HomeMy WebLinkAbout1996-008538 - add/remodel _ � P�RMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: �;:i I=��s�,f•�C.;
(612) 473-7357 Date Issued: ���-�==° = -
1 i f=:� �'�r,
SITE ADDRESS:
�..__„��_, �;x�;—i€��°�� ��'"�' . ..1
+.�H
�'� . .�. . !� . ��)'-1--E ��— - —i li~:���-;
DESCRIPTION:
����3i:i i;��::�:t�,�
��+.�i1:_s����� �=`r�t,r{�it. Ty.;-,�, '=��=—r�i��:`�r�;�yi��i-
�ti�7. : ri i �F=� �.�:-���'t:: '�y���r F-�Cti�)j,j T�iE�
•`.li�:L: i ir r 1.�l�'.�'t��}' �t—:�
C:r;�t`tC{.i�t.�r�.;,..-.:� "{�y�,ti:� 't1t�.�_
,��71111�_� I �i—�,��
�:E'il�11� f,E�:s..f�' �_�� �=?�._ � . Fi�`•�: i �J�.f���.Fs4_
REMARKS:
'�;i��'�=��i��T� �-',=�t i I T°� �;��:���I�iEC� r i ih �•���:!-t��t��T c=:E=;�__ �::;�vi� i�+_�:s=;�I�:�t�� t:°_T�i�i�::� .
FEE SUMMARY:
..> .",E..�.1�.;���►i:ii� �r=,�,, .,�,c_�
_�:�=.._ .��_ . � �_ . �i:�
�' ( �i� �i��j i t?ta} :•:3.:_' . . _. _
'�;(..l1^t.=C"t.�!3'=�F' ____ _�':�Y';'^_.�t',�i
-��,�,�..�1 �YN << �!-;�:; . �.�,
CONTRACTOR: _ �C,�,; ; �._�,;f, _ :_,-4 , �_;�,: OWNER:
_+�fi�?:��`�fta H!�!fi•!�'•_� j,1J.7�ii�.1��,=; €:ii:+i_ii �.:i=� 1���.�m�'��i'�:��{1I{==F` �'.I���-if��=it��
�=s;-�.:: :^^�•}�-- �: �:�_�: �
���� �;3 �:�. � � . , ,�; �;�,��-iia�=; ��� ���
V�f-s�Y�:_�I f-3 i''r`•; '�_=`;i? i_l�-�I_I�'+3t! i'•j� !�i�t_��,
i r,'i '.'�i �.� :��i�.:= r�i�t_.C;i ��:�
:�'��' !_�i�[})tyj=����1�71'ti?�T� tii.�'..`J�;'3' �z;;.�{"i;�;:'`•��}:_a E='?��,`�'i.i'-��_��?_i!1j !1_f �'*'-���.� !t i� '�'.i_i't�_ ?��;'—'R�;'t�it;%��}11:3:��'.�:
_ .. . _.— — — . _ _._ __�._ 7 ^�
_� ...r �.-i � i+•� � , : � i i�E 139 ,-`;I �z;�t_E�Z=� � ��! ti 9 t � i"1-�i i •.�F�i�.,ro _ h_ . 3 .. �.
1- � I �(�) �-,l��, .i �1=-�- ,: ' ' �. . . -�� ,_ ;t � !'-'.y�,.,_ �-;; i i. ! �� , 31-'
_.. .._�:_ ____ . .__ r'.__ _ _. . _. ., . ...__ . . ._ �-- -.i'i. _. s� .. _. . . . _. .. ., . _.
