HomeMy WebLinkAbout2002-P04846 - attached deck ' ��
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poas46
Crystal Bay, Minnesota 55323 Pel'�711t Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2isi2oo2
SITE ADDRESS: 1855 Concordia St
Wayzata,MN 55391
PID: 17-117-23-22-0038
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#: 4687 ,
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ �I�•25 Valuation: $ 5,000.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 186.03
APPLICANT: Jack Brancel OWNER: Vincent&Virginia Anderson
5460 Eastview Ave 1855 Concordia S.
Minnetrista,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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPUCANTPERMITEESIGNA URE ISSUEDBYSIGNATURE
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Copies: I-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reaorts, 1-Assessine, I-Finance p�e �
.
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i otal Fee: $ f��c- c'% .� Date Received: J- .�`1-�':-�-
�'�1 Entered By: C Permit #: "
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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 O CONTRACTO�
JOB SITE ADDRESS: �' ��,�� C'��;�6F 3�%,1.� S �I ZIP: 5_S 3��
NAME OF OWNER: ��(;��N�,— � , /�ti a,�2_S d �(..� PHONE: (home) �� �f 7%- ,3/�.�
(work) -- -
MAILINGADDRESS: /`,�SS �ll%,tx�,e�/,4 S�� CITY: G��,� vzf�� ZIP: .���9
CONTRACTOR: �,/gc« �;2�ti�r L PHONE: (9sa� ��,� -� ��-�
CONTACT PERSON: J��,� 1�,�,��,,�E� MOBILE/PAGER:(�,��) �_3� - 9 373
MAILING ADDRESS: ��GD L'�c rc-i�� Av, CITY:rfin;��,,r,e i 5 T� ZIP: �;�-3�
STATE LICENSE: # �3,�H
ARCHITECTlENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#�
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $��CGG�.C� �
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 with the approved plan.
APPLICANT'S SIGNAT ;,�%�,���% DATE: �> � �
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NOTE! Parade of Homes events require separate permit approval by Police Depar•tment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OFSUBJECTS OFDAT�I �
Subdrvision 1. Type ojdata. The rights of individual on whom the data is stored or to be stored shal!be as set jorth in this section.
Subd.2. Injormatian required to be given individuaG An indivrdua!asked to supply private or confrdentia!data concerning himselj
shall be informed of. (a)the purpose and intended:�se ofthe requested data within the collectingstate agency,politicalsubdivision,or statetivide
system;(bJ whether he may refuse or rs legally required to supply the requested data;(c)any knotivn consequence arising from his supplying or
refusing to supply private or confidentia!data;and(d)the identity of other persons or entities au[horrzed by state or federal law to receive the dala.
This requirement shall not apply when an individual is asked to supply investrgalive data,pursuant to section 13.82, subdivision S, to a Imv
enforcement o�cer.
The commrssioner of revenue may place the notice required under this subdivrsron rn the individual income tax or property 1ax refund
instructions rnstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsrble authority,an rndivid:�al shall be informed whether he is the subject
of stored data on individuals, and whether it rs classified as public,private or confrdential. Upon hrs further request,an indlvidua!who is the
subject of sfored private or public data on rndividuafs shal!be shown the data without any charge to him and, if he desires,shall be informed oJ
the content and meaning oJthat data. Afier an indivrdua!has been shotivn the private data and informed of its meaning, the data need not be
disclosed to him for srx months thereafter unless a dispute or actron pursuant to this section is pending or additronal data on the rndividttal has
been collected or created. The responsrble authority shal!provide copies ojthe prrvate or public data:rpon request by the individual subject of
the data. The responsible authoriry may require the requesting person to pay the actual costs of making,cert�ing,and compiling the copies.
The responsible authority shall comply immediately,rf possible,with any reqt�est made pursuant to thrs subdivision,or within ftve days
ojthe date oJthe request,excluding Saturdays,Sundays and lega!holidays,if immediate compliance is not possi6le. Ifhe cannot comply with the
request within that time,he shall so inform the indivrdual,and may have an additional five days within tivhich to comply with the req:�est,excluding
Saturdays,Sundays and lega!holidays.
Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private
data concernrng himself. To exercise this righi, an individual shal!notrfy in writing the responsrble authoriry describing the nature ojthe
disagreement. The responsrble aulhoriry shal!ivithin 30 days either: (a)correci ihe data found to be inaccurate or incomplete and altempt to notify
past recrpients of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the individual that he believes the data
to be correct. Data in drspute shall be disclosed on/y rf the rndivrdual's statement oJdrsagreement is included wrth the disclosed data.
The determination of the responsible authoriry may 6e appealed pursuant ta the provisions of the admrnistrative procedure act re[ating
to cantested cases.
DATA PRIVACYADVISORY
In accordance ivith M.S.13.04,Subd.2,'Rights ofsubjecls ofdata",tive would like to inform you that your requestfor a permit or license
from the City of Orono or any of its departments may require you to jurnish certain private or conftdential information.
You are notified tfiat:
I. The informatron you furnrsh will be trsed to determine your qualifica�ion for the permrt or license reguested.
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 ivith other local,state or federal agencres to the extent necessary to process the permit or
license.
4. I,f your requested permit or license requires Council action to approve,some injormafron may become public.
5. You have certain righ[s under M S. 13.04(see followrng pageJ to revie�v prrvate data on yourselj.
6. Your full name is reguired to process this application or permit.
PLEASE PRINT
First Middle Last
Address
City Sta1e Zip Phone
I understand my rights as stated above.
