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Home My WebLink About2001-P04463 - addition CITY OF ORONO PERMIT Permit Number: 2750 KP!t�y Parkway - PO Box 66 P04463 Cry�'�ial Bay, Minnesota 55323 Pefl711t Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: lo�9i2ooi SITE ADDRESS: 2010 Shoretine Dr Wayzata,MN 55391 P I D: 10-117-23-31-0001 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 522.55 Valuation: $ 37,500.00 State Surcharge Fee: $ 18.75 TOTAL FEE: $ 541.30 APPLICANT: Sarber Brothers Construction(See Comme� OWNER: Michelle Hudson-Miller 11979 Winnetka Ave N 2010 Shoreline Dr Champlin,MN 55316 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. �� (/!/�,�w - l_.�,+.,_� V`�(V�C.a.-�:� ��'� APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE Covies: 1-File lSiQnitures Repuired). 1-Apolicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 Total Fee: $ "' �G- � �p!��Date Received: ; � �� .3 Entered By: �� " � Permit#: �/�` � . �_ (Q � � /� ��16• I �/�1�/'� �'k l/ 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) OWNER O�ONTRACTOR JOB SITE ADDRESS: aQ /�) Sli��rr �r. ZIP: ,�`j �3�/ NAME OF OWNER: ��,�/t�f��p (��;,�i�/,Ik�oh PHONE: (home) (work) I�IAILING ADDRESS: S�r/►u c,S a,�„�-c. CITY: (,�/ � ZIP: s i CONTRACTOR: �i,��er �rv th.er5 �'.an5 �- PHONE: 7(,,3- Ll�� - a�i 3 CONTACT PERSON: �G,-r,� �c., t,� , MOBILE/PAGER:_��3 -a.g(,- �/0 7� MAILING ADDRESS: ��9 l,�J;nn r-�ko, /.�,h ,,!/, CITY: C'�ia�•�r d�n ZIP� SS.�/ C. STATE LICENSE: # ��a o a ��o� 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 detai�: ac�c��SS W��nr�Gc�, /Jfcc� ki�C�sr C�,bl��S', a/�it,t w �,t.).r�owSt� fl�w ��h �n .'k6er�„� + Q.,fiac�e�c � a " �/at STORIES: c� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET._ (Z ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 37� sUU G� 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 City 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 approved plan. APPLICANT'S SIGNATURE: �h lz.ui DATE: �Q- �`—Q / NOTE! Parade o�'Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA r., 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 secdon. 1 Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)du purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may rofuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing ro supply private or confidential dara;and(d)the identiry of other persons or entities authorized by state or federal law to receive the dara. This requirement shall not apply when an individual is asked to supply investigadve data,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revernie m�v�lace the notice rewired under this subdivision in the individual income tax or oronern tax refund inctn�ctinns instead of on those fotms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an i�ividual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara 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 ics meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant ro this secaon 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 requesring person to pay the actual costs of making,certifying,and compiling the copies. The responcible authoriry shall comply iromediately,if possible,with any request made pursuant to dus 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 i�ttlividual,and may have an addidonal 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 privau dara conceming himself.�To exercise this right,an individual shall nodfy in writing the cesponsibie authoriry describing the�nature of the disagreement.•The responsible audioriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt W notify past recipients of inaccurate or i�omplete data,i�luding recipients named by the i�ividual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's starement of disagreement is included with the disclosed data. The determinadon of the respoasible authoriry may be appealed pursuant to the provisions of the administrative 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 fumish certain private or confidential information. You are notified that: 1. The 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 pecmit or license. � • • '� • . � 4. If your requested pernut 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 Last Address Ci�y State Zip Phone I understand my rights as stated above. /'�� 2i��/�/` . A signature ' 6 � � DATE TIME ClTY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � � -��1� PERMIT N0. �� _ COMPLETED l '�L� ADDRESS �n/�i ,S�hcrP<<r� + �� = OWNER CONTR.