HomeMy WebLinkAbout2003-P05966 - addn/remodel/repair CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos966
Crystat Bay, Minnesota 55323 Permit Type: aaa�t�o�emoaei�epa�r
(952) 249-4600 Date Issued: 3iioi2oo3
SITE ADDRESS: 2080 Spates Ave
Wayzata,MN 55391
P I D: 10-117-23-31-0095
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#: 2872
Separate permits required: iviecnanicai �,iectricai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 748.75 Valuation: $ 64,781.00
Plan Review Fee: $ 486.78
State Surcharge Fee: $ 32.90
TOTAL FEE: $ 1,268.43
APPLICANT: JLM Landscape LLC OWNER: Terry and Christy Morse
7155 Cahill Rd 2080 Spates Ave
Edina,MN 55439 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
MINNESOTABUILDING,�O� R�'QUIREMENTS.
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APPLICANT ERM�}TE �SIGN TURE � ISSUEDBYSIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ � /� Date Received: ? - �:� C 'j
Entered By: L� �l � � Permi�#: ��� ;:i,-����(j
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CITY OF ORONO - BUILDING PERMIT APPLICAT] y�������,�,�
All information must be submitted in full before plan review will be ��'���`"
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THE APPLICANT IS: (circle one) OWNER OR C�1T`�—�
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JOB SITE ADDRESS: ��1�� , ��� �'- ` ZIP: =:s?`j��
NAME OF OWNER: � � �,�0 _ PHONE: (home) �_ •���p��
(work)
MAILING ADDRESS: _f��!�,'� -�c� �- - CITY:d��'�cc� ZIP:
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CONTRACTOR f .i ; PHONE:_ ;�����•��jp
CONTACT PERSON: �� u MOBILE/PAGER: �iZ- �,�,..�'��,
MAILING ADDRESS: ' , • . � CITY: �,�,,: ZIP: �
STATE LICENSE: # '�=�,,;����'��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDR�SS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �t � ���J� �Q.�-- '��.
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STORIES: �_ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
���+-i—�,
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 t permit and work is not to start without a
permit; and that the work will be in accordance it t oved plan.
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APPLICANT'S SIGNATURE: �� �� � � DAT'E:
NOTE! Parade o�'Homes even s require separate permit approval by Police Department and
City Council 60 days prior to �e ev : Non perntitted events will not be allowed.
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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 Ihis section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concernin�himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision, or-statewide
sysrem;(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)[he identiry of other persons or entities authorized by state or federal law to receive[he data.
This tequirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice required 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 individual who
is the subject of stored private or public 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 tha[data. After an individual has been shown the private data and informed of its meaning, the data need not be
disclosed ro him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. 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 requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authority 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,
exciuding 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing tha nature of the
disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
[o be correct. Data in dispu[e shall be disdosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon 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.
. � �-- � > / �K ,���
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Address
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Ciry State Zip Phone
I understan�y rights st e b e.
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Y CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
_ DESCRIP'rION OF WORK: �-
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ZONING REVIEW 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 CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. 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'
Hazdcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUILDING REVIEW CHECK LIST
- UBC: CONSTRUCTION TYPE: r
_ Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT�:
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� � ` CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: Z��3 o sPAr�s A� .
PID:
DESCRIPTION OF WORK: A�p��-n o�► IZ.t`�d�` ,,
ZO�TPi tG $EVIEW BY: DATE APPROVED: 2 - 26•�3
BUII.DING REVIEW BY: DATE APPROVED; 2-z b.d�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓' No
PLA��i REVIEW Yes _,� No SEWER CONNECTION
STATE SURCHARGE Yes c/ No WATERCONNECTION
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No SITEINSPECfION
Number of SAC-Units OTHER (specify)
ZONING CH�CK LIST Zoning District: ��-�� .
Fire Department: Post Office: School Districr. �
LotArea: Sq.ft. 5�.`1'12 Acres I.�b � Width �R.�t.�tu�.n+C Depth
Survey Submitted: Yes No Date of Survey: c� �',��t
Proposed Setbacks: �
Front(I�: s�I Right Side: SS8
Rear(�eet): 22z..to Left Side: 2�•�.
Adjacent Structures: N//1- Wetland: —
Building Height: Def. Hgt. r�•K Peal:Hgt. —
Lot Coverage: �� L
Grading: Staff Approval Date: nro�e By; — Council Approval Date: —
Septic: Staff Approval Date: �//A By:
Zoning File: # 0 3-ZS�'1 Z Resolution: # Resolution Date: 2-Z`I-�3
Shoreland District: i
Avg. Setback: Bluff Setback: Lot Coverage: �
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500' Ivv c��.ar�j�
500-1000' � � f
Hudcover Variance Required: Yes No c Date of Council Approval:
REMAR��S(in house): _
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sva,nnvG xEv�w c�cx L�sT
�C' R'3 CONSTRUCTTON TYpE: vN '
: Sq Footage $Per Sq Ftg
� Basement . . x _
lst Floor x _
2nd Floor x _ �.
Garage x _
x —
TOTAL
Estimated Construction Value: $ �'-1,1 g1 °='
Inspections Required: 1�Vork Requiring Separate Permits:
Site ��g Fire
Hazdcover Removal _ o�Mechaaical Water Connection
Footing ' Septic Sewer Connection
_,�Fruning Fireplace Lawn Irri ation
_p�,Insulation g
�Wall Board ��0�'� Other
Final ' � � (�'IfS•) Well(State Permit) .
Grading/Filling _�Electrical(State Permit)
Other
REMARI�.S(IN HOUSE):
REVIEW BY OTI�RS• DATE: N -----
Access: Existing New .
Access Approval: Date �
By:
REMAKKS (TO BE NOTED ON PER�vIIT�: -��~-�-� -� ��
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DATE TIME
CITY OF ORONO CALLED IN y'/
INSPECTION NOTIC SCHEDULED - v
PERMIT NO. COMPLETED
ADDRESS a��� ��Ck�f �'(� '
OWNER CONTR. �-M L�S�
TELEPHONE NO. � � �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 F 13 MECHANICAL FINAL 19 LAKESHORFJWETLANDS
y ULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
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 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR _��
O INSPECTION RE�UIRED.CALLTOARRANGEACCESS. �
Ca11 for the next inspection 24 hours in adva ce. (952) 249-46
OwnedContractor on site:
Inspector.
White CopyMspector's File Canary CopylSite Notics
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, �E TIME
CITY OF ORONO CALLEO IN
INSPECTION N ICE SCHEDULED - -i�---" 1
PERMIT NO. COMPLETED
ADDRESS-��O �Q�'"�.S' ,�y�_
OWNER CONTR. L- !
TELEPHONE NO. � � � �/� � �
� DESCRIPTION � � O� O'/� r/d���f.
Ly 01 G 11 MECH AL RI 18 EXCAV/GRADING/FILLING
� � F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGHESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLPJNT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 PLUM G FI 36 FOUNDATION/REMOVAL
� OWNE ONTRA O MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN O CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next' spection 24 hours in advance. (g52) 249-4600
Owner/Contra on '
Inspector. �
White Copyllnspecto�s File Canary CopylSite Notice
�� {�/'vcc. Ccz.r`� ��clo� L��f..e. C�il/- S��f�oc,�r�s G���,..�;,, 1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -� � 'v iIt
PERMIT NO. �l?�S�1��� COMPLEfED
ADDRESS o2C��U cS�DG..-��'S ��'E �
OWNER CONTR. `,T �5�9�
TELEPHONENO. �� y�11 ��"�� C�'�LL�. %)�-� � �
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSU T 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_Y�NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
OwnerlConU e:
Inspector.
White Copy/lnspector's Ffle Canary CopylSite Notice
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�,DAT� a� TIME
CITY OF ORONO CALLED IN �a
INSPECTIOf�4.j�OTICE ) - SCHEDULED � `��-� __��
PERMIT NO.I���� ���lD� COMPLETED
ADDRESS �z�JC � 1Xt L'� _' �-U�
OWNER CONTR. ��l.- �'� `'��r _
TELEPHONE NO. �C��_ C�� i •— C� l�
� DESCRIPTION T 1��� � �'�1S
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O 1NSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (J52� 249-460�
OwnerlContra s :
Inspector. - � �
White Copy/lnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN ��-7
INSPECTION IC ,/1 SCHEDULED �D- - /�04
PERMIT N0. � COMPLETED
ADDRESS a��� ������ ''�`�
OWNER CONTR.��1LI L��C � � .L���
TELEPHONE NO. �5 2- ��� ��' ��
� DESCRIPTION ��-� � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WETLANDS
y 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 06 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
J 10 PLUMBING FINAL ,, 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra or site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice