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HomeMy WebLinkAbout2005-P09442 - addn/remodel/repair PERMIT `CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p09442 �Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeUxepair (952) 249-4600 Date Issued: 12/1/2005 SITE ADDRESS: 760 Brown Rd S Unit# Wayzata,MN 55391 P��� 03-117-23-43-0004 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/RemodellRe air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 10,000.00 Plan Review Fee: $ 117.81 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 304.06 APPLICANT: Remodel&Repair Inc. OWNER: Mr. &Mrs. Browne P.O. Box 454 760 Brown Rd S Watertown,MN 55388 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. , � ,j� - , __� ` _�����,1 ��Z�'��.�r��-� PPL ANT R IG U ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ �C'�� ��'' Date Received: r I �Z�/vS� Entered By: .��vV Permit#: �� �l yW�- CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforination) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci�•cle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 6 � �p ��D �✓� V��/1 ZIP: Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? ❑ YeS � �10 If>>es, a special evenl persnit is reqirir•ed tivith Police Deparh»ent and City Cormczl np�roval 60 days prior�to tl7e event. Shtrllle bus seruice will be reqa�ir-ed a�nless applicant demor�strates si{fficie��t on-site parking is avnilnl�le. Non�e�-mrlted evenCs will not be nllowed. NA1l�IE OF OWNER: L{,�Ov�✓� �r�'� PHONE: (home) �'S-< �73—��S 7 (work) MAILING ADDRESS: �7�� �.���rn '�jl� CITY: �� v`� ZIP: CONTRACTOR: ��'�c� a-���'� ��"�- PHONE: 6 �� 7��°'-�S�S— CONTACT PERSON: J�� MOBILE/PAGER: MAILING ADDRESS: ;! �3D ��.�-�d � v CITY: �/��"«`"�`� ZIP: %S3��� STATE LICENSE: # ��l vZ 3 q�l EXPIRA'I'ION DATE: � n�'� ARCI-�I'I'ECT/ENGINEEIZ: /t�r.�v� � PHONE: MAiLiNG ADDRESS: CI'I'Y: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) PROPOSED V6�ORK(describe irz detai�: �c�c0 �or v�-�r �;7,..d� �f�� Cr1 j/c'(� �>`� S t�� µ �Q B�f-�r�c�l✓y� L��'/�C�/.�� C��L1 �r 0—L�-00 G��t-,��c f"e (-�d✓+J S�'oR��'S: ��.�'�'�'���' �E����'����: NO. OF �EI)ItOONIS: GAItA�E S'I'ALLS: A'["I'AC�IED I)E'1CACI�ED �ST'I1ViA�'E�CONSTI�IICT'IOI�VA�,�1�1'�fION(exeluciing land): � l� do� I hereby apply for a builcling permit and I acicno�vledge that the infonnation above is coinplete and accurate; that the work will be in conformance witl� the ordinances and codes of the City and witl� the State Building Code;that I understand this is not a pennit and tivork is not to start without a perinit;and that the work will be in accordance with the approved plan. -.--r` �P��,I��a�r�°s s1��vA��� � �����: �l��-DS 31 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. Infoimation required to be given individual. An individual asked to supply pnvate or conFidential data conceming himself shall be informed of. (a)the pucpose 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 frotn his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state oc federal law to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,ptn'suant to section 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue maxplace the notice required under this subdivision in the individual income tax or propertv tax refund inshUctions instead of on those fomis. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be inforn�ed whether he is the subject of stored data on individuals,and whether it is classified as public,piivate or confidential. Upon his ft�rther request,an individual who is the subject of stored private or public data on individuals shall be shown die data without any charge to him and,if he desires,shall be inforn�ed of the content and meaning of that data. After an individual has been shown the priva[e 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 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 authoiity may require the requesting person to pay the actual costs of makine,certifying,and compiling[he copies. The responsible auUiority shall comply immediately,if possible,wifh any request made pursuant to this subdivision,or�vithin five days of the date of the request,excluding Sahirdays,Sundays tmd legal holidays,if immediate compliance is not possible. lf he cunnot comply with die request within that[ime,he shall so infonn the individual,und may have an additional five days within which to comply wid�the request,zxcluding Saturdays, Simdays and legal holidays. Subd.4. Procedure when data is not accurate or complzte. An individual may con[est the accuracy or completeness of public or private data concerning himself. To etercise this righ[,an individual shall notify in w�iting the responsible�uthoiity describing[he nature of the disagreement.Thc responsible authority shall within 30 days either: (a)conect the data found to be inlccw�ate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individttal;or(b)notify the individual that he believes the data to be coirect. Data in disoute shall be disclosed only if d1e individual's statement of disagreement is included with the disclosed data. The detennination of the responsible authority 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 inforni you that your rec�uest for a pern�it or license from the City of Orono or any of its deparmlents may require you to furnish certain private or confidential information. You are notified tl�at: 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 dlat the City deny the pennit or license. 