HomeMy WebLinkAbout2000-P03217 - addn/remodel/repair - - PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�2t�
Crystal Bay, Minnesota 55323 P@f1711t Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 12ii9i2o
SITE ADDRESS: 2130 Shevlin Dr
WAYZATA,MN 55391
PID: 03-117-23-34-0022
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviec;nanic:ai r,iecuicai �siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,245.75 Valuation: $ 145,000.00
Plan Review Fee: $ 828.03
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,148.78
APPLICANT: Danberry Company OWNER: D G WYER JR&A J WYER
4410 Shoreline Dr 2130 SHEVLIN DR
Spring Park, MN 55384 WAYZATA MN 55391
THE UNDERS[GNED 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 BUILDING CODE REQUIREMENTS.
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IC RMITEE � ATURE ISSU BY SIGNATURE
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Copies: City,Applicant,Assessor,Finance Page 1
Total Fee: + $ � �8� �8 Date Received: �b-'3--�a
Entered By: Permit#: �}'� �-ti`I
CITY pF ORONO - BUII�DING P�RNIIT APPLICATION
All informa�tion must be submitted in full b ore plan review will be started.
(please print all info tion)
------------------------t-----------=-----------------------------�--------------------------------------------------
THE APPLICANI� IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: 2r�v � ZIP:
NAME OF OWNE�i: W �¢� PHONE: (home) `f �� '�Z�S7
(work)
MAILING ADDRFISS: �l 3 d � i CITY: pr��,,..rr— ZIP:
CONTRACTOR: /� �" PHONE: ��` ��� Z
CONTACT PERSaN: M BILE/PAGER: 2S� �
MAILING ADDRE�SS: l0 e <<,e CITY: ZIP:
STATE LICENSE:� # ��(Q� �i^��� u�
ARCHITECT/ENG}INEER: PHONE:
MAILING ADDRE�SS: CITY: ZIP:
NAME: GISTRATION#
;
TYPE OF WORK:'�, New Addition ' Accessory Structure
Mov� Remodel/Alteration Land Alteration
PROPOSED WOR�(describe in detain: �' ` �/�L.�
�
STORIES: SQ.FEET OF EACH OOR:
NO. OF BEDROO S: � GARAGE STAL S: ATT. DET.
ESTIMATED CON�TRUCTION VALUATION(exc uding land): $ l�f�G�d o�
��
I hereby apply for a t�uilding permit and I acknowledge t the information above is complete and
accurate; that the wo�k will be in conformance with the rdinances and codes of the City and with
the State Building C de; that I understand this is not a erinit and work is not to start without a
permit; and that the , ork will be in rdance wi approved plan.
APPLICANT'S SI(�NATURE: DATE:
NOTE! Parade of�I_, omes even require separate p it approval by Police eparhnent and
City Council 60 days prior to the event. Non permitt�d events will not be allowed.
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Sec.13.04 RIGHTS OF StTB.TECTS OF DATA
Subd. i. Type of data. The rights of individual on whom che data is stored or[o be stored shall be as set focth in this section.
Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requesred dara within the collecting�tate agency,political subdivision,or stauwide sysum;
(b)whether he may refuse ot is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
priva[e or confidential data;and(d)che idenriry of o[her persons or enrides au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgaave data,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income rax or proaertv tax refund
instructions ins[ead of on those forms.
Subd. 3. Access to data by iadividual. Upon request to a responsibte authoriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whether ic is classiFied as public, private or confidendal. Upon his furrher request,an individual who is the subject
of stored private or public data on individuals shall be shown che data wichout any charge to him and;if he desires,shall be informed of the content
and meaning of that dara. After an individual has been shown che private dara and informed of its meaning,the data need not be disclosed to him for
six months thereafcer unless a dispute or acrion pursuant to rhis section is pedding or addidonal da[a on the individuai has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individua!subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of making,certifying;and compiling the copies.
The responsible auchoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request
within that time,he shall so inform che individual,and may have an addiaonal 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 conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing�he nature of the disagreement.
The responsibte authoriry shall within 30 days either: (a)correct rhe data found to be inaccurate or incomplece and attempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy ihe individual thac he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's sta[emenc of disagreement is included with the disclosed data.
The decermination of the responsible authoriry may be appealed pursuanc to the provisions of the adminis�acive procedure act reladng 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 Ciry of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1, 'I'he information you fumish 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 pemut 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.
G �r �la�•-
First �tiddle Last
Addross
City State Zip Phone
I underst my rights as ed a ve. .
Signa
i .
- : CHECK OFF LIST FOR ISSU CE OF PERII�IITS
_ FOR OFFICE USE NLY , � .
ADDRESS ORLEGA�..: Z�3 c� s N���-�+� �Q
PID:
DESCRZP'IZON OF WORK: 4(J t T� N '
.
ZOi�i'G RE'����Y: DATE APPROYED: /�-Z�c��
BLTII,DIYG REVIE�Y BY: � j . D4TE APPROYID; /I� z--��
FEES TO BE CHAR�GED: Misc. Fees Calculated By:
pERMIT Yes ,/ No :�
pI,AN REVIEW Yes ✓ No SEWER CO�INEG"TION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION F�E Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC•U�its OTHER (specify) ,
ZO`Z�IG CH�CK LTST zonin;Districc: 2t2-\ _
Fire Department: 1c.� Post Office: rv C,� School District: n f2.O�v u� •
Lot Area: Sq.fr. �� C M�i4N6 C Acrts � Width Depth
Survey Subr�itted: Yes pC No Dat of Survey: oLT 21 , �uo
Proposed Setbacks: r
Front(�s.�: (,-� ' -�" Right Side: � �� +
Rear(Street): 2`-1 2� �' Left Side: � � �-
Adjacent Strucm�es: _/U�!9- Wedand: �--- •
Builc�in� Height: Def. Hgt. c�•(L Peal:Hgt. ' —'
L.at Covera�e: C��1� '
Grading: Staff Approval Date: ^ By: _,� Council Approval Date:
Septir. Staff Approval Date: � By:
�
Zoain;File: � — _ Resolution: � Re�olutioa Date: .
