HomeMy WebLinkAbout2007-P11099 (Building) PERMIT
CITY:OF ORONO
2.750 Kelley Parkway- PO Box 66 Permit Number: p11o99
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
7/12/2007
SITE ADDRESS: 1408 Baldur Park Rd Unit#
Wayzata,MN 5539]
PID: 08-117-23-34-0017
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Addition/Remodel/Re air Permit Sub-type(s): Addn/RemodeURepair
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required: Mechanical Electrical(state)
NOTICES/REMARKS:
Separate Permit Required to Build Deck
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: William&Kristi Anderson
MN 1408 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
MWNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 3
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Total Fee: $.5� ,(�� Date Received: � ��� /Cf
Entered By: ��YY� Permit#: ,f - r
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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)� .tJWNER 0�CONTRACTOR
JOB SITE ADDRESS: i r�6 a �a j�/ ��;- �y �� ZIP: .55 39�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ yes-�10 If yes, 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
sufficient on-site parking is available. Non-permitted events will not be allowed
NAME OF OWNER: .�� �1 Y- ��,5� � �C�;Scn PHONE: (home) 4��-�7 �O(�o�
(work)w�d. �y�t- So-7�
MAILING ADDRESS: S�'� CITY: ZIP:
CONTRACTOR �St� � PHONE:
CONTACT PERSON: �' j� ��!c��;�n MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home �Additio Accessory Structure
Move Home �e�Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�: i'Z����l�J �o k 3o X G ' S�i,��t,,rr ' t,,J� ' �,�+�i��
(,�Op4� ��v< � ovc� �Gi'� a�" 1 S�' r! ��c� mc c���i-. (O X I(t`�
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS:�- vARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��0 L���
�
1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confarmance 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 wark will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: =�C..���1��_ � DATE: � o
31
Sec13.04 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. ]nformation 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 confidential 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 investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or propertv 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 contidentiaL 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,shail be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,[he 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 shal I 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 public or private data
concerning 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 notity past recipienu of
inaccurate or incomplete daCa,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 PRTVACY 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.
?. 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 MS. 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.
.�i� �,C�.,��
Signature �
,� o- ...,,r. �,
z.. -,
•' Reset Form ��€ 32
«���r �,,.���3_ ,'�;�;�r�
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
OR FF C USE Y �/
ADDRESS OR LEGAL: ���� � ������ �/6'
PID:
DESCRIPTION OF WORK: J 1 �? �� �'fi i:?i ' '
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ZONING REVIEW BY.• r''I ���'�/`�� i �� DATEAPPROVED: ���'i "e '�.,t ��' �
BUILDING REVIEW BY.• DATEAPPROVED: 6 • Zc• 61
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN R�VIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No _/ SITE INSPECTION
Nzrmber of SAC Units OTHER (spec�)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning Distr•ict: L-�1�G
Fire Depar•tirrent: Post Offrce: School District:
Lot Area: Sq ft. I�(O�l Z Acres � - �� Width ��• � Depth
Si�rvey Saibnzittect: 1'es �( No Date of Si�rvey: L� ` �'J �� l
Pr•oposed Setbacks: , —7 , �
Front(Lake): � / Rrght Side: � ��
Rear(Street): Laff-Side: � U /
Adjacent Str�zrcterres: Wetland:
�ci�i�rv1�� �
Building F/eight: Def. Hgt. � � Peak Hgt.
Lot Coverage:�f I-c
Grading: Staff'Approval Date: Bv: Council Approval Date:
Septic: Staff�Ipprova!Date: (V 1�_ By: �
I '
Zoizirrg Fi/e: # Resolution: � Resolutio�z Date:
Shoreland District. MCWD Permit:
.=1cg. Setback: !3h ff Setbnc%: Lot Coverage:
Existing Proposed
Hnrdconer: 0-7.i'
7�-Z.iO'
250-.i 00'
sno-�000�
I-fardcover l�ariance Requii�ed: }es �Vo� Date of Council.9ppi�oval:
REMARKS(in ltouse):
33
- .
B UILDING REVIEW CHECK LIST
UBC: 2� 3 CONSTRUCTIONTYPE: �lAI
Sg Footage $Per Sq Ftg
Basement x =
1 st Floor x —
?nd Floor x =
Garage x =
x =
TOT,�L
Estiniated Constr�ictiotr Valice: $ Z�,o n o °°
Lispectio�is Required: 6i'ork Requiriirg Sepnrate Permits:
Site Plu��rbing Fire
Hardcover Renrova! �,_Nlechanical Yt�ater•Connection
_�Footing Septic Selvej•Connection
�Fr•ar�iing Fireplace Lmvn Ir•rigation
_�( Insz�latron (Mnson�y) Other•
YVall Board (tLlfg.) Well(State Permit)
�C Final Grading/Filling L Electr•ica/(State Permit)
Othe��
REMARKS(INHOUSE):
----------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
�l ccess: Exrsting New
�I ccess.4ppr•oval: Date 6y.•
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� REMARKS(TO BE NOTED ON PERMIT): �'c P/�M� I���T � '7'� B��l�
�-�
3a
Proposed, Surr�r�ner 200� -
it- Ptv°v�/3.l L-'7�y�.+e,c/t.t.'� fo��.r�/JA.�e-� arJ
Re-buiid 10'x30'6" structure with upper level approximately 10'x18' _ P�,�,��ti (t,.,a�,c l3b,�, 3 -2 x�z-
, � � � � , :� • F � w �T�i �� A►t ws �F;o t�.,rv�h-no^►
Replace � x20 deck with 8 x20 patio � �':3
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6" [�r?f.r�3. �-;�_:G F-;;
4" IVi;=�X. O;�'c�:��Ji!�CUS
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BUtLDING PE ",i iT r-l.F.:� F���" �
MSPECTOR_ 3O�
OATE—St_�b•� ;,,�-:r,:�r�:�._ 32"6'
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T�&:Ci'fi!.�.} �i P iCi�D:i!'! . .]�?;l �:�+ C��a a..:f��1B�Xle' �E� A s�Q�LI. Qv��'TO��_�
Itl fUii C^'T.":�`..(.v.. Y?!i:: i1�1 2?��i,.�.i+r�� itl...,,1,� c.�!`j ZvG!if10 COd9. L�VR CCt � '-._' ..
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Req�ren,a;�:s i;,c!ud:cy:�cr-s nct,.��c�,;ca!;;�r�ctau in this review. C�� R��;,���rt�.t�l1E
IQEEP THJS PLAN SET ON 91TE AT ALL 71MES
Proposed, �umm�r 2007
Remove front 4season porch, install foundation, re-buiid
9'6"'x30' structure with upper level approximately 10'x18'
30'
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Pr�posed, Summer 2007 -
Remove front 4season porch, instali foundation, re-build
9'6"'x30' structure with upper level approximately 10'x18'
30'
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g 6 i P op'osed Gable
i over new upper
�Proposed 18' steel � addition
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Existin�
Gable i
West ; � Office
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Line ; 23'6" eader Pro ert
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' hereby certify th�t ihis pian, dpecftication, �
i� ar report was prepared by me or und�r rny
direct suRervisien and that I am a duly
L'scensed Profassional Engineer under the �
laws of the S4a4e of MinnoSota, �
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White Copyllnspector's File Canary CopylSite Notice
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
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White Copy/lnspector's File Canary Copy/Site Notice
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Q ❑ 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
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Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
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Inspector. � / � ~ f��
White Copyllnspector's File Canary CopylSite Notice