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Home My WebLink About2004-P07958 (Garage) ,, PERMIT C 11 Y O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07958 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: ioiii2ooa SITE ADDRESS: 1290 Arbor st Wayzata,MN 55391 PID: 10-117-23-31-0028 DESCRIPTION: Construcrion Type VN Proposed Use: Residenrial �� Census Code Permit Class: B��g Permit Type: Accessory Structures Pernut Sub-type(s): Garage-Detached DEI'AILS: Approved per resolurion#: 3040 Separate permits required: �i�n-ic�i(s'raie� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.50 TOTAL FEE: $ 916.08 APPLICANT' Owner/Self OWNER' Dean&Sherri Strewlow-Lundblad � NIN � 1290 Arbor St Wayzata,MN 55391 TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN Sf RICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMII�iTS. �, �� '.` U/i �� .'.1/✓ CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies:1-File(Si.eniturre.s ReAuired),1-Auvlicant,1-Monthlv Ret�orts,1-Assessin�, 1-Finance Page 1 r � ` . ' � � C/ Total Fee: $ ��l0, b� ��1/� �� Date Received: �o�� b Entered By: � � �Permit#: �( �� (�� C��"°� .� CITY ORONO - BiTII..DING`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 JOB SITE ADDRESS: /��1� �• ZIP: �JJ� � Will this be a Parade of Homes,Remodelers Showcase FIome or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police DepaYtment and City Council app�oval 60 days prioY to the event. Non pennitted events will not be allowed. r y"12�Z 3g'2- NAME OF OWNER:�� CC�j l�� PHONE: (home) '� - (work) �j � � MAILING ADDRESS: f 2�� - CITY: O/l� ZIP: �'�� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �� f`t�l�%�@f� PHONE: �2`" �`7� ` Z�j��, MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition ' Move RemodeUAlteration Land Alteration PROPOSED WORK(descYibe in detai�: e..�,, CO/1.�'Li�a✓i � c�s-� ,z� / � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION(egcluding land): $ �,Oz�'o � � I hereby apply for a building permit and I aclrnowledge 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 pernut 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: �� ' R,� , ' � ., + Sea13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. The rlghts of iodividual on w6om t6e data is stored or to be stored shall be as set forth ln this section. Subd.2. Informal3on required to be given individual.An indtvidual asked to supply prtvate 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) w6ether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidentfal data;and(�the Identity of other persons or entlties authortzed by state or federal law to receive the data T6is requirement shall not apply when an individualls asked to supply invecttgative data,pursuant to section 13.82,subdlvision 5,to a law enforcement officer. The commisstoner of revenue mav olace the notice required under t6is subdivision in the individual income tag or uroaertv tax refund instructlons instead of on those forms. � Subd.3. Access to data by indivtdual. Upon request to a responsible authority,an individual shall be informed whether 6e is the subject of stored data on individuals,and whether it is classitled as public,private or confidential. Upon his further request,an indPvidual who ts the subject of stored private or public data on tndPvlduals shall be shown the data without any charge to him and,if he destres,shall be Informed of the content and meaning of t6at data. After an indfvidual 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 W this section is pending or additional data on the individual has been collected or created. T6e responsible suthority shall provide copies of the private or public data upon request by t6e individual subJect of t6e data.T6e responsible suthority 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,wit6 any request made pursuant to thts subdivtsion,or within flve days of the date of t6e request,excluding Saturdays,Sundays and legal holldays,if immediate compliance is not possible.If he cannot comply wfith the requcst within th$t Hme,he shall so inform the tndivldual,and may have an additional