HomeMy WebLinkAbout2006-P09762 - addn/remodel/repair PERMIT
�ITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9762
Crystal Bay, Minnesota 55323 Pel'mlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 4/25/2006
SITE ADDRESS: 3600 Livingston Ave Unit#
Wayzata,MN 55391
PID: 17-117-23-34-0026
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Replacing the front entrance deck/steps
FEE SUMMARY: Permit Fee: $ g3.25 Valuation: $ 2,500.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 138.61
APPLICANT: Owner/Self OWNER: Marie Ingbretson
MN 3600 Livingston Ave
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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APPLICANT PE : ITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CARGTLL - BENEFITS Fax�952-984-0500 Rpr 18 2006 11�09 P.01
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Total Fee: S_ '
Entered By: Ll�t��j �/7� Permit�: �a � �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All informatioa must 6e subroitted ia�ull before plan review will be started.
(pl�Ase print all 1►�f'ormatfon)
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THE APPLICANT IS: (circle one) OWNE R CONTRACTOR
aos srr�,a,Dp�ss: L i��n S � zrn: ��..�-
Will thi�be a Ps de af Homee,Remodelers Shawcase Home or ot6er Display Home?
�YeS p ,(f yes,a spscia!avent permit fs req�ui►'ed wilh Police Department arnd City Cow►ci!approvol
60 dup�s priar lo�he even�. Shunle bus servfce will be reqaircd unless applica,rf demona�rafsa
su�cienr on-.sile parking is availabJe, Nan-per,nitted eventa wil/nor be allowed
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NAME OF OWNER: �-L l � �'"'n HONE; (home) 3�' `7
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nx�ss:�b� L���, ,r � �''c'rrY: �a cwaz�: q `�
CONTRACTOR: -S P ( � PHONE:
CONTACT PERSON: MOBTLE/PAGER:
MAILING A►DDRESS: CITY: �,,,._�:
STATE LICENSE: # EXPIRATION DATE:
ARG'I�TECT/ENGINEER: `s��'F PHONT:
NiAILING ADDRESS: CITY: �: �
NAME: REGISTRATION: #
TYFE OF WORK: New Home � Addition Accessory Structuce
Move Hvme Remodcl/Alteration(ie; Siding,Windows) ��
Any earLh movemeat may r�quire MCWD.review and pe it�l
p oP0 ED WORK(descrlbe in detai�: (�L� a�� � �u�'r''^� '� �°�`� '�h��
�ec. � - r
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STURIES:����t SQ.FEET OF EACH FLOOR: �- �
NO.OF BEDYtOOMS:� GARAGE 5TALLS: ATTACHED � DETACHED_
ESTIMAT�D CON3TRUCTION VALUAI'ION(excluding 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 sad with the State Building
Code;that 1 undetstand this is not a permit and work is not to starc without a permit;and that the work will be
in accordance with the approved plan
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AppLICANi''3 S.IGINATURE: � � DATE:
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CRRGTLL - BENEFITS Fax�952-984-0500 Rpr 18 2006 11�09 P.02
Sea13.o4 RtCH'i'S OR SUB�CTS OF DATA
5ubd. I. TYp�of deta. The[ight6 ot Ipdividual on whom�e dals is eoo�d er to bo atored sNall bc at Aec fbrth in thi6 sOction.
sub�,a. 1�!'orn�oe�w+req�i�d w he aiven ind;vidu�l.An individual aBkad w SupP�YPr��or wnfidemisl dan conceming himself�all hc
inrorm�d ot` �a)che vurPoec and intcndad wo of tfie requested de�a within Ihe collccdng statc agency,pciicicai subaiviaion,or sv�cwide a�s�n;(b)
whaher he msy reFute or IB legally roqulfEd TO SupplY���Q�S���:(C)�y��c��qucnce arising from his aupplying or ref�sing to auDP�Y
privoee or confidential d�ta:and(d)the idcn[ny oPoehcr porsens or cneities authorixad by smte or fodixal law w re�xive thc clnta 77iis r�quir�o sl+sll
noe apply when an individual ie asked to aupply invcstigativc daw,pvrsuant to aection 13.82,subdivision 5,to u law enforccmene officsr.
