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HomeMy WebLinkAbout2008-P12148 - gas fireplace � .• PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12148 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 6/11/2008 SITE ADDRESS: 2825 Little Orchard Way Unit# Wayzata,MN 55391 PID: 09-117-23-21-0012 DESCRIPTION: UBC Occupancy U1 Construcrion Type VN Proposed Use: Residential Census Code 329 Pernut Class: Building Pernut Type: Accessory Structures Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Stone Fireplace FEE SUMMARY: Permit Fee: $ 191.75 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 196.75 APPLICANT: Larry Olson Custom Homes OWNER: Thomas&Aija Meehan 3100 Jewel La N 2825 Little Orchard Way Plymouth,MN 55447 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. APPLICAN RMITEE SIGNATURE ISSLJED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � I�� �I�� � q CP `? S /� Total Fee: $ � Date Received: 4� `� O 8� Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -- �-�---._.. THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �S'' i I D y �.1� ZIp: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su,�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: To w, M�e ha� PHONE: (home) �,S�rZ - y 75- a�d� �V�i (work)Ga/a- ��D"9�'8'� MAILING ADDRESS: �1��,� �,i ��w �K�et.� (.'iTY: Q rl7ri-27' ZIP: CONTRACTOR: L�9 r�y O�5 a�G u s�o►.� {�0►�e-s PHONE: 2�3',�0?� o��b� CONTACT PERSON: �q r Mt MOBILE/PAGER: 7�,�-�,z{ -2?�168 MAILING ADDRESS: ��o p e�,.�el La�p ►� CITY: �l v�o�,, ZIP: S yy STATE LICENSE: # K�d5 �O 2?`f EXPIRATION DATE: y- ;�.Q'p q ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure �1� Move Home . Remodel/Alteration (ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detain: 5+or�� �i�r�e�ocP STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J�, jJpd °a 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 with the approved plan. APPLICANT'S SIGNATURE: DATE: lo—�o -Q �' 31 . , Sec.13.04 RIGHTS OF 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 conceming himselfshall be informed of: (a)the purpose and intended use of the requested data within the coflecting 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 identity of othet persons or entities authorized by state 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 ma�place the notice reauired under this subdivision in the individual income tax or rp onerty 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 chazge 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 suthority shall provide copies of the private or public data upon request by the individual subject of the data. The tesponsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shalf comply immediately,if possible,with any request made pursuant to Uus subdivision,or within five days of the date ofthe 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 acc�sate 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 authority describing the nature of the 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 adminisVative 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 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 shazed 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. ���rrv �1ta �- D1�61v First Middle Last 3(00 �Pwe ( ,La� r�p i� Address 'P lv�rrov�--� rvtrU 5�y�( 7 `71o3-��r-��{oo C�b' State Zip Phone I understand my rig as stated above. � � Signatur 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z S r r' D rZci� PID: DESCRIPTIONOFWORK o��r- da�2. ,t,�,���� ZONING REVIEW BY.• DATEAPPROVED: �-�o_�� BUILDING REVIEW BY.• ,,,._ DATEAPPROVED: co-c u_o�g FEES TO BE CHARGED: Misc. Fees Calculated By: PE��' Yes �/' No PLAN REYIEW Yes_� No ✓ SEWER CONNECTION STATE SURCHARGE Yes r/� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: Fire Department: Post O�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_I� No Date of Survey: or+ �l! Proposed Setbacks: FTapR(Lake): Z o O � 4� Right Side: �,5-�p � + Rear(Street): �.o u � t' Left Side: 3S� '�' Adjacent Structures: �p' Wetland: N I A� Building Height.• Def. Hgt.�`�•�� Peak Hgt. '- Lot Coverage: /ll�/q Grading: StaffApproval Date: ""- By: Council Approval Date: Septic: StaffApproval Date: '—' gy; Zoning File: # r' Resolution: # Resolution Date: Shoreland District: y-e s MCWD Permit: Avg. Setback: B1uffSetback: LotCoverage: Existing Proposed Hardcover: 0-7.i' 75-2.i 0' 250-500' YV J C�-F� 500-1000' Hardcover variance Required: Yes No_� Date of Council Approval.� REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: II '� CONSTRl1CTlON TYPE: �!�'�/ Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = z = TOTAL ' n Estimated Construction Value: $ 1 l9,U c9v `� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mecha�ical Water Connection �Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other _,�� (Mfg.) Well(State Permit) �Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By.• REMARKS(TO BE NOTED ON PERMIT): 34 �� �� JS � �. �� �� r� Q � � A � � � / -�� f\ '� '' J�, ' •t_ r��, � J � `f /dy�•/ �� �._ LV--'_.-` \,�i'y � � � ;j�' _ � ��;; Q � , ��,y�;, : °�:��>`� � � a�\ ' ,.� \, � �r `f�r� �' � �t .�� s . , I ��`=; � -;- ` � `.,� : ' ,. �-- � •' �� �9 € '.Y �Vl � `�� �` x,�? � y,. %� � �, \i" � ,� " p- � ,� O i � �� , � �^ i � `�� � _ . __�� a�� ' f ��/` � 1 � _ \ � O �[ tJ � � �� , c� t '� _ �_ � _ _ � I� � u�i , � ;� : {� �� a �! �,,t L_ j�„f�t' � t _ `� —�t �r I � D � j ' /J � r� � dg ' -� rO�' XO �`; � � -t t ii i � .� M (� , � `f� � i�l T Y. j � . — ��, � � f � .-....,e„ � .,�a �- � ,� i. , � � � i . � �Y .� Y �o _� ' __ , -�_ � o, -�r-- ;�'�." s � y � � � : ° � � � _� ��. � ... �-.�� -- _ L h�.. �s �, ` , - - v- _ � � �� '-- - - - --- � � �lco _ 36h--� � o � �s � � ti � -� rf I� ,� -� � j� i -, � � � a � � �., , o --�--� � ���bv ���. � ��� � � � � $ , � � f d � c .�; •i � � ` � 3 '� s . a Ta � �,.. a T' � �w # � � � �a� s � � � � o r`"; � �"t- - s � � �:, �' Q > c C =f r��'� ¢ � J_ �d � � Z `�: `; !6 �' s � � ;- C O � � � w: : .r�d o � � C�- v � � ` � _ ` ; ''w -!' � � � � z � �- ' �-r � g ? .rs Li ui ��,}:'� � � Q ... 0- '.� ;'-� �r � :r? Y:� �`' +� �;+�� : �"� r "(�. � � n �, ��� 4 Of '.� v '•) A`��y,� � - S �.. �3 } � �.�t� . � , _T � �� �:n , — i �; - ; !il c,, i-_ n r-:; :�� �,`,.,.� # f- � �� } �- � ° � �; r' � �g � , �-y � �`; ��` _� k, iL ��! e .•'� <;�� � ,� : ��J . .r. Q �� i• . �` j i �:7 �X�.. l,__ U J � ��C) (.J C_ M1 \ � � O I i r._ . .__, m V ��:. t: '' . �}1 � ` a �� 9- 6 � W y� �` ��� '�. �..:T j�� � �. � a 4. 4 � � V ', = ;� J � � ' -�� = L] r�,�= _S�A � � � [13 � �{ 1_ Z � � ✓ ATE TIME CITY OF ORONO CALLED IN � �l U � INSPECTION TICE p� SCHEDULED / O� � PERMIT NO. � � COMPLETED ADDRESS �Z�oZ S �j ��C��LGZ.�2� � OWNER CONTR. � TELEPHONE NO. �Co�J—�� —�`�-�SPv � D� ESC_lR PTION �� • ��FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANOS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP Q SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �� ��r� �. .. � 0 � W � Q � ? W � W � � � K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (952) 249-4600 OwnedConVactor on site: Inspector. � White CopyMspector's File Canary CopylSite Notice �� � DATE TIME � CITY OF ORONO CALLED IN ��2 INSPECTION N TICE SCHEDULED ��-1 '6 /D:p° PERMIT NO. a.��B , COMPLETED ADDRESS a8a S L rt� D�Clc.a.-t./ Gv OWNER CONTR. *��+�d TELEPHONE NO. 7�p 3 ' Z Z-/—' Z��o L'� � DESCRIPTION D(.LfUlJDY' �P �ll�l(�� � ❑ FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 Q 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FI ❑ FOUNDATION/REMOVAL � OWNE ONTRACTOR TO MEET YOU: YES NO ��., COMMENTS: � W a J O � � O � W � Q � 2 W � W � � d ` � � ❑WORKSATISFACTORY:PROCEED 1� PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �B•ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on si : Inspector. : � White Copyllnspector's File Canary CopylSite Notice • ,_ _ _-' `` r I\ \ \ S��Qy, .J�1 - - - - _ _ _ - - h� \ , �` •��\ t '��01 ,�p�� .'\ \ �R,9�6 � ��. D'�% �'1�'' �� � _, �, � , � � (9e�.3) �';\\ \� � ' � � �� r(9S9.o) � � '- - - - - - - - ' � ' ��,.��r .���,.��. �,,, \ i:.t�e r-.]c.�fl-',P��. 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