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HomeMy WebLinkAbout2003-P06226 (add./remod./repair) " '� PERMIT C I TY O F O RO N O Permit Num ber: 2750 Kelley Parkway - PO Box 66 po6226 Crystal Bay, Minnesota 55323 PeP1711t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: s�2�i2oo3 SITE ADDRESS: 2715 Caroline Ave Wayzata,MN 55391 PID: 20-117-23-24-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: riumoing iviecnanicai rirepiace imgaiion Eiecmcai�s�aiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,273.75 Valuation: $ 150,000.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.50 TOTAL FEE: $ 2,1'7'7,Zg APPLICANT: Lake Country Builders OWNER: Mr. &Mrs.Rejzer 339 Second Street 2715 Caroline Ave Excelsior,MN 55331 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 UILDING CODE REQUIREMENTS. � ? v � /;t_ �r��� -� - - - _--- - -,�C ; �c' ( � ✓��. / n��'J� APPLIC T PE ITEE S[GNATURE SSUED BY SIGNATURE Copies: 1-File(SiQnitures Reauired), 1-Anplicant 1-Monthlv Reports, 1-Assessing, 1-Finance � page 1 A w Total Fee: $ !-� / I � ' � '� Date Received: `1�3 � � Entered By: ,'�� ' Permit#: �)��/� 2 Z C� }'���/ r'/. -;1/t' j 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 O CONTRACTOR JOB SITE ADDRESS: � �I S �ur6�.K� �{„�. ZIP: J � I I NAl�ZE OF OWNER�/ (/✓h d' ��U�vt� � �-+�- Z-C. � PHONE: (home) q�' �/��/-7!2 � . (work) MAILING ADDRESS: ,�-a yV�,Q_ CITY: __._—��:----- �--- CO\�Rl-�CTOR: �-L ���n/�. {I1.�..� I �v� PHONE: q So2• �I7`J • �I o�-� �� CO`�TACT PERSON: ��r� (,��. NIOBILE/�?��t: . O 1 • �'1 /,� NL4ILING ADDRESS: � � �'t S�urn Z S}-�rY�CITY: �YC,� S� a✓ ZIP:��J3 l ST�TE LICENSE: #13L.2 0 3 << q 6� q ARCHITECT/ENGINEER: PH0�1E: l�I_4II..ING ADDRESS: Y: ZIP: 1�L4.1IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(d scribe in etai : ,I�'/ �,Q/� � � ' �l �"i�t�ti�� , STORIES: _�_ � SQ. FEET OF EACH OOR: �Cj o� S 1�O. OF BEDROOVIS: � � GARAGE STALLS: ATT. � DET. . ESTLI-IATED CONSTRUCTION VALUATIO�t (excluding land): $� SO Q � G I hereby apply for a buildinJ 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 perm.it; and that the work wi�I be in accordance�vith the proved plan. APPLICANT'S SIGNATURE: DATE: G � �� , NOTE! Parade of Homes events requtre separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � � Sec.13.04 RIGHTS OF SUB.TECTS 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 secdon. Subd.2. Information required to be given individual. An individual asked ro supply private or confidencial data concerning himse(f shall be informed of: (a)the purpose 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 lrnown consequence arising from his supplying or refusing tn supply private or confidenda]dara;and(d)the idenary of other persons or ennaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigacive data, pur5uant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or orooerrv tax refund instrucrions mstead 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 stored data on individuals,and whether it is classified as public,private or confidenrial. Upon his further request,an individual who is the subject of stored private or public dara on individuals shall be shown the data without any charge to him and, if he desires,shall be informed of rhe 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 thereafrer unless a dispute or action pursuant to this secdon is pending or addiaonal data on the individual has been collected or created. The responsible aurhoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible auchority may require the requesring person to pay the actual cosu of making,certifyin„and compiling the copies. The responsible authoriry shall comply immediately,if possible,wich any request made pursuant to this subdivision, or within five days of the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wich the request within that cime, he shall so inform the individual,and may have an addidonal 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 c'ara concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagre��aent. The responsible authoriry shail within 30 days either: (a)correct the dara found to be inaccurate or incomplece and attempt to nocify past recipiencs of inaccurate or incomplece dara,including recipienes named by the individual;or(b)nocify 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. 