HomeMy WebLinkAbout2005-P09337 - addn/remodel/repair PERMIT
-�ITY OF ORONO
2750 elle Parkwa PO Box 66 Permit Number: P09337
i Y Y-
�rystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
t952) 249-4600 Date Issued: 12/2/2005
SITE ADDRESS: 3457 Crystal Pl Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Replace Existing Deck
FEE SUMMARY: Perniit Fee: $ 57.05 valuation: $ 1,600.00
Plan Review Fee: $ 37.08
State Surcharge Fee: $ 0.80
TOTAL FEE: $ 94.93
APPLICANT: Owner/Self OWNER: Peter 7 Hill
� 911 W 47th. St.
Minneapolis,MN 55419
THE UNDERSIGNED H�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDIIVG CODE REQUIREMENTS.
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APPLICAIVT PE MITEE S[GNA RE ISSUED E3Y SIGNATURE
Copies: 1-File,�Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
e
� Total Fee: � 9T. 9.3 Date Received: �6����'I
Entered By: Q� Permit#: � ����c,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please priiit all information)
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THE APPLICANT IS: (circle orte) OWNER OR CONTRACTOR
JOB SITF ADDRESS: � � S�� ��<._ � �/� ZIP: S�J`"�l
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS ❑ lvo lfyes, n special e1�e��1 pernrit is requir�ed with Polrce Deparin�ent nnd City Cou�zcil appr•oval
60 dai�s prior to the evefit. Shuttle birs service tivill be requirec�un/ess npplica�vt de�nonstrates
sufficient o rsite par�king is availnble. Non-per•�nrtted evexts�i�z!/not be alloi�ved.
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NAME OF OWNER: ���� �`�' �� PHONE: (home)
/ (work)
MAILING ADIIrRESS: ���� �/'�/P� �l/�ITY: �'� ZIP: _�;���
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
�TATE LICENSE: # EXPIRATION DATE:
ARCHI'I'ECT/ENGINEEIt: P�IONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory tructure
Move Home Remodel/Alteration
PROPOSED WORK(desc�•ibe in detain: ��(��/� ��C'�-l<.
s�o�l�s: _� se.����r o���cx��oo�: ��S'"�
NO. OF BEI9�20010�I�: GARAGE S'I'ALLS: A'I"TACHEI) 1��T'��IIEI2
�ST�IV��'TE�CONS�'�T2UC"TION VAI,LJAT'ION(exclud►ng land): � _
I hereby apply for a building permit and I acknowled�e that the information above is complete and accurate;
that the�vork will be in conformance �vith the ordinances and codes oftl�e Cih� and with the State Buildina
Code;that I unclerstand tllis is not a permit an u� rk is not to start witl�out a permit;and that the work will be
in accordance with the approved plan.
APPLICAI�IT'S SIGNA�'�1I2�: � I)A'g'E: ���" �� -�
31
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Scc.13.04 RIGHTS OF SUB,IECTS OF D:�TA �
Subd. 1. Type of data. The riehts of individual on�vhom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Infonnation 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 d1e requested data�vithin die collecting state agency,political subdivision,or starewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any kno�v�i consequence arisine 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 the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcetnent officer.
The commissioner of reveiwe mayplace the notice reguired under this subdivision in the individual income tax or property tas refund
instnictions instead of on those forms.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shal I be intanned whether he is the subject of
stored data on individuals,and whe[her it is dassified as public,private or confidentiaL Upon his further reyuest,an individual who is the subject of
stored private or public data on individuals shall be sho��n the data�a�ithout any charee 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 meanine,die data need not be disclosed to him for six
months dzereafter unless a dispute or action pursuant to diis 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 makin�,certifi�ine,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any requesc made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidavs,if immediate compliance is not possible. If he cannot comply wiih the request
within that time,he shall so inform the individual,and inay have an additional five days�vithin�vhich to comply with the request,escluding Saturdays,
Sundays and legal holidays.
Subd.�3. Procedure�+hen data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data
concerning himselE To exercise this right,an individual shall notify in�vriting 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,induding 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 thc individual's statement of disagreement is included with the disclosed data.
The detennination of die responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases
DATA PRNACY 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:
l. The infonnation you furnish will be used to determine your qualification for the permit or license
requested.
?. You may refuse to supply data, but refusal may require that the City deny the pennit or license.
3. The infonnation 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.
�. Yoi lave certain rights under i�1.S. 13.04(available upon request)to review private data on yourself.
6. Y ` frfJ��ie is required to process this application or permit. �
C�v —�— /.� l
First , Ntiddle LAst
Address
Cit�' State Zip �'hone
i unde►•stand rray 'b tat c�above.
V
Signature
�?
CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS
' � FOR OFFICE USE ONLY
'ADDRESS OR LEGAL: 3y5� Gi?�Sil�c- �cs��-c:
• PID:
DESCRIPTION OF WORK: ,(��a,�
ZO��T�1i G REV��V BY: DATE APPROVED: l 1-z�• n S
BUILD�G REVIE�V BY: DATE APPROVED: � i. z,-o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ No
PLAN REVIEW Yes �' No SEWER CO1�iVECTION
STATE SURCHARGE Yes _�/ No `VATERCONIVECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZOi�1I�1G CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Se.ft. (,�57.3`� Acres . I5� Width � Depth / 35./ S �e
Survey Submitted: Yes �_ No Date of Survey: Il-ib-bs
Proposed Setbacks:
Front (�ej: _ 3�' Right Side: i 3�
Rear (�rcetj: �� � Left Side: Ib�
Adjacent Structures: q-�-�qec�ti� Wetland: /v"1�
Building Height: Def. H�t. � (A-- Peal:Hgt. —
Lo[ Covera�e: (_,ESs �-{�lArc ►�o�s� -�r
Grading: Staff Approval Date: �J I�P By: Council Approval Date:
Septic: Staff Approval Date: nl(F�- By:
Zoning File: #_ — Resolution: f# — Resolution Da�e:
Shoreland District: �o.�s
Avg. Setbac� �r ig- Bluff�ecback: �/� �ot Covera�e:
��5��� Proposed
Hardcover: 0-7�'
7�-2�0' .
2�0-500'
�00-1000' ��3•�( ��
Hardcover Variance Required: Yes No�_ Dace of Council Approval:
���.��2�� (an�ouse):
7
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BUILDII�TG REVIE`y CHECK LIST •
UBC: (Z• 3 CONSTRUCTION TYPE: Vy�f
Sq Foota�e $ Per Sq Ftg
Basement x _
lst Fioor z _
2nd Floor x =
Garage R _
�e�-`'� floC7 R � U.00 = lle0o �
TOTAL
Estimated Construction Value: $ L 6 D o ``�
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
, � Footing
Septic Sewer Connectioa
_p� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Ocher
Wall Board (Mfg.) Well (State Permit)
�F�� Grading/FIlling Electrical (State Permit)
Other
RENIARKS (1N HOUSE): — ^��_ --------
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REVIEW BY OTHERS: DAT'E:
Access: Existina N�w,
Access Approval: Date gy;
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REVIARKS (TO BE NOTEI) ON PERNIIT�:
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CITY OF ORONO CALLED IN `�
INSPECTION NO CE SCHEDULED
PERMIT N0. � �33 7 corn LETED
ADDRESS � �� � �
OWNER CONTR. '
TELEPHONE NO.
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� SCRIPTION C C l�(
� Oi OTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 2 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 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra r n ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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50.3 plat �. _.— --1
N86'14'40"E 50.10 meas. _... � _.---
— — — — — _ .�.. 1 I
T � 70 ' I
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I AREA = 6,757.38 Sq.Ft.
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Existing House � � I `,i;
y � f
� "�' � y Existin4 Nouse
� � � � �;°� �,` �_�
''•� � Existing House � I �,�o pe c�._
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15.2 � � i r" 8 �:
{\ /...i �: C.uDi.. i':w...� �S�O�
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� 4 `• 12.8 12.8 � 9.1 �•�.�..._ I
R �� � Fence is 1.3.t feet west of boundary line
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IExisting Garage I 7 y Z�
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_ � _ _ _ _ " �- . _..,_....__.._,��'.—...___ _ _� _ � _ _
N89 47'S1"E
I . 50.00 p/at dr meas
� I Existing Garage I �\ I
Fence is 0.2f feet soufh and—•••� �"•
�Fence is 0.5f feet south and
0.2f feet east of corner I I 0.3f feet east of corner (
I � 6 � � � � � �
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I hereby certify that this survey,
plan, or report was prepared by me
or under my direct supervision and
that I am a duly Licensed Land ' � ���3� -7
Surveyor under the laws of the -y���/
State f Minnesota. f �c �`�-� �/�� , �
_> ��c� � (}v'C/ S 1�r � l"� L
PROPERTY DESCRlP770N:
Paul E. Otto Lot 4, Block 2 NAVARRE HE/GHTS,Hennepin County,
Date:.,f�'���� License # 40062 Mlnnesota, according to the record plat thereof.
• denotes iron monument found Requested By: Web Site: evise :
www.ottosssoclatea.com
p denotes iron pipe get OTTO•14343 Groefhe Hill Invesfinents LLC
and marked as shown: • � 9 West Division St.
ono-0oo82 Date: Drawn By: Scale: hecked By: TTo Ph�(763j682-4727 Job No.
9 denotes soil boring ,�_ , SSOCIATES Fax:(763)B82�3522
G denotes percolation test hole 11/07/05 N.M.L. � -2� P.E.�. EnginesrsandLandSurveyors,lnc. 1-05-0608