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Home My WebLink About2003-P06383 - addn/remodel/repair ITY F R N PERMIT C � � � � Permit Number: 2750 Ke4l��Parkway- PO Box 66 P06383 Crystai �ay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 6ii�i2oo3 SITE ADDRESS: 2040 Shadywood Rd Wayzata,MIV 55391 P I D: 17-117-23-31-0013 DESCRIPTION: i1BC Occupancy R3 Proposed Use: Residenrial Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: 2866 Separate permits required: r,iec�icai�siaiej NOTICES/REMARKS: l�T_"T__1_ O' T7 __(�_'__"_ T___7_ FEE SUMMARY: Pernut Fee: $ 461.95 Valuation• $ 31,500.00 Plan Review Fee: $ 300.27 State Surcharge Fee: $ 16.25 TOTAL FEE: $ 778.47 APPLICANT: Flag Builders,�c. OWNER: David&7udy Zoschke 715 Florida Avenue S. 2040 Shadywood Rd Golden Valley,MN 55426 Wayzata MN 55391 TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �C� � - �� PLICANT PERMITEE SI ATURE I D BY SIGNATURE Conies: 1-File(SiQnitures Required),1-Atyplicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 � � �( j�_ �.� � � �1 Fee: $ � ,- Date Received: ._.,nte�-zd By: �,�;� , ; � �� Permit#: � . ,.� �� CITY OF ORONO � BUILDING PERNIIT APPLICATION U' All information must be submitted in full before plan revietiv will be started. (please print all information) ----------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR � --___� , JOB SIT'E ADDRESS: � �G .S`7�yu�Qov ��( ZIP: �S�3 1 ( qs�z- NA1�iE OF OWNER: �f}V» �S�� PHONE: (home)�{'�l - 1�Oc� . (work) MAILING ADDRESS: ,ZDS�U S CITY: (�ran.c ZIP: S�'��/ CO\'TRACTOR: �`�, /5 ll,j��; PHONE:.7G 3 �"�� }�D,�' COr�TACT PERSON: S��-T (�;�,�.�r l�IOBILE/PAGER: �� i� " M.AILING ADDRESS: �/S� �(�>ri�.,. h'�-e S� CITY: a f�_ d� � ZIP: Y2� ST�iTE LICENSE: # ,�� ARCHITECT/E�GINEER: PHO�TE: MAII.,ING ADDRESS: CITY: ZIP: NA.IIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration i� Land Alteration PROPOSED WORK(describe in detai�: /`✓�,�- /�s�� - s�__�,�s�,.� ,�Ur�� STORIES: SQ. FEET OF EACH F'LOOR: NO. OF BEDROOviS: � . GARAGE STALLS: ATT. DET. ESTLI-IATED CONSTRUCTION VALUATION (exclud.ing land): $ 3 j,S"Z>O I hereby apply for a buildinJ 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a permit; and that the work wilI be in accordance with the approved plan. �, � APPLICANT'S SIGNATURE: � �'-�'�'�� -n---� DA1'E: �� }�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events wi11 not be allowed. 5 � , Sec.13.04 RIGIiTS OF SLJBJECTS OF DATA • Subd. 1. Type of data. The rights of individua!on whom the data is stored or to be stored shall be as set forth in this section. I Subd.2. 7nformation required to be givea indivIgual, qn individual asked m supply private or co�denaal data concerning himself shall be informed of: (a)the purpose and intended use of the nquesred data within the collecting state agency,political subdivision,or statewide rysum:(b)whether he may refuse or is legally required to supply the nquesud data;(c)any lrnown consequence arising from tus supplying or refusing m supply private or confidential dara;a�(d)the identiry of other persons or enCaes au[horized by sate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgative data, pursuant to secdon 13.82, subdivision 5, to a law enforeement officer. �he commissioner of revem�e mav�lace the notice reauired under thi ��bdivision in the individual income raz or r ertv tax refund instructions mstead of on those forms. Subd.3. Access to data by iadividual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on i�ividuals 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 w him for six months thereafur unless a dispuce or acaon pursuant to this secaon is pending or addirional data on the individual has been collected or created. The responsible authoriry shail provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. Tha responsible authoriry shall comply immediately,if possibte,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 wichin that time,he shall so inform the individual,and may have an additional five days within which w comply with the request, excluding Saturdays,Sundays and Legal holidays. Subd.4. Procedure when data is not accurate or complete. An uidividual may contest the accuracy or completeaess of public or private data co�eroing himself. To eaercise this right,an individual sha(1 no6fy in wridng the responsible authoriry describing the�natun of the disagneement. The responsible authority shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or icuompkte data,inctuding 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 determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminisuaave procedure act relating to contested cases. • DATA PIZiVACY ADVI ORY 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 furnish certain private or confidential information. You aze 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 Ciry 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. � /� C.o b(r C.