HomeMy WebLinkAbout2003-P06219 - porch 4
� � PERMIT
�C I TY O F O RO N O Permit Nu m ber:
2750 K�Iley Parkway- PO Box 66 P06219
Crystal Bay, Minnesota 55323 PePCY11t Typ2: Addition/RemodeURepair
(�52) 2�9-4600 Date Issued: a�29�2003
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SITE ADDRESS: 465 Hunter Pass
Wayzata,MN 55391
PID: 25-118-23-31-0007
DESCRIPTION: UBc occupancy R3
Proposed Use: Residenrial Construction Type VN
Buildin Census Code 434
Permit Class: g
Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Porch-Residential
DETAILS:
Approved per resolurion#:
Separate pernuts required: ruepiace r,iecuicai(siaie�
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 251.25 Valuation• $ 15,000.00
Plan Review Fee: $ 163.28
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 422.53
APPLICANT: �cy Construction OWNER: William&Linda Schneider
15012 Hwy.7 465 Hunter Pass
Minnetonka,MN 55345 Wayzata MN 55391
THE IINDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S 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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PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sir:nitures Required). 1-Annlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
, Total Fee: $ � `�� � ��''[ Date Received: � - 2�Z - �.3
- ._____�� �
Entered By: � � V� Permit#: ,l�C��v 1- l�
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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) OWNER OR CONTRACTOR
JOB SITE ADDRESS: `�f(o� �2�„-s�x��-� �a�ZIP:
NAI�IE OF OWNER: �>> 1 i�� ���i d�L►� PHONE: (home)
(work)
MAILING ADDRESS:�� �'►�y���� CITY: O��,-�.a ZIP:
CO\�'I'RACTOR: ��h'Ne�'c.�! PHONE: ����c�'��'7
COr�TACT PERSON: - rt2.� NIOBILE/PAGER: �p/��D3��_'2�3
M.AII.INGADDRESS: �D1z }-��`� CITY:►�'�i�►►�b►-�l�� ZIP: �"34�'
ST�TE LICENSE: # )�7��
ARCHTI'ECTlENGINEER: C��� C�p��-��H0�1E:
MAII,I�i 1G ADDRESS: CITY: ZIP:
N 4.ZIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/AlteratiQK�'�' Land Alteration
PROPOSED WORK(describe in detain: g� i 1� �r�Y1 �Dg�-�' ��
� t b ��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOv1S: � � GARAGE STALLS: ATT. DET.
ESTL�IATED CONSTRUCTION VALUATION (exclud.ing 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 Buildin� Code; that I understand this is not a permit and work is not to start without a
permit; and that the work wilI be i acco ance with the approved p an.
APPLICANT'S SIGNAT DATE: �l �_1��
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information required to be given individual. An individual asked to supply private or co�dendal data concerning himself
shall be informed of: (a)the purpose and incended use of the requested data within the collecang state agency,poliacal subdivision,or statewide
rystem;(b)whecher he may refuse or is le��lly required to supply the requested dara;(c)any Imown consequence arising from his supplying or
refusing[o supply private or confidenaal da�ra;and(d)the idendry of ocher persons or entiaes authorized by sate or federal!aw to receive the data.
This requirement shali not apply when an individual is asked to supply invesd;adve data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or orooerrv tax refund
instrucrions mstead 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 confidenrial. Upon his further request,an individual who
is the subject of stored private or public dara 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. Aher an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addirional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data.
The responsible auchority may require the requesan,person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,wich 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 cime, he shail so inform the individual, and may have an addidonal five days within which to comply with the request,
excluding Saturdays, Sundays and(egal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsib(e authoriry describing the nature of the
disagreement. T'he responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify
past recipienrs of inaccurate or incomplete data,including recipienu 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 disclosed data.
The determinacion of the responsible authority may be appealed pursuant to the provisions of the admirus�aove procedure act reladng
to contested cases.
D�TA PRIVACY ADVISORY
In accordance wich 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 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 pemut 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
C��' Srate Zip Phone
I e stand my rights as stated above.
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. � •�► CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: �l b S H v�vT�2 ��9sS
PID:
DESCRIPTION OF WORK: sc.f�� Pozy-+ o.s �x�s-+-,��� ��zac
ZO�TING REVIEW BY: N (✓� DATE APPROVED:
BUILDING REV�W BY: L. , (� „� DATE APPROVED: y- �Y-�'�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
pI,AN REVIEW Yes _�' No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONIVECTION
INVESTIGATION FEE Yes No v� PARK FEE
SAC Yes No v SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZOti'ING CHECK LIST Zoning Districc: N� c�-F�c.
Fire Department: Post Office: School District:.
Lot Area: Sq.ft. Acres W dth Depth
Survey Submitted: Yes No ate of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Reaz(Sueet): Left Side:
Adjacent Structures: Wetland
Building Height: Def. Hgt. Peak H .
Lot Covera?e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # esolution Date: . . .
Shoreland District:
Avg. Setback: Bluff Setback: LotCoverage:
Existing Proposed
Hardcover: 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 �
� �C� 2" 3 CONSTRUCTTON TYPE: '�/�
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $ � S,Uoo°�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
_ c�Framing oc. Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd a (Mfg.) Well(State Permit) -
—�F� Grading/Filling o Electrical(State Permit)
Other
RENIARKS(IN HOUSE): -
--------- ----------------- _____------------------------ -------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By; �
��-------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT�:
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TIME
CITY OF ORONO CALLED IN a -03
INSPECTION NO IC SCHEDULED t1-3U-C13 I �.til
PERMIT N0. a COMPLET
ADDRESS_ LI�R� /�-lJn�/, Q SS
OWNER CONTR.� CQASt',
TELEPHONE NO. �p�� 7D_3 a a5�
� N
W 1 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROCRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
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
� OWNERICONTRA�MEET YOU:�ES_NO
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W� WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN p C►TATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 tfours in advance. (952) 249-4600
Owner/Con� ; site:
Inspector. �
White CopyMspecto�s File Canary CopylSite Notics
V
D TE TIME
CITY OF ORONO CALLED IN _,e�
INSPECTION NO SCHEDULED `�- _ -�f�
PERMIT NO. � COMPLETED
ADDRESS y�D`'S �J�7�C/' /"�'�S S
OWNER CONTR. � �'
TELEPHONE NO. `
� DESCRIPTION ��'�'�� Po�� ���
ly 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAI FINAI 19 LAKESHORE/WETLANDS
y 09-IM6G TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 PLUM 36 fOUNDATION/REMOVAL
� OWN CONTRACTOR MEET YOU._YES_NO
ti COM •
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W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORE COVERINCa PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN -
❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/ConVact on ite:
Inspector. �-
White Copyllnspecta's Ffle Canary Copy/Site Notfce
�s�-t ) �
D TIME
CITY OF ORONO CALLED IN ��
INSPECTION N T�,C� E SCHEDULED _�� �
PERMIT NO. �, �9 COMPLEfED
ADDRESS J��� 1�������
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OWNER CONTR. "
TELEPHONE N0. L� �a 7L'�� q�a S
� DESCRIPTION ���-� 7Z�Y ����-�'� �u`�-�r��.:
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 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
� 10 PLUMBING FINAL , / 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOIi TO MEET YOU:�/YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CAL TO ARRANGE ACCESS.
Call for the ne i spection 24 hours in advance. (952� 249-4600
OwnerlContrac r sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice