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Home My WebLink About2004-P08236 - addn/remodel/repair � e CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos236 Crystal Bay, Minnesota 55323 P@PIl11t Typ@: Addition/RemodeURepair (952) 249-4600 Date Issued: i2i6i2ooa SITE ADDRESS: 2208 Shadywood Rd Wayzata,MN 55391 PID: 17-117-23-42-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: n_'-=-�- ^---'--- FEE SUMMARY: PernutFee: $ 482.15 Valuation: $ 34,000.00 Plan Review Fee: $ 313.41 State Surcharge Fee: $ 17.50 TOTAL FEE: $ 813.06 APPLICANT: C.R.E. Construction OWNER: Barry&Mary Bennett 9251 Staring Lane E 2208 Shadywood Rd Eden Prairie,MN 55347 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRIGT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. .Si( �, c� APPLICANT PERMITEE SIGN RE ISSUED BY SIGNATURE Copies: 1-File(Si,enitures Required), 1-Apnlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 T ' IL1�IY�� 2-3-0 `-� TotalFee: $ / .D�o DateReceived: /� � Z9'-p� Entered By: Permit#: �{ v g Z �lo CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all iiafor�natio�i) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�ae) OWNER OR CONTRACTOR JOB SITE ADDRESS: �,?p8 ,�j,9�s/e� � ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event perniit is required with Police Department and City - : Council cc-pproval 60�la�s prior to the event. No�permitted evei�ts will not be allowed. NAME OF OWNER: ��q,��/ �� PHONE: (home)��-�/7/- og�,�r y�� (work) �,'/�-.388 - 3�'182 MAILING ADDRESS: D G�C✓��'(;1TY: O,LoivO ZIP: CONTRACTOR: � .�- ' PHONE: �'��?-�4�1�Oa/ CONTACT PERSON: MOBILE/PAGER: �/�-�/� -3/9.r' MAILING ADDRESS: 3' e � CITY��1�?/� ZIP:�y7 STATE LICENSE: # �43��?� .3 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration� Land Alteration P OPOSED WORK(describe in detai��i' �r � �p�� c � % �' 1/� o� �� c' � " .�?h'�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L��D�'.Y'J 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: ^ d � . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of tndtvidual 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 contidential data concerning himself shall be informed of: (a)the purpose a�d intended use of the requested data within the collecting state agency,politicai subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the Identity ot other persons or entities 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 officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or arooertv 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 individuais,and whether it is classiFed as public,private or confidential. Upon his further request,an individual who is the subject of stored pr(vate or public data on individuals shall be shown the data without any charge to him and,if he deslres,shall be Informed of the content and meaning of that data. Atter 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 actlon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shnll 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 maWng,certifying,and compiling the copies. The responsible authority shall comply immediately,if possibie,with any request made pursuant to this subdivision,or within five days of the dute of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifi he cannot compiy with thc request within that time,he shall so inform the i�dividual,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 concerning himscif. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shall wtthin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients o( inaccurate or incomplete data,including recipients named by the indlvidual;or(b)notify the individual that he believes the data to be correct. Data in dispute shail be disclosed only if the individus►1's statement of disagreement is included with the dlsclosed data. The determination of the responsible authority may be appeated 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 departments 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 qualitication 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 Last Address City State Zip Phone I unders d y rights as stat above Signature * � CHECK OFF LIST FOR ISSUANCE OF PERtti,tITS FOR OFFICE USE ONL Y ADDRESS OR LEGAL: ZZo� SriAAH t�+o op �LoA� PID: DESCRIPTIO.'V OF Y[fORK: o•�¢z. U=v e � 1=.�v�s l�/ ---------------------------------------- -----=-- -------------------------------------------------------------------- ZO�VINGREVIEYVBY: DATEAPPROVED: /z.-7-ar BUILDI[VG XEVIEW BY: � DATEAPPROVED: �z-?