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2007-P11272 (Deck)
� PERMIT CIYY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11272 Crystal Bay, Minnesota 55323 Pel'1111t Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8/2/2007 SITE ADDRESS: 1376 Baldur Park Rd Unit# Wayzata,MN 55391 PID: 08-117-23-31-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached YP DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: Deck rebuild FEE SUMMARY: Pernut Fee: $ 153.25 valuation: $ 8,000.00 Plan Review Fee: $ 99.61 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 256.86 APPLICANT: NuHome Reliable Remodeling OWNER: Harold&Sandra Wingerd 5275 Pagenkopf Rd 1376 Baldur Park Rd Maple Plain,MN 55359 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPR UEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OR T�O ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / �. �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � ' � PERMIT CI`TY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11272 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8/2/2007 SITE ADDRESS: 1376 Baldur Park Rd unit# Wayzata,MN 55391 P��: 08-117-23-31-0005 DESCRIPTION: UBC Occupancy R3 � Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Deck rebuild FEE SUMMARY: Pernut Fee: $ 153.25 Valuation: $ 8,000.00 Plan Review Fee: $ 99.61 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 256.86 APPLICANT: NuHome Reliable Remodeling OWNER: Harold&Sandra Wingerd 5275 Pagenkopf Rd 1376 Baldur Park Rd Maple Plain,MN 55359 Wayzata,MN 55391 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. _.._._..._._._ w_... . -.� �--� PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page l . . . �� n �e a.�, ,`,p� � Total Fee: $ �2�6, � Date Received: I I � Entered By: Permit#: Z CITY OF OR NO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review witl be started. (please print all irtforrriation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � ,� JOB SITE ADDRESS: � =' �v I�Ci ���-"� r��' �� ZIp; S� �� � 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 Citv Council approval 60 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates suff cient on-site parking is available. Non- ermitted events will not be allowed. NAME OF OWNER: �►� G� ��/� � � PHONE: (home) It ,� � � r (work) MAILING ADDRESS: � � 7� ��'n 1(/�W' ,G�✓�1�'Y/�ITY: � �`� ZIP: �3 cc I CONTRACTOR: N��v+^� ����� I� ��"�oO�I�` - PHONE: �ZS Z��? ,� ���U CONTACT PERSON: �c�w, !3 c,,� h e �—,� MOBIL /PAGER: �o/2- 9/�! Z�D I MAILING ADDRESS:Sz 7S �P���pK !-�c�o /' �,{ CITY:1�'�� ,�-- ���, :,, ZIP: 5;5-3 S�( STATE LICENSE: # 2_vc� 2a o �� EXPIRATION DATE:�'3 �f v�— ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD r view and permits ! PROPOSED WORK(describe in detai�: !�e L� �Q�v� �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding tand): $��� � 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 ofthe 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 Sec.13.04 RIGH1'S 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 conceming himselfshall be informed of. (a)the purpose and intended use of the requested data within the collectin�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[o receive the data. This requirement shal I 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 mav 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 ofthe private or public data upon request by the individual subject ofthe 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 ofthe request,excluding Saturdays,Sundays and legal hol idays,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 conceming himself. To exercise this right,an individual shall notih�in writing the responsible authority describing the natwe of the disagreement. The responsible authority shall within 30 days eithec (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. First Middle Last Address City State Zip Phone I understand my rights as stated above. c�� S�gnaturc ��� Reset Fom� �_"' 32 �CHEC�, pFF i.IST FOR ISSUANCE OF �'ERIYSITS �OR OFFICE USE ONLY� . ADD�tESS OR LEGAL: � 3J i� J3A I G� �� 1�� �(� PID� pESCRTP'�ION OF WORK: �1J Ki►�10 ,�-��� (?.