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Home My WebLink About2002-P05070 - addn/remodel/repair • �, PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Poso�o Crystal Bay, Minnesota 55323 P2P1111t Typ�: Addition/RemodeURepair (952) 249-4600 Date Issued: 4i22i2oo2 SITE ADDRESS: 1750 Shadywood Rd WAYZATA,MN 55391 PID: i�-ii�-23-2i-oo2i DESCRIPTION: i1BC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Pemut Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair � DETAILS: Approved per resolution#: Separate permits required: Eiecuicai�siaie� NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 321.25 Valuation• $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 331.25 APPLICANT: GRETCHEN S SHAW OWNER: GRETCHEN S SHAW 1750 SHADYWOOD RD 1750 SHADYWOOD RD WAYZATA MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQ�JIREI�NTS. , � / i � � � �� - f_ �'...�C� �� ; � � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATCIRE Conies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 . ` . . � Total Fee: $ 3J� �_a5 Date Received: �-��'Ua Entered By: �� Permit#: D�� 0�70 CITY OF ORONO - BIJII�DING PERMIT APPLICATION 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: � �S�� S��`i.-�0 0 J � � ZIP: ,��3`�' � NAME OF OWNER �f�� s�J � 1`^' PHO • (hom `lS ��/ —33.jS (work) q SZ- �7`f c�" O MAILING ADDRESS: 1�S� S 1d��uXk2� �CITY: � �O,J C� ZIP: 3�j � CONTRACTOR: ��/`�'�Z— � � ��PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: ��S� o� D� �jZ I S`TI ��- t� �a2�t��, I,t�I�J Ch.e�S 9'�J Z�'� �t��11� �I b �7� �'.-L�D 2� �.l�r`�'"I'-- � �I��--�Z�`'� STORIES: �� SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STA�LS: ATT. DET. �J D� �' ESTIMATED CONSTRUCTION VALUATION (e�ccluding land): $ a�� C7 I hereby apply for a building pernut 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 Ciry 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 � oved plan. APPLICANT'S SIGNATURE: DATE: �� NOTE! Parade Stf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non perm�tted events will not be allowed. 5 .� � � Sec.13.04 RIGATS 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 dus section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and inte�ed use of die requested data within the collecting state age�y,polidcal 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 ro supply private or confidential data;and(d)the identiry of other persons or entifies authorized by state or federal law to receive the data. T'his requirement shall not apply when an individual is asked to supply investigative data,pursuant to secdon 13.82, subdivision 5,to a law enforcement officer. The commissioner of revenue mav�lace the nodce rewired under this subdivision in the individual income tax or orooertv taz refi, 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,a�whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or�blic data on individuals shall be shown the data without azry 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 iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or ac6on pursuant to this sec�on is pe�ing or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu 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, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An i�ividual may contest the accuracy or completeness of public or privaoe data co�xetning himself. To exercise this right,an ittciividual 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 fowd ro be inaccurate or incomplete and attempt to notify past cecipients of inaccurate or incomplete data,including recipienu named by the i�ividual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the ic�ividual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administraave 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 furnish 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 to 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. First Middle I.ast Address Ciry State Zip Phone I underst y rights stated above. Signatur 6 � �A 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ("7 �'U S E-kA�y w��✓a PID: DESCRIPTION OF WORK: j�'�-��o D C C— ZONING REVIEW BY: /� DATE APPROVED: BUII,DING REVIEW BY: DATE APPROVED: ��- Z Z •�z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes No f SEWER CONNEC'TION STATE SURCHARGE Yes 1� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �Vv C«r��v�e. Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes Date of Survey: Proposed Setbacks: Front(Lake): Ri t Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Councll Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ack: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes N Date of Council Approval: REMARKS(in house): . � BUII.DING REVIEW CHECK LIST UBC: � ' 3 CONSTRUCTION TYPE: V N Sq Footage $Per Sq Ftg , Basement • z = 1 st Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ 2m , O o c� � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �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 PERMI�: 8 I / " � � � DATE � ;T�IyM-�E CITY OF ORONO � CALLED IN � 'w INSPECTION NOTICE SCHEDULED S-� � PERMIT N0. �OSZ��Q _COMPLETED � ADDRESS �C% � U cQ 1 �� OWNER � � ' CONTR.�G��'l.P�%�' �, TELEPHONE N0. �'�- �S�� 7� S�� O �' � � � DESCRIPTION C'� �� 01 11 MEC NICAL RI 18 EXCA�//GRADING/FILLING 6' 02 FRAM�NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � y 03 TION 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 � 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMME TS: � _ , I � � t� 't / �, �� «(� �.t� l � f--f o �l�/�,f�/�l � iU � ��,�?/�..�Ls=c� 7' / C� � C � � 0 � �--�. � ,� �,.�T,e��/'�'�r��, � Q � C� � �-�=�7 W � W � � d W� ❑WORK SA FACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. �) Call forthe next inspecti�� 4 hourS;in�ance �� 249-46�� it . �L-'c-z-z/� OwnerlConUacto n s� e• Inspector. White Copyllnspector's File Canary Copy/Site Notfce � DATE TIME CITY OF OR CALLED IN J/ INSPECTION N IC SCHEDULED -17 'O7 ��_ PERMIT N0. O�07� COMPLETED ADDRESS � OWNER CONTR. TELEPHONE NO.- _ �� -��— .� � � DESCRIPTION t� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING � FRAMING__. 13 MECHANICA AL 19 LAKESHORE/WETLANDS y O 03 INSULATION 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 OEMO-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/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � — � c� �C � � �� a � 0 � W � Q � 2 W � � ��.r1 � d W ❑W SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORE COVERING PERMANENT O'CORRECTUNSAFECONDITIONWITNIN HOURS. D PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contrac on ' e: Inspector White Copyllnspector's File an ry opy/Site Notice DATE TIME CITY OF ORONO CALIED IN INSPECTION N I�� SCHEDULED `�� 0 � c� PERMIT NO. COMPLETED .- : ADDRESS � �--� h�►s OWNER ��-�-'� NTR. TELEPHONE NO. � �' �. � DESCRIPTION �-�`�r�� , 4y91-.FD1��IAICs--.� 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING �02 FRAMING�� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS '"0--�IN ULATION 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 O6 PFiOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING AI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o �1,�� 0 � W � Q � Z W � W � � d �- ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REdU1RED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector.7��C�c��' �� White Copy/lnspector's File Canary CopylSite Notice / r�� DATE TIME V CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED a—o2-- ' �> PERMIT NO. �� COMPLETED ADDRESS f �� OWNER S� a Lc./ CONTR. � TELEPHONE NO. ��.� � 7 5� ��v� �'�✓lU-t�� DESCRIPTION , lL Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATIGN 24/25 WOOD BUFiNER/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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W �-� a � � � ' O � � � � ��Z. L=Zg _ � l C� �'�, - j � � �"/� � �- �S �, .� Q - � -- �.- � z W �-- � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRA CCESS. Cail for the next inspe ti n 2 hours in a ^ e. � � 24Q-46QQ OwnedCo ctor on site: Inspector. � Whi CopyRnspector's File anary CopylSfte NoHce DATE TIME CITY OF ORONO CALLED IN INSPECTION N IC�� ,\ SCHEDULED ��-�y � PERMIT NO. � �J COMPLETED � 3 � ADDRESS •-� �' -�-� � OWNER CONTR. L � '�'�'� TELEPHONE NO. ( � �' �'� � `��' ` � DESCRIPTION ly Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 INSULATIO� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PFIOGRESS � 07 OEMO-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 � 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU: YES_NO � COMMENTS: � W a � Z _-� � 0 � , � o _ � W � Q � Z W � �u � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGY O ❑CORflECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 � OwnerlC n ra site: � Inspector. Whit opyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � ' i � INSPECTION NOT SCHEDULED _�_�__.�c_ PERMIT NO. �b � COMPLETED ADDRESS '� �� JI�C�J�—�'I`l�� OWNER C��F ,t d� CONTR. TELEPHONE NO. �5"� -��I 5�� DESCRIPTION -� )�� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS O 03 INSULATIGN 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 � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C o —,��Z,��2�' '' � � s -�r � T o ��, � W ��e��1"� b N c � �S'�u,t`s� Q � ��-�� z W � �u � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner! or on sitet Inspector. � White Copyllnspector's File anary Copy/Site Notice