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Home My WebLink About2004-P07514 (Deck) CITY OF OR N PERMIT � � Permit Number: 2750 Kelley Parkway- PO Box 66 Po�sia Crystal Bay, Minnesota 55323 PefCTllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: �i6i2oo4 SITE ADDRESS: 1424 Baldur Park lzoad Wayzata,MN 55391 PI D: 08-117-23-34-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: 3008 Separate pernuts required: viner-�iviay nave io do renewai vanancej NOTICES/REMARKS: ^--�- -rc.i-- �---- ---��--``--�- FEE SUMMARY: Pernut Fee: $ 9�•25 Valuation: $ 3,500.00 Plan Review Fee: $ 63.18 State Surcharge Fee: $ 2.25 TOTAL FEE: $ 162.68 APPLICANT: Top Notch Builders OWNER: R Rohrer 1002 Tyler Street 1424 Baldur Park Rd Hastings,MN 55033 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. �l� ' �� .� APPLICA T PERMIT S ATURE ' ISSUED BY SIGNATURE � Conies: 1-File(Si2nitures Required). 1-Anplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 7� �I r; �- , � Total Fee: $ ��'' � ��'�� Date Received: � � �� Entered By: ,tL� " :�/l�✓ �l%;-'�- Permit#: c�i � " `-i 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: ��N �A�z� �A,��- �� ZIP: "�-�`�`� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��t�- i ��'R �p1�� PHONE: (home) (work) MAILING ADDRESS: I�12y l�Ru)r� ,Q,Q-�K �1? CITY: �a c,v�� ZIP: S�3�� I CONTRACTOR: N'i!�-i i l��h WJl?i PHONE• ��-1— ��-r� ��-� CONTACT PERSON: M��Y �-v N��-��= ��% MOBILE/PAGER:. " `` MAILING ADDRESS: ;��:o Z r r�.�%� �i CITY: '-.�s��Vy; ZIP: -S;'% :>; STATE LICENSE: # ^�-' I��t:�'7; ARCHITECT/ENGINEER: �1(i� �1�F�0��h� PHONE: 7�'�-- 2;,�-�;�)� MAILING ADDRESS: �C�"L �Y��►�5 i CITY: t}r�5"�i i�t ZIP: `:�'"� NAME: _ (��t,k� �f�GC�fit�t� REGISTRATION # TYPE OF`VORK: New Accessory Structure c� Addition Move RemodeVAlteration Land Alteration PROPOSED WORK(describe in detai�: ��4& vc�� ,;'4= �� I�G��,�,� ��.�,��icu,� �,�e�� s STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��(1 � t�� I hereby apply for a building permit and I aclrnowledge 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 pernut and work is not to start without a permit; and that the work will be in accordance with the approved plan. -�, APPLICANT'S SIGNATURE: ,GUM / IATE: �j t C Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type o[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 concerning himself shall 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 tederal 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 olace the notice reauired under this subdivision in the individual income tax or oropertv tax refund instructions�nstead 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,if he desires,shall be informed of the content and meaning of that data. After an individual 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 of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsibie authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days otthe date o[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 in(orm 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 of the 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 wrrect. Data in dispute shail 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 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. First 1liddle Last Address City State Zip Phone I understand my rights as stated above. . l � Signa re CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /yZ� f3A�� Pi41lK /� PID: DESCRIPTION OF WORK: c�� - ��,a�,c, ZO�PTG REV�W BY: ,_ DATE A.PPROVED: � ��? -a-J BUII�DI�i 1G REV�W BY: DATE APPROVED; S- Z�-u7 FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLA��1 REVIEW Yes � No SEWER CONNEC"ITON STATE SURCHARGE Yes ✓ No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CH�CK LIST Zoning District: Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes eL No Date of Survey: SeOr � � 4� Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: �Vetland: Building Hei�ht: Def. Hgt. Pealc Hgt. t Coverage: rading: Staff Approval Date: By: Council Approval Date: eptic: Staff Approval Date: By: �6 � Zoning File: # �b 6S Resolution: # ��o�3 Resolution Date: �"`�( C Shoreland District: Avg. Setback: Bluff Setback: L,ot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: NIARKS (in house): G4-cv� o,� �o�s �.