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Home My WebLink About2005-P09359 - detached garage � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley !'arkway- PO Box 66 Po9359 Crystal Bay, ivlinnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 10/27/2005 SITE ADDRESS: 1966 Shadywood Rd Unit# Wayzata,MN 55391 P�� 17-117-23-24-0024 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Census Code 438 Permit Class: Building Permit T e: Accessory Structures Permit Sub-type(s): Garage-Detached YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00 Plan Review Fee: $ 117.81 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 304.06 APPLICANT: Owner/Self OWNER: Jack&Kari Olson MN 1966 Shadywood Rd Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . r -) � �'' � _ ``_ .�, -t: .r'��^,`��<- � ' 1�L., APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ' ' � to'?,b�� Total Fee: $_ 3 b y�� Date RPceived: ��z-�/6 S Entered By: � Permit#: �,�q�� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease print al!i�iformation) ------------------------------------------------------------------------------------------------------------------------ -- ...._� THE APPLICANT IS: (cij�cle o�ze) OWNER R CONTRACTOR JOB SITE ADDRESS: �I�,� �5��,a,�.,,� � ziP: SJ�3� / Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �'o !f yes, c�special event permit is r•eq2ured with Police Depardrner�t and City Cozrncil appr•o�-al 60 days prior•to the evef�t. Shuttle bus service tivill be requrr•ed irnless applicnnt denronstrates sz�ff cient on-site par•Icing is al�ailable. 1Von-per•i�rzitted events will not be allotived. NAMEOFOWNER: -JACk �\��-�. PHONE: (home) 5Sa-a�o- 36b'/ (work) 1VIAILING ADDRESS: lI�6 ��1�w�--•f � CITY: D'v�� ZIP: S�',� CONTRACTOR: C�rc� (Zte:�'�� PHONE: ��-- S!S�—(5 Y6 CONTACT PERSON: � Co r�es �;�T:,,•� MOBILE/PAGER: MAILING ADDRESS: Z j`�,��,.�,,,�y�r ; �� CITY: r�plz ��.uc ZI�': �.S�6� STATE LICF,NSE: # ,�o y y �`t' f�p EXPIRATION DATE: hi.��, 3/ ,o c'o ARCHITEC'I'/ENGINEER: P�IONE: MAILING ADDRESS: CIT�': ZI�: NAME: REGISTRATION: # TYPE OF WORK: New Addition � Accessory Structure _ Move Home Remodel/Alteratioil PROPOSED WORK(descf�ibe in detain: �Tt,a.�,hC� (;.a�,.�, �cl;;�•c��, � � S'T01�IES: � �- Sf�,FEE'T OF Er�CI�FLOOR: I�10. OF BEDROOIVIS: GARAGE STELI.,LS: ATT'AC�IED �E'I'�CI'�[E��. �S'I'IIVIATED CONS'TI2i1C�'ION VAI.�JA'I'I01�1(excluding land): $ /�, a'� I hereby apply for a building permit and I acknowled�e that the information above is complete and accurate; that the�vork will be in conformance with the ordinances and codes of the Citi� and with the State Buildin� Code;that I un��ieistand this is not a perir�it and wo�c is not to start witl�otit a permit;and that the��ork wil l be in accordance with the approved plan. APPLICAIeiT'S SIG�tA'Ti1I�: DA'I'E; `U _�6_pS 0.�~ �t z o�,�c�s �- �- 3�03 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 himselfshall 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 o�cer. The commissioner of revenue makplace the notice reauired under this subdivision in the individual income tax or properry tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I 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 sho��i the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this sectiott 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 shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date oFthe request,excluding Saturdays,Swidays and legal holidays,if immediate compliance is not possible. If he ca�motcomply 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 himsel£To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible uuthority 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 tlie 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&om the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: l. 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. �ACK �� /so--, First Middle Last /'966 s�►,��.