'Ihe determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminisnaRve procedure act relating ro contesced 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 �ity of Orono or any of its departmeats may require you to furnish certain private or confidential information. You are notified that: 1. T'he 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 pemut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri?hts 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. S (i��(, �. , � ! First Mid �� � � Last ��M � �� �a 55 �-y �..e. ' yV S 5331 ,�`�2 � �17�/- 7/Z� Ciry State Zip � �/� , �O� � �^� / % "/ (,�, I und d i�hts as stated ove. � , � a.� igna re 6 a �-.. � • CHECK OFF LIST FOR ISSUA��ICE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2�t S G���.-���- 14,.-� PID: DESCRIPTION OF`VORK: !��/�i r�•�//Lcr3'�,o�c- ZO�TING REVIEW BY: DAT'E APPROVED: s-zZ-��3 BUILDING REVIEW BY: DATE APPROVED: s -Zz-� 3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No pLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes c/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------- ZOti�VG CHECK LIST zoning District: Fire Departmen[: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: /-6 -b 3 Proposed Setbacks: i Front (Lake): SS' Right Side: �8 Rear (Street): 6�' Left Side: `'�3� Adjacent Structures: � /� Wetland: N/A Buildin� Hei�,ht: Def. Hgt. U�I� Peak Hgt. �•(� Lot Covera�e: 12 b °�� Grading: Staff Approval Date: 5-2'Z-o� By: � Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: . . Shoreland District: t,,,pg Avg. Setback: �vC/� Bluff Setback: e✓�� I.otCoverage: /2.� Ezisting Proposed Hardcover: 0-75' 75-2�0' 250-500' </6. I � Zb.y�3 500-1000' Hardcover Variance Required: Yes No�_ Date of Council Approval: RE�IARKS (in house): 7 " � a . � BUILDING REVIEW CHECK LIST �C� Q' 3 CONSTRUCTION TYPE: �/N Sq Footage $ Per Sq Ftg Basement R = lst Floor x = 2nd Floor R = Garage R = R - TOTAL Estimated Construction Value: $ /SO,ODa°� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection X Footing Septic Sewer Connection �Framing d'—Fireplace i Lawn Irrigation _�Insulation (Masonry) Other �Wall Boazd � (Mfg.) Well (State Permit) Final Grading/Filling _�Electrical (State Permit) Other REMARKS(IN HOUSE): _______ --------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existin; Ne�✓ Access Approval: Date By: ----------------------------------------------------------------------------------------------------------------------- REA�ARKS (TO BE NOTED ON PER��IIT�: 8 MAY,19-2003 11�19 LAKE C��Y_B�L�RS� ' � ` r '`J 9524747957 P.02i02 . I � — �� l HARUCUVER CAT,CULATION WORKS +'�+'T ��'�n� �='"�`'�'.��.- �����.�� � �,�.' . �. � �� �-f' �� a � ,��,r SF.TRACK ZONE: (C1IZCLE ONE) U-75' 75-25U' ZSU-500' SUD-1000' TXISTING HARDCUVER iN 7,ONE A, House .,_ x ___ �� _ �/-S0� S.P. Lcngth Widdi . ..� ._.... x ,..__ ;:. S.F. -�— x .,.....— '- S.F. ..�.— X __` -- S.F. Iucc.+.DgD ��l ,.... B. Garage v,_ x ,._ = 1{w5E S.F. C. Drivcway _..,,_ X „� _ _^,_.�0� S.F. � x _.__ ' S,F. D. Sidewfilk _ ___ x ,�_ _ �_ ��� S.L•', X -W.— = S.F. �. Pat.io/Deck - M -,.... - —�.S_�O S.r. __ ...._ x _,... - —._.,. S.F. P. Lt�ndscape ., . x _. ..,..._ = 3oS S,F. Underlain _,,,,.. X — _..__ = S.F. �iy Pl�stic _�_ .._.. X = S.F. Cl. Other SS'Ttr..+ctv�v_� x _ �?-�o — __,— S,F. TUTAL HARDCO'Vl:R 1N ZONE - 3�ZI3 S.F. A TnTAL P),'tO1.