HomeMy WebLinkAbout2001-P04518 - attached deck PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04518
Crystal Bay, Minnesota 55323 P2r1711t Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: �li2oi2oot
SITE ADDRESS: 3499 Lyric Ave
Wayzata,MN 55391
P I D: 17-117-23-43-0090
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,425.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.25
Misc. Fee: $ l]1.25
TOTAL FEE: $ 297.03
APPLICANT: Owner/Self OWNER: Mark Schmid
MN 3499 Lyric Ave
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEN�NTS 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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APPLICA RMITEE SIGNATURE ISS D BY SIGNATURE
Conies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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�Total Fee: $ ,-;�`�� ,�' -'� ' Date Received: G��/�/'��'�
- Entered By: %-�i? Permit#: �� �� �-,/,d
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�`�'����CITY OF ORONO - �UILDING PERNIIT APPLICATION
IN' � ,
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: �S � �°T � � ;� �. :_ .� v 2 _ ZIP: � J �`l �
NAME OF OWNER: / (��� �� ��� �� PHONE: (home �I�' Y�l � `C� ��
(work)
MAILING ADDRESS: > �� �! L �, ,�" � ��c CITY: 1,.�F�., ��z, ��. ZIP: 5 S ����� I
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CONTRACTOR: '� ..�,�' �c� .�,. �1C PHONE:(�'�5-Z � `{ �l - ��/�
CONTACT PERSON: /�/,. � k S�C,,,,, �? MOBILE/PAGER: �
MAILING ADDRESS: ?u �'��• � .�,,� CITY:,,E�� t,��.� ZIP: �,-j5 �
STATE LICENSE: #
ARCHI'I'ECT/ENGINEER �.;,���, �� �`� �, ,,,,',��' PHONE�`�� S-�� �F 7/-- �C��
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MAILING ADDRESS: >�i ���� � - /�„� CITY: Uu�, 7:, � � ZIP: 5 5�� !
NAME: /i'��./� ��:G� ---� _�( REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure X
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: 1'� �C" � ����� S.�r . ` l,t�.s:-
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
��; , ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� C' S
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� �,' I hereby apply for a building permit and I acknowledge that the information above is complete and
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accurate; that the work will be in conformance with the ordinances and codes of the City and with
` ��;v the State Building Code; that I understand this is not a permit and work is not to start without a
� o � 5 permit; and that the work will be in accordance �ith tY�e approved plan.
, �
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y \ APPLICANT'S SIGNATURE�,�i���.�;I/�' DATE: /C' � G /
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
5
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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 secdon.
Subd.2. Information req�dred to be given individual. An individual asked to supply private or co�dential data concerning himself
shall be informed of: (a)the pu�pose 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 lrnown consequence arising from his supplying or
refusing to supply private or confidential dara;and(d)the identity of other persons or entiaes authorized by state or federal law to receive the dara.
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 o�cer.
The commissioner of revernie mav place the notice reauired under this c�ibdivision in the individual income tax or�rocertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an iadividual shall be informed whether he is the
subject of stored data on individuals,and whether it is class�ed 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 az�y 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
disclosecl to him for six months thereafter unless a dispute or acaon pursuant to this section is pending or addirional data on the itxlividual 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 to pay the acNal cosu of making,certifying,and compiling the copies.
The responsible authority 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,Sut�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 iixlividual may contest the accuracy or completeness of public or
private data concerning himself. To ezercise this right,an individual shall nodfy in wridng the responsible authoriry describing the�nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or ittcomplete and attempt to notify
past recipients of inaccurate or ircomplete data,itxluding recipients named by the individual;or(b)norify 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 deurmination of the responsible audtoriry 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 inform you that your
request for a permit or license from the �ity of Orono or any of its departments may require you to fumish certain
private or confidential information.