-r /L�( Address ��v,,,,� �j�-✓ �r�,� ss�.^�.�o- a�r/ City State Zip Phone I understa my rig s as stated above. Sig r �� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A.DDRESS OR LEGAL: 1�i b� �t�p�,w a�,/� PID: DESCRIPTION OF WORK: �,�„9 ��, ZO.VPi TG REV�W BY: DATE APPROVED: >o-z6 •�S BUII�DING REV�W BY: DATE APPROVED: �o�z 6 �6 f' FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAN REVIEW � Yes _� o SEWER CONNECTION STATE SURCHARGE Yes _�No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) Z0��1G CH�CK LIST Zoning Districc: G�L-/C Fire Deparcment: Post OfFice: School Dis[rict: Lot Area: Sc.ft. S,b3� Acres •i3 Width Depth Survey Submitted: Yes_� No Date of Survey: 3-�b-�S Proposed Setbacks: � Front (Lake): �`a Right Side: N �A Rear (Street): � (•� Left Side: 11 .7 Adjacent Structures: S� Wetland: �/%r9 Building Height: Def. Hgt. Feak Hgt. Lot Coverage: 30•3 Mo Gradina: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: /�l/✓✓� By: Zoning File: # oS-3/o3 Resolution: # Resolution Date: S-Z�'o S Shoreland District: y,�s Av�. Setback: n/i Bluff Setback: �✓/f} L,ot Covenge: 30•3 Ezistin, Proposed Hardcover: 0-75' s� �1� 75-250' ` 2�0-500' 500-1Q00' Hardcover Vaziance Required: Yes No Da[e of Council Approval: REMARKS (in house): � � , BUII.DING REVIEW CHECK LIST �C� u—� CONSTRUCTTON TYPE: V� Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x = � Garage z = z — TOTAL Estimated Construction Value: $ (V,U O C� �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection pc Footing ' Septic Sewer Connection ` �Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Perm.it) _1�F�� Grading/Filling _ �C Electrical (State Permit) Other REMARKS(IN HOUSE): . - ------------ REV�W BY OTHERS: DATE: Access: Existi.ng New Access Approval: Date gy; RENIARKS (TO BE NOTED ON PERIVIIT�: 8 DATE TIME " CITY OF ORONO CALLED IN �� INSPECTION NQ.ZICE C SCHEDULED f 4�27-� —� '�'� PERMIT NO. ;��C��-J ( COMPLETED � ADDRESS.�� '>>-'�� ` � OWNER ��5"� n CONTR. �I.Jlti.P`' - TELEPHONE NO. �5�� 70 3�u�l � DES�RIPTION ' leif • �lK, (" Ct�/.� lu i FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: ��C-� S� �'�z-�l( 1,�.��1Q.�t i�l S,L2'�`hfd�— � L��']ti�/�� E; � J O � � O � W � Q � Z W � W � � d ❑ PROJECT COMPLETE W ❑WORKSATISFACTORY:PROCEED � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. �952� Z49-46�� OwnerlContract 't : Inspector. White Copylinspector's File Canary CopylSite Notice �� DAT TIME � CITY OF ORONO CALLED IN "��'U.� INSPECTION NOT C SCHEDULED f�� U� ;vc;�P,tiq PERMIT NO. �� COMP�ETED ADDRESS ��1�� f't�tiCl��ti c��d� �� OWNER CONTR. II��S- ��?"v'��/�- TELEPHONE NO. (.� /� �-�`T G� � yLo i � DESCRIPTION G��-��-s-z f�- l� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNEH/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � a W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContract i : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME �/ .CITY OF ORONO CALLEO IN INSPECTION NO I E SCHEDULED PERMIT NO. 5 COMPLETED �� ADDRESS OWNER CONTR. [�t��'� TELEPHONE NO. � DESCRIPTION 4� � 01 FOOTING 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING Q�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 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 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM TS: � �l.v (1�!'Pi Q Vl oI` D QS � • � ' J � �� 1� Q, S t �i O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ IHSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on 'te: Inspector. White Copyllnspector's File Canary Copy/Site Notice �� D TE TIME � CITY OF ORONO c�w 0� INSPECTION NOT CE p G�' SCHEDULED 0 �___�:� PERMIT NO. /� / COMPLETED ADDRESS � � �C OWNER�� C �L � � CONTR. p�"/1��--��- TELEPHONENO. ��Jc�� ' D�I � DESCRIPTION �' /`��-/ �C�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: ^ GZ-� �`'�� / � a � - - � � O a � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 OwnerlCon#�actt�r site: Inspector. e White Copyllnspector's File Canary CopylSife Notice