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Home My WebLink About2005-P09104 (Garage) � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09104 Crystal Bay, Minnesota 55323 Permit Type: AdditionlRemodeURepair (952) 249-4600 Date Issued: 9/8/2005 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/RemodeURepair Permit Sub-type(s): Garage-Attached YP DETAILS: Approved per resolution#: 3138 Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Attached Garage W/Master Bedroom Over Garage FEE SUMMARY: Permit Fee: $ glg��s valuation: $ 75,000.00 Plan Review Fee: $ 532.19 State Surcharge Fee: $ 37.50 TOTAL FEE: $ 1,388.44 APPLICANT: Larkin Construction OWNER: Sandy Benson 5140 Greenwood Cr 1376 Baldur Park Rd Greenwood,MN 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. �� ti...� - /f G.�..._ � � APPLIC NT PERMITEE SIGNATURE ISSUED[3Y SIGNATURE Copies: 1-File(Signa[ures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 , , �`'� ,�� ' , _ ?� o � �; Total Fee: $ � 3 S�S � �� FN Date Received: >4 C� � /C�� , Entered By: �'�� 'Vfj�'j 5 Permit#: �/Zy/v�,� �/�7l�"�S CITY OF OR�NO - BUILDING PERMIT APPLICATION All informallon must be submitted in full before plan review will be started. (ptease print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTO JOB SITE ADDRESS: �� l�Gl 'C`VY �CI�I� I�� Z�� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �NO Ijyes,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 su�cient on-site parking is available. Non permitted events will not be allawed. NAME OF OWNER: �''�G(I�G{.y P�e hSd� PHONE: (home) �I SZ'�l' 3.S - ��'�1 L (work) MAILINGADDRESS: l��i4 f3ct (C�V Y �ICI�cICITY: Grv �� ZIP: CONTRACTOR: I—l�-121�.�v� Ct9Yt`�T• PHONE: ��Z -,5��-3�7 �- 7 CONTACT PERSON: �4.v� Lp,�/'{G�� MOBILE/PAGER: 4 r,�,-c. MAILINGADDRESS: S'1 �Fo �r✓'�CN w�oc� �Y CITY: G-1"P�ytG�o ZIP: s��3 / STATE LICENSE: # G 3(0 / EXPIRATION DATE: 4 3l�G ARCHITECT/ENGINEER: CG,r� G.tqw++f N`�'� PHONE: �sl.- `7�,3,3-'�T'.S l v MAILINGADDRESS: .�"o �a C��1r5Dr�n��G� CITY: /�/Y)h�N�tG. ZIP: .5"S3�S� NAME: REGISTRATION: # TYPE OF WORK: New Addition � Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detain: /�1 W G�cvrz�.g < wt-1�► � /LlwSf�r ht'G�ro• �y, 5 c�l�t-C O ✓{r C'if�/'�c5 C ' STORIES: I �L SQ.FEET OF EACH FLOOR: 5�'� G�-Ce r�G $G o �nGI Le� � NO. OF BEDROOMS:�_ GARAGE STALLS: ATTACHED � DETACHED ESTIMATED CONSTRUCTION VALUATION(ezcluding land): S �1J� oo� i I hereby apply for a building permit and I acknowledge that the informarion 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: �/L 3l�S 31 � , Total Fee: $ Date Received: Entered By: Permit#: 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 JOB SITE ADDRESS: ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in ctetai�: STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a building pennit 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 pennit 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: 31 . - 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 shal]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 himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,po]itical 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 mav place the notice required under this subdivision in the individual income tax or pronerty 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,ifhe desires,shall be informed ofthe content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning the data need not be disclosed to him for six months thereafrer 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 shal]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 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 publ ic or private data conceming himself To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 disaereement 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 detern�ine 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. � ,�; r'1 �-t-( -� , �Ctv 1C.� V� First Middle Last ��l �o G�� n w��c�( �'�� Address �1��P/� l,(i��•c>c�� !