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Home My WebLink About2005-P08924 - addn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po8924 Crvsta! 5�y, Minnesota 55323 Permit Type: Addition/RemodeURepair (9;.�2) 249-4600 Date Issued: 8/8/2005 SITE ADDRESS: 2377 Shadywood Rd unit# Wayzata,MN 55391 PID: 17-117-23-44-0009 DESCRIPTION: UBC Occupancy A2 Construction Type VN Proposed Use: Commercial-Business Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Irrigation Other-(Fire Sprinkler System-Fire Alarm System) NOTICES/REMARKS: Collect SAC-See Letter From Met Council 7/8/OS FEE SUMMARY: Pernut Fee: $ 1,480.95 Valuation: $ 187,000.00 Plan Review Fee: $ 962.62 State Surcharge Fee: $ 95.00 Misc.Fee: $ 1,450.00 TOTAL FEE: $ 3,988.57 . APPLICANT: Verne V. Olson II, Inc. OWNER: Christine Valerius&Philip Fisk 17585 County Road 30 5488 Tonkawood Rd. Maple Grove,NIN 55311 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDIN D REQUIREMENTS. � 'J ' ..i.i� � ( ��'� %�._ ,:�1 :'�'-�, APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 C� 8-i-oS � � Total Fee: $ 3988. 5 7 Date Received: ?'� "�� Entered By: Permit#: �-�892� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pNint all inforniation) ------------------------------------------------------------------------------ ---------------------------- THE APPLICANT IS: (circle one) OWNER O ONTRACTOR JOB SITE ADDRESS: ��7� ��W�� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If i�es, a special event pef•mit is reguired with Police Departnient nnd Citv Counci!approval 60 dc�ys prior to the event. Shuttle birs service tivill be reqttired u�aless applicant dentonstrates s��fficient o�z-site parking is nvai[able. Non permittecl events wil!not be allotivecl. NAME OF OWNER: ��^<i�t L :�,c'1� �� -c• PHONE: (home) �/��' l��x.�y�:' �work) 7.G.�-�i�2�.G.5 MAILING ADDRESS:�`�i�.1�i��. -��i�e�?.� ��C..�, CITY: (�e��"r�.��% ZIP: ,ST�f�,2.� CONTRACTOR: / �- ��:s�.�l , PHONE: l�1-�'�/��,$'9( CONTACT PERSON: .Eien�E Q/�so-� MOBILE/PAGER: �l,z-��/�- /'�� MAILING ADDRESS: f j��s L�� ,.�r��30 CITY: /YI /�,.�ZIP: �r/ STATE LICENSE: # �I�a�,y�� EXPIRATION DATE: ARCHITECT/ENGINEER: f��4�7�c�'��-f ,��i�� PHONE: �'75��!G�l �'��<��{� MAILING ADDRESS: f�� 1�;��S'o CITY: �' ZIP: �� NAME: �yi �LtCe ffC REGISTRA' ION: # ^/�jC�`3 TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration ��,L,,�.� ��5.� PROPOSED WORK(describe in detc�i�: �u�'�� - � ��/ � �`-� e STORIES: _� SQ.FEET OF EACH FLOOR: .��' ��S�,�C�'��-z�s�-� � NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED�4�- DETACHEINJ�- c�' ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �'��OLL► r I hereby apply for a building permit and I acknowledge that the inforniation above is complete and accurate; that the work will be in conformance with the ardinances and codes of the City and with the State Building Code;that I undeistand this is not a permit and work � not tart witliout a pernlit;and tliat the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: o�-lo GIS�� , . � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA � Subd. 1. Type of data. "fhe 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 individual asked to supply private or confidential data concerning himself shalt be infomted oE (a)the purpose and intended use of the requested data within the collecting scate agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidentiai data;and(d)the identity of 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 may place the notice required under this subdivision in the individual income tax or nroneRy 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 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 additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data uponrequest 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 copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to trus subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate wmpliance is not possible. If he cannot comply with the request within that time,he shall so infonn the individual,and may have an additional five days within which to comply with the request,excludi�g 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 conceming himsel£ To exeroise this right,an individual shall notify in writing the responsible authority describing the natwe of the disagree�nent.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)aotify the individual that he believes the data to be coreect. 