HomeMy WebLinkAbout2000-P02708 - addn/remodel/repair PERMIT
C I TY O F C�RCl N O permit Number:
2750 Kelley Parl�way-�PO Box 66 Po2�os
Crystal Bay, Minnesota 55323 P@fCYllt Typ2: Addition/RemodeURepair
(612) 249�600 Date Issued: �i2�i2oo
SITE ADDRESS: 225 Hollander Rd
WAYZATA,MN 55391
P I D: 25-118-23-44-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Sepazate permits required: riiunbing iviecnanicai niecu�icai�siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 72�•�5 Valuation: $ 62,000.00
Plan Review Fee: $ 473.13
State Surcharge Fee: $ 31.00
TOTAL FEE: $ 1,231.88
APPLICANT: WARD KRUEGER CONSTRUCTION OWNER: L N NEUMANN&M M MACMILLAN
P.O.BOX 792 225 HOLLANDER RD
WAYZATA,MN 55391 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
�.� d�- ��
Ap p SSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
Total Fee: $ `�3� •g� Date Received: `Z f�a/�
Entered E�: ' Permit#: �-U a^1 D �_
CITY OF ORONO - BUII.DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
--------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
NAME OF OWNER: �__ PHONE: (home) r '' � Z�
(work)
MAILING ADDRESS: ���..,� CITY:L����ZIP
CONTRACTOR: PHONE:_ �������
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY��%�� ZIP _
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE: '� 7;��
MAILING ADDRESS: CITY: ZIP:
NA�'���: REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOS �(describe in detain: i����a �
STORIES: �_ SQ.FEET OF EACH FLOOR: ,���
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $��
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 ith th approved plan.
APPLICANT'S SIGNA DATE:�"'�,�
NOTE! Parade of Homes events require separate it approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SIJBJECTS OF 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 dara concerning himseif
shall be informed of: (a)the purpose acxi intended use of the requested data within the collecdng state agency,poliacal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the identity of other persons or entibes authorized by state or federal law to receive the data.
This requirement shal(not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revernie mav�lace the notice reauired under this subdivision in the individual income taz or nrocertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to hun and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the pcivate data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or acrion pursuant to dus section is pending or addirional data on the individual has been
collected or createcl. The responsible audioriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shalt comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Satucdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Prceedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the�nature of the
disagreement. The responsible 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 daa,including recipienu named by the individual;or(b)noafy the individual that he believes the data
to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive 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�ity 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 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 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 permit.
First Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
,' � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z25 I-t ot^�-r�rvr,�e, 2 �
PID:
DESCRIPTION OF WORK: __ A,p d � T� c�vJ -
ZONING REVIEW BY: DATE APPROVED: '7 2.5'-0�
BUII..DING REVIEW BY: DATE APPROVED: '1-Zs"-o0
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes _�/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------ ----------------- - -
ZONING CHECK LIST Zoning District: R,2• 1 �
Fire Department: f Post Office: �q_� School District: N'v C���_
Lot Area: Sq.ft. �� r�Acres Width Depth ---
Survey Submitted: Yes 0� No Date of Survey: 0 N
Proposed Setbacks:
Front(Lake): (p5 � '� Right Side: 1 S���^
Rear(Street): ( 3�� � Left Side: I (O� �
Adjacent Structures: IQ�^S�,q�G l�-�.� Wetland: N�(/}
Building Height: Def. Hgt. C>.`c Peak Hgt. —
Lot Coverage: N ��
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: '—" By:
Zoning File: # -- Resolution: # Resolution Date:
Shoreland District: /��
Avg. Setback: Bluff Setback: Lot Coverage:
Eusting Proposed
Hazdcover: 0-75
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
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BUILDING REVIEW CHECK LIST
UBC: /Z'3 CONSTRUCTIONTYPE: �/���
Sq Footage $Per Sq Ftg _ , ,_',, : '. ,
Basement x =
1 st Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
Estimated Construction Value: $ 6 Z,OOo�
Inspections Required: Work Requiring Separate Permits:
Site OC Plumbing � Fire
Hazdcover Removal �Mechanical Water Connection
X Footing Septic Sewer Connection
_Z! 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:
REMARKS (TO BE NOTED ON PERMII�: -
8
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T..�t�Y t�tEUNl,�ii�iiv A?VD MIaRY MP,RGAi ET MCI�IILLAN
::�M��Y INF��i�NI�T?�IV:
WAR� KRUEGER. �:ONSrIRUC"L"IQ��
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„T�'E EN��G`i C�LC.UT A�'WUN J:S FIG1_R�:U L�S�N� THE `r7HC.}LE HOUSE" .
1 . FIR�T Li.��.TED I?F.M :i.0 E,��STItd T
� , SECC?1�D ITE,M IS ADDI''':�:N
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G�.AZINC�: 4di�adcawti: or �curs. �,��+c�v� Grade 145 0 . 350 51
�OR_^> 46 0 . 330 �5
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COMPT I?,t�C:E S:ATEMEt�T '"�'he'vroposed�buildi.ng de�� 7n describ�d her��: .��
c��r�sister,t w_th rh� br.�ilai:`�v p1an�. sp�cifications %�n�a c'�;ie� cal�t�latior�s
�ubmitte� with *.h, permit �;;plaGation . The �ro�,�se� Luilding has be�ac
desiync�d t� F-�eet ch� y�q��ir+���a�t� o# thn Minnesota Z n�rgy Cod�.
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CITY OF ORONO CALLED IN �v �
INSPECTION NOTICE SCHEDULED �v� G .1 3G ,,
PERMIT NO. P ����� COMPLETED �" �C'O �� 3 v
ADDRESS 2 Z 5 l�T�l �G•�—`-` �-`-�`•
OWNER `�- w�-�-- CONTR. �C�Sr�k r
TELEPHONE NO. �rI3 ���
� DESCRIPTION ����1c�,«.-� �`�`1���
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERINC� PERMANENT
❑CORRECT 11NSAFE CONDITION WITHIN HOURS. �; pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION�SSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContraAt�t���
Inspector. ����
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN S-���� �3 °
INSPECTION TICE SCHEDULED - aa ��
PERMIT NO. � � COMPLETED
ADDRESS 5 �
OWNER CONTR.
TELEPHONE NO. a a
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� DESC ON e
ly FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTO TO ME YOU:_YES_NO
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��ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
C'CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. ��/o�Qt� Li
White Copyllnspector's File Canary CopylSite Notice
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IL
SPECIAL NOTE _---
EEE ATTACHED SHEET
CODE ltEQ JlREA493W 5
PSE ROOM WINDOWS r
FIRE EXIT REQUIR' D I $;
20" MIN. CLEAR WIPTH
�t 24" MIN. CLEAR HEIGHT
5:7 SO. FT. MON. OPENO
X4
4" MAX. SILL. HEI
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tuN aa�t appscsbi� bwf p snd
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SPECIAL NOTE _---
EEE ATTACHED SHEET
CODE ltEQ JlREA493W 5
PSE ROOM WINDOWS r
FIRE EXIT REQUIR' D I $;
20" MIN. CLEAR WIPTH
�t 24" MIN. CLEAR HEIGHT
5:7 SO. FT. MON. OPENO
X4
4" MAX. SILL. HEI
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APPS WM COWMONS AS WM
Q, NOT APPROM6O »- COF3 =6 RESIN ����! �. ►v � i",
oan� ars for oar. wosk sty ba 1lb+�i, , 0
tuN aa�t appscsbi� bwf p snd
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