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Home My WebLink About2000-P03294 - addn/remodel/repair � - PERMIT CITY OF ORONO 27�0 Kelley Parkway - PO Box 66 Permit Number: Po32�4 Crystal Bay, Minnesota 55323 PeCllllt Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: �2�si2oo SITE ADDRESS: 40 Smith Ave WAYZATA,MN 55391 PID: o2-ii�-23-2i-0002 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: i'iurnoing iviecnanicai Eiectricai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00 Plan Review Fee: $ 287.13 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 743.88 APPLICANT: ED&CAROLYN JENKINS OWNER: ED&CAROLYN JENKINS 40 SMITH Ave 40 SMITH AVE WAYZATA,MN 55391 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. � � � `�� `�� , . , _�_, :;�:��.�., - �� APPLICANT PGRMI EE SIGNATURE ISSUED BY SIGNATURE Copies: City, Applicant, Assessor, Finance Page 1 k / �� Total Fee: $ ��f�=s� � �� =�� Date Received: Entered By: k'!-� Permit#: %'j �? >>�3 `�`T_ �;�; ,;�;: , CITY OF C'SRONO -i BUII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------ -- - ------ ----- --------------- -------------------------- THE APPLICANT IS: (circle one) �WNER�R CONTRACTOR JOB SITE ADDRESS: �� J+"�'� I �-�n �c'� ZIP: ��r�� 1 � � N�iE OF OWNER: �p`�, C��Z DLy�{� ��l�f�� PHO��tE: ome "�� OCO �-�-..�- . I ( L '�, (�jrk) ��1 (0' �J l.o �-� MAILING ADDRESS: �-t D �7'11 I�1 ��-PJ CITY: IVrL�YI (� ZIP: � ' ��'l ( CO\"TRACTOR: V�'1 � PHO��: -f �� ' ��0� �/ COr�T'ACT PERSON: ` NIOBILE/PAGER: "" G NL4II.I�i 1G ADDRESS: �;�7 � G-�r,, CITY: ZIP: ST�,TE LICENSE: # ARCHITECT/ENGINEER: � , � PHONE�7(� � D (Ur�� NIAILI`i'G ADDRESS: j �- CITY: ZIP: � _ j � l NA_`IE: REGISTRAT� # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration P OSED WO . ain: �S�( � N� ��a�� -t�� '1 �,l `--;.� �; 1--.�-� - . STORIES: 2 SQ. FEET OF EACH FLOOR: % G U � �Gr L� NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. � � ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ ��1� �� . I hereby apply for a buildin�pernut 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 S�te Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work wi17 be in/j'�(''`c rdance with the approved plan. / 1 APPLICA1VT'S SIGNATURE: � L�� DATE: �/ �� Z�d � NOTE! Parade of 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. 5 � � . Sec.13.04 RIGHTS OF SLJ&TECTS 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 forrh in this secdon. Subd.2. Information req�red to be given individual. An individual asked m supply private or confidendal dara conceming himself shall be infoRned of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,poliucal subdivision,or statewide rysum;(b)whecher he may refuse or is legally required w supply the requesud data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idendry of other persons or endaes au[horized by state or federal law to receive the dara. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenve mav ulace the noece reouired under thi �bdivision in ihe individual income taz or orooertv tax refund instruceons insread of on those fortns. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individuai shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public,private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall•be shown the dara without any charge to him and,if he desires,shall be informed of the contenc and meaning of that dara. After an individual has been shown the private dara and informed of iu meaning,the data need not be disctosed to him for six months thereafter unless a dispute or ac6on pursuant to this secaon is pending or addirional data on the individual has been collected or creared. The responsible authoriry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible aurhority may require the requesang person to pay the actual cosu of making,certifying,and compiling[he copies. 'Iha responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wi�hin five days of the dau of the request,exctuding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, excluding Samrdays,Sundays and legal hoHdays. Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuracy or completeness of public or private daa concerning himself. To exe�sise this right,an individual shall notify in wridng the responsibk authoriry describing the fladire of die disagreemenc The responsible authoriry shap within 30 days either: (a)correct the dara found to be inaccurate or incomplete and aaempt to noafy pact recipienrs of inaccurate or i�omplete data,including recipienrs named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in d'upute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The dererminaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminis�aave procedure act relating to contested cases. UATA 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 �iry of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified 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 ri�ahts 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. ��RDL�� . ��'h)I</�j Firsc �� (� M,, idd�e , Last rl.,. � � �l U`C� Address �� ' /�/^ �Q�� " CJ C��Y Sta[e Zip Phone I unde d my rights as stated above. Signamre 6 Y CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: `i� S�� T""�-� Wv-e PID: DESCRIPTION OF WORK: CL=.