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HomeMy WebLinkAbout2001-P03963 - addn/remodel/repair CITY OF ORONO PERMIT 2750�Kelley Parkway- PO Box 66 Permit Number: Po3963 tirystal Bay, Minnesota 55323 P@fftllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: �i2i2ool SITE ADDRESS: 2765 Ethel Ave Wayzata,MN 55391 PID: 2o-t17-23-24-0018 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): Addn/Remodel/Repair DETAILS: Approved per resolution#: 4655 Separate permits required: NOTICES/REMARKS: �._"_..__._.] .__'. __"_.1:�:_'__ _CT___1__a'___ 11A/GG ./_i_J G/�1(�/�IAAI � � ��� � �� � � vviiva��v��u v� ��v�v�wi�v�i ii'iv.i.i uuivv � ..rr..,.....r.,. .,,...,...,.,. FEE SUMMARY: Permit Fee: $ 461.95 Valuation: $ 31,803.00 Plan Review Fee: $ 300.27 State Surcharge Fee: $ 15.95 TOTAL FEE: $ 778.17 APPLICANT: Window Star Home Improvements Inc. OWNER: Donna L Lile 12322 Business Park Blvd. 2765 Ethel Ave. Champlin, MN 55316-0000 Orono,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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. � �-i ' ... � �1 ,� -r ��. �,�� l,L J'���`-,c %�Z � �' APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Reauired). 1-Aoplicant, 1-Monthlv Renorts, 1-Assessins, 1-Finance Page 1 Ky�' E`�I ��� �1'� � �r� U� �' p' Total Fee: $ �7�• 17 Date Received: Permit#: � (,` Fntered By: �iti� �<% ��1�3 CITY OF ORONO - BUII..DING PERMIT APPLICATIO�T All information must be submitted in full before plan review «�ill be started. (please print all information) ------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �. � � � � JOB SITE ADDRESS: �r l�j � )— �'�� c � ',� � ZIP: � NAI�TE OF OWNER: ���,�°: Z-, �� PHONE: (home) �'��-u�I -���`' 3 (work) �E �,- �� i �� �� 0 6 1�IAILII\TG ADDRESS: ���1 i� �i.,� � /�� . CITY: �;�,�� � ZIP; S � `�"l1 CONTRACTOR: � ����d��,., `���,r ���,,� i�-y�,���„u,.�.�,�PHONE: �7 6%- � � J��:r' �/ CONTACT PERSON: I�,�.,��,.� MOBILE/PAGER: ���- ,�a �- 4�"? � MAILING ADDRESS• �a��� 1 .:�,��5�, t����;�3�v. CITY: C l-,��.. �r;f, ZIP: <;-� _, � G STATE LICENSE: # �3�� ��t � ARCHITECT/ENGINEER: PHO\TE: MAILING ADDRESS: CITY: Z�: NAME: REGIS'IRATION r TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detain: 1��< � �,= i-��� ��''���' h�`"� ��`` �'i-� `� �z�''� � , j,� .�S" �.��5 �� I 1Q �V�vn-t—. �''� ('/•-.,.^� �� �C�� �' I I�LL �<'�� C� - ��i C..� .4��G U � 1 ✓4�.: �'�J ���: �.. � }— �c...��^.-� ���U ., IA.Z� ��_ � c'�.� l� i_�.. � i c�� . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOiI�IS: GARAGE STALLS: ATT. DET. �� � � ��� ESTI1�i IATED CONSTRUCTION VALUATION (excluding land): � � � � L � I hereby apply for a building pernut 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 acc,or�ice with the approved plan. ,� , APPLICANT'S SIGNATURE: �� � ��� DATE: �?�-���= � NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. r Sec.13.04 RIGHTS OF SIJB.TECTS OF DaTa � Subd. 1. Tvpe of data. The riehcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given indiridual. �.n individual asked to supply private or confidendal dara concerning himseif shall be informed of: (a) the purpose and intended use of che requesud data wichin[he col]ecdng"state agency, polidcal subdivision,or sratewide system; (b)w'he�her he may refuse oY is legatly required to supply[he requested data;(c)any Irnown consequence arising from his supplying or refusing to supply privace or conndennal data;and(d)the idenrity of ocher per5ons or enrides authorized by state or federal law to receive the data. This requirement shall noc apply when an indieidual is asked to supply invesrigadve data, pursuan[to secdon 13.82, subdivision 5, to a(aw enforcement o�cer. 