HomeMy WebLinkAbout2001-P03544 (add./remod./repair) . ,
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3s44
Crystal Bay, Minnesota 55323 Pefll'llt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2i22i2oot
SITE ADDRESS: 2431 Carman St
WAYZATA,MN 55391
PID: 2o-i1�-23-i2-ooi2
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Icesidentiai
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 44.85 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 45.45
APPLICANT: Robert Anderson OWNER: R A AURDAHL ET AL W/L EST
2431 Carman Street 2431 CARMAN ST
Wayzata, MN 55391 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK[N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
.�I � � � 1
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� APP-ICAN'f PERMITEE "IGNATURE ' SSUED BY SIGNATURE
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Copies: City, Applicant, Assessor,Finance Page 1
Total Fee: $ Date Received: `� z' /o i
Entered By: Permit#: 1`�' ' �� `=`��-{�
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: Z �� � c�$./T�I��'/�N� � �y ZIP:
NAME OF OWNER: li 4 r–�-c ..C� PHOivE: (home) �"��-- :�C�-��
(work)
l�1AILING ADDRESS:��3 I ��2�I/�/✓S�� CITY: �v'�� y� Y �� ZIP: �`S��'/�'
CONTRACTOR: S-�� � PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHOl\TE:
MAILING ADDRESS: CITY: Z�:
rJ�,ME; REGISTR.ATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: C c� ��-� �S c� ��, �y-c° l�u� � c'� �
f�, d�^,�� �v� �,� - �� �- �� �����- -%��, �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: � GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 1 Z c.'' �' /�i� �c�,r4�t�u��''`�
I hereby apply for a building permit and I acknowledge that the information abo�e 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.
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APPLICANT'S SIGNATURF� � . � ' '-� � I �TE: � ` z"/ — �� /
NOTE! Parade of 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.13.0�RIGHTS OF SUBJECTS OF DaTA
Subd. 1. Type of data. The riehcs of individual on whom the data is scored or to be stored shall be as sec fotth in this secdon.
Subd.2. Informatioa reqirired to be given indiridual. An individual asked to supply privace or confideodal daca concerning himself shall
be informed of: (a) the purpose and inrended use of the requested data withia the collecang'state agency,polidcal subdivision,or statewide rystem;
(b)whecher he may refuse oY is legally required co supply che requested data;(c)any Irnown consequence arising from his supplying or refusing to suppty
priva�e or conndential data;and(d)the idenrity of o[her persons or enrities au�horized by state or federal law to receive the data. This requiremenc shall
noc apply whzn an individual is asked to supply invesri¢aave dara, pursuanc to secdon 13.82, subdivision 5, [o a taw enforcemenc o�cer.
The commissioner of re�enue riav place the norice reauired under this subdivision in the individual income tax or propem tax refund
inscructions inscead of on chose forms.
Subd. 3. Access to data b�indirzdual. Upon requesc co a responsible auchoriry,an individual shall be informed whether he is the subject
of scored data on individuals, and whe[her it is ciassified as public, privace or confidendal. Upon his further request, an individual who is the subjecc
of scored private or public data on individuais shall be shown che data wichout any charge to hirn and,�if he desires, shall be informed of the concenc
ar.d meaning of chat daca. After an individual has been shown[he privace data and informed of irs meaning,the data need not be disclosed to hirn for
six monchs therearcer unless a dispute or acrion pursuanc to [his secrion is pending or addidonal data on the individual has been collecced or creaced.
The responsible auchoriry shall provide copies of the priva[e or public data upon request by the individual subject of[he daca. The responsible authoriry
may require�he requesring person to pay the actual costs of making, cerafying, and compiling the copies.
The responsible au[horiry shall comply immediately, if possible, wich any request made pursuant to this subdivision,or wichin five days of
the date of[he requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc
wi�hin chac time,he shail so inform�he individual,and may have an additional five days within which to comply wi[h the request,excluding Saturdays,
Sundays and legai holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or completeness of public or pri�•ate
dara conceming himself. To exercise this ri¢h[,an individual shall nodfy in wriring the responsible authoriry dzscribing[he nature of the disagreeme�t.
