HomeMy WebLinkAbout2000-P02574 (deck) CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s�4
Cryst�l Bay; Minnesota 55323 Permit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 6i2g�2oo
SITE ADDRESS: 2715 Caroline Ave
WAYZATA,MN 55391
PID: 20-117-23-24-0007
DESCRIPTION: UBC Occupancy R3
Construction Type V
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25
Valuation: $ 3,250.00
Plan Review Fee: $ 63.18
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 162.08
APPLICANT: PROJECT FACILITATORS OWNER: T M&L B REJZER
5057 THREE POINT BLVD 2715 CAROLINE AVE
MOUND,MN 55364 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 NIINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNA7'URE ISSU BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ /G,�, C�� Date Received: (� -- f %- c �:
Entered By: ,�',� Pernut#: ,�c��5 7�
� CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al information
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: `2.��5 C�R.A��ti►.� �u� . O'Ro►-►o ZIP: 5 5 3�1 'Z
NAIV� OF OWNER:�Om & L�.tR� �E SZ E(�. PHONE: (home) �-1 1 -1�� 4
(work) l.�urtiE 3�4 9 S 3 2-
MAILING ADDRESS: 2�t5 ch��zot..i*-t� A..� CITY: t�R.��-+o ZIP: Ss�qZ
CONTRACTOR: PR��T �hc-��-�T°Y�oRs PHONE• 4-12- ��Z-o
CONTACT PERSON: � 8�.-���"•- MOBILE/PAGER:
MAILING ADDRESS: ScF;� TH^2� P���►� $�p CITY: t'n o��-►D ZIP: 5s��4-
STATE LICENSE: # 2o Z o �j z�-7
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE; REGISTRATION#
TYPE OF WORK: New Addition X Accessory Structure �
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: ��� Low l.�-cv�-2. �P�.�FoRir -t-� �`ST�+�G
�cc�
STORIES: 2- SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. "L- DET.
ESTTi�iATED CONSTRUCTION VALUATION (excluding land): $ 32 s�
I hereb�� apply for a building permit and I acknowledge that the information above is complete and
accurart: 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.
APPLIC �NT'S SIGNATURE: (��it.�-,� �`r��� DATE: du�v.�= l9. Zoa�
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.
9
Sec.13.04 RIGHTS OF SUB.TECTS OF DATA
Subd. 1. Type of data. The righu 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 private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecring state agency, polirical subdivision, or statewide system; (b)
whether he may refuse or is le2ally 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 identity of other persons or entities authorized by state or federal law to receive[he data. This requiremen[shall
❑ot apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officec
The commissioner of mvenue mav place the notice required under this subdivision in the individual income tax or propertV 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
stoied data on individuals,and whether it is dassified as pubGc,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 that 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 months
thereafter unless a dispute or acaon 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 authority 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 Samniays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within
that time,he shall so infomi 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 liimself. To exercise this right, an individual shall notify in writing the responsible authority 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 notify past recipients of inaccurate
or incomplete data,including recipients named by the individual; or(b)notify 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 determinanon of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act relating to contested
cases.
DATA PRIVACY ADVISORY
In accordance with N1.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 pernut 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.
I�T�-��—t � �L.�-�c l���.
First Middle Last
-r"jo�"7 TH'R.C� I'o i ti-aTs 8�--�s'D
Address
Yvtau�� M� �5364- 9sz 4�z i�zo
Ciry State Zip Phone
I understand my rights as stated above.
���f'�..�— ,�'�L-Gi-c�-GV.��
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERII�IITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: Z.1 �•5 cr,�z�a�.��•,�:, t��=
�'ID: �
DESCRIPTION OF WORK: +Q c:�c_;L
ZOr'I�G REV�`V BY: DATE APPROVED: � -2.i —vo
BUILDiti'G REV�tiV BY: DATE APPROVED: Go •z-� `�v
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes ✓' No SERTER CONNECI'ION
STATE SURCHARGE Yes �/ No WATERCONNEC"ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOi�iI�.�iG CH�CK LIST Zoni.ng Districc: Jv v c�+R��
Fire Deparcment: Post Office: School Disuict:
I.o[Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Fron[(Lake): Right S' e:
Rear (Street): Left Si :
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolu[ion: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff e[back: Lot Covera�e:
Exist' g Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' � �S'�
Hardcover Variance Required: Yes No Date of Council Approval:
RENIA.RKS (in house): (,o�,,., (��- ✓1-e c,c`- �5 /+ /�to� —c=r�C�'���'`�
7
BUII�DI�tG REV�W CHECK LIST � ,
�C: 2 ' 3 CONSTRUCTTOti TYPE: �/
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd Floor x =
Garage x =
z —
TOTAL
Estimated Construction Value: $3 ZS O �-
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
D< Footing � Septic Sewer Connection -
a( Framing Fireplace Lawn Irriga[ion
Insulation (Masonry) Other
Wall Board (Mfg,) Well (State Permit)
��� Grading/Filling Electrical (State Permit)
Other
REI�IARKS (IN HOUSE): .
---------------------
REV�`V BY OTHERS: D�,�:
Access: Ezisting New
Access Approval: Date gy:
REI�IARKS (TO BE NOT'ED ON PER�tiIIT�: M~
8
HARDCOVER CALCULATION WORKS T r����� 3'� � �
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S��1�00�' ��1 �'�' :S'� [ k;
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EXISTING HARDCOVER IN ZONE
, A. H�use � 2 x 35 = 2-t-7 o S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage w«�i-�N �'�5� x = S.F.
C. Driveway 4�-- x 20 = $4o S.F.
x = S.F.
D. Sidewalk �o x 3 = 3d S.F.
x = S.F.
E. Patio/Deck � �7 x �� = Z g`� S.F.
I S x � = q o S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - 3¢l�1 S.F. A
TOTAL PROPERTY AREA IN ZONE - 23 � o�' S.F. B
A — B x 100 = 15 %
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewaik x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other (`� x l� _ ��9 1 `� � S.F.
TOTAL HARDCOVER IN ZONE - 3 6 1 S S.F. A
TOTAL PROPERTY AREA IN ZONE - 23 oor� S.F. B
A — B x 100 = I�•'7 %
13
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DATE TIME
CITY OF ORONO CALLED IN �-l�%-0�� �'35
INSPECTION N TICE SCHEDULED � "IU-Uc'� f � ���
PERMIT NO. L���� � COMPLETED j� �J ` ��
ADDRESS ���S C�C�GI(✓u- �W�
OWNER CONTR. ,�i V;,n�°,�
TELEPHONE NO. �1�^���L
� DES IPTION 1�.2.�� _
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED -! PROJECT COMPLETE
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� C;CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O C;CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL REfURN r CITATION ISSUED
C] STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCont r on site:
Inspector. �����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED W �� 3��
INSPECTION NOTICE / J SCHEDULED �"�'`-� �'y�`��—
PERMIT NO. f�l�-ZS � y COMPLETED —�'�' �
ADDRESS L�/S G.�rc���%��� �v�
OWNER CONTR.f����GI �1C,l� �c�f���
TELEPHONE NO. cS�L -� ��7 z- `�� 7--��
� DESCRIPTION D�GC�'�'
l� 01 FOOTING 11 MECHANICAL 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 05 FINAL - 14 SEWER HOOK-UP 06 PROGRESS
� 07 D SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
i� CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. 249-46��
OwnerlContract r on site:
��j� t�
Inspector. %/
White Copyllnspector's File Canary CopylSite Notice