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Home My WebLink About2004-P07181 (addition/remodel/repair � ' PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 Po�isi Crystal Bay, Minnesota 55323 Permit Type: aaa�c,o�emoae��epa�r (952) 249-4600 Date Issued: 2i�i2ooa SITE ADDRESS: 1501 Bay Ridge Rd Wayzata,MN 55391 PID: 10-117-23-34-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Yiumoin�ivlee;nanicai rirepiace iiligation niec;iricai �sia�ej NOTICES/REMARKS: T_.___J_1 __`I__'":"__ .___"__ .__"_1.___ _._-".-__"__ "_-""__i___'_ O 1 ._:_1___ .... ......_.._... _ ."... .. .............. ��v��vvv• ��iii�� --' �,......,....� ,.,,r..,,,c:,u::::;�::: ........, ..,._. :::::�::c:, FEE SUMMARY: Permit Fee: $ 923.75 Valuation: $ 90,000.00 Plan Review Fee: $ 600.53 State Surcharge Fee: $ 45.50 TOTAL FEE: $ 1,569.78 APPLICANT: Lake Country Builders OWNER: Jeff Weener Peter W. Jacobson 1501 Bay Ridbe Road 339 Second Street Wayzata MN 55391 Excelsior,MN 55331 "IT�UNDERSIGNID IID2FBY REQUESI'S PERIVIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII.DING CODE REQUIRF.MF.NTS. , (j / . Jr � . � � � �1 � � � ,.�� f��( �� ,�.,�� APP C N R ITEE SIGNATURE �� ISSUED BY 5'I ATLIRE Copies: 1-File(Sie�aitures Reauiredl. 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . Total Fee: $ ��C( � � Date Received: ��t` � I � / Entered By: j 4r) Permit#: / / ��. /C:.`� � �� "�� `'�`'r '— 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 O CONTRACTOR JOB SITE ADDRESS: ��l �� 2 ZIP: � S � / NAME OF OWNER: w 1 I [�ZTI�. �S��.�/'c.�P PHONE: (home) �52 - �7�2= 7102� (work) MAILING ADDRESS: ��Q, p� ��CITY: ZII� � �rc1Y10 CONTRACTOR: �� G7b PHONE:_ q ��_ �i�y- ��21 CONTACT PERSON: (� • MO ILE/PAGER:��2 . g�s d . p(oG� MAILING ADDRESS: �3 � 02^ ` S•fi/'-G�'�' CITY: ��c.P�Si cn ZIP: � STATE LICENSE: # '(�(� _ �p3� g�7 � ARCffiTECT/ENGINEER: �HONE: MAILING ADDRESS: ZIP: NANIE: REGISTRATION# TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: � /aC-e �� _ . STORIES: e�-- SQ. FEET OF EACH FLOOR: ��,�,� �/�jJ !'e dK�� NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET. �—� .�-� OD O / ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� _ � I hereby apply for a building pernut and I acknowledge 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 permit and work is not to start without a permit; and that the work will be in accordance wi the approved plan. APPLICANT'S SIGNATURE: DATE: `�ppy NOTE! Parade of Homes events require separate permit approval by Police Depa ent and Ciry Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infocmation required to be given individual. An individual asked to supply private or co�fidential 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 fegaUy required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidendal dara;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not appty 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 norice reauired under this subdivision in the individual income tax or orooertv 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 infortned 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 uriless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private ot public data upon request by the individual subject of the data. 'The responsible authority may require the requesting person to pay Ihe actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall 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 authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to norify 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 determinaUon of the responsible authoriry 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 �ity 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 Middle Last Address City S[ate Zip Phone I unde�stand my rights as stated above. � � �� %� , o Signature �• 6 � � . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �S O 1 �3AY Rl i�C�C CZOf4D PID: DESCRIPTION OF WORK: (Lcv�.Jr�`--Z. ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: N I 44 DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: Z• 3-v y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes �/' No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Nd c i-r n� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: � � Rear (Street): Left Side: � Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: I,ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 � • ,. BUILDING REVIEW CHECK LIST UBC: (Z' � CONSTRUCTTON TYPE: �,(I�l Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ �j O!p 00 �=� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing Septic Sewer Connection _�Framing �Fireplace _�Lawn Irrigation �Insulation (Masonry) Other _o�Wall Board _�.(Mfg.) Well (State Permit) _�Final Grading/Filling �Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8 ,ue� po�Z�z. �� / �D�ATE'/�v�� TIME CITY OF ORONO CALLED IN `f INSPECTION NOTICE SCHEDULED ' 2» � PERMIT NO. �'� �� connP��E� ADDRESS /50� /�--�� '�✓/ .�c,7�_ /�ca/. OWNER CONTR. � � `' �''� TELEPHONE N0. �� - �� 3�'% ��5 � DESCRIPTION �r��'��''�`�� ly� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION� 24/25 WOOD BURNER/FIREPLACE, 34 TREE REMOVAL � G- s 04 WALL BD. 12 WATER HOOK-UP ' ""' 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W � o �'�,e�� Po�26Z � � 0 � W � Q � Z W � w � � d W WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � "O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONRE�UIRED. ALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlCo�t�k�o te: Inspector. White Copyllnspector's File Canary CopylSite Notfce