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Home My WebLink About2000-P02171 - addn/remodel/repair PERMIT C��Y�OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: �� po z�hi Crystal Bay, Minnesota 55323 P21"1711t Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 1i19�o� SITE ADDRESS: 19go spates�,�e WAYZATA, MN 55391 PI D: to-ii�-23-42-oozi DESCRIPTION: Proposed Use: Residential UBC Occupancy: R3 Permit Class: Building Construction Type: � Permit Type: Addition/Remodel/Repair Census Code: 434 Permit Sub-type: Single Family DETAILS: Resolution#: N/A Separate permits required fo Electrical(state permit) NOTICES: F E E S U M MA RY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: State Surcharge Fee: $ 20.00 SAC Fee: $ 0.00 Misc. Fees: $ 0.00 TOTAL FEE: � 562.75 APPLICANT: Dancrear OWNER: Dc�aR�MBc�au 1980 Spates Ave 1980 SPATES AVE 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 STAT� NIINNESOTA BLTILDING CODE REQUIREMENTS. fy %"� , ��. =;z � APPLICANT PERMITEE SIGNATU � SUED BY SIGNATURE ��,-�� Today's Date: 1/19/00 Page 1 , . Total Fee: $ Date Received: Entered By: ,�� Permit#: ,��'�.,;� L� � t; 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) �l�NERS�R CONTRACTOR �_� __--� JOB SITE ADDRESS: �D S/ �� % l�'� ZIP: �� NAME OF OWNER: _��I�� -- PHONE: (home)—�-��-��Y(� (work) MAILING ADDRESS: �� CITY: /!/�� ZIP:__�/ CONTRACTOR �,—`� PHONE: CONTACT PERSON: � MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILIIV�G ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �-- Land Alteration PROPOSED WORK(describe in detai�: Y�.GyI/t�Z� �-� �.l — L,l STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c�—�� «� 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 his is not a permit and work is not to start without a permit; and that the work will be in ac ance wit the approved plan. � �j� APPLICANT'S SIGNATURE: DATE: � � ��/ NOTE! Parade o Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 f � � • � Sec.13.04 RIGHTS OF SL�BJECTS 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 indiridual. M individual asked to supply private or conf'idential 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 lrnown consequence arising from his supplying or refiuing ro supply private or wnfidential data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision S, to a►aw enforcement officer. 'll�e commissio�r of revenue mav olace the notice reouired under this subdivision in the individual income tax or orocertv taz refund instrucrions instead of on those forms. Subd. 3. Access to data by individual: Upon request to a responsible authority,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 i�lividuals 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 dus 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 authoriry may require the requesdng persop to pay the actual costs of making,certifying,and compiling the copies. 'I2�e responsible authoriry shall•comply immediateTy,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Santrdays,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 addiaonal 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 u►dividaal may contest the accuracy or completeness of public or private data conceming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry 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,i�luding 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 determinadon of the responsible 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 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 C��y State Zip Phone I under d y 'ghts as stated ove. S' are 6 . y � ' , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I 9$4 sP��r�. 5 PID: DESCRIPTION OF WORK: � ,� �1,�-�w� �- �n �s�� ZONING REVIEW BY: /v lA DATE APPROVED: BUII.DING REVIEW BY: � DATE APPROVED: /- �S - a o FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes No ✓ SEWER CONNECTION STATE SURCHARGE Yes r/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: N o C!-1�tw� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right S de: Rear(Street): Left Si e: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. 