HomeMy WebLinkAbout2002-P05321 - attached deck . .
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos32i
Crystal Bay, Minnesota 55323 Pel'1'Tllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: ��li2oo2
SITE ADDRESS: 730 Gander Rd
Wayzata,MN 55391
PID: 04-117-23-43-0021
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Permit Type: Addition/Remodel/Repair Pernut Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 223��5 Valuation: $ 13,000.00
Plan Review Fee: $ 145.08
State Surcharge Fee: $ 7.00
TOTAL FEE: $ 375.33
APPLICANT: Schletty Conshuction Inc. OWNER: C K ROOSEVELTN D ROOSEVELT
110 1 st Ave NE TH408 730 GANDER RD
Mpls.,,MN 55413 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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AP T PERM[TEE SIGNATURG ISSUED BY S[GNATURE
Cooies: i-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ '�,. , Date Received: � -� �- �L
Entexed By: �'�n �, r Permit#: �> $���
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CITY OF ORONO - BU�II,DING PE
RNIIT APPLICATIOleT
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: �j.�o �-7�^1>� 2� ZIP: SS 3�,
NAME OF OWNER: � ��-S� PHONE: (home)
(work)
MAILING ADDRESS: 7 3� ���- � CITY: ZIP:
CONTRACTOR: (/��` `��r s�s cc-�,�-,-� Cv�S PHONE:
CONTACTPERSON: ��� s.��,..��� MOBILE/PAGER: �;2� 2:�Z ;M���--
MAILING ADDRESS: (�� �z` � e� -;�{ :.���CITY: f/�1�'`S ZIP: �,��
STATE LICENSE: #F�� z,�z��s'��
ARCHITECT/ENGINEER: �,3 �E i�c-.,s�� PHOi'�TE: ���-- �L Z �7� �-�
MAILING ADDRESS: CITY: 1�� H ZIP:
NAl�IE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration '� Land Alteration
PROPOSED WORK(describe in detai�: ��=-�-►'=
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOI�SS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � i 3. c��`�`' � '=�
%-�� /-
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 pemut and work is not to start without a
pernut; and that the work will ' ac ance with the approved plan.
APPLICANT'S SIGNAT DATE: � I `� / �
NOTE! Parade.Qf H^ omes,,events re ire separate permit approval by Police Department and
City Council 60 days prior l�e--tk�event. Non permitted events will not be allowed.
. .
Sec.13.04 RIGHTS OF SUBJECTS OF DaT,�
Subd. 1. Type of data. 'Ihe righrs of individual on whom the data is stored or to be stored shall be as set forth in this section.
3ubd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and iatended use of the requestcd dara within the collecang"stare agency,polidcal subdivision,or statewide system;
(b)whether he may refuse oT is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idenriry of ocher persobt or enrides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve data,pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or oroperry tax refund
instructions inscead 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 whecher it is classified as public, private or confidenaal. 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 hun and,�if he desires, shall be informed of the concent
and meaning of chat data. Ahzr an individual has been shown[he priva[e data and informed of ics meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuan[to this secrion is pending or addidonal data on the individual has been collected 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 authoriry
may require the �equesring person to pay the actuai costs of making, certifying,and compiling the copies.
The responsible authoriry shail comply immediate(y, 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 possibte. If he cannot comply with the request
wichin that time,he shall so inform the individual,and may have an additionai five days within wtuch to comply wi[h the requesc,exe!uding Sarurdays,
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[his rieht,an individual shall noofy in wriring the responsible authoriry describing[he nature of the disagreemeat.
The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incompfete and attempt to nodfy past recipien�s of
inaccunte or incompiete data, including recipiencs named by the individual;,or(b)nodfy the individual tha[he believes the data to be correct. Data
in dispuce shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data.
The decerminarion of the respensible authority may be appealed pursuant to the provisions of the adatinistrative procedure act relacing 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 pemut 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 fumish will be used to de[ernune your qualification for the pemut 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 have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applica[ion or permit.
��� � S``�`-�—��'�9
�
First �tiddle Last
C (O ( S� '�.1 `�--� '1��'�� �C--�f��
Address
���-S U�� >>`i l 5 .
Ciry State Zip Phone
erstand y rights as stated above.
��
Signa[ur
i
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 13 U G A�v iQCYZ CZx�v4/�
PID:
DESCRIPTION OF WORK: �J�;c..�t
ZOr'ni 1G REVIEW BY: DATE APPROVED: l� • t Y •0 2,
SUILDI�i 1G REVIE`V BY: DATE APPROVED: � •r 4 - o�.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERII�IIT Yes ,/' No
PLAi�t REVIEW Yes ,i-- No SEWER COiVNECTION
STATE SURCHARGE Yes v�' No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning Districr.
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes �C No Date of Survey: �1-ZZ-rd�
Proposed Setbacks:
Front (L�ce): �3S � � Right Side: 55� '}'
Rear (St�eet): 1 SO� '�" Left Side: 1 bv� �
Adjacent Structures: ����fn,/ Wetland: iv /A
Building Height: Def. Hgt. — Peal:Hgt. —
Lot Coverage: N (.�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: ^ By:
Zoning File: # �' Resolution: !� Resolution Date:
Shoreland District: /V 0
Avg. Setback: Bluff Setback: L.ot Covenge:
Existin; 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: 2• 3 CONSTRUCTION TYPE: l/N
. . Sq Footage $Per Sq Ftg .
Basemept, x =
lst Floor z _
2nd Floor z =
Garage x _
z =
TOTAL
i 3 w�=
Estimated Construction Value: $ — °�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing ` Septic Sewer Connection
�C Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
p� Final Grading/Filling Electrical (State Permit)
Other
REMARK.S(IN HOUSE): .
---------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
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REMARKS (TO BE NOTED ON PERivII'1�:
8
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S�RIRS CITY OF ORONO '
8" MAX. R�11S`F� 9" MIN. TFC✓�� BUIL.DiNG P�PAIT �,LAN REVtEW �
INSPE.r•TOR_ � Q C�a•�— �
E�'-8" i��ii`d. �iE:�t-?;�l lr),^..� '� Q
DATE_ �.�i� J'L b PER�RIT NO. �
F,T LL-��T C�.�l: 1-;�NG=?E�A.lL R�QUIIZEI� ro
,>, 4,_ ;- ❑ AFPROVED AS S��B?�;Tf�D
GUAnt�,�,\i� O. CN S f.�E� ��p�;0`d�D vL'!TH CO��'�CTtOf�1S AS f�!OTED o
� NO"f APPRQ`v`cD---CC�;�E:,�T 3�F�SiJ�;�'i�T F;,
! ; The,e c,��me�t.,are fcr y,,ur mfo n�tio�. Alf x���c sha9 be done IU
+ ,6, _i Ir, fu'! corne"_a� e �ti + �^�,, � ,� b�,'dinq a � z�ni^� �,.�+� d
+ Req_ireme�.s;nr_.�uc.,.,g;!�.,�s�; .•.;;�c!,�.- �I���a;:d i�t�;s raw::w.
' ' KEEP 7HIS Pl.AN SET OfJ SITE AT ALl TIMES
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` DATE TIME
CITY OF ORONO V CALLED IN
INSPECTION�OTICE SCHEDULED �^ �
PERMIT N0. �5`� 7�� COMPLETED
ADDRESS 7.3� � l�-N���`�
OWNER CONTR.��=L TX �(Zdt�'C!
TELEPHONE NO. ��•-- Z�2 "" ��'G'2.-
� DESC�IPTION ��-��� /� -- � �. ��
ll��60TING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WOR ISFACTORY:PROCEED ❑ PROJECTCOMPLETE
ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspe ton 24 hours in advance. (952� 249-4600
Owner! to site•
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Inspector.
hite Copyllnspector's File Canary CopylSite Notice
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Uennis F. and Qarbara [3. Kumlin �
. oF Lot ?_, (31ock 1 , FOX4JOOD
flhnne�in County, Minnesota
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Existing Leyal Uescription: Lot Z, �31ock 1 , FOXLd00D � .� SIT� PLAN __... GRADING PLAN
Total area: 7.�19± �cres �A�'R�G�'dEU — �c_C-k �
C AP�'PUVE� Wl;'�� �`::�';, `1
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BY �____ - -___._.______�
� DA�'�. c�-��c -�Z-
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COFFIN&.GRONaERG;���.INC.�.�ti•.��
' Scale: 1 incl� = 100 feet , Engineers and Land Surveyors
. Date : August 22� �yE��� Rf'l//JEo 6-26-86 7-/8-86 Long Lake, Minnesota
Topo� �oken f�nm sur�cY do�ed 5�12-78
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