HomeMy WebLinkAbout2001-P03497 - addn/remodel/repair �- - PERMIT
CITY OF OR�NO
2750 Kelley Parkway - PO Box 66 Permit Number: Po349� ,
Crystal Bay, Minnesota 55323 P@ftl'tlt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2i2i2ooi
SITE ADDRESS: 2840 North Shore Dr
WAYZATA,MN 55391
PID: 09-117-23-24-0002
DESCRIPTION: UBC Occupancy S1
Construction Type VN
Proposed Use: utner
Census Code 328
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: HENNEPIN PARKS- STAFF CARPENT OWNER: SUBURBAN HEN REGIONAL PK DST
12615 CO. ROAD 9 2840 NORTH SHORE DR
PLYMOUTH,MN 55441 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.
,
�
i , ` f (' �r+� ��,�'(Ct G�7
AP I A T P RM TEE I NATURE I SUED BY SIGNATiIRE
� _i
Copies: City,Applicant,Assessor,Finance Page 1
. - . �
, ,�;�
Total Fee: $ ��'� ' ' Date Received: 1 - Z� - U 1
Entered By: ��.� Permit#: � � - : ; _'.-- -,
�
�����' CITY OF ORONO - BUILDING PERI�IIT APPLICATION
��V`°� ;;�:�'
� �' All information must be submitted in full before plan review will be started.
%�Z (please print all infnrmation) �
--------------------------------------------------------------------- ------------------------------------------
THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR
� JOB SITE ADDRESS: 2�0 N�7N ���1` Gl�11/� ZIP: 55�I
�' NAME OF OWNER: �N'GNf`�f�1N PA�� PHONE: (��)7�03-S�-��o
('�b'1�C) ?63" 5�-l0'1 SS
MAILING ADDRESS: (�015 GO.W7•� CITY: 1�`�M�' ZIP: ��F 1
CONTRACTOR: I'�NN�►'4 � �fi'O�f- GOfQI�T�PHONE: 7b3' 5�1'(��SS
CONTACT PERSON: ,��- N��`I� ��OBII.E/PAGER: —
MAILING ADDRESS: (21015 Cp.t�-q CTTI': pl,.`/MoVi"�-- ZIP: 5�,�1�'�
STATE LICENSE: # --
Q�ARCHITECT/E�NGINE�ER: N1�T1�N/tiI�D�G�'N0�4.� ING.PHONE: �12�S'27-�1825
MAILI\TG ADDRESS: (51(o W. ��� ��;{�'r CITY: I�t�o ZIP: �r-�oS
NAME: D,DqIID P• WD�t�� �?�. REGISTRATION# 2��
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alterati��z � Land Alteration
PROPOSED WORK(describe in detai�: ��'b� CD4��1�1r,� �� �I��t�' - ���{oR-
I�E�.c�G�(� Dd�� � �Z� S�'�'l� E�,AI� � Ph�D�2�D� 3�(o`'g�t'il�/ �E�'',
h1�W Si n i NG S�tN WD�U-, IN'f�+�R - R�t.�a'E NcN- ►�C� W�
STORIES: I SQ. FEET OF EACH FLOOR:��' I�DS
NO. OF BEDROOMS: GARAGE ST�LLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATIO\ (escluding land): $ �'r�'��O
I hereby apply for a building permit and I acknowled�e 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 v��ith the approved plan.
APPLICANT'S SIGNATURE: � DATE: ��ull�'1 �2��L�O�
NOTE! Parade of Homes events require separate permit approval by Poliee Deparhnent and
City Couneil 60 days prior to the event. Non permitted eti•ents will not be allowed.
5
� ^ .
Sec.13.04 RIGHTS OF S[JBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the coilecting 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 co supply private or co�dential dara;and(d)the identity of other persons or enddes authorized by state or federal law to receive the data.
1'his requirement shall not apply when an individualis asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcem�nt officer.
The co m�ssioner of revenue mav olace the norice reauired under this subdivision in the individual income taz or orocertv tax refund
instiuctions 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 dara. 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 thereafter unless a dispute or action pursuant to this section is pe�ing or additional data on the individual has been
collected or created. The responsible authoriry shaU 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 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,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an addidonal 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 conceming himself. To exercise this right,an ictdividual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccuiate or incomplete and attempt to notify
past recipients of inaccura[e or incomplete data,i�luding recipients named by the individual;or(b)noafy 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 determinaaon of the respoasible authoriry 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 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 pemut 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.
�VI�► I % ra�N ���- poa� �� (�ra� Ra��
First / Middle Last
`"K!/{"/ W• f 1./— F'�(
Addres
'�Ivtocl(N M�►�rA �q-�- ��1�1 ��i�5�-b'1,g
C�ty State Zip Phone
I understand my rights as stated above.
Signature
6
a
. . `
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2 �3`► u V�J 6�T1-4 5 rt o cz`. �p 2
PID:
DESCRIP'rION OF WORK: (1��l�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW B�: 6�1 DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: I -3�-O�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �% No ,/ SEWER CONNECI'ION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: /�� G(-f14-rrC/{�
U
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 tland:
Building Height: Def. Hgt. Pe Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date: y:
Zoning File: # Resolution: # Resolution Date: . .