Shoreland District: /�� '
Av;. Setback: Blufi Setback: LotCovera�e:
E���a , Proposed
Hardcover: 0-75' ----- .
75-250' � —
250-500' -
� 500-1000'
Hazdcover Van'iance Required: Yes No Date of Council Approval:
gEI�LARKS (in houSe}:
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BUII.DING REVIEW CHECK LIST
UBC: R.• 3 CONSTRUCTION TYPE: V/`�
Sq Footage $ Per Sq Ftg
Sasement x =
1 st Floor z =
2ad Floor z =
Garage z =
x =
TOTAL
Estimated Construction Value: $ 1�5,C�oo `�
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 Board (Mfg.) Welt (State Permit)
r�- Final Grading/Filling v� Electrical(State Permit)
Other
RENIARKS(IN HOUSE): � �
REVIEW BY�OTHERS: ' DATE:
Access: Existing New
Access Approval: Date By:
RE1�L4RKS (TO BE NOTED ON PERMI'1�:
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' I hereoy certliy tt�at this plan, survey. ar report was. JOB# �
$Cy�B�RG prepar@d by me or under my direci supervision and that I am �'s¢7�
�1 D SLJ RVEYI N G a Culy Registere and Surve or under ttie�aws ot tt�e State
f of Minnesot �� � /g
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� ��.� � Date: � Registration No. 1a700 � � s�
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTiCE scHE�u�eo �Z-�-ao �'�'.�
PERMIT NO. �Z.I COMPLETED
ADDRESS Z�3 SI��L �N
OWNER CONTR. f�N
TELEPHONE NO.
� DESCRIPTION
� �OOTING 1� MECHANICAL RI 18 EXCAV/ RADING/FILLING
Q 02 FRAMING 1 MECHANICAL FINAI 19 LAKES DRE/WETLANDS
y 03 INSULATION 2 25 WOOD BURNER/FIREPLACE 34 TREE R MOVAL
Z 04 WALL BD. 1 WATER HOOK-UP 17 SITE IN PECTION
Q OS FINAL 1 SEWER HOOK-UP 06 PROGR SS
� 07 DEMO-SITE 27j SEPTIC MAINT. 21 COMP INT
� 07 DEMO-FINAL 15�SEPTIC INSTALL. 22 FOLLO UP
= 09 PLUMBING RI 23�SEPTIC FINAL 35 HARD C VER REMOVAL
J 10 PLUMBING FINAL 36 FOUND ION/REMOVAL
� OWNERICONTRACTOR TO MEET Y U:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REI SPECTION TEMPOR RY
V BEFORE COVERING PERMAN NT
❑CORRECT UNSAFE CONDITION ITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSI�ECTOR
❑ INSPECTIONREQUIRED.CALLTaARRANGEACCESS.
Call for the next ins�ection 24 hours in advance. 249-4 �0
OwnedContrac�r o site•
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D�ATpE T�/I Ep�
CITY OF ORONO � CALLED IN a-d`a ��� �' 7
INSPECTION NOT CE ,' SCHEDULED 0/ �is ��o¢r�
PERMIT NO. I I COMPLETED � �
ADDRESS ��3 U � EVL� l�l�.
OWNER CONTR. D (/�' G�
TELEPHONE N0. �� —O %Z
� DESCRIPTION � I �f'
W 11 MECHANICAL RI 18 EXCAV/GRADIN FILLING
02 FRAM 13 MECHPINICAL FINAL 19 LAKESHORE/W LANDS
y INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATEfI HOOK-UP 17 SITE INSPECTIO�1
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI�FINAL 35 HARD COVER R I MOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWR�MOVAL
� OWNER/CONTRACTOR TO MEET YOU:�.YES_NO �
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� O WORKSATISFACTORY:PROCEED � ❑ PROJECTCOMPLEfE !
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF CCUPANCY
0�CORRECT WORK,CALL FOR REIN ECTION TEMPORAR
V BEFOREC�/ERING ? PERMANEN
O CORRECTUNSAFECONDITIONWI�HIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSP CTOR
O INSPECTION REQUIRED.CALLTO RRANGE ACCESS.
Call for the next ins�ection 24 hours in advance. (952) 2 9-46�0
OwnerlContr r on site:
Inspector.� il
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�DA�T�E _ TIME �
CITY OF ORONO CALLED IN �U�L� � '-�L''��
INSPECTION NOTICE SCHEDULED
PERMIT NO. Pd .�vZ � � COMPLETED T �� �/��'
ADDRESS o�/�C-' ��`-c� � �'`-' L,l'-
OWNER CONTR. ,�� ��'"L"�-�
TELEPHONE NO. ��l — �5 � `�
� DESCRIPTION `���L���Qfi � �� ' ' ���v`"�`r�
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lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
Cl STOP ORDER POSTED.CAL�INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr tor on site•
Inspector. ��'� ��"�"',�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT.QICE _ scHE�u�Eo
PERMITNO. %% G ���� COMPLETED � �`' ��� C`• ��
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ADDRESS�/ 7 G? =iif'i1"��% � ^'1
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OWNER CONTR. `�r;c,�' �'r`% :'.
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TELEPHONE N0.
� DESCRIPTION
l� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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��f14'"WALL B� 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 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:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr �or on site:
Inspector.�'C��'`� ��1
White Copyllnspector's File Canary CopylSite Notice