-•'� ----------------------- FEES TO BE CHARGED: 11flisc. Fees Calcac[cctecf By: PERII�IIT Yes �/ No PLAN R.EVIEGV Yes_�/ �Vo SEYVER GO�ViVECTION STATE SURCHARGE Yes ✓ �vo tiVATER COt tWECTION INVESTIGATION FEE Yes No P�lRK FEE SAC Yes tVo � SITE [NSPECTIO�V Nc�rnber of SAC U�iits OTHER (specify) --------------------------------------------------------------------------------------------------------------------- ZONING CHECh'LIST Zoning District: /uU Fi1•e Departrnerrt: Post Off ce: Scltool District: _.,. Got Area: 5q.ft. Acres 6Yidth Depth 5�uvey Subrraitted: Yes No Date of Scuvey: Proposed Setbacks: Fi•oru(Lake): Rig/�t Side: Rear•(Street): Left Sicle: Adjacent Stre�ctures: G�etl nd: Ba�ildir�g Height: Def. Hgt. Pe 'Hgt. Lot Coverage: � . Grncfing: Staff,�ipprovc�l Date: By: Coculcil Approva!Dc�te: Septic: StaffApprot�al Date: BY� Zoni�ig File: # Resolution: # esol«tion Date: S/coreland Dish•ict: Avg. Setback: Bluff Setback: �ot Cove�-age: E.risting Proposed Hardcove��: 0-7�' 75-250' 250-500' 500-1000' Karcicover Variance Reqa�ir•ed: Yes No Dc�te of Coc�rici!Approval: .RE111ARKS(i�:l:ouse): 31 . ` B UILDING.RE vIE tY CHECK LIST UBC: R'3 CONSTRUCTIO�Y TYPE: '�l'J Sq Foorage .S Pei•Sg Ft� • Base�nent s = !st Floa• x = ?nd Floa• x = Garc,;e a = x = TOTAL Estiruated Constructio�t Value: ,S 3`i.��C� � Inspections Required: 6Vork Requiriu�Separate Perntits: Site _�Phuribing Fire Hardcover Removc�l _d A�lechanical" � 4t�ater Co�uiec�ion _C�Footing Septic Setiver Connectiaz _�C Framing Fireplace Lawn!�•rigation _�/nsulation (r�lasonr}�) Other � GVa!!Bom•d (A�lfg.) 4�e11(State Per�nit) Final Gracfi�:g/Fi1(irig A Elech•ical(Stnte Perniit) Otlier REt'�IARI'iS(IN HO USE): -------------------------------------------------------------------------------------------------------------------- RE VIE l�V B Y OTH.ERS: DATE: .4ccess: Existi�z„ rVew Access Approvr�l: Date By: ---------------------------------------------------------------------------------------------------------------------- RE�tiIARh'S (TO BE NOTED O[V PB.R�ti1XT): 32 Home Design bennettfinal Monday, November 29, 2004 �C�/ti ��2� .. �� t� 7� � i _ � , ``�c�-7� m ; .•� � `� o 0 0 o i; a /,�, /2C 1? �� I N � O O f4 I 1 i � ! � O O � �^_ O � i �iJ m O o t �� `1 � I,� � N p N � ,�' ' � O O ,j \ O � � j :. � � o � � , � � � 9 � T ; ; � � "� � ��'' ° ' ' � ° z a t� _ � -�` r � - ' - - - 1_= 1 � " c� (� �1 :7 �' �3'� :, : �, ;_ � � � �y; ' _-� ,A , �' � , " '�� i (� � -� w ' •-I �-��; � "�� I �`.` i;; �` o ,.; 'C '�"� � � i:� � `r� �; : � �; �"�'�; :� � v"� � �l'�'° _. �� .� '-'' �—;: � �x :ti�, i'�1 F ,�� :°-� G �C � ' ; �c .`:c�J, �� ' �.� � �.. '� C� � '7'1 `r�;_ss. � 1 E 3 � � � �� '7-•i a. � ' ,- �"*�'a�� 1�� -i- � x't �- ;:N. ��,. r�. c m.. . . ,• � �� ic'� 1 Sd� � �..y. � ....t ��' . . � '�'7Fiix"'1 a�,� f" � q� � � '1 � J LL�:� t.� �� 4 tr� U � ' � , � �""�`� � � `� "�'� � ��' t•� = ' " � � � � � �w � � -� � t � ; ; _ �_, � � � -- _ __ __ _ � _. _ — , ---- - - ,� _ _ . m � . : , ; Zn �� ; . � �.r , �` ' � ; , , C� � CITY OF ORONO CALLED W /�-;,7�/-c? TIME INSPECTION NOT E scHE�u�E� /� �D-O'� �,'�':r'� PERMIT N0. �G�E�3 (o COMPLETED ADDRESS ��,� �� GL cC i��:J�i�ck' I�� OWNER CONTR. C� (� t L v'��'7 - TELEPHONE NO.� �� °� r7S � � � ^ � DESCRIPTION �L:l,'�"� � ' l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRA^, MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q -�NSULATIO 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 � � � O � � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE � ' W ❑CORRECT WORK&PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLT ARRANGE ACCESS. � Call for the next i �'pection 24 hours in advance. (J52� 24J-46�0 OwnerlContr n s e- Inspector. i White Copyllnspector's File Canary CopylSite Notice c� ,�DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 1 a..��9/0�� PERMIT NO. �O�i�L COMPLETED ADDRESS � � ��U-�'��-�� • OWNER CONTR.��I�S t- �`Q7]Q,S� TELEPHONE NO. �9 ( a - k I 1� --' 3 � ��J � DESCRIPTION �r�-�'��i � 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SE IC FINAL 35 HARD COVER REMOVAL J 10 PLUMBiNG FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � j � � O a � O � W � Q � Z W � W � � � d W WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ,O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the ne inspection 24 hours in advance. (g52) 249-46�0 OwnerlCont o si e: Inspector. < White Copyllnspector's File Canary CopylSite Notice DATE TIM � CITY OF ORONO CALLED IN ( �(c.Yj G`,� INSPECTION�OTIC,�EZ �� SCHEDULED t�%� lU`.c� PERMIT N�. �� `� COMPLETED ADDRES��`�J �ZC�� 5�=c�. ,,,�,;�'--�. OWNER C NTR. �-�Z.� ��- TELEPHONE NO. ��l�- � IC% �" � e � � � DESCRIPTION��5� ��.� �-�I�R� VS�-n�" � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 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 � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (952� 249-4600 Owner►Contra�ora ite: Inspector. White Copyllnspector's File Canary CopylSite Notice �� /�� TIME CITY OF ORONO ALLED IN 5� INSPECTION N TIC SCHEDULED � � � PERMIT NO. D a 3 COMPLETED ADDRESS A�ad �S OWNER ONTR. C.�� TELEPHONE NO. lD�a, /� �� 3��.� � DESCRIPTION /'-�� — � �`'�/ 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 WA�L 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (g52) 249-46�0 OwnerlContra 'te: Inspector. � White Copyllnspector's File Canary CopylSite Notice