HomeMy WebLinkAbout2000-P02405 - addn/remodel/repair ti �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po24os
Crystal Bay, Minnesota 55323 P@fCYlit Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: s�i i�oo
SITE ADDRESS: 110 Smith Ave
WAYZATA,MN 55391
P ID: 02-117-23-21-0026
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Pertnit Sub-type(s):
Permit Type: Addition/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Eiecuicai(siate j
NOTICES/REMARKS:
R A CF1��IFNT R FnA(111FT
FEE SUMMARY: Permit Fee: $ 111.25
Valuation: $ 5,000.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 186.03
APPLICANT: GUSTAFSON REMODEL INC OWNER: J A FISK&J K FISK
I505 EVERGREEN 110 SMITH AVE
PLYMOUTH,MN 55441 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�E REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESO-'�'� BUILDING CODE REQUIREMENTS.
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APPLI AN P ' SIGNtY U � ISSUEDBYSIGNATU
Copies: City,Applicant,Assessor, Finance Page 1
� ,
Total Fee: $��� L��'.3 Date Received:
Entered By: �_,,r-� Permit#: -�}p � ����.5
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------------------------=---==------==R=- -----
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: ��� .Sr'`? � �`"� '�Z�'ZIp; ��-� � C��
i��?) ���, -- c>��3
NAME OF OWNER: ��'�`1?E=� �''l� PHONE: (home)
(work)
MAILING ADDRESS: %/GT% �� %�-� �z�' CITY: ��`�-���-= ZIP: `.'� j (��
�-���s:.�-=-�»�� .�==z�e:,n�_.�, ��'.�� -���'�'z-��
CONTRACTOR: ����
CONTACT PERSON: � cr'�- MOBILE/PAGER: ��`��� ��`T" �'�'��
MAILING ADDRESS: /'��'%� r=�''�'c-� ",�'_��'".1,CITY: �1..�•yrr.%LTrfLIP: S'�`-��F/'
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 detain: �''��-«- � �'��— �'�`-�t��-� ,
�c- e� : �--�Y'
STORIES: � SQ. FEET OF EACH FLOOR: ��r���' ''`'�'���'�' i��
NO. OF BEDROOMS: _� GARAGE STALLS: TT. DET.
ESTL`iATED CONSTRUCTION VALUATION (excluding land): $ �-'f'�"��- ��'�'���
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 SIGNAT -� ATE; `� r���
NOTE! Parade o�Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
9
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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 conceming hunself 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 confidenual data; and(d)the identiry 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 investigadve data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
'Ihe commissioner of�venue mav place the notice required under dtis subdivision in the individual income tax or property tax refund instructions
instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shal(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 individual who is the subject of stored
private or pubiic data on individuals 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. Afrer an individual has been shown the private data and informed of its meaning, the daca need not be disclosed to him for six months
thereafrer unless a dispute or action pursuant to this section is pending or additional 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 authority may require the
requesdn¢person to pay the acmal costs of making,certifyin¢, and compiling the copies.
The responsible authoriry shall comply immediately, if possibie, with any request made pursuant to this subdivision, or within five days of the
date of tfie request,excluding Satuidays,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 addirional 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. M individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this right, an individual shall notify in wridng the responsible authoriry describing the nature of the disagreement. The
�esponsible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate
or incomp(ete 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 included with the disclosed data.
The detemiination 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 pernut or license requires Council action to approve, some information may become public.
�. 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 Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
__�
e
10
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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1►O 5 M�'� �4�[G -
PID:
DESCRIPTION OF WORK: (�A�w�,�a,�.+�T' R��a-ec—
ZONING REVIEW BY: IJ (✓� DATE APPROVED:
BUIIrDING REVIEW BY: s, .,(, DATE APPROVED: �'—9►- c�c�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTTON
STATE SURCHARGE Yes �/ No WATER CONNEC'TION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECITON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning Districc: N o G ht.4n��i�Q
V
Fire Department: Post Office: School Districc:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front{Lake): Right Side:
Reaz(Street): Left Side: __.