�-e� 72e e.? 7 BLTa,DING REV�W CHECK LIST �C� - �'3 CONSTRUCTTON TYPE: VrJ _ Sq Footage $Per Sq Ftg Basement x _ lst Floor z = 2nd Floor z = Garage z = z — TOTAL Fstimated Construction Value: $ ,3,S 0�� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �ZC Footing ' Septic Sewer Connection �C Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Perm.it) _�C Final Grading/Filling Elecuical (State Permit) Other REMARKS(Tiv HOUSE): . - ----------------------------------------------------------- REV�W BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; _--------------------------------------------------------------- REMARKS (TO BE NOTED ON PERivII'I�: 8 . . . . . .. � 1 1 7� Z,� ,� � �T � �� S i�� d� �mN�� /i)a,�t�.��. ' I X �$ i,� . `aur 4� l��j'� , ; ; ��"� �'r�i� �� _ �'' �C��" ��EF�`T,�'� r'�i�r�'' ,• �; �;�'c��✓c� � /y1/1✓ v�'.�3`�/ � X (� i�r�ST� t��A��S � ' ,�,� �� s /�1A�iv�"7��C.�"��'� Gsr�R�,r� ��G��✓%i G�-�- � w �r� �.wdl.�es- r�.c �4r� '� ,� w�(� C�-c.Q[.. t f= lJ.�fs 4�%T'.f- ILp ve� �,ss tlOYS'TS %tc'�� C�.G. � C��'� , ��r'. � � � S�t�Ei�, ,, ' 9'S Z- z�lg- K�c,v '��. t�E y = / '�:� ;_ ,; i I I '� __ _ I�� , �''*� i ; i ,; . , 1 , ._. , _ i _ ,_ . , � . 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Area C�de Q�a . ��O � & Eachaage L TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOD URGENT RETURNED YOUR CALL Message ( � � � �.3��. j„ �,,•e + ?d 1 i" � �<-� � _�`� � � � G` Operator �� I � ✓ DATE TIME CITY OF ORONO CALLED IN r�JU INSPECTION N�TICE SCHEDULED '7 � � ��_i�___t�-V/�� PERMIT NO. C� 7.5�� COMPLETED T ADDRESS %�.X`f �a�.Cw�- �u.� /�B� OWNER �c�tJr�t/ CONTR. �� N� �� TELEPHONE NO. �O �� — -��r � � �� D ('�D�'� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 13 MECHANICAL 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 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 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 a � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED (i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�0 OwnerlContra n i : Inspector. White Copy/lnspector's File Canary CopylSite Notice DAT TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOT CE SCHEDULED 7-/�o-lJ�r -C7�� PERMIT NO. O 7 �/ COMPLETED ADDRESS_ �7 27 C��Ef`" ��/�- � OWNER CONTR. O� �'UDrC�. 6�� TELEPHONE N0. �� 0'30 7��y � DESCRIPTION ��'�.'�lL � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FIN 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 PLUM8ING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C- ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (g52) 249-46�� OwnerlCon r ' e Inspector. ' White Copyllnspector's File Canary CopylSite Notice DATE `� TIME � CITY OF ORONO CALLED IN 7-/�o�O7 INSPECTION NOTICE . / SCHEDULED �' g `�`� a:�a PERMIT NO. /�D ,75/y OMPLETED ADDRESS /�•2-y �J�G�� ' OWNER�ah-rt r' CONTR.�t��J�c� !��/S. TELEPHONE NO. �«. 3lv '�l 2J�� DESCRIPTION �Z�� W 01 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q TION 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 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 >. � O � W � Q � Z W � W � j d W� WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor it Inspector. White Copyllnspector's File Canary CopylSite Notice