Shoreland District:
Avg. Setback: Bluff Setbac : L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
• � . .
BUII.DING REVIEW CHECK LIST
UBC: S CONSTRUCTION TYPE: '�(/V
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ Z S,U 00`�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
�Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMI�:
8
�� ����
���
. � '
WEST" NORTH 8 EAST 5E'E R�VIEW LET1"EK
HEA-.D EQs Na'T sNa�YN A�T"�D /y NOV. � �ODD
� A;c��ro �vu�w �lz21/zmt
w� va�v►p w�
S�! (o �
4
. I �'
�
1 � �I �
� 1I �
:�� � �� �
.� �
-- - -- --�- r — .._ o I �J _ --- -
,. W I W�
�� Z3
. I .
. .I
FXlST. 3-2X/2 2X/2 - -- - x� ----
.:prrFr! 2."4'� X�y�V �C ���Q�
CITY OF ORONO
�"���: ' 2- l�hl4x '# Ltlt,.
SU:Lf`iNG P , I N REVIEW ~
2- X S TUI�5 //V
u����erc��_— BR�. E'A. En�a, NOERENBEk G G A K D E N S
c�.,:- -�-=�U-(� _.P:��=��:�a. E NEA�ER
�F���::-�+;� :��.�: :,�_;-k':;r=� Ca RR/�4GE No�sE (�I
. L. . � . _, . .`S `� -r�._;J'�'-�r':S r��i`�t.'�� l�l NOVEJriBEl2� 200�
� . - , , _ , ^ =� `'� f ~ 4 �;�;;�; 00473
.T�Y __, : .. �. ��i,� +`.fia n H.t ylOi�(S��Ji�;;i �".�TIO
! .I . ,:m . '�� „ ,�FJ!6 �tn{utll� 2't:� ZO�;i^G C+�d�i.
'qe, ;r.c .... _,,... ,.;:1e~,��,•-.t rpHc�?: �nc �d�n th:s rev%aw.
KtEP THIS PLAN S�T ON SITE AT�ALL l'tME'a //�/!_ /�O��
�4 � �-��: ,o: ,� :MAiiSVNiMACDONALD :s+2 az� oeos u 2. a
, v
. . �
MATTSON/MACDONALD INC. �
STFIUCTUAAL ENOINEEiiS '
1 S'I 6 W. LAKE STREET
MINNEAPOLIS. MINNESOTA.55408 (612) 627-7825 •
14 November, 2000
Alex Meyer,Landscape Architect .
Hennepin Parks �� .
12615 CouMy Road 9
Piymouth, MN 55441-i 299
Re: New Door Openings �
Noerenberg Gardens-Carriage House .
Mr.Meyer. � - .
As you requested, 1 have reviewed the header sizes nec�aary to provide two new 8'aNide garage
doors and one new 6'wide service door. It is also my understanding th�t}r.ou wish to relocate the
east interior pa�tition wall. .This is a non-load bearing wa11 and may be relocated as necessary.
I observed the direation of existing raof frami�g�d���e condiaon�of the rnrerall �
structural sy�tam. I have not periormed c�Iculatior�s to d�ermi�e the capacity of the�c�ting roof,
concrete slab,concrete columns,headers,walls,foundations,orfooii�gs..
The north foundaCion wall appears to have setded ar�d the notthw�est oomer shifted. The ir�terior
� slab on.grade at the northwest comer has settled�r�e than a foot, gased on infoRnation
provided by.the park superirrtendeM,the foundadon and siab have been in this condi�on.for more
than iwenty years. The brick chimney at the north east comer haa settled in the bwerlevel. tt
does not�appear that tf�e concrete slab o�co�umns have setflad. . �
The problems at�he northwest com�(w[�e�9�e����m�y�due to fnost penetratiorl
under the footings and slab since the space is�nhe�ed The slab setdement may�also be�due to
water flow beneath the slab. In either case� I recomme�monito�ing the•exieting foundation
movement. I atso recommend veMying the exisbng foo��g depth, The 9�e may be raiaed
along the north side of the building to increase protection agsinst fros�if required. Higher grade
would also reduce the foundabon shifting: Grade oould be rai�ed.as high as the basemeM slab
on grade. I further recommend tudc�poin�ng crac�cs in the foundation and chimney.
�The problems noted above are not affect�by the new wor[c.
Please call me ff you have any questions conceming the above..
Sincerely,
Mattson/Macdonald, Inc,
��� /"u/
��
David P.Wagner, P.E.
MN Reg. No.25420
A��1
� DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION Ta� SCHEDULED � �'�� �� 3 0
PERMIT N0. � 1� COMPLETED � ' �U �
ADDRESS �� h'�'ti-� ���� �v x9��2.
OWNER r CONTR. �t��� - �G'-�'P�
TELEPHONE NO. � 3 � �
��
� DESCRIPT N
l� 01 FOOT 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� --02 FRAMING� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
IN ULATION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
w
4
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT 11NSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site•
Inspector. I/� ��''����
White Copyllnspector's File Canary CopylSite Notice