'I1�e commissioner of re�enue r-iav place the norice rEouired under this subdivision in the individual income tax or proper[v tax refund ins;ruc�ions inscead of on chose forms. Subd. 3. Aecess to data by indi�-idual. Upon requesc to a responsible auchoriry,an individual shall be informed whether he is[he subjecc of scored data on individuais, and whecher it is classified as public, privace or confidenrial. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he dzsires, shall be infoaned of the content ar.3 meaning of�hat da[a. Afrer an individual has been shown ehe privace data and informed of ics meaning, che data need not be disclosed to him for six II:on[hs thereafter unless a dispute or acrion pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible auchoriry shall provide copies of the priva[e or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesring person to pay the ac�ual costs of malcing,cerofying,and compiling the copies. 1fie responsible authoriry shall comply immediaczly, if possible, wi�h any requesc made pursuant to this subdivision, or within five days of che dace of the request,exciuding Sanirdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comp(y with the request wichin thac rime,he shall so inform che individual,and may have an addirional five days within which to comply wi[h the request,excluding Saturdays, Sur.days and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comp(eteness of public or private daca conceming himseif. To exercise�his riehc,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreement. The responsib(e au�horiry shall wi[hin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempc to norify past recipienu of ir.ac:ura[e or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be coaect. Data in dispu[e shali be disclosed only if the individuai's statemen[of disagreement is included with the disclosed data. Ttie de[erminarion of the responsible au[hority may be appealzd pursuanc to the provisions of[he administrarive procedure act reladng to con�ested 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 reauest for a pernut or license from the Ciry 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 Ciry deny the permit or license. 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process the permit or license. 4. If your requested pemut 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 perm.ic. � Ii �s ��:�� ; i�'l:; l I�,- ' , Lasc First �fiddie '71���,J '��.�lS �' 'V �, Address ��1�l;' �� '� '� I � �� � �� `, '��� ����� ,� � � i �"� Ciry State Zip Phone I understand my ri�hts as stated above. �,j�i'� ��"�� ; � <� -----_"—_�--- Signature v � CHEC� OFF LIST FOR ISSUAI�CE OF PERtiIITS FOR OFFICE USE ONL.Y . � . ADDRESS ORLEG.�,L: 2� 6 5 c�-�-4q� ,q„P — PID:� DESCRIPTION OF�'ORK: �(l.o��� Qn�c✓�.e �r� �a��l�� ZOr'Lti G REY�ti�B�: DATE APPROVED: �• Lv�- 01 BU]I,D�'G REVIE�i BY: � DATE APPROVID: 6 •io =a) FEES TO BE C�i4RGED: Niisc. Fees Calcula[ed By: pEgNfIT Yes r/' No :� pL,AI�t REVIE�I Yes t/' No SE�TER COY�ECTION STATE SURCHARGE Yes �/ No `�IATERCONNEC'TION .J'`i,'VESTIGATION FEE Yes No �/' PARK FEE SAC Yes No _ j SITEINSPECTION Number of SAC�ULts OTHER (specify) ZO\�L�IG CH�CK LIST zonin�Distzicc: �,/1 -� L _ . Fire Departm�nt: �p�r.r� _ Post Ofuce: W (a�4r'M Schcol District: �,�A�-t-oNi�Q � - Lo[Area: Sq.fr.T,4b Z Acres . I'1 � Width `-�5•7� Depth l y 5•�l�_— Surve;� Subritted: Yes r�� No Date of Survey: �-I 3 -�� Propased SetbacF<s: � � Front (Izke): �,5. I Ri�h.t Side: �(,O � � �� Rear (Sc.zeet): ZS LeftSide: �3 Adjace�c Struc,^�:es: /U ( (L �Vetlznd: � • Buildin� Hzi�hr. Def. :i��. V. l� Pea.