��RTY AREA iN zON� - T^�+ `jv� S,i�. B A 3�Z1�_ = r3 . I`�;q.� x 140 = �Q. II .,% PROPOSED T-IARDCOVER IN ZON�; A, I3uuac „ x ._. - s�s S.P, Leng�h widdi .� X .,-- - _..._ S.F. __�, X .__,,,._._ - S.F. X __,,,.— - �._ S,F. B, Gc�ragc ._.._._— X —_._.,...._._. •- S.F. C. Driveway ,_..._ X .,,.___ = S..l�. X , .....�--- -= S..F'. D, Sidcwalk x , S_}� _�.._.— x ---.._.� ......— _ �__.. ,�. S.F. E. Patio/r)eck x = 9'(p g,�, _._. ,....------ x �,�.._.__ - _.,._..w__ S.F. F. Landscape .µ�_ x __.,.,,_ = S.F. � - - .-...._.�— Underlai n x = S.F. ,......••--- •_",�.,..... —_..,.,_...— By PlaStic �,_„ x = S.F. G. Od�cr _.__._ .,...�--- X ,_....._.._— --,,.. S.F. 'I'UTAL HARDCOVER TN ZONB - � S.F. A TOTAL PROPERTY A.1Z�A 1N ZUNE - �µ T S.F. B � `8�b�S.5 A 3 g i ,_M_ - $ l `� x 1 UO = . ..�_.. . o�V 2o.�(g ro TOTAL P.02 CS�fi� r�/ .., D,A,T� � TIME CITY OF ORONO CALLED IN �� INSPECTION TIC ��� SCHEDULED ,� -f5 /?3 ' o PERMIT N0. COMPLETED ADDRESS � 7�� � OWNER CONTR. C1.2I�Q (�Cr�C�rr.�� 6�Gi.� TELEPHONE NO. �� Z ��o l0 7�_S GI � DESCRIPTION �� � 1�,F�OOTING 11 MECHANIC I 18 EXCAV/GRADING/FILLING Q 02 F MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMM T • a �� � � 7�� � — - l o ' � _' �' 0 � W � Q z -- �a (� -- S W � W � � � �IVORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑COfiRECTUNSAFECONDiTIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnedContr s e: Inspector. White Copylinspector's Fi Canary Copy/Site Notfce C5��� / 6� �- � DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED ��'Z '� ��"� PERMIT NO. � � COMPLETED � '�" ADDRESS d7� S � OWNER CONTR. ��- �-���%►��''? TELEPHONE NO._ �S2 `�7`�' 7/Z � � DESCRIPTION _ I � -" V r°�-�� 1`�� � 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/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-S�TE 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q ti Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PEFMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (J52� 249-46�� OwnerlContrac s' • Inspector White Copy/lnspector's File Canary CopylSNe Notice Cs.� > ✓ / DATE TIME CITY OF ORONO ����Z�P CALLED IN �ol� INSPECTION TI SCHEDULED 7�?f-l�3 � r PERMIT NO COMPLETED ADDRESS �7��S L���� OWNER CONTR.�� �-��Z��-�. 1X��� TELEPHONE NO._ ��Z •��'�c ��5�} � DESCRIPTION I�S U�C�f1 L�'y� � 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/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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti 2 W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR AEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REiURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED O INSPECTION RE�UIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractg, site: �K Inspector. �� White Copyllnspector's File Canary CopylSite Notice s�-� .; DATE TIME CITY OF ORONO CALLED IN INSPECTION I SCHEDULED � G�3 I.CO PERMIT NO. COMPLETED ADDRESS � 7�� ���� ��-� OWNER CONTR. L����� � TELEPHONE NO. ��Z —3 Z[� 'D�� � !"�-L��c � DESCRIPTION �'C�� � Ot FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Cali forthe next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContrac�a�h site: Inspector. V White Copy/lnspector's File Canary Copy/Site Notice ��`� • DAT TIME " CITY OF ORONO CALIED IN � `�� INSPECTION NO SCHEDULED - D3 0�y a PERMIT N0. a COMPLETED ADDRESS �—_��/S- C�Gc rG'�i�1.-.� _ �� � OWNER CONTR. ���' Cvt��t��--�i ���5 TELEPHONE N0. ��� ��� Ci�y-��' � ON l�o�� � 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 0 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 `� 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� a � � � O >. � O � W � Q � 2 w � W � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n x inspection 24 hours in advance. (952) 249-4600 OwnerlContraet��i ' .� Inspector. � White CopyllnspectoPs File Canary Copy/Site Notice