��Y'� /�/��C TELEPHONENO. C'�I. �� o�KI� �fJ'7� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRAD G/FILLING Q 02 FRAMING 13 MECHANICAL FIN 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNEH/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a ° � �!j �� 7� l ��'..��, , �� `_; `. � C.i L. � � . , � � f�: -. � �� --t,T j� �s ��y 0 � Q � � %f� f�'��'� y��,_ � _� -�r � '�..._,..__ a w � W � � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL FETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: � Inspector.�i� ��zl -� White Copyllnspector's File Canary Copy/SNe Notice � DATE TIME CITY OF ORONO CAILED IN INSPECTION TIC SCHEDULED — �� -3 � PERMIT N0. � O3 COMPLETED �� , � ADDRESS� � ld ��-L ��—� - OWNER CONTR.�s��LG`0� /��-6a-� TELEPHONENO. ��P � ��CO �� 7� � DESCRIPTION __ ,/��-G�L � � "v ty 01 FOOTING �MECHANICAL RI 18 EXCAV/GRADING/FIILING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESIiORE/WETLANDS y Q 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 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 FINAI 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a j O � � O � W � Q � 2 W � W � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContracto�,oP 'te• Inspector. �/ White CopyAnspector's Ffle Canary CopylSite Notice V �`��✓' DATE TIME CITY aF ORONO CALLED IN � INSPECTION NOTIC j�^�j SCHEDULED � ,/� PERMIT NO. . c�✓✓ COMPLETED ADDRESS o� I Q S O�P,�. I � OWNER CONTR. �,Y l� i��P.� TELEPHONE N0. � � � ' � DESCRIPTION�� C� '� _.�� CZ-��1 Q�l � 01 FOOTING 11 MECHANiCAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/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 J 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: � W a � � (' ��i� v� 0 a � 0 � W � Q ti 2 W � W � � ��a+VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORREC7 WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOFi WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContra r on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�nICE SCHEDULED _ � PERMIT N0. F O��Ll� COMPLETED � � ADDRESS �O/C, �__. � if� Ii�,�ue � • - OWNER CONTR. ��r�� /i��s.�C-E�n�7 _ TELEPHONE N0. �C�P ��- �� G 07� � DESCRIPTION____��_l�G��P � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 4 WALL BD 12 WATER HOOK-UP 17 SITE INSPECT�ON 5-R11 L 14 SEWER HOOK-UP O6 PROGfiESS � 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 � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContr r on site: Inspector.�i'l��'��f�� White Copy/lnspector's File Canary CopylSite Notfce V DATE TIME CITY OF ORONO CALLED IN INSPECTION NO �E r 1 �SCHEDULED � (1 = �� PERMIT N0. `�� COMPLETED y� � ADDRESS � t d �._��Y� � ( �('��fZ � OWNER CONTR. �b�(�-��''` $�� TELEPHONE NO. �� (0 3"y�-�a� ��'�"�� DESCRIPTION � �c� �� ' � ►`°""' l� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 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 REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O k W � Q � Z W � � �sl'I/IJ�✓).�L (y�, /�O C v. �,�c` � � d W� ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor s' .,� i Inspector. White Copy/lnspector's File Canary Copy/Site Notice O ,� DATE TIME CITY OF ORONO CALIED IN INSPECTION NOTICE SCHEDULED v� PERMIT NO. COMPLETED �� — ADDRESS �f� I f i �l't(1'v _ � i Vl�' 1� OWNER CONTR.:�1 ►k��" �Y1�• TELEPHONE N0._ �� — ��, �C��-1 � DESCRIPTION '—�U 11 i1t�, � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUL4TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWEFi HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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: � W C � J O a � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next insp ion 24 hours in advance. (952� 249-46�� OwnerlContrac r te• Inspect . White Copylinspector's File ary Copy/Site Notice o � 1�m_or m -z CD � o° U' -0 o �°oC°ID C CD O N 7 @ E. Z) C C', -"N O :3O C O- N N m 3-a� t n vo. o00'O M. - Qo o O�IDDO CD 3 3 v p v m�71 Q C Z3 O eco moo �h � 0 Q a m�� D v m CD ? m m m o ( 3 c m C: m Q 9- Q Q m v C) K 0 co 3rao- CD ig- 1I-- �22a� � ID O' N a-8 n :(2D (D :3 0 ID CD W O m v DQ D CO Q m N a�3=c,:- vC 4 w Q m c� co �t ca CL tD M M CD n o a m -n CD < °0 0/� 0/ V VJ W v CD Q CD 3 Cr CD �CD N O � co N 90 m r� CA 11 CD 0 0 Q 0 0 V CD 0 0 Q 79 0 0 — — — — — — — — — — — — — — II I I TI I I I oa I I � I I I I I I 1 s L- - -- -� 1 2 - 2x 12's 2 - 2x 12'5 I X - � X � � � X X I ru� 1 =;C I S� 2- x IO's I I I I I � I I I I I I i L -------------------I �A ,'�.. 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