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 appe�aled pursuant to the provisions of the adminishative procedure act relating to contested cases. DATA PRNACY 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 fumish certain private or confidential information. You are notified that: 1. The information you fumish will be used to determine your qualification for the pemut 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 pernut 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 ful n e is required to process this application or permit. First iddle Last A Address City Statc Zip Phone I understand my righ_ a te bov . �.-- � Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS �► FOR OFFICE USE ONLY � � ADDRFSS OR LEGAL: Z3'7� s N�+v��w o a0 � PID: DESCRIPTION OF WORK: F, �s�+ SN�-�.�. ��rn � ZO.vI�ii G REVIEW BY: ►r4 DATE APPROVED: BUII�DING REVIEW BY: ,�.` DATE APPROVED: �-t• a� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW � Yes _� No SE`VER CONNECTTON STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes � No SITEINSPECTION Number of SAC�Units 1 s�,� n,�,e�r�.,,Nut��OTHER (specify) ----------------------------------- -----_-----------�_8�°5-------------------------------------------------- ZO�TING CH�CK LIST Zoning Districc: ivo G Ft�asv�� Fire Department: Post Office: School District: Lot Area: Sq.ft.• Acres Width Depth Survey Submitted: Yes N Date of Survey: Proposed Setbacks: Front(Lake): Right Sid : Rear(Street): Left Side: Adjacent Structures: etland: Building Height: Def. Hgt. Peak Hgt. Lot Covera�e: Gradina; Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av;. Setback: Bluff Setba k: LotCoverage: Ezisling PlOposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RENiARKS (in house): / « • ' �; BUILDING REVIEW CHECK LIST �C: R - Z CONSTRUCTION TYPE: 1IlV Sq Footage $Per Sq Ftg Basement � x = 1st Floor x _ 2nd Floor R = Garage x = x = TOTAL . Estimated Construction Value: $ (91,g��°n Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal �_Mechanical Water Connection Footing ` Septic Sewer Connection _t�Framing Fireplace _�Lawn Irrigation _p�Insulation (Masonry) Other-r-�¢.E sQRw�'�'i sysr�� (_Wall Boazd (Mgg,) Well(Scate Permit) -�=ift.� Il�As� Sysrrw. —�.F�� Grading/Filling � Electrical (State Permit) O[her REMARK.S(IN HOUSE): . -- ---------------------------------------------------- REV�W BY OTHERS: DATE: Access: Existing New � Access Approval: Date gy; ----------------------------------------- RENIARKS (TO BE NOTED ON PERivII'T): 8 D TE TIME " CITY OF ORONO CALLED IN "9 �'D� INSPECTIONNOTIC SCHEDULED /0�.3o�!/�O� PERMIT NO.�59� �F COMPLETED ADDRESS �� S� �4d�-1 ( �i� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y�SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAI 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORECAVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL AETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952) 249-46�� OwnerlContr�tor it : Inspector. 4 White Copyllnspector's File Canary CopylSite Notice C� DATE TIME V CITY OF ORONO CALLED IN ��-� INSPECTION NOjl��a SCHEDULED 9-iG-v I�3a'PM PERMIT NO. �� y COMPLETED �^ICo 'C�S �� 3b�M ADDRESS �� r-�lC..G-�t fGJ o�� 'r��d d�-� OWNER CONTR. �/�-- TELEPHONE NO. � ��- �� -�S^�(v � DESCRIPTION / . �v � 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 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 = 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 � (� S-r�e r i�A ,,,•e C�� 0 � 0 � W � Q � z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. [.�l.J ,�1,) Q� White Copyllnspector's File Canary Copy/Site Notice \ ,� DAT� �� TIME �' CITY OF ORONO CALLED IN � INSPECTION NOTI E (/ SCHEDULED �u"�� j:� PERMIT NO. � ! COMPLETED ADDRESS ��_> 77 .�l�.c��cT,,�ti�r �s�' �� OWNER CONTR. U-�l�'�l �1��: .L��C• TELEPHONE N0. �F" /� �T� /,��o � DESCRIPTION /,'1 �`C"t� �)f - (��,��d2✓ � 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 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: � � a ^��" -- 5`�'" C�Cv��' P� " J 0 \1Vl(S >. � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE � W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContracto �i e: Inspector. � White Copyllnspector's ile Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO � � CALLED IN INSPECTION N IC�E�jJ Z�j� SCHEDULED ,�/ �� PERMIT NO. �d�34Q�� COMPLETED �'!�'IS�6 S ADDRESS �� t�✓.� �/J OWNER CONTR. TELEPHONE N0. � DESCRIPTION � 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 Z �04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q ASifINAL 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � � d - W� K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑ CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY � ❑ Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING �C PERMANENTj1,i5�� ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on Inspector. White opyllnspector's File Canary CopylSite Notice