The URL can be used to link to this page

Home My WebLink About2005-P07992 - addn/remodel/repair . � � PERMIT CITY �F ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07992 Crystal Bay, Minnesota 55323 PefCTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: a�s�2oos SITE ADDRESS: 2377 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-44-0009 DESCRIPTION: UBC Occupancy A2 Proposed Use: Commercial-Business Pernut Class: Building Census Code 434 Permit Sub-type(s): Addn/RemodeURepair Permit Type: Addition/Remodel/Repair DETAILS: Approved per resolution#: 5160 Separate pernuts required: riumbing iviec;nanicai Eiecmcai�siatej vmer-�rire�prinicier- inierior icemodei to oe seperate permit!) NOTICES/REMARKS: �_i___i_�_� �nni c__. _L_i1 ___t_ �r_`__.__._r_�_L `_ t_ __"'_'`_ .___. :�.:::.:::J:G::..:,:::J ... _.._.. .. . .. ... "_'_"_' _'- .... ...........::� ....:...v. .....:,...... v......i........v iiv:. . .... ... . ..... FEE SUMMARY: PernutFee: $ 986J5 Valuation: $ 98,931.20 Plan Review Fee: $ 641.48 State Surcharge Fee: $ 50.00 TOTAL FEE: $ 1,678.23 APPLICANT: Owner/Self OWNER: Christine Valerius&Philip Fisk M� 5488 Tonkawood Rd. Mound,MN 55364 THE UNDERSIGNED RE REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES ALL RK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT UIL G CO E RE U . � � V� � � • APP ERM[TEESIGNATURE ISSUEDBYSIGNATURE Conies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � t r '�'otal Fee: $ � �'� Date Received: / � � -� �� Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please prifit all i�zformation) - _____- --------- ------------------------------------------ , _�- -------------------------------------------------------- THE APPLICANT IS: (circle o�ae OWNER CONTRACTOR JOB SITE ADDRESS: �3�� SN�+�=-yc,�`c�� ZIP: � Will this be a Par e of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event perfrtit is requirecl wit1� Police Depczrtment and City Council appt-oval 60 days pnor to the event. Non permatted events wall not be c�llowed. NAME OF OWNER: ��'l�f(S�� V��?�.s--�-� PHONE: (home) �7��- Y7 Z 3 �� 5 (work) (�11 - 2 �2 - / `�`�Z MAILING ADDRESS: "��;1�J/ ��,�f�� CITY: /✓lv�� ZIP: ��3 ba CONTRACTOR: � �� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER ��-� `��v�� PHONE: MAILING ADDRESS: �t�l �Z e .a�t� s C�z-� - lJ-� CITY: 1.,�/�z�� ZIP: �3�i ( NAME: REGISTRATION# �� 3 � TYPE OF WORK: New Accessory Structure Addition � Move Remodel/Alteration Land Alteration PROPOSED WORK(describe iiz detai�:�-c� cN1 ��C [,�� .SG' �r-Z ��J� ��- � i`i`l/v 1 . Z `--'"-` �YvZ�cVh S C� //1�'�'` C vG/�4�n � �� I N TL-'�2 ro/t I=INi!N 'fts � ��=7�A24�rr� P c�ti»�. �T STORIES: _�_ SQ. FEET OF EACH FLOOR: /�-!�l C' NO. OF BEDROOMS: -- GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S� C7 G� U I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the work will be in conformance with the ordi�nc an odes of the City and with the State Building Code; that I understand this is not a permit and work ' not start wi out a permit; and that the work will be in accordance with the approved plan. i _.__ �.PPLICANT'S SIGNATURE: �/ DATE: ��' � . t , �. Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type ot 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. Intormation required to be given indlvidual. An individual asked to supply prtvate or contidential data concerning h(mself shall be informed of: (a)the purpose and intended use ot the requested data wlthin the collect(ng 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 arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entlties authorized by state or federal law to receive the dats. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to sect(on 13.82,subdivision 5,to a Iaw enforcement officer. The commissio�er of revenue mav ulace the notice reauired under this subdivision in the individual income tax or urooertv tax refund instructions instead of on those forms. Subd.3. Access to data by indivldual. Upon request to a responsible authority,an individual shall be informed whether he Is the subject of stored data on i�dividuals,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,it he desires,shall be informed of the content and me$ning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to htm for six months thereafter unless a dispute or action pursuant to this section(s pending or additional data on the individual has been collected or created. The responstble authority shall provide copies of the private or public data upon request by the individual subject of the data.The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the coples. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within eve days of the date ot the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the requestwithin that time,he shall so intorm the individual,and may have an addltional five days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when datu is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himselL To exercise this right,an individual shall notify in writing the responsible authority describing the nature otthe disagreement The responsfble suthority shall within 30 days either: (a)correct the data found to bc inaccuratc or incomplete and attempt to notify past reciptents of inaccurate or inrnmplete data,Including recipients�amed by the indlvidual;or(b)nodfy the indiv(dual that he believes the data to be correc4 Data in dispute shall be disclosed only if the individual's statement of disagrecment is inciuded with the disclosed data. The determ(nation of thc responsiblc$uthortty 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 departments may require you to furnish certain private or con�dential 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. �4u�S� First Middle Last Address� - � ,... City State Zip Phone I understan my ri as ted bove. Signature . 1 j 1 CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 231'� S H A�Jy lw�oo� �� PID: DESCRIPTION OF yt�ORK: IA o�� `�°'�'e1- ' s'N�n�o'� �►n��s�-t �o � ---------------------------------- --------------------------------------------------fEp'��_�_�.�� T ZO[YINGREVIEt�BY: DATEAPPROVED: s !/-io-oy BUILDINGREYIEWBY: DATEAPPROiiED: ��-��' °Y ------------------------------- FEES TO BE CHARGED: Ntisc. Fees CRlccctated By: PERitiIIT Yes � No PLAN RET�IEGV Yes� No SEYYER GO�ViVECTION STATE SURCHARGE Yes �/ 1Vo tiV�1TER GO1Wt ECTIOtV I�VVESTIGATXOtV FEE Yes tVo PARK FEE SAC Yes No SITE NSPECTIO�V Number of SAC Units ?o n� ce►/e� w�ny �'e'0'� OTHER (specify) �.r�si�- �cx.i.�,� ---------------------------- ------------------------------------------------- - ----------------------------------- ZO�YING CHECb'LIST Zortirtg District: �' � Fire Deparhr:ertt: Post Off ce: School District: _.. Lot.�trea: Sq ft. �p,"s S� Acres Widtl� Depth Survey Seibniitaecf.� Yes DC No Dccte of Su�vey: Proposecf Setbaclrs: � F�•orcr(Lake): 3'� •� Rigl:t Sicfe: �b Rear•(Street): 2� ` Left Sic{e: ?S� Adjacent Structiu•es: G�etlancf.• �– Builcli�lg Height.• Def. Ffgt, m�,G Peak ffgt. — Lot Coverage: � 6-�' Grnding: Staff Approva!Date: N C By: Council Approva!Dccte: Septic: Stnff�lpproval Date: — BY� Zoizirig File: # oY-Z 9 9 3 Resolution: i� Resolution Dc�te: `/-Z�� °y Shoreland Dish•ict: v�s Avg. Setbnck: r✓l•¢ BluffSetback: �!//a LotCoverage.• � Etiisting Proposed Hardcover: 0-7�' 75-250' 250-500' 500-!000' 3�°7e Nar•cfcover Yaria�ice Requi�•ed: Yes No� Date of Council Approval: REMARKS(in I:otcse): 31 < F • � _ B UILDING RE vIE yY CHECK LIST UBC: A "�- CONSTRUCTIO!V TYPE: �� Sq Faotage ,S Per Sq Ft,; Begem�tt .r = IstFloor 32X Z5=�0� x 7?•L9 = bl• �3Z.o° 3nd Floor• �b�� s 77.2g = b� .83Z.�oa Garage .r = ��, .�e�. shfe�� ontcc� t = � TOT�tL 1 23,b6`1.�o x $O�o = `'78,g31 Estincated Ca:stricctiou Tiafiie: ,S `1 g�q3�•�u Iuspectior�s Required: 6York Reqcriri�ia Separate Perncits: Site �_Pluiribing Fire Ha�•dcovei•Re�noval _�Nfeclic��zr'cnl Water•Co�znection _�Footing Septic Sewer Conrcection � Frantirtg FireplRce Lativn !rr•igntio�: e( Insi�lation ('��lasonly,) _�Other• �+�s PR�^'« _� GY'a1!Bom•d (Nlfg.) 4Ye11(State Per•mit) _�Final. Grading/Fillirt� �Elech�ical(State Perntit) Other RE[titARIiS(IN HO USE): ----------------------------------------------------------------------------_--_---------------------------------- RE I�IE YT�B Y OTHERS: DATE: .