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HomeMy WebLinkAbout2001-P03918 - attached deck . , PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po3918 Crystal Bay, Minnesota 55323 P@�I711t Typ@: Addition/RemodeURepair (952) 249-4600 Date Issued: 6i2si2ooi SITE ADDRESS: 40 Smith Avenue Wayzata,MN 55391 PID: o2-i i�-23-2i-0002 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: �tesiaentiai Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,250.00 Plan Review Fee: $ 63.18 State Surchazge Fee: $ 1.65 TOTAL FEE: $ 162.08 APPLICANT' Edwin Jenkins OWNER: Edwin&Cazolyn Jenkins . 1v1N 40 Smith Avenue Wayzata,MN 55391 TI�UNDERSIGNID HEREBY REQUFSTS 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 BUII,DING CODE REQUIREMENTS. . ��`�;� O�n-.��-- ����- ISSUED BY SIGNATURE� Copies: 1-File(Signitures Required),1-Applicant,1-MonthlyReports,1-Assessing, 1-Finance Page 1 .• Total Fee: $ � (r Z o��� Date Received: �v- 7-C � Entered By: �� Permit#: ,�-O ,��/ � ms� �f --/�� -._� � CITY OF O ONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. _--. --- (please print all information) �:c�� �: . . � , . � ------`�----=----=r;,,K_==--�---------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) ��WNE OR CONTRACTOR , JOB SITE ADDRESS: � � �^ =-i� ��ti �_ ZIP: ��'� } NAME OF OWNER ��::��.� .r���-�-� �����-; PHONE: (home) ���2- �f`76� O 6 L� 1'�'� (work) �L ��'i ` `l'7 3-��"8'd' MAILING ADDRESS: `�� �="� �-�+ �tir CITY: -�c�,��. ZIP: ���a� �i`.J. � CONTRACTOR: �-��� �, �, ,,� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �=c�s ,. �i��� \i STORIES: � � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �3 2�� 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 accord.ance w' h the approved plan. �; � APPLICANT'S SIGNATURE: �\�`�:��\� � DATE: �\r1 0 ) � NOTE! Parade o�'Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS 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. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the iden[iry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuan[to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav vlace the notice reauired under this subdivision in the individual income tax or nrooertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individuaf who is the subject of stored private or public data on individuals shall be shown the data without any charge ro 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 him for six months thereafter unless a dispute or action pursuant to this section is pending or additiona!data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs 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 request within that time,he shall so inform the individual, and may have an additional 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomp(ete data,including recipients named by the individuat;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 included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 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 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. ��v;; , ,� ��'c�Jr ��•..�5" First , Middle Last �,o �^^ �i La ��v-- Address `��o;ti� Ciry State Zip Phone I un rstand my ights as s ted above. � � � � Signature � 6 �. � — � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: y0 �'I'Y\ �T1-� /�V L � PID: DESCRIPTION OF WORK: �.�,U�S ----------------------------------------- -------- ----------------------------------=----------------------------- ZONING REV�W BY: � DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: . PERMIT Yes �/' No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes !/ No WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------_-------------------------------------------------------------------------------------------------- ZONING CHECK LIST Zoning District: GZ 2- 13 Fire Department: !