The URL can be used to link to this page

Home My WebLink About2003-P06001 - addn/remodel/repair • , � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06001 Crystal Bay, Minnesota 55323 P@Pf111t Typ@: Addition/RemodeURepair (952) 249-4600 Date Issued: 2i6�2oo3 SITE ADDRESS: 1950 Shoreline Dr Wayzata,MN 55391 PID: io-ii�-23-a2-ooi2 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: riumbing Eiecuicai�siaiej NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 441J5 Valuation• $ 30,000.00 Plan Review Fee: $ 287.13 State Surcharge Fee: $ 15.50 TOTAL FEE: $ 744.38 APPLICANT: �thony Thomas Homes OWNER: Maria Cornejo 4100 Berkshire Lane 1950 Shoreline Dr Plymouth,MN 55446 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. i �► � Ifs i� � �/'/�'�G--- ��- APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1 � • ~• I / 3 � , � Total Fee: $ �� '7 � Date Received: / —�L1 —C/� Entered By: �-��/l/1� / Perm.it#: � (��C� � ��j � y - CITY OF OR��- BITII�DPIG PERi1�IIT APPLICATION All information must be submitted in full before plan review will be started. (please prirct all information) 'I'I� APPLICANT IS: (circle one) OWNER OR CONTRACTOR / — JOB SITE ADDRESS: �9�0 S� � re !/i�D �� v'�ZIP: �J��f� NAl�IE OF OWNER• �a ri� GGt s7�'��n PHO��tE: (home) L- -�,1�� (work) i�IAII.,�1G ADDRESS: CTTY: ZIP: C0�1'�RA.CTOR: � D PH0�1E: p �j -- � -�?,�I COr�TACT PERSON: ` I1�iOBILE/PAGER l�-- %� - I�IAILI�i 1G ADDRESS: ✓ CTI'Y: ��-y2��/�(p STATE LICENSE: ��;��.�f� ARCHITECT/ENGliYEER: P�� I�IAII�ING ADDRESS: CITY: ZIP: N�y�: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration X Land Alteration PROPOSED WORK(describe in detai�: F� � O�'''V L ✓ -r ,�ol�� STORIES: a- SQ.FEET OF EACH FLOOR: NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. ESTiI�i IAT'ED CONSTRUCTION VALUATION (eXCludin;lanc�: $ ��! �4a I hereby aoply for a buildin'permit and I ac�owled�e that the information above is complete and accurate; �Iiat the work will be in conformance with the ordinances a.nd codes of the City a.nd with � the State Buildin� Code; that I understand this is not a permit and work is not to start without a pers�'� ��d that the work will be in accordance with the approved plan. APPL�CANT'S SIGNATURE: DATE: �'� �-�T�-� 1�'OTE! P�rade 4f Homes events require separate permit approval by Poliee Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. . � � � . . Sec.13.0�i RIGF3TS OF SGBJECTS OF D.�►T� Subd. i. Type of data. The righcs ai isdividual on whom the dan is s•ord or no be stored shail be as set focsh ia this secrion. Subd.2. Infocmatlon reqirired to be gi�m indi�idual. An individual uY:d w suFplY Private or confideadai daca coccernicg himself s5a11 be inFormed of: (a)the purpose and ir.�nded use of�he tequesced data wichia�he collecdag 3a�ageary,poUdcsl subdivisian,or satewide rystm; �b)whe�er he may rfiue or is le3ally cequicrd oo snpply ehe requested data:(c)aay IcoWn cons.'�eace arising from his supplyi„g or refusing to suQply privar_or conr.denrial dam:and(��t►e ideariry of a�er peaons or eadaes auchoriz�by s�ar_er fedtrsl law co c�c�ive rhe dan. This requiremea�shalI no�apply when an indir•idual is asked ro supp(v iar•esagadve dan.Qutsuan�co sr_�on 13.83,subdivision 5,to a law enfoc�eaeac officer. The eommissioner of cevenu- nav ola--ch- nocr rauired unda�h�s subdivision in ehe individual income raz oc omQertv raz refur.d instrucaans instexd af on chose focros. , � Subd.3. Access to data b�individuaI. lipon requesL te a responsible auchoriry,aa iadividual shall be informed�vhaha he is the subject of swe-d dara an indlviduals,and wh:liec ic is clicsified u public, privac:or con::dsndal. L;pon his fur,her cequesL an individuai who is eha subjecc , of stocvd private ar public daet oa individuals shall be shown ehe dact widtout aay caacge co hi�a and:if he desires,shall be iaiormed of�e concenc � ar:d ms3rsing of that dac�. ?�fur u�individual has�een shoWn rhe privare daca atsd•inEoctaed of iu meaain3,the dara need aot be disclosed to him for siz monchs ches-aiter unless a dispute or acdon pucsuanc to�his secdon is penditig or addidonal daca on the individua!has br_n colIected or creared. Tae responsible authociry shall pcovide copies of che privau or pubiic data upon cequsst by che iadividual subjecc of che daa. Tae responsible au�horiry may require�he cequesring peaon ro pay che acnul coscs of making.carifyin6.u'.d�amP�B�e copies. 'Ihe responsible auchority shsll comply icu::ediately,if possibte,wirh a:y:�qaest c3dt Putsuan�m�his sul�division,or within five days oi the dare of die rques4 eccluding Satucdays,Sundays and legal holidays,if immed'u�compliaece is aot passible. If he csaaoc comply wi[h the requesc - w{rhin d�at dme,he shall so infor�the iadividual,and may have an addidona!five days wirhia which to comply win rhe request,excludiag Saturcays. • 3undays and Iegsl holidays. � , , • r . subd.4. proeedilre when data is not aceurate or complete. An ir.dird�l may contest cht accuracy or completeaeu of public or pmar. ' data coateming himseU. To ezer.ue�is right,an individcwl shall nopfy in wridag�::cespersbie authariry daen'bing die nacu:e of the disagreemaac .. The responsble aurhoriry shall wichin 30 days ei��cr. (a)corcecc rhe dara fouad eo te inzeci:ra�or ineomplece and aarmpt to nodfy past tecipiencs of inaccuca:e or incomplece daca, including recipieaa named by ehe iadividusl:or(b)�oafy��iadiridual'tf�at he believes[he dae to be correct Dan . ia dispuu-.shsll be d'uc'.osed only if che individual's stacemenc of disagre:menc is ir:luded wic'��he d'uciosed data. 'Ihe dacerminadon of che responsible aaehoriry may be appealed pursur.:to che pr�visions of che administrarive pro.edute act reisdng co con[esr_d cases. DAT� PRIVACY ?,DVISOR�' � In accordance with v1.S. 13.04,Subd.2, "Ri�cs of subjeccs oi data",v�e would like to inform you that your request for a permit or license from che Ciry of Orono or any of its depz:ments nay require you to fumish certain private or confidentiat information. You aze notified thar. , . . 1. The information you furnish will be used to dece�rmi,^.e your qu�lification for the permit or licease rtquested. ? You may refuse to supply daca, but refusal may reeuire thac the Ciry deny the permic or Iicense. ;. The informacion may be shared with o�her local, sta��or federal agencies to the excent necessary to process the permit or.l;cense. � ' :t. If your requested permit or license requira Council action to approve, some information may become public. �. You have cenai.n riQhts under �1.S. 23.