HomeMy WebLinkAbout2007-P11279 - addn/remodel/repair PERMIT
CITY OF ORONO
2750`Kelley Parkway- PO Box 66 Permit Number: P11279
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
8/20/2007
SITE ADDRESS: 2687 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 33-118-23-13-0002
DESCRIPTION: UBC Occupancy Sl
Construction Type III
Proposed Use: Commercial-Business Census Code 437
Permit Class: Building
Permit Sub-type(s): Addn/Remodel/Repair
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Electrical(state)
NOTICES/REMARKS:
Interior Remodeling&New EIFS Exterior
FEE SUMMARY: Permit Fee: $ 3,243.25 Valuation: $ 502,000.00
Plan Review Fee: $ 2,108.11
State Surcharge Fee: $ 255.00
TOTAL FEE: $ 5,606.36
APPLICANT: Cluts O'Brien Strother Architects OWNER: Spensa Development Group
7460 Market Place Drive 601 Carlson Pkwy-Suite#350
Eden Prairie,MN 55344 Minnetonka,MN
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OROW ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
ala� L-O,/
Total Fee: $ J-6e)z ,66 Date Received: 1
Entered By: Permit#: Z
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 CONTRACTOR A1'?g7'/rCGT
.IOB SITE ADDRESS: ?6e7 wqyzfl Tit 13L, V/0 II/ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
[:] Yes IVNo 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: 5EFA)S/t t2 0Vf PHONE: (home)
(work) ?FZ
MAILING ADDRESS: UO ('44(,50IU T0u/ CITY: M%g + ZIP:
CONTRACTOR: R_9C r)tU Ce Z,0 oks+T 1O/U PHONE: _
CONTACT PERSON: Qe=gg Y j,3 RA i DN MOBILE/PAGER:
MAILING ADDRESS: 3?5cn A NN,+i90 t,l S wR Y CITY: Pe_YA40u7'ff ZIP: S- Yy7
STATE LICENSE: # EXPIRATION DATE:
CLrT$ 0'1&2,-6W 6762dl- HCS PAUL- 57RdT/ie7G.
ARCHITECT/ENGINEER: fi igf Qtt r C7 S (N C- PHONE: 9.S.2 -,?SV-
MAILING ADDRESS: ?%C) /V)Prf2 jC6-1 (2(, F92 CITY: GOES ?kA(re6zip: 5-r3 qy
NAME: PA c)i_ S7g 0 i t--rj--j REGISTRATION: # / ,S ZZ 9
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detail): tiC Gc) L/FS 4Fx rt-R101e /W tC��ldl2,
RE_M Q 0 6 Z,I A),'-=7
STORIES: / (/M CL Z ) SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6-6Zt wU
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: I
31
r
r
See.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 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 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 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,if possible,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 of public 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. Datain
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.
First Middle Last
Address
City State Zip Phone
I andrstand y ri5rzove.
?/3 ( /07
Signature
NEENNERNMENNONEW 32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY-
ADDRESS OR LEGAL: A-( 2 A i A Q l L1
PID:
DEs cR rloN of woRx: r cry. onG c� dm-e ,,old
G„
ZOTTNG REVIEW BY: Com- DATE APPROVED:
w BY: DATE APPROVED; Z - i5- 7.
BUILDING REVIEW
PEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes —z- No
PLAN REVIEW Yes No SEVER CONNECTION
STATE SURCHARGE Yes No wATERCONNECTION
INVESTIGATION FEE Yes No f PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONI IG CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: • 1
Front(Lake): Right Side: no 1
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def, Hgt. Peals Hat-
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: 1 By: w 6-
Zoning File: Resolution: r Resolution Date:
Shoreland District:
Ava.;. Setback: Bluff Setback: LotCoveraje:
Existing Proposed
Hardcover: 0-75'
75-250'
250-5(1J'
500-1COO'
�??�CCO':e' Z:%^C2 i't•'_ C!r2i1: �iJ2� Q D a
P."Tpg SKS (Lri holL5*
r
BUILDING REVIEW CHECK LIST .
UBC: 5- {. CONSTRUCTION TYPE: 1
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x
x =
TOTAL
D�
Estimated Construction Value: $--502,00D
Inspections Required: Work Requiring Separate Permits:
Site p< Plumbing Fire
Hardcover Removal _ )-r" Mechanical Water Coaaection
Footing Septic Sewer Coaaection
Framing r,L Fireplace Lawn Irrigation
>_Insulation (Masonry) Other
— K Wall Board pL(Mfg.) Well (State Permit)
tp,-Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
--- ------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REN1 L4RKS (TO BE NOTED ON PERMIT):
L
N wCw N6TE3
Project Project No Page
Client Prepared by Date
Calculations for Reviewed by Date
'Vt& Ajo7L�5
- PM�ett- sTeZt- c:rLCcr-70^'/„^,.onX ��y C�v� (4-`t
M-6TaAY 4,JO Ga& Mcncam! G {....S'( + 0
CLvT,s _ 08I21C ST"rI-J(:'R5 AI2,Ct4irCcrY
l 113
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/�u�r.✓A�� /�v��cr1 I�eroJLt f = 3 S'�'o�t /J•ftao..., Z Q,w�•os��9 Ge.�-S(1�c��j
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IRC NAPM(Z, 1341 ; 11�f17 3Y1, c- 6,-,►3
G-/ Idd
TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. COMPLETEDa�.s /v-rae�
ADDRESS
OWNER CONT R.7AP6AAr -
TELEPHONE NO. a
DESCRIPTION
Lm 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
Doer
W
c
Q
Z
W
W
d
W ❑WORK SATISFACTORY:PROCEED ❑PROJECTCOMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
KCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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 inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. � _ // .o
White Copynnspectoes File Canary Copy/Site Notice
CITY OF ORONO CALLED IN air
TIME
INSPECTIONTICE SCHEDULED -09
PERMIT NO. �I�Q W COMPLETED
ADDRESS 67687 a 9611101 &)
OWNER CONTR. 641AX I
TELEPHONE NO.
3Z DESCRIPTION �2e�s,Qe
tu El FOOTING ❑ MECHA ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
h ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
J
O
cc
O
W
W
CC
Q
2
W
W
cc
W ❑WORK SATISFACTORY'PROCEED ROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT �Avkf
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copynnspector's File Canary Copy/Site Notice