The URL can be used to link to this page

Home My WebLink About2003-P07028 - addn/remodel/repair - PERMIT GiTY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�o2s Crystal Bay, Minnesota 55323 Permit Type: Additio�RemodevRepa�r (952) 249-4600 Date Issued: iii26i2oo3 SITE ADDRESS: 2032 Shadywood Rd Wayzata,MN 55391 PID: i�-ii�-23-3i-ooi2 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): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Biecuicai�staiej NOTICES/REMARKS: FEE SUMNfARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00 Plan Review Fee: $ 254.28 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 658.53 APPLICANT: Seamans Construction OWNER: Timothy&Sheryl Latterner 75 Pleasant Avenue 2032 Shadywood Rd Tonka Bay,MN 55301 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. , n ��J ,1 � � AP AN SIGNATURE - [SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � Total Fee: $ �05c� . �� Date Received: Entered By: Permit#: �-�� 7�� _Q'' , 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) OWNE OR CONTRACTOR JOB SITE ADDRESS: .�D,j'� ;sh�-�� «��3c,1 �� ZIP: �'S�y I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [� No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ,�i� L,�f-,�er-r�e r PHONE: (home) �sz-y�o--y�� (work) �i�-7�a�-o,s-iq C�/i) MAILING ADDRESS: �0,3� Si-ir��u w�,��j �2�I CITY: v;v,�c, ZIP: ss;�y/ CONTRACTOR: s � 4r �v�l"/d PHONE: y�� -;3/30 CONTACT PERSON: � S�x• �-r, MOBILE/PAGER �� - �ic� -��q9 MAILING ADDRESS: 7�' 8'��q��- � CITY: , ZIP: S"�5 33L STATE LICENSE: # �� CHIT C NGINEER: <<�r/ ��a ��,�¢z �, �� /�` PHONE: y�;3�— 'S'S��ll� MAILING ADDRESS: S�6 y� f%��r SP:=�`��<, ��) CITY: ��-/.�j9 ZIP: S S 3�/S` NAME: La r I� �,-�.a y��;�f z REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration�,_ Land Alteration PROPOSED WORK,(describe in detai�: ��d o �d�� i n e ; i�"� ,p��C� u��r�cluw5 j�'��P%cr c� S��'i�4 STORIES: � . SQ. FEET OF EACH FLOOR: �S� NO. OF BEDROOMS: 1-�- GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � $�p�}Q I hereby apply for a building permit and I aclrnowledge 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 pernut; and that the work will be in accordance with the approved plan. � �1/ APPLICANT'S SIGNATURE: L DATE: _ �'`� � � . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. T6e rights of individual on w6om the data is stored or to be stored shall be as set forth ln this section. Subd.2. In[ormation required to be given individual. An individual asked to supply private or contidential data concerning himself s6a11 be informed of: (s)the purpose and intended use of the requested data within the rnllecting state agency,political subdlvision,or statewide system;(b) whether he may refuse or is legally requtred to supply the requested data;(c)any known consequence arising trom hls supplying or refusing to supply private or contldentisl dsta;and(d)the identity of other persons or entities suthorized by state or federal Iaw 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 s law enforcement oft7cer. The commissioner of revenue mav nlace the nodce reauired under this subdivision in the individual lncome tax or orooertv ta�refund instructions instead of on t6ose forms. Subd.3. Access to data by indlvidual. Upon requesf to a respoosible aut6ority,an individual shall be informed whether he is the subject of stored data on individuals,and whet6er it is classitled ss public,private or rnnfidential. Upon his further request,an individual who is the subject of stored prlvate or public data oo individuals shall be shown the data without any charge to him and,if he desires,shsll be informed of the content and meaning of that data. After an individual has been shown the private data and iniormed of its meaning,the data need not be disclosed to him for six months thereafter uoless a dispute or actton pursuaot to this section is pending or additional data on t6e indlvidual has been collected or created. T6e responsible suthorlty shall provide rnples of the private or publlc data upon request by the indivldual subject of t6e data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and rnmpiling the copies. The responsible suthority shall comply immediately,if possible,with any request made pursuant to thls subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If 6e cannot comply with the request within that time,he shall so inform t6e individual,and may have an addltional tive days within which to rnmply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure wheo data is not accurate or complete. An individual may rnntest the accuracy or completeness otpublic or private data concerning himself. To eaercise this right,an indivldual shall ootify In wriUng the responsible authority descrlbing the nature of the disagreemen�The respooslble suthority shall wit6in 30 days either: (a)correct the dsta found to be inaccurate or inrnmplete aad attempt to notify past recipients of inaccurate or incomplete data,including reciptents oamed by the indlvidusl;or(b)notify the individual that he believes the data to be correct Data(n dispute shall be disclosed only if the Indlvidual's statement ot 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 rnntested 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 nsed 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 eztent 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. Ti•riv �v �o /!