�lccess: E,ristin� New r(ccess Approvnl: Date By: ----------------------------------------------------------------------------------------------------------------------- RE�'�IA.RKS (TO BE NOTED O�V PERNIIT): 32 `!/ ' AT TIME CITY OF ORONO CALLED IN �' �j��'�� INSPECTION N TICE SCHEDULED �//7-�Dy �y2(1_ PERMIT NO. 2- COMPLETED ADDRESS_ 0�3T7 nSI�.�HLIJ'�lXti OWNER KrtS �/a�t Er i v s CONTR. TELEPHONE NO. ��Z `fq C� Z s �P� . � DESCRIPTION !'"UD�CLQI '� 11'D�� 01 FOOTING 11 MECHANI 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 FINAI 14 SEWER HOOK-UP O6 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 � 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � a � � D� � a r- � � O — o C�s o� �a/S _ � - w - ha� — Q p�� . _ � ,b-e� W � W — � � J � c — � �/ORKSATISFACTORY:PROCEEI �� S� ��/rLk�/�� W ❑CORRECT WORK 8 PROCEED �/�/ �� / Y � ❑CORRECT WORK,CALL FOR REIi C� � ( S V BEFORE COVERING ❑CORRECT UNSAFE CONDITION� INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INS ❑ INSPECTION REQUIRED.CALLT< Cal1 for the ne t inspection 24 hours in advance. (J52� 249-4600 OwnerlConUastv��n ite: Inspector. White Copyllnspector's le Canary Copy/Site Notice �� DATE TIME � CITY OF ORONO CALLED IN 5 �� `�� INSPECTION N TICE SCHEDULED -�7'��.i �:(�v �ti'1 PERMIT NO. Q �� COMPLETED ADDRESS � �J 7� ��-��-� w�T��{ � OWNER (�/,..-��,��v � CONTR.�L+.��'�' TELEPHONE NO. (O�� L�S— �� '� _J G � � DESCRIPTION �C-- `� ` �O S� l� 1 FOOTI� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 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 � COMME S: � .�., a — s r ' c�� j � O �. � �5.� � � 0 � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK E�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContrac�n�o �ite: -�ector. White Copyllnspector's ile Canary Copy/Site Notice �jr�C/ ' _ DATE TIME ✓ CITY OF ORONO dr(LLED IN INSPECTION NO E SCHEDULED - -D =� PERMIT NO. I� COMPLETED ADDRESS 7� �h- �� OWNER CILf.�i� II1 C NTR. TELEPHONE NO. ��Z' O �� O/�lS � DESCRIPTION �"/� — �e� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LING 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 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � O � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe ext inspection 24 hours in advance. (952) 249-4600 �er/Contra site: White Copyllnspector's ile Canary Copy/Site Notice �/� DATE TIME ✓ CITY OF ORONO CALLED IN r�'-/r�� vS� INSPECTION NO C� SCHEDULED .�S'I�-US �'/S f�rYl PERMIT NO. � � 2 COMPLETED ADDRESS ,�� 7 ��-d��/ GJ��c� � OWNER��-tis %<..{�ar�LC CONTR. G1G✓�.t-t� TELEPHONE NO. L.t�� .�� / 7 7� � DESCRIPTION �� T� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 L 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 T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w e � J 0 a � 0 � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED C_l PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. �952� 249-46QQ OwnerlContr t n si : Inspector. White Copyllnspector's File Canary CopylSite Notice -� .. _ ._----�-R.�-�-.,— - - - -- - _ �.. ��,...�,. � a �`- � �, Z , � � � �� U Z. � � � o .�� Q � �� ax� �+- e �- , .� �` z � � " ' � , �� - � ?�� ; � o ,� Cn ;°� -�- �, > �'� hOG � � . � � �� W �O � �� .�:: ..: :� F-- .��`� � � ��'� � � ! `��-_�_u cn r�'� w _- 19 , �W O � U� � U �7 Z �O OU �• � � U? � � ,•n �,• 51I��,0 196� l•7� � �� E g��$��ER � ' Q S ZZo 1�1�o O�j�c�e \ ` L1� r� 5\�E�P�K I � U U cpN�REj� / � z Z 00 � v �, � � . � O "= 6 P� / > Q � l9 �. o ry -- •, � L1_ � ( n � , m � `�/ � O �J ; / � _ ,� � z F--. , -� �� -� � � , ..�, � O'/� o ��6, :o+ p m t� � ' ( , J v , � °, � �--�--� ^ � W —— — � i i ! � .o.0 12 l �w�o b > z � �� O / JP �� ' � z ' � a � `� � �� o � W �. � 3�� o � ., v � � � o �. � � ~ � �� m o � � (� }- ^ � � � �, �� _ � Z � .t \ �' � � N o"'fc 29�•-'- � f � �-n 0 z � / x ��-�"�� Z � / �� w � �°-•/. - W � O � � � ! 323 � 1=--- � � � ! � J � O d �:. �- � \� ��JSgp252 �O o� Q � � z ✓ � �� Q�oo\o� /''� � � — �j �� P_ � Sed � �� _ so � 3�- i op°�ed . W Q o' � QG°�cK (1/ � � O � /� ��9 h de LL_ W � z � � � � � ''� U J ,N � � W � lY !// � N ''� � � ,� / � Q1 t' �- p y � 0 0 � � / � � � o; � � � �'•� v •i �/ � O� ' % O � oQ � � g � z / Z 9�8� / a�� '� — / / � � Og�� E �P / � � �o�� 0 • 1 SZ � �� c �,l m � � /`: � , . " � cA � � � ------=�-------------------- ---- OZ��6 y