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HomeMy WebLinkAbout2005-P09247 (Remodel) � PERMIT �CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P09247 Crystal Bay, Minnesota 55323 P21'1111t Type: Addition/RemodeURepair (952) 249-4600 Date Issued: l0/11/2005 SITE ADDRESS: 1424 Baldur Park Road Unit# Wayzata,MN 55391 PID: 08-117-23-34-0013 DESCRIPTION: UBC Occupancy R3 Consriuction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Add cedar wrap to windows,stonework&columns to roof FEE SUMMARY: Permit Fee: $ ll 1.25 valuation: $ 5,000.00 Plan Review Fee: $ 7231 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 186.06 APPLICANT: Matrix Home Improvements, Inc. OWNER: R Rohrer 10550 County Road 81 Suite 102 1424 Baldur Park Rd Maple Grove, MN 55369 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. � i � . � ' , � :� � � � ) . G,; r �e , � APp�.ICANT PE EE SIGNATURE ISSUED BY SIGNATURE � u Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � 09/20I2065 01: 49 7634788611 MATRIX INC PAGE 02 . C'�'� ���b � D ll 1�6.b(� T�tal.Fee: $ � Date Reccived: 4-�o�D,� Entered By: _... Permit#: �t ' o9aY� CITY OF ORONO - BLJ.ILDINC PERM�T APPLr�ATt�N All inform�ation must be subr�nitted in full before plan review will be started. (plea,ce print n/1 information) THE APPLICA�iT IS: (circle n,:e) OW.NER 4R ONT a�Tni�a. JOB SITE ADDRESS: �(�l�''� '�J�I C��J` P�r � 1'�CJ� 7TP: S S 3�� Will t�is b� �Paradc o�P Home.g,Remodelcrs �howcase Home o.r ot6er Display.Home? ❑ YeS �Np l,fycs, a,speeral even�pe+•nait.is r•equfred wilh Pollce Depar�menJ qrrd City Cor�n��i arnr���Q� (D d�Lvs prio�'to llrr?r.vvn► ,Shr�tll�bi�s.cart�ies�ri//he reqPail•cd in9les.p qppJiea�v d�:rrrvri�•lrulc,�� su�cienl on-sire no��king is availphle. Non-pe�•milted e�:enls i�Jil!not he�r/lmved NAMT Ok'OWN.ER: Kic)( �D��f e�I Sonyv� �I UTC�1h�Pn pHONE: (home) Q�a' ��i-�18 (work) � ��-1- �W�� MATLiN�ann�2Ess: SU►�n� as �o� �ITY: zrn: C4NTRACTOR: � '`a►�'t�x �10m�. �m�r pd�w�����,r�, PHONF.: 763_4��5� �5�)d CONTACT PERSON: �c.1�C MOX3�LE/PAGER: 7��- a3 .. ?q�� MAiia�NG ADDRESS: 6 5 b c� Fsl �ZTy; �e ��, e ; 3 6q STATE T.TCENSE: # aCi3 $a� '3� EXPIRATION DATE: 3l 0 ARCHITECTIENGINEER: N�c�t`w .l'IION�: MAILINC ADDRESS: CITY TIP: NAME: . , _.RFGISTRATION: # TY.P..F OF WORK: New Addition ncc s ry Sh�ucturc Move Home liemodel/Altcration � PRdPOSP�b ORK(desc�ibe ' de�ai : qUe�� C� � vJ(ti 5 �o w��o+,� t S �W ��l. 0 (or�� � Q � ex � 1 (�0� STORIFS: � � SQ.FEET OF LACH FLOOR: �iti I U b� NO. OF SEDROOMS: . C•ARAGE STALLS: ATTACHEn DETACHED ESTIMATFP CON5TRUCT.ION VAL T�ON(excluding Ia.ud): $ rj, (�O U [hereby apply for 1 building permit and I know edge that ihe infonnation above is camplete and accurate; ihat the work will be in conformanee wi the or inan,ces and codes of the City and wilh the State Building CuciC;lha��I,underst�nd Chis is not a pe �t and rk is not to start without a permi.t;and that the work wil l be in accordancc with the a.pprovcd.plan. APPLICANT'S SIGNATUR;�: DATE• q �O �S 31 � CHECK OFF LIST FOR ISSUAl�tCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /�/Z y (�/�c-or�2 �iM.�� �� PID: DESCRIPTION OF WORK: �,r,� �,,,�uc t wi,�ve� .r,�ss�.