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Home My WebLink About2004-P07031 (add/remodel/repair) PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 Po�o3i Crystal Bay, Minnesota 55323 Permit Type: Add�tion/Kemodel/Repair " (952) 249-4600 Date Issued: 2isi2oo4 SITE ADDRESS: 1525 Bay Ridge xd Wayzata,MN 55391 P I D: 10-117-23-34-0009 DESCRIPTION: UBC Occupancy u3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: 5�/G � Separate permits required: �.��ricai�s�a�ej NOTICES/REMARKS: n_�_' ..__c__._._i�__'_'..'_.__ n ____'._` .__.___c �..::LG ...... ..__. ................. .�..., .�.0...... ...... �,..,. ,... .b. .,... :�.;:, FEE SUMMARY: Permit Fee: $ 153.25 Valuation• $ 7>500.00 Plan Review Fee: $ 99.58 State Surcharge Fee: $ 4.25 TOTAL FEE: $ 257.08 APPLICANT: Owner/Self OWNER: B�b Mack MN 314 Buchanan NE Minneapolis,MN 55413 Tf�UNDERSIGNID 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 MTNNESOTA BUII.DING CODE REQUIREMF.NTS. � � � J , D,��1J.� ��.F'�k �7=1 L' �12 w�-, � ,t-Zc' APPLICANT PERMITEE SIGNATURE ISSUED[3Y SIGNATURE Copies: 1-File(Sieriintires Renuired), 1-Avplicant 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � _�`J 7 � `�� Total Fee: $ Date Receive�l: I� ��-�' ��,� Entered By: � Permit#: �� i'U?> � �i'1'�'x- —_�'"-� /G'� CITY OF ORON� - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infortnation) ------------ THE APPLICA:�T IS: (circle oite) O`VNER OR CONTRACTOR JOB SITE ADDRESS: �(��Z�,�.� � �,�-� ZIP: �"�"�� `Vill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is reqz�ired with Police Department and City Coa�ncil approva160 days prior to the event. Non permitted events will not be allowed. �� NANIE OF O`Vti'ER: 1�m� ��- �1,�� PHONE: ( ome)��3' oR(��' (work) ��—�'�3— �� NIAILING ADDRESS: �� ,Q[�G$/�/(�i�JJb( �o,,� CITY: �, P s� ZIP: _��t� CONTRACTOR: �W/��R PHONE: CONTACT PERSON: w�n,�t.,� (��-�-L.,2_�,-� �IOBILE/PAGER: �iSz- z�a- 7s�$ MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/EtiGINEER: _�.�� PHONE: MAILING ADDRESS: CITY: ZIP: NA�`IE: REGISTRATION # TYPE OF�VORK: New Accessory Structure Addidon Nlove RemodeUAlteration�_ Land Alteration PROPOSED `�'ORK(describe in detai�: C'��OR�"-f- IZt�t'L,��r= - RA�se (�-�� vcr�-, L� v wG �v,►-. STORIES: SQ. FEET OF EACH FLOOR: 1�10. OF BEDR00�1S: GARAGE STALLS: ATT. DET. ESTII�TATED CONSTRUCTION VALUATION (eYcluding land): $�_� -7� ��o`� I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate;that the work will be in conformance �tzth 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 w-ithout a pernut; and that the work w�ill be in accordance with the approved plan. APPLICAIVT'S SIGNATURE: �� n DATE: � �—�� d Q,3 � Sec.13.04 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. Information required to be given individual. An individual asked to supply private or confideatial data concerning himself shall be informed of: (a)the purpose and intended use o[the requested data within the collecting state agency,political subdivision,or statew-ide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising fmm his supplying or refusing to supply private or confidential data;and(d)the identity oCother persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to sectioo 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav lace the notice re uired under this subdivision in the individual income tax or ro ertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. lipon request to a responsible authority,ao individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or rnnfidential. Upon his(urther request,an individuai who is the subject of stored private or pubiic data on individuais shall be shown the data without any cha se to him and,(f he desires,shall be inlormed of the content and meaning of that data. After an individual has been shown the private data and informed o[its meaning,the data need not be disclosed to him for six months therea(ter unless a dispute or action pursuant to this section is pending or additional data on the individual has been coliected or created. The responsibie authority shall provide copies of the private or public data upon request b}-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 responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or N ithin fi�•e days o[the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comph