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Home My WebLink About2006-P09574 - addn/remodel/repair PERMIT CITY �JF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09574 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 24g-4600 Date Issued: 2/9/2006 SITE ADDRESS: 1825 Shadywood Rd Unit# Wayzata, MN 55391 P�� 17-117-23-24-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Typc: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Add 3 Bedrooms& 1 Bath Upper FEE SUMMARY: Pernut Fee: $ 401.35 va►uation: $ 26,000.00 Plan Review Fee: $ 260.88 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 675.23 APPLICANT: Owner/Self OWNER: Ronald&Sabrina Ruud MN 1825 Shadywood Rd Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r �� _-�e c�'1'l C� � /� AP LICANT PERM[TEE SIGNATUR ISSUED BY SIGNATURE Copies: l-File(Signatures Reguired), i-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 � �� Total Fee: $ i!` �� Date Received: �-._3l C% v' Entered By: ;�)%"° �'�,'v''�''1 Permit#: ,�(_�'��`� '�'�' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infornzation) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) �',:tSWNEB:OR CONTRACTOR JOB SITE ADDRESS: �g Z� �5 `10��tiv6�C � � ZIP: `��3�{ � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a s�ecial event permit is required with Police Department and Ciry Council approval 60 days pr•ior to t1�e event. SJzuttle bz�s service will be required unless applicant demonstrates sufficient on-sr�te�arkii�g is availnble. Non pe�rynitted events will r�at be allowed. (� ,,. NAME OF OWNER: �V1 � .�(�tb►'11nc%i, �v..�,�.lX PHONE: (home) SZ� I r��(� 7 � (; (work) c c 2 �I - 3�C�(� MAILINGADDRESS: ��S��u��'�(� � � CITY: ��y�-fl� ZIP: �_��`�� CONTRACTOR: c�%� PHONE: CONTACT PERSON: -�, MOBILE/PAGER: �•�Z y�� S�� MAILINGADDRESS: ;��.:.�jr��. CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: c�/�t"�� PHONE: 7l� 5 ;7�-ZS—`G�% MAILING ADDRESS: -ZC 1 �� e r � � -� CITY: ��lS ZIP: 5_.��-f-Z i NAME: J��S�'i� REGISTRATION: # �/i�-�/ TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) � PROPOSED WORK(describe in detai�: �c�t,--�' 6e'a�rcZ�m 5, /��7��'D/r� C�'� '/��' �CU�I �— STORIES: Z SQ.FEET OF EACH FLOOR: �Z_S�Z NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED ✓ DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $��, ��t'�' I hereby apply for a building pennit 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 pennit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: �2 � L(� 31 � 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 fotth in this section. Subd.2. Information requiced to be given individual.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) 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 authotized 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 mav�lace the notice required under this subdivision in the individual income tax or oronertv 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 pub]ic,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. Aftec 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 puwuant 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. 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 ofpublic 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 authoriry 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 conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act rela[ing 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 fumish will be used to detemvne 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. First Middle Last Address C��y State Zip Phone I und tan y rights as stat above. .z 3 Signa re � 32 � Cii�CK O�'F LIST FOR ISSUANCE OF PERNiITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1 �2.5 ��-1�A�y woo✓J �2�cr�✓ PID: DESCRIPTION OF WORK: F',,�„s� , , e. ZO�tG REVIE`V BY: DATE APPROVED: Z- � -c�.6 BUII�DING REV�W BY: DATE APPROVED: 2-s3-p.h FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAN REVIEW � Yes �/' No SEVVF.R CONNECITON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No �/' PARK FEE SAC Yes No � STTEINSPECTION Number of SAC-Units OTHER (specify) ZO�TING CH�CK LIST Zoning District: v � 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): I.eft Si Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: � Sepcic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff etback: L.ot Covenge: Ezist' g Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Dace of Council Approval: RENIARKS (in house): 7 Y BUII.DING REV�W CIiECK LIST �C: IZ' 3 CONSTRUCTTONTYPE: 'y� Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ x = TOTAL Estimated Construction Value: $ "Z 6�0 c�� Inspections Required: Work Requiring Separate Permits: Site _�s Plumbing Fire Hazdcover Removal _�Mechanical Water Connection Footing � Septic Sewer Connection � �Framing Fireplace Lawn Irrigation x Insulation (Masonry) Other _�Wall Boazd (iVifg.) Well (State Permit) _�F�� Grading/Filling _�c Electrical (State Permit) Other REMARKS (IN HOUSE): . - ---------------------------------------------------------- RE'VIEW BY OTHERS: DATE: Access: Eusting New ' Access Approval: Date gy; ---------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERivII�: 8 C 1 E TIME � CITY OF ORONO CALL D IN � CXo INSPECTION NOTI �J SCHEDULED � ,�?/? PERMIT NO. 6 ��COMPLETED ADDRESS l � c� �Q��C�� /� OWNER TYI�_��(,�CONTR. TELEPHONE N0. c�� 7 �� DESCRIPTION �� 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 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COM NTS: � �rr� : c, ` ry � � � � o ` ,�Su ct � � 0 � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contra�on si�e: Inspector. � V White Copyllnspector's File Canary Copy/Site Notice Po 9��y PC�,ti6-r� � / DATE TIME V �CITY OF ORONO�9�� cA E IN ✓s� � ��o INSPECTION NOT CE SCHEDULED �5 z�/C�C_n a7 •�.�(L PERMIT NO. �' COMPLETED ADDRESS � (� � 1�cz _C 1 (a ',f�r`�� K-� OWNER CONTR. �un�c,u'"Sf TELEPHONE NO. � � �� — t �� DESCRIPTION � "`"`�� `f ��a�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLI� 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 05 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO . � COMMENTS: �'-�=f L �2 G(G�`� c�'�!. � e_.�h_� e `-�G'LGz..G� �..,`�L.d� � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the ei� inspection 24 hours in advance. (952� 249-4600 OwnerlCo a si e: Inspector. ' — White Copyllnspector's File Canary Copy/Site Notice �� C�� /� D T +�, TIME � CITY F ORONO CALLED IN `��`�' INSPECTION NQ,�,F,�� SCHEDULED � �� PERMIT NO. �� COMPLETE ADDRESS �� v�'�'�`" OWNER � G� CONTR. ��4 �SU�� TELEPHONENO. ��`�� '� 1SlU�Q�7 � DESCRIPTION lnsu-l�� 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � ! ,� c � ��`-' �� ` �� O � � � �' ,�� ,�_,� � - ., ,/`. �'�.�'�. . W V � Q � Z w � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n x inspection 24 hours in advance. (952� 24J-460� OwnerlC ra to n i : Inspector. White Copyllnspector's File Canary CopylSite Notice