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HomeMy WebLinkAbout2001-P04422 - attached deck � PERMIT CIT�`�' OF ORONO Permit Number: 2750 Kelley F'arkway - PO Box 66 P04422 Crystal Bay, Minnesota 55323 P@CfTllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: iois�2ooi SITE ADDRESS: 3800 Shoreline Dr Wayzata,MN 55391 PID: t7-117-23-33-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 32.65 Valuation: $ 800.00 Plan Review Fee: $ 21.22 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 54.37 APPLICANT: Owner/Self OWNER: Mark Brewer 1V1N 3800 Shoreline 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 BUILDING CODE REQUIREMENTS. � � � L � C �� APPLICA PER GNATURG ISSUE BYSIGNATURE Copies: 1-File(Signitures Repuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 � � � �Z T tal Fee: � � �j �(�-/2 Z o $ Date Received: �� Entered By: ' ��� __ Permit#: �p - � -�/ �^ �j t lL� ll� /�i"r�7-, CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ���� ��a�`�Ll'�� �i�- ZIP: �;5:� _ �/�>z �S c��� NAME OF OWNER: /����� ,�r�l-v�� PHONE• (home) � . �work) ���- v�z-y�'�8 MAILING ADDRESS: <3�00 .f���f�i�� 17� CITY: ����� z�lil` ZIP: ,..,�s�y/ COlV'TRACTOR: �SF�F PHONE: CON'TACT PERSON: S'�?�1�' MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: �# ARCHITECT/ENGINEER: �f��,� PHONE: NIAILLVG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration v Land Alteration PROPOSED WORK(describe in detai�: 1���/`C " f�.��'/f' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTLIIATED CONSTRUCTION VALUATION (excluding land): $ ����� �`�' 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 understa this is not a permit and work is not to start without a , permit; and that the work will be in a ,�rd 'th the approved plan. APPLIC�N'T'S SIGNATURE: ` ' DATE: /�3� �'� �, NOTE! Parade of Homes events �equire separate permit approval by Police Department and City Council 6D days prior to the event. Non permitted events will not be allowed. � r Sec.13.04 RIGHTS OF SLJBJECTS OF DaT.� . Subd. 1. Type of data. The rig6cc of individual on whom the data is stored or to be s[ored shall be as set focth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and inrended use of[he requesre�dar�within the collecting�tate agency,poliucal subdivision,or statewide system; (b)whether he may refuse oY is legaily required to supply the requesud data;(c)any Irnown consequence arising from his supplying or refusing to supply privace or confidential data;and(d)the idenrity of o[her persoas or enrides aufiorized by sta[e or federal law to receive the data. This requiremeat shall not apply when an individual is asked to supply invesdgadve dara,punuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav otace the nodce rewired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon requesc to a responsibie authoriry,an individual shall be informed whether he is the subject of scorod data on individuals,and whecher 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 shall be shown rhe data wi[hout 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 hitn for six months thereafter unless a dispute or acrion pursuanc to this section is pending or addiaonal data on the individual has been collected or crea[ed. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay che actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,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 requesc wi[hin rhat time,he shail so inform[he individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of pubiic or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing fie naturo of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to n�rify 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 inciuded with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 fumish certain private or confidential information. You are notified that: 1, The information you furnish will be used to detemune 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 pemut 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. �/j�'If Firsc Middle Last Address C��, State Zip Phone I unde d �ght stated above. Si re � � CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS ORLEGAL: 3��v s����ti�.. �1n��4 PID: DESCRIPTION OF WORK: 17 �c�1� �- 2�tw�,p ------------------ ----------- ------ ZONNi G REVIEW BY: CQ,�.� DATE APPROVED: �o • �t -t�� BUII..DING REVIEW BY: DATE APPROVED: �n-� -n � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAi�T REVIEW � Yes � No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECT'ION Number of SAC�Units OTHER (specify) ZONIl�i G CH�CK LIST Zoning District: Q-y Fire Department: �v�u.�N✓� Post Office: w��z.arN3 School District: t,;,,�sTo�v�c�4 Lot Area: Sq.ft. 2�,�Z1 .�3 Acres . �� Width /�1/�•3`� Depth Zv c�, y � Survey Submitted: Yes_ c� No Date of Survey: Proposed Setbacks: Front(Lake): j5� f Right Side: (,v� '� Reaz(Sueet): 70' t Left Side: 2�' 'F- Adjacent Structures: /1�7v�r�ftt�� Wetland: N 1/� Building Height: Def. Hgt. N/� Peal:Hgt. N�� Lot Coverage: �j, )� Grading: Staff Approval Date: it//� By: Council Approval Date: Septic: Staff Approval Date: N //�' By: Zoning File: # N//� Resolution: # Resolution Date: Shoreland District: y�C S Avg. Setback: N'/rr Bluff Setback: /✓/9- Lot Coverage: Ezisting Proposed Hardcover: 0-75' 75-250' p � �L. 250-500' 500-1000' Hardcover Variance Required: Yes No p�� Date of Council Approval: REMARKS(in house): G,k -4-c� ww��- o�T -tU /�►����c.�-r d!o. 7 BUILDING REVIEW CHECK LIST �C� � CONSTRUCTION TYPE: V� Sq Footage $Per Sq Ftg Basement x _ lst Floor x = 2nd Floor x = Gazage x _ a = TOTAL pU Estimated Construction Value: $ �d b� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing = Septic Sewer Connection �o Framing Fireplace Lawn Irrigation Insulation (Masunry) Other Wall Boazd (Mfg.) Well(State Permit) _�F�� �C rading/Filling Elecuical(State Permit) Other REMARI�S(IN HOUSE): . ���------------------------------------------__ REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; �_���_��-------------------------------------------- REMARKS (TO BE NOTED ON PERMII�: 8 r � 09/24/2020 17:36 9524727698 PAGE 63 . ,:.. 4 - r:i ;:;. . - � ;' . . � . . � . :.��; .�, � �. .. . .;: :� . � . .. �y�. ;;r . . ;.. ti�:.�.. ��. . . . . �. r�:: ��,:; ; � � . , . �`�.' 4;;}. �• ' , . . ' . , . ±�#� �,�, ��'I . . . .. �. '��" � � �� . .. �,�: ;,;;,, � � � . . ;>:' ' .: �:.i ; . • � ,�� `��,.;�� . : L_R,S.T !�lN� OF :;. �. t;. � + : ,�' :���,- .. ; : � �c v � :�o�r �,..,:...._.... . ...�;;, :,�-:,� �, , .�. � .�.,�;'' � � � �: 5��. t 7—717-23. s::. • � � ' . . ' '� : j ',� p ' � � . .. � s:�� `'- � . . cv . � � � . � .�� . .::,;:.�: . . r,�. .: . �,. ,a:. .. � , ���-' "��:��'- y ' W�ST LINE �4S;MONUMENT D. � � 4,, ,,. �. 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' . - _ . . . . .. .. . .. . ,.. . . . ,. . . , ,��.y � .�.w� .i... _ � V �-— c�, � DATE TIME CITY OF ORONO � �`7a�ALLED IN INSPECTION NOTICj'� SCHEDULED G� � PERMIT NO._� COMPL D � � � -"��-� ADDRESS � � �hQr ' OWNER CONTR. � TELEPHONE N0. `��� �� � DESCRIPTION <��(i.� ��CiIE�S l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIILING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMII�ENTS: W �1 �� � � � -< �' i�--'�� � �� c � � O � � O � W � Q � 2 W � W � � d W� �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlConUacto/r on site: Inspector. �!'l-r,��� ����r' i=�� White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULEO �� PERMIT NO. �� COMPLETED �� ADDRESS ��t�D -Sh�'� � �i� �2 • OWNER ��"E'� CONTR. TELEPHONE NO. q`�JZ �7Z� ' ��gg � DESCRIPTION �e�' �C ���M /n � 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINA� 14 SEWER HOOK-UP O6 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: � W � � J O � � O � W � Q � 2 W � W � � d 4�7 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� Owner/Contracto e Inspector. White Copyllnspector's File Canary CopylSite Notfce