The URL can be used to link to this page

Home My WebLink About2000-P02504 - addn/remodel/repair PERMIT CITY OF ORONO 2750 k*aliey Parkway - PO Box 66 Permit Number. Po2so4 Crystal Bay, Minnesota 55323 Pel'CTllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: si2i2000 SITE ADDRESS: 1972 Shadywood Rd WAYZATA,MN 55391 PID: 17-117-23-24-0025 DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: F'iumoing iviec;nanicai EiecQicai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 3,000.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 138.83 APPLICANT: HOLMLUND MASONRY INC OWNER: J R WEILAND&C E WEILAND 2208 N 2 N DSTREET 1972 SHADYWOOD RD MINNEAPOLIS,MN 55411 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 BUIL.DING CODE REQUIREMENTS. � � �� \ � `__�,�. r�/�� .G�=�� / �� A 1�'LY ANT ERMITEE SI NATURE LTED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � , . � , . Total Fee: $ � 3 g• �� Date Received: �✓�3�r�� ntered By: Pe�t�� C7 0� � ; CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review w-ill be started. (please print all information) ---------------------------------------------------------------------------------------------------------------- TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �� l�.c,Iv+wc� e� Z�: �T�¢ �~ � NAME OF OWNER:�i�s �G�► Liii,/J G� PHONE: (home)� 't;.- �,��'.3b.J�� (work)�/Z ~� /��•,�'"�� 1VIAILING ADDRESS: ��' CITY: �'/�v1O� ZIP: CONTRACTOR: ��Lv/IC� Px4NE: �' Z �' ��b 9 CONTACTPERSON: MOBILEf�R:.6,�'Z- Z��-,.�t'S4y MAILING ADDRESS:ZZa A/ �„,�! ,,�. CITY: ^ ZIP: ,��/ STATE LICENSE: # ARCHITECT/ENGINLER: - PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WO (describe i/n �etai�: E:./yl0'/'�,. ��{ t'�.'. ,�'I � � �/+�..,�^'�' STORIES: �_ SQ. FEET OF EACH FLOOR: �G�� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION (excluding land): $�0�^ 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 Ciry 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. r �` �y APPLICANT'S SIGNATURE• �..� „ DATE: ,,,1 ~ � / �� NOTE! Parade o�,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 � . r + r, ' Sec.13.04 RIGHTS OF SUBJECTS OF DATA � ^ w Subd. 1. Type of data. The rights of irnlividual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Informatlon required to be given individual. An individual asked to supply private or co�dential 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 ro supply privaoe or confidential data;and(d)the idendry of other persons or entities authorized by stau or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revernie mav olace the notice rewired under this subdivision in the individual income taz or nronertv tax refund inswcrions instead of on those fortns. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on i�ividuals,and whether it is classified as public,private or confidential. Upon 6is further request,an individual who is the subject of stored private or�blic data on individuals shall be shown the data without any charge ro 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 wiless a dis�te or action pursuant to this section is pe�ing or addidonal data on d►e individual has been collected or creaoed. The responsible authoriry shall provide copies of ihe 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 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,Sucuiays 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 wtuch to comply with the request, exciuding 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 wridng the responsible authority describing the�nature of the disagreement. The rosponsibie sudioriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or i�omplete data,u�cluding recipients named by the individual;or(b)nodfy 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 deterntination 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 �ity 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 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. First Middle I.ast Address � Ciry State Zip Phone I unders my rights as stated a ove. �- Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERivIITS FOR OFFICE USE ONLY Ai7DRESS OR LEGAL: ( �l 2 s N-A�y w��„o t�� PID: DESCRIPTION OF WORK: 2�c^�w ��- ZOrZ\i'G REVIEW BY: DATE APPROVED: G- � -�� BUILDING REVIEW BY: DATE APPROVFD; � -s'-w FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes _,� No PLAN REVIEW Yes ,/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION IlVVESTIGATION FEE Yes No PARK FEE SAC Yes No SI'I'EINSPECTION Number of SAC�Units OTHER (specify) ZO�iL�1G CH�CB LiST Zoning District: � c r-�� _ � Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: Wetl d: . Building Height: Def. Hgt. Peal: gt. Lot Coverage: Grading: Staff Approval