�SO�D-Q/ First Middle Last �/t' /�/.-��e �-a Addres�� // v t �„ 1 �6 Cityr / State Zip . Phone I understand my rights as stated above. Signa 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDIiESS OR LEGAL: Z o�o �s',�9sJ y wo.� � . PID: DESCRIPTION OF WORK: ,D cc.►c t '3 st-�oN oo�c.G. ZO.�tI�Ti G REVIEW BY: (�,.._— ----~ DATE APPROVED: �-I z •�3 BUII.DIiYG REVIEW BY: DATE APPROVED; G •� z- �3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No PLAN REVIEW Yes ✓' No SEWER CONNECTTON STATE SURCHARGE Yes � No WA'TE�tCONNECTTON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No STTEINSPECT'ION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: L 2•/C . Fire Department: Post Office: School District: � Lot Area: Sq�.ft. Acres � Width Depth Survey Submitted: Yes�_ No Date of Survey: Proposed Setbacks: T�eat(Lake): 7 6 � Right Side: �o , Reaz(Street): /�/ Left Side: �y' Adjacent Structures: g�n'pc�c:.� Wetland: N/� Building Height: Def. Hgt. — Peal:Hgt. — Lot Coverage: I L•3'�� Gradina: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # b 3•Z ii L b Resolution: # y5 2`� Resolution Date: Z •Z`1 - °3 Shoreland District: �,.eS Avg. Setback?,y,��.�„a-,•r c.r Bluff Setback: �v//; Lot Coverage: 16.3�� Ezisting Proposed Hardcover: 0-75' 2y.$b i 2•�3 75-250' S�• ° g 250-500' 500-1000' Hudcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): _ 7 BUII,DING REV�W CHECK LIST . ' UBC: _ Iz" 3 � CONSTRUCTIONTYPE: �N _ Sq Footage $Per Sq Ftg � Basement . . . x _ lst Floor � x . . _ . 2nd Floor x � _ �. Gazage x _ . a = TOTAL Estimated Construction Value: $ 3/ , S�� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection . _�Footing ' Septic Sewer Connection . _„�Frazning Fireplace Lawn Irri adon _�Insulation g Wall Board ��0�'� Other �-.. ' (Mf8•) Well(State Permit) . ---��F�� Grading/Filling _01 Electrical(State Permit) Otber REMARK�4(1N HOUSE): � RE'VIEW BY OTHERS• DATE: _��_ --- �"----__ Access: Existing New . Access Approval: Date gy. RElY1ARI�S (TO BE NOTED ON PER�vIIT�; ~ -�"��____�____ ___ 8 DATE TIME V CITY OF ORONO CALLED IN "f�-"� INSPECTION N C SCHEDULE�( PERMIT NO. COMPLETED ADDRESS �C�`lO ��rlG�t'J�-1%(�00�'-� OWNER CONTR. .�� A �' TELEPHONE NO. 7Cp � J��d �'l�Q� � DESCRIPTION �� 1 • 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 D. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � EMO-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 1� , � 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO ET YOU._+� YES_NO � COM EN S: � � a � � 0 a � 0 � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (J52� 249-46�� OwnerlContr ' e: Inspector. ' White Copyllnspector's ile Canary CopylSite Notice �uS. � 3 /�� DATE TIME CITY OF ORO�O � O CALLED IN �•',�d� INSPECTION NOTI -� ��Y SCHEDULED U � PERMIT NO. �J COMPLETED -_�c� �1 ADDRESS �� ` � OWNER CONTR. G� �' ��-- TELEPHONE N0. � DESCRIPTION F� �� i�I � � 01 FOOTING 11 MECHANICAL R 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 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PFOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � W a � J O � � O � W � Q � 2 W � W � � O W �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR AEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnerlContract o sit • Inspector. White Copyllnspector's File Canary Copy/Site Notice C.`,� � � ''�"' DAT TIME �� CITY OF ORONO CALLED IN �� C�3 INSPECTION N TICE SCHEDULED � PERMIT NO. COMPLETED ADDRESS ��(-LC� J��- � OWNER CONTR. � ��S TELEPHONE NO. � l� �L'� - 1�� DESCRIPTION �"V O�i1/�( 4�C7� �✓�.S � 01 FOOTING i t 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 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_ S_NO � COMMENTS: � W a o i ` r' � � � 0 � W � Q � Z W � W � � O W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (g52) 249-46�� OwnerlContra o ite: Inspector. White Copyllnspector's Fi Canary CopylSite Notice �,�f= �/ � ATE TIME CITY OF ORONO CALLED IN `��`� �'J INSPECTION NO�CE SCHEDULED �3 !rlrYl PERMITNO. �% �--� �� COMPLETED ADDRESS �Z L� ��' S�'l�x�-�-�-1��--L_�"%�� Q� OWNER ��-�! )C�. CONTR. �� /�G} ��C�/S � � . � � TELEPHONE NO. �,r r� �" 'Sl� �i`- /%��-� .� � DESCRIPTION " ��-�-� �C'�� `�1'� .. --� "SQC�� 01 FOOTINCa 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 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 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � W a � c�J e.�, 0 � � 0 � W � Q � z W � W � � � d W� �❑�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W `�"CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION�SSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-4600 OwnedContra o ite: Inspector. �- White Copylinspector' File Canary CopylSite Notice