�� (lJ -��-s�� C�tY State Zip Phone I underst�d my righ s stated above. / �' !� /�-�, ��.� L�� Signature j 32 CHECK OFF LIST FOR ISSUAl�tCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 137(� f3�(.,�:R (�rA2\� PID: DESCRIPTION OF WORK: �i4K,4�� r+�o,o� n�� ZO�tI�11G REVIE`V BY: DATE APPROVED: 4- �- o s BUILD�G REVIEW BY: DATE APPROVED: 9 _� - o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAN REVIEW Yes _� No SEWER CONiVECTION STATE SURCHARGE Yes �/ No WATERCONI�'ECTION INVESTIGATION FEE Yes No c/ PARK FEE SAC Yes No �� SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- ZONPiG CHECK LIST Zoning District: L,2-I L Fire Department: Post O�ce: School District: L,ot Area: Sc.ft. �Z,1 Z l. Acres . Z� Width Depch Survey Submitted: Yes �i _ No Date of Survey: ��- Z`i-oW Proposed Setbacks: � 5 Front (Lake): S° 56 Right Side: !'c� Rear (Street): ,N �r9 Left Side: (2 Adjacent Structures: � �} Wetland: NIA� Building Height: Def. H;t. l9�� Peal:Hgt. r Lo[ Coverage: ►S�lo Grading: Staff Approval Date: — By: Council Approval Date: — Septic: Staff Approval Date: � By: Zonin� File: # os•3i3�d Resolution: # Resolution Date: Pj • ��-�S Shoreland District: ��105 Av�. Secba� n//� Bluff Setback: r��ff LotCovera�e: i��Ia Ezistin� Proposed Hardcover: 0-7�' 3�� 32.� 7�-250' 3►.y z`�•S 2�0-500' 500-1000' Hardcover Variance Required: Yes �C No Date of Council Approval: {� �9-OS R�Ei�iARKS (in house): � BUILDING REV�`V CHECK LIST �� R- 3 co�rs�xuc�orr�E: �� Sq Footage $ Per Sq Ftg Basement x = lst Floor z _ 2nd Floor z _ Garage x = R c TOTAL Estimated Construction Value: $ 7 S�0 ae °� Inspections Required: tiVork Requiring Separate Permits: Site _�o Plumbing Fire Hardcover Removal �Mechanical Water Connection < Footing ` Septic Sewer Connection �_ Framino Fireplace Lawn Irrigation _�Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) '— F�� Grading/FIlling �Electrical (State Permit) Ocher RENIARKS (IN HOUSE): � ------------------------------------------------------------------------------------------------------- REV�W BY OTHERS: DAT'E: Access: Existin� New Access Approval: Date By; --------------------------------------------------------------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERi1�fI�: 8 - . � �,�� i;� � / DATE TIME V � CITY OF ORONO CALLED IN / - �JS INSPECTION NOT�E� SCHEDULED �('Z:�i1-[�� '� PERMIT NO. r' � coMP�ET ADDRESS ��D ,� ��C.�� :�r�k. OWNER CONTR.%,/_%�� ✓1 �UGtS� � —� TELEPHONE NO. �D �� ,/ � DESCRIPTION i�-1 "� l �� 1 FOOT 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. �952� Z49-4600 Owner/Contract it : Inspector. White Copyllnspector's Fil Canary CopylSite Notice � / DAT TIME V �/�ITY OF ORONO CALLED IN �_�� INSPECTION N�TICE SCHEDULED -�-a��`'� `' � /�/l PERMIT NO..�`� IG'`' COMPLETED ADDRESS I_3 ��' C�,k��Il��ii"I� ��c�/� OWNER CONTR. lul 1��7 ��5 f TELEPHONE N0. CE' 1�.�- S�� DESCRIPTION I��l��fi'1��'dtti{ ��l W01 FOOTING 11 MECHANICAL RI 1 18 EXCAV/GRADING/FILLING Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 IM1i3ti N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � ��. 0 � � 1� � � n " � t �. , . � � ,: � O — �{�j C '�il�l � ". (� ' r W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑Ct�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (J52� 249-4600 OwnerlContr �ite: Inspector. �`� White Copyllnspector's File Canary CopylSite Notice L� DATE TIME " CITY OF ORONO CALLED IN 3 "��k INSPECTION OTICE SCHEDULED �_ %�02' PERMIT NO. � y' � � COMPLETED .� ',� �l 3� ADDRESS � '� '' C�C� �,- �Ck-�.- OWNER ��7/1-E"�^� CONTR. , �� `�� TELEPHONE NO. ��' 3 �� 3%�7 � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING �,,,, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W LL B 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O '� l- c� � � l �- � 0 � W � Q � z W � W � j d W� ❑�{(QRK SATISFACTORY:PROCEED C� PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site• Inspector. �� Whiie Copyllnspector's File Canary CopylSite Notice