HomeMy WebLinkAbout2007-P11389 (Remodel) PERMIT
CITY O.F ORONO
2750�Kr;lley Parkway- PO Box 66 Permit Number: p11389
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
9/14/2007
SITE ADDRESS: 1396 Baldur Park Rd Unit#
Wayzata,MN 55391
P��� 08-117-23-31-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Census Code 434
Permit Class: Building
Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Mechanical
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.81
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 540.06
APPLICANT: Owner/Self OWNER: Mike&Katie Schroeder
MN 1396 Baldur Park Rd
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 COLIE REQUIREMENTS.
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i APP ICANT PERM EE SIGNA RE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
(�°t-13 D �
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Total Fee: $ ��{(� � Date Received: �
Entered By: Permit#: Q/�f 34
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR
JOB SITE ADDRESS: � 3Q � K6u ZIP: �S'��_
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ 1'es � 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:. �� � � �,�,�,�(�e �2/� PHONE: (home) SZ �Hy—��7Z
(work) ��Z g�
MAILING ADDRESS:/��� �������( CITY: ;,i �:�, ZIP: � � �'- '
. �. ,
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCffiTECT/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 review and permits!
PROPOSED WORK(describe in detai�: � � - �, , �� ��
STORIES: \ SQ.FEET OF EACH FLOOR � •�- '
NO. OF BEDROOMS: �, � GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ - �
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 ordipances and codes of the City and with the State Building
Code;that I understand this is not a permit anGl work is not to start without a permit;and that the work will be
in accordance with the approved plan. %
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APPLICANT'S SIGNATURE: �' ��':� � DATE: ; C- /
���YV'2 L` � �1�.C�l S
7Q �� �5 �� 31
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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 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 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 confiden[ial data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data This requirement shal I
not apply when an individual is asked to supply imestisative 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 dassified 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 individua]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 holidays,if immediate compliance is not possible. If hc 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 aceurate or complete. An individual may contest the accuracy or completeness of public or private data
concerning himsel£ 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 disagreement is included with the disclosed data.
The determination ofthe 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. �
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SCHROEDER 13 1� �`�'I� f'�I�� N�`
��'°P��� �IA�2DCOV�R C�.LCULATION WORK,SHEET
` ' SLTl3AC1C ZU1�T�: (CITtCL� ONE) 0-7�> 75-250' 250-500' S00-1000'
�X1S 1'TNG H.�,It.nC(}VT�R TN ZONE nioRrN
A. IIouse x = S.F.
[.en�;th Width •
- - x = S.F.
-- x - S.F.
� X - S.F.
B. Garabe X _
� - S.F,
C. Di•iveway . _ x = S.F.
x = S.F.
D. Side�valk x = S.F.
x =
- — S.F.
E. Patio/Decic x _ = S.F.
— -- X = S.F.
F. Landscape _ x = S.F.
Underlain ,_____�_ x = S.F.
l3y Plastic x _
Or Fabric
— - S,F.
G. Other W Q�e� SnY�c��.S x = �_S.F.
"TOTAL�-IAItDCOVER�N ZONE - � S.F. A
TO"l'Ar PROPERTY AREA IN ZONE - 38 6 � S.F. B
A I y B 3g 7 `x 100 = .
�.�.�' %
z�xzo�o��.� ��f�r�ncov�r.rrr zorr�; �
A. House _ x = ' S.F.
Length Width
-- x = S.F.
X = S.F.
x - S.F.
B. Gar�gc X _
--- - S.F.
C. Driveway x = S.F.
• X - S.F.
D. Sidewalk ______ x = S.F.
_' X - S.F.
I:. Patio/Deck _,.� x = S.F.
-- x = S.F.
F. Landscape _ x - S.F.
Underlain X
By�'lastic X _ S.F.
Qr Fabric � - S.F.
G. Other y x = S.F.
TO'1 AL H�IRUCOVER IN ZONE - S.F. A
TOTAL,PRUPL;RTY AREA ZN Z�NE - S.F. B
A --- - B x 100 = °r��CEIV��
�i�� � � 200T
^ �ITY Q� �)RpN(1
SCNRDFO FR �.-2a_u�'
, �I��2DCOVER CALCULATION WORK,SHEET
SLT�3ACI{LONL: (CIItCL� ONE) 0-75' 75-250' 250-500' 500-1000'
�XIS 1'TNG HA�t.DC(}VT:R IN ZONE ,S`ou'Ty
A., IIouse x = S.F.
Length Width
- - X = S.F.
" ------ x - S.F.
� X = S.F.
B. Garabe X _
- — S.F.
C. Driveway x = 636 S.F.
x = S.F.
D. Side�valk x = S.F.
_ X = S.F.
E. Patio/D�ck x _ = S.F.
-- ---- x = S.F.
F. Landsca�e _ x tvond Borot Pr-S = 7 �r.p.
Underlain -------....._ x = S.F.
By Plastic X
Or F�bric
— - - S,F.
G. Other x = S.F.
'TOTAL HAItllCOVER IN ZONE - 6`/3 S,F. A
TO�AL PROPERTY AREA IN ZONE - Z�D/ S.F. B
A �' B x I00 = . 3.8/ %
PT2�POST,T� �ff1I�:1)f:OVEP.IN ZON�,
A. House x = S.F.
Length Width
' x - S.F.
x = S.F.