�f -� Ne•,� �asr Z0�1P1G REVIEW BY: DATE APPROVED: �r-3o-o �' BUII�DIti G REVIE`V BY: DATE APPROVED: 4 • 3� -a3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes v No SEWER COi�iVECTTON STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ Z0�1I�1G CH�CK LIST Zoning District: Fire Department: Post Office: School Dis[rict: Lot Area: Sc.ft. Acres Width Depch Survey Submitted: Yes _�_ No Date of Survey: �� �i� Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: W dand: Building Height: Def. Hgt. Peal:Hbt. Lo[ Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av�. Setback: Bluff Setback L.otCoverase: Ezisting Proposed V Hardcover: 0-75' 7�-250' 2�Q-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REiL1ARKS (in house): � BUILDING REVIE`V CHECK LIST �C� f2 � � CONSTRUCTTON TYPE: V� Sq Fooca;e $ Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x _ Garage R _ z — TOTAL Estimated Construction Value: $ s,00� �-� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �Footing ` Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg,) Well (State Perm.it) '� F�� Grading/Filling Electrical (State Permit) Other RENIARKS (IN HOUSE): � � -------------------------------------------------------------------------------------------------------------------- RE'VIEW BY OTHERS: DAT'E: Access: Existing New Access Approval: Date gy; -------------------------------------------------------------------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERi�II'I'): 8 , 09/20/2065 01:49 7634788611 MATRIX INC PAGE 63 $Cc.1.3.04 RiGHTS O�SURIAt"TS OF DATh Snhd 1 Tyr�oFdato. Thc ri�hlc of individuol on whmm tlx����i�nWicJ V�'lu lic 9(0(CO Sb111 bC 05 3C('I'01'lh in[hi5 90CL�0�. Suhd,2. Infonnation required lo ho�ivcn individuaL An individnal asked ro surrly pnvate orconfidential dat�concerning himselfsh�ll be intormad qf; (a)the purpesc and intended usc af[he requestcd Aata within thc c�lle.r.rin�otare agency,p�litical cubdi�i�ion,o�sUtkcwi�q systcl'u,(1�) whcrl�er he mcry rcfusc or is lagully rcquired ro supply�l�c requested dnta;(c)sny known consequcmcc�risin�from his supplying orreFusing t�supply privntc or Cppf idenfial data;and(d)lhe idcntiry�ro(htlr per.sc�na oP enlitics¢uthpCi7.Cd by stttteor federal lawtn recelve thc dt�ts,This rcquircmenl shall nacapply whan tm individual is askod to supp)y inveatigative data,purvuanS TO 50CLion 13,R2.Subdivision 5,lo:l fnw cnfpicemem�fflCet. Thc cmnmissio,ncr of rovenue mav alacc the nolicc ronuircd under this sulidivision in du individual income tnx n�_�ronetty tax refµOCl inc: cli�ns instcad of op,thoec Fonns, 5ubd.3.xccesStodurAbyindlVidunl. IlprnireqtiCsltoarcgppnSiblcouthnriry,anindividualShnllbcinformedwhcdicrlleisthosub,jcc[af s�ored da4ti on individuals.nnd whcclier it is clavsificd as publio,priv3Ce of Can�dcnti9l, Upon hia fu�;he�rcqucst,�n irldividunl who is tho suhjeCl of stored privatc nr public datu on i�id'Ividuals shnll b¢shown thc deta wifhout nny charge to him and,if h�dcsircq,sMall bc intormed oFthc contenl und mennin�ofthat dutn. Al�.cr nn indi�idunl l,as Uecn sl��w��i1��priva�e d¢m anQ Informod pr Its mcnning,tlte d�fn necd not be diA�logcd t0 him fnr gix months theranftcr un��,ss a dispu�c or action pursuant ro this secdon is pending oradditional da�a on the individual has br,�n r.�llected or aroa�cd. The responsihle aiuhority shall provide copios nf the privnte or pu�ilic deia upon request by chc individuat sufijec�of the dacn, The responsible autherity may rr.quire lhe rrqucsting person r,�pay tha aetuol costs of mukinz,rertitying,anrl rontpiling thc copiee. �fhc responsiblo authnri�,v shall camply immediatcly,ifpossible,wit]i any Pequost made pursunnt to rhis subdivision,or Wjthin tive d;i.ys o!' die dale of thc reqttesl,exaludinR Safurdvys,Sundays and Icgal holideys,i Fimmcdl�t�campliance IS not posaihlc, ff he cnnn�tcqmplv�dierequesl wllhin thattiine,he shull sa info�m thc individuRl.and mny l�ve nn�ddirional five d�ys within wblCh bo comDly wllh lhorcqucsl,excluding SeUlfdnYs, Sundaya ar�d lagal holidoy�. Su�i�1,4. Procedurowhendamisnotaccurat�arcomplete. Anindividu�IrnAycantestthenccuracyorcompletcne,csofpublicarprival�ednta cantcrninghilrlself. TocxerclSelhisriRht,snlndlv�duolshallnntifyinwriringtheres�ponait�laauthoriky�o�ar;bingthcnacureofthc�i�a���.ernent.7hc taspon9iblo authotity slixll wilhin 30 da,ys either: (n)corTeCf the doto found ta bc inaccurelte or inenmplete and¢ttcmpt to notify past recipicnca of inaccurate or incomplete data,including reeipicn�a named by nc�individu�l;or(b)notify the individual diat hc hclicves the dacs to be coRcc� nat�in dispulc shall be disclascd only if fhe individual'S slatemcnt qfdis��gteemcnt is included wi�h the discloEcd dn.t�, Thc dcicm,inacion uf�hc�cw��un>iblC authoriry may Ue appcalca pu�suxnt ta thc provisions af[hc s�dministrativc procedarc a�t rclaling to cnn[Cyi2d COSCS. D A PRIVA ADVIS 1t In Acoordanca wi,�h M.S. 13.04,Subd,2,"Rights ol'subjects of data",we would likc to inform vou tl�atyour requcst fnr n pormit or iiccnsc frc�m the Cicy uf O��uu ur r�rry uC ics depanmenes may requice you to turni9h ecrtain�rl�ate Or confidential information. Yuu nrr�wlS�cd that: I. The information you furnish will bc used to determine yc�ur qua.li'Iic:ation for the Dcrmit ar license requested. 2. You may rcfi�sc to supply daca,but refusal may rcquirc that the City deny thc�ermit or licens�. 3. The inCormation may be sha.rcd with vther local, St3te�r federal �c:ncira to the pxlcnt necessary to process thc permit or license. 4, If ypuc requcsted permli or]ieensc requires Council action[o Approvc,sqme information may beeome public. 5. You havc certain r9ghts undcr M.S. 1.3.04{availabfe upon rcquc.gt)to review private data on yourself. G. Your full name is rcquired tq proccss this applicAtion or permit. FiJ� � Mid111c 1_ngl� �'�r ee , �n5�►� ��� � �� /VIIJ �53�� �7�3-47�S�Fs�r� C��Y SMtc 7.ip Phono I undcratA d m rightcS as sta�ted nbavc. 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I PERMIT NO. �a` � COMPLETED ADDRESS ��0�� �.1���5�i�-E�" OWN ER CONT R�/t!�i�Z�YI�C TELEPHONENO. 76� T�O� ab�O�O � CRIPTION �/ / � � FOOTING 11 MECHANIC I 18 EXCAV/GRADING/FILUNG Q 02 FRAMING 13 MECHANIC FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W , C � �� � � 0 a � 0 � W � Q � z W � W � � d W� WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR G INSPECTIONREQUIRED.CAL�TOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContractor s te: Inspector. White Copyllnspector's le Canary CopylSite Notice Cj� `������ � .pAT TIME ✓ CITY OF ORO CALLED IN a � INSPECTION N TICE SCHEDULED / - ' _ PERMIT NO. COMPLETED ADDRESS �7a 7 �Q-�-�� �� � OWNER CONTR., C�1"! )C TELEPHONE NO.- �b� '7' G�O�05� � DESCRIPTION f� �Q���J� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 PLUM8ING FINAL � 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED ��OJECT COMPLETE W ❑CORRECT WORK&PROCEED � �ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner/Contractor on sit : ' Inspector. � White Copyllnspector's File Canary Copy/Site Notice