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HomeMy WebLinkAbout2000-P03066 (addition) � � • PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po3o66 Crystal Bay, Minnesota 55323 Pel'1711t Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: ioitoi2o SITE ADDRESS: 2470 Carman St WAYZATA,MN 55391 P I D: 20-117-23-12-0060 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanic:ai Giecuicai�siarej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 349.25 Valuation: $ 22,000.00 Plan Review Fee: $ 226.98 State Surcharge Fee: $ 11.00 TOTAL FEE: $ 587.23 APPLICANT: SANDGREN CONSTRUCTION OWNER: T A&D K LIND 443 RICE STREET 38 ADDRESS UNASSIGNED ANOKA,MN 55303 MN 00000 THE UNDERSIGNED HEREBY REQUESTS PERMISStON 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. C r G l� 1�����'✓� APPLI A PERMITEE SI NATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 . � � � ) . - Total Fee: $ 5�7� �-3 Date Received: ��y�' 1C�� ���`�' ' Entered By: Permit#: ��(�, CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------�----�`'`�--�---- ---------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACTO� JOB SITE ADDRESS: ��,'-��0 �o.��,s�n S� ZIP: �S�G 1 NAl�tE OF OWNER:To�, � t�, ��, �.. ��� PHONE: (home) �5 a. y 7� �7R5�( (work) MAII.L'\TG ADDRESS: �y�U �,c M a n ST CITY: (,,�,�,,z�—, A ZIP:�� CONTRACTOR: ����� ;e n �c_r�o r� PHONE: (�'7�3� 5 7� `�a�7 CON�TACTPERSON: ��_�:ti-z-- SA;Z�a ;en OBIL PAGER: �,�(0 3oc� 7 �(oia,, MAILING ADDRESS: L.}�} ?� �,Le, �-�- CITY: �� �o�� ZIP: �5�0 3 STATE LICENSE: # �r cA��a,( �,"�� ARCHITECT/ENGINEER: ��-=�,;� PHONE: MAILING ADDRESS: CITY: ZIP: N���; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: ,.,,o�, � 1��Sz����i av�.�..� :.,;a��s z�,s���,T�o� �N - � r .h r3 �A �:�,c�n\ � o .�6CT 1 l STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ �.�,�ar� �� 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 accor�lance with the approved plan. APPLICANT'S SIGNATURE: � DATE: `�'�-� " `-'� 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. 5 � • . 1` , � 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 pri�ate or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, polidcal 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 confidential data;and(d)the idendry 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 ro supply investigative data, pursuant to secrion 13.82, subdivision 5, to a law enforcemen[officer. The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or oronertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an indi�idual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or conf'idential. tipon his funher request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge co hirn and, if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion 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 requzst by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certihing,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 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 da}'s within w•hich 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[he accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the respoasible authoriry describing the 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 norify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)noofy 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 determination 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«�ould 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 Ciry deny the permit or license. 3. The information may be shared with other local, state or federal aQencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to appro��e, some information may become public. 5. You have certain rights under I�1.S. 13.04(available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. �C �,T� W.��.a vr —_.J s�c��G��n First Middle �t �y� ���� s� Address (�r.n�� r,nN SS3� 3 �7�3 S7� 9�.97 Ciry State Zip Phone I understand my rights as stated above. _�-' LL / i � Signa re 6 . � ,+ ° • ' CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: Zy�7 � C�q�w�q,v �r PID: DESCRIPTION OF WORK: ��SC�u��rv� (�-�_,C,t�e L. -------------------------------------------------- ------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: �(� -�-t�� BUILDING REVIEW BY: DATE APPROVED: (c� -� -v� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ./' No PLAN REVIEW Yes _� No SEWER CONNECT'ION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: �U p �ft14-NC�P Fire Department: Post Office: School District: L,ot 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: We and: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac : Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 � . . r ^ BUILDING REVIEW CHECK LIST UBC: (Z -3 CONSTRUCTION TYPE: U� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Z Z,U C�O� Inspections Required: Work Requiring Separate Permits: Site OC Plumbing Fire Hardcover Removal D( Mechanical Water Connection Septic Sewer Connection o� Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _�Wall Board (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): 8 " • � ` f S7'ATE pF ID�a�83 UN�CTOg OF CpMMERCE B[/�BR ,.