X - S.F.
B. G.•tr1�e X _
- S,F.
C. Driveway x = S.F.
. X - S.F.
D. Sidewalk �_` x = S.F.
^ X = s.r.
I:. Patio/Deck _T x = S.F.
-- x = S.F. �
F. Landscape _ x = S.F.
Underlain
x
By Plastic x _ S.F.
Or Fabric ^ - S.F.
G. Other . _,_ x = S.F.
TO'1 AL HARUCOVER IN ZONE - S.F. A
TOTAI,PI�UP�RTY A1tEA IN ZONE - S.F. B
A `� = B x 100 = %
� ��E��i����
aiJG 3 0 2007
' " �ITY OF ORONC)
� sc.�s�,Po�'o�;� �r=z o��-T
H�RDCOV�R CALCULATION WORKSHEET
� ' SET�3AClf ZQN�: (CIItCLL ONE) 0-75' 5-25 250-500' S00-1000'
EX1S1'TNG$�ltDC(�VP.R IN ZONE
A. IIouse
� X = I� �� S.F.
. Length Width
SI,E� , x = �3� S.F.
-- X — S.F.
- X — S.F.
B. Garabe X _
-- S.F.
c. D�����:,�dy _ X = 921 s.�.
X = S.F.
D. Sidewalk x = S.F.
__AG PRD _ X = q S.F.
E. Patio/Deck x _ _ �'� _ S.F.
O PEN PoRC N _ X = � �J I S.F.
F. Lan�dscap� �docl ►az��n4�� �� '����a�,,,f�,� x = � !� S.F.
Underlain �a�,,.,_p x = �3 S.F.
13yPlastic �u��,.5 x — I `� S,F.
Or Flbric -
G. Other Wc�d. ���,r.l.,,t S x = y� S.F.
TOTAL�-IAItDCOVER IN ZONE - 32 1 y S.F, A
TO"1 AL PROPERTY AREA IN ZONE - 6lS�Yy S.F. B
a 3Z�`� -:- B 68vY X �oo = . �/6. 46 °io
PROPOSI;I) �IAR1)COVEI�IN ZON�,
A, House x = S.F.
Length Width
_ x - S.F.
x = S.F.
X - S.F.
B. Garlge X _
- - S.F.
C. Driveway x = S.F.
• X - S.F.
D. Sidew�lk x = S.F.
— " = s.r.
E. Patio/l�eck _1 x = S.F.
-- X = S.F.
F. Landsca�e __ x - S.F.
Underlain X
IIy 2'lastic X _ S.F.
Or Fabric - S.F.
G. Other _ __ x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAI,I'IZUPERTY AREA IN Z�NE - S.F. B
A —�� - B x 100 = %
�ECEIV'�U
AUG 3 0 2007
' � ��Tv n� nR(�Nn
�� ✓� DA� '�j�� t TIME
CITY OF ORONO ALLED IN �< }�<�,�
INSPECTION N CE SCHEDULED _C���`���v � �
PERMIT NO. l 3 COMPLETED
ADDRESS � -
OWNER CONTR.
TELEPHONE NO. �,Q � � � 1- f � '
� DESCRIPTION ��T� N�� � � �--�.Y'� '
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 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED !-'� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-46��
OwnerlContr i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � �
DATE Ifl���� TIME
C CITY OF ORONO CALLED IN � �� � ,�,
INSPECTION N CE C, SCHEDULED --7��� -ii�
PERMIT NO. COMPLETED
ADDRESS �-
OWNER � �f�� ����� TR.
TELEPHONE N0. ��� ��-'� � � / � � ����
� DESCRIPTION � - �� �
� ❑ FOOTING �ECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ ECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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
� � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC INAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n xt nspection 24 hours in advance. (952� 249-460�
OwnerlCo or n i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
C+� �� T TIME V
CITY OF ORONO CALLED IN r� �
INSPECTION ICE /�. SCHEDULED 7 �
PERMIT NO. i COMPLETED
ADDRESS J � �� � l Cll-t/1 /� �'[r'�
OWNERI�� �� ,SG��I � CONTR.
TELEPHONE NO. ��� �� ! ` ����l/ � ����7
� DESCRIPTION ���'���-�( C-�C�1 % L// l ✓/�/,i'-�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING .
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECT�ON
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
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�
�
O
a
�
O
�
W
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Q
�
Z
W
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�� ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the n t inspection 24 hours in advance. (952� 249-4600
OwnedContra n ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
1�yT /�� TIME �
� CI OFORONO CALL IN � /�` _�
INSPECTION NOTICE �f SCHEDULED � � � _.��
PERMIT NO. �u �[Lg COMPLETED
ADDRESS ,�(% `��/�-C-��� �� ��'
OWNER � � (��` CONTR. �
TELEPHONE NO. ��'��' �C,�-����
� DESCRIPTION %—`/ `�� l - �`�' �J �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANiCAL FINAL ❑ LAKESHORENVETLANDS
y ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
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o � r�,/ �
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�
O
�
W
�
Q
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2
W
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W� �RKSATISFACTORY:PROCEED ROJECTCOMPLETE
W � CORRECT WORK&PROCEED [:i I SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next'nspection 24 hours in advance. (952� 249-46��
Owner/Contra� it :
, �
tnspector. �
White Copyllnspector's File Canary CoRylSite Notice