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Home My WebLink About2006-P10260 - addn/remodel/repair PERMIT CITY O'� ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10260 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 8/28/2006 SITE ADDRESS: 2032 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-31-0012 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Remove chimney&fireplace and replace with builtins-No increase in hardcover FEE SUMMARY: Permit 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: Timothy&Sheryl Latterner N1N 2032 Shadywood Rd 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. � c��,�, L--� � f �� " �- � � /' Y ( � i /� i�� APPL[CANT PERMITEE S[GNATURE � ISSUED BY SIGNATURE Copies: 1-File(Sig�iatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing(If Septic, 1-Septic) Page 1 , • C�'"� �,as,o� Total Fee: $ J�o� 4,� Date Received: 8 �-� D,� Entered By: Permit#: f}/Da,[� 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) OWNER OR CONTRACTOR JOB SITE ADDRESS: 203 Z S h��u,��. �t� ZIP: $","34� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events wi[I not be allowed � (C,ell� �,1�—�� —O.S/�j NAME OF OWNER: Tim s 5he�i^i �y�f ei-��,r PHONE: (home)y5 z y�o-'�/�/ (work) kS�-y��-83'�3 MAILINGADDRESS: 20�� '�h�d��;1 �Gbc� `�1CITY: Orpnv ZIP: SS31� CONTRACTOR: S ecz Ir�3 n's Co n,g�i^vc�;� PHONE:gS�- y�H-31�5'D CONTACT PERSON: Pie�,. S�,�a,,,•s MOBILE/PAGER: �/Z, — �io-/o99 MAILING ADDRESS: ]$' �Ip��an'�' }� ✓�. y CITY: 7-a„ka, ��,r Zjp; "5 5;�:�1 STATE LICENSE: # ,�y � 'Z_, EXPIRATION DATE�,3/�-, ARCHITECT/ENGINEER: _�I /�� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: (Z,Q-Yy,n�,� b r�'c K G h ;►,-�n eu '� ��'��e(��c 1°'e P�a�,p c,.,. i'�►� c..�o�d c a.-� S f rv a�i e►�► � � S e e� i��G h STORIES: � SQ.FEET OF EACH FLOOR: ��C�O NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �0, O(��.p n 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 permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. p�' APPLICANT'S SIGNATURE: 1�f ' ,�. DATE: /�1� �� !o � 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. 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 conceming 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 azising from his supplying or refusing to supply private or wnfidential data;and(d)the identity of other persons or entities suthorized by state or federal law to receive the data.This requirement shal I 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�lace the notice rgguired under ih��subdivision in the individual income tax or�ro�rty tax refw�d instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned 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 infortned 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 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 shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe 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 himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 betieves the data to be cortect. 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 depaztments may require you to furnish 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 Lsst Address City State Zip Phone I understand my 'ghts as stated above. et e s� � �'a k .� �� 32 � ebi.. w�.a...2.�9� ..ax.v,awe ...�. �,,.