HomeMy WebLinkAbout2002-P05369 - addn/remodel/repair PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05369
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 7/9/2002
SITE ADDRESS: 320 Orono Orchard Rd S.
Wayzata,MN 55391
PID: 02-117-23-24-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
(.741::;i;;,___ _ n_raft: /r n _r t
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 304.53
APPLICANT: Jyland Development OWNER: Benjamin Jaffray
150 South Broadway 320 Orono Orchard Rd S
Wayzata,MN 55391 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthly Reports. 1-Assessing, 1-Finance Page 1
Total Fee: $ 30(-1 . 5) Date Received: AO 5 3G, 9
Entered By: m_ Permit#:
1111 (//62---
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 320 O O'/ ) oiee/1'41M RO ZIP: ..r3 9/
NAME OF OWNER: Stir11-01/N .5, Rff� f PHONE: (home) 5. z t/?.? ,(2o9
// (work)
MAILING ADDRESS: 3Zo a2 av o o2cAllied,4/L1 CITY: i(1nerF ZIP: ,.5'3)9(
CONTRACTOR: i71-1*D &Jet- 11 4/2— PHONE: ?5" Yoy. D(0o
CONTACT PERSON: R t2/[ CARL—son.) MOBILE/PAGER (Q(i ('SO, y oo
MAILING ADDRESS: 15D .�. 2.2090U U CITY: w /g lSyIL- ZIP: 6'539/
STATE LICENSE: # z 0() ?'/2 (
ARCHITECT/ENGINEER: i/,4- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration X Land Alteration
PROPOSED WORK(describe in detail): mop Fav) CZ- 091/117 6i/14Y/Ir- /idi A/
tWo N 'c)- )too/ .ft— �EiPPrce Fiy,1r //
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /Q/ Da-z?
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
with the approved plan. /
APPLICANT'S SIGNATURE: z� l� �Q--Cr DATE: 7/41 Z--
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
'
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 section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose 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 known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the 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
enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund,
instructions 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 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 any 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
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 authority may require the requesting person to pay the actual costs 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,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 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 individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct 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 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 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 inform you that your
request for a permit 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:
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 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 C✓lL'LSon/
First Middle Last
/SO s. aeo. ow, V 6
Address
i4-) 4-4/ten— mti,) ssY9/ 2r2 yoy .®6oa
City State Zip Phone
I understand my rights as stated above.
"CZ,/ 14--
Signature
6
• CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3Z.o O R o tv o o 2c 1•(fsic y
PID:
DESCRIPTION OF WORK: cam►ne CA.-4 o y 5 A-r /J*f,V A7d 2 f s e/tv,Ge C: inky
ZONING REVIEW BY: c j9% --- DATE APPROVED: 7-9 -o z
BUILDING REVIEW BY: 04/Z:- DATE APPROVED: -7-°► -o-Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes t/ No
PLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes ' No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes 34 No Date of Survey: -7- L-
Proposed Setbacks:
Front(Lake): 11061 + Right Side: I t)b 4
Rear(Street): 1'10' 'f Left Side: t L(,O I 4-
Adjacent
Adjacent Structures: r4Tn vc.44-pa' Wetland: i (A
Building Height: Def. Hgt. C).\C Peak Hgt. 2) (c
Lot Coverage: Al//4-
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: Af d
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: R- 3 CONSTRUCTION TYPE: \(/J
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ )0�Q oo O'2
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
y Footing Septic Sewer Connection
ak Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling of Electrical (State Permit)
Other
REMARKS(IN HOUSE): •
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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Side Entry Detail 1/4" 1'-0"
May 20,2002
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Guy Miami
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_ 'r plat of Survey g I , �,f ' y r'
for Gordon Murray 11 1t:','
' in Auditor s S,ibdivision r Of ,Ro�� �' f ;,' . .
Hennepin County, !Bines OFa- t }
SITE PLAN GRADING PLAN" -' ' ':4`:`'' _.
mer d Fs ..1...rya i!« :;:.::t:'.
.W..'. of 1..+ t .o. , �• ❑ APPROVED WITH L.f' • i .�r... ,�
.11. / .4. 0 DISAPPROV 'D i ro..4
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t DR�� lL.s' I, Wm. S. Kelley, Jr., •'registered �.T •'�`.
