HomeMy WebLinkAbout2003-P06342 - entrance monuments CITY �OF ORONO PERMIT
275� Kelley Parkway- PO Box 66 Permit Number: Po6342
Crystal Bay, Minnesota 55323 Permit Type: A��esso�y st�u��ures
(952) 249-4600 Date Issued: ioi2�2oo3
SITE ADDRESS: 1685 Fox St
Wayzata,MN 55391
P I D: 03-117-23-44-0004
DESCRI PTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Accessory Structures Pemut Sub-type(s): Entrance Monuments
DETAILS:
Approved per resolution#: 5027
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 251.25 Valuation: $ 15,000.00
Plan Review Fee: $ 163.28
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 422.53
APPLICANT: Imaginality,Inc. OWNER: Micheal&7ennifer Cashman
6182 Highway 55 1685 Fox St
Golden Valley,MN 55422 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICI'COMPLIANCE WITH ALL CIT�OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPUCANT PERMITEE SIGNATURE � ISSUED QY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� , PERMIT
CITY OF ORONO
275Q Kelley Parkway - PO Box 66 Permit Number: Po6342
Crystal Bay, Minnesota 55323 Permit Type: a��essory s�u�r�res
(952) 249-4600 Date Issued: lo�2i2oo3
SITE ADDRESS: 16ss FoX st
Wayzata,MN 55391
P I D: 03-117-23-44-0004
DESCRIPTION:
Proposed Use: Residential
Census Code
Permit Class: Building
Permit Type: Accessory Structures Permit Sub- s): Entrance Monuments
DETAILS:
Approved per resolution#: 5027
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 251.25 Valuation: $ 15,000.00
Plan Review F e: $ 163.28
State Surc rge Fee: $ 8.00
T TAL FEE: $ 422.53
APPLICANT: Imaginality, Inc. OWNER: Micheal&7ennifer Cashman
6182 Highway 55 1685 Fox St
Golden Valley,MN 55422 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 REQUI ENTS.
. � /� �`� � �� , �l
�.-2 _��. � �,.{�<_ �1��:_('`,���'�-
P LfCANT PERMITEE S[GNATURG � SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�ay-19-2�03 05:19pm From—CITY OF ORONO +gE�22494616 T-486 P.002/003 F-943
Total Fee: $ �t,�i �x• L�-% Date Received: �
E�tered By: S�}�t, ,,. .... Perina�t#: C �`/�.
,� C�TX t)F ORONO • BU]Y.DING P�ERIVIIT Ai'PLICATION
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�� `�', � All inforu�ation must be submitted in £ull before plan revi�ew wiil be started.
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F���\t� �� _�-�__rr ` (please print all inform.ation)
m...._�__...�_^_�__�_T______ --------�----��---=- __--_
THE AP�I,ICAN�' IS: (circle one) OWN'ER Q i�ONTRAC_�T�'--��------
.ras sr� annx�ss: . I G�� �vX Sfi-�� t- zr�: �'3� �
NAME OF O'VV'NE:R: � ��Le C.c�S�w��r. _ PFlQ1VE: �om�� 4s2- a yy-�Z,Z�
(work)
MAlI,INGADDRESS: ��v�S -I oX Si'�'ee� CP1CY• C�ro o zIP• S.r39/
GONTRACTOR: �� '�. �� �� � �PT341�TE: 76 3-.S�S--sL/�3
CONTACT PERSQN: r W usc MOBII�E/FAG�E�t: ���- a�o-�0�9
MAIY.YNG,A�ADRESS: G��L H� �, � s- CrI'X: � � �2N V4 IIa�_z�': s'�'t�Z 2
STATE LIC�I�SE: #
A1tCHITEC�'/�lYGINEE�2: PHQNE: �
MAILIN�ADD�SS:— -- , ._ - CP�'X: ZYP:
NAME:� �tE(YTS'T'YtATION#� �
T'YPE OF WORK: New Addition Accessory Structare �
Move Remoc3e1/Alteration L�nd Alteration
�oFas��wa���aes�rib�:n�►���: Ac✓���v�fti-s � Q� �,
STORIES: SQ.FEET OF EACH FLQQ:R:
NO. OF BEDROUMS: GARAGE STAI.,LS: ATT. DET.
ES�IMA►TED CONST�2YJCTION VA,LUATTON (exclud'uig land): $ /S�• �'
�,
I hereby apply fqr a buildir�g permit and I aClrn4wledge that the informarion above is complete and
accurate; that the wq�k will be in conformance with the ord'u�aqces and codes of the City and with
the State Building Cc>de; that T understand rhis is not a per��,it and work is not to start without a
permit; ar�d that the work will b� in accprdance with the approved plan.
APPLICANT'S SIC:NATUIt�: . � riAT,�: .�/�. o�
NaTE! P�rq�Q �'l9'omes events require separate permit approval by Poiice Aepamnent and
Ci.ty Counci160 dayr prror to the event. Non perrrtrtted events wil'1 nat be allowed.
