HomeMy WebLinkAbout2002-P05275 - attached deck ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos2�s
Crystal Bay, Minnesota 55323 Per-mit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 6ii4i2oo2
SITE ADDRESS: 2700 Ethel Ave
Wayzata,MN 55391
P I D: 20-117-23-24-0013
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Census Code 434
Permit Class: Building
Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 210.13
APPLICANT: New Image Deck Construction OWNER: Julia 7ensen
216 Linden Circle 2700 Ethel Ave
Waconia,MN 55387 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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LICANT PERMITEE NATURE - SSUED BY SIGNATURE
Copies: 1-File(Si�nitures Requir•ed). I-Applicant, 1-Monthlv Reoorts, 1-AssessinQ, 1-Finance Page 1
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Total Fee: $ / � - /3 Date Received: �� 'C� � �'
�� Ente�ed By: j')'J 4,� Pernut#: �, / `7 /c>�
CITY OF ORONO - BUII.DING PERMIT APPLICATIOl�
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 OR CONTRACTOR
JOB SITE ADDRESS: (.fb �� � � t� (.J ' G��ZIP: S S�G/ I
NAME OF OWNER: �JC.�.<<� � ve�1 S' � ti� PHONE: (liome) `�S`z y71 " �/`�S
(work) �5 Z-- �t 9/— �!Y 3
MAILING ADDRESS: .� 7 � ��j1e� QJ� CITY: C,� C? c�. ZIP: 5 c��9/
CONTRACTOR:�}� �! �1�54� Dt�� �n�-t�'c��4�,y' PHONE: cl S2� �.y2— L 3Q�
COlV�TACT PERSON: ��krc� S��d�hc�ccra-�IOBILE/PAGER: �i'S2- 4�-1 - 4�`�
MAILING ADDRESS: �1.9 ��n c�-�-� L,�. CITY: („� G�;,n t�- Z�: S 5 3�s
STATE LICENSE: # 6���a l 8�
ARCHIT'ECT/ENGINEER: ��n� C,� c�b���-- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAl�IE: REGISTRATION#
�
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPO ED WORK(describe in detail�.. lU �- `n � � UIeC�I�. �) I'��-�J
S G.� S �OQ-z. �'•�� �J�.� L �� C�.t
STORIES: � SQ. FEET OF EACH F'LOOR: 'Zv �F{. Cr�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� V�', �
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 pernut and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICAl�'T'S SIGNATURE:__ �1�1� �i-�-�� DATE: �� — 3 � v Z
NOTE! Parade of 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.
Sec.13.04 RIGHTS OF SLIB.TECTS OF DAT.�+.
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 reqtiared to be given individual. An individual asked to suppiy private or confidenaal dara concerning himself shall
be informed of: (a)the purpose and intended use of che requested dara wichia the colleccing�tate agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any F�own consequence arising fmm his supplying or refusing to supply
private or confidential data;and(d)the idendry of other persons or enriaes authorized by state or federai law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve data,pursuan[to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�•enue mav place the noace reauired under this subdivision in the individual income tax or oropertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by indi�idual. 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, privace or confidennal. Upon his further request,an individual who is the subjecc
of stored private or public dara on individuals shall be shown�he dara wichout any charge to him and, if he desires,shall be informed of the contenc
and meaning of that data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for
six months thereafrer unless a dispute or acrion pursuanc to this secdon is pending or addiaonal data on the individual has been collected or created.
The responsible authoriry shalt provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority
may require the requesring per5on to pay the actual coscs of making, cerrifying, and compiling the copies.
The responsible authoriry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of
the date of che request,exciuding Saturdays,Sundays and tegal holidays,if immediate compliance is not possible. If he canaot comply with the request
wichin that time,he shall so inform the individual,and may have an addicional 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 pri�•ate
data conceming himself. To exercise this rieht,an individual shall noofy in wriang the responsible au[hority describing[he nacure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attemp[to noafy past recipienu of
inaccunte or incomplete data, including recipients named by the individual„or(b)nodfy the individual that he believes the data to be correct. Data
in dispuce shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data.
The determinarion of the respensible authority may be appealed punuant to the provisions of the administradve procedure act reladng to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri�ts of subjects of data", we would like to inform you that your request
for a permi[ 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 tha[ 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.
j. 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.
�� ��-� p.� Sc h ��+_� 4�-��`-� _
First �iiddle Last
�� ` � �l /1 C1��— �. (l —
Ad�essC` (v n\�. �
J �^-�" �5 �� � �'Sz -y y z - J .���
Ciry State Zip Phone
I understand my rights as stated above.
c,� �h ��—
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Signature
,
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z7 0o eT-�-�c L �4 v L
PID:
DESCRIPTION OF WORK: �`G�
ZOr1vi G REVIEW BY: DATE APPROVED: �-6 `r 3 •6Z-
BUII�DI�i tG REVIEW BY: DATE APPROVED; ( •/3 • o Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �/' No
PLAi�T REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes 4/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONI�IG CH�CK LIST Zoning District:
Fire Department: Post O�ce: School District:
Lo[Area: Sq.ft. t 6 U o o Acres .3y widc� i�v Depth i 5 o
Survey Submitted: Yes_� No Date of Survey: d� 16, 7�
Proposed Setbacks:
' 'F' ' -i+
Front (Lake): �-(0 - Right Side: 3�
Rear (Street): �J 3� � Left Side: SS� }
Adjacent Structures: _��'r�-�ta-e� Wetland: �!I/a
Building Height: Def. Hgt. �-- Peal:Hgt. —
Lot Coverage: /S `��
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution 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):
7
BUILDING REVIEW CHECK LIST
UBC: �Z- 3 CONSTRUCTION TYPE: �l 1�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage z =
R =
TOTAL
Estimated Construction Value: $ (���pp °�
Inspections Required: 1�Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing ` Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
D� Final Grading/Filling Electrical (State Permit)
Other
REMARKS(Pi 1 HOUSE): .
------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-----------------
RENIARKS (TO BE NOTED ON PEItiti1IT�:
8
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOj�CE ^� SCHEDULED '' �-1
PERMIT N0. � C� ��` �� COMPLETED 7�� �r d
ADDRESS ci� G�D � u�
OWNER CONTR. �1.��I.�.c.�cf
TELEPHONE N0. �� S���`� � �-3 ��
� D TION C d` �
lL 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
� ING 13 MECHANICAL FINAL 19 LAKESHORElWETLANDS
y
Q 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 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 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r on site:
Inspector .����
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO CALIED IN
INSPECT�ON NO E -7 SCHEDULED �� � �
PERMIT NO.��� /� COMPLETED
ADDRESS � ��d �•
OWNER���-�'�vl-P;.� CONTR. L
TELEPHONE N0. `� �o� � �1 �%�J
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� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING
Q 02 FRAMING 13 MECHANfCAL 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 OS 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
� 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: /L YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED f�PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLI RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (952� 249-46��
OwnedContractor on site:
inspector. T.�-��
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