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HomeMy WebLinkAbout2004-P07529 - addn/remodel/repair PERMIT CIT� OF ORONO 2750 K�Iley Parkway - PO Box 66 Permit Number: Po�s29 Crystal Bay, Minnesota 55323 Permit Type: aaa�c�o�RemoaevRepa�T (952) 249-4600 Date Issued: 6i�i2oo4 SITE ADDRESS: 3895 Shoreline Dr WAYZATA,MN 55391 PID: 2o-i i�-23-22-0004 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code 434 Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: n"r o_r�__._____ �T�___�____ m._:_i_ w,r_____i'___rr__�_.. r_'__'t`_'_' � _..... ..::.�::::::::.:� .... ......_ .. ... _ ' .�..... �........ � .t...............1...i.:...... :� .......�....... � FEE SUMMARY: Pernut Fee: $ 251.25 Valuation• $ 15,000.00 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 259.25 APPLICANT: Giersten Company OWNER: R D 7ENSEN ETAL 2010 E. Center Circle#400 3895 SHORELINE DR Plymouth,MN 55441 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 MINNESOTABUILD GCO QUIREMENTS. :� �� /' � ,� � ` ,; l � {'.� A PLICANT PERMITEE SIGNATURF. I UED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 05/21/2004 FRI 08:9� FAX 1�003/00� �������� Nay-21-2004 oB;d3am From-CITY oF oRoNO ..+85zZ494616 T-zlo P.00Z/oo3 F-493 , . - .... . - � - . _.. ...--- Tota.!Fee: $ ,�r��j���'_� D�te Received: `_:�rZ i /=s `� Entered By: �t) Pe�r�onit#: ._.... CYTY OF OR.UNO -BiTILD.YNG pERMYT APPLICA,TION��� �s-� '; _ All information must be submitted ln fu116�fore plao review wi71 be started. (pleaseprint a111nformat�on) - THE APPLICANT IS: (cirrle a�e) O'V�NER OR C4NTRACTOR � JOB SITE ADDRESS: ���S S�1�re'; cn(�.��P ZIF: SS�q/ Wfll t6is bc a Parad� of$omes,lZemodelers Si�owcase Home or uther Display�ame7 ❑ Yes � No If ye,s, u speciad eyent permit is required with Police.nepart�tent a�d City Council approval 60 day,s prior to the event. Non permitted even�wtll not be allowed. NAME OF OWIVER: � �- S�� �w„�r1.D � �,;�, PHONE; (bome) 9��-�7f�a�0 MATLING AbDRESS: 3��� S}�c� �M� IJl`� CITX:, �work) Ql�= 7a.- G�2 Sa,�y� . �. � ZIp: SS-� �V'� . ` ,�'�`'�J�L �� ` �L� �l�`'�'`%11 CONTRACTOR: � e Ca� A. � , �%'PHOI�TE; 7 �-,��6-/,300 CONTACT PERSON: ► S ; MOB17 E/pA,CER: ��b � .Z 3 - � �r�J[x.xN�A.UDREss: -_ � � p crr�Y': P zrP: ,�;�L STATE LICENSE: # ARCY�YTECT'/ENGINEER� ./� PFIONE: MAYY..INC ADDRESS; ��: -�---- xan��: zrg: RFG�IS�RATION# TYPL OF WOR�: New Accessory Strocture Addition Move � � RernodeUAlteration� Land Alteration . PROPOSED tiV0�K(describe ln detar�-.��-�' � �j�m� Q ���� 1 w� n V (•�z"�s'I'a�ll Tr�` te, ��r� �t d,-f' ,,,,, wo,( � kv�, s�rw� �S STOR�S: e� � � ` a^^�ye SQ. FEET OF EACH FLOO�; p NO. OF BEDROOMS:�_ G_4RAGE STALI,S: A�TT.�_ DTT. �STIMATED CONSTRUCTIU�I' 'VAyUATYOIV(excluding land): $ �5 p0(� I hereby app7y for a building permit and I ac�vowledge�j�e inf�rmarioA abovc is complete and aceurate;tl,ar rhe wark vvi�ll be �ri evnform,az�ce with the ordinar�ees and codes of the G�ty cind wit$�e gtaic 13ui]ding Code; that I understand rhis is not a pc���d work is�xot to start without a permit;and th�t�c work will 1�in accordance with the appraved plan. APPLYCANT�S SIGNA.TUR�: DATT: S a� CHECK OFF LIST FOR ISSUANCE OF PERMITS � ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3�5� 5!-f�wt�t.�� f�J(t . PID: DESCRIPTION OF WORK: wn,�.. d ,�.�ti �a (Len�a� w�( �0 �d _____--------------------------------------------------- -- - �G�i'�i� ZOVPIG REVIEW BY: � DATE APPROVED: BUII�DING REVIEW BY: � DATE APPROVED; S-Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLA��1 REVIEW Yes No c� SEWER CONNEG"ITON STATE SURCHARGE Yes �� No WATE�CONNECTION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) - ---�_______ ______�-------------------------------------------------------- ZONING CHECK LIST zoning Dismcr � G�`��'�bG� Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres � Width Depth Survey Submitted: Yes Date of Survey: Proposed Setbacks: � Front(Lake): Ri t Side: Rear(Street): L.eft e: Adjacent Structures: � etland: Building Height: Def. Hgt. Pe •Hgt. Lot Coveraoe: Grading: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Blu Setback: L,ot Covenge: Eu in; Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes o Date of Council Approval: REMARKS(in house): � 7 • ► BUII.,DING REVIEW CI�CK LIST �C= -- ,`" CONSTRUCTION TYPE: �/`f _ Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd F1oor x _ Gazage x _ . x = TOTAL Estimated Construction Value: $ �S, vo a °� Inspections Required: 1�Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection � _ cL Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Dt Wall Board � (Mfg,) Well(State Permit) --�F�� Grading/Filling _ C�?. Electrical(State Permit) Other REMARF�.S(IN HOUSE); -----------_----- -�_�______ --------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New . Access Approval: Date gy; ------- ------------------------------------------------------------ REMAR��,S (TO BE NOTED ON PERMI7�: 8 08/21/2004 FRI 08:.�� FA% f�j001/003 2010 E Certber Cir+de SuiEe 400 � Plymoutt�, MN 55q41 1'hone: (763)546-1300 w . . , < Fa�C (763)54�0823 � / � +•ti _ T°� Ci 0 Frona s � -703�8s�'/ - �� a��� '� p�°� •Tn �1� Phorrd: �� S�/ � �'P�/�,�� � . C]urg«�e � Ror�iew a Pla�.can�nt a Pt�.R�, a PI�� •�. . C��.�� yJ� ��►� �►� C� GI� - �o�- �s.�� � �OII�,� c„��� -�� ;�-� �� . . ��. _ . � � ii , � : �a � � ii ^�' . - - , i•., ��r ''�?� � �' •' rf�,.�c r � � �' � , . �� ��:{��j� � Q f� ^ '� !�1��(. s v��'.,�,�1�� t n- _{ /,.� • 'r r � L � �31�.'t�"� �y"� t� �- N . r �i. i w71!}��» � ":y"� c � ._' 1`� `�' #' ry'.�� • �;, '��� . t��l��. 'L.y° - ��ii�,ti,,c �� � �r� ��ii- �p�;�q• i�-�, K i ���,,1, � -I� 7 ��� �, ti, i �_ i�) a.F�t � : i� � � ^� � i�• �� i���l� ��, 7 +ti� rl�ho� �I .a4�=M� � � 7 FL`. ��� L �` V , 1 * �Y{i���''� i I 3�',�,r,� r '' � n � r�'�i�� RT`��' k , ' "��t ,i�"5i`,�s�„L � r�� , �yw- t - f V�t ��C���+�`�� 'r► �--����-I �r� �x'`ie '!►� � ,1 c�'"`�y� �r '�,�TM�Y xY ��a_�. * •�C.. ;�;r 'c � s �, �.� �.��C i����.�l� �k Q �R `��� # ��� r y'- ' ]1�, �.�y,�lf,� � � .C�:.i��r� �� i.- w �1�1 `�• +� t� ' � A ,��:etj �..��� � f1 �. �� J �� ^ ' � ,���f cv"S'��� � �"� '.a�A �3��� ,4 ,`;j• �S �� v�r :�1�'� w•s;�ty ,R ^_ r, �y;�'' `.w, �'�,�� _ � �': q !xJ-�' n. � . �� - ��' �V 1 S�fi. 'l�� � �Of 1 'r� �el`�f�: .i -� r'�' �'��y � 't�#� �rf��� �d��'> a��_ �r . ���q�. '� w >S , e1br�', '+� 't. � _ ., y� _� ;l� 'f^ �{ 7 � r.,u � ♦�" IJS r �'� � 'Y,::�E� t r t �.. �f " r 7 + r tir , r y ti `:�,, �! s�• � 'kt'�q,� ,a}'F 14 `' � -" � � `�� �' �.��I � „,�c � ;' '"�s , ,: ; � � �,r' ��iC�= �' i `r 1tiw C� �F °�" �y4�.�,,- �i�. .� w �� , i L � ��SF,YI. L.,_ �t. �'.-�I�SClY� '1kT.'��i}��J.�� i�,` � `.� ��h..:�_ `lµy�� kl �.il� ��jTi��s�^t'�/�ti� �'��'^x' ,�''�`^ • 47��u�'� .i�.,��r t 1� 1 '� t: S l 4� t4F � �jr��,,.'.;���i.r. 1�,+;� �.M� �j.�� . `r ����,r� �1�IT��,�� f i � �i''' ..�, � ,i ✓�_� �. .1:� �'t� "�{;� �tifC,�iC: ��!Y�a*�� :��� �y V .7 /,,DATE TIME OF ORONO CALLED IN�•�/ `+" 7 � PECTION NnOTIC C�r SCHEDUL�fS/c�Y ��RMIT NO./""C� ��/ COMPLETED ADDRESS .� � -� �%� � OWNER CONTR. TELEPHONENO. ��� ��-3 r��3/ � DESCRIPTION �(��1r1 N-' /� C����dYt� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/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 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 � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a j < < � i � � O � � O � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r, ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next"nspection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac� i : Inspector. ��% White Copyllnspector's Fil Canary Copy/Site Notice � DATE TIME � CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED -u-� '?%O� PERMIT NO. �52- COMPLETED ADDRESS �Rg� �'l� OWNER CONTR. G��CM� TELEPHONENO. 7C�7J �30 ��� � � � DESCRIPTION � 01 FOOTING 11 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 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J �� O � O � W � Q � Z W � W � � O W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance. (952) 249-4600 OwnerlContractor o . Inspector. , White Copyllnspector's File Canary CopylSite Notice D T TIME � CITY OF ORONO ca� � � INSPECTION NO ICE SCHEDULED �� PERMIT NO. J'�Z COMPLETED ADDRESS J OWNER CONTR. TELEPHONE NO. �lZ 76.3 O �7 � DESCRIPTION r ` � 01 FOOTING 11 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 Z04 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 SEPT�C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � d W� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (J52� 249-46�0 OwnerlContr r site: �nspector. White Copyllnspector's File Canary CopylSite Notice