�:H�t. I,ot Covera�e: Gradin�: Scaffr Approv�� Date: /U (,/L By: Council Approval Date: Septic: Staff Approv� Date: /V � /4 By: , Zoain� File: r Ut-'u�7� Resolution: n `/�'S S Resolution Date: �� � i � <� � . Shoreland Discrict: 4-e f ��� Av�. S�tback: /v� /�- Blufi Secback: /�!�/�" LotCorera�e: E���? Proposed H2.:dcover: 0-7�' -- �,C 7�-250' - 2�0-SQO' 500-1000' - Hardcover ti'`-iance Required: Yes No�,_ Da�e of Council Aoproval: gEI�IARb'.S (in house): . �t._ ' t. -a-C•� �,�1 i �_ ")Le( � ��_ e'—' /�-..��:� � j— — � ' �. 7 BLTII,DING REVIE�V CHECK LIST � usc: �� 3 - co�rsz-xucTTo�r�E: �/n� Sq Footage S Per Sq Ftg Sasemen[ x — lst Floor z = 2nd �oor z = Gara�e x = z = TOTAL Estimated Coastruction Value: $ 31,�03� Inspections Required: ��'or�:Requiring Separate Permits: Site Piumbing " Fire Hardcover RemovaI Mechanical Water Coanection � Footin� Septic Sewer Connection _� Framin� Fireplace Lawn IrriJa[ion Insulation (Masonry) Other tVall Board (Mfg.) Weil (State Permit) _�c Final Grading/Filling Eleccrical(State Pecmi[) Other RE1�iARKS (IN HOUSE): � REVLEW BY OTF-iERS: � DATE: Access: Ezistin� New Access Approval: Date By: RE1•LA.RKS (TO BE i\'OTED ON PERMI'1�: 8 02/23/2001 13:49 9529288143 WINUOW STAR HJME Ih1P PAG= 02 �-� ,� --1 , �- �- � � ��.���.:;� � � ��� _� r.�',��,.� ._y, ;, , � � � � ?' _ � � z ,� � —— —-�- --— — T�t- __� f�i :' Cn �! �c m � c' m '+ "t� I'TI ',� m O � �D � _� � � O] r5 � � --!:' - _ ;l� � �_ � :` . C:� I� .Ti � (� '� � 1 �U i: - . � , � I L 1t �7' ... .- •'-'." -"-- z�:; . .`��, b ��� � \� ���: '' , s -�n � � y o« _- � � a �� �� �; 'ti � � =�`i `, �' � � O � � m,� `� .� � � � �` a '� .D..�o''` c - � v f�Tl (, � �/ Do.�� �� r-�.c_�� ;� < Z � 3 \ � `:r - - m0 ; r_ m��' .� _ :? � ��\ (n� c. � u � �,_� a s r•� :'tit "N Iµl � I � S�� �y 3� �/Z ! - � SRt� O ��� � � � �g -� ��. � ;�� � ��� � Z ,�ay f � � � x � � �, � � ' � � ;J � s� � � o a � � s�. � � �.i � � z .� �.. ;"� � � � � �iM = � � � I •'' r � : � � �� , � $ �, o `� � L � 7,.�0 J � u a � � � � ���. l 1 � P C Y � � �`� � �� 4 � � � � �� �: <. s � �� � `;` ��-'cl, AVGtiGE � �� 62/23/20a1 13:49 952928814"a WINL�OU1 STaR H=t�= Ih1P PAG= a3 I i I i � _ 'I , � r I i. ;, ; �� ,- I Ij ` � !� �: , ,; i � ' : � ' I ; � : � ��-, , �I � 'r 1 , � ; _ . � � �. ;.;_ ,�_� i � , ��, �r � � ' � � � � oo .l�. ` � ' � �I �. � � ,,� � � ,i, - ` � _ .� ` I � �;� nI� f i � - � I �;''C��.. i.; , � I��� ; � I � r�,..._. � � I � � � I I� I ',..1. .._ i � I i � � __ I .,;; , � ; '' , �i � _ -- ; � � � �i � � , 1 i I ' I i ' •G.,1 � i, � � � ! � � d i p i—i I �_,� � �� I ����� � �► ��� - -r�. � i � � _ I� i� a ;' ��� �i � �� _� ,� � : r O v I i 1 �, . °" s �i ' ' � '� 3� �il` I I � I -{J� �� �� I I I ' I � � ! Y M � �g �,w �� �� �i � �_�, � ri � I � �� �J � I r�- � ~a � � - - - v � i � �0 , , �� __ I , . , � � � '� � i � � '� ; � ! - � � _ � �:��� � � � � . , � � _ mTm . _ _ � 02123/26�1 13; 49 9529288143 WINDOW STAP, H��hdE IMP PAGt 01 i i� i + i _ __ — �;� � �`� ' � :Y � ` � 1 � ' `� � � . � � � � ' i � � i , i � � �1 I I I� � ' I r..`'� ' � , � -�I� � � � � <l-�� � � ` ` t � 7�� � � i ` 4 � � . �� � { � �� ` � � I I i ` I I I � ' I � � � '� � , , ,.�., . � I �i , � I I � j � �Y—r• ` � I � - �� _ I � � � I ' � �. �""6 �. ' ' 4 �. l.+ tv:J v . *� _. \` �n: � c• � � ` c,� � rn� � J �, ^�' F'9,+ 7S � i7S �`� s' �" c.. � C P ��� • 9 M � � ,,� I�l (� � �, �., �, �� � � y + ` a r ?'� % ` cT5 �i' :� � � '�D �' � � Y � � $ �� � i.-^''� ^ i� '' � a V � C .',.`�t ^� ' c3 *�'� -.; � v m � � � � =Y � y � ^ � �: �' °; � `" � v' �: P V� T� � T A/� � � '�` � � � �� � � � � � � •` � `. 9�i 7 � N i ""'i � ^ �S� � � C' 3' ' % } �t ±` rJ -^ �i �= 'Q '� � r � ,.,,, �„ .�.�_ - � S� ?., �; T-; " ^ � � i -f � .�.b � �� � � � 'Z � :g �s' t/! � � -t' � t,,,., = �' �' � � �, � � �`:; � i � � ., �: y� R: � •i �� � "� �� � z� � � � � � � 70 � m o Z �� � � ' m �� N � � � � _ � z ,� , � ; � m � � L� 1 � � � T � � o � � w DATE TIME CITY OF ORONO CALLED IN INSPECTION NO /I�� SCHEDULED � �7'�3G��i PERMITNO. v� � COMPLETED �� µ ADDRESS ���S— �1�`�-� �1.� OWNER �Ci l/�c�. �r�(� CONTR. �` �L�-��L S t'Nr' TELEPHONE NO. _ (�I� ��[� 707� /d/f�� � DESCRIPTION '�1�� � — �yt ��d � � 01 FOOTING 11 MECHANICA I 18 EXCAV/GRADING/FILLWG 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q TION 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 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W � o ����FS� ��-C�C- � l��!/��4{. w��Q h�I � � �� � 0 � W � Q � z W � W � � W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedContrac ro Inspecto W te Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI /, j,/� , SCHEDULED � '"�..,� PERMIT N0. v � �v-� COMPLETED " � ADDRESS �� � -- '� OWNER CONTR. l�-'��l t���,�-S/Z� TELEPHONE NO. l� S^� '��� `�7%�� � DESCRIPTION �C��'�'� ��c� � 01 FOOTING 11 MECH ICAL 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 OS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � j �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUfRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor s' : Inspector. White Copyflnspector's File Canary CopylSite Notice :� � �= �= r��/_�_ f �� �� , 1 D 5 4o I � — — — � � HAROCOVER --"-' `— House/Gar. = 1,567.1 SF ----- �- � Orive/Walks = 371.8 SF Ofher = 18.8 SF � Totol = 1,957.7 SF t-SF House Lot Areo = 7,462.0 SF �2755 � Total Hardcover = 26.290 9 6 �� t-� � „ j N i N 86�24'13 E ������a �or- - ` 9. 93 � �x�a � 14 - __ — _ �v��� � ,.��� __ �� — � � � — — —r:— �� 4s.s — — — 64.1 p I � � � _ —� '_� / I � u ; .. cn I O � � -• 22.3 -� 19.8 ` � �o �y �z � L�T � z,.9 � � �� Garage • ZV 46.5 � � w '� - ---__�—S Nouse N � � � 8 � cU ; Gar. - 65 = 39.3 � C '"' Cp 64�1 � o Denotes iron monument CO w_';� __ � • � � � - re[e -�a°s � -.,,v � � � / � GITY OF ORONO �� � - _ =- � � SITE PLAN GRADiNG PLAN ----- — � — - �,���_ ,�,yp��ROVED �02�+'�'�lONS �S 149. 93 �_, ❑ App�S01�ED WITH � =,ye =. =;.�T;���} S 86��3'S6" �' �� DISAPP V � BY � A � E r;v v E i DATE �z, Za -�� . C A s C � .� o ----- — — — — — — — — r ����� Co � I hereby certify thot this survey, plan or reporf was prepa�ed by me �le No. or under my direct supervision ond thot 1 om a duly Registered Lond ��25j a CERTIFICATE OF SURVEY FOR: ��y� �,�� ��, Y�� �� DEMARS—GABRIEL � ''� � �., Surveyor under the Laws of the State of Minnesoto. ' -s.�� w J � � LAND SURVEYORS, INC. � D ONNA L. LILE ��� � � .. � � � � �� Book-Po e `:"�l ` < 3030 Horbor Lane No. ����i,� 396-60 � ��"�� '`-�-'�; 4f� ` ^ Plymouth, MN 55447 `� J°�'�'�' Phone:(763) 559-0908 Dovid E. Crook _ �F Fox :(763) 559-0479 Scale � �3 a �n=20� Lot 7, Block 3, CASCO HEIGHTS, Hennepin County, Mn. Date: M�nn. Re . No. 14