HomeMy WebLinkAbout2001-P03521 - addn/remodel/repair PERMIT
C I TY O,,F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03521
Crystal Bay, Minnesota 55323 P@I'1111t Typ@: Addition/RemodeURepair
(952) 249-4600 Date Issued: 2ii6i2ooi
SITE ADDRESS: 3472 Livingston Ave
WAYZATA,MN 55391
P I D: 17-117-23-43-0016
DESCRIPTION: UBC Occupancy �
Construction Type VN
Proposed Use: icesidentiai
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanicai r,iectricai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,200.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 2.60
TOTAL FEE: $ 209.23
APPLICANT: AL'S MASTER PLUMBING OWNER: C T VERSAILLES ET AL
3041 ALDRICH AVENUE S 3472 LIVINGSTON AVE
MINNEAPOLIS,MN 55408 WAYZATA MN 55391
THE UNDERSIGNID 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 BUII.,DING CODE REQUIREMENTS.
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Copies: City,Applicant,Assessor,Finance Page 1
INSPECTION RECORD
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CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number. P03521
Crystal Bay, Minnesota 55323
(952) 249-4600 Date Issued: 2�i2�2ooi
SITE ADDRESS: 3472 LivingstonAve
WAYZATA,MN 55391
APPLICANT: �,�5 MASTER PLUMBING
3041 ALDRICH AVENUE S
MINNEAPOLIS,MN 55408
Proposed Use: Residential
n�--�:`°..'- `-�'�'�•Addn/RemodeUR air
i wiiu�Nuv-�yY�'l,l �
Pennit Class: t�mlcung
Pernut T�pe: Addition/RemodeURepair
S�arate inspections required:
Building: Framing Insulatian Wallboard Final General:
Plumbing:
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON TI�PREMISES ON WHICH TI-�E WORK IS TO BE DONE.
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Total F�e: $ 7� ��/� Date Received;
Entered By: Permit#: _ �'�S z i
-�� �i ,,,� CITY OF ORONO - BUII.,DING PERNIIT APPLICATIQN
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All information must be submitted in full before plan review will be s#arted.
(please print all information}
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
.roB s1� �nnxEss: ��'�'.� G�`�-��v��7��- ��r�, z�: �..�.��9/
NAME UF UWNER: ��lfe rsc r��� PHONE: (home)C�-��,-�9�.�`�
(work)
MAILING A►DDRESS: ..�,�r,�C: CITY: Z1P:
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CONTRACTO�: S a,� ��r � Y+�+ �." PHONE: �/�-5��� -_S"....?�
CONTACT PE ON: M BILE/PAGER:
MAII.ING ADDRESS:�('j�, c+/,�;c. r,�'�. CITY: �- ZIP: �'.� ' Q�
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP;
NA.l��: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAlteration � Land Alteration
PROPO5 D WORK( esc 'be in detail�; �.-c��, ,`►v� ��� jv� � �v?� �� ��y
, �
�. a c�c� cf�cc r.v� - �.�^.s'� �^ � �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTTi�IATED CONSTRUCTION VALUATION {excIuding land): $-��,��O.�`� _
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 w�th the a r ved plan.
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APPLICANT'S 5IGNATURE: r'"'p "� DATE: .,� �L�`��' I
NOTE! Parade af Hames events require separate perntit appraval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sea 13.UA RIGHTS OF SIJSJECTS OF DATA �
Subd. I. Type ot data. The righis of individual on whom the data is stored or to be stored shall be as sct forth ia this sectioa
Subd.2. 7nfonoation tequited to I�e g��en indiv��_ ��ividual asked to supp(y privac�or confidential data co�erning himseif
shall be info�of: (a)d�e purpose and interded use of the requested data within the collecdeg srau agency,potiaca!subdivision,or statewide
system;(b)wherher he may refuse ot is legally required;tq supplY ttu req�esteci dara;(c)any k�wa��g����s�fmm his supplyiag or
refusing m suppty private or coafidential data;and(d)the ideutiry of other persons or emities authorized by state or federal law to rcceive the data.
This requirement shail not apply when an individual is asked oo supply invesdgative data,pursuant to sacpon 13.82, subdivision 5, w a law
enforcement officer.
'The commissio�r of revote��mav olacs roi�„t�g�Jimi��.rinr�,hi�subdivisia–in th,t in ivi:y�at;,,�.n.�. � or�roQertv taz�
��m+Mtions tns�of on ��rohn�.
Subd.3. Access to data by indivldual. Upon request to a responsibte au�ority,an individual st�all be informed whether he is the
subject of stored data on individuals,and whether it is classifiai as public,private or co�dendal. Upon 6is further request,an individuai who
is the subject af stored private or pub[ic data on individuals shall be shown d�e data without any charge to him aari,if he desires,shall be informed
of Ux conunt and meaning of that data. Afcer an individual}�a,y been shown the private data and informed of its meaning,the daffi need nat be
disclosed to him for six monrhs d�ereafosr unless a dispute or acdon pursuant to this sxdpn is pendu�g or addifional data on the individual has beea
coUected or created. The responsible a,uuthority shall provide copies of tfie private or public data�upon request by the uidividua(yvbject af the data.