Adjacent Swctures: Wed d:
Building Height: Def. Hgt. Peak gt.
Lot Coverage:
Grading: Staff Approval Date: B : Council Approval Date:
Septic: Staff Approval Date: B
Zoning File: �f Resolution: /f Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
27
., �
BUII.DING REVIEW CHECK LIST � ' � ' �
UBC: R• 3 CONSTRUCTION T�PE:� Y1�L'
Sq Footage $Per Sq Ftg .
Basement x =
1 st Floor x =
2nd Floor z =
Gazage z =
R =
TOTAL
Estimated Construction Value: $ S'�t9 o O�'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�� Wall Board (Mfg.) Well(State Permit)
o�. Final Grading/Filling _,�Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMI�:
28
` SMOKE DETECTORS (BAT. OP. CITY OF ORONO �'
PER CODE OTHER AREAS OF BUtLDING P RMIT PC�EW
HOME) itisP�cTOR � -
Gi;i i � ' —C>c7 PEP,INIT NO.
F,PPROVEQ P.S SU ?�qlT i ED
/ NEW WIRING AND RE-FEED ' ❑ ?`�°fiROVE�b1'i�'y co����T1�NS AS Nt�TED
EXISTING OUTLETS AND ❑ i;'"JT A�N}'C`dE�--•C�RH�C3'�RtSU6f�!IT
- SWITCHING AS NEEDED. �'� ^camments are tor your intorm<-.tion.A!1 work shatl be cios�e
BATH NO CHANGE tr :' c� �liance with aii Gpo�icable b����ding and zonir.g Co�e.
FAMILY ROOM ALTERATIONS Rz., :� is inc,uei�g�:er�s r.ot spea`� d:y not;d in tr�s re:,ew.
ONLY. ' I(�P T�fi5 PL.AN SET ON 5lTE AT ALL TiMES
HALL ' 2- 11 7/8 LVL HEADERS
EXISTING BEDROOM (NEW I� APPROX. 11' SPAN. (VERIFY
,
- �,, FAMILY ROOM EXTENSION) W�TH LUMBER YARD), LET
� ,I, CLST. INTO BLOCK WALL, OTHER
__
PARTIAL WALL LEFT INTACT - END SITS ON EXIST
BEARING WALL SECTION
HALL (OTHER ROOMS) NO CHANGE — �=�� � (EXIST FOOTINGS
___EXIST. POST o N
WALL OUT APPROX. 111L PRESEN�
-- UP
� —
— _ --—19'--—
--- - WORK TO INCLUDE: DEMO
EXISTING STAIRCASE TO 1 ST EXISTING FAMILY ROOM WALL AS SHOWN, NEW
FLOOR (NO CHANGE) I, HEADER & FRAMING AS
NEEDED, SOFFIT
CONSTRUCTION AS NEEDED,
-- - ' ELECTRICAL MODIFICATIONS
- ' ' AS NEEDED, SMOKE
DETECTORS, NEW DRYWALL
. _ AS NEEDED, TAPING AND
�P�CIAL (��"]"� `� TRIM. NO OTHER CHANGES
HALL TO HOUSE.
SEE AT�"AG�-i��► :���ET �
da'O R s ww�c.c_ ,c��—�t�t�2
CO�D� REe?�JIR�Pv�+EIV�[i',
LOWER LEVEL ALTERATIONS
GUSTAFSON REMODELING, FOR: JIM AND JENNY FISK
INC. 1505 EVERGREEN LANE. 110 SMITH AVENUE ORONO,
N. PLYMOUTH, MN 55441
(612) 557-0268 (612) 237-6340 MN 55391 (612) 476-0953
CEL DAY/NIGHT
310.9.1 Saolce detectors. �
3I0.9.I.I . General.Dwelling units,•cong:egaza zesidences and hote�or Iodgi.ng hoLse guest
� raarns'that are used for sleeping purposes shall be provided with snolce.detectors.Detectors s�all
installed iz accordance ti�zth the approved nane:facture�s instructions.
