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Home My WebLink About2005-P08247 - addn/remodel/repair . . CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Pos2�4 Crystal Bay, Minnesota 55323 Permit Type: Addirio�emodevxepair (952) 249-4600 Date Issued: iilsi2oos SITE ADDRESS: 345 Spring Hill Rd Wayzata,NIN 55391 PID: 25-118-23-43-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN 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: Yiumoing iviecnanicai Eieciricai�sia'te� NOTICES/REMARKS: n--- �-� ---- - -- --- --_,.,_ ,_�,_ � ,--� --- --�....,..�. �r.:.,� .,.� �.:.�b� .........:...w ,.�....,.,.-- _ __... .. ... .. .. ....--... FEE SUMMARY: PermitFee: $ 1,049.75 Valuation: $ 110,000.00 Plan Review Fee: $ 682.43 State Surcharge Fee: $ 55.50 TOTAL FEE: $ 1,787.68 APPLICANT: Moynihan Builders OWNER: Mark&Carla Morris Lindsay 10344 Colony Court 345 Spring Hill Rd Eden Prairie,MN 55347 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TF�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. � � . �_.. `� l�_.._ � �� A P[,ICANTPER I" GGSIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Reauired), 1-Avplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 r --� '1 , �'� �� 2-�-1 Total Fee: $ � � ( � � I 1� �o� Date Received: � Entered By: � �,��r ,�� Permit#: I Zl -t l ��-� CITY OF ORONO - BUILDING PERMIT APPLICATION All informatio must be submitted in full before plan review will be started. _____1 ��'_ ��L�h____ _�./1�P��le��t�ll inforn:atiora)- - �-- - -------------------------------------------- THE APPLICANT IS: (circle o�ze) OWNER R CONTRACTO� JOB SITE ADDRESS: 3 � � x , n , ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special eve�lt peYmit is required with Police Department and Czty Coa�ncil approval 60 days pf-ior to t17e event. No`i permitted everats will not be allowed. NAME OF OWNER: �fJ-� � ��h�s PHONE: (home) �� '�� ! (work)o`�o �. �,O 7 76 66 MAILING ADDRESS: 3 S^ R� w �+, I p CITY: C�sZ vs,-� ZIP: CONTRACTOR: �'�b�y�A, L, h.,,�I�� otc,�s ..�iti� PHONE: ��y`�l " �U b O CONTACT PERSON: �ev,.�l MOBILE/PAGER: ��- �/S'/ S 7 � � � MAILING ADDRESS: Jv3 </ y C�v�c��,i C'f CITY: Eb�,`.�no-�a��, ZIP: �S3 � � STATE LICENSE: # �p y � �i� ARCHITECT/ENGINEER: S c l,rJa,� � PHONE: `�/ 7 G—C�� Z MAILING ADDRESS: CITY: f��y��A–��- ZIP: NAME: REGIST ITRA ON # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration _� Land Alteration PROPOSED WORK(describe in detai�: K a h., o/�c� �_S�� o�� 2 l�RA�� f h.�T v l,A`� � `F- /-xm�?oo x-V. t.�, � r��n 1 Y.l,S' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/Q,G o � 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: c � DATE: ��- �' � , Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc rights of individual on whom the data is sEored or to be stored shall be as set forth in this sectlon. Subd.2. Information required to be given individual. An individua►asked to supply private or confidential data concerning himself shali be intormed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivlsion,or statewide system;(b) whether he may retuse or is legally requlred to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or conFdential data;and(d)the identity of other persons or entities authorized by state or federal Iaw to receive the data. This requirementshall 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 mav�lace the notice reauired under this subdivision in the individual income tax or proaertv tax refund instructions instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be intormed 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 sho�vn the data without any ciiarge 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 this section is pending or additional data on the individual has been coliected or created. The responsible autharity shall provide copies of the private or pubiic 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 possibie,with any request made pursuant to this 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 compiy with thc request within that time,he shall so inform the individual,and may have an additional Five days within which to comply with the request,exciuding Saturdays,Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himselt. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shali wIthin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,including recipients named by the indivldual;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 ot 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 qualiGcation 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. r(/�� ,�.J � �ir�r� -,a/ First Middle Lasl� �d .� y� �� 1�,� .. c t Address ��,,` � �A,�..e �/��,_ S�S 3 y7 �s��ri'�r� 6�� City ` State Zip Phone I understand m rights�s stated above. r Signature f . � , CHECK OFF LIST FOR ISSUAIVCE OF PERttiIITS FOR OFFICE USE ONLY ADDRESS OR L�'GAL: 3y S S PR�iV 61-1 1�-1- �o A� PID: DESCRIPTIONOFYi�ORK: F�N�sH prz�r�°� �Cio.��c. 6�9-��1vL ----------------------------------------------------------------------------------------------------------- ZO�Y�tVG REVIEYV BY: � ,w•-- DATEAPPROVED: /-Y-o-s BUILDItVGREVIEWBY: D.4TEAPPR06'ED: �- Y-o�' ----------------------- FEES TO BE CHA.RGED: tYlisc. Fees Calczclatecl 8�.�: PER1�fIT Yes � No PLAN RE VIE tV Yes � No S,E LVER COtViVECTION STATE SURCHARGE Yes r� No tiVATER GOt tWECTIOtV I1�IVESTIGATIOIV FEE Yes No �/' PARK FEE S�!C Yes No � SITE INSPECTIO��I Ni�rnber of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZO�VI[YG CHECb'LIST ZoriingDistrict: NO C/FANGlS Fire Depa�•trnerct: Post Offtce: Scl�ool District.• __,. Lot.�(rea: Sq.f't. Acres 6Yicfth Depth 5�cr-vey Sub»iitted; Yes No Date of Scr�vey: Proposect Setbacks: Frortt(Lalce): Riglit Side: Reccr•(Street): Left Side: Adjc�cent Str•uctures: YVetlnnd. Building Height: Def. Xgt. Peak Kg . Lot Coverc�ge: � Grnding.• Staff Approval Dccte: By: Counci!Approvc�!Date: Septic: StaffApp�•ova!DRte: Zonir:g File: # Resolc�tio,z: # Resolt�tion Date: Slioreland Dish•ict: Avg.Setback: Blc�ff etback: Lot Coverage: Elisti g Proposecf Ha�•dcover: 0-7�' 75-250' 250-500' 500-1000' Harcicover Variance Requir•ed: Yes Date of Couracil Approval: RE�I�IARKS(i�t liouse): 31 � . . + B UILDING.RE VIE tV CHECK LIST UBC: /Z• � CONSTRUCTIO�Y TYPE: '�)� Sq Faota�e .S Per•Sq Ftg Basenie�u x = !st Floor x = ?nd Floor � _ Garc;e c = � _ TOTAL Estil�iated Constrtutio�: Vali�e: S I�n�a o0 � lirspectioi�s Required: lVork Requi�•iit;Sepa1•ate Permits: Site _�Plctmbing Fire Hardcouer RerriovRl �Nteclia�zicc�l YYater C.oiinectiorl Footing Septic Sewer Connectiai _�Frn��iing Fireplace Law��h•rigntion _�/nsulatiort (r�lasonry)• Odier � GY"al1 BoRrd (Nlfg.) G�efl(Stc�te Permit) Finaf Gradi,tg/Fillin; �_Elech•ica!(Sta�e Perniit) Otlter RE�YIARIiS(IN HO USE): ---------------------------------------------------------------------------------------------------------------------- RE fflE tY B Y OTHERS: DATE: Access: Existin,; tVew Access Approval: Date By: ----------=---------------------------------------------------------------------------------------------------------- RENI�Rh'S(TO BE NOTED ONPERrtiI1T): 32 J I � DAT TIME CITY OF ORONO ca��E�w � � INSPECTION NOTICE SCHEDULED ��c�� 'C� PERMIT NO. ? COMPLETED ADDRESS .��if7g Yf � �/ �� OWNER CONTR. Ju� � j j � TELEPHONE N0. 11'�� ' �5�. `�� PX�� w � DESCRIPTION _�T,�/V�i � 01 FOOTING 11 MECHANICAL RI 18 CAV/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 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: � W � � � O � � O � ti � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMP�ETE W�- ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. �952� 249-46QQ Owner►Contr or it Inspector. White Copyllnspector's File Canary CopylSite Notice .�� , �I DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NO CE�, SCHEDULED '/ 1 r � PERMIT NO. �� COMPLETED ADDRESS �� S�"u-�� /i'�// �G� OWNER CONTR. 1� �l'��}Gz._� TELEPHONE NO. �� -7�� (L�-�t � 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 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 i 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• � e - _r� � �/1�.. � J O � � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED l-! ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETt1RN -�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�0 OwnerlContwa'�tio��n si� Inspector. - White Copyllnspector's File Canary Copy/Site Notice