�1P��rwv'-►�T -- ---------- ------------------ -------- -- DATE APPROVED: ZOYI�G REVZEtiV BY: ,u. � '�-�-• — DATE APPROVED; g_c - o� � . $UTLDI�IG REVIE�V BY: . . . F'EES TO BE CHARGED: Misc. Fees Calculated By: P���T Yes f No PLAN REVZEtiY � Yes �/ No SE�YER COi�INECTION STATE SURCHAR.GE Yes �/ No tiVATF�CONNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No �' SITEINSPECTION . Number of SAC�Units OTHER (specify) . �pyT��G CH�CK LIST' Zoaing Discrict: � c'��r-n� . ' Post Office; Schaol District: � Fire Department: Lot Area: Sq.ft. Acres � idth Depth Survey Submitted: Yes No Date of 5ucvey: Proposed Setbacks: � ; Front(Lake): Right Side; , Rear(5treet): Left Side: �i'�•3CPIli �'tntriiiT�.:; �jlotl Cj; J auil�lin� Heiaht: DeE, Hgt. Pe� �• - Lot Covera�e: g Council_Approval Da[e: ' Grading: Scaff Approval Date: Y� � � ( . Septic: Staff Aporov�Date: / V �Y� Resolut;oa: n esolu�ioa Date: 7oai.n� Fi1e' � -- Shorzland District: p,v;. Se[bac�,: B!�F�Setbac�: L.o:Coverz�e: �L�t�o Propased Hzcco��er: G-7�' 7�-2�0� 2�`�-����' ;CO-iC'C'�' —` ,L`�� �• `�C J=-- O: L"v'--� .—`��_�� _�: 1—?a-C•�p',2: Vzl�'.. _tiU'.i2;�. �i2� - �.��L`�a�� �.L�ho��e): SUILDING RE'VIEtiV CHECK LIST �C� �Z" � � CONSTRUCTION TYPE: �� Sq Faotaoe $Per Sq Ftg Basement � . , X = � . Ist Floar ' . � . _ . � . 2nd Flaor x = � ' � � Garage x = . z — TOTAL Estimated Coastruction Value: $ �,Ooo vo Inspections Required: FYock Requiring Separate Permits: 5 ue Plumbing Fire Hardcover Removal Mechaaical Water Coaaection _�Footing ` 5eptic 5ewer Coanectio❑ �� � �_Framing . Fireplace Lawn Irciga[ion Lasuiation (Niasonry) O[her • `Val1 Board (Mfg.) Well (State Permit) 0� Final Grading/Fi11inQ Electrical (State Permit) Other REI��RK�S (IN HOUSE): ------------------ REVIE'4V BX OTHERS: DA'I'�: Access: Exis[ing New � Access Approval: Date gy; � REI�IARKS �I'O EE NOTED ON�'E��_i'I'}: � ,�- ��TY 4F OF � ��:�:� �� ���� r ��� ' � �U l 1 1� � � I BUILuit�'G E�i1�t! PL:`.N , �_ -W . t� �7'—i' INS?ECTCf', r �- / 1�'/ Y" ` � � �� 1"���� 1 C � �ATc_�: ( -U'l Fr!+?�1iT i�l�. _ ^ � }—`v�� 4eU�—� 'OtF� ) •� --.A— � U O l i !( �, �1 ��e ! • ` .. �.F+ hi�i'f}�J�`�i:.:J i�..J�ii...i:.:i i�_:i �)N ���v JJ �� Il.t:.Y�LO I�.�pw,�1• ' r..— � �1I r . . IC� �['� ;• ^,T t� �'f' �- � ❑ k: ��RC�i-�.�':� �,�,H��v�;R;:G7�(`.f�_:,.,,..>�ED - ( /ft� �^� �/� C r�, p � ,�;�D ••C.,�,; c;a �, � ��.�'I�i i V � � l� �....J 1 tf � �V R I" 1 S ��,T;l'c ti �" � �;�• i} J�� �:�(1: Fi�,�. 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'°'...�..� ��': l ` � � \'� � .y L� C`! � — �J '� � '_.� . a g � _ ,�- � ��� �-..���� - �� - � �, 1.� c^ DAT TIME � CITY OF ORONO CALIED IN �l-� INSPECTI�N N• ICE SCHEDULED ��- � -3LZ PERMIT NO. � �7 '2 COMPLETED ADDRESS 137Cv Q�2�u�t- 0�-�- OWNER CONTR. ?Uh'1 �K�c'� TELEPHONE N0. �O�a g� 9 � �d/ � DESCRIPTION �U�rI � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ L,AKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 T ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � e o ` 'r � J�L. S �SC tA.S � � 0 � W � Q � Z W � W � � a W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr n i e: Inspector. _ White Copylinspector's Fil Canary CopylSite Notice C� ��� D E TIME ✓ CITY OF ORONO CALLED IN �� ����� INSPECTION N a SCHEDULED .��'1 � PERMIT NO. �� `�'��OMPLETED ADDRESS �� �" OWNER CONTR. TELEPHONE NO. � � DESCRIPTION ^ -�✓f�-- l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SE IC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: . � W C � �} '~�, _ �, �-`��.� '� o - � � � o . � W � Q � Z W � � W / � �I/ d � WORK SATISFACTORY:PROCEED G PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call f t inspection 24 hours in advance. (952� 249-4600 � OwnerlContract on s e: Inspector. � `� " �'� White Copyllnspector's File Canary Copy/Site Notice