HomeMy WebLinkAbout2007-P11438 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11438
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952)249-4600 Date Issued:
10/10/2007
SITE ADDRESS: 2725 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 33-118-23-13-0014
DESCRIPTION: UBC Occupancy S2
Construction Type V
Proposed Use: Commercial-Business
Census Code 437
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Exterior Skin,painting,interior demo
FEE SUMMARY: Permit Fee: $ 3,233.75 Valuation: $ 500,000.00
Plan Review Fee: $ 2,101.94
State Surcharge Fee: $ 250.00
TOTAL FEE: $ 5,585.69
APPLICANT: Owner/Self OWNER: Ryan Companies US,Inc.
MN 50 South 10th. Street Suite 300
Minneapolis,MN 55403
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.
oRon v
APPLICANT PERMITEE SIGNAT V ISSUED BY SIGNATIJ
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
S
Total Fee: $ Ok Date Received: -9-/2-01
Entered By: Permit#: )q/ q5S
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 OR CONTRALTO
JOB SITE ADDRESS: �D-1 XS Za 4 I V�. Orov-61 ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes [l 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: I.yo�Jv� COw�e�►ts� QS MAC ' PHONE: (home) 0X-` dtl'WOM
't 00%A46- 300 work)
MAILING ADDRESS: �J� SdV t .,S CITY: "WwtP*%S ZIP: IS40
CONTRACTOR: &J6A^ CDWtaH1e5i USP PHONE:
CONTACTPERSON: 6Q ^. 'err M LE _ER: (P d 9d -4439
MAILING ADDRESS: ASO Som t'h 10 S ' �s� : SZIP: SS 4D3
STATE LICENSE: # EXPIRATION DATE:
e ARCHITECTNEER: �c<<A�eoo.'��''te �s`°J� &M PHONE: fo la."' 3 7
MAILING ADDRESS: 100yo ietmK O14. $ CITY: Mn"6" ZIP: $S 40
NAME: C M"' W%IKQX REGISTRATION: #
It.46j %cow. t.5 >~o.s ev44. G;v►
TYPE OF WORK: New Home Addition Accessory S�re
Move Home Remodel/Alteration(i.e.: Siding,Windows) vv-is"
"Am- earth movement may require MCWD Review and Permit! c8v^% JLCc
PROPOSED WORK(describe in detail): 0ANIk, Jr WMLP
�••�'f', In4tA4 aOr Sk.�we.A h# aea�r.,:bwa iv�ier`►o�c" a�.w.e 'J
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
-5000
Poo,
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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: DATE: cS 077
31
l
4 ,
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.Infori ation 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 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 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 vlace the notice required under this subdivision in the individual income tax or vronerty 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 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.]f 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 ofsuhjects ofdata",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.
First Middle _ Last J
.90
Address
P,;t,,,,,eo,�\►s M SSKo3 fo��-Kgs-M4 3y
City State Zip Phone
I understand my r hts as stated above.
Signature — \A
33
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: Z"1 Z5 W AN26-ri s Q L.V Q
PID:
DESCRIPTION OF WORK: EX-RSC i o/Lt,�
ZONING REVIEW B Y. AdA DATEAPPROVED:
BUILDING REVIEW BY.• DATEAPPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes_� No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No_� SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECKLIST Zoning District. a e-bt2ter
Fire Department: Post Office: School District:
Lot Area: Sqft. Acres Width Depth
Survey Submitted. Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Sid
Rear(Street): Left Sid
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: MCWD Permit:
Avg. Setback: B1uffSet ack: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: YesI_ N Date of Council Approval:
REMARKS(in house):
33
BUILDING REVIEW CHECKLIST
UBC: CONSTRUCTION TYPE: VQ
Sq Footage $Per Sq Fig
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ :goo,om °V
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
v4 Final Grading/Filling Electrical(State Permit)
Other
REM4AKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By--
REMARKS
y:REMARKS(TO BE NOTED ON PERMIT):
34
1� E TIME V
CITY OF ORONO CALLED IN ®-1
INSPECTION NOUCE SCHEDULED
t re
PT NO. COMPLETED
V ADD I 2 7a
OWNER CONTR. f
TELEPHONE NO. �y— �`7a
DESCRIPTION a_h t C InM10(i
L ❑ FOOTING ❑ MECHANICAL RI ❑ CAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ S TIC FINAL El HARD COVER REMOVAL
J ElPLUMBING FINAL ElFOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
a
J
O
cc
O
U_
W
cc
Q
Z
W
Z
W
CC
J
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ElCORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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 o ite:
Inspector.
White Copy/Inspector's Fil Canary Copy/Site Notice