HomeMy WebLinkAbout2000-P02103 - addn/remodel/repair ,
r PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po21o3
Crystal Bay, Minnesota 55323 P2fI711t Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 2�29�00
SITE ADDRESS: 2850 Little Orchard Way
WAYZATA,MN 55391
P I D: 09-117-23-21-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate pertnits required: riumoing Iviecnanicai Eiecu�icai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 748•75 Valuation: $ 65,000.00
Plan Review Fee: $ 486.78
State Surcharge Fee: $ 32.50
TOTAL FEE: $ 1,268.03
APPLICANT: HANSON HOMETECH 1NC. OWNER: JAMES K&JANET M CARPENTER
P.O. BOX ]009 2850 LITTLE ORCHARD WAY
CHANHASSEN,MN 55317 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.
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AP LI ANT PERMITEE SIGNATUR ISSLTEDBY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ Date Received: �-�'�,?>
Entered By: ('� . Permit#: �Do'��D3
CITY OF ORONO - BUILDING PERNIIT 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: L`z�`X� �.+�T'rL� v��� �%�;ti'y ZIP: SS�Z�j
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NAME OF OWNER: �r�,,� c_�p�K:;�, PHONE: (home) �`t7j -1 l Z;-Z
(work)
MAILING ADDRESS: 2�� ��r-r�r�, �3�c.1-�`.� CITY: t;`(�jJ,� ZIP: ��S'3 a
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CONTRACTOR: �� �e�r�(�� i�� PHONE: `�1.3`�-�-��5�-}�
CONTACTPERSON: C' "F�t OB PAGER: "�',�`i- I�1�U
MAILING ADDRESS: ��(� T�7G,c ��j�'�' CITY: C.}�nr( ZI .P='�� �S 31�
STATE LICENSE: # t Zi�.�
-. �74'3z`i l
ARCHITECT/ENGINEER: �S� , PHONE . �
� : —
MAILING ADDRESS: Zt �,.-hr��- 5��"i' CITY. '� ZIP. � �331
NAME: EZ��K. �.� tiss�.�v��� REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detail�Gti,� �.� �s rr,��; E,�a.c;�-�c, � sT�
L �C;N�l �:1�7`^J�-� O� Lf1V:��y �`� �L'"�;S2.�C'�.� y2�t�Y�. T �1-�- Lc���r�i(O/'� "t7� aFL t'70f��
C__� . -
u. �i�\��1 �.n ts�N c� v�,<��'> ,
STORIES: - SQ. FEET OF EACH FLOOR: `}�1 �+ �g i � �(c'Z
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�ESTL�IATED CONSTRUCTION VALUATION (excluding land): � (�5��'�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 is not to start without a
permit; and that the work will be in accordance with the approved plan.
�
APPLICANT'S SIGNATURE:. � , t; � �i 'k.� DATE: J% Zf�z�
NOTE! Parade of Homes events requi separate permit approval by Police Deparlment 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 SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individaal on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqaired to be given indiridual. An individual asked to supply private or confidential data conceming himself
shall be informed of: (a)the purpose and intended use of the 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 confidenual data;and(d)the idenury of other persons or eadaes 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 officec
The comm�ssioner of revernie mav olace the notice rewired under this subdivision in the individual income tax or urocertv tax refund
inc�ctions 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 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 him and,if he desires,shall be informed
of the 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 thereaher unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been
collected 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 requesting person tn pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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,Su�ays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the i�ividual,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 concemit►g himself. To exercise dus right,an individual shall notify ia writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy
past recipients of inaccurate or i�omplete data,including recipients named by the u�dividual;or(b)notify the individual that he believes the data
to be correct. Data in dispuu shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 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.
First Middle I.ast
Address
Ci�y State . Zip Phone
I understand my rights as stated above.
Signamre
6
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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS
FOR OFFICE USE ONLY • .
ADDRESS OR LEGAL: 2�Sb L ��-c c..� D lz.e�4c-a�� W�-► :
PID:
DESCRIPTION OF WORK: Gr4�h�lOv lrvtz� (.�v�,�v(o s A�c_e_
ZO�G REY�tiv BY: DATE APPROVED: 3- 3=�
�. BLTLDL�IG REYIE`�BY: � DATE APPROYED; � -3�-��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes +l No
pI,AN REV�W Yes �/ No SEWE�CO�'ECTTON_
STATE SURCHARGE Yes � No �VATERCONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No �" SITE �NSPECITON
Number of SAC•Units OTHER(specify)
------------------_ -----
ZO�Z�'G CH.ECB LIST zoning Districc: No G Gt'rts✓�►0
Fire Department: Post Office: School Dstrict: � �
Lot Area: Sq.fc. Acres � Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: ,.