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 Set ack: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vuiance Required: Yes N Date of Council Approval: REMARKS(in house): 7 ,, r ^ � , ) BUII.DING REVIEW CHECK LIST UBC: 2� 3 CONSTRUCTION TY�E: �(N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ `'�l9 ,UvO�` Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connecuon Footing Septic Sewer Connection o�. Framing �ireplace Lawn Inigation �Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Pemut) ��Final Grading/Filling _�Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTI3ERS: DATE: Access: Existing New Access Approval: Date By: REMARI�S (TO BE NOTED ON PERMII�: 8 NOT'E ::,::.:, ��'�C,�'�"' �RONO C�Y CiTY CaF QR�NC� ��'' S�.l�� g��LL�i'�r � ' ' T PL/'yN f-3�VIE1N �E� pTTAGHED r' fNSpEC7GR � r'� � �.��J � D'�;[=____��«=�__ �'Ef-?MIT f�10., I L�1Ft��I�NT�- -azs _ _ _ _ � ❑ r,�F�O1�CC�<<.��:,�c;,ilT�� . R�� --3'9 -}<-- 4'7 - 1 ��PFR�3`,/�=p y�/�7;d CGf��;E�TIO�,'S AS PdGTEI] ____ ----- -- -- --- -- �— --- - � I ❑ C��T A,P��C'�;�:D---C:�;1�;�'�C�� RESi1�?�1iT zs zs 7ha,.e i;o:r;ments<�� `,,r y��r ir;i�,-,r,�Cc^. ,S;i�,:ork:sh.�;�be donA _—_ _ - - -- in ; com-�'i�rc� ,�"i I U�r', il i. �r:��,m� srd ��rnr;� CodA. Rac; r..nis r.ck,c;,uc,..,r.,��c}.,� ., �.'�y no>.ed in U:s;�•�ie�.�. - � KcEP THIS PLAN S�T ON ;517E Ar f1LL TIMGS � � � � � I � 2�'s I � n Existinc� House ► __ _ � � -- - �_ --- I ----�---- _ _ , _ _ — - ---- i i __u__ ; ; 1 _ _ / \�4r \ I � �- — -- - � - - - ; v� '' . 1 �oU��;��p�i I� u�� i � ;i i � ��"�� i � � j� I Douqle (�I i � � V I M.1N� Rpf. , l..l�i I � ' ;� � Range �..�:.J ;I I �..u:_, I � D�ck � � Kit�hen ~ I �- � - � `° ;��o�I/ooa. i� -I � I ��nk ;�1 2s6g -� ,� -, I t =,� ��-o�(o� M�I'_ '~ I I J _ � -- --- -- ---� _ .. __ _ _ - - - � _ _ -- ----- ----- --- k—s�h�---�—s�� Is ��`s - z3 AN _ I �� /t� � !�v G c,v - V (� w�.c i --21'8-- __ . __ . � 12'2 I 8'8 --1 3b' DATE TIME CITY OF ORONO CALLED IN �-� �� • D � INSPECTION t OTICEpp�UL�� SCHEDULED .-0)_,7-c�p �• �' c� PERMIT NO.� � COMPLETED Z`7�d <v Yf ADDRESS � �� - ��'�� OWNER C�hQh-�'� CONTR.��.•� TELEPHONE NO. �� 9 � �`�� DESCRIPTION ly 0 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ¢ 02 FRAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 4Q.i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � o ': �1/1 �--� " � <<� v 1 �f�� . lG� G G� C S� 4 � 0 � W � Q � Z w � W � � d W ❑WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE � �ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT [�CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContrac or on site: Inspector.��/ �`� �`� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN .� - /��6 INSPECTION NOTICE a('] SCHEDULED 3 —� � �•3 b PERMIT NO. �a COMPLETED �'?-�� 3d ADDRESS /��U,� �� OWNER riS� c��/ CONTR. TELEPHONE NO. � /`��— � ��}� � DESCRIPTION ��d�'t.� ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q INSU TION 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 Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO Z � CO MENTS: � r/ ,��' � _. C_' �1.. � J ,'�c-� �.' � r',� o _ � � � �- Gc�(, W � Q � Z W � W � � d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � �] oRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Ol ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-4600 OwnedContractor on site: Inspector. ,�`._.� �C�c �%�.v.� 1` White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �-� �� INSPECTION NO SCHEDULED ' O G� f %3 0 PERMIT NO. � a��' COMPLETED �� ADDRESS � OWNER CONTR. � -� TELEPHONE NO. � f �'-�`�`��' � DESC I�PTION .�./r� LL 1 FOOTING� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � �ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d�ORKSATISFACTORY:PROCEED G PROJECTCOMPLETE W � C7 CORRECT WORK R PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CICORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContra o it • Inspector White Copyllnspector's File �a[y CopylSite Notice � �� 3 DAT�v IME CITY OF ORONO CALLED IN � � '` v`� INSPECTION NOTIC� �'I � SCHEDULED -3_�'� �� (l� PERMITNO. �� COMPLETED Ll�� 6� •r �� ADDRESS I�� C't'v"�� OWNER �-'C-a�-'�-� CONTR. TELEPHONE N0. �F ��- � � �- ��Y v � 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 OS 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � MENTS: � �1� v C ci.�� ?f� 6 u�j o " ,!j � ) � / � � r C� 1 � '�>, �S '✓ 7�-°2 � ✓�' �✓ o� C W � � n Q Q � 2 W � W � � a W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site• Inspector.��,��,c� ��'N� White Copyllnspector's File Canary CopylSite Notice