I .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
A.DDRESS OR LEGAL: 1�BS t=o x s-. �
PID:
DESCRIPTIONOFWORK: ���,qNc¢ �w,,o�� ,,,�t,�r,-rs
ZOtiT�1i G REVTEW BY: DATE APPROVED: q- �s -�3
BUII.D�tG REVIEW BY: DAT'E APPROVED: 4 _ � s -�.7
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER.�ViIT Yes �/' No
PLAl� REVIEW Yes `� No SEWER CONNECTIOI�i
STATE SURCHARGE Yes �/ No WATF.RCONNECITON
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOivING CHE.CK LIST Zoning District: .
Fire Department: Post Office: School District: �
Lo[Area: Sq.ft. Acres � Width Depth
Survey Submitted: Yes � No Date of Survey:
Proposed Setbacks: �
Fron[(�): 5 Right Side:
Rear (Street): �— Left Side:
Adjacen[ Structures: --- �Vetland: S
Building Hei;ht: Def. Hgt. � ' Peal:Hgt.
Lot Covera�e: f
Gradino: Staff Approval Date: �" By: Council Approval Date:
Septic: Stafi Approval Date: — By:
,�
�. _
Zoning File: � � �— Resolution: # c- �."� Resolution Date: `;+ '? ��-' �'
Shoreland Dis[rict: n/v
Avg. Setback: Bluff Setback: L,ot Coverage:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council App:oval:
REI�iARhS (in house): �.
� . .
i
BUII,DING REVIEW CHECg LIST
�C' CONSTRUCTION TYpE; —
_ Sq Footage $Per Sq Ftg
Basement . . x
lst Floor x — _
2nd Floor x =
Garage x — � � �
� _ .
TOTAL
Estimated Construction Value• $��oo "='
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumbing Fire
Hazdcover Removai Mechanical
_�F���g - Water Connection
� Septic Sewer Connection
� Frami.ng Fireplace Lawn Irri ati
Insulation (Masonry) Other g on
WaII Boazd • (Mfg.) Well (State Permit) -
_J�Final Gradin /Fillin ,
Other g g Electrical(State Permit)
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RE1�L4RKS(ni T HOUSE):
�__
---------- --------------------------------
REVIEW BY OTHERS: DATE: ----�---��-
Access: Ezisting New
__ .
Access Approval: Date
---------------�_______------ By'
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RE�IARKS O BE -------------------------
('I' NOT'ED ON PERi1�IIT�;
8 '
' �ay-19-7003 05:19pm From-CITY OF ORONO +9522494616 T-486 P.003/003 F-943
Sec.13.08 RIGIiTS OF 5U��CfS OF Dr�TA
Subd. 1. Type aF data. The righrs of individual on whom nc�dara is swcci or�o be sto�d shall be as sec fo�in�his secdon_
Subd.2. In[ormatiun required to be�veu iadividusl. M individuat asked ro suPP�Y Pnvare or confideooal dao,coacorning himsalP shafl
bn informed of: (a)the pucpose�nd in�cnded use of che requcsud dan wiihiu rhe collccdag Enr�agency,pOItGC3l R�hdl�i�iOn4 O[SClCGWIdC SySfeIIi;
(b)w4e�r he may rofuse or is iegaily requircd co supply the reques�ed daCt:(c)any lmoav conscquence arising from his suppiying or refusing w suppiy
privue or confidcntial dara;and(d)thc idrntiry ot o►her persons cr enudes autherized by s�aca or PederaI iaw w rcoeive�e da�a. Thu requirement shail
not apply when an individual i;asked w svpply invesdgadve daat, pursuan�w secdon 13,8?,subdivision 5, co a law enforeaman�o�cer.
The comrreissioner crf rovenue mav laco ehe nnoce re irod under mis svtdivision in the individual ineome nx or m e �x refund
instNc[ions instd2d of on nse formS. _
5ubd.3- Aeeess to data by individuftl. Upon r�quesc ro a rcspoasible audioriry,an individtta!shall be informed whe�hcr hz is die sttbj�ct
of scoced dara on individuals,and whczhor ic is elassified as public,priva�e or confiden�al. Upon Itis furdur requesi,aa iadividusl wda is rhe subjrcc
ef stored privare or public data on individnsls shall be shown�he data wirhou�any cha,ge m hun and;if�e desiras,ahaU bc infocmed.of rke coareni
and meaning of dzae dara. Afur an individual has beca shown die privaw dara and info�med of ie mcaniug.d�e dam nad u0t hc Qisclosod w him for
six uronths chereafrer unl<ss a dispute or acdon pursuaa�co �his sccuon is pending or addiuonal data on dic iudividual has been coflccrrd or crcaud.