The responsible auchoriry shall within 30 days ei[her: (a)correct the data found to be inaccu�a[e or incomplece and attempc to norify past recipienu of
inaccurace or incomplete data, inciuding recipiencs named by [he individual:or(b)notify the individual thac he believes the data to be correct. Data
in dispu�e shall be disclosed oniy if the individual's sta[ement of disagreement is included with the disclosed data.
The de�erminarion of che responsible auchoriry may be appealzd pursuanc to che provisions of the administrarive procedure act relaang 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 reauest
for a permit or license from the Ciry of Orono or any of its depar[ments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to deternune 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 shazed wi[h other local, state or federal a;encies to the extent necessary to process
the pemrit or license.
4. If your requested permit 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 vfiddie Lasc
Address
Ciry State Zip Phone
I understand my rights as stated above.
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Signature �.
CHECIi OFF LIST FOR ISSUA.��TCE OF PERLtiIITS
_ FOR OFFICE USE Oi�tL.Y � .
ADDRESS OR LEGAL: Z.'-� 31 C�4 2 v✓t Ay�r S T
PID:
DESCRIPrI'ION OF�ORK: �,��s��� � /�ad 2 —
, �
ZO�Z\G REVIEti�BY: /�a DATE APPROVED:
BUILDT�TG REVIE�BY: � ._ . DATE APPROYF�D: L- z-z =�>
FEES TO BE C�LARGED: Niisc. Fees Calculaced By:
pE�N1IT Yes c/ No •
pI,AN REVIEW Yes No � SEtiVER CON�tECTION
STATE SURCHARGE Yes ✓ No WATERCONNECTION
IIv'VESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECI'ION
Number of SAC�Units OTHER (specify)
ZOti�I.�i G CH�CK LIST zonin�Districc: /U� G ��r9i"�
Fire Department: Post Ofuce: School Discrict: � �
Loc Area: Sq.ft. Acres idth Depth
Surve; Sub�itted: Yes No Date of Survey:
Propased Se!backs:
Front(La.�Ce}: RiQht Side:
Rear (Street): Left Sidz:
Adjacenc Structures: �Ve and: •
Buildin� Hei�ht: Def. H�t. Pe �H�t.
Loc Covera�z:
Gradin�: Scafi Approval Date: y: Council Approval Date:
Septic: Staff Approval Dace: y:
Zoaing File: � Resolucion: � Resolution Date: -
Shoreland District:
Av�. Setback: Blufi Setba k: Lot Co�•era�e:
Existm� Proposed
Hardcover: 0-7�' --
7�-250'
ti0-500'
Sd0-1000' —
Hardcover Variance Required: Yes N Date of Council Aoproval:
��1AR�:S (in house).
7
BUII.DING REVIEW CHECK LIST
[r�c: 2 � 3 - co�vs�rxucTTo�r�E: �ti
Sq Footage $ Per Sq Ftg
Sasement x =
lst Floor z =
2od F1oor z —
Gara�e x =
z =
TOTAL
Estimated Construction Value: $ / L o� �
Inspectioru Required: S�ork Requirina Separate Permits:
Site Piumbing ' Fire
Hardcover Removal Mechanical Water Connection
Footin� Septic Sewer Connection
oC Framin� Fireplace Lawn Irrigation
Insulation (Masonry) Other
�Va11 Board (Mfg.) Wel( (State Pemut)
_� Final Grading/Fillin� Electrical (S[ate Permic)
Other
RE��iARKS (IN HOUSE): �
REVIE`� BY OTHERS: � DATE:
Access: Ezistin; New
Access Approval: Date By:
RE��LARKS (TO BE I\'OTED ON PERMIT�:
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✓ E TIME
CITY OF ORONO CALLED w �� `
INSPECTION���� r� SCHEDULED �
PERMIT NO. �� COMPLETED — "g� �
ADDRESS �� C Q`-`"'��� `��
OWNER � "���`���'�r"�I CONTR. � S I �
TELEPHONE NO. �-�'� I '� I ��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 D. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINA 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP OROER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContra t r n site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice