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Home My WebLink About2002-P05741 (Remodel) PERMIT C I Tl( O F O RO N O permit Number: 2750 Kelley Parkway- PO Box 66 P05741 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: ioi3ii2oo2 SITE ADDRESS: 1270 Arbor St Wayzata,MN 55391 P I D: 10-117-23-31-0029 DESCRIPTION: UBC Occupancy x� Proposed Use: Residenrial Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumuing ivi�nanicai Eiecaicai(s'raie� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 783•75 Valuation• $ 70,000.00 Plan Review Fee: $ 509.53 State Surcharge Fee: $ 35.50 TOTAL FEE: $ 1,328.78 APPLICANT• ��erman Const.Inc. OWNER' Jeff&Andrea Fullerton � 9037 Cty.Rd 17 SE � 1270 Arbor St Delano,MN 55328 Wayzata MN 55391 TF�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MIN1�lESOTA BUII,DING CODE REQUIREI��NTS. � ��s�� APPLICANT TfEE SIGNATURE IS D BY SIGNATURE Copies: 1-File(Si,�ni�ia•es Renuired),1-Avplicant,1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1 S i t Total Fee: $ � �zS� �� Date Received: o � / � Entered By: / Permit#: C�� d' /�'p� / °� .3v CITY OF ORONO - BUII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infofmation) � THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �27f3 ��r ��. f ��r��.�� ZIP: ��3q I NAME OF OWNER: �� a �ts�-�o� PHONE: (home) 95��-�1°T 3�3�� 2'7t� �,a�,P. .�,v (work) MAILING ADDItESS: CITY: p�� ZIP; �3 CONTRACTOR: ��-� �ihs�.�- PHONE: 7�3-�72-3��3 CONTACTPERSON: "�i �t�l MOBILE� °7�3_�g�,v�� MAILING ADDRESS: 9�� P� �'� CI1'Y: �.j�c.� ZIP: �532� STATE LICENSE: # � ARCHITECT/ENGINEER:�,°o�st�.�.��. PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�(_ Land Alteration PROPOSED WORK(describe in detai�: ��}�p� I{IT�� '� � ��+�� Nl t+�ar '�I��'(�c- �P�►tVL� STORIES: J �5�� SQ.FEET OF EACH FLOOR: � NO. OF BEDROOMS: �f��ARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ `7�'�� 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 acc dance w' e approved plan. APPLICANT'S SIGNATURE: �� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 c ? , ! Sec.13.04 RIGHTS OF SCTBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or w be stored shall be as set forth in this secdon. Subd.2. InformaHoa req�dred to be gtven individual. An individual asked to supply private or confidential data conceming himself shalt be informed of: (a)the purpose and iatended use of the requested data within the collecting state agency,poli6cal subdivision,or statewide system;(b)whether he may refuse or is IegaUy required to supply the requested data;(c)any lrnown consequence azising from his supplying or refusing ro supply private or confidernial data;and(d)the identiry of oUier persons or entiries 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 secdon 13.82, subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or nronertv ta�c refund instrucdons 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 individuai who is die subject of stored private or public data on individuals shall be shown the data widiwt 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 ro him for six months thereafter unless a dispute or action pursuant to this section is pend'mg 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 authoriry may require the requesting person to pay the actual costs of maldng,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 addidonal five days within wtuch 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 conceraing himself. To exercise this right,an individual shall no6fy in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found ro be inaccivate or iacomplete and attempt w notify past recipientc 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 deternvnation of die responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating w contested cases. DATA PRIVACY A,DVISORY 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�ity of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you fumish 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 ugon request)to review private data on yourself. 6. Your full name is required to process this application or permit. � R,_ C,.��µ�� First Middle Last �n3'l Crz''Z�tt @� i�l 5'� Address �� l�t�l $53� '��.�-�-q3��ea City State Zip P6one I understand m 'ghts as stated v �� signatu v�QGriyKQV`tM� �,�� {ve- d 6 . . ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: _ �,2't O A►Z�3 02 ST. - PID: DESCRIPTION OF WORK: �,Em o r��t- 1c ��c N �rv I !3 w�n�+ �Co s�c�,� l2r�ia��S ZONING REVIEW BY: DATE APPROVID: �� •�o -a Z BUILDING REVIEW BY: DATE APPROVED: ��. �._o'Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes � No SEWER CONNECTTON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ��_�_________��___�__�____��_��.--- ZONING CHECS LIST Zoning District: �vb GN�Ib,P Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Progosed Setbacks: Front(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: Wetlan • Building Height: Def. Hgt. Peak H . Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � . . � y BUII.DING REVIEW CHECB LIST UBC: R' 3 CONSTRUCTION TYPE: V N Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $_ 7d�np p °= Inspections Required: Work Requiring Separate Permits: Site _ ,�c Plumbing Fire Hazdcover Removal _�Mechanical Water Connection Faoting Septic Sewer Connection _Zc Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �Wall Board (Mfg.) Well(State Permit) _�L Final Grading/Filling �Electrical (State Permit) Other REMARKS(IN HOUSE): . REV�W BY OTI�RS• DATE: Access: Existing New Access Approval: Date By: REI�ZARI�.S (TO BE NOTED ON PERMI�: S DATE TIME CITY OF ORONO C ED IN INSPECTION NOTIGE SCHEDULED �Z '� PERMIT NO. ��`�� COMPLETED � ADDRESS I � � O �ir I�d o- S�" � OWNER CONTR. �rY► �� TELEPHONE N0. '� �� F �� " �� DESCRIPTION �---� �` 0�NG 11 MECHANICAL RI 18 DF AV/GRADING/FIWNG ING 13 MECHANICAL FINAL 19 LAKESHORFJWETLANDS O INSULATION 24/25 WOOD BURNER/FIREPLACE 34 THEE 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 MUUNT. 21 COMPLAINT v 07 DEMO—FINAL 15 SFPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL J 10 PLUMBING FlNAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES�NO � � COMMENTS: "�u Y11lQJl,,�-L. , a j � � � ' � �O � O W � Q � W W � � a W� WORKSATISFACTORY:PRQCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AENRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTtON REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContracto ite• Inspector. WhRe CopyMspecto s flle Canary CopylSRe Notice