HomeMy WebLinkAbout2000-P02187 - addn/remodel/repair 4s�
' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: o���.t,��� �zi8�
Crystal Bay, Minnesota 55323 Permit Type: addition/uemodei/Repa�r
(612) 249-4600 Date Issued: l��gi�>��
SITE ADDRESS: 2�2s FaX st
WAYZATA, MN 55391
P��: 04-117-23-43-0009
DESCRIPTION:
Proposed Use: Residcntial UBC Occupancy:
Permit Gass: Building
Constniction Type:
Permit Type: Addition/Retnodel/Repair
Census Code:
Permit Sub-type: Single Family
DETAILS:
Resolution#: N/A
Separate permits required fo
NOTICES:
FEE SUMMARY: PcrmitFee: $ l�l��� Valuation: $ 9,700.00
Plan Review Fee:
State Surcharge Fee: $ 4.85
SAC Fee: $ 0.00
Misc. Fecs: $ 0.00
TOTAL FEE: $ 186.10
APPLICANT: Builders Remodelers Inc �WNER: D �E PETERSON
3517 Heimepin Ave So 262� FOX ST
Minneapolis,MN �5408 WAYZATA MN 5�391
THE iINDERSIUNED HEREBYREQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMI;NTS SPECI��IliD
AND AGREI:S TO DO ALL WORK IN S'I'RICT COMI'I,IANCE WITH ALL CITY OF ORONO ORDINANCL;S AND
STATE OF M[NNESOTA 13UILDING CODE RF,QUIREMENTS.
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Al'PLICANT PERMITEF,SIGNATU SSUED BY SIGNAT[JRI; ,{�L,
Today's Date: 1/28/00 Page l
_ -� CITY OF ORONO � 6122494616 01/25/00 15:52 � :02/03 N0:905
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Total Fee: $ / �.,p T Date Rec�ived: �
Entered By: � Permit p: �oao i 9
CIT`Y O�' ORONO - BUII,DING PERMIT APPLICATION
All tnFormetton must be submltted in full be[ore plan review will be started.
(p�ease prfnt all i�formadon)
------�---.--__________________________----------- --- ;��_�--' -�_��_�.,___.__
THE APPLICANT IS: (ci�cle one) OWNER O CONTRAC R
JOH SITE ADDRES�: a�.P� fi `:� ��Y�.�-�- ZII': .�i�J�'1 �
NAME OF OWNER:���� �1�1 PHONE: (homc _ �
)_�-l'1?� d�� �
MAII.ING ADDRTSS:� � . (work)
�D� `�;�X �V �� CI1'Y. ( � ZIP• r��l
CONTRACTOR��I,II.�,' ��F�.� �� e�uS�,c 1PHOlVE: ��.�— S�{-$�
CQNTACT PERSON: MOBII.E/PAGER:
M�ILING AADRESS:�l'1 n� , �,D, CTfY:�t� ZIP: S
STATE I.IC�NSE: � O��j ��
ARCHI'T�CT/ENGINEER: PHONE:
1�ZAYLINC ADDRESS: CITY: ZIP:
N��� REGISTRATION�
„
TYPE O�+' WURK: Now Addi�ion Accessory Structure
Move Remndel/Alteracion I/ Land Alteratio�
_______.�
PROPOSED WpRK (describe in detail�: � �
�_
ST�RI�S: 3Q. FEET QF EACH FLOOR:
N0, OF B .F.DROOMS: GARAGE 3TALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excfuding land): S �'�Qr , (�
I hereby apply for a building pecinit and I acknowledge that the information a6ove is complete and
accurate; cliat the work will be in confurmance wlch che ordinances and codes of the City and aith
tho Stxtt 8uilding Code; that I underscand this is not a permit �rid work �s not co start without a
permit; and that tha work will be in aceordance wi approved plan.
.- � -
APPLICANT'S SIGNATURE: � ` - � �DATE: O �
NOTE! Para�je nf,H'omes tvents require sepdratt permlt approval by Poltce Department and
C�ty Go�cnc�t 60 days prior to the e�►ent. Non permitted events w�ll not be allvwed.
_�
� -CITY OF ORONO � 6122494616 01/25/00 15:52 � :03/03
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See.l3.at 1�IGH7S OK SlTBJECT$OF p,�T�►
Subd, L Type of d�ts. TbG t7$Flfi Of Il1E1V1dYi� 00 wbAm fb0 d001 IS Sl0[Cd Of[0 bC 3tORtI SO7��b0 S9 9CC fONl lfl thl6 6tCp0U.
SuDd.�. [nformation reqidred to b��lrea IndlHdual. ,in iadividual uked�o eupply priv��a or conffdendal d�ti coceeruing 6lm�alf shall
ba lnlormRd o�: (e)ttla purpose and,fAmnded use of the rsqueerod daw Withia the toUecdag Ytata agcacy, polidcal�ubdivieinn, or sauewids ryemm:
ib)wEa�herhe�ay refuse oY is le��lly rsquind io supply�e requcsced dau;(c)eny knawn coauqucuce ansin�from his nipplyin�or retiisin��o supply
privnre or tonfidenosl daW;nnJ(d)ihe idendry of o�her persotis or errocia9 authorized by sw�or fcderal(aw ro receive the da�a. This rcquiremene shall
noc apply when�n indlvidual is asl-ed �supp�y imadQrrive daa.pursuan�to secrivn 13.82, suAdivi9ion 3, eo� Iaw enforcemenc officer.
')1�e eommis�}�4,�+er af reve uq e mpY vl�.:che nodcs remiired ttn+ler ihis sutx#iviai�� in �,e ind;ridur! incomc nY or oroaertv n: cefund
10�a ycyons inscaad u(on thpao f�rmo.
5ubd.3. Aec�e�t to duta by individual. Upon requasc co a responsible auchoriry,an indi�ldual sh�ll be informed whether he u the subjece
af smrtd dsd on lndividual9,and w�e�her!e is elusified as public,privaee ar eon�denp�l. lipon his furthu requecc, rn individual who 1�Ne subJert
of scoml p�iviee or public dra on indiriduva ahall De shvWn�he dan wichouc rny charge eo him�nd,'if he deaires,�hall be lnformeA of the con�ent
end meufin�of�hat dncr. Ahsr an inJividu�l hu been shown che pri�am deu and(nfotmed of ics meaz�ing.�he dara need nut be dlsclosed to him for
six o�ontha therc�fter unlou a dispu�e or ution punuanc►o rhis seccon is pendin�or iddirionaJ dira on du individual has been collected or crea�ed.
The napon�ible iuihoriry shaJl provide copie�of Ne priva�e or public dara upon tequerc by die individusl�ubject af rhe dara. Ihe responsible�uch�tiry
may mquire the requesdng parson tu p�y the ocmal cos�s of malci�f�,certifying.�nd comp�lnq t6e copiea.
The r�spunsible auchoriry shall comply immediacely, if pessible, �virh any rcquest madc pursuanc to this subdivlsion,or wichin five daye of
tha due of rha raduae,excludin�San�rclaya.3undays anJ le�nl holiday9,if immediite complianco Is not pussiblt. If he CnMo�camply with 1he tequest
Withln thot tima,he shall�o infocm che in�ividual,�nd mey ha�e an addidooal five days Within which m comply wi�h ehe reques�,exctuding Satunlays,
Surtdays�nd le�el Aolldiy�.
SuDd.4. p�ac�dure wnen dau 1t not�ccueate or cumplate. An indi�idu�l nuy contest che ec�uroey or comple�rnesa of publlc or pri�•a�e
dsa concaming himsel�. To eierc�te this�gh�,on indivldual shall nuti(y in w�innQ�e respoasible�urhoriry desetiDino the nxture oP the dis��reement.
Ths respor+eibl�au�huriq�Yhall WjNin 3U days eitf:er: (�)corroct the data found co be i�uccura[e or iacomplete snd oaampt to noqfy payt«cipien�s of
inaccunre or incom{�lete deta,includin� ro.oipieets named by eha individu�l;or(b)no�ify e1�e individuol th�r be believes�he dars[o ba cortec�. Daca
in df�puie ehall be ducloaed oNy if tha indlvldual'�sratemenc of disagreernanc is included v�iih the dis�loscd dnu�.
Tlu determinapun uf tAe tesponslble autlloriry may hc appenled purauane�o the provislons o(ehe �dminiatrative proceduro acc nladng ro
coneested eusea.
p��� P$�yA�Y aDYISORY
In accordance wi�h M.S. 13.04, Subd. 2, "Righcs of subjects of data", we would like co inform you that your request
Yur e permi[ or license from the Ciry of Orono or any of its depattments may rrquire you to furnish certain privace or
¢opfidential information.
You arc notifled that:
1. The information you h�rnish will be uscd to decermine your qu�lification f�r the permit or license requesced.
2. You may rePuse to supply dnta, b11L tC}ti19$I may require thnt the Ciry deny the permit or license.
3. 'l�e information may be shuad wich oeher locai, st3ce or federal agencies co che extenc necessary to process
the pet'mit or license.
4. 11' your requested permit or ticensc requires Council action eo approve, some informatina may become
Qublic,
5. You heve c�nain rightt undcr M.S. 13.p4 (avnilcble upon requesQ to rev9�w pri�iate data on yourself.
6. .�Your full name is reguired rocess [his npplicacion or permic_
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Firec Mlddla C as�
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Clry —�– Srue 21p Phone
i undtrstand my ri as above.
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5i�nuNro — T.~
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED —? -� � ` �'�'
PERMIT NO. a� COMPLETED �—����C � ��'
ADDRESS l � Z S� �C��i.''r
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION //�' i'-� �
l� 01 FOO�a 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� MI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:.
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d ❑WORKSATISFACTORY:PROCEED �= PROJECTCOMPLETE
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� ❑ CORFIECT WORK 8 PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
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� ['�,�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
[]CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
�7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
� ; (�r/
Inspector.���� /
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED �-) -� ����
PERMIT NO. o� COMPLETED � �r� �
ADDRESS ���`� �X 5+ ,
OWNER CONTR. �� (��VS ? �'1Y10�G�����5
TELEPHON E NO. ��-�y S��I
� DESCRIPTION -��� ���� � � �C.i G�-
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOL�OW-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
Z
� COMMENTS:
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d�NORK SATISFACTORY:PROCEED r' PROJECT COMPLETE
W
� �ORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. /./���'C C�C-�'J/
White Copyllnspector's File Canary CopylSite Notice