
.x Final Grading/Filling X Electrical (State Permit)
Other
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REMARKS(IN HOUSE):
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REVIEW BY OTHERS: ~DAT'E:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERivfIT�:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED "7 J /'C�C�
PERMIT NO. � COMPLETED
ADDRESS .��/�) .S�`70/C� f�/(.� ���
OWNER CONTR. �i /ir�
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TELEPHONE N0. �Ll�.� �.-�'�C.P � v7�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y ULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI 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 • YES_NO
� COMMENTS: S�� � - � -
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W� ❑WOR ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK&PROCEFD ❑ ISSUE CERTIFICATE OF OCCUPANCY
-�CORRECT WOF4K,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspect' 24 h urs in advance. 952� 249-4600
Owner/ or o ' e:
Inspector. �
hite Copyllnspector's File Canary Copy/Site Notice
� DATE TIME
CITY OF ORONO Cr 7(OS CALLED IN ��
INSPECTION NOTI�� �1�[,� SCHEDULED —
PERMIT N0. !`" T ( COMPLETED
ADDRESS a���oL\�!2 �:�tv
OWNER CONTR.� �rPS
TELEPHONE NO.�l a-9� a3��
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01 FOOTING 11 MECHANI L RI 18 EXCAY/GRADING/FILLING
� G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 SEPTIC MAINT. 21 COMPLAINT
� 07 OEMO-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:_YES_NO
� COMMENTS:
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0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner or on s' .
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Inspector.
hite Copyllnspecto�'s File Canary Copy/Site Notice W
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/�"' DATE TIMf✓
TY OF ORONO CALLED IN l
INSPECTION N TICE ���;;�� SCHEDULED � �
ERMIT NO. OMPLEfED
ADDRESS C� �°
OWNER CONTR. S� �
TELEPHONE N0. ��p _3 �- ���(! � ��� ?�
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� DESCRIPTION
� 01 FOOTING 11 MECHAPJICAL 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
OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 EMO-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
J 10 PLUM8ING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe nex inspection 24 hours in advance. (952� 249-4600
OwnerlContr� s' e:
Inspector. �
White Copylinspector's 'le Canary CopylSite Notice