HomeMy WebLinkAbout2000-P02879 - addn/remodel/repair � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s�9
Crystal F3ay, Minnesota 55323 Peft711t Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 9i6i2000
SITE ADDRESS: 1815 Fagerness Point Rd
WAYZATA,MN 55391
PID: 17-117-23-22-0033
DESCRIPTION: UBC occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): 1'orch
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 54.00 Valuation: $ 1,500.00
Plan Review Fee: $ 35.08
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 89.83
APPLICANT: MELVIN MCKEE OWNER: M D&D L MCKEE
1815 FAGERNESS POINT RD 1815 FAGERNESS POINT RD
WAYZATA, MN 55391 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 M[NNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT I NATURE ISSUED BY SIGNATiJRE
Copies: City,Applicant,Assessor, Finance Page 1
f. r- :.r- r� N.9609 Girard Avenue Sout�
�VIN H. HEDLUND ;����� � glocminqlon�Minnesota 55431
Surv�yor Clvil En9ine�r ���� Phon• : 888-2080
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JOB N0.
SURVEY FOR� Jerr�r Juelich �
DESCRIBED AS� Lot l, Block l, MAPLEGATE INLET, City of Orono, Hennepin
County, Minnesota and reserving easements of record.�ORTF�
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I hereby certify that on Z� 16 � $� I surveyed th roperty described above and that
ihe above plot is a correct representation of sold survey.
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Calvin H. Hedlund, Minn, Re9. No. 5942
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Total Fee: $ ����� Date Received: S-a�'-Od
Entered By: �- Permit#: �D a�,7q
,
CITY OF ORONO - BUILDING PERMIT APPLICATION
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) �OWNEI�OR CONTRACTOR
JOB SITE ADDRESS: �v�,� f'c,c ��� ��5 -�iht ���� ZIP: 5�3 i' I
NAME OF OWNER: �1L�u'�l� � f�c xe�. PHONE: (home) �S�- �7/-Gy���
� (work) —
MAILING ADDRESS: l��L�Fy���i�c�s �f ✓�� CITY: %�< u �, ZIP: s�5"3 /
CONTRACTOR ��� /� PHOi�TE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: � <�. � � PHONE:
MAILING ADDRESS: CITY: ZIP:
NA1V�; REGISTRATION#
TYPE OF WORK: New Addition�_ Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ����}( //% ��� ,.���� -�-i��c-f
STORIES: _� SQ. FEET OF EACH FLOOR: ���
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. L'J DET. �`�
�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,���C�, C� a
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 SIGNATURE:,;=- " � �� DATE: �-� �- c�-�
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NOTE! Parade of Homes events require separate permit approval by Police Deparlment 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 SUBJECTSAF 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. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shalt be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, political subdivision,or statewide •
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply privatz or confiden[ial data;and(d)the identity of other persons or enrities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative da[a, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or vroaertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. 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,private or confidential. Upon his further request,an individual who
is[he subject of stored pri��ate 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. Afrer an individual has been shown the private data and informed of its meaning, the data need not be
disclosed to him for six months thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been
coilected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriri•may require the requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authoriry 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 dme, he shall so inform the individual, and may have an additional five days within which to comply with the request,
excluding Saturdays, Su�days 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 co�cerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the narure of the
disagreement. The resporvsible authoriry 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,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 disdosed data.
The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to 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 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 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 permit or license requires Council action to approve, some information may become
public.
5. You ha��e 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
C��y State Zip Phone
i
I understand my r'�ts as s ted above.
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Signa re
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: l�3�5 ��6 c;�2rv-es S �o„�.�T (Z.o�
PID:
DESCRIPTION OF WORK: S��N o/t-�t-� o.•� �x �s�-rK� �.�v�
--------------------------------------------------- ------------------------------------------------------------------
ZO1�I�1G REVIEW BY: DATE APPROVED: _q - 5-- ao
BUILDING REVIEW BY: DATE APPROVED: �i -5_vJ
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes v� No SEWER CONNECTION
STATE SURCHARGE Yes t/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning Districr. �v v C��J �
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: W tland:
Building Height: Def. Hgt. Pe � Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac : I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): �
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7
BUILDING REVIEW CHECK LIST -
UBC: /Z • �_CONSTRUCTION TYPE: �/�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
IS bo �"
Estimated Construction Value: $ ,
Inspections Required: Work 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)
�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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RENTARKS (TO BE NOTED ON PERMIT):
8
DATE TIM
CITY OF ORONO CALLED IN �lL`C'C7 Z' �
INSPECTION NOTIC SCHEDULED y2� / �CC�
PERMIT NO. �~ - � COMPLETED � k
ADDRESS 1���S �Cr.�'��I"-r>E=�`_� l� /Z�
OWNER �'"� � � �--� CONTR. �''C�-�
TELEPHONE NO. �� � C�'c��_
��
� DESCRIPTION �l'�C-E � � �� r�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 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
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W �C 1 CORRECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ; PHOTOTAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
CI INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac on site•
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE T�ME
CITY OF ORONO CALLED IN "� �- �Z� .�• `��
INSPECTION TICE �, SCHEDULED �� -° � 3�'-��'
PERMIT NO. ��'� � �j COMPLETED ' 7-�' 3Y �a
ADDRESS f�/S � �^-��'-��-� �-� ��
OWNER ���-��— CONTR.����
TELEPHONE N0. ���- �' S'��
�
� DESCRIPTION ��-C���� .��-n. �c��'
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 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
�85 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
f=': CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C� INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac or on site:
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Inspector. �"�-f� J
White Copyllnspecior's File Canary CopylSite Notice
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CITY Of!
BUILDING P HUAIN REVD ;N
INSPECTOR N=
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