L ±i�;}i���� i�h:�I t�1f-�i��r:%:=; r��li� �=�i��� i:�:;= r�r t�����.=:i�f�Ti� E,:;I LU i h�i� �:t�j i� i:;��r�„;i�i�������j�i'� . �
nn� Cv�t �.�-x� ��C�.�
APPLICANT- RMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ �, ,' ���� "�;� ;:�_=� Date Received: �1�.,,/=��,
Entered By: , ,k Pernut#: �' �
CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTOR
JOB SITE ADDRESS: 1580 Bohns Poi nt Road Wayzata ZIP: 55391
NAME OF OWNER: Ri chard & MaryJo Kovacevi ch PHONE: (home) 471-0195
(work)
MAILING ADDRESS: Same as above CITY: ZIP:
CONTRACTOR: Jensen Homes, Inc. pHpNE: 475-0548
CONTACTPERSON: James N. Jensen MOBILE/PAGER:
MAILINGADDRESS: hni i akPshore Pkw�T-#1��5 CITY: Minnetonka ZIP� 55305
STATE LICENSE: # 1156
ARCHITECT/ENUINEER: Bruce Schmitt & Assc. PHONE: 476-6222
MAILINGADDRESS: 320 Manitoba Ave. South CITY: Wayzata ZIP: 55391
NAME; Bruce Schmi tt REGISTRATION# 14549
TYFE OF WORK: New Addition ;� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: Li vi ng room addi ti on
STORIES: SQ. FEET OF EACH FLOOR: 392
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $65,000
I hereby apply far 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 acco dance with the approved plan.
APPLICANT'S SIGNATURE: DA�; 9/6/96
NOTE! Parade Q 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 SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the dara 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 confidential data concerning himself 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 known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by srate or federai law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative daca, pursuant to section 13.82, subdivision 5, to a taw enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property 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 stored data on individuals,and whether it is classified as public, 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 action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsib(e authoriry shalt 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 ro 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 Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that[ime,he shall so inform 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 himself. 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[o be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomptete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shatl 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 ro 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 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 permit 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.
James N. Jensen
First Middle Last
601 Lakeshore Pkwy Suite 1225
Address
Minnetonka, MN 55305 612-475-0548
Ciry State Zip Phone
I understand y rights as stated bove.
�
Si ature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t���, C3�xrv5 Pe+�,; (���
PID:
DESCRIPTION OF WORK: �t�� � T�c;�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: : (j�J�-._ DATE APPROVED: � � - {-�f c,:
BLTILDING REVIEW BY: ' � _ DATE APPROVED: '�) � I -� t..,
------------------------------------------------- ;, --------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ✓� No SEWER CONNECTION
STATE SUR:�IARCr� Yes � No WATER CONNECTTON
INVESTIGA'I'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: �,R-1(3
Fire Department: �1_R�Z,('� Post Office: �J(�!y Z4 c'74 School District: E�'L-c:a;t8
Lot Area: Sq.ft. (o�,� �`) t Acres � �`� 1 Width 2 z �� Depth 21� •� i:,
Survey Submitted: Yes �� No Date of Survey: Ei Z-��`f tv
Proposed Setbacks:
Front (Lake): 1�-10� �' Right Side: _S! � +
Rear (Street): � ���� fi Left Side: � S�� `�
Adjacent Structures: !�+'�'}���=-� Wetland: ,N � �
Building Height: Def. Hgt. �,\�— Peak Hgt. O,k
Lot Coverage: �, f L
Grading: Staff Approval Date: ��✓� By: — Council Approval Date: �--
Septic: Staff Approval Date: N f �k By: —
Zoning File: # 2�6� Resolution: # 3�?`��1 Resolution Date: ��'- �4� `1�
Shoreland Dist:ict: y�5
Avg. Setback: �.rt Biuff Setback: ��v� LotCoverage: � �/a
Existing Proposed
Hardcover: 0-75'
75-250' `� 1<2 ?7.r li
250-500'
500-1000'
Hardcover Variance Required: Yes v� No Date of Council Approval: �o Z`� ���
REMARKS (in house):
� 26
BUII.DING REVIEW CHECK LIST
UBC: (Z -� CONSTRUCTION TYPE: �V 1`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
v�
Estimated Construction Value: $ �5 ,Uc��=
Inspections Required: �Vork Requiring Separate Permits:
Site . Plumbing Fire
Hazdcover Removal �, Mechanical Water Connection
vc Footing Septic Sewer Connection
�— Framing Fireplace Lawn Irrigation
,� _ Insulation (Masonry) Other
;� Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling ;�c Electrical (State Pernut)
Other
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERNIITj:
27
liAKllLUVLK LALLULA� VKri�riLLt
� SETBACK "LONE: (CIRCLE ONE) 0-75' ( 75-250'� ' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House x = 4,480 S.F.
Length W idth
Conc at Pool X = � ti��, n� S.F.
wal l s - total x = 11? S.F.
3-sl abs x = �4 S.F.
