HomeMy WebLinkAbout2002-P04810 - accessory structures . �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poasio
Crystal Bay, Minnesota 55323 Permit Type: a��esso�-y sc��tures
(952) 249-4600 Date Issued: tit6i2oo2
SITE ADDRESS: 2525 Dunwoody Ave
Wayzata,MN 55391
PID: 2o-�t�-23-22-oots
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 328
Permit Type: Accessory Structures Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required: iviecnanicai r,iectricai�statej
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 391.25 Valuation• $ 25,000.00
Plan Review Fee: $ 254.28
State Surcharge Fee: $ 12.50
Misc. Fee: $ 391.25
TOTAL FEE: $ 1,049.28
APPLICANT: Pearson Builders OWNER: Michael Peel
3947 Excelsior Blvd. 2525 Dunwoody Ave
Minneapolis,MN 55416 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 C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� PPL[CANT RMITEE SIGNATURE �EDBYSIGNATURE
Copies: l-File(Sienitures Repuired). 1-Aoolicant, I-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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� Total Fee: $ Date Received: ' C � �/�� �
Entered By: Permit#: -/S= �' �- �
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CITY OF ORONO - BUILDING PERMIT APPLICATION �
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All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER R CONTRACTOR e`
JOB SITE ADDRESS: ���� �u� ��� �Y, ZIP: � �.
_�a r,�� ,��.� P,R�.T' , � a
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NAME OF OWNER: �' C� PHONE: (home)�"� �'
(work) �
MAILING ADDRESS: ���� ��N����-� �� CITY: 0��:� ZIP:
CONTRACTOR: ��`R_."��.�1�)�� PHONE:-� 2^9z���� � �
CONTACTPERSON: ��������/� MOBILE/PAGE :E,12-7�J�-�3Z5
MAILING ADDRESS: �9�7 �-3C�°E��lb`I� `��@ITY: ��r�,L� ZIP: -�T�
STATE LICENSE: # ���9 �
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ARCHITECT/ENGINEER: �i 1� � PHONE: `��
MAILING ADDRESS: CITY: ZIP: �
NAME: REGISTRATION# la-
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TYPE OF WORK: N�w Addition Accessory Structure � -=
Move Remodel/Alteration � Land Alteration � U�
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PROPOSED WORK (describe in detai�: �FIN1� ��� � ��N�� ��-�`�yL ��
`�xs/it. 1S`�7 D��T'�'�� �'�-�,t`��"s c. �
STORIES: SQ. FEET OF EACH FLOOR: � � � �
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� �
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ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� C`� G C� � �D
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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 accordance the approved plan.
APPLICANT'S SIGNATURE: T'E: �,�1� Z�f�2
NOTE! Parade o 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
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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. Inforcnation 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,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally requited[o supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential daha;and(d)the idendry of odier persons or endries 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
enforcement officer.
The commissioner of revenue mav nlace the norice reauired under this subdivision in the individual income tax or oro�ertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibie 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 confidenaal. 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 ro him for six months thereafter unless a dispute or acuon pursuant ro this secrion 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 authoriry may require the requesting person to pay the actual costs of making,ceRifying,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 cime, he shall so inform the individual, and may have an additional five days within which ro comply with the request,
excluding Samrdays, 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 conceming 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 to be inaccurate or incomple[e 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 detennination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
ro 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 �ity 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature '
6
- ` CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z.S z� YJ v n� w c�o o�
PID:
DESCRIPTION OF WORK: r'„v�s�t v�/1.� �'t�e.� d� �iy�.t�.�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: /v/y4 DATE APPROVED:
BUILDING REVIEW BY: `' DATE APPROVED: �.- i� -o z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
�
PLAN REVIEW Yes ✓ No SEWER CONNECTTON
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: �O G/,�qy,�c,p
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres W' th Depth
Survey Submitted: Yes No ate of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: �# Re olution Date:
Shoreland District:
Avg. Setback: Bluff Setback: 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). � l.vo(l.rL Si.�J1UZ� rr�<�o�r P��'Ltin� �'
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V.
BUILDING REVIEW CHECK LIST
UBC: V'1 CONSTRUCTION TYPE: �//J
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 2S C» `�"
Inspections Required: Work Requiring Separate Permits: �
Site Plumbing Fire
Hardcover Removal �t Mechanical Water Connection
Footing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
� Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
,C Final Grading/Filling o� Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT):
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3947 Excelsior Blvd. • Minneapolis, MN 55416
Licensed - Bonded - Insured • MN Lic. #4429
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3947 Excelsior Blvd. • Minneapolis, MN 55416
Licensed - Bonded - Insured • MN Lic. #4429
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION Nq� IC�.�L / SCHEDULED ; --G'1- _1 •� �
PERMIT NO. � ` �( p COMPLETED '�'� ��
ADDRESS ��c ��
OWNER CONT . ..��<�'� �/
TELEPHONE NO. �• l ,� ._. 7� � -- �3��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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Z � 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WIIL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALIINSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z) Z49-46��
OwnerlContractor on site:
Inspector. �/'��v��`c r�
White Copyllnspector's File Canary Copy/Site Notfce
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI� �S � SCHEDULED
PERMIT NO. cOMPLETED �" f�---• � C3
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ADDRESS �= �1 �' � L��° ;� k�j�i
OWN ER C�f�T�
TELEPHONE NO. ( vC �� i`�\�
� DESCRIPTION _��'��`9�,� �/
Lti 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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QO�Sll1.AIlON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
' WALL$� 12 WATER HOOK-UP 17 SITE INSPECTION
NAL 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 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
D COMMENTS:
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�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ' . CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Conir c,�or on site:
Inspector. i��°���" �� /
White Copy/lnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOnTICt� �? SCHEDULED � �
PERMIT NO.�f-'C� �J l" COMPLETED
ADDRESS �J�<�� �k �:��- L
OWNER CONTR. � L� � �� S
TELEPHONE NO. �SZ� c� -�u 3 L� �J'�--��
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� DESCRIPTION �
� 01 FOOTING 11 ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 �j� 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 ��� P 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on�
Inspector. ��
White Copyllnspector's Ffle Canary CopylSite Notice
���� DATE TIME
GITY tJF ORONO CALLED IN
INSPECTION TI SCHEDULED ����d�
PERMIT N0. Q O COMPLETED
ADDRESS �.�s �%���
OWNER CONT . ����-- ��'�
TELEPHONE NO. �P �dZ — 7 � �3as-
� DESCRIPTION �__ � � �
� O1 FOOTING 11 MECHANIC RI 18 EXCAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 5 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 FOUNDATION/REMOVAL
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� BEFORECOVERING
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. �95Z� 2Q9-4600
Owner/ ntr 6r or�site:
Inspector
�. White Copyllnspector's File Canary Copy/Site Notice