The responsible au�horiry shall pravida copies of nc�privue or public daca upon rcqucse i�y�e ic�dividunl subjec�of dic data. The responsible authoriry
euy requin rhe reyuesdng p�rsan m pay thc acntal coscs of maJcing.cerdfying,and campiling ihe capies.
Thc responsibie autitoriry shail camply immediauly,if possible,wirk any re�{uest mede punvsn�w this subdivision,or wizhin fiva days of
d�e daw of ehe requcst,ozelud'uig 5aaxrdays,5undays and Icgal holidays,if immediuc ccmptiance is na�possibla. IPhe cannot compfy wi�h du requns�
withirt that time,he shall so inform�e individual,and msy havc an addirional fiva days wirhin which ro comply wirh tt�requesc,excluding San►rdays,
Sundays and legal hoEidays.
Suhd.4. pracedurK when dara is aot accurais ar eomplece_ An individuaJ may con�es�iho accuracy or comple[encss of pabiic or privar�
ea�concerniag himself, To exereiso Ghis right,an individusl shall nodfy in writing�hc�esponsble sudioriry describing rhe eawre of tt�e 4isagreemcnt-
Thc cesponsible au�horiry shall wichin 30 days eithCr_ (a)correct the Haca found to be ic�ecurau ar incomplese aod aa�mp[to noafy pas�rxipinnrs of
inaccurace or incomplete darn,including rocipiencs namad by r?te iodividual;or(b)aotity�e individunl cha�he believes che dam co be caerecc Dan
in dispu�c shait be discEvscd o�ily if�hc individuai's srncemenc oP disagrscmanc is inc[uc,cd wich che disclased da�.
Thn de�erminarion c>P tha respansibta au�honry may ba appealcd pursuan�w thc provisions of ihe adcnini�orarive procadure acc relsring co
con�essen cases.
pATA p'Y2IVACY ADVI:�ORY
Izl accordance with M.S. 13.04,Subd.2, "Righ�s of subjeets of d;�ta",we would Iike to inform you r.hat your reques�
for a permie or license from the City of orono 4r any of its dzpartmf:nts may require you to turnish cenain priva�e or
confidential informa�ion.
You aze nocified that:
1, The infosrna�ion you Eurnish wil!be used to deterniine your quali�ication for rhe permi[or license requesied.
2_ You may refuse to supply data, but refiasal may requir�: that [he City deny the pernut or license.
3. The infor�nation�may be shared wi�h o�her local, state or federai agencies to tha exten�necessary to proccss
the permii qr licens�_
4. If your requcsted permi[ or license requ'ues Couneil action to approve, some ir,�formation may becoule
public.
5. You have cenain ri�hrs uuder M.S. 13.04 (available upon reqaes�) �o review private data on yourself.
6. YouK full name is required to process this applica�ion +�r perin.i[_
on a��h �ct...M.. /" `uS o t
Pirsi �EiddIc Las�
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Address ( 0 ��Q v. V u����' �� �S��'L-L 7�lj— f�S�.c� �/.Z.
�O
�iry Smce 2ip Phone
I understand mY rights as srated above.
/�i�i"�� -- .
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���0�'OSED E:� �TRY MONUMENT ��TAIL FOR �
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IN OUTLOT A, H�,NSER ADDITION ������ �;���
HENNEPIN COUNTY, MINNES � ,� ;
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top view
Entrance Monuments/Markers - Qty: 1 of each
� Similar to San Francisco Cobblestone�, with caps similar to Buckskin Cap�
Panel is inset wlthin stone (approx. 3") and has a concealed reveat on top,
provlding an area for illumination. Panel has attached 3/8" thick
� aluminum dfinensional letters. .
side view
3n . 2�-6�" .
2r " . __ 2 3/4.0
_ ��- -�,�;�.�.,..�='_a�►.�.;_ � - - . _ _ _ ,A ,-��ar�2��,� '�a�,�:�: �� �°"��#r�m,.'r-'�'�:�►,�.'��•�.
4" '��7�,.��. _ . �,����. � �
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. ����-�a,� 4" ��::�
( LED �� �
��ghts 2 0 1655 _ - 1685 � 1655 �
i p
8" x 16" � 1605
concrete � 5'-91/2"
block ' �;�, � 5�-� - �=� =�� � �a
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INSPEC�O�;�____SJ :._4�-�_—�____-_--
Pier and ad footin oar=_ s_z.k-�3 �=,=,: ..���c,._______
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DATE TIME
CITY OF ORONO CALLED IN %l!-,� -C�
INSPECTION NOTICE�/ SCHEDULED /�1:3�U� -���i l
PERMIT NO. ��D_�`f� COMPLETED
ADDRESS /���5 �i�C ���
OWNER CONTR. _I�� i ���-��-{��n_/
TELEPHONE N0. _ � l�' � --�� �� —' �/� �
� D ON �6�:�:% —i i 11/C�'7
l� 1 FO G 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 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 SEP IC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL AETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac n site:
Inspector.
White Copy/lnspec or's File Canary CopylSite Notice