B. Garage x = S.F.
C. Driveway x = 1,880 S.F.
A/C sl abs X = 16 S.F.
D. Sidewalk i n bdCk i ncl , pati o x = Z87 S.F.
Remai ni ng �wa-T c�— x = 720 S.F.
E. Patio/Deck Deck x = ��5 S.F.
StOop x = 128 S.F.
F. Landscapc x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other Steppi ng Stones x = 58 S.F.
TOTAL HARDCOVER IN ZONE - 9,920 S.F. A
TOTAL PROPERTY AREA IN ZONE - 39,800 S.F. B
A 9,920 - B 39,800 x100 = 24.92 %
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length W�d�
X = S.F.
R = S.F.
X = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
R = S.F.
D. Sidewalk 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 = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - s•F• B
p - B x 100 = %
14
HARDCOVER CALCULATION WORKS
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING 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 = 1 �1�0 S.F.
x = S.F.
D. Sidewalk 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 = S.F.
TOTAL HARDCOVER IN ZONE - 1,180 S.F. A
TOTAL PROPERTY AREA IN ZONE - 7 ,950 S.F. B
p 1,180 — B 7 ,950 x 100 = 14.84 %
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length �'�d�
X = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk 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 = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
p — B x 100 = %
14
, HARDCOVEC,��CULATION WORKSHEET
SETBACK "LONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING 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. Sidewalk 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 Stepping Stones x = 116 s.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - 17 ,115 S.F. B
p 116 — g 17,115 x 100 = 0.68 %
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. Sidewalk 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 = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
p — B x 100 = %
14
/ .
DATE TIME �
CITY OF ORONO b;S 3� CALLED IN I Z '�l0-��
INSPECTION NO C SCHEDULED fd-a 3 �3% �'�
PERMIT NO. COMPLETED
ADDRESS ���'� ���� �t �Z�
OWNER �G � CONTR. S�/�yLa.e�n ��-�
TELEPHONE NO. ��s- ��S ��
� DESCRIPTION
� 01 FOOTINCi 11 MECHANICAL RI 18 EXCAV/dRADINO/FIWNO
Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TpEE REMOVAL
Q 04 WALL B0. 12 WATER HOOK-UP 17 SITE INSPECTION
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL. 72 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FINAL 35 HAHD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �IORK SATISFACTORY:PROCEED -. pROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ GTATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractorp�it��`
Inspector. �� v
White Copylinspeclor's File Canary CopylSite Notice
DATE � TIME
CITY OF ORONO CALLED IN ��"/ 3 ��'
INSPECTION NOTICE SCHEDULED � - i �'% `'�'
PERMIT N0. �S�� COMPLETED �� '� , : � �1
ADDRESS ��� G� ��i�z,a �f /�c�
OWNER Ka�'�-�f.-��-c�✓ CONTR. '�-��-'�-�
TELEPHONE NO. � 7�- 0 ��
� DESCRIPTION /,C G�G�
� Ot FOOTINd 11 MECHANICAL RI 18IXCAV/GRADINC�/FIWNO
� RAMINC3 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05�►�q� 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PIUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d �WORK SATISFACTORY:PROCEED = PROJECT COMPLETE
W
� 0 CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContra or ,�site:
,
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
DATE . TIME
CITY OF ORONO CALLED IN -� -/3 �`�
INSPECTION NOTICE ,- SCHEDULED <- �� /G % e�
PERMIT N0. �� �� COMPLETED K �
ADDRESS /5��'�% �c� Z-� �� /���
,�
OWNER ���L'�' �� �:�-�- CONTR. �2�-E.� ��c�-r�-�
TELEPHONE NO. `f 7 S - G'S /�
� DESCRIPTION �'���r�
� 01 FOOTINO 11 MECHANICAL�i-� I)'�j(�} i8 IXCAV/dRADINO/FIWNO
y 02 FRAMING MECHANICAL FINAL �� 19 LAI�SHOREJWETLANDS
Q 031NSULATION PLACE 34 TREE REMOVAL
Z pq BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� FINAL 1 � 14 SEWER HOOK-UO 06 PROGRESS
J 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
k
W
�
Q
�
2
W
�
W
�
�
d ORKSATISFACTORY:PROCEED - PROJECTCOMPLETE
W
� 0 CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUHN `
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContract o e:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice