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Home My WebLink About2002-P05681 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Pos6si Crystal Bay, Minnesota 55323 Permit Type: Addition�RemodeURepair (952) 249-4600 Date Issued: ioisi2oo2 SITE ADDRESS: 2500 Shadywood Rd Fxcelsior,MN 55331 P I D: 20-117-23-11-0034 DESCRIPTION: UBC Occupancy R3 Proposed Use: Insriturional Permit Class: Building Census Code 324 Permit Type: Addition/RemodeURepair I Permit Sub-type(s): Addn/RemodeURepair DETAILS: I Approved per resolution#: Separate pernuts required: Eiecuicai�si�ie� NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 125.25 Valuation• $ 6,000.00 State Surcharge Fee: I, $ 3.50 TOTAL FEE: I $ 128.75 APPLICANT: Cargill ', OWNER: Freshwater Foundation 2500 Shadywood Road I 2500 Shaydwood Rd Excelsior,MN 55331 Excelsior MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMIS ION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN STRICT CO LIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPL ITEE SIG RE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Mo hlv Renorts, 1-Assessin¢, 1-Finance Page 1 �, �i,,.�� ,7 Total Fee: $ v� D- J`� � �- `� Date Received: �� `��0( � � '��.�-- Entered By: � Permit#: - CITY OF ORONO - BUILDING PERMIT APPLICA'I'�(�A� �:,.:;,;... � _ ��.: All information must be submitted in full before plan review will be started. (please print all information) ----------------------------------------------------------- - -------------------------- --`--------------------- - THE APPLICANT IS: (circle one OWNER�R CONTRACTOR JOB SITE ADDRESS: �SOO 5 ho,d�;,.,c� Rd. ZIP: �s3 3� NAME OF OWNER: ��eshwG--k� SacJ+g.�-� PHONE: (home) y�I -�(�7:3 (work) MAILINGADDRESS: � 50o S►,�,dywo�d Q.�,. CITY: N�,,,�;��.:� ZIP: .5"s33 ► CONTRACTOR: Gv�.r�,�1 i 1 n� - PHONE: `11 I -`17 7 3 CONTACT PERSON: �` 1�r'�S �rok MOBILE/PAGER: _�- ;�i� -�aa -s�a a— MAILING ADDRESS: �Soo Sh�.�..iwc�.�1 R�1�. CITY: ?�,,�,�« ZIP: SS3�3 I STATE LICENSE: # (`��V� `�^� ARCHITECT/ENGINEER: PHONE: lJ ,�,`� MAILING ADDRESS: CITY: ZIP: '' NAME: REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration_ C� Land Alteration PROPOSED WORK(describe in detai�: R�,.,��\ �x�s-?;T -�� .ti,ti, � ,,t� c:-- Mo�,1 roc.��. STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � lo�ppp ,Cyp 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. APPLICANT'S SIGNATURE: �,,,��,,�� DATE: ��Zio�o� NOTE! Parade of Homes events require separate permit approval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SLJBJECTS 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 secrion. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data conceming 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 dara;(c)any known consequence arising from his supplying or refusing ro supply private or confidential data;aixi(d)the identiry of other persons or enaties authorized by state or federal law 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 a law enforcement o�cer. The commissioner of revenue mav nlace the notice reguired under this subdivision in the individual income tax or nrooertv tax refund instructions instead of on those forms. 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 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 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 unless a dispute or action pursuant to this section is pending or addirional data on the individual has been collected or created. The responsible authoriry shall 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 costs of making,certifying,and compiling the copies. The responsible authoriry 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, ezcluding 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 co�eming lumself. To exercise this rig6t,an individual shall nodfy in writing the respoasible authoriry describing the nature of the disagreement. The responsible audioriry shall within 30 days either: (a)correct the data fo�u�d ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipienu 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 deter►ninaaon of the responsible authoriry 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 shazed 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. Y/GS�1 Wa..�'2! �ca�`V First Middle Last �s�a SG��d..�ed 1� Address I o-,w.� I�f�/ SS�3/ 4�7/•y 773 Ci�y State Zip Phone I understand my rights as stated above. Signature 6 CHECK OFF�.IST FOR ISSUANCE OF PERMITS F�OR OFFICE USE ONLY ADDRESS OR LEGAL: zsc� S H��w��JJ PID: i DESCRIPTION OF WORK• �pe` sr��16t /l.00►� I�'ro viit,4rc_ R�e o� ZO�tPi tG REVIEW BY: N�o`�- DATE APPROVED: BUII.DING REVIEW BY: � � DATE APPROVED: fo a�-�Z FEES TO BE CHARGED: ' Misc. Fees Calculated By: PERNIIT Yes _� No PLAN REVIEW Yes No �/ SEWER CONNECTION STATE SURCHARGE Yes ��^No WATER CONNECTION INVESTIGATION FEE Yes No_�� PARK FEE SAC Yes _� No � STTEINSPECTTON Number of SAC�Units j OTHER (specify) � --------------------------- ------------- ZONING CH�CK LIST zoning bistrict: RJU Cl >- . I Fire Department: Post�ffice: School District: � Lot Area: Sq�.ft. Acres �, idth Depth Survey Submitted: Yes li No ate of Survey: Proposed Setbacks: i Front(Lake): jRight Side: Reaz(Sueet): IILeft Side: Adjacent Structures: 1 Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Se tic: Staff A roval Date: I B P PP Y• Zoning File: # Resolutidn: # Re olution Date: Shoreland Disuict: Avg. Setback: luff Setback: Lot Coverage: ��g Proposed Hazdcover: 0-75' 75-250' �— 250-500' t-'— 500-1000' �— �— Hardcover Variance Required: Ye� No Date of Council Approval: REMARKS(in house): 7 BUII.,DING REV�W CHECK LIST �C� � CONSTRUCTION TYPE: �(1'� _ Sq Footage $Per Sq Ftg __ . Basement x = � . lst Floor x _ 2nd Floor x = Garage x _ � x — TOTAL Estimated Construction Value: $ �',O[�� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Sepdc Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd � (Mfg.) Well(State Permit) _.,2�F� Grading/Filling _�Electrical(State Permit) Other REMARi�.S(IN HOUSE): . REVIEW BY OT�iERS• DATE: _____------------- --�_______w__ Access: Existing New Access Approval: Date gy; --------------- ��----------------------------------------- - RENIA.RI�.S (TO BE NOTED ON PERMI�: 8 u��u L�N� � -, , . z ,��;��'�,� �,��,�{,�,,. � . � �� J A - ` " . l . , ,' r , , � � , I ,'" � �y ,� . << _..�,.,....._..� _, ' � �.. ._ : � � _� .... . .�}._. �� _ . ._.�...,..�._��.__�,...�.r_...�.�..,...�...n._._t.�.�.,....�..�.... � +- � � .-C, �_ '"�."'. �• �C.�3 t e:< G fGa,e.,,, i ,a ! e� � � : -� "�� Z� . � , . .. . .�.�_ .,...._- - ...._..F,..^ . � � __�.r � � a` � � 1F � -� r ' _.,_....... � � � 9 � � '� f t � ! � 3 ' i � � � � �a._.__. ._._____._______ 1 �t � � � � w__..___.__._.—.� -ti'1 ,_ - ..��.� _"� _�� y i V � ` � f � � � � � � � i � :...- ; # � � , � � � � � '' � ' i � ' i , � 7 _ _ _ .; � C , i i € ; � � a , r, ___._—_. . __ ...._ __–,.._._ __. _ _ _ __ .. ......_,._..-._.�..., , ,,L ,b � � A t W � i _ /�+� r �,�.�}�,\) ; I �V��'.Di,�U�,"v� ,� ?�''�'.� V ' Is � � � . �,cr:d�,l '1 c�T� � o�o� ... . .w _._ _ .. _.____. _ __ _ _ ___ � _.._._. ._ __..._____._.�__ BUIL[iING F�r'v1 T FL�N i:= � _ Zr� �C�� .. � �r/b�� ..� INSPECTU� !_ _:,--- C�A7i' , (p -�.07� !:i;�f��0._____— ((''''�� 1� :JB�� , a ''; . (� � �1Cr�'� f�l . � . i �, .....� �. '.�t �_ � � �� r �—r �,,�'.rty�L�7"�,.��.t_u � Cr.. "L�� @ �'�' �' �;'� 'i ` � � ..) ,-r J i ,.i v!_ir ��'� .Y Q . 'f"� ::�n e inr�� r �� i ks,, itedon� � ifl t..� ( iTl�� ..1c` � i � ?�� ..,�. D r. � lrf� L�� -C �;G�@. � Rec,cl;=n,.�.;��:r..,•,,:u�;;�i1-z,�.., ��,s{;c.. ,�:�.f '!'d in this r��ciew. K�EP 7N�S P1,AN SET UN SI7E Al'ALL 71MES � �� I�� ..�,,�s�� `b� �� '� ��S'J \� I �S� � I ` -�J �s`� � � S Uo� I t��j 1� -a(�'�o (�O/\ \\ � ,.�-`� "b t,� � � � ��"c��w► �o �'�4;1owa� -a� �u �\�`M S It`oM -a� �-��'-�a o�e, �al'1",�CS -a� ch�u \\;� �"'�a S�� ' S�� -e.�.�. ,,,, � ��o �`� --ac� �1,M ��v,�� ,�,�,l� -ak�os � �� '� \\'M c �p ��;�,}�a1a �awas - I.voW 4 ;� �, �ow ��ov�o w� wwd�� -a,�.��o ��,�ow � �VO . �� '� � —�p�'1ro e',.��-c' �ac� �'y �,v�,�oo�� '�1� �'�� /!JOa�� I:�' Mau '� 1°� ��M WOO.� S 1�� 1litltOOa 1 t'�,V( �O �.�� oo,, -��b.,�.� .-�, ��,t.��vo� S, �,b.► � � � �.al�y 1 r . . . , y.. _-�-_ _ � _ �.� r� �•�- DATE TIM CITY OF ORONO CALLED IN JO '�� o� INSPECTION NOTICE SCHEDULED �°'zFl aP�T�+P/$'1 PERMITNO. I�vS�G �'� COMPLETEO ADDRESS SaU G�. OWNER r CONTR. � � r.w , TELEPHONE NO. �7�- 9��3 ..�- � DESCRIPTION �.y� � 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 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 INAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 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 � OWNERICONTRACTOFiTOMEETYOU:�YES_NO � COMMENTS: � , a ��. /, �p� j O �. � O � W � Q � Z W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL FETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �iNSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the n t inspection 24 hours in advance. (g52) 249-4600 OwnerlContr o' ite: Inspector. White Copyllnspector's ile Canary CopylSite Notice