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Home My WebLink About2000-P02054 - addn/remodel/repair L . PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: �.3-. pp 2,0�� Crystal Bay, Minnesota 55323 P21'CTllt Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: i�14�� SITE ADDRESS: 2soo snaavWooa Rd �XCELSIOR, MN 55331 P��: 20-ll7-23-ll-0034 DESCRIPTION: Proposed Use: Commercial UBC Occupancy: B Pennit Class: Btulding Construction Type: Perniit T_ype: Addition/RemodeURepair Census Code: 324 Permit Sub-type: Professional DETAILS: Resolution#: N/A Separate permits required fo NOTICES: I F E E S U M MA RY: Pernut Fee: $ 1,133.75 Valuation: $ 125,000.0 Plan Review Fee: $ 755.23 State Surcharge Fee: $ 65.00 SAC Fee: $ 0.00 Misc.Fees: $ 0.00 TOTAL FEE: $ 1,)53.98 APPLICANT: car�iii inc OWNER: Fr�sxwATExFourrDaTlorr PO BOX 5699 2500 SHADYWOOD RD Minneapolis,MN 55440 EXCELSIOR MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGRE�S TO DO ALL WORK IN STRICT COMI'LIANC�WITH ALL CITY OI�ORONO ORDINANCES AND STATE OF MINNTSOTA BUILDING CODE REQUIREMENTS. .� � ; c�u�� .� . �' � J APPLICAN'C PI?RMITEE SIGNATU '� ISSUED BY SIGNATURE �"f�. ✓ Today's Date: 1/14/00 Page 1 � � Total Fee: $ - C j9�3. 5� Date Received: Entered By: Permit#: la��j ��G � co� 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) WNE OR CONTRACTO �2,e�; T�uq�v`r JOB SITE ADDRESS: 2 ��O �f-(QD yW�p(� 2� ZIP: S5 3� / 7 NAME OF OWNER: �_,��SNWs�r� �-,�.r-y PHONE: (home) 4!Z• ��/. 7Z�6 (work) �e<Z, �7/ . ! 773 MAILING ADDRESS: Z 5�o � q p�Wapp 2 D,CITY: N�4✓�q R,eE Z�� "53�/ CONTRACTOR: ID�NT G f� L G !�C, PHONE: G(Z• 7'y Z. ,3 9'�� CONTACTPERSON: �J � L,� MOBILE/PAGER: CQCZ.S��.�� z� MAILING ADDRESS: PD.3v?< S�e G� CITY: h-�r�,u�.-,a�cxi s ZIP: �.g-�F�p.S�Z �l� STATE LICENSE: �# � �u�j Gp►J-�-�R1r��t�s w�� L5. �f��-� 5��2�-'�--� "��. t�E-�t.t�--t�� ARCHITECT/ENGINEER: � PHONE: MAILING ADDRESS: CITY: IP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration y� Land Alteration PROPOSED WORK(describe in detai�: I�c v�c� � �i--- �--��`�P-�d 2�-1 /��o ��-��G c�- ,�ce-E�� tZ �iT��-t-�--�#� �t21�' 1 STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ �l��`�'� —� I hereby apply for a building permit and I acknowledge that the informatior�above is complete and accurate; that the work will be in conformance with the ordinances and code of the City and with the State Building Code; that I understand this is not a permit and work is n�t to start without a permit; and that the work will be ' cordance with t e approved plan. � APPLICANT'S SIGNATURE DATE: �CO / NOTE! Parade of Homes events require separate permit approval by Police Deparhnent nd City Counci160 days prior to the event. Non permitted events will not be allowed. 5 � . , � 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 i�ividual asked to supply private or confidential 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 lrnown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idendry of other persons or entities authorized by state or federal law to receive the data. 1'his requirement shall 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 mav nlace the notice reauired under this subdivision in the individual income tax or orocertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,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 co�dendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an i�ividual has been shown the private data and informed of its meaning,the data need not be disclosed m him for six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible authoriry shail pmvide copies of the private or public daha upon request by the individual subject of the data. 'The responsible authority may require the requesting person to pay the actual cosu 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,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�nay contest the'accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or i�omplete and attempt to notify past recipients of inaccu�ate or i�omplete data,including recipients named by the individual;or(b)norify 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 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 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 ta 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. T��J�-�/� �.D�/�5 �GLL/L�.T�'� . C��/LC First Middle Last /ti�, � �f zs�� -�y��,� �zo. . Address �t/<4 vK+2,2�-- df�v ��3�� /Z T YZ- �t.P'`/ C�iy State Zip Phone I underst d my rights as stated above. . `/��/�� signan, - 6 , _-� � . � CHECK OFF LIS�' FOR ISSUANCE OF PERMITS FOR �FFICE USE ONLY ADDRESS OR LEGAL: z Soo ��-��A 0�.,wvc,✓� (�.o+�D PID: I DESCRIPTION OF WORK: t2��o e� �Q -►9�rv� e�c��t►t s,��4 c�. 5 ZONING REVIEW BY: DATE APPROVED: r Z-2 g�-5 g BUILDING REVIEW BY: DATE APPROVED: �2•�8-g� FEES TO BE CHARGED: I Misc. Fees Calculated By: PERMIT Yes �� No PLAN REVIEW Yes ✓ � No SEWER CONNEC'ITON STATE SURCHARGE Yes r/ No WATER CONNEC'TION INVESTIGATION FEE Yes � No PARK FEE SAC Yes � No SITEINSPECTION Number of SAC Units !, OTHER (specify) ZONING CHECK LIST zoning Disuict /U o C F�*�,P Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres I Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right S� e: Rear(Street): Left Sid� Adjacent Structures: edand: Building Height: Def. Hgt. 'I eak Hgt. Lot Coverage: aff A roval Date: B : Council A roval Date: Gradmg: St pp y pp Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ck: L.ot Coverage: Existing Proposed Hazdcover: 0-75' � 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes N Date of Council Approval: REMARKS(in house): � �� . ��- ' BUILDING REVIEW CHECK LIST UBC: � 13 CONSTRUCTION TYPE: �v u'f'''''"� � � Sq Footage $Per Sq Ftg BaseIIient � x = lst Floor x = 2nd Floor x = Garage x = z = TOTAL a� Estimated Construction Value: $ i Z 5�,pn� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical . Water Connection Footing Septic Sewer Connection �i _Framing Fireplace Lawn Irrigation Insulation (Masonry) Other v�Wall Boazd (Mfg.) Well(State Permit) �Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION A�O,TaG,E SCHEDULED �� _� PERMIT NO. 'v / ` � COMPLETED --- � ADDRESS ,� �' `-�'1G[_��I�GC�' �--G.* � � -tSl�t�.x�-ki � OWNER CONTR. �'C.�vG'i�`� TELEPHONENO. � �� 77� �'�X�. a�- 1� "'�Ch►'tS � DESCRIPTION ��-" �1'1��'--+ICY� �-�'J t�Y'`G�� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�UNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 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 TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � j a W C7 WORK SATISFACTORY:PROCEED ' PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARFiANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContra�tox on site: ^ Inspector.,' C.r��.-�- �`�'� `7� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO u CALLED IN INSPECTION TICE ad`� ) SCHEDULED ��b PERMIT NO. ' connP�ETE� Z �v �t%�� ADDRESS �O� �`l�tC�4l��`� OWNER CONTR. C�'^�cs��'� l TELEPHONE NO. ��C� '��I� ��3 � C i-��'l S �t'rc�c iC � DESCRIPTION �� -E-'�``n�� s� � S�� u��iiz.-� lL 01 FOOTING 11 fvtECHANICAL RI 18 EXCAV/GRADING/FILLING y2 FRAMIN 1 13 MECHANICAL FINAI. 19 LAKESHORE/WETLANDS 03 VSULATION 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 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � M TS: � � � i , 1/' � ' lr� � J O �2- � � G _ Z�S �C- ° ��.T�,.l 5�,� Y s �S'�1.^� - � Q � � � W � W � j d (' W%�l'�p/ORK SATISFACTORY:PROCEED f' PROJECT COMPLETE �;_�� W )qLc,ORRECT WORK&PROCEED f: ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CA�L INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContr tor on site: Inspector.lf'//��C G�C�-G�'� White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION I�E SCHEDULED 1 -L'7-oo ( 1 ; �o PERMIT NO. �� COMPIETED 1�T��L' � ADDRESS Z S"� � ' .S �`;'+R'(� OWNER ; C NTR. TELEPHONE NO. � DESCRIPTION I�`�"^^� �- � 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECkiANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WpOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q �5 FINAL 14 SEWEIR HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTId,MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC INAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACT O MEEf YOU:_YES NO ° co ENTS: � %�es �� s a �y �� j -/ ! � � �dL�c i ��.-�'� 0 � , Q�/ �(�/ � r '� � 1 /�� // � �� c � � ' pr W v� e � � a W �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W �ORRECT WORK 8 PROCEED !i �$�U/�10ERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION /" TEMPORARY � BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HO RS. r pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCES . I Call for the next inspection 24 hou�in adva �ce. 2�9-460� OwnerlCon ctor on site: � � i Inspecto , White Copyllnspector's File Canary CopylSite Notice