��..:, . ` �CHECK OFF i�IST FOR ISSUANCE OF �'E�2MITS FOR OFFICE USE ONLY . ADDRESS OR LEGAL: Zo3z s t-�� PID: DESCR�'I'ION OF WORK: ' � ------------------- -------- --- -------------------------- ----------- ZONNG REVIE�V BY: DATE APPROVED: S3-z-S-�� SLTII,DII�IG REVIE�V BY: DATE APPROVED: �S-2�=� � F'EES TO BE C�IARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIE`V � Yes � No SE`'�TER CONNEC'ITON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No �/' PARK FEE SAC Yes No ✓� SITEINSPECTION Number of SAC�Units OTHER (specify) ZOYIi�TG CH�CK LIST Zaning Districr. L(/v C1�4�►Q . Firc Deparcment: Post Office: School Disuict: � � Lot Area: Sq.ft. Acres � Widch Depth Survey Submitted:� Yes�_ No Date of Survey: �n< <=t t,.e Proposed Setbacks: . . Front(Lake): Ri�t Si e: , Rear(Street): Left ide: Adjacent Structures: Wetland: Buildin;Height: Def, Hgt. Peak Hgt. _ Lot Coveraae: Gradino: Staff Approval Date: By: Council Approval Date: ' Septic: Staff Approval Date: BY� ZoainJ File: !# Resolutioa: # Resolutioa Date: Shoreland District: Av�. Setback: Bluff Setback: I.ot Covera;e: Eusting Proposed Hardcover: Q-75' 75-250' 2�0-540' 500-1000' Hardcover Variance Required: Yes No Dace oE Council Appr�val: �E��LARKS (in house): (L.c�sve cK��nn+�y -• ,; �,,•1�co �.�� r-�-� !j�,1�..�..s ND ��vGt�s�LN �-�+`1,2Dl.d�'1 �-t�c.�'�t9 .� s .4 ivo.v �=YVCrt.p/� .��e,... � - 1�{oS �`� B�nnv� x�v�tiv c�cx LzsT �C� �' � CONSTRiJCTION TYPE: '�/�!'� Sq Footage $Per Sq Ftg � Basement • . .. X _ . lst Floor � x � _ . . . � 2nd Floor x _ � . Garaoe x _ z = TOTAL Estimated Construction Value: $ {c7,t9c�p ��' Inspections Required: Work Requiring Separate Permits: S ite Plumbing Fire • Hazdcover Removal Mechanical Water Conaection Footing ` Septic Sewer Connectioa �� —�Fr�g . Fiteplace Lawn Irrigation �Insuiation (Masonry) Other Wall Board (Mfg.) Well (State Perm.it) —�F�� Grading/Filling Electrical (State Pecmit) Other REI�ZARKS(IN HOUSE): . - - ��------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New . Access Approval: Date gy. � ------------------------------------------------------------- REI�TARKS (TO BE NOTED ON PERltiII'1�: . . . • 8 • . . . . ,. , . , . ` �� _,-. �..._w�...�_.z.._�.._ a,��.� .,�- �_. _ . .._ .� �� ,� � ' ',k � fi � . . ... . . .. ( � �f� � � *� � � �Y y} r'Y ,1._�,ww . . � ` .� �x � � d •�- � � � �({ � � � ` � 1� � ,.'�� 4 � . . .�+°^a� � `.. � Z;. � � � � �.`', �.....� i � ,�F � ; � � �, . � i i � � �. � � �..,,.. F � o +.� , . : � � .. .. �..�►' . i , F {� {��/� d v' E � t i ` t 1 1 � � ,; j � � � , � , � . '� s�,S ? '`_ a 9 � ; ' i �j s ^ � { t�:� i � � , �,�� . . . . 4 . . . u �- ._ S t�; t � F � � � � � � � � 3 , � � � � � F � �■i■!ipy�!�@i ��„ pr�� - ��• -Y ��• ._....trf� °� CITY OF OFtONO �� '� BUILDI�Ef? 1T PL�1N REV;EW �� INSPECTOR r _ ,,,.i� OATE g• 25� PL";�h;iT NO. ,e'F�: , :iG'/�_J�`,S u�.i��•:i;TTGD� - [J f,: :`:i;;�'JL�:'JiTI-I CGnF;�CT!O^:;f�S l�OTED � C7 t�: ;� nF�=�;?�1'�:D-•-C:i�'i;Eyl'u f�ESU3�v11T � � „ The�a cornmen!s wF�cr vou:;n;o;;;Ati�t�. A�i F:crk shaN ba done � � in r�! �o,��;infC? VJ.:i bh ;,r,�;ic.:::te u;�uc'�, z�d zon�ng code. Aeo�, mri,,,,;ncludi��,l�ms no�spedficG!ty nots_1 in this review. ` � 14�EP THIS PLkN SET QN 3t�E At AL.L TIML'6 � � f}G(,�w�� A 5 A• /'VO�G-WG�r�4�i�.tl+�P..�- �-4n '�k3'1`{[�.S �t{ �v�.�u l�v`� � � GI-�� v►^nrt� 5/1,rA S� Ze - /w /'v'G`�X ? ` � r.s F-VE��.o�1'�°� + � ; ; � �.; , _ � 1 � I 3i � � . . � . . . . . , � � � . . .. . . . . . . � t F � � � � P � 7 t �. ! M Y � � �n ; P � i p 3 -�,� . . . . '�..r� . . � 3 � . . .. . . � � . � � . . . ... � . , � � � t � a � . .. . . ...... .. . . . . . � . .. . . . . . . i . � � E � � � � ' �. i [ { � t � � �! � � . 3 i�— x � r— �3 # � . . . . .. . . . . �--r 'o'"''� � t f � � j � E � � � � N" � � /� � �. � r'` �----�► o �' 4 � � � �.�' �/ � � �' +�+,, � � �:� , � s _ '� f � � i� . r . . . .. .. . . p � � p, � � . �. .. . . .. . .��Me O�� . . 3. . .� . . � . . .. .. . . � . . . . � f � a j� �a � 7t i i � � �