HomeMy WebLinkAbout2007-P10855 - addn/remodel/repair .
'� �' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10855
Crystal Bay, Minnesota 55323 Pel'mlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
4/2/2007
SITE ADDRESS: 1980 Spates Ave Unit#
Wayzata,MN 55391
PID: 10-117-23-42-0021
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Remove lst floor interior walls
FEE SUMMARY: Permit Fee: $ 251.25 valuation: $ 15,000.00
Plan Review Fee: $ 163.31
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 422.06
APPLICANT: Advanced Home Works OWNER: Mr. &Mrs. Crear
9785 Bechtold Rd. 1980 Spates Ave
Rogers,MN 55374 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLfANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSU D BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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Total Fee: $ DateReceived: �-a8-��
Entered By: Permit#: �� f Q 5
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(plec�se print all i�aformation)
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THE APPLICANT IS: (cit�cle o�ie) OWNER OR CONTRACTOR
JOB SITE ADDRESS: I� �� J �a-�S �J�- ZIP:
Will this be a Parade of Homes, Remodelers 5howcase Home or other Display Home?
❑ Yes �No lf yes, n special event per•mit is reqi�ired tivith Police Departrnent and City Coi�ncil approval
60 days prior to the event. Shuttle bus service wil/be required unless applicant de��rxa�strates
suffcrent oi�-srte parking is available. Non-per•ir�rtted events wi/l not be allowed.
NAME OF OWNER: UGZ� C�(�C�f PHONE: (home)
(work)(�!�'S Fsl -7�OU
MAILING ADDRESS: �� �(G S Pa- �-e� CITY: ZIP:
CONTRACTOR: �G��G�nc.e� G/or1�P [NU✓�f PHONE: 7�3��G—�/U7�
CONTACT PERSON: c+�o✓� MOBILE/PAGER: �
MAILING ADDRESS: �/7�S cu o ��' CITY: o��t ZIP: SS.3 7�/
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF �✓OR�':: New Home Addition Accessory Stracture
Move Home Retnodel/Alter 'on (ie: Siding, Windows) L-�
Any earth movement may require MCWD review and permits !
PROPOSED WORK(clescribe in cfetain: Qe v►�w�e I f�' Flvu� �n��lar �c/G1�$
STOI2IES: � rl SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: 7 GARAGE STALLS: ATTACHED DETACHED �
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /S���� o U
I hereby apply for a bui Iding permit and I acknowledge that the information above is complete and accurate;
that the�vork«�ill be in conformance�i�itl:t11e ordinances and codes of the Cit�� and���ith the State Building
Code;that I understand this is not a permit and work is not to start without a permit;and that the�vork will be
in accordance�vith the approved plan.
APPLICANT'S SIGNATURE: �+ � DAT�: �����
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type of data.'7'he rights of individual on whom the data is stored or to be stored shall be as set foRh in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential dataconceming himself shall be
infonned 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 known consequence azising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorixed 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 law enforcement officer.
The commissioner of revenue may.place the notice required under this subdivision in the individual income tax or property tax refund
instructions 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 individuals 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 ro this section is pending or additional data on the individual haz 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 five days of
the date ofthe 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 individual,and may have an additional 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 private data
conceming himsel£To exercise this right,an individual shall notify in writing the responsible audiority describing the nature ofthe disagreement. The
responsible authority 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:
L 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
.4ddress
Citv State Zip Phone
I understand my rights as stated above.