The responsibla authority may requice the requesting person to pay the actuai costs of makin�,certifying,and compiting the copies.
The resportcible authoriry shall comply immediauly,if possible,with any request made�rsuazu co this subdivision,or witlun five days
of rhe da�of d�e request,excluding Saturdays,Sundaye arui legal holidays,if.immediate compliance is not possible. If he cannot compiy with
the request within that ame, he shall�inform the individual,and may have an addidooal five days within which to comply with�e request,
excluding Sauudays,Sundays and legal holidays.
Subd.4. Procedure when data Lv not acc�rste or complete. An individual may contest the accuraey or comple'tenoss of public or
private data concoming hims�(f. To enercise this right,an irtdividual shall no6fy in writing the respousi�le authoriry describing the t�awn of the
disagreemern. The responsible aurhority shall witivn 30 days eirher: (a)coirect the data found to be inacwrare or incomplete and attempt to notify
P��P�ents of inaccurate o�i�omplete data,inctudidg recipieirts named by rhe individual;or(b)notify the irniivIdual tharhe beHeves che data
to be correct. Dara in dispu[e shali be disclosed only if the irxiividual's statement of disagreement is inciuded with the disclosed data.
The detemunaaon of rhe respon4iMe suthocity may be appealed pursuant to the provisions of du administrative proceduie act relating
w contested cases.
DATA PRIVACY ADVI�ORY
In accordance witb M.S. 13.04, Subd. 2, °Rights of subj�ets of data", we would like to infortn you that your
request for a permit or license from the�ity of Orono ar any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1• The infarmatio�a you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refiise 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 exte�t necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
publia
5. You have certain ri�;hts 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.
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A�adro s � T—
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City State Zip Phonc
I under d y 'ghis as stat�d a
Signamrc e..
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�+ CHECK OFF LIST FOR ISSUANCE OF PERMITS
� ' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3y1 Z- t.��v�r�►6�TO/�1 Av�
PID:
DESCRIPTION OF WORK: ('�,���o,p.e L.
ZONING REVIEW BY: DATE APPROVED: 2 - c 3-o t
BUILDING REVIEW BY: DATE APPROVED: z _�3 -v�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓' No SEWER CONNECTION
STATE SURCHARGE Yes J� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: NO c.�,�A^/6 e
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: W dand:
Building Height: Def. Hgt. P Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
Zoning File: # Resolution: !� Resolution Date:
Shoreland Disuict:
Avg. Setback: Bluff Setbac : Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Vuiance Required: Yes N Date of Council Approval:
REMARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: R • 3 CONSTRUCTION TYPE: V/'�( ,,
� Sq Footage $Per Sq Ftg
Basement . x =
lst Floor x =
2nd Floor x =
Garage z =
R =
TOTAL
Estimated Construction Value: $ S,?�O
00
Inspections Required: Work Requiring Separate Permits:
Site _�Plumbing Fire
Hazdcover Removal 'C Mechanical Water Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�c Insulation (Masonry) Other
_eSWall Boazd (Mfg.) Well (State Permit)
f Final Grading/Filling J�` Electrical(State Permit)
Other
r.
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE i\'OTED ON PERMII�:
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til�l'!' CC;::,L•L'c�?C6 V;tjll n�� 2!•�:�!C3�1? tU,i�11f1C� :nd zonir� CpI:B.
RC���C mer.��inr..t�ci;:g,cros not speci�icaii notad in thi�r���ia;w
� KE�P 7!-liS PLAtJ SET ON St7E AT/;LL TIMES
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LlVING ROOM
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CODE REQUlREME1V�'S
CITY OF ORONO � °�� �TIM��
INSPECTION NOTICE �-�-3 '��.�-
PERMIT NO. S COMPLETED J��l •" ��
ADDRESS �� L- 1/'n- �T Sjo� �I��
OWNER Va_('S�--� IIQS CONTR. � -S �(�c��,',ti�;
TELEPHONE NO.�S� - G%7 1- OCo.S�I
� DESCRIPTION ��M � ��' �` �I V+'�-�'",�
� OL� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q t12 FRAMING 13 MECHANICAL FINAL 19 IAKESHOREJWETLANDS
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
Q`��0-7--D-E-M-O-�-.FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
��u 9 PLUMB(NG�Ih. 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:e YES_NO
� C MMENTS:
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� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContracto on site:
Inspector. �� �
White Copyllnspector's File Canary Copy/Site Notice
D JZ C TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE -^��/ SCHEDULED g -��
PERMIT NO. � 5 � COMPLETED '� � �
ADDRESS -� ��`� L ' '�' ^�S�c-�/` ��--
OW N ER �"�l��� iI�TS� ���p�CONTR. SC���
TELEPHONE NO. \�-� � Cp �a - �l� - ��' ��
� DESCRIPTION ,��c-� �o�='%G,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHOREJWETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnedContrac r on site:
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice