HomeMy WebLinkAbout2007-P11648 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11648
CrystalBay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(�52) 249-4600 Date Issued:
11/19/2007
SITE ADDRESS: 1245 Lakeview Ave Unit#
Wayzata,MN 55391
PID: 10-117-23-24-0024
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Addition/RemodeURe au Permit Sub-type(s): Addn/RemodeURepair
Permit Type: P �
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Electrical(state)
NOTICES/REMARKS:
Add second floor-CARPORT NEXT TO GARAGE&DRIVEWAY MUST BE � `
REMOVED NJ
FEE SUMMARY: Pernut Fee: $ 853.75 Valuation: $ 80,000.00
Plan Review Fee: $ 554.94
State Surcharge Fee: $ 40.00
TOTAL FEE: $ 1,448.69
APPLICANT: Owner/Self OWNER: Keith Nord&Virginia Griffiths
NIN 1245 Lakeview Ave
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING.0 QUIREMENTS.
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LICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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`• � Total Fee: $ � �T(�� �J DateReceived: ���3�"�7
Entered By: Permit#: /9/�l0�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infor�nation)
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THE APPLICANT IS: (circle one) OWNE R CONTRACTOR
JOB SITE ADDRESS: �z YS �-r�����.- �-� �•��,r• � ZIP: S ���1
Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS � NO If yes, a special evenl permit is reguired with Police Deparlment and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
suff cient on-site parking is available. Non permitted events will nol be allowed
NAME OF OWNER I�e �CL, �% a / � PHONE: (home) �S Z Z�( H °13 31
(work) ��S Z `11 I t � � o
MAILING ADDRESS: I Z`1S L, k� ����w Avt- CITY:�--���-�r� ZIP: „�S3�t
CONTRACTOR: �: r � � L� I( �;Z Z�o � �"�.��(
PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: � .,�.��•� .-k-� �e��i�, PHONE: ��S � �1 � y 7`1�f�
MAILINGADDRESS: �jd �,.,t�� "�c��ST CITY: C�,,,�,,,z�� ZIP: SS3i'7 S,�
NAME: L-K1� T`+--�:-� REGISTRATION: # z.�c
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: �� 1� , s�t c •-> F I Ew� �-n � r, . ,�.l
� t,�..�.
STORIES: �-- SQ.FEET OF EACH FLOOR: � y l"�
NO. OF BEDROOMS: 2- GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��L-, C��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 permit and work i not t rt without a permit;and that�he work will be
in accordance with the approved plan.
�
APPLICANT'S SIGNATURE: r DATE: �G - � ��O 7
31
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Sec.13.04 RIGHTS bF SUBJECTS 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 data concerning himselfshall be
informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by sYate or federal law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or�ronerty tax refund
instructions instead 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 whether it is classified as public,private or confidential. 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 him and,if he desires,shall be informed ofthe content and
meaning 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,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 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 comply with the request,excluding Saturdays,
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 private data
conceming himself To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement. The
responsible authority 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 data,including recipients 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 determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 City of Orono or any of its deparlments 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 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.
��Q.�"�.. ���-^c � Q � �
First Middle Last
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Address
��h�-,,a'. �,. �� 3� �
T
C��Y State Zip Phone
I understand my ri s as ated above.
Signatu e
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32
_ CHECK OFF LIST FOR ISSUANCE OF PERMITS
° FOR OFFICE USE ONLY
ADDRESS OR LEGAL: : ,,� �t � ���c�'�i;�-�,_,�-=) ��"�
PID:
DESCRIPTION OF WORK �h c( .S � �I -(� ��-,
ZONING REVIEW BY.• c'.� M DATEAPPROT�ED:�l� Z�-C.>
BUILDINGREi�IEWBY.• DATEAPPROT�ED: �1-�- a7
FEES TO BE CHARGED: Misc. Fees Calculated By: � � �~� � ~�
PERMIT Yes .� No
PLAN REVIEW Yes—� No SEWER CONNECTION
STATE SURCHARGE Yes �/ No YT�ATER CONNECTION
INVESTIGATION FEE Yes No_ / PARK FEE
SAC Yes No J SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECK LIST N Zoning District.Y�M��'�—�/� ������M�____�_
Fire Department: Post O�ce: School District:
Lot Ar-ea: Sq.ft. Acres Width Depth
Survey Submitted: Y'es V No Date of Survey Z C��G a
Proposed Setbacks:
Front(Lake): Right Side: �� ����
Rear(Street): Left Side: �YvY�'I '�X/S �� � �
Adjacent Structures: Wetland:
Building Height: Def Hgt. Peak Hgt.
Lot Coverage:
Grading: StaffApproval Date: By: Council Approval Date:
Septic: StaffApproval Date: By; 1...�.��'" ,
C��-
Zoning File: #����I Resolution: # Resolution Date: �C�Z L�C� � S�-�h�}c �C �,�,,9-y�,Q1.�(,�
Shoreland District: MCYf�D Permit.� y1 C7 C.IN�ry�C�,�,
Avg. Setback: BluffSetback: LotCoverage: ��'1 �'}/�YC�C C��
F.xisting Proposed
Hardcover: 0-7�'
75-250'
Z.i 0-.i 00'
500-1 D00'
Hardcove�• Variance Required: I'es No Date of Council App�-oval:
REMARKS(in house): /(� SC�I U6�7 G - r U,5�- , � ,S� /�
33
,
BUILDING REVIEW CHEC%LIST
UBC: I?' 3 CONSTRUCTION TYPE: �//`1
Sg Footage $Per Sq Ftg
Basement x =
Ist Floor� x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �Q�QQp �
Inspections Required: Work Requiring Separate Permits:
Site � Plumhing Fire
Hardcover Removal oG Iulechanica/ Water Connection
Footing Septic Sewer Connection
,x Framing _�Fireplace Lawn Irrigation
__�Insulation _ c�(Masonry) Other
_ Wall Board �(Mfg.) W'ell(State Permit)
p� Final Grading/Filling )c Electrical(State Permit)
Other
REM_ARKS(INHOUSE):
REVIEW BY OTHERS: DATE: � ~
Access: Faisting New
Access Approval. Date By:
REMARKS (TO BE NOTED ON PERMIT): ���
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������S £4?�,r, T� " Pertnit Number
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Checked By/Date
REScheck Software Version 3.6 Release 2
Compliance Certificate
Project Title: C104900
Energy Code: 2000 Minnesota Energy Code
Location: Hennepin County,Minnesota
Construction Type: Single Family
Window-to-Wall Ratio: 0.14
Report Date:10/30/87
Date of Plans:8/31/07
Project Information: Builder Information:
NORD RESIDENCE
1245 LAKEVIEW AVE.
ORONO,MN
• � • i e�
• : • . � •
. . • � . ' a � �•
Ceiling 1:Flat Ceiling or Scissor Truss 980 44.0 0.0 26
Rim Joisl:Wood Frame,24"o.c. 194 21.0 0.0 10
Wall 1:Wood Frame,16"o.c. 1043 19.0 0.0 51
Window:3226 DH:Wood Frame,Double Pane with Low-E 64 0.330 21
Window:2828 DH:Wood Frame,Double Pane with Low-E 31 0.330 10
Window:2028 DH:Wood Frame,Double Pane with Low-E 23 0.330 8
�ndow:5458 PIC:Wood Frame,Double Pane with Low-E 27 0.330 9
Window:2816 DH:Wood Frame,Double Pane with Low-E 29 0.330 10
Statement of Compliance:The proposed building design described here is consistent with the building plans,specficaGons,and
other calcula6ons submitted with the permit applica6on.The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheck Version 3.6 Release 2(formerly MECcheck)and to comply with the mandatory
requiremenis listed in the RESchedc Inspection Checklist.
Builder/Designer Company Name Daie
r��, D E nTIM
�/" CITY OF ORONO CALLED IN ��' " �[• �I
INSPECTION NOTICE SCHEDULED _l��
?.p��No. O"1 -�I �'D g�
� COMPLETED
ADDRESS IZ�j � ��
OWNER �ef N� CONTR.
TELEPHONE NO. Q�2 ' Z�O ' I�J�
� DESCRIPTION �� (�(�(�� �[X! ��S (et�1'
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOPORDER POSTED.CALIINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next 4nspection 24 hours in advance. (g52) 249-4600
Owner/Contr 't�:
Inspector. � �� �' �'�
White Copyllnspector's File Canary CopylSite Notice
`J , �— DATE TIME ✓
CITY OF ORONO CALLED IN /-
INSPECTION NO ICE SCHEDULED ��
PERMIT NO. COMPLETED �
ADDRESS /a�S �
OWNER ��'L-iUOY'�✓ CONTR.
TELEPHONENO. gSZ Z.-70 �3a,S-
� DESCRIPTION
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Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46��
�
OwnerlContra �s' e:
Inspector. v
White Copyllnspector's File Canary Copy/Site Notice
� � / ATEQ' Q� TIME V
CITY F ORONO CALLED IN ` U � u
INSPECTION N TICE f� SCHEDULED � � /L:O�
PERMIT NO. L� v COMPLETED
ADDRESS ��
OWNER CONTR.
TELEPHONENd�d �_�Y� — O`�,l —� �� c ���D
� DESCRIPTION ���2��—!Lj ��(.l ,d'/�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q '�1NSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA�
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 249-46��
OwnedContract i e:
Inspector. ` �
White Copyllnspector's Fil Canary CopylSite Notice
�� �� DA TIME �
CITY OF ORONO CALLED IN 3'� ,p�
INSPECTION TI SCHEDULED �'�9'dU LD%C�
PERMIT NO. COMPLETED
ADDRESS �aZ ��S ��
A�� K�1 �— CONTR. o'�' �`L�yN,�`u`
TELEPHONE NO. �10.3 7'77 s�'0�
� DESCRIPTION � l
� ❑ FOOTING ❑ CHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ ECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ WARD COVER REMOVAL
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑IIVSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on s' e:
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Inspector. �
White Copyllnspector's Ffle Canary CopylSite Notice
✓
D E TIME
CITY OF ORONO CALLED IN �� ��
INSPECTION CE SCHEDULED �o a� l%3C�
PERMIT NO. �!!�� COMPLEfED
ADDRESS � �-'-S e L��'2%lit/-�����G�
OWNER CONTR.
TELEPHONE NO. ��p� - �77 J�.�dS
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� DESCRIPTION �L���-�G�. � C� V
� 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 WALL 8�• 12 WATER HOOK-UP 17 SITE INSPECTION
��U' F� 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
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
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INSPECTOR WILL RETURN
❑STOP ORUER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �� ,�
White CopyMspecto�'s File Canary Copy/Site Notke
CERTIFICATE OF SURVEY FOR
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OF LOTS 17 & 18, BLOCK 1 , � s �
MAXWELL' S ADD. TO CRYSTAL A�o ��
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LEGAL DESCRIPTtON OF PREMISES :
Lots 17 and 18, Block 1, MAXWELL' S ADDITION TO CRYSTAL BAY LAKE MINNETONKA
o : denotes iron marker
Bearings shown are based upon an assumed datum.
This survey intends to show the boundaries of the above described property,
and the location of an existing house thereon. It does not purport to show
any other improvements or encroachments. l � ll�,^��,�
/� `= l C11leU���� �'�
I hereby certify that this survey was prepaed by me or under my direct super- scA�E
c��� a� c�oNegRc, iN y � � Y ,,,=20-
vision, and that I am a dul r istered Civil E ineer and Land Surve or under
��� ��� � �� the laws of the State of I�innesota. �ATE
- 9-18-00
482 TN�NRAq( AYEEM� LONG UII�, W. 55356 i�LL�l.O�
JOB N0.
612-473-4141 00-400
Eco Mark S. Gronber Minnesota Lice e Number 12755
QO-400
/a�S �gr�,