HomeMy WebLinkAbout2002-P05640 - addn/remodel/repair CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos6ao
Crystal B�sy, Minnesota 55323 Pe�mit Type: Addition/Remodel/Repair
(952),249-4600 Date Issued: ioiiizoo2
SITE ADDRESS: 4545 Wayzata Blvd W
Maple Plain,MN 55359
PID: 30-118-23-31-0005
DESCRIPTION: UBC occupancy R3
Consh-uction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate pernuts required: Eieciricai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 54.00 Valuation: $ 1,500.00
Plan Review Fee: $ 35.08
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 90.33
APPLICANT: Owner/Self OWNER: Glenn&7ane Slaughter
� 4545 Wayzata Blvd
Maple Plain MN 55359
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.
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APPLICANT PERMITE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ ��G' - � � Date Received: ��f� �(.�l� �'
Entered By: / %�) Permit#: �/�t�
• �-y'y,��� `",�./`',`_� �
CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: �{� �5 ih�A�Z�q T�q �j ,/fl ZIP: � 5 3 S`�
NAME OF OWNER: �L�j��J S L A�(%N T�I(ZZ PHONE: (home)%Cv 3- y �y-120"z
p (work)
MAILING ADDRESS: �S�j yt�Ay��i� DL✓D CITY: L �N ZIP: 5 5 3 5`�
� �"�,m4'rt�..�,
CONTRACTOR: P .
CONTACT PERSON: MO /PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
AR ECT/ENG ER:D��4�� J�N� �������� PHONE: CPI2` �`f3' j9(OGI
M ING ADD SS: CITY: ZIP:
NAME: � REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration �
�3,�, 3 J��
PROPOSED WORK(describe in detain: ��n��sl� c,o�in g� � v�� � �ti,+
^ t,�,�� sr-��.�L I c.P _ ,, �
��� �
� a�,�h S i��c�ES: SQ. FEET OF EACH FLOOR: ri '�
(�`� �` J NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ° �, � �
� �- i� o„� �3c�,� � G��Pr�vcrn� /�o��" 9 �cr�+�,19��, hon� � ��
ESTIMATED CONS1'�UCTION VALUATION (excluduig land): $ 2 l
I hereby apply for a building permit and I acknowledge that the information ove 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 SIGNATURE: `��-�-- ���,�^--- DATE: q �� �7�
NOTE! Parade o 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.
Sec.13.04 RIGFTTS OF Si1B.TECTS OF DaTA �
Subd. 1. Type of data. The righcc of individual on whom rhe data is storod or to be stored shall be as set forrh in this sectioa �
Subd.2. Information reqiric�ed to be given individual. An individual asked to supply private or confidential data concecning himself shall
be informed of: (a)the purpose and inunded use of the requesud data within the collecting state agency,po(iflcal subdivision,or sratewide system;
(b)whether he may refuse oY is legaily required to supply the requested dara;(c)any laiown consequence arising from his supplying or refusing to svppty
privace or confidendal dara;and(d)[he idenary of other persons or enriries authorized by state or federai law to receive the data. This requirement s6a11
not apply when an individual is asked to suppiy invesdgadve data,punuant to section 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce rewired under this rubdivision in the individual income tax or pronem taz refund
instrucdons instead of on those forms.
Subd. 3. Access to data by iadividual. 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 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 che data wichout any charge to him and,-if he desires, shall be informed of the content
and meaniag of rhat 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 mon[hs thereafter unless a dispute or acdon pursuanc to this section is pending or addidonal data on the individual has been collected or created.
The responsible authority shal!provide copies of the private or public data upon request by the individual subject of[he data. The responsible authoriry
may reyuire the requesdng person to pay the 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 Satutdays,Sundays and legal holidays,if immediau 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 nodfy in writing the responsibie authoriry describing�he nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found m be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, ineiuding recipients named by[he individual;or(b)nodfy the individual thac he believes the data to be correct. Dara
in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authority may be appealed pursuant to the provisions of the adminisaadve procedure act relaang to
contesud 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 fumish 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 pemut 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.
First �fiddle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
•BUII..DING REVIEW CHECB LIST
' vBc: /z• 3
CONSTRUCTION TYPE: 1fh�
� Sq Footage $Per Sq Ftg
Basement. x _ . __. .
lst Floor x _
2nd Floor x _
Garage x _ .
x =
TOTAL
Estimated Construction Value: $ ��Spv°�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing ' Septic Sewer Connection
��,Frazning Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Boazd (Mfg.) Well(State Permit)
�� Grading/Filling _�Electrical(State Permit)
Other
REMARI�.S(IN HOUSE):
------- ------------------------------------------__
REVIEW BY OTI3ERS: DATE:
Access: Eusting New
Access Approval; Date gy_
---------------------------------------------------- -
REMARKS (TO BE NOTED ON PERMI�:
8
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y 5�/5 L.�A yz�n9 �c.v✓.� ,�
PID: �
DESCRIPTION OF WORK: �;n.�sN ,�A�s /Lva.�— `
ZOVPTG REVIEW BY: /�/lA� DATE APPROVED:
BUII..DING REVIEW BY: DATE APPROVED•, q-�-�`
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ci' No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTTON
INVESTIGATION FEE Yes No �' PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHE.CK LIST zoning Districc: /t/Y C�(/�� .
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:
Reaz(Street): Left Side:
Adjacent Structures: We and:
Building Height: Def. Hgt. Pe �Hgt.
Lot Coverage:
Grading: Staff Approval Date: Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback. I.ot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED —O �
PERMIT N0. COMPLETED
ADDRESS ��J ��'i 2�'�� ,/�GU�
OWNER lE'� � �ONTR.
TELEPHONE N0. �� `�7 � "-� Z-� Z—
� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q�RAMING 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 OS FINAL 14 SEWER HOOK-UP 06 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
Z OWNER/CONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOAARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOlJRS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46�0
Owner/Contrac n te:
Inspector. --v
White Copy/lnspector's ile Canary CopylSfte Notice
NOTES:
1. EXISTING GYPSUM BOARD (8') CEILING TO REMAIN UNCHANGED.
2. REMOVE EXISTING PANNELING ON WALLS FOR PLUMBING &
ELECTICAL WORK.
3. REPLACE EXISTING POLY V.B. WITH NEW POLY & ADD WHERE
MISSING BEHIND FIREPLACE FLUE.
4. ADD FUIL HT. WALLS AT SIDE OF SHOWER AND AT CLOSET.
5. ADD 33" HIGH 2x4 KNEEWALL BEHIND TOILET.
6. ADD 5 1/2" HT. SOFFIT OVER SHOWER.
7. ADD 5/8" GYPSUM BOARD ON SOFFIT OVER SHOWER. :
8. ADD 1/2" GYPSUM BOARD TO ALL WALLS, USING "GREEN" c��rY �� ����� ..,�'l
WATER RESISTANT TYPE NEXT TO FIXTURES. BUILDlNG P �;• j p�f�,r�� l�Lc.Vi���
9. TILE FLOOR TO MATCH EXISTING FLOOR IN TUB ROOM. lNSPECTOR
10. ADD FRAMING BETWEEN FLUE & LINE WITH MALIMINE OR p�_�_ Zy�oL � —. �
PLYWOOD FOR MEDICINE/LINEN CLOSET BEHIND MIRROR. —Z-- _____��R�vtl'"i�«�.r �
11. INSTALL SHOWER, TOILET, VANITY & LAV. ��`�-���'7'.%�'��'..);".'��;;�';'•.ji;'rr!� "
12. INSTALL CLOSET DOOR. � r'i�'!='�vl!;��::1.'./'7 ; t�t ;=;_-;_:;`.-rnr;. �,
13. VERIFY FINAL ROD & SHELF ARRANGEMENT IN CLOSET. �''� " '' --"'��'�a,� ��'�YrD
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CUSTOM DESIGN & DRAFTING, INC ASSUMES NO CllSt,OrYl Design contractor project title sheet number
RESPONSIBILITY fOR S7RUCTURAL OR DIMENSIONAL & Draftin 1nC. (owner) Glenn & Jane Slaughter
ERRORS OR OMMISSIONS. THE CONTRACTOR AND/OR g� � �
OWNER MUST VERIFY & CHECK ALL NOTES, DETAILS, Jane Lyrek Slaughter
ELEVATIONS. SECTIONS & FLOOR PLANS AND NOTIfY 4545 West Wayzata si�a. 4545 Wayzata B�Vd
CUSTOM DESIGN & DRAFTING, INC OF ANY ERRORS OR Maple Plain, MN 55359 �t"OI'1 O, ���
OMISSIONS FDR POSSIBLE CORRECTION PRIOR TO START
OF CONSTRUCTiON. NO WARRAN7IES EXPRESSED OR �� jane.lyrek.slaughter(§�usfamily.net S 2e i 2 date
IMPIIED INCLUDING COMPLIANCE OF THIS PLAN WITH o❑ Phone: 612-743-5969 7 6 3-47�- 1 2 0 2
APPLICABLE BUILDING CODE REQUIREMENTS ARE MADE. �� Hm. 763-479-1202 Master Bath remodel 09-18-02