HomeMy WebLinkAbout2006-P10344 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10344
Crysta; Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
10/20/2006
SITE ADDRESS: 3670 Livingston Ave Unit#
Wayzata,MN 55391
P��� 17-117-23-34-0031
DESCRIPTION: UBC Occupancy R3
Construction 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: Electrical(state)
NOTICES/REMARKS:
10'x 16'Sunroom Addition
FEE SUMMARY: Perniit Fee: $ 349.25 Valuation: $ 21,509.00
Plan Review Fee: $ 227.01
State Surcharge Fee: $ 10.80
TOTAL FEE: $ 587.06
APPLICANT: Patio Enclosures, Inc. OWNER: Micheal&Debra Larson
2123 Old Highway 8 3670 Livingston Ave
New Brighton,MN 55112 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A ICANT PERMIT SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reparts, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: � 1� ���L�� DateReceived: ` /
Entered B ��[' C/ � �C{r� Permit#: �_'I C� �-
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan i•evie�v will be started.
(please print all ififo�•rrtation)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SIT�ADDRESS: "���� L+U� Yl t�$`�� ��, ZIP: ��.��
Will this be a Parade of Homes, Re►nodelers Showcase Home or other Display Home?
❑ Yes �C NO If yes, a specinl event perinit is�•egirir•ed�vitl�Police Depa�•tment and City Catmcil appr•ovnl
60 days prror to tlTe ererlt. Shutt(e bars serl�ice rvill be required unless ap�ficant derr�onstrcrtes
szrfficient on-site parlcing is availnble. ���'o�z-pe�v»ittecf e7�enls ivill not be allotii�ed.
� PHONE: (home)�5�,-�17/';��'t�"7
NAME OF OWNER: �I� � �V•�(�SU Y�,
(wor]<)
MAILING ADDRESS: S��'/�. CITY: ZIP:
� ) , �
CONTRACTOR: a�� c ��'�c-I C�S�'��F�' �--n��. PHONE: GSi�i�3��l d��
COi�'TACT P�RSON: Y 1n. MOBILE/PAGER:
MAILING ADDRESS: C� N cc, - CITY: � �P�'a ZIP: ,t�"1J�_
STATE LICENSE: # � �;7(v ' �YPIRATION DATE:`
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition _� Accessory Structure
Move Home RemodeVAlteeation (ie: Siding, Windo�vs)
Ar.y earth movement may require MCWD review an er�nits !
PROPOSED WORK(describe i» detail}: (� �C �'C� S�r! o'I �oCjD`1'l G�,���"I C'n
STORIES: ! � SQ.FE�T OF EACH FLOOR:
NO. OF BEDROONIS: GARA�E �TALLS: ATTACIi�D �ETACI�E�_
ESTIMATED CONSTRUCTION VALUATION(exc(uding land): � 02�, ��� .
oU
I hereby apply for a building permit and I ackno�vledge that the infonnation above is complete and accurate;
that the�vork wi ll be in conformance with the ordinances and codes of the City and with the State BuildinQ
Code;that I understand this is not a permit and��ork is not to start without a permit;and that the�vork will be
in accordance with the approved plan.
APPLICANT'S SIGNATUI2E: �AT�;: �/ I �li
/
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Sec.13.OJ RIGHTS OF SUBJECTS OF DATA ,+
Subd. 1. Type of data. The rights of individual on whom tlie data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individuai. An individuai asked to supply private or contidential data conceming himself shall 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 suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities nuthorized by state or federal law to receive Uie 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 enforceme�t officer.
The commissioner of revenue may olace the notice required under this subdivision in the individual income tax or groper tax refund
instructions instead of on those forms.
5ubd.3. Access to data by individuol. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classitied as publ ic,private or confidentiaL Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be sho�vn the dlta without any charge to him and,if he desires,shall be infortned of the content and
meaning of that data. After an individual has been shown the privlte 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 of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request mnde pursuant to this subdivision,or within tive days of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. [f 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,
Swidays and legal holidays.
3 ubd.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 individuai shall notify in writing the responsible authoriry describing the nature of the disagreeme�t.The
responsible authority shall within 30 days either. (a)corcect 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 thnt 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 inforni you that your request
for a pem�it 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:
i. 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
ptiblic.
5. You have certain rights under IVI.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this ap�lication or permit.
�oP � �, Yo�,�►
First �4iddle LHst
'Z a�� �` � . ,
A�ar�55
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Cil�� Siate 7.ip Phone
I understa d my rights as stat above.
Signaturc
Reset Form 3�
` �HEC� OFF i.IST FOR ISSUANCE OF �ERIYIITS
FOR OFFICE USE ONLY
�T}DRESS OR LEGAL: � � ' � - �
PID:
)DESCRIP`I.�ION' OF WORK: r� � "�
~ VIE�V BX: �^-- - - -------- pATE APP�.OVED: l o- z�a 6
ZOYNG RE
�UII�DING REVIE
�V BY: � DATE APPROVED: �o-z.—o 6
F'EES TO BE CHA�RGED: � Misc. Fees Calculated By:
P��T Yes � No
PLAN REVIEtiV � Yes _�' No SE��ER CONNECTION
STATE SURCHAR.GE Yes � No WATERCONNECTION
INZIESTIGATION FEE Yes No �/' PARK FEE
SAC Yes No v SITEINSPECTION
Number of SAC�Units OTHER (specify)
-------------------------
------------�-�------ /1/� C' �i4�
-------------------------- • �
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ZOi�i IG CTLE.CK LIST Zoning Districr.
Fire Deparcmenc:
Post Office: Schaol District: �
Lot Area: Sq.ft. Acres Widch Depch
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks`.
Froat(Lake): Riaht Side:
Rear(Street): Left Side:
�',•i�3CPnr .Crns�h1r�.c; `VetlanCl:
auilc;ing Height: Def. Hgt, Peal:Ho�•
Lot Covera�e:
B Council Approval Date:
Gcading: Scaff Approval Date: Y�
Septic: Staff Approval Date: ' v l� �Y�
Zoaing File: � Resolution: n________ esolution Date:
Shoreland District: L,otCoveraoe•
Av�. Setback: B!uff Setback: � '
Eusting Proposed
Hardcover: G-i�'
7�-250'
2�0-500'
500-1000' �
��
�/ �i0 L73[� Oi COLLC'� i`.NYrO'+2�:
H�:dcover Va�iznce Requirzd: .e�
RE�L=�.RI�S (in house):
BUII�DING REVIE`Y CFLECK LIST
�C� � ' 3 CONSTRUCTION TYPE: �[/�
Sq Footage $ Per Sq Ftg
Basement . X _
lst Flaor � z � _
2nd F1aor x _
Garage X _
x =
TOTAL
Estimated Co�struction'�alue: $_ ZI, s��j °-G1
Inspections Required: `York Requiring Separate Permits:
5 ite Plumbing p�e
� Hardcover Removal Mechanical - Water Coaaeccion
�Footing ` Septic 5ewer Connection
� _�Framino Fireplace Lawn Irriga[ion
Insulation (Masonry) Ocher
Wal1 Board (Mfg.) Well (State Perm.it)
°� F�� GradinglFilling �. _Eleccrical (State Permit)
O che r
R.ENIARK� (INHOUSE): ' -- ---
------------------------------------------------------------------------------------------
REVIE`V BY OTHERS: DATE:
Access: Existing New
Access Approvai: Date By;
----------------------------------------------------------------------------------------------
REI�IARKS (TO EE NOTED ON PERiVfI'1�:
8
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CERTIFICATE OF �SURVEY � , ���
FOR: SCHLEE BUILDERS
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°'� . � 3� N _ __3� �� °� . LEGAL DESCRIPTION:
�' • a. c7Y�-` � � — - -- --
C9�O�5� �` �: Lots 9 and I0 ,
pR�J � pR�y�' Block 1 , NAVARRO
' ► �' S I `�'�`� �✓A-`1 , � S d'' �r _
o � - ��1 ���Q
` rts�e- � 'SITE PUN GR�DIf�G Pi�N
. . So. �5 .a � � 50 9 � .A��'ROY�D=� PoRc-«
. . � � w,i���0�'�D 1�V1T�i aE�IS�,Dr1�,
W. I •6,�wa{t(?74//> U �SJ � T, e Z ;\
�Sv�r•Se,� b1 El.:: f • � _ - .: h
�i�5a� F � �-5-- ' 95 • { ^, '� ` '� .
. GC�1ii�94-�46 _.. S•a�•Sr..rc, o.4.v/. D,�TE in =:z �Ob
� L /U//�l C-i S To��/ �:� � _ _
o Denotes iron monument • Pcoposed ►owest floor elev.�
o Denotes offset stake Proposed top of foundation elev.�
x 000,o Denotes existing elev. � �(� �j�' � BENCH MARK: 7�e�o •f i�a�
(000.01 Denotes Proposed elev. i . , o n.� v.ies j Prm,a /:h r . 3 Z.�
Denotas su�faca drainsgn '1 / ,��• 7` ����h or S w ce �
� Proposed garage iloor elev.- 9Ga5 ���� �l�l U��,S�G o f /d . E/e vJ-- 9G z.4G
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� I hereby cartify that this ia a uue and correct representation of a survey o`
File No
' the bounJ�riea of the abova dascribedland and of the location of ali buildings, �/} �
�F'.,�AR$ - GABRIEL if any, thereon, and all vitible encroachment',:t any, from or on said land. `Y'"�
LAND SURVEYORS, INC. � � ��l �d� �pf /�� , is�� B��k f p�
As su�veyad by me thi /Z /,� /
3C30 Haraor ttns No. !
PFymouth MN 5S4Lt � Scale
Phane: (bt 2)83G-090a ' .. . ' . //i 7 G
Minn. Re4. �O � / — ,
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �n�0(o o.-'. LY�
PERMIT NO. � I O 34�-I COMPLETEQ
ADDRESS ��Lo rZC� � � �//��� �
OWNER CONTR. �.�"7 C� ����•
TELEPHONE N0. LO�I ` CO ,3I�' //D�
� DESCRIPTION �O �1 nIG—� �/i? �1�G1/''c'�.�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
Owner/Contra r ite:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
/ � �rU � DATE TIME ✓
CITY OF ORONO CALLED IN �� � �'-�
INSPECTION N TICE SCHEDULED I I- 7-O(e Z'�v
PERMIT NO. Ib3 COMPLETED
ADDRESS 3��O L�.%�� /�`��-
OWNER CONTR. C�'E�-a �}'�1.� �/�u�e..
TELEPHONE NO. �sf �-3/ //D c�
� DESCRIPTION �'' �
� 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
Z04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q AL 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the n t inspection 24 hours in advance. (952) 249-4600
Owner/Con te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice