HomeMy WebLinkAbout2001-P03731 (Remodel) � ` ` ; PERMIT
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CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�31
Crystal Bay, Minnesota 55323 P@fll'llt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 6�1s�2oot
SITE ADDRESS: 1408 Baldur Park Rd
Wayzata, MN 55391
PID: 08-117-23-34-0017
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Kesidentiai
Census Code 434
Per►nit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 186.03
APPLICANT: Bill Anderson OWNER: William&Kristi Anderson
1408 Baldur Pk Rd 1408 Baldur Park Rd
Wayzata,MN 55391 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 BUIL,DING CODE REQUIREMENTS.
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�LP ICA1 RMITEE jZiRA�CURE ISSU D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ �j Date Received: `f� =�-� �/
Entered By: � Permit#: ft �' 3 73/
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CITY O �M�:ONO r r 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) OWNER R CONTRACTOR
JOB SITE ADDRESS: ��-(�g � ,r^.�-�,�{� �j�C /C.� ZIP: ���-1. 1
NAME OF OWNER:�j i� �- �,���'i� �,J(���o r� PHONE: (home) �S Z-�7(-c.7�O�
(work) �f S�Z- �'��i � S�'Cj:� j
MAILING ADDRESS: �Q�t7g ,�,q.t,��;�,� /�,�� � CITY: Z. ZIP:_ �>/
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_� Land Alteration
PROPOSED WORK(describe in detai�: ' -; � �
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� � , -� T ,� - � - - -
I�C�Q-✓Yle�t� S�Cc��'e �
STORIES: � SQ. FEET OF EACH FLOOR: %���i.cD� - /OS'b �n.d� �i.oaE- �77c.:
NO. OF BEDR00�1S: �_ GARAGE STALLS: ATT. DET.�
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $� �C���
I hereby apply for a building permit and I acl:nowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 accordan with the approved plan.
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APPLICANT'S SIGNATURE: ' DATE: �L
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
5
1 Y •
Sec.13.04 RIGATS 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 indi�idual. An indi•.�3ua1 asked to supply private or confidential data concerning himseif
shall be informed of: (a)the purpose and intended use of the requested data K-ithin the coliecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the reques:�d data; (c)any known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the idendry of other pzr,ons or entities authocized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply im estigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav alace the norice reauired ur�der rhis subdivision in the individual income tax or�rooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a respensible authoriry,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 t�z 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 shou-n the private data and informed of its meaning,the data need not be
disclosed to him for six mon[hs thereafrer unless a dispute or action pursuant tn this section is pending or additional data on the individual has been
collecred or created. The responsible authoriry shall provide copies of the pm are or public data upon request by the individual subject of the data.
The responsible au[hority may require the requesting person to pay the acn:a]costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,w i�any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holida�s, if immediate compliance is not possible. If he catuiot comply with
the request within that time, he shall so inform the individual, and may ha�e 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 compieteness of public or
private data concemutg himself. To exercise this right,an individual shall r:�rify in writing the responsible authoriry describing the nature of the
disaereement. The responsible authoriry shall within 30 days either. (a)correcc the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named b� 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 srat�ment of disagreement is included with the disclosed data.
The determinarion of the responsible authority may be appealed pe:suant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACI" �DVISORY
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 an�- 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 ma�• require that che 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 (a��ailable upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
K�15�'( � 31� ' �J- r\'1�2('S6r1
First Middle Last
I�-f�e r��,, I� u �- �1c t��
Address
�`` u.�� �`�'l�. 5S3`�i �5�3 -y11-,�L-���
City State Zip Phone
I understand my rights as stated above.
��
:��t_� h .C�,_„-,<�._._; _�.
Signature
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� . • � CHECh' OFF LIST FOR ISSUA!�CE OF PER�tifXTS
_ FOR OFFICE USE ONL.Y . � .
ADDRESSORLEGAL: 1�-t043 (3Ac.c�crz P�2K r��'^0
PTD:
DES CRLPTION OF ti'YORK: 2�n,� 5�2ti Jk�0►n �•J -
'
ZOr�'G REY�ti�%BY: D�TE APPROYED: � - � t-o�
BUILD .�i'G REVIE'SV BY: _ D�TE A.PPR4YID: � - i � - n�
FEES TO BE CIiARGED: Niisc. Fees Calculated By:
pERMIT Yes c/ No .:
pl,,p,N REVIEW Yes �/' No SES�ER CO�INECT'ION
STATE SURCHARGE Yes ✓ No ��IATERCONNECI'ION
I�,'VESTTGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
Zp�iL1IG CHE�CK LTST Zonin� Districc: .
N�o ' �
Fire Department: Post Ofuce: Sc�Qol District: • •
�
Lo[Area: Sq.fr. Acres � Width Depch
Surve,� Sub.�.itted: Yes�_ No Date of Survey: e�i✓ i=��3
Proposed Setbacks'.
Front (Lake): t 2� � Ri?ht Side: � (I �
Rear (Screet): 95' Left Side: ►O'
Adjacent Structures: t� ( V�. �Vetland: N I�A •
Buildin� Hei�ht: Def. H�t. ta 1<- Peak H�t. � •�<
I,o[ Covera�e: N u C u-�b�v�
Gradin�: Stafc Approvzl Date: gy; Council Approval Date:
�,1°� Septic: Staff Approval Da�e: By•
�� .
G� Zoaing File: � Resolution: � Resolucion Date: .
Shoreland District: u�py
Av�. Secback: Bluft Setback: LotCo�'era�e:
E���j Proposed
Hardcover: 0-7�'
7�-250' -
ti0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Aoproval:
REI�iA_RIiS (in hause):
7
� � ' �
BUII.DIl�'G REVIEW CHECK LIST
�c: 12� 3 -� co�rs�-xucTTo�r�E: �iti
Sq Footage S Per Sq Ftg
Sasement z —
lst Floor x =
2ad Floor z =
Gara�e x —
x =
TOTAL
Fstimated Construction Value: � S�o� o0
InspectiorLs Required: S�'or�;Requiring Separate Permits:
Site Plumbing " Fire
Hardcover Remo��2l Mechanical Water Connection
_� Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Board (Mfg.) Well (S[ate Pemut)
_� Final Grading/Filling �Electrical(State Pecmic)
Other
RE`�LARKS (ni t HOUSE): •
RE'VIEW BY OTHERS: � DATE:
Access: Ezistin� New
Access Approval: Date By:
RE��LA1tKS (TO BE �'OTED ON PERt'VII'1�:
8
.�Y'; ..,=• '
� �iTY a� ar�c����
� BUILDING �r'tMl" PL4��, ;=?�;�i�VV
INSPECTOR ��
. _ RONO CO
DATE b 1 c�l �r��,�i � �
_ _, , T N�.
❑ APPAOVED A U3!���"�TE�
�0'APPROVE��h'�� �GG'y'?CCTIQU3 A.^a^,pTED o��d� STA1 RS
� NOT A��RGV � ---C����iC f&�i�5U6MIT °eOk 8" M�?C. RAI`_�fl? 9" ,ti11��. TZEAD
These ccmrner,ts ars'o -c_r ir�io�r:,;:ron. AL'vroric shatl ba dong 6`-4" ,'�1!i�:. 't 'L�.Di?GC'�;
tn tufl r,ompiian,e w�h �^piic:�!� ��.i;;;��� and zoning CoCg„ �T lEAS i ON� H�;i'J;:f:r�IL RtQ'..il�ED
AeGuirencnts i�icludin;��,ms;;o;;p;-c�;;��,�/ro;ed in,his revle�t,
KEEP TH1S f'L/'g, SET ON :�ITE AT ALLTIME$ GU�ARDRAIL Oi EN SlDES
SPECI�L NOTE
SEE ATT.�►CH��D ��-IEEII"
rOR �� nw�c�.�► L
CODE R��UIREMEIVTS
SPEC[AL NOTE
SEE ATTACH�D SHEET
FO R s nn u�c,�. ��r�cto 2
CODE REQUIREMENTS
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LIVING AREA
1434 sq ft
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED - '�
PERMIT NO. b `� 3 COMPLETED — '�� � �- �
ADDRESS l�G � ��-� �-�
OWNER �►"�'��-CONTR. �'
TELEPHONE NO. �"�I` G'� �F G U�
� DESCRIPTION �_ '�-- — ���
� 01 FOOTING t t MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WdRK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
L7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra r on site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
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/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED �Z' d-o� %
PERMIT NO. COMPLETED
ADDRESS � O � c:- ���-� ��.
OWNER % �I .�t.rs((��CONTR. �
TELEPHONE NO��S��7� C��P ��
� DESCRIPTION ��,�1 � .
� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 NAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
MBING FINAL 36 FOUNDATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN ❑CITATION ISSUEO
❑STOP OR�ER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n�xt inspection 24 hours in advance. (952� 249-46��
OwnerlCon r site:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN i�
INSPECTION NOTI SCHEDULED -y�-���
PERMIT N0. ��� COMPLETED Z y=f�1 - c
ADDRESS C /���0�� �,C
OWNER `� ` CONTR.
TELEPHONE NO. � ��� ��� ^ �[1�I
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 8 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 OS FINAL 14 SEWER HOOK-UP O6 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 FOUNDAT�ON/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU: YES_NO
� � MENTS:
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W� �WORK SATISFACTORY:PROCEE ❑ PROJECT COMPLETE
W `�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-4600
OwnerlConUactor on site:
Inspector.��'��1�-�C�.-l� .c���
White Copyllnspector's File Canary CopylSite Notice