HomeMy WebLinkAbout2002-P04781 - addn/remodel/repair ;
� PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 Poa�ai
Crystal Bay, Minnesota 55323 PG'fl'T11t TyPe: Addition/Remodel/Repair
(952) 249-4600 Date Issued: iitsi2oo2
SITE ADDRESS: 1930 Shoreline Dr
Wayzata,MN 55391
PID: 10-117-23-42-0005
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: �i��'icai(siate�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 3,000.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 138.83
APPLICANT: Owner/Self OWNER: Robert&Patricia Stierna
MN 1930 Shoreline Dr
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
......,��..-/.�� ���x�%✓�'�
�
APP PERMITEE SIGNATURE ISSiJF�I�'BY SIGNATURE %�
Coaies: 1-File(SiQnitures Required). 1-Auulicant 1-Monthlv Reaorts, 1-Assessing, 1-Finance Page 1
..� , . ,r,
��� -�
� Total Fee: $ ���� � � Date Received: �� L' `� �`� �
Entered By: /� � Permit#: ����
, '>�r� �<' �--;��< ,
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: �� S 0 .S/fv/G.`;-�t��ov�� �i2.c v�— ZIP: S S 3 7 /
NAME OF OWNER: ���L��- ������ PHONE: (home��S7 {7� -� �S/
(work)�%5"2) �-( "7 C� - � �'18' �'"
MAILING ADDRESS: ���� ��o,1,�G r r�-" ��, CITY: �'V,� y�-��,� ZIP: !v( l�-�
CONTRACTOR: St'z--� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: St 2� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �,w,S�+ Uc,a��`- �,2�:-y� ��./
�.�L`�'vl ����
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, c,�z��
I hereby apply for a building permit 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 accord ce ' the approved plan.
.� ,
APPLICANT'S SIGNATUR,L: � _�- DATE:
/ -
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
. , '..
�
Sec.13.04 RIGHTS OF Si1B.TECTS 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 this section.
Subd.2. Information required to be given individual. M individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the 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 confidenual data;and(d)the idenury of other persoas or entides 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 mav nlace the notice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,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 secrion 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 upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible authoriry shall wmply 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 individual may contest the accuracy or complete�ess of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccutate 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 data
to be correct. 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 authoriry may be appealed pursuant ro the provisions of the administrative procedure act reladng
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 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.
/�
U��YvT- C�1-fY�-�=� �i)c��C /�/1--
First Mi le Last
��' 3 c,, 5�+��,�,�Z,�-�� �•=������
Address
�-.� ;���-�'� 5��'�� �9 5 Z) �-t -�s�
Ciry State Zip Pho e
� ��
I und y
�
tgnature �' ,
� — —
6
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' ! CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I 9 3 0 .s H-o���� �2��e
PID:
DESCRIPTION OF WORK: Q���.� ���,�5�.�
ZONING REVIEW BY: N I DATE APPROVED:
BUII.DING REVIEW BY: DATE APPROVED: /-��t-o Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes ✓� No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No ' SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: ,�t/� C�f-�r��
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres � idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peak gt.
Lot Coverage:
Grading: Staff Approval Date: B : Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac : Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
.
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BUII.DING REVIEW CHECK LIST
UBC: t�Z' �3 CONSTRUCTION TYPE: -�(N
Sq Footage $Per Sq Ftg
Basement x —
lst Floor x =
2nd Floor x =
Gazage x =
x =
TOTAL
ex�.
Fstimated Construction Value: $ 3,OOd �'
InspecNons Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Water Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�Wall Board (Mfg.) � Well (State Permit)
Final Grading/Filling _�Electrical(State Permit)
Other
REMARI�S(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT�:
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= L le Oman - 1930 Shoreline Drive-�P04781 � „:R:r, � � Pa e 1
� . _
From: "Bob Stierna" <rstierna@home.com>
To: <loman@ci.orono.mn.us>
Date: 2/8/02 11:13AM
Subject: 1930 Shoreline Drive- P04781
Lyle,
Attached is an updated plan. Not knowing if you had Visio, I saved it in a
Word document. I can fax it to you if necessary.
Summary of changes:
1. I will be building a stud wall on the NW side(right side in drawing) of
the office space. I am anticipating the egress window will be placed here,
and it is shown in the plan, but it could end up at the other end of the
basement.
2. I elected to use a 32" door rather than a 36"door.
3. The general storage space (water heater location)was increased by 16"
and a 4 foot bifold door was added. This eliminates the second drop in the
soffit.
4. The hallway dimension is actually 40" rather than 42".
Bob �t
,L. �{J
Bob Stierna p,K. n/�
V
1930 Shoreline Drive d�T�
Wayzata, MN 55391
E-mail rstierna@kentongroup.com
Bus Tel: (952)476-0898 Fax: (952)476-2242
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1930 Shoreline Drive—Office Project
�,K 2_�. 02 ��._
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION /�TICE SCHEDULED �`�'G� � �
PERMIT NO. 4' � �� COMPLETED
A D D R ESS� �/� G �I,�G�t,���+���-� JC--
OWNER ,����-��� CONTR.�-� �,�
TELEPHONE NO. � � � ��1� � l �� �
`
� DESCRIPTION
lti 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
AA4i 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COM PLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �`�-� ����
White Copyllnspector's File Canary Copy/Site Notice
�C�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO OTICE SCHEDULED /o�� °
PERMIT NO�C��7'�� COMPLETED
ADDRESS�9 3 0 _
OWNER�f��hcc CONTR. �1 �'�`�I i'1_Q.
TELEPHONE NO. �I S Z �7� � �f Sr
� DESCRIPTION
� O7 FOOTING 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W� ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE C�IERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTOARRANGE ACCESS.
Cali forthe next inspe ' � nce. (g52) 249-4600
OwnerlCon r on si
Inspector.
hite ylinspector's File Ca CopylSiie Notica
DATE TIME
�TY OF ORONO CALLED IN
NSPECTION NOTICE SCHEDULED `f- 2.5-�Z S : 3J
PERMIT NO. P� �{7�� COMPLETED
ADDRESS � �3� �t+o11.t��L�,�.-� �2
OWNER �3�-�` ms���/} CONTR.
TELEPHONE NO.��Z '— ���-- %��7'
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEiLANDS
y�ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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