five days w[thin which to comply with the request,excluding Saturdays,Sundays and legal holldays. . Subd.4. Procedure when data is not accurate or complete. An indivldual may contest t6e accuracy or completeness of public or private data concerning himself. To egerctse this rIg6t,an lndlvidual shall notify in wrtting the responsible authority describing the nature of the disagreement T6e responsible sut6ority shall within 30 days efther: (a)correct the data found to be inaccurate or incomplete and attempt to notlfy past recipients of inaccurate or tncomplete data,includtng recipients named by t6e individual;or(b)notlfy the ind[vidual that he believes the data to be correc4 Data in dPspute shaU be disclosed only if the individual's statement of disagreement is Included with the disclosed data. The determination of the responsible author[ty may be appealed pursuant to the provisions of the administrative procedure act relattng 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 no 'tif'ied 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 eztent 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 permi� �► ��s ��1� First Middle Last '" - �Z90 �� F�-;�� , Address �'on� , /� l�-/Id S'S.�/ % 2-�7Z-3�'7�� C1ty State Zip hone I understand my rights as tated above. Sig re r . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: �2.9a /aRC'�o2 sT PID: DESCRIPTION 4F WORK: pcs ��2A��. ZO�IPIG REVIEW BY: w-- ----------- DATE APPROYED: �' -a� - 'y BUII.,DI�i IG REY��Y BY: DAT'E APPROYED: �_ z 7- �7 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLA��t REVIEW Yes �j No SEWE�R COS�INECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE • Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZOi�TING CH�CK LIST Zoaing District: 2 R• I 3 . Fire Department: � Post Office: School District: • � Lot Area: Sq.ft. l Z. 4�05 Acres . Z°t ' Width Depth Survey Submitted: Yes No Date of Survey: Progosed Setbacks: , � � Front r��): N� Right Side: �/�-c6 Reaz (�t�rcet): 5'�� Left Side: Z i.'2_ Adjaceat Structures: r O� `Vetland: N �/; Building Height: Def. Hgt. 1 s� Peal:Hgt. ZO•'S Lot Coveraae: 1�1•� Gradino: Scaff Approval Date: "' By: Council Approval Date: Septic: Staff Apgroval Date: N(� $Y� Zoning File: # �Y'30`�� Resoludon: # Resolution Date: $ •23 'a�`( . Shoreland District: ,�►�.5 Avg. Setback: _ N/Yl Bluff Setback: �/A LocCoverage: ��{��l . Existiag Praposed Hazdcover: 0-75' . 75-250' � 250-500' -- 500-1000' --�— Hazdcover Variance Required: Yes No� Date of Council Approval: RE1�2ARKS (in house): ? , BUII.DING RE'VIEW CHECK LIST �C: �— c ' CONSTRUC'TION TYPE: vJV _ Sq Footage $Per Sq Ftg � B�sement � . . , x _ • ist Floor X � � _ . . 2nd floor x = � � Garage x = • x — TOTAL Estimated Coastruction Value: $ y 0,o0 0°� Inspections Required: `Dork Requiring Separate Permits: Site Plumbing Fire Hard�over Removal Mechanical Water Connection -� F��g Septic Sewer Coanection � � OC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other tiVall Boazd � (Mfg.) Well(State Permit) � F�� Grading/Filling Ot Electrical(State Permit) Ocher , RE1�ZA,RKS(IN HOUSE): � ' , � REV],EW BY OTHERS• DATE: -`----------------------------�_____�__ Access: Existing ' New . Access Approval: Date gy; � RENLARKS ('TO BE NO'I'ED ON PER.tiIIT):�-------------------------------------------------------- 8 �� ATE TIME ✓ CITY OF ORONO �`� CALLED IN 1 � -� 2 INSPECTION NOTICE � SCHEDULED J�-I�-�� 1�' � PERMITNO. QC3"7�5� � COMPLEfED ADDRESS '�_�� r �r�Uf�� `�� OWIdER CONTR.�'�[�11J'L2� TELEPHONE NO. �S� u(a+ ��C-�� DESCRIPTION ��I ` �/'• � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG 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 5 FINA 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC IIdSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_Id0 y COMMENTS: � W a � � O . � C'� �,-� o � � W � Q � 2 W � W � , � d W WORKSATISFACTQRY_PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTfONREQUIRED.CALLTOARRANGEACCESS. Call for the xt inspection 24 hours in advance. (952) 249-4600 OwnerlCantra r n site: Inspector. '� White CopyMspecto�s Fi Canary CopylSfte Notice