You aze notified that:
1. The information you fumish 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.
r���� � � �J�ti � 5��� � �
First � �� � � �iddle L.ast
c� 6. C. e ,
Address
w�� z��.� /"I/l� �s �5 � ��sz� �71-3�is
Ciry � State Zip Phone
I understand my rights as stated ab
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Signature
6
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 y�t�c C_`i 2�C f�v-2
PID:
DESCRIPTION OF WORK: �,�<
ZO.�i 1G REVIEW BY: DATE APPROVED: (0-2-5 -o�
BUII.DING REVIEW BY: DATE APPROVED; �o• Zq -o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes _� No
PLAi�t REVIEW Yes r/ No SEWER CONNECITON
STATE SURCHARGE Yes ,/ No WATERCONNECITON
INVESTIGATION FEE Yes � No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning Districr. G2 -�L
Fire Department: Post Office: School District:
Lot Area: Sq.ft. ►3 K S o. Acres .� Width �0 U Dep� I ?�`�S
Survey Submitted: Yes_� No Date of Survey: I Q-1 Z,��1
Proposed Setbacks: � �
Front(Lake): �(�7 Right Side: .�Z
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Rear (Street): �� Left Side: 31.�
Adjacent Structures: 12'}a GANF(,� �Vetland: /v /�L}
Building Height: Def. Hgt. — Peal:Hgt. —
Lo[Coverage: a°�b
Grading: Staff Approval Date: -- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: N�
Avg. Setback: Bluff Setback: I,ot Coverage: 9�
Existin; Proposed
Hardcover: 0-75 '�
75-250' ,��� C�
250-500' ' �
500-1000' " �
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Hardcover Variance Required: Yes No Date of Council Approval: �
REMARKS (in house): � �� � W c�21� -��4�� W t Tl�u � ,
��1��� �
7
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BUILDING REY�W CHECK LIST
UBC: �•3 CONSTRUCTION TYPE: \/�J
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $ y��2 S�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical � Water Connection
. _�_F���B � Septic Sewer Connection
_�,Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wail Board (Mfg.) Well(State Permit)
—�F�� Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE): .
------- ----_-------------------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
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REMARKS (TO BE NOTED ON PERNII�:
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`� a�t�.P ----_�� -----� - ---� KC�P 1Hia t'�1N S�T ON bITE AI ALL TIME�1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC � scHE�u�E�
PERMIT N0. COMPLETED �- '� �.3�
,
ADDRESS �
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �G��
� 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 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
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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�oRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
� INSPECTOR WILL REfURN ❑CITATION ISSUED
�TOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlConVa or on site:
Inspector. '
White Copyllnspector's Ffle Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED �
PERMIT NO. � �FS� COMPLETED
ADDRESS__�L!�I� ��-� �-�-
OWNER ��'l�lYrriG� � CONTR. Dr�1/l��?�
TELEPHONE NO. '7�� - y�� '` � �i_� / �
� DESCRIPTION .e�-C�/� ���-_
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
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
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS: �� � L/�.�� ���I ��-� c.�t� �f
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❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:.
Inspector. �, -•�-�� ���=�-1.-�-
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO��i1� (�/ SCHEDULED
PERMIT NO. 1 0 COMPLETED ���"�r�1 '3 � 3 ��
ADDRESS,�`�j'� � ��/�/�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION /_*�C�C. �Yla (
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 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
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR G CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector. L'Y/CC 1����Y�''
White Copy/lnspector's File Canary CopylSite Notice
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CERTIFICATE OF SURVEY FOR
MARK SCHMID
OF LOTS 13 & 14, BLOCK 6, NAVARRE HEIGHTS
HENNEPIN COUNTY, MINNESOTA
� 35 I
M LYRIC AVENUE M
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LEGAL DESCRIPTION OF PREMISES:
Lots 13 and 14, Block 6, NAVARRE HEIGHTS
This survey shows the boundaries of the above described property, and
the location of an existing house, deck and garage thereon. It doe� not
purport to show any other improvements or encroachments. ��o�� ����
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• . Iron marker found � � ,�y `
o . Iron marker set ��a ��T���J �� �;`�`a����;" �
Bearings shown are based upon an assumed datum � � �, F�'�F��,��,�;�A ;`�L�::,i�'
� S9TE F�,�;�t ____-
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I hereby certify that this survey was prepared by me or under my direct super- scA�E
GRONBERG �C ASSOCIATES, INC. �ision, and that I am a duly registered Civil Engineer and Land Surveyor under 1 "=30'
�� �� � ��� tbe laws of the State of Minnesota. pATE
10/12/01
445 N� wlLOw D�VE IONG LJIIf� IN 56,i56
�� f ���?� JOB N0.
952-473-4141 ,o-
Mark S. Gronber Minnesota License umber 12755 01-417
01-417