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land surveyor in and for the State of Minnesota, do urvey of s• ";
t....` +!: _ hereby certify that thisge�e7is a true and Qorreet 3 and :.,;; ._�'':
rt of Lot 2, Aud. Sub. 307, pia Minnesota, lying }.
' 3`a3 inet ata point on E line of Lot 2 distant
' Sl1y of a line described as follows: Commencingoi ,, , °, ;
mor.1 feet S from S line of Lot 1; thence W at right angles 73 feet; thence SWly 239 feeE of SW corner thereof; and t
;
more or less
to a point on. S lineof Lotn 2 Countt 236 y, Minnesota, except that part thereof described :,'i:r
asap= Lot o Aud. Sg at 307, ecorni
as follows: Commencing at the NW corner of
�� in lame Auditor's
d Lot a�ad Lot 2
Hennepin County, Minnesota; thence Elya Sally direction ��';.
in said And. Sub. 307, Henn. Co., Minn, a distance of feet; thence in
straight line a distance of 296.4 feet more or less, to • point in the W line d :.•
in a adi P of the SW or most Sly corner of said Lot 3 measured along
Lot 3 distant Lotto feet my along the Wly line of said Lot 3 to the point of beginning, ' :..
line of said registered thence Milt' Certificate of Title No. 1ip5265; and also `j.
the same being land as evidenced b7 aud. Sub. No. 307, Henn. Co, Minn, described
�: A triangular tract of land Lot d line between Lots 3 and 12 in said Aud.
as follows: Beginning at a point in the dividing corner of Lot 4 in said euAudsioa; ., .
Sub. No. 307, 'which point is 41.1 feet Nly from the NE1y .
the dividing li between aforesaid Lots 3 and 12 a distance of 78.9 feet ",_,Y
thenceo nalongpthence at a right angle Ely along the dividing line
to an angle point in said dividing line; point in said dividing _ '=a%
between said Lots 3 and 12, a distance of 57 feet to another angle of beginnivid the '` ,
t:t line 97.3 feet more or less to the pointbeginning,
said t {
line;being registered slily in a straight
by Certificate of Title No. 1081171
sem„ land :lents on said-described °•••.
property;
correctly shows the location of all buildings, structures and iaapra!e nd easements, or visible 4 ..
-A.,
r�Ps yt t1at there are no party walls, visible right-of-ways
of survey. ,-
encroachsleats exon as Shawn on said plat ;
•Scale: 1" I. 1 1`1- -- KELLEY KELLEY, Ebgineers
Cate : , 1957 18L. S. Kelley, Jrr; Ing Lake, Minnesota .4
o : Iron marker ASP. No. 13/,.2
oCIM : Cast-iron monument
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOETIC q SCHEDULED 7-02.. 1:3"3 p
PERMIT NO. I+" c,53 s/ COMPLETED �
ADDRESS 3 O e'"v i g /�- e�_
OWNER ./ % ' CONTR. 0 U) (4)-1.-A
TELEPHONE 0.
D .• ON
2
1 FOOTING 11 MECHANICAL RI 18 EXCAV/ DING/FILLING
Q0 r• 'ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
ct
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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W ❑CORRECT WORK&PROCEED IDISSUE CERTIFICATE OF OCCUPANCY
Q CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca • he next inspection I, o� i..,(%'anc 52) 249-4600
Owner/Con onte:
Inspect• --,„‘ -Copy/Inspector's File C14.
opy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONTIC ] SCHEDULED 7—2 2 /U (vti
PERMIT NO. j0Z3 �Q L COMPLETED /t
ADDRESS 3'Q O/&wo CSC F rQ
OWNER Je r i LS CONTR. J
r� vlti5 f•
TELEPHONE NO. rr i _ 1 cvt-c:� •
DESCRIPTION c c(on4 €
W 01 FOOT. 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0 ULATION 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract o si
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO 3&CALLED IN
INSPECTION NOTICE 3�a SCHEDULED 773) / :- Z)-
PERMIT NO. 05 !COMPLETED
ADDRESS 3 ,0 Q r`o 0 r m Rof
OWNER CONTR. N D L �tf 7/
TELEPHONE NO. 0 — 5 ^ .6Iv (,,ttr IOC Lk)ia2Q
E DESCRIPTION Ph - A'ie.
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDt
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 4,_
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS J
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
44 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contr. on sit--
Inspector. —, w A i i
White Co; nspector's File ,.nary Copy/Site Notice