3. The inforniation may be shared with other local, state or federal agencies to the extent necessary to process the pe�7nit or license. 4. If your requested pennit or license requires Couucil action to approve,some information may become public. 5. You have certain rights uuder M.S. 13.04(available upon request) to review private data on yourself. 6. Your full name is required to process this application or pernlit. First �liddle Lask Address Cih� State 7i� Phoiae � �+n�Prstand my rinhts as state� ai�ove, Signature 32 - CHECK OFF LIST FOR ISSUAi�tCE OF PERiI�IITS FOR OFFICE USE ONLY _ ADDRESS OR LEGAL: �b C� sOv�� 3�?�N IZ�A-✓� PID: DESCRIPTION OF WORK: A r�� � n�..c � ,=' (J o av+-.�R ZO.�tP1i G REV�`V BY: DATE APPROVED: /r- z5 -oS BUILDI�'G REVIE`V BY: DATE APPROVED: 1,_ 2�, -oS FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,�/ No PLAN REVIEW Yes �/ No SEWER CONiVECTION STATE SURCHARGE Yes � No `VATER CONNECTION INVESTIGATION FEE Yes No / PARK FEE SAC Yes No � STTEINSPECTION Number of SAC Units OTHER (specify) --------------------------------------------------------------------------------------------------------------------- ZO�G CH�CK LYST Zoning Distric[: (Lt2• I�(S Fire Department: Post O�ce: School District: Lot Area: Sc.ft. 3°�,S o� Acres .� Width 355• `a Depth Survey Submitted: Yes _ �c No Date of Survey: Proposed Setbacks: �` f F�ee�-(Lake)� ' -� _ Right Side: / Sa � � Rear (Street): �UO� "r Left Side: I 3`�� �' Adjacent Structures: iv l,/�- `Vetland: �tJ/ q- Building Height: Def. �-igt. /v0 u-1,4r�_�c Pealc Hgt. d' Lo[ �overa�e: nr� c,µ�,Q Grading: Staff Approval Date: nro ���,q,.,� By: Council Approval Date: Septic: S[aff Approval Date: N� G,-i-,,,,�,�� By: Zoning File: � DS'3)►o Resolution: # Resolution Dace: b-27• d5 Shoreland Distric[: U QS Avg. Setback Bluff Setback: �/l✓� Lot Coverage: N� GGh9��',�P Eustin� Proposed Hardcover: 0-7�' No G1�Q 7�-2�0' 2�0-500' �0a-1040' Hardcover Variance Required: Yes ivo oC Date of Council Approval: 6�z�•v� �i��t�S (an hotise): 7 BUILDING REV�`V CHECK LIST �C� i2' � CONSTRUCTIONTYPE: �.�7 Sq Footage $ Per Sq Ftg Basement x = lst Floor R _ 2nd Floor x = Garage x _ R = TOTAL Estimated Construction Value: $ )D,c�0� �� Inspections Required: `Vork Requiring Separate Permits: Site o�C Plumbing Fire Hardcover Removai ,C Mechanical Water Connection Footing ` Septic Sewer Connection �C Framing Fireplace Lawn Irrigation X Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) '` F�� Grading/Filling o Eleccrical (State Permit) Other RENIARKS (Pi 1 HOUSE): " ` � �—`_ -------- ----------------------------------------------------------------------------------------------------- REVIE`V BY OTHERS: DATE: Access: Existing ?v�w, Access Approval: Date gY: --------------------------------------------------------------------------------------------------------------- RENIARKS (TO BE NOTED ON PERi�II'I�: 8 o . �,�_'_.^"m.�_ u I U ��i �i� . _ ' ___— _ _ -_'—__ __"__—_ � COUNTY ROAD N0. 146 (BROWN ROAD SOUTH) . ' ---- N 00°03' 15" W 303.12 - 93.01 I L �, w W� I �FN 4 ' O �' �• � _ on� 4�� / U` I ��� N m � • � Sn � �� . `° � � gl/ e„�, c.,� . . � . -m �� / � N $, RR 0• °Y'4"r / g+ s N ;� � a�`,�K / �m _ � ~ ♦ D I � 4 � M] �Sa� it.e / �o /C'J �� /� G� X �p _ m � � / °���,o- /Oo '=- ------•.1=J -y; �� � C � a. / -.. � �.5 ? R�� /AR � Ul / / - � m ;a � . 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Call for the next inspection 24 hours in advance. �952� 249-4600 Owner/Contractor on si e: Inspector. �i � � White Copyllnspector's File Canary CopylSite Notice � L / DATE TIME " V �ITY OF ORONO CALLED IN ! `�-����� INSPECTION NOT,�, CE�,. � 1 SCHEDULED /�" "G-r ��' PERMIT NO. ' U f�� `� COMPLETED ADDRESS �7��C�} �,�/�'2�i1.- �� �' . OWNER CONTR. / <i�G��� ��y'��-f,^ TELEPHONE NO. �� /�i ��( �' � S-cj� � DESCRIPTION lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMIN 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS y 03'11 ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL r � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � j� o - � � 0 � w � Q � z w � W � � d W ORK SATISFACTORY:PROCEED f.7 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor o�site: Inspector. White Copyllnspect 's file Canary Copy/Site Notice