HomeMy WebLinkAbout2006-P10266 - addn/remodel/repair . PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10266
Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair
(952) 249-4600 Date Issued: 9/7/2006
SITE ADDRESS: 3502 Shoreline Dr Unit# S �ti��, �Up
Wayzata,MN 55391
PID: 17-117-23-43-0114
DESCRIPTION: UBC Occupancy B
Construcrion Type V
Proposed Use: Commercial-Business
Census Code 437
Permit Class: Building
Permit Type: Addirion/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate pernuts required: Electrical(state)
NOTICES/REMARKS:
Interior Finish Work
FEE SUMMARY: Permit Fee: $ 209.25 valuation: $ 12,000.00
Plan Review Fee: $ 136.01
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 351.26
APPLICANT: LNR Properties OWNER: Lowell Zitzloff
319 Barry Avenue S 319 Barry Ave S#300
Wayzata,MN 55391 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.
/� �
E ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
.
Total Fee: $ �S�� � Z� Date Received: � /Z�` ��`
Entered By: � Permit#: __�j G�(G[�
�-^'"�'
CITY OF ORONO - BU�LDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circde one) OWNER OR CONTRACTOR
JOBSITEADDRESS: ���Z S`jp���/�� /��ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? �
❑ Yes �o !f yes, a special event permil rs re�a�ired tivit/�Police DepnrtnJent artd City Coarncil appr•ova(
60 davs prror to the ever�t. Shuttle bus service wil!be required a�nless ap�licant dernonstrates
suff cient o��-site parking is available. r��'on-perv�7itted events ivill not be allowecl
NAME OF OWNER: L, OG.�e,Lr G��Z�a�� PHONE: (home),L/Z �16 C),j� Q
(work) S Z 7S 3�8v
MAILING ADDRESS31 i4 � � CITY:�� ZIP:,S-S�
CONTI2ACTOR: l a -�i � � PHONE: /�2 ��J.��gC�
CONTACT PERSON: �'// 2,/C� �'�'MOBILE/PAGER: a S '?�
MAILING ADDRESS:� [ � CITY: � IP: �� 9 r
STATE LICENSE: # EXPIRATION D E:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition ___�__ Accessory Structure
Move Home RemodeVAlteration (ie: Sidiilg, Windows)
Any earth movement may require/ MCWD review and permits !
PROPOSED WORK(describe i�z detai�: � t=lF S�—�l a �r...� —.L_`� �L U Vo��o/���
STORIES: / SQ.FEET OF EACH FLOOR: ��X � 2�
NO. OF BEDROOMS: GARAGE STALLS: AT'I'ACH �D DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): ��ZLTZ�->
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 �mderstand this is not a permit and work is not to start�vithout a permit;and that the work wi(l be
in accordance with the approved plan. _
APPLICANT'S SIGNATURE: ATE: ����'O G
�;
31
a . . �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. l. 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. [nformation required to be given individual.An individual asked to supply private or confidential data conceming himseifshal I be
infonned of: (a)tlle purpose and intended use oftlie 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 azising 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 law to receive the data.This requirement shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer.
The commissioner of revenue mav place the notice req,siired under this subdivision in the individual income tax or prooer tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infortned 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 witllout 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 thereatter 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 of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If lie 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,ercluding 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
concerning himsel£ To exercise this right,an individual shall notify in writing the resportsible authority describing the nature ofthe disagreement. The
responsible suthority 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 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 authority 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 City 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.
First Middle Last
Address
Cily State Zip Phone
I understand my as stated above.
ign e
Reset Form 32
�CHE�JK OFF i,IST FOR ISSU.ANCE �F �ERMITS
FOR OFFICE USE ONLY . .
ADDRESS ORLEGAL: 354Z 5�10Ctr c ��� �2
PID:
DESCRIPT'IO�i OF WORK: LC�sE -S��A c.t r�—��o�-
ZO�TG REVTE�4V BY: ------I 1'� _w_ DA.TE APPROVED: .
$U]ZDIN'G REVTEtiV BY: DA.TE APPROVED; � -6-aco
FEES TO BE CHARGED:� Misc. Fees Calculated By:
pEg�T Yes ,/ No
PLAN REVTEtiV ' � Yes � No SEti�ER CONNECTTON
STATE SURCHARGE Yes _� No �VATERCONNECTION
INVESTICrATION FEE Yes No _� PARK FEE
SAC Yes No S�'I'EINSPECTTON
Number of SAC�Uruts OTHER (sgecify)
ZO�(I�IG CHE.CK LIST Zoaing Districr. /`�J C � .
Fire Department: Post OfFice: School District: • '
Lot Area: Sq.ft. Acres � Width Depch
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: . :
Front(Lake): Right S'de: .
Rear(Street): Left ide:
Adjacent Scructures: �Vetiand:
Builclin�Heipht: Def. Hgt. Peak Hgt.
Lot Coveraae:
Gradino: Staff Approval Date: By: Council Approval Date: '
Septic: Staff Approval Date: �Y�
ZoainJ File: � Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Setba k: L.o[Covera�e:
Ecistiao Proposed
Hardcover: 0-75'
75-25Q'
2�0-500'
500-1000'
Ela:dco�er Va�iance Requi;ed: Yes No Date ef Co�ncil Approvzl:
�
F.E:��L�iRhS (in house)•
su�nnv� x�v�tiv c�cx LIST
��� � � corts�rxvc�orr�E: ��
Sq Footage $ Per Sq Ftg
� Basement • . .. x _ . .
lst Floor x � . . . � �
2nd Floor x _ • � .
Garage x _ .
z —
TOTAL
J
Fstimated Construction VaIue: $ (2,000�
Iospections Required: Wark Requiring Separate Permits:
5 ite Plumbing Fire
• Hardcover Removal Mechanical Water Coaaection
Footing ' Septic Sewer Coaaectioa ��
—2S Fr�g • Fireplace Lawn Irrigation
�_Insuiation (Masonry) Other
�Wall Board (Mfg.) Well (State Perm.it)
—d F�� Grading/Filling /,� Electrical (State Permit)
Ocher ��t—
------ .------
REI�7ARKS (IN�IOUSE): � � .
--------------------------------------------------------
RE'VIE'4V BY OTHERS: --DATE:
Access: Eustiag New •
Access Approval: Date gy; �
-- ----------------------------------------------------------
REI�TARKS ('TO SE NOTED ON PERibII'I'):
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b � ieecerra�er �� r I� I.PROPOSAL FOR TNNS YIOftK. •
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9- 06 -2006
Plan review notes
Address; 3502 Shoreline Dr.
Owner; LNR Properties
Project; Remodel office space
Plan Reviewer; Lyle Oman
Type of construction; VB
Occupancy classification; B
Exiting; 1138 sq ft. divided by 100= 11 occupants
One exit required two proposed-complies
2.27' exit width required 72'proposed-complies
Travel distance; 200 max 20 ` proposed-complies
Location on property; existing-complies
Building area; existing-complies
building height; existing-complies
Occupancy separation; none required
Bathrooms; existing -complies
� � DA TIME �
CITY OF ORONO �D IN ����
INSPECTION NOTIC (,� SCHEDULED Ct��
PERMIT NO. ��` ' COMPLETED
ADDRESS �_S C� Z �� D�� �/,��I�
OWNER CONTR. � E'/ �- /"��'J'�
TELEPHONE NO. � v ��� � D S
� ,c�- /�2-- - l7S `" ���
� DESCRIPTION �/��_� Q��.m�'��'
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
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 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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� �ORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContr r site:
Inspector.
White Copyllnspector' File Canary CopylSite Notice