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HomeMy WebLinkAbout2004-P07971 - addn/remodel/repair ' 0 14 '. PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07971 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 10/6/2004 SITE ADDRESS: 2605 Wayzata Blvd W(P.O.Box 340) Long Lake,MN 55356 PID: 33-118-23-13-00/5 DESCRIPTION: Proposed Use: Commercial-Business Permit Class: Building Census Code 320 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Eiectricai(stale) NOTICES/REMARKS: AAA FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00 Plan Review Fee: $ 418.53 State Surcharge Fee: $ 25.50 TOTAL FEE: $ 1,087.78 APPLICANT: Owner/Self OWNER: Vci Capital Inc MN P.O. Box 375 Long Lake,MN 55356 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. APPLICANT PERMITEE SIGNATURE &UEDBY SIGNATURE Copies: 1-File(Siznitures Reauired), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 Total Fee: $ /OL7 b 71 Date Received: 9-21-041 Entered By: Permit#: X D 7 71 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) OWNER R CONTRACTOR JOB SITE ADDRESS: Moos WPrYZPMA (3Lvp. ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: (,USN\ P 12•e+>G*-j Ezj2 LL- PHONE: (home) (work) 115 1• "1�1'�• ►340 MAILINGADDRESS: CITY: ZIP: Gz�-,3,,'y CONTRACTOR: o V.; PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: S-MV j Ftct-V-L. P-�ck4 PHONE: MAILING ADDRESS: 4159 ULsoN M@A F+w Y CITY: Xl Kc, ZIP: 4z�Z NAME: 5TEt/E Fi c-j4T1Z_, REGISTRATION: # i L-Me, TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detail): p-M PAINT' P-0 1h1G APD W iPPLXCIS STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 50,Ovv 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 'nances and codes of the City and with the State Building Code;that I understand this is not a permit and wo is not to start without a permit;and that the work will be in accordance with the approved plan. f APPLICANT'S SIGNATU DATE: '1A 6/o 4- 31 1 ' Sec.13.04 RIGHTS OF SUBJECTS 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 individual.An individual asked to supply private or confidential data concerning himself shall be informed of (a)the purpose and intended use ofthe 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 arising 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 shall 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 ttroperty tan refund instructions instead of on those forms. Subd.3.Access to data by individual.Upon request to a responsible authority,an individual shall be informed 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 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,ifpossible,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 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 ofpublic or private data concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the 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: 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. M pr,_r-it,GG .4- W Ars E=�- - First Miid�dlle Last �¢7-o goNt--� Address <51Z0-Nr-1V city State Zip Phone I understand my rights as sta above. Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z 6 O S PID: DESCRIPTION OF WORK: Cl._-vtkAw e-%- - ti 8 Doi 5 rre,e ZONING REVIEW BY: DATE APPROVED: 9- Z"7- o� BUILDING REVIEW BY: DATE APPROVED: 2-Z 1-o 1 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: Ai A Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes e[ No Date of Survey: Doi Proposed Setbacks: Front(Lake): Right ide: 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 ck: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: /✓�L Sq Footage $Per Sq Ftg Basement x = 1st Floor x _ 2nd Floor x — Garage x = X. = TOTAL Estimated Construction Value: $ Sb,0 o o Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _K Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) —�Final Grading/Filling i( Electrical (State Permit) Other REMARKS(IN HOUSE): ------ ---------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------- REMARKS (TO BE NOTED ON PERNEM: 8 CITY OF ORONO Fire Marshal 10/4/2004 To; Rod Ibis (Morries) 2605 East Wayzata Blvd Orono, MN. Re; Plan review, installation of additional paint booths and prep stations Mr. Ibis, The plan submitted for installation of two paint booths and two paint preparation stations at the above mentioned address has been approved with the following changes and conditions. A; Fire sprinklers shall be installed through-out paint booths,mixing room and preparation station. Flow switches shall be installed on supply lines feeding fire sprinkler system so that when activated the fire alarm control panel shows fire sprinkler activation in these areas. 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WXN .1 .1,06 b l-.1 &1-.t DIG oor I �v a'1 oao'a l t;' Ong 1 40at17Wa+m1 +x4304 o.1 � ,4io 7M. aupao a4� O uucyuoo vfto go"&Ads oAnouair>It P aI m JOB* um1 v+1�J Am I MFMi Mile of I P-J i MuMYSI sbJ NOliVM!lOJNI ;1(10:DGDIJG (INV ViVa drKM%UMN29 C"aNv1S R M WONS 000 in 1 C/ I A DATE TIME CITY OF ORONO CALLED IN /0— INSPECTION N AMI SCHEDULED PERMIT NO. COMPLETED ADDRESS O 14J96/11& [� OWNER ONTR. TELEPHONE NO. k12 f7d' 7 DESCRIPTION IC00-701� Ili 01 FOOTING 11 MECHANICUI 18 EXCAV/GRADING/FILLING 4. 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C J O cc O W 0; Q 2 W W cc j d WCr. RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra tte: Inspector. White Copylinspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO �y CALLED IN /o- 4-Uzf INSPECTION NOTIC { SCHEDULED 10-7-(5L( :UO -41 PERMIT NO. 7`�'�COMPLETED ADDRESS 2-1205 A=2<2: -J ZQLf ISLLO, OWNER 42-A,(- l CONTR. TELEPHONE NO. 9 7Z2 DESCRIPTION 4 /- rG�� 01 FOOTING 1 MECHANICAL RI 18 EXCAWGRADING/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 - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v G FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: CC W CL O Cr O U_ W cc Q Z W W O d W WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952) 249-4600 Owner/Contra!f_ n sit Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /..?-'R' INSPECTION C SCHEDULED O-O PERMIT NO. COMPLETED ADDRESS ow'.-E),5 WqWA&& 8lud- OWNER_A%�tCONTR. TELEPHONE NO. 6,W ag:�/ 9 7e .Q Ag�l DESCRIPTION 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENT O cc O U. W cc Q 2 W Z W CC 3 /WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor si Ln Inspector. White Copylinspector's lie Canary Copy/Site Notice AT TIME CITY OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED /o?-Q'7-0 C)b :3 PERMIT NO. 7911 COMPLETED ADDRESS 5266 (&LQLS4 ZCi 6I Vc, OWNER LW M CONTR. TELEPHONE NO. &12 22 1 - 7? 1 DESCRIPTION 1 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO cam., CO-MOMENTS: CC a — 0 W CC z W z W rz d Uj ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN E)CITATION ISSUED 1:1STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 Owner/Contra,Ogpm t Inspector. White Copy/Inspector's File Canary Copy/Site Notice