Date: B : Council Approval Date: Septic: Staff Approval Date: B : Zoning File: # Resolution: # Resolutioa Date: Shoreland District: 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 , . ' . BUII�DING REVIEW CHECK LIST UBC: �' 3 CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement . . . x = lst floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Consiruction Value: $_��(�Oc�d" Inspections Required: `Vork Requiring Separate Permits: Site __�Plumbing Fire Hazdcover Removal �_Mechanical Water Connecdon Footing ' Septic Sewer Connection - ` _�C Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �_Wall Board (Mfg.) Well(State Permit) � F�� Grading/Filling D� Electrical(State Permit) Other REMARKS(IN�IOUSE): . REV�`V BY OTHERS: DATE: Access: Existing New Access Approval: Date By; REI�IARI�.S (TO BE NOT'ED ON PERil�II1�: 8 . oR�No ca�� _ t�El�1'!�'ICATION 8f PRE�ISES ��roved Addresse �� s Shall t3e D�splayed, �'I�±nly Visible And egible Fro The / � ,�/ ��traet Fron 'nA � P�ro_oe'�r�► t (.c�oc,� �'"� � �-- �.�� ' �'�� . %/' o�'/ ' i�-� ��i-'ci��/'� / � , � a�� r/��c�.�� /� �'�� --°� BEDRC7C�M �dVINDOW SP�CIAL {�lO�'E ��r-�� x��;- �:�<��!��.�� SEE ATTACHEd �H(EET 2�� <<^a. �;�_r-,�.�_; ..��:�,��,-t�_, ��" f41��`y. C.:�.Cr'��-� �-I�'i�:;i.:-i- F'O R_5 vwo�v� �'za-a�z� �.� S�. FT. R�n��. ��-��=;v�►�i� � _ GODE REQ�IJIREM�NTS 44" MAX. SIL� HctCHT P�.�,� _ _�b" x 36" (�►��S %a:i-cv�1// �c��%� c.i� Z1i� tJ�.� !"�r+�ovGa� c� �.. � A1'!C c/f�7-S ��.�'rr�:.r� � � - ��f� T Q/�� 7-� � �r- d CITY O� QRO � �� BUILDlNG PERMIT LAN RE IEW . c�c� �.IJ` %o � INSPECTOR ��,.rv..�T v DATE lo -5-- J P[RdAIT tJO. ❑ APPROVED AS SU^P.�11TT�J �� ,�'�',FPRC`�rcD W!TN �C:;�c�GT'+^i,�;;,a �dG;�t� [i �vOT HG�Fi��Vi�D - CGiiY't�v I�C�� `�Jt;l��li� T�.se cen;rnents iifE Iqi you;ir,torrr�atien.Aii v�or shail bE done in full cor7pGa,nce wit�'� atl appiicable �:.il�iirc an ' zonir,g code. Reau!rnman�c in:;:,-t;.,�,r:.,-„�.-.:r�..,,,.;:;....c.,.,.....,•_.�.:_ , DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE P'e►�t�(l'�scHEou�Eo a�� ,; PERMIT NO. /�UZSC�''I COMPLETED !`"�� '�'� ADDRESS ��a S'�%W.w�'a d OWNER CONTR. �C�4'1 L TELEPHONE NO. $ ��"'��e�� DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � RAMING 13 MECHANICAL FINAL �9 LAKESHORE/WETLANDS O 03 I N 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 O6 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 MEET YOU:�YES_NO � COMMENTS: � � q-- � � � 9 W -irGtG✓l Z..� _ � a o � �r,.iS S ot../ v� � �2 v� � � �o � - � � Y_ W ,_ _ Q � G�� SL�a �� S z G C i.cS'S� c� W � W � � a W ❑WORKSATISFACTORY:PROCEED L PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. - - i Cali for the next inspection 24 hours in adva e. 249-46�� OwnerlContractor on site: �' Inspector.�.�,riC-�1�� White Copyllnspector's File Canary CopylSite Notice /� DATE TIME CITY OF ORONO CALLED IN t4�-�ZOO O,� D� INSPECTION NOTICE I ] SCHEDULED " 3- O� /m.`3 0 PERMIT NO. AC�z 5C��1 COMPLETED '—Z " '_ ,3 0 ADDRESS OWNER ?��'(�rl ,� u�I� TR. �� TELEPHONE NO. �P I Z 5S� � � � �.� � DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � MENTS: � l�t�j�1 ��2 � �'i Ur�s ��1�'�'r-- J -�� Y� ZJl� � Gci�..C/.�' �°�rJ�' G�� /,�� 0 � � � �i/1 " G�!� � s c�-. Q ti � � l � � � W � W � j d ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ��ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspecto'/�L��- �'c-�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN 7-ZFf'o0 INSPECTION NOTICE SCHEDULED �-3�' v �o�� PERMIT NO. �S� COMPLETED � ADDRESS��l 72- 5�d�(��! � OWN ER�:�v� I�olm I1n✓�� CONTR. TELEPHONE NO. y7�- 333 3 � DESCRIPTION �ht�Tvrz-_k. l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 4 WA� 12 WATER HOOK-UP 17 SITE INSPECTION 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W �] WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVER�NG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnedCon r on site: Inspector White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC D �� SCHEDULED � , /r PERMIT N0. � COMPLETED �`-`—� uL ADDRESS �� C - GJar-� OWNER CONTR. TELEPHONE NO. � j� DESCRIPTION ��/O �� 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 Z04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 f1NA 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO D C M E TS: a � � Y� � � ��S GC ��'' ��L7 c� � .:� �G� 3 ��.�e o ' '' ` �'�'t s� C�c�l �Z'"�- � '- � 6a � ° S e�- - �;�.-� �c p��i�� -en� s � W � Q � z W � W � j d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL REfURN � PHOTOTAKEN ❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQU�RED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContraQt. r on site- Inspector�`�C� C� v�--�� White Copylinspector's File Canary Copy/Site Notice