The rnmmiset er ot c� e
, ;v;aiQ�j}��e.l;v:r+.�sl Inenme eeY ur�o�'dtv tax R��nd
�nrinnv instesd of af1 f}fOBC�4LIDs•
Subd.3.AcceS9 to dsta bY��Ividual. Upon fcquestlo s�cepunaible audwrny,an individual shall be informod whether hs is dic eu4jaceoP
g�pt'CO dete pn indtvitluuls,�+d whcther ic ia elnasified ae publie,privatc orconfiden�inl.Upon hie t�td�er rcquest,an individuol wHo is the`ubject oF
stored p�iva6c ot public d9L9 on indiviQuala sholl be Elwwn the data without d+Y�wrge t°him end.if he desires.shall be infam�ed of thc contcfn a�
meanins of thac dake, AftCr an individual has been shown lhe pcivs�dots end�nf�rmed°f'��'°'&We data noed not be di6closed to him fo�six
nwndv thereaRcr unless a diapub9 or acNon pursusnt t0 lhis sc�tion Ia pcndin�oc addidonol ds�s on che i�drvldusl hws ae+n collco�od o.�resoed.The
roaponRible authotiry ehall prov►do t�pies of th�Privstc ot public data upon raquest bY th�individual aubjeet of[hc dam, The rosponeible suthority
n�ay rcquire d�o rcquestinB Poraon w pny the ach�al coats ocmnkin�,cortitying,and con+plli��d►a voPica. �ysoF
Thc r�sponsiblc wnhwiry el�oll comply immediatcly,ifpossible,with anY�4uest madc pursusnt m chis subdivition,or wimin five
the daw of thc requesk cxeluding Saw►daye.SundaYA�d legal holidays,if immectia�c wmPliaaco is ra[poeaibla.If he cannot eomply with rho requoet
withia�1+at dme,hc ahall go infom+�+c indi�idual,and meY����d�uonal flVe days wllhln whicfl to ComDly with Ihe rcqucst,exClud'Ing SaturtJ�ys,
3undaYs a�►d legal holidays•
Subd.4. Procedurc wnen�am is not accurme or vomplc�.M iedividuol n+.Y���+•�uracy or complctcness o[public or privsoe dsti
conc�ming himsclf.7o cxcrci�e this righ4 on lndividual shell noriry in writingthc�apensiblaauthoriry dcsCfibing the nsture ofthe di9sgRemeflt.The
reap�uuibla e�horiry shall witNin 10 daYa aicher. (a�oonees eh.data found to bc inaccursu or inCompleas end ettempt t�nollfy pssc rccipieMs o[
inseeu�sce or ineom�lecc dnta,including recipients named by d�c individual;or(b)noriFy ehe individuel th�t hc bclieves shc dala to be co�rocc. D�ta fn
dispute ahall De discloeed onlY�f the indlvidual's 6tstement of Aieagroomc�n is Includcd wi�n d+o dieotosaef daia.
The detcmtinadon of tho�ponsible autho�iry msy be appcalcd Pursw��w�he P�'�"s'�a of�he adminisnaeive proccduro occ relatin�to
oontesoad cs�es.
DATA P iVACY ADV(SORY_
In accordance with M.S.13.04,Subd.2,"Rights of subJects of data",wc would like to inform you that your request
for a perrr►it or licensc from the Ciry of Orono or any of its dcpartments may require you W furnish certa'tn private or
confidential information.
You are noti�ed that:
1. 7'he Informatlon yau fl�rnish will be uscd lo detoemine your qu411flCation fo� the permlT o� IiCCnse
rcquestcd.
Z, You may rePusc to supply data,but refusal may requice that the City dcny tha pcnnit or liconse,
3. The information may be shared with other local,state or federal eSencies to the extent necessary co
prooess thc permit or licenae.
4. !f yaur rcqucstad pernut or lieense r�uiras Counei)nction to opprove,some information may become
publtc.
5, You ha�c oertain rl�w unde�M.B. 13.oa(uvailable upon rcquaat)to review privace data on yourself.
6. Your full namc ia required to proe�as this epplication or permit. ,
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1 underst�nd my rl�hts as atatod sbove�
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Sianscuro
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Ci3ECi�OFF i,IST FOR ISSUANCE OF �ERMITS
FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: �b(�J L�v r�v 6 S`�� A-�
PID:
DESCRIPTION OF WORK: Q�tT- �J cu� �Z ���-�
ZOVNG REVTEW BY: DATE APPROVED: ��• 2 Y• o�
SUII�DING REY��� BY: DATE APPROVED: Y-z-f-o i. . �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
PLAN REVIE`� �� Yes v No SEWE.R CO�INECTION
STATE SURCHARGE Yes � No WATERC�NNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes I�o SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO�IIi�TG CHE.CK LIST Zoning Districr. .