^^�v�2` \c .c�.«-•e� - r�s r� �3 r�-t� /-�-iva rvGw w�.�a�S ZOi�TING REVIEW BY: DATE APPROVED: /2- �-vfl BUII�DING REV�W BY: DATE APPROVED: �2 - � —o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes r/' No pI,AN REVIEW Yes No � SEWER CONNECTION STATE SURCHARGE Yes _� No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTTON Number of SAC Units OTHER (specify) ZOr�1G CHECK LIST Zoning District: N o c i-�rv�� Fire Department: Post Office: School District: I.ot Area: Sq.ft. Acres Wid[h DeP� Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front(Lake): Right Side: Reaz(Sueet): Left Side: Adjacent Structures: Wetl d: Building Height: Def. Hgt. Peal: gt. Lot Covera;e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: . . . Shoreland District: Av;. Setback: Bluff Secback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�S �in house): N D Pl�-/�/s /2c—z2 vv2� .�°a _ 7 � BUILDING REVIEW CHECK LIST � UBC: (Z ` 3 CONSTRUCTION TYPE: �/N Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = x = TOTAL Estimated Construction Value: $ 3�,c�O a `� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal �Mechanical Water Connection Footing Septic Sewer Connection �c Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�Wall Boazd (Mfg.) Well(State Permit) �F� Grading/Filling _e�Electrical (State Permit) Other RENIARKS(IN HOUSE): ------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; REMARKS (TO BE NOTED ON PERMIT�: 8 V DATE ' TIME /�qn CITY OF ORONO CALLED IN � � � •��'-1 INSPECTION NO. CE , scHE�u�E� �� s'.GU ?�1 PERMIT NO. �� COMPLETED ''�� ADDRESS `7 O Sm/ f'� ��C OWNER E/� �C��o(y�� .�e��%:� CONTR. G��,�7�� TELEPHONE NO.y�z ^ y7� "�� DESCRIPTION ��✓��U- -ZNSp��U!� lL 01 F 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING Q ' 0�2 FR�WG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y IATION 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 � 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � �MENTS: W � � Y�SS r T..,J a o '�!3 � 7� . � o�e�, �.. ��-ar� � � s� y W � Q � Z W � W � � d ❑WORKSATISFACTORY:PROCEED C' PROJECTCOMPLETE W � ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REWSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ! CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlCont��n si • Inspector. ��-1 S White Copyllnspector's File Canary CopylSite Notice ✓ CITY OF ORONO CALLED IN o��iT�, /`TI!Z �f� INSPECTION NOTICE SCHEDULED �`9-� 1 ��-��t-t PERMIT NO. �a�y COMPLETED �� ADDRESS yd �� v`� ' OWNER ��--,-c�`fn .fi�/I��n� CONTR. C�c�ra��-yoi Jl.��`zs� TELEPHONE NO. �� y��' ��,S � DESCRIPTION `� �s� ��U� ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02_FF3AfvllNG_ 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS Q __. �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 J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � j�j �� W jel WORK SATISFACTORY:PROCEED C' PROJECT COMPLETE � ❑ CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in e tion 24 hours in advance. 249-46�� OwnerlContractor e: Inspector. White Copyllnspector's File Canary CopylSite Notice � DATE ,�/TI�M� P� CITY OF ORONO CALLED IN b� �y'O� / ' INSPECTION NOTICE SCHEDULED O� -�S�-�i y'U� P-M PERMIT NO. ,�a�y COMPLETED U � ADDRESS �O S/'Y)I �ve-_- OWNER 1��'�k�� nS CONTR. �ra/�/) ��-K,r�� TELEPHONE NO. ��a 7 � � OC1� a S � DESCRIPTION �� -�C l4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED �' PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETUFiN C7 STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next in tion 24 hours in advance. 249-46�� OwnerlContractor e: Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN 5/� INSPECTION NOTICE SCHEDULED � � PERMIT NO. COMPLETED -��;��—�-_'— �'"�� ADDRESS yD cS�'f'1 i�� f��/�• OWNER ��-��T�i •_T�-�:�S CONTR. /'!�M dG�C-o , TELEPHONE NO. 7 _�a � 7�0 �� o�.S � DESCRIPTION __ ��'/wf ��'�. � t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACT O M YOU:_ S_NO � C MM TS: ' S��G� � a S �'�S � `�- ��, � 0 1,�D y' S �c-� '' ��✓l � �'u-�n�� '1� � ° v�Q i � rv,� fi v n��s W Q 3, ��U ' s� .1� � l�t� ,� 'I,� z ' W � W � � � d W� O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION�SSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/ConUactor on site: Inspector./l��l��Z �3 White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO ca� iN J`�-L�r= �� INSPECTION N ICE SCHEDULED —/ -0 1 0� PERMIT NO. �d COMPLETED '�� `�'��4 ADDRESS �D ��.;�-7'��l i CN4'�/ OWNER�/n�� CONTR. TELEPHOPF�NO.�5�� 7` 7 � — 6 �D�S � DESCRIP� Y�J ac� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d �WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W � C� CORRECT WORK 8 PROCEED ,_, ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CICORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� Owner/Contracfi�;Qn site: / � Inspector. , G White Copyllnspector's File Canary CopylSite Notice