w ith the requestwithin that time,he shail so inform the individual,and may have an additionai five days within which to comply with the request,excludin;Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness o(public or private data concerning himselL To exercise this right,an indi�idual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 da}�s either: (a)correct the data found to be inaccurate or incomplete aud attempt to notify p�st recipients of tnaccurate or incomplete data,including recipients named by the individual;or(b)oodf�•the individual that he believes the data to be correct, Data in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination o[the responsible authority may be appealed pursuant to the provisions o(the administrative procedure act relating to contested cases. D�TA PRIVACY AD�ZSORY In accordance�vith NI.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that}-our 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}-our 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 estent necessar�-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 NI.S. 13.04(a�•ailable upon request)to review private data on�-ourself. 6. Your fult name is required to process this application or permit. First �Iiddle � // Last /�o��l) `l 7.(1r 1 7�� Address G �/� fl�Yf P� ✓01/1'l � s� .S� ( S o� 7�S �<,7(,� j ty State Z�P Phone I understand my rights as stated above. " ,� � Signature � • CHECK OFF LIST FOR ISSUANCE OF PERNIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I S z s �3A vR�d�c: iZ�� PID: DESCRIPTION OF WORK: A�� -n ��s ZOVT�i G REVIEW BY: DATE APPROVED: �- z�d -o Y BiTII.DING REV�`� BY: DATE APPROVED: i - z� - o�{ F EES TO BE CHARGED: Misc. Fees Calculated By: PERNfIT Yes �� No PLA�Y REVIEW Yes _� No SEWER CO�INECTTON STATE SURCHARGE Yes _� No WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: L/1-//a Fire Department: Post Office: School Disuict: LotArea: Sq.ft. �?,377 Acres .�5g Width iz� Depth Survey Submitted: Yes c No Date of Survey: t l-?.8•�3 Proposed Setbacks: Front (Lake): �Zc�� t Right Side: � � � Rear (Street): I 43b� + Left Side: I�� Adjacent Structures: N��t �Vedand: N (P Building Hei;ht: Def. Hgt. c�.l� Peal:Hgt. — Lot Coverage: o •I� Grading: Staff Approval Date: N 1� By: — Council Approval Date: — Septic: Staff Approval Date: n► �/-� By: Zoning File: # ��1-2��O Resolution: # Resolution Date: /- z 6- o�-/ Shoreland District: v CS _ Avg. Setback: �ra(L�,�,,re� Bluff Setback: rv I� I.ot Coverage: e .fC ExistinQ Proposed a Hardcover: 0-75' 75-250' Z�'�� 250-500' - 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RENIARKS (in house): 7 BUII,DING REVIEtiy CHECg LIST �C' �2�3 COYSTRUCTTON TYPE: \I/ti1 _ Sq Footage $ Per Sq Ftg Basement x lst Floor x — 2nd Floor x _ Garage — z = z = TOTAL Fstimated Construction Value: $_ 7 ��o °`—' Inspections Required: `Vork Requiring Separate Permits; S ite Plumbing Fire Hardcover Removal hlechanical Water Connection � Footing � Septic Sewer Connection x Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _,�Wall Boazd (Mfg,) Well (State Permit) '� F�� Grading/Filling K Electrical (State Permit) Other RE�LARK.S(L�HOUSE): M__-�______� ---------------------------------------------------- REVIEW BY OTHERS: DA�: ____ Access: Ezisting New Access Approval: Date By: -��_-______ - - ----------------------------------------------------------- RENIA_RKS (TO BE NOTED ON PERivIIT�; 8 ur i KHL I J I � J, K.L.S. NU. 1 y� �� N � � � � � - HENNEPIN COUNTY, MINNESOTA °�� ; ��:� ,:� �� p � , Y: A� �'� V�1L �►NALY515 , . � � / � - - , - ,' ,' / � S 89°59'44" E 325.94 / � • :12J4� 69+— C 52.24 / 147.69 126.01 _ , � \_ - - - - - - - � . ��OS�- `� � / � - ' \ ` � 28.3 / ��w • - � � . / \. � ,/`ry O � / 1`, ` � \ w W / �� 'S � r�'� � � � � . ARPJR� � � �� / n / � 1.5 � ��/ � n ' l BCA�kT�pp ¢ i.a z � O�"�' hm� � . .. � °� / oR/ q � �,�,,� /„ ; � � � l i', q Y ! x ,�i �.`��?4 ' � 2 � �� 5�1. 1 .6 O �� fi`f a o �i•�0 �` /¢'?,� �C / y�! L(/d$t. 0 2�.2� r 9�f 1GfJ,�/�, tl- � 4� ,e.�e _ . op' / .. N. ••..s� - y(� � V 104.63 : �/ 126.83 — 88.51 • /�:.JLM � � JLM N fl9° '21" E 320.67 measured 320_28 RLS NO 192 / � 74+— / � �q ND�R.vGov�R- To �E �rlv,rEP (3'19 s.f) � � pr roY�d � p 1' _ ■ N�cov tiR- 1� BE P��E v c2o� s.�� , , Por+ w� �ri o�u�� . ��r�. �T �tic�-