�7 �C Tl`�/'/��r- First Middle Last zo3 z, �5'h.aa�Nc.�.oe d �� Address o�^o.�� lh.r� s:S'33� �l�—�60 �o,si� �c�!l� City State Zip Phone I understand my rights as stated above. - � gna u e . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2 0 3 Z S�-}�A�J�w�c7✓J PID: DESCRIPTION OF WORK: (Z.cw..-o,r��-Z. ZO�tPi TG REVIEW BY: DATE APPROVED: I I-L S-�3 BUII..DI�i 1G REV�`V BY: DATE APPROVID; i 1-2 5-03 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLA1�1 REVIEW Yes _� No SEWER CONNECITON STATE SURCHARGE Yes � No WATER CONNECTTON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECT'ION Number of SAC�Units OTHER (specify) ZONING CHECK LIST Zoning District: . Fire Departmenr. Post Office: School District: � Lot Area: Sq.ft. I O,52� Acres . Z � Width Depth Survey Submitted: Yes_ c� No Date of Survey: oc r �5 03 Proposed Setbacks: � Front(Lake): Ino' '� Right Side: (i Rear(Street): q S' + I.eft Side: S• � Adjacent Structures: — Wetland: Building Height: Def. Hgt. p .�c Peal:Hgt. Lot Coverage: �✓o c i-r�n,�� Gradin;: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # 0 3-Z.4 s 5 Resolution: # Resolutioa Date: /o •z 4.- 0 3 Shoreland District: y e 5 Avg. Setback: o •�c Bluff Setback: nr/�- Lot Coverage: N•C _ Ezisting Proposed Hazdcover: 0-75' '1•1 ,'� 75-250' S�i•9 250-500' � 500-1000' Hazdcover Variance Required: Yes� No Date of Council Approval: !o� 2�( 03 � RENIA1tI�S(in house): _ 7 BUII,DING REVIE`y CgECg LIST UBC: (2 � 3 CONSTRUCTION TYPE: V�J _ Sq Footage $Per Sq Ftg Basem�nt . . x _ lst Floor x _ 2nd Floor x _ Garage x _ . x = TOTAL Estimated Construction Value: $_ 2 S�pp� °c� Inspections Required: `Vork Requiring Separate Permits: Site plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Septic Sewer Conaection � _�Framing Fireplace Lawn Irri ation _�Insulation g _�Wall Board ��0�'� Other F F� ' (Mfg.) Well(State Permit) Grading/Filling K Electrical(State Permit) Other RE1�IARKS(ni T HOUSE): REVIEW BY OTHERS: DAT'E: -��------ __ Access: Exisiing New . Access Approval: Date gy. REMARKS (TO BE NOTED ON PERNIIT�: w--�---��_ - 8 DATE T M " I E CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED /Z`3 0 �.vo PERMIT N0. �� Z� COMPLETED �� ADDRESS z0-3 Z- S`IQG�t-I W p O� OWNER��"'/� CONTR. TELEPHONE NO. ��"'7�� - �s�9 � DESCRIPTION r� � 01 FOOTING 11 MECHANI RI 18 EXCAV/GRADING/FILLING Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLPJNT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � W � W � � � ��ORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE �� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT O CORRECT UNSAFE CONDITION WITHiN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION�SSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.. Call for the next ins tion 24 hours in advance. (g52) 249-46�0 Owner/Contrac o it . Inspector. Whit CopyMspector's File Canary CopylSNe Notice DATE TIME � CITY OF ORONO CALLED IN �S O INSPECTION NOTICE SCHEDULED U j. 30�1,�v1 PERMIT N0. COMPLETED �� ' ' ADDRESS ��.�io2 �G>o a� OWNER T,�M Laf�-.uy- CONTR. ��'s��s C�a c�—. TELEPHONE N0. l�l� �CoO OS / � - ��/( ' � DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMI 13 MECHANICAL FINAL 19 LAI(ESHORE/WETLANDS H INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z • 12 WATER HOOK-UP 17 SITE INSPECTION Q OS F�NAL 74 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL � 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_ ES_NO � COMMENTS: � j 0 a � 0 � W �[ Q � W � W � � ��GUORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑IIVSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 Owner/Contract n inspector. Wh e Copyllnspector'a File Canary CopylSite Notice DATE TIME / CITY OF ORONO CALLED IN C� INSPECTION NOTICE SCHEDULED '�f—aZ�{ PERMIT NO. P4702S�' COMPLETED ADDRESS ao3� �4h�� OWNER �i'� �- �trn.r.lr' CONTR. O�W�t�e.� TELEPHONE NO. C,(�.� L�� L/D C�Jr�9 � DESCRIPTION ��l�!�/C.(�Cl�. ly 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 FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 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 J o O � O � W � Q � 2 W � W k � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the ne inspection 24 hours in advance. (g52) 249-4600 OwnerlContra s e: Inspector. White Copyllnspector's File Canary CopylSite Notice