Fire Department: Post Office: School District: � �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes�o _ No Date of Survey: �-`f-g3
Proposed Setbacks: �, � , .
Froat(�: bb � � Right Side: `i�
Reaz(S�rcet): 2$ � Left Side: N�iP►
Adjacent Structures: A'rn�+C.µP.� Wetlaad: nl �A
Buildin'Heighc: Def. Hgt. �J (f1- Peak Hgt. N //�
Lot Covera'e: No C N✓{�6�
Grading: Staff Approval Date: — By: Council Approval Date: '
Septic: Staff Approval Date: — BY�
Zoning File: f# — Resolution: # Resolution Date:
Shoreland District: AlC� _
Avg. Setback: Bluff Setback: I.ot Covera�e:
Existin� Proposed
a
Hardcover: 0-75'
75-250'
2�0-500'
SOQ-1000'
Hardcover Variance Required: Yes No Da[e oE Council Approval:
RE`�L4RKS (in house):
�
BUII.,DING REVIEtiy CHECK LIST
�C� �-3 � CONSTRUCTIONTYPE: V/�
Sq Footaoe $Per Sq Ftg
Basement . . , x = .
lst Floor � x � _ �
2nd Floor x = � •
Garage x =
x _
TOTAL
Estimated Construction value: $ Z,S'o0 0'�
Inspections Requirec3: Work Requiring Separate Petmits:
S ite Plumbing Fire
� Hazdcover Removal Mechanical Water Connection
�_Footing ` Septic Sewer Connection �
' Frami.ng Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�.F�� • , _ Grading/Filling Electrical (State Permit)
Ocher
REMA.RKS (IN HOUSE): .
REV��V BY OTHERS: DAT'E:
Access: Ezisting New �
Access Approval: Date By; • �
REI�IARKS (TO SE NOTED ON PERibIIT�:
8
CARGILL - BENEFITS Fa.x:952-984-0500 Rpr 18 2006 11:10 P.04
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�_ CERTIFICATE OF SURV�Y
FOR: HUSSMAN INVESTMENT COMPANY � �
West
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pra�n�9e �Ufi'�I��y Ensemcrr� — — -- -- — —v�- =� 30,0 - �
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L'��AL DESCRIPTION �-��E� �
LOTS 3a4 , BLOCK I NAVARRO �
, � � �
�FLa h7"1 '� G �(.i ! ;�1� Fr� 6 �sA„���,�I' O�J
�,z,�f� 4 �" �
h� �1,�� �-: t r1 4 �`� �� ����q�G
�� ���I F';�'b i{ �i1 n�V71! F� r� ;. � h��U c:
C
^a���7�'� r���4 �;�c�� ''�i;r '' �
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��,i r�1. �1 E . . : 1�;. , '�
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o Denotes iron monument Proposed lowest floor eiev. _
❑ Denotes offset stake Proposed top of foundation e�ev._
x 000.o Denotes existing elev. BENCH �AARK:
(000.o) Denotes Proposed elev.
� Denotes surface drainage
Proposed garage floor elev.=
�tvised Z/I?�83
I hereby certify that this is a true and correct representation of a survey of File No,
the bounJaries of e above descrilxd land and of the location oi all buildings, �n��_ /�
DEMARS -GABRIEL �f any, thereon, d all visibie encroach nts, if any, from or on said land. �l /1
LAND 5URVEYORS, INC, h ��rU�,�� p3 Book - Page
As su�veye b e this �y of 1g_.
3030 Harbor Lane No. /' � ��rj - �L�
Plymouth MN 55441 �
Phone: (612)559-0908 Scale
.i � ; �
`� � �, Minn. Reg: No. 90�v�o ��r�4�
� � DA TIME /
CITY OF ORONO CALLE IN �� �
INSPECTION NOTIC SCHEDULED CXo �
PERMIT NO. OMPLETED
ADDRESS
OWNER " ►'CO�
TELEPHONE N0. ' ��" �� l 7
� DESCRIPTION D�� II�F�1 �fC/�� Sf��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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White Copyllnspector's File Canary CopylSite Notice