HomeMy WebLinkAbout2003-P06320 - porch PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06320
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 9/9/2003
SITE ADDRESS: 1225 Lakeview Ave
Wayzata,MN 55391
PID: 10-117-23-24-0023
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addirion/Remodel/Repair Pernut Sub-type(s): Porch-Residential
DETAILS:
Approved per resolution#:
Separate pernuts required: Eiecuicai�siaiej
NOTICES/REMARKS:
T_ T__C
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 540.53
APPLICANT: John Schulz Construcrion OWNER' Wayne 7ohnson
3192 Westedge Blvd � 1225 Lakeview Ave
Mound,MN 55364 Wayzata MN 55391
THE UNDERSIGNED 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 SfiATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PERMTI'EE SIGNA ISSUED BY SIGNATURE
Cooies: 1-File(SiQnitures ReQuired). 1-At�plicant,1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
' Z�otal Fee: $ ��(� . S 3 Date Received: 5-/y—D�
Entered By: i2� Pernut#: �l��0320
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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 O ONTRACTOR�'
�..
JOB SITE ADDRESS: 12 � c� (i�� � J �� �," � v 'C� ZIP:
NAI�fE aF OWNER: �`��N e �-,�:�ti c �- i� ��s� � PHONE: (home)`�S� �d y � `�a 1
: (work)
MAILING ADDRESS: <"�,� G-�Y r t� �f w .�u c� CITY: c}►z-c7 n� e� ZIP:
� �
CO\�T'RACTOR: �� z !-r 'v �C�- �a �1 � 2 PHOI��:�2 `E 7 2 3 c}S',f'
COti-TACT PERSON: �v ��� .� ILE AGER: �,!2 �'g i ���.�
M.AII,ING ADDRESS: �3 I 4'2 t1;P S te n c � r3�� n CITY:t�2�u N �� ZIP: �S".�3�Y
ST�T'E LICENSE: # �S-��
ARCHTTECT/ENGTi�1EER�� (2— PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NA..�IE: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: R P�o� � o i.- �C� ��r _ _ � �v , � � ,/�N �
3S'�':a>�,..� ��� nL` Gd � � � �a�df3. l��cyiiS �f' � ('� CJ 1'Un� IJ ��`� S(G. �C
STORIES: � SQ. FEET OF EACH FLOOR: o� �° `I
NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET.
r�,- � G
ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ '�G �
I hereby apply for a buildin�pernut 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 wiR be in accordance with the approved plan.
APPLICANT'S SIGNAT — DATE: J� � � `� � ��j
NOTE! Parade of Homes events require separate perntit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGFITS OF SUBJEGTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secuon.
Subd.2. Information required to be givea indiridual. An individual asked W supply privare or confidendal data concerning himseif
shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide
rystem;(b)whether he may refuse or is legally required to suppty the requesud data;(c)any Irnown consequence arising from his supplying or
refusing to supply private or confidrntial daa;a�M(d)the idenrity of o[her persons or entiaes authorized by srate or federal law ro receive the data.
This reqnirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, w a law
enforcement officer.
The commissioner of revernie mav�lace the notice reauired under thi subdivision in the individual income tax or orooertv tax refund
��tr_uctions mstead of on those fortns.
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,aa individual who
is the subject of stored private or public data on individuals shall be shown the dara without any charge to him and,if he desires,shall be informed
of the content and meanin�of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months rhereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been
copected 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 requesdng person to pay the actual cosrs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant W 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 time,he shall so inform the individual,and may have an additional five days within which to comp(y widi the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or
private data coc►cerning himcelf. To exercise this right,an individual shall no6fy in writing the responsible authoriry descdbing the�nature of the
disagreemenc The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and atumpt to notify
past recipients of inaccurate or icuompleu data,inctuding recipienu named by the individual;or(b)noRfy the individual that he believes the daha
to be correct. Data in dispute shall be disclosed only if the individual's sratement of disagreement is included with the disclosed data.
The deurminadon of the responsible authority may be appealed pursuant W the provisions of the adminisa�ative procedure act relating
w 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 iu depaztments 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 Ciry 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 Councii 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
I.ast
Address
C�ry Srate 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: I 2 2 S Lq�c,e-•,r€.w A.�
PID:
DESCRIPTION OF WORK: Po 2c'il,�
ZOi�TING REVIEW BY: DATE APPROVED: 9-t -o�
BiJII�DING REVIEW BY: DATE APPROVED: � -� -0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r/' No
PLAN REVIEW Yes �' No SEVVER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO��TG CHECK LIST zoning Districr. (L(2.-I i6
Fire Department: Post Office: School District:
Lot Area: Sq.ft. 20�y 3� Acres , �(� Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): �-10 ' Right Side: 52-5
Rear(Street): `�l S Left Side: � S'j
Adjacent Structures: �4rn4cc,a.G� Wetland: � l/�F .
Building Height: Def. Hgt. p,�c Peak Hgt.
Lot Coverage: N/c
Grading: Staff Approval Date: ^ By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # 0�-2°��o Resolution: # Resolution Date: . . .
Shoreland Disuict: N �
Av�. Setback: Bluff Setback: Lot Coverage: N/C
Eusting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUII.DING REVIEW CHECK LIST �
�C� �'3 CONSTRUCTION TYPE: V.^�
Sq Footage $Per Sq Ftg
Basement x _
lst Floor z =
2nd Floor R _
Garage x =
R c
TOTAL
Estimated Construction Value: $_ ZO fd ��
Iaspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
�_Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
�_Insulation (Masonry) Other
�_Wall Board (Mfg.) Well(State Permit)
a F�� Grading/Filling _�Electrical(State Permit)
Other
REMARKS(IN HOUSE):
----------------------------------------------------------
REVTEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY:
_----------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT�s
8 �
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CITY OF ORONO CALLED IN f�DA��i� � TIME
! a
INSPECTION NOTICE SCHEDULED L 2 .�..�%�
PERMIT N0. /''��' f���'� COMPLEfED
ADDRE�ZZ���Gt %LC L'i �,F' �-�� �C'�
OWNER CONTR. �./ L��1�'1 �SG�< < �� Z-
TELEPHON E NO. �� �Z ��'�J - �ZZL�
� DESCRIPTION f--f�C��'�'L-C/"�`/ • �j ��S(�`�� �
� 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
Z04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOFi TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL fiETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46��
OwnedContr o ite:
Inspector. � '
White Copylinspector's le Canary Copy/Site NoUce
C.� �
_D� AT� TIME
CITY OF ORONO CALLED IN ��_�� �
INSPECTION NOTI SCHEDULED
PERMIT NO. � 3��COMPLEfED
ADDRESS ,/.�a� � C'+���p I) /.�1,c,(� �
OWNER CONTR. � T� ��,�.����
TELEPHONE NO. � ��� ��� �c�-o�
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� DESCRIPTION � �//L -� ��
� Ot 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
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 INSTAIL. 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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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnedCon site:
Inspector.
White Copyllnspector's Fil Canary CopylSfte Notice
�
DATE TIME
CITY OF ORONO CALLED IN �� �di
INSPECTION N SCHEDULED �� 3 �
PERMIT NO. Z� COMPLETED
ADDRESS_ �2Z� t.u.r�r�it� I[xx•
OWNER CONTR. �lJ�� Sc�I'fZ
TELEPHONE NO. ��Z �j�/' SZ1-�
� DESCRIPTION ._7�'tSt.t.��u^
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O INSULATI 24/25 WOOD BWRNER7FIREPLACE 34 TREE REMOVAL
Z ALL 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
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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERiNG PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnedCon ite:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
V
DATE TIME
CITY OF ORONO CALLED IN I�� ��
INSPECTION NOTI SCHEDULED �- � 1� r"�
PERMIT NO. C) � COMPLETED
ADDRESS I 2-Z� ���� V I� �
OWNER CONTR. 5����C►'`c� LF"Z-
TELEPHONE N0. ( nI�- `fi--t I- Saa-U
� DESCRIPTION � '�� ��rc�
� 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
Z 04 WALLBD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q � �' '°'s..�--� 14 SEWER HOOK-UP O6 PFiOGRESS
��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� WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECAVERING '
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-46��
OwnerlContcar� r o s t •.
Inspector. - .
White Copy/lnspector's File Canary Copy/Site Notice
SURV�Y�ll: �eptemoer ��, �77v � /\
LEGAL DESCRIPTION` \l �
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Lots 14.1�, and 16, Block l, MAXWELL'S ADDITION TO CRYSTAL BAY, Hennepin County, Minnesota. ���
� aRONo �
LIMITATIONS &NOTES: �
The scope of our services for this job is as follows: V /
1. Showing the length and direction of boundary lines of the legal description you furnished.
?. Showin�the location of existing improvements we deemed important. �
;. Setting new monuments or verifying old monuments to mark the corners of the property. /1/
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STANDARD SYMBOLS & CONVENTIONS: �S� S2'�
"o" Denotes 1/2" ID pipe with plastic plu� bearin� State License Number 923�. set, if"o" is filled in, then denotes '�0 ` �
found iron monument. / �
CERTIFICATION: c�
I hereby certify that this survey was prepared by me or under my direct supervision and that I am a Professional �h
En�ineer and a Prc�fessional Surveyor under the Laws of the State of Minnesota.
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