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applicacion or pe.:Lit. Firsc l�tiddIe Lasc Add:rss - ��ry Smr� ZiQ Phone � I underscaad my ri;hts as staced aoove. , Signamre � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I g� u 51-4c��.�►rv c �JJ 2 � PID: DESCRIPTION OF WORK: �,vti o�o e�/�(,�.�p�.i�2 � ZO.�tI�Ti G $EVIEW BY: DATE APPROVED: z•3-03 BUII.DI1i 1G REVIEW BY: DATE APPROVED; z� 3-�3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No PLAN REVIEW Yes � No SEWER CONNECITON STATE SURCHARGE Yes ✓ No WATERCONNECTTON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: i1/'p CH�W'�Q. 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): I.eft Side: Adjacent Structures: Wetl d: Building Height: Def. Hgt. Peak gt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: !/ Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: - Existin; Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUII,DING REVIEW CHECg LIST UBC: R • 3 CONSTRUCTION TYPE: _� �N ' . = Sq Footage $per Sq Ftg Basement . . x _ lst Floor x . . . _ 2nd Fioor x _ Garage x _ x = TOTAL Fstimated Construction Va1ue: $_ 3U,C9c�p'O� Inspections Required: `vork Requiring Separate Permits: Site �_Plumbin8 Fire Hazdcover Removal Mechanical . _�c Footing ' Water Connection � Septic Sewer Connection IlC Frazning Fireplace Lawn Irri ation �Insulation g �Wall Boazd ��0�'� Other • ' (Mf8•) Well(State Permit) '�F�� Grading/Filling _�Electrical(State Permit) Other RE1��A►RI�S(IN HOUSE): . REVIEW BY OTHERS: DATE: � Access: Existing New . Access Approval: Date BY; � _ -------------------------- � (TO BE NOTED ON PEI2ivIIZ�; 8 C ITY O F O R O N t? _____..�._._-`......�... BUILO�fVG EFi�-y,,�IT P'�APd r'',�V,�:W ,- INSP�CTOR • (,lGyx,� �� C�� SPECIAL I��(i"� DATE._�-3_0�-----PE';6,'IT�,o. SEE ATTAC}-:;� .c.�� ':. �,��=:o, -�;>.� ��.:_.�,�;n�� FOR s�nn��.. ac---��,2 � r.t�:'i:i/ + ��f I ,Jr �.:;�j�jt•��i . "�-'� � > ,� ,� :� ,,- . �,.,.�� . � / �� REGiJtR�A�l��T� C .,� , , , � �._;_? ::r r�,;,J�►��a� �1 t�^' �c'r:��'G ,T,'.'- �`!�?�.m _. . .. ��i.. .�' i , .;:i.�4' �U�,�:;:.i � .r�� . . ... . .. .. . . �. . ['�; �e-• '_ :, � . � , ..-/'�'7/'.�✓�__ l'i`�S��llc�^� ' �StcP 7 til3 P4AiV��T OI`I Sf�E A7'ALL�Fii�IES . / 1 Gl sd sf7'al�eGi'✓G� _ D�r lI� -- - ---- -- - - .__ .___. . _ _ - - _ _ _ . .. .-- .. -------__ .-----._ _._.. . _ .__.. _ n �I Fou.-�rk ��,2 _ _ _ _ _ _ _ __ �� f�A � f�fPLA�t ��f'�S�<:v� j�Of��r1 �tr}� W�/� �'�1��'� �CF� ,2�Y� _ . -jtj �P 1� z�� _ _ _ t� �• . _ �,:g-�' �%��2 �'��vn_ cc��. -__. , �S5 fv� � . _ _ _ _ . —_ _ _ �'' �1�K `_ � ,� �$ _._._ __. _ �onz �;c��0 __ _ _ ___-- _ _ --_ ___ ____ �Ut2� (,' y _ ' _ _ _ _ . _ . _ _ Nt u; ��tCfSSPD � l� �� ---` �yG/��S �p;:!'�c0 Fx>��(, _ _ _ _ � _ ___ _ _ o _ � P _______ _ w __ _ _ _ _ _ __ _ _ __ l<'twc:". _ __ _ __ _ �IU - � � Y�iv;�l(j;. c _____ N�W_ �r�N�f�},o�., �,✓�t/� D� �XiS ��'_._ � ��.2 �c � , � _ _ __ _ _ ;� s�,ti�C �.Y'S�^�G C/J�'��_�_�vtc'Cff" —�,�#�r' Z, Stc(:`� }�,�„z ,I , —_��1�.. � fi � �I � _ Ti r�_ I°�;ro._ L-X�S��,�G� _ �`o��s� � 51.� __ .. n�P u ____ _ ;-o,;Cl��'� �:�No;�f��,� ,—f Po�S�:&� - - -- ,�:�w� � `�s��,�f _. __ _ e�F �! ��t�u�il f ��ti�� ,�'�I�CJ�V ✓�J (,(J�C� _ _ . _ � v� � l6'�_ . _ _ _ - - _ _ . .. �u,I��( ��3 / ��1" _ � Gl� � � SPEClA1L I�l�+'�"� _ STAI RS 8�� h1.AX. R.��. �� r,-��,�. �rr.Eri� SEE ATTAC��'� S�-3;��T _ ° � � .-:_. .�- .:.. . _ . _._ .. . . .... .. ._. . . j -___ __.F'�'�'�_l�llr�i. ' 'i C` J��r1'�'1 � 1 I ., - FOR ��NDR�1L_ �,T LE:>.S: C1?�:= ;�a.�'�`:��?:.i� .-_ '�f.� ` Ft:�i.. "�D _ _ .. _ . __ GU:�'.RDR."_{� ^f'cN SI'JtS CODE REQUIREPJI c,t�1TS ,r / DATE TIME CITY OF ORONO CALLED IN �" 3 INSPECTION NOTICE r SCHEDULED -��1�� 1 n - � PERMIT NO. C7 OOI COMPLETED ADDRESS I � �C� _�/ I C I�P ��/'l..Q L�� OWNER CONTR. �rl�2C�,,(.�,61 S TELErHONE N0. � � � � �� / - (ZC��-7 1'�JN�is 4 ��J� � � DESCRIPTION l�(7 '��NC 1`1CY� � 01 OTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING Q 2 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 05 FINAL 14 SEWER HOOK-UP 06 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 � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � A�� a � � 0 a � 0 � w � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContra r site: Inspector. White Copy/lnspector's e Canary Copy/Site Notice V � DATF� TIME CITY OF ORONO CALLED INy �� INSPECTION NOT SCHEDULEd`�� „' �.� PERMIT NO. � / COMPLETED � ADDRESS � � �— � OWNER CONTR.Q-�.�T /�1d{�t 4S N/,�S TELEPHONE NO. /��/� � � y �._� ` � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O LATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER fiEMOVAL J 10 PLUMBIfjG-FNdRL� _., 36 FOUNDATION/REMOVAL � OWN CONTRACTO O MEET YOU: ES_NO �,...__.- h COM . � 0� �.�J�.�' � J O � � O � �u � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n t inspection 24 hours in advance. (g52) 249-4600 OwnedConUact 'te: Inspector. White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN �5-5-D�. INSPECTION NOT C� SCHEDULED S-�D�-/ �f�30A�1 PERMIT NO. Q C.Y� COMPLETED ADDRESS �tQ i✓�2- �• OWNER CONTR. -r• TELEPHONE NO. LP /�. - q�j�� ;C`� � DESCRIPTION �C �,i2�.�� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG Q 02 FRAMINC, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION Q FI 14 SEWER HOOK-UP O6 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBI 36 FOUNDATIOWREMOVAL 2 OWN CONTRACT TO MEET YOU:�ES_NO � COMM TS: � a t�►M D E 5 vt t Et,� �u v� � � � r (�l CL s t�° c� 0 � W aC Q z �� ce.�c J � SS � a� W � cv� �(` 3 a W� ❑WORKSATISFACTOR .PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR HEINSPECTION TEMPORARY V PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContract on e: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION T C SCHEDULED � �� PERMIT NO. COMPLETED ADDRESS��0 `� � OWNER CONTR. TELEPHONE NO. �O l� � f� `t 9�� DESCRIPTION / � � 01 FOOTING 11 M NICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI 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 c�., COMM T : W a D a�l�C' r' o �- < �' � � 0 � W � Q � z W � W � j � �`WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContr on s e: Inspector. White Copyllnspector's File Canary CopylSite Notice