��;�. ��� �ti��� eo_��� ,. � . S��IDU�'pROp1�T�R �� ��i' ��x sc�rr c� �'�� �BA:SA7�D� ��. ��� � y. 4a3��E�,�'REN s�o�,e�?i,�R ��'���� : ANp� � �l 55343.OdOd �P���TT��A2JDG�N 1 . � . �T'RTE QF IHP!pEPT_ �F v33E�5�'��St. ��MMERCE `""`* � �t.Pm.il,MN SS]OI (cSlj�q6�319 DBe. 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(1 CY�sT��S U �j o�:�e 1Y�W �Pr�.�\� `C�eo�v. �orsrr� P�OVIIaE Tit�:f1"I'f:I� I�LA'I�'r'.S :�%i��:��: � 17� LAYED ON CON�RFT� Ex��T��� c..5���aw 4 X ���� ..�.. . .....�,..,,,... =�cec�oc R r - .__.._._.___ __ w..m....�..�..._v._..,�....�..z.�_ - - - ��� r , ` \ • EY�sT��y c,•�� �ow � Ww\\ S�c.��o� V�,�e.c..) 8�x 3�6,. � �t�w e.x�1 wA��s _ yr ��._ ...._._ ...� �..�:�.,--��.--.�.........�..�. ��H� ..�....ry,_ .,, -._e. vr�,ww�� ---�' � ; � G �l i c� ..� � .. :� �;; ; _, � �.a CITI� �F ORONO (�� F1r�-c�i�a•� CJT�e�s � S.vTclr,s ''',l;�."`�` -�,�o�`� �cw�'"`''n 8lji�DlN� IT N Rc~VtEW To Go�F .'�i;_._�- � M/�De.1o��e� ���p !!vSPECTOR _. .{i . � '��- D.;�c lV-Cl�c:» PErA1!TIvU. _ _-���� �ae�.bTe�' \�a,`.T�� �i? �� �ASemenT -����-� ❑ A'r'�'R���ED F::��:.'��1fiTTED � � � �,P�ROG'CD W�i�H C�Rr�-!Fv i�`,.`i'�"�� , =7 �C�� .�•,••,� (- ❑ ��7�,PP�O`:�� - CC.'•c;:�._;-C�.;,�,_.. - ..,� C�P�- �27 __� �' �2�C•CO'1?!f12i:tS 8i�,'3C yp�tf i`i1^,-^'dte.. ..,-`! 4 C �L� _ , r��f ��e0� �..... �.:C�' 1� . �. � . ,. � il .. � .. . . ... ��/��� ' • Fi x. -' C+' , ;:� � ,.� �?^ : ; . � � �{M�� �o�y v�(�((I�! t���r �H�S�ts;y S�� C;i i�;1�•�I E1LL I 11YiLS� �'Xy wo.��� W� • �-\l T�c�Jb.�C 1 o't� ��� � . � pATE TIME CITY OF ORONO CALLED W �d /G �Jv INSPECTION NOTICE SCHEDULED /G '-'/Z-��U : �' PERMIT NO. j��%�'"��COMPLETED /D�2-� � �G� ADDRESS Z� � C' C � �- r��a��� S'� OWNER CONTR. �t�(�c�,P� C�c�yt�1� TELEPHONE NO. / � �� 3 �� 7 � DESCRIPTION r r�m � ��j ty� 01 FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � 03 INSULATION 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 J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTQR O EET YOU: YES_NO � C MENTS: C� �� � ' � S � �Y� � ' �j l j � 1/�li� ' _ � �P y � 2� c� 1/1 0 � j'� � Y�L1 �eL�l�1 ,/'�%�� ' � � � �c��c� �� � �vY < � Q � Yr.iG � -e : C� C-Ti�! � �, .�t�(, � ��h �l ,/ z W � W � � d ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W � ❑ CORRECT WORK R PROCEED f ISSUE CERTIFICATE OF OCCUPANCY W O�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOl1RS. pHOTOTAKEN INSPECTOR WILL RETURN i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advan�. 249-46�0� OwnerlContra t r on site: Inspector. � 'G °'1� , White Copyllnspector's File Canary CopylSite Notice DATE p�TIME CITY OF ORONO CALLED IN ��"���`� �L.^ �v INSPECTION OTICE SCHEDULED /-2--�'� /l v v PERMIT NO. � d COMPLETED Z�� � ADDRESS c� �7 D �-�/���_.% �`t'( OWNER , ��.��' CONTR. .���-�°�l'.P� C.�.�-� TELEPHONE N0. � �� � � � � � DESCRIPTION ��A l� Ot FOOTING NIECHANICAL 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �---� a � J �t O � � O � W � Q � Z W � W � � GW �QWORKSATISFACTORY:PROCEED PROJECTCOMPLETE W �[7 CORRECT WORK&PROCEED ,= ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT G CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr c or on site: � inspector. White Copyllnspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED w ,a/(r �U i '�-3��vI INSPECTION NO IC SCHEDULED ��v�0 OI <��_' PERMITNO. U� COMPLETED ���� ADDRESS o7y�� ����-�'l �S�• OWNER CONTR.�J`��i /'���-- C�G�1_C�r��, TELEPHONE NO. �7C0 � S��Cv ��z��� � DESCRIPTION ���� �`'f ��� ���-`�� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q , FINA 14 SEWER HOOK-UP O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � 2 W � W � j ��IORK SATISFACTORY:PROCEED /�/PROJECT COMPLETE r W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL FETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContra on site: � Inspector. \ White Copyllnspector's File Canary Copy/Site Notice