Front(Lake): Right Side � - � .
Rear(Street): Left Side•
Adjacent Structures: etland:
Buildin�Heighr. Def. Hgt. al:Hat.
Lot Covera�e: '
Gradin�: Staff Approval Date: By: Council Approv2l Date:
Sepdc: Staff Agproval Date: By:
Zoning File: # Resolution: # Resoludon Date: _ �.
Shoreland District:
Avg. Setback: Bluff Setba k: Lot Co��ra�e:
� Ezisting Progoscd
Hudcover: 0-75' -- .
. 75-250' _----
250-5�0' ---
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval: _
REviAR�iS ('in house):
7
BUII.,DING REVIEti� CHECg LIST
UBC: R• 3 . � CONSTRUCTTONTYPE: ��
Sq Footage $Per Sq Ftg
' Basement � . . . x . _
�. lst Floor . � x . _ . � . .
. 2nd Flaor x = .
Gara�e x _
x =
TOTAL
Estimated Construction Value: $_6�,�o�`�—'
Inspections Required: �Vork Requiring Separate Permits:
Site " �_plumbing Fire
Hudcover Removal �_hlechanical Water Connection �
'FOO�o � Septic Sewer Connection �
�� _�,Frazning . Fireplace Lawn Irri;ation
Insulation ([��o�y� Other
Wall Boazd (�g,) Well(State Permit)
F�� Grading/Fiiiing _�,Electrical(State Permit)
Other
REI�IARKS(1N HOUSE): . �.
REVIEtiV BY OTHERS: DATE: M W _'--- -
Access: Existing New .
Access Approval: Date gy_ �
REI�IARKS (TO BE NOTED ON PER�tiII'1�i «�~ �N
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#-E „� CITY OF ORONQ
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KE�P T!—i!5 PL�N SE� ON S;TE AT ALL TIMES
( — ��'lz� 3�%L `�+\ '
. HANSEN HOMETECH MIG.
1 — �1 x (v�� t��'%�c�x. �� 3 L;��i.Mv�� 'f 7920 K�1bK�11N.
P.O. �ot 1�Or
K_ ��..�, �,,,� �-�,� , "3/�', ^ ChanhMNMI,MNI �5317
w�u��r,�� ��R�c k, (612) 934-08�4
NiN License#1261
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P.O. BoX 1005
Chanhassen,MN 65317
(612) 934-0854
MN License#1261
LIVING AREA
730 sq ft
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' JOB TfTLE ,JOB NUMB6R
Architects&Engineers
1500 HWY 52 No►th DESCRIPTION _ ' SHEET NO.
Rochester,MN 55901
TEL(507)286-8755 MADE BY CK'D BY ,_,,,_„
FAX(507)28&7220
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED '7'a-�–�'�U �—
PERMIT NO. G O� COMPLETED �—�'� `' - ��
ADDRESS �-�O L� 01�h .'v.�
OWNER CONTR.�In l'� -�-�l�-�lC�l •
TELEPHONE NO. 3�� � � 1 I�
n �` ,
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
� 0 R '� N 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z �
Q�/c75�NyKL1� 14 SEWER HOOK-UP 06 PROGRESS
Z
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= I G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PL FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR O MEET YOU:_YES_NO
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� COM EIxTS: � � �-`
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d �WORK SATISFACTORY:PROCEED '- PROJECT COMPLETE
��jCORRECT WORK&PROCEED '1 ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r' PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
C; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector. ��Ctdt, (J��/I,
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED 9� �"�
PERMIT NO. da"I d3 COMPLETED � �L'�U —� ���
ADDRESS �`S� L��7T�`e a�G�t�'� wa'l�
OWNER CONTR. 1�f� ���� •
TELEPHONE NO. ����l�lO
� DESCRIPTION �h � �r�R
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATIO 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINA 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTO TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED f- PROJECTCOMPLETE
��ORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
Owner/Contra or on site:
Inspector.��r�.'��1/ �
White Copyllnspector's File Ca�ary CopylSite Notice
Plot Scale: _ Plot Date; _ —_ Plot Time: __ File Name:
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