� Post Office: �' School District: Ur�NO Lot Area: Sq.ft. d Acres Width Depth Survey Submitted: Yes� No Date of Survey: p�.a t-C �� l I•7- 7 S1 Proposed Setbacks: Front(Lake): �� '� Right Side: 6 0 � 'i"- Rear(Street): 3Zo f Left Side: � �j(� � f' Adjacent Structures: �}T�(�-tt_,� Wetland: N � � Building Height: Def. Hgt. N 1 /Q Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: � � Zoning File: # Resolution: # Resolution Date: . . Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � • .� • � BUILDING REVIEW CHECK LIST UBC: �• 3 CONSTRUCTION TYPE: �V/�-> Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = . R = TOTAL Estimated Construction Value: $ 3,2.5�D� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �Footing Septic Sewer Connection _�Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): • --------------------------------------------------_-------r------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: --------------------------------------------------------------------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT�: 8 L�O Sm i��1 ��� . . ORONO C0� � y ... . '� . l.: lr C�� >�J� ' '� ���� O•�y n i< .1 I for i��rr:`.^J. �is?n��r �::� • � � �' ���� � �5 �� ,� . �. . .� _. _ _ _.. ..� o_ �o� � , ,, , �-:c 4�=, �rorc, Crc^:�:�c?� Her.r.e- �-+ �e-:..��,, 2:irnAs�,t�. iy'�ils���f�i��':`��� R P��. T 6 .: . � �N . E v P�°t �vC. �� a,o i N `�'����s F� 6U .. � � y ;:� / O ` :.. _ _ _'_ _ . / ' ���+ P � � � r'N p � .p N a � � �O �/ ., _ / ✓ / / .. . fi � � r '/ s� .�.6� / ��' A� �Ss ._ y 6„ / a � \�� v� Ex,�+�.q - om 9�, , �. � � � ,:,,. 1`` J /. ....__ 1\ o �i ,�' ."�rrK� � t7_ ��i•. . Z �� � .�9�'..�""�..i e� �4�;1� � �/�1 1 OI V�io�o , 4� ll_ 9Qp. �,.-���;�,$��� � � SITE PLAN GRADING PLAN \ �AP'�ROVED '�EL«5 ���, Cl APPRt�V�D WITH REVISIONS � � ❑ DISA°PR VED BY -- .r �� . DATE �`�3 -c� � CE;rti=icatA c'' _.::-���•-: T ���A1�: C�.rl,1�'� t'� l, l.i_i� 15 c� +n��i GZT.'`I Cl:�rect r��raJ�l�.i�:1�1.C:�: �r � Sll�++rn� Oj, j�'�� �:�C':~ia;?='_': 7c �O�S �'O ^Q -�.� .� ' i � L - ��, �. , .._ L.:, C�-cr.� Cr�!-:ar~�, a:_d �he nf�?t;0_'l r^ �'• l F?��y=7'io �Jl��l�:l_`7�: t�r,?i...,,r� it Cf�ES 21r1 ;)Ui._`C:Z'{: t0 S..C'W h Ot�"ic�^ 1::�:'O`";�P.T11S 0=' �il^,^rflC1-iP'c?P.+S, ♦ Sca?e: 1" = 10Q' Gorcen R. Ccffin Re Nc, 60E4 Date : L-7-75 �trd Su,�ve�or ar.c? Planrer • . 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(� - , N �r� ;� ',; � ... ! � - � p o _ . _. . _ _ . _ _ _ - -- - - - - � , ;, `� `� � � I � 'J � � � � ; _ _ _ _ '� �11 z- ,-�� . + � �, %�' .� `jC -� � -�-�i � �- �' _ _ __ A �- _. _ � �{ ~ �' o � �' '. _ - - � - _. _ � ,� - - -- _ °� ` p _ -- _ _ � _ - -- -�i _ _ _ __ _ _ _r.+_ _ _ I � ___- -_ _ _ _ _ _ _ ___�1_ � N � _ _ � - � _ - _ o_ � . __--- - ; _- _ - ----- - __ _ _ __ _ � ', _, - � _ _ _ _ _ ti � - --- ,. _- - -- - - _ - -cat - _ __- _ _ -..+v � �� �` _ --- �w - - --- - - - - _ _ _ � — � _ r __ ____ - - _ _ � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT C SCHEDULED =L�z1�� S°� PERMIT NO. � G I COMPLETED �'!, %Ga ADDRESS U S / �� OWNER��� � [��S CONTR. ,�t�'(I�-e,oL_ - TELEPHONE NO. ��5�- y 7C11 �fG�� � DESCRIPTION � C-1� �t� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 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 PlUM81NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CO�MEf�T : �� � a l � � 0 a � 0 � W � Q � z W � W � � \� W� [�QNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-46�� OwnedContra or on site: Inspector. �/F���j White Copyllnspector's File Canary CopylSfte Nolice QATE TIME CITY OF ORONO CALLED IN �v � INSPECTION NOTIC��( � SCHEDULED PERMIT N0. COMPLETED � - "Q g�. 'r'�� ADDRESS � ����-E� ` 1 � OWNER CONTR. ��� _vl��� TELEPHONE NO. lI C�' ��"� �Q� � � DESCRIPTION_ ���`t 1�4 _.a--�1�Ayc, tL Oi FOOTING 11 MECHA AL 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 Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CO ENTS: � - a �U - j , o _"s �o.-!Nl H � � ��G � � 1 0 � � � � Q �`� �-S �/ z � l� 1� ��l S W � W � � � O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOF REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector./���i_.L--l��c..c�� White Copyllnspector's Ffle Canary CopylSite Notice