3I0.9.I.2 Additions, alterations or repairs to Group R Occupancies.When the vasuation of an
addition,alteratzon or=epair to a Group R Occupancy exceeds $I,000 and a permit is required, or
svhen oneor more sleepina rooms are added'or�eated in existin8 Group R.Qccupancies, smo�e
detectorsshalibe installed in accord.ance�vith Sections 3I0.9.I.3,310.9.I.4 and 3I0.9.I.5 0:t,:^.is
section.
�XCEPTION:Repairs'to the exterior surfaces of a Group R Occupancy are exempt from t'r.e rE
ments of ttus section. .
3I0.9.I•3 Potivez source.7n new construction,required smolcc detectors shn11 zeceive the:u pri-
�ary potiver�om the buildina ti3rising when such tivuing is served from a cvmmercial sovsce and
shall be equipped with a battery bacicup.The d�tector shall emit a signal when the batteries are.
�rYi-ing shaIl be permanent and tivithout a d.isco:uiecting switch other than those required fo:ove
current protectzon. Smolce detectors may be solely battery operated when installed in existina
� buiidings; or in build.ings�vithout commercial potiver; or in buildings tivhich undergo alterations,
,repairs or additio:s regulated by Section 3I0.9.1.2.
3I0.9.I.4 x.acation tivxthir� dwelling units.7n dwell.ing units, a detector sha]J.be installed in ea
sleepino raom and at a po'int centrally located in the corridor or area giving access to each s QpaT
sleeping area.W hen the dvrelling unit has moze tnan one story and;..-z utiVz�gs :::.h .,as-••---•-
detector shall be instaIled on each story and in the basenzent. Y.n dtivelling uzuts tivhere a story oz
ment is spli�into two or znore Ievels,the smo;ce detector shall be installed on the upper Ievel, e:
that tivhen the�.otiver Ievel contains a sleeping area, a detector s�►a11 be insta.11ed on each Ievel.V4
sleeping xooms are on an upper level, the detector shall be placed at the ceiling of the upper Ie��
close proximity ta the stainvay.In dwelli.ng units tivhere the ce'iling height of a room open to th
halhvay servisig the bedrooms exceeds that o;the hallway by 24 inches (610 mrn) or znore, smo
decectors shall be installed in the hall�vay and in the adjacent room.lJetectors sha]J,sound an�
audible in a]1 sleeping areas of the d�velling unit in tivhich they are located.
, �
DATE TIME
CITY OF ORONO CALLED IN ��S`� �����
INSPECTION N I /� SCHEDULED ST���7^ -��-�-�
PERMITNO. U� v� COMPLETED � 4' •3d
ADDRESS �1� ��- ���
OWNER CONTR. ~�-'�tzc{C�,'�
TELEPHONE NO. ��7-G�'�\,
� DESCRIPTION I�1 l�i��"1�'�C.�k'�f
LL 01 FO G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� �p2 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
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
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �NORKSATISFACTORY:PROCEED f- PROJECTCOMPLETE
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� Cl CORRECT WORK&PROCEED i� ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac or on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E 6� SCHEDULED b� '�� d
PERMIT NO. cOMPLETED '"�
�i.v�
ADDRESS �
OWNER CONTR. � �G�1�
TELEPHONE NO. �S 7- 6��g
� DESCRIPTION C `'' ' `��
�
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
Q FINA 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �'VORK SATISFACTORY:PROCEED �oJECT COMPLETE
�❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
CJ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQtIIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnedContr tor on site:
Inspector. �%,/.D�--�2 lzait S
White Copylinspector's File Canary CopylSite Notice