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gnature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1��''��,`� (`c_J t,° ,� ,; i ��c :�? .
PID: �'�(- s�`� �, �:z- .:��- � C� 3 �
DESCRIPTION OF WORK: �' � - �
IG.�1f.Lc C.�, G�iC�`J bt:"lC_LK, J`l-Cr;J�
ZO�tI��1G REVIEtiV BY: ' �„�{.��.,� DATE APPROVED: ;� - �� -c ' �-
BUILDING REVIEW BY: � ,,� DATE APPROVED: Z- � -v Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ;/' No
PLAN REVIE`V Yes � No SEWER C0�INECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No r� PARK FEE
SAC Yes No r/ SITEINSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------_w_w_------------------------------------------------------------------------
Z0�1I�1G CH�CK LIST Zoning District: L r? !C_
Fire Department: ������ Post Office: Ul,c��;��;�:�"t�- School District: (Li.[;i��'�C,���L����`�Y�L'�-
Lot Area: S ft. � ' De [h ��lL� �
q• �Cr��(c C` Acres e (< �-- Width /.�--.3 P
Survey Submitted: Yes� No Date of Survey: C� � (�7'C �
Proposed Setbacks:
Front (Lake): �7�'` Right Side:
Rear (Street): Left Side:
Adjacent Structures: - Wetland: --
Building Height: Def. Hgt. - Peal:Hgt. �
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: !#L�� -:�"7�'�� Resolution: #y .J�� Resolution Date: �1��C�� � C�'' /
Shoreland District: ! i�� !�
Avg. Setback: - Bluff Setback: — L.ot Coverage: --
Existing Proposed
Hardcover: 0-75, r( � � � �c'!c� ) �J�� ; '� �`'lc �
75-250' (c C_�;`�4 �:_;�� ��`�'�'� � C'(:C�� ��f,3::�°%v�
2�0-500'
500-1000'
Hardcover Variance Required: Yes_� No Date of Council Approval: `? � (L' C'/
REMARKS (in house):
7
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BUILDING REVIE`V CHECK LIST
��: r � CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x _
Garage x _
R =
TOTAL
Estimated Construction Value: $ S, �C�% `�'
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
,* Footing ` Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
��TOII (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Filling Elecuical (State Permit)
Other
RENIARI�S (ni 1 HOUSE): �
---------------------------------------------------------------------------------------------
REVIE`V BY OTHERS: DAT'E:
Access: Existing New
Access Approval: Date gy;
------------------------------------���-------------------------------------------------------------
REVIARKS (TO BE NOTED ON PER11�fI'I�:
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Exhibit A
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PROPOSAL FOR •�—.�-� �
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� HENNEPW COUNTY, MINNESOTA
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TOr4L H.tRDCOVeR RChcuGD /�S SQ�
LECAL DESCR�7lON pF PREAa5E5
Lot 2. Btock 1. FAGERNE55 WOOpS
This suvey shows the bandories of the above described property. and
the bcation ot on esisting house, playhouse, and ad other vis+ble "nardcover"
thereon. tt dxs not purport to show my ether improvements or aiaoochments.
o ton marker
Bearinqa shoMn �e based upon on nsaum�d dat�rn
�'�D ra�sa+ a*s oesasna� i rv�esr cur►r nw-na sec�e�m�o,�ar �
/f1 GRONBBRG k �OCI�TFS. IKC. �"T°"�."°"'K,�.,���� '- -
�. DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC J SCHEDULED `J�-�'a� % ? iL
PERMIT N0.����ICD COMPLETED
ADDRESS�L��� ���L �G'r��t--�-
OWNER CONTR_���=1�-- !,�/L�h-�--2�
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TELEPHONE NO.��� �7/ �%� `l'S - �!/� J_�� �j3�7
� DESCRIPTION ;! �Cr"�i�i�.,v t- -'��r'j ���__��Y'r� `J`-f' �.i,1-(._ ���lit/,
� Ot FOOTING /"`' 11 MECHANICAL 18 EXCA�//GRADING/FILLING
�AP�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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLIOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS: �s� �'"��- /�c�_.
a .��'� �` ��.� �A T T�?-
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� ❑WOR ISFACTORY:PROCEED fJ PROJECTCOMPLETE - . :,,
ORRECTIAIORKBPROCEED . _. ; � �7 iSSUECERTIFICATEOFOCCUPANGY .. ..
O ❑CORRECT WORK,CALL FOR REINSPECTION - TEMPOftARY . -. . „,. . .
V BEFORECbVE�iING, PERMANENT ,
❑CORRECTUNSAFECONDITIONWITHIN HOURS; �O FHOTOTAKEN - -
INSPECTOR WILL RETURN """ " '
- , ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR .
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. �
Call forthe next inspection24 urs in aiivance-(952� 249-46fl�
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OwnerlC ctor on site: -
Inspector. M . \
hite Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT�C�F,, � SCHEDULED ,5�� C �. .v(
PERMIT N0. ����� COMPLETEU
ADDRESS ���5 ����7 �G/-c�=���c,�
OWNER CONTR.� `J�c �. ,(�'��-c� %
TELEPHONENO. _ la/�-��� -��37,3
� DESCRIPTION_ I�C�i����'G`T' ��E�,,1�
� Ot 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
��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 FINAI 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WQRK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
Ownerl ractor on site:
z �
Inspector.
' Copyllnspector's File Canary Copy/Site Notice