Signaturc
Reset Form �2
. • ' �
�CHEC� OFF i,TST FOR ISSUANCE O� PERMITS
FOR OFFICE USE ONL�.''� . . "
ADDRESS ORLEGAL: 15 �0 SPr4++�s Av�'
PID:
�DESCR7PTIO�i OF WORK: CZ.�v►��r�- �r��v�'e�. �u�- a^""''
-------------------------------i------------------
ZO�IG REVZEtiV BY: -----��. -_____... DATE APPROVED:
gUILDIl�IG REVIEtiV BY: . � . . DATE.A.PPROVED; � y-� a 7
_ _�..�_ ---=-------_— --____— ---=-----------------------=-------------------------------
FEES TO BE CHARGED: / IMosc. Fees Calculated By:
pEg�T Xes ✓
PLAN REV�Etij1 � � Yes �/ No SEti�TER COVNECTION
STATE SURCHARGE Yes _��Na WATERCONNECTION
INVESTTGATION FEE Yes No 1� PARK FBE
SAC Yes I�o _� STI'EINSPECTION
Number of SAC�Units OTHER (specify)
�p�Y�YG CKE.CK. LTST Zoning District �V v c ��"�� .
Fire Depar[ment: Pos[Office; School District: �
L.ot Area: Sq.ft. Acres Width Dep��i
Survey 5ubmitted: Yes No Date of Survey:
Proposed Setbacks: . ;
Front(Lake): " Ri�t Side .
Rear(Strezt): Left Side� _
Adjaceot Structures: �Vetland:
auil�lin�Height: Def. Hgt. Peak Hgt. _ . '
Lot Covera�e:
Gradino. Scaff Approval Date: By:� Council Approval Date: '
Szptic: Staf[ Approval Date: By:
Zoain� File: � Resolution: n Resolution Dacz:
Shorelas.d D;strict:
Avg. Setback: BluEf Se ack: L.ot Caverage:
Eusti�a Proposzd
Hzdcover: 0-75'
75-250'
2�Q-500'
�00-l OC�J'
�.
TJ�_� n� �'n�inril An^r�VZ.
ri�"�:CO�.'.= Zi�i?i:C: L:�'..^SL'ii�C: 'i z5 . ' ' � �� — ----
F.E:�L�RFiS (in hou�e):
, , o .
J3UII�DING REVIEti� CHECK LIST
�C� �' 3 ' CONSTRUCTTON TYPE: �� .
Sq Faotage $ Per Sq Ftg
' Basement ' � . .. X _ . .
Ist Flaor � . x • _ . � . � '
2nd flaor x = � � .
Garaoe x = .
x =
TOTAL
Estimated Construction Value: $ 1S�dd0 �
J.nsgections Required: �York Requiring Separate Pec�nits:
Site Plumbing Fire
• Hardcover Removal Ivlechanical Water Coaaection
Footing � Septic Sewer Coanectioa �
___1S_Fr��a � Pireplace Lawn Irrigation
Insutatioa (Masoary) Other
�Yall Boazd (Mfg.} Well (State Perm.it)
_�F�� Grading/Filli.ag � Elec[rical (State Permit)
Other
REMARKS (!N HOUSE): . "� -- --
-----------------------------------
REVD�W BY OTHERS: pA�:
Access: Existing New •
Access Approval: Date gy; �
--------------------------
REl�TA12h'S ('I'O�E NO'�ED O�?PEF.�v1I'1�:
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CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED " �
PERMIT NO. ll�R✓S COMPLETED
ADDRESS ��1�� lS���i$� rT��P
OWNER CONTR. AE�U• �2 L(J'�'i'�-S
TELEPHONE NO. ��3" �g�— �07g
� DESCRIPTION ��arn � n
l� 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
�
Q 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 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM N S:
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� �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. �952� 249-4600
OwnerlCont o ite:
Inspector. -
White Copyllnspector' File Canary CopylSite Notice
�� CG�� D �^�'"'f TIME �
s?��/J � `°./
CITY OF ORONO cA ED IN
INSPECTION NOTICE����'� HEDULED ����
PERMIT NO. Y COMPLETED
ADDRESS � ��S
OWNER CONTR.
TELEPHONE NO. �'�
� DESCRIPTION � / Y�--( — CL'
� 01 FOOTING 11 CHANICAL 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: ES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
I�� Call for the next inspection 24 hours in advance. �952� Z49-46QQ
Owner/Cont �n site:
Inspector.
White Copyllnspec r's File Canary Copy/Site Notice