The URL can be used to link to this page

Home My WebLink About2005-P08739 - addn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08739 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 6/2/2005 SITE ADDRESS: 1810 Shadywood Rd unit# Wayzata,MN 55391 PID: 17-117-23-21-0027 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 562.95 Valuation: $ 41,060.00 Plan Review Fee: $ 365.92 State Surcharge Fee: $ 20.55 TOTAL FEE: $ 949.42 APPLICANT: Right Angle Building Corp OWNER: Mark&Lori Kroll P.O.Box 643 1810 Shadywood Road Wayzata,IVIN 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. \��l {�//l/l Bi o�l�!//�, l_ �i�u�— �r AP CAN PERMITEE NA � ISSUED BY SIGNATURE Copie : 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . , Total Fee: $ ��'/�� `t � Date Received: - ,.� � � 7- U 5 Entered By: 1� .�%) , ��l�r't�Y��' Permit#: f�)�� 3 � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please priizt all infornzation) -- —�_._._�: THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: � I U ��?-�D�(�)t9'� ZIP: Will this be a Pa e of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS 0 If yes, a special event pe�•mit is required with Police Department and City Council approval 60 days prior to the event. SJzzrttle bzrs se�-vice will be reqzrired unless applicant de�nonstrates si fficient on-site parking is available. Non per�nitted events wi11 not be allowed. NAME OF OWNER: �� PHONE: (home) (work) MAILING A.DDRESS: �U�� CITY: ��U ZIP:�� CONTRACTOR:�E�� L� !(..�� C�� PHONE:�,�Z 7�'U3 7�j CONTACT PERSON: � C_ MOBILE/PAGER: (L b ^ Z � MAILING ADDRESS: ,� P�� CITY:��7 �4 IP: 5��3� ( STATE LICENSE: # S�'I�j EXPIRATION DATE: 3 3/ p ARCHITECT/ENGINEER: � (E (J � �PHONE: �Z- 33 g�"3�-9��,,�' . MAILING ADDRESS: /�T rc�ti+�""�- CITY: �f'� , ZIP:S 5 y v) NAME: �i�� 'j L7� � REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home RemodeUAlteration (C PROPOSED WORK(describe in detai�: ��- �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �%�, U(vC7 � 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 pe ' and work is not to art without a permit;and that he work will be in accordance with the approved p n. APPLICANT'S SIGNAT DATE: �1 O� 31 J , � 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 individuai.An individual asked to supply private or confidential data conceming 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) whe[her he may refuse or is legally required to supply the requested daca;(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(aw 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 pronerty 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 fiuther 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 authoriry shall provide copies of the private or public data upon request by the individual subject of the data. I'he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shatl 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 conceming 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 fumish certain private or confidential information. You are notified that: 1. The information you fiunish 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. irst Middle La Ad ress � State Zip Phone unders nd m hts s s ated e. .�/ • gnat re 32 � , . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: I�lu si-1 qhyw r�c�✓� ct-o,4✓� PID: DESCRIPTION OF WORK: ��Kt�.r ��,L,�,�„t,c,�oe� ZOVIi�tG REVIE�V BY: DATE APPROVED: s-/�• o S BUII.DING REVIEW BY: DATE APPROVED: s-�g -oS FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW � Yes �/ No SEWER CONNECITON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZO�TIVG CH�CK LIST Zoning District: �Uo Cr�-�.�,A 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 Sid Rear(Street): Left Si e: Ad;acent Structures: Wetland: Building Heioht: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ack: L,ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' � Hazdcover Vaziance Required: Yes Date of Council Approval: REMARKS(in house): 7 . , ► I BUII.,DING REVIEW CHECK LIST UBC: _ I?- 3 CONSTRUCTION_TYPE:---�L^�--------------- ------------_ Sq Footage $Per Sq Ftg Basement x _ . lst Floor x _ 2nd floor x _ Garage x = x = TOTAL Estimated Construction Value: $_ ��,�60 °y Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Septic Sewer Connection C Frami.ng Fireplace Lawn Iitigation _�Insulation (11Rasonry,) Other Wall Board (Mfg.) Well (State Permit) �F�� Grading/Filling �Electrical (State Permit) Other REI�ZARKS(IN HOUSE): . ----------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; � - --------------------------------------------------------- REIYIARKS (TO BE NOTED ON PERMIT�: 8 C � � DATE TIME � CITY OF ORONO CALLED IN l� -iY-.�-�� INSPECTION NO ICE SCHEDULED j� �5-�- v5 .-�: �> PERMIT NO. � 39 COMPLETED ADDRESS � � �� 1��-�--/(,l �� 7� , OWNER CONTR. C�/��C'/�(f (�JUl_ TELEPHONE NO. C��c� � .�D ��Q�'� -� l 3C�S � DESCRIPTION t`/ �-m�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � d W WORK SAT�SFACTORY:PROCEED CI PROJECT COMP�ETE W ❑CORRECT WORK&PROCEED [�� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETItRN ❑STOP ORDER POSTED.CALL INSPECT R � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO AR NGE ACCESS. Call for the next inspe tion 24 hours in advance. (J52� 24J-46O0 OwnerlContra ite: Inspector. White Copyllnspector's File ery Copy/Site Notice