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Home My WebLink About2008-P11893 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11893 Crysta� Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair �952) 249-4600 Date Issued: 3/10/2008 SITE ADDRESS: 1225 Shoreline Dr Unit# Wayzata, MN 55391 PID: 02-117-23-34-0002 DESCRIPTION: Proposed Usc: Residential Census Code �' �� Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Other-(Inspect framing before applying covering.) NOTICES/REMARKS: Install stone&oak face on existing gas FP FEE SUMMARY: Permit Fee: $ 413.00 Valuation: $ 25,000.00 Plan Review Fee: $ 268.45 State Surcharge Fee: $ 12.50 TOT L FEE: $ 693.95 / ��_ APPLI ANT: Michlit ch Builders Inc. OWNER: Mr. &Mrs.Tuttle 4770 Quinwood Lane N. 1225 Shoreline Dr Plymouth,MN 55442 Wayzata MN 55391 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 BUILDING CODE REQUIREMENTS. � . � -t �.� �;�� ANPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ ��.g„s Date Received: a �a� '�� Entered By: � Permit#: ,� //�g...� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ _----- __ -----�- -- / -�� THE APPLICANT IS: (circle one) OWNE� OR CONTRACTOR � _ ._____...___....__ JOB SITE ADDRESS: �7 7 5 :S�°r��1-/�'�L� , L r o rti �� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ I�es �NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service�will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: � � �(c�� c., 1�,��,� PHONE: (home)y 5 Z � �/J�� %�J -T (work) MAILING ADDRESS: lZZ� S`�� .-,�,-r CITY: C� ;,�;;;;'�, ZIP: CONTRACTOR:/i� . . � r� � ��u � ��-1� ��' PHONE:�-6� -y7.5—Z S�� ,' CONTACT PERSON: Le��, �'l��.�, `1�c. MOBILE/PAGER: �/� - _s9` -�� MAILING ADDRES5: y,�� ;��,�,w,�_� L�r� �� CITY: F� ,� �.; ZIP: �SS- %�� STATE LICENSE: # ,f G� -3 � EXPIRATION ATE: G'„/ �,a,�-, f ---� ARCHITECT��FNGINEER: C Iu-�< ��5 �c,�r � �h;�c. 'PHONE: L I� - _3 j `� -�% I I% MAILING ADDRESS:� �/ /_ ,i� CITY: �nJ,:�hr-, �_�/J_ZIP:��s y0� NAME: uc � � REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �� Any earth movement may require MCWD review and permits ! PRO OSED WORK(describe in detai�: � ;� C�C�a �. � S � �r<-� c� �� , � ��rL,' �; `� -, �,C' ' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��-�, ��' �� c��_ c� ��, 1 hereby apply for a building permit and I acknowledge that the infarmation 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 pennit and work is not to start without a pennit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: < l� DATE: � ' ��v � r 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA , Subd. l. Type of data. The righu 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 confidentia]data conceming himself shal I be informed o£ (a)the purpose and intended use ofthe requested data within the collecting 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 entities authorized by state or federal Iaw to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision S,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax orprooerty tax refund instructions mstead 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. Afrer 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Sawrdays,Sundays and legal holidays,ifimmediate compliance is notpossible. [fhe canno[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 individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. 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)notify the individual that he believes the datato be correct. Data in dispute shall be disclosed only if the individua]'s statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACI'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 ar confidential 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. _ �P��1 �%� � l� �� First Middle Last ��= �N �l-� ( J 0 U c^! � ��P /�-/ Address ��-,�� .�� l�z� _s S'�y� �G.�- fi7�=�,s�>> City State Zip Phone I understand my rights as stated above. ._-- '-E l�� =C�._.�---".r' Signa rg_ Reset Form 32 CHECg OFFLIST FOR ISSUANCE OFPERMITS . FOR OFFICE USE ONLY ADDRESS OR LEGAL: l ZZ 5 .S H-p,2�-z�.�,e b�,��,,.,� PID: � DESCRIPTIONOF WORK: �G�uaD�c..o ,�J�ZQ�N� ZONING REVIEW BY.• 1 DATEAPPROVED: BUILDINGREVIEWBY.• DATEAPPROVED:�-�{-o� FEES TO BE CHARGED: Misc. Fees Calculated By: PE��' Yes_� No PLAN REVIEW Yes ,� No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION WVESTIGATION FEE Yes No r� PARK FEE SAC Yes No �/ SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: 1�v G K��qy�,,� O' Fire Departmerrt: Post Of�'ice: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetlan : Building Height: Def.HgZ. Peak Hg Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: StafjApproval Date: � By; � Zoning File: # Resolution: # R olution Date: Shoreland District: MC D Permit: Avg. Setback: BluffSetback. LotCaverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Yariance Required: Yes No Date of Council Approval: REMARKS(in house): 33 BUILDING REVIEW CHEC%LIST UBC: 1Z•3 CONSTRUCTIONTYPE: V� Sg Footage $Per Sg Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ZS�Ovo � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _ C�Framing �3e�it,(,3 ,�pPw,�Fireplace Lawn Irrigation Insulation (�.��,� (Masonry) Other Wall Board (Mfg.) Well(State Permit) _�Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOIISE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ONPERMIT): 34 �� A `tI +�i',V �� . /� ��' <� " DAT � TIME CITY OF ORONO CALLED IN 3� _�-I''� � INSPECTION NOTICE � SCHEDULED Jt� --=l—�---� PERMIT NO. � � � R � COMPLETED ADDRESS � zZ-� � 4�ov�e ( ii�e 7j� � OWNER CONTR. � �C�l I ) �C'l�l � TELEPHONE NO. � VJ �3�I�� ' ��_� � DESCRIPTION � �a�`Vll I� '" �' � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J ❑ PIUMBING FINAL � ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a o �'l/-�'✓�.�� L� � ��1� �Cs'A S a � 0 � w � Q � Z W � W � j d W� �WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. G PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice � DAT TIME ✓ CITY OF ORONO CALLED IN INSPECTION N IC SCHEDULED a/4 :DO PERMIT N0. COMPLETED ADDRESS � OWNER CONTR. / ��ts� `� TELEPHONE NO. 7�� `�'7� �SD__� � DESCRIPTION ,�� '�� , � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � Z W � W � � ��WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W ORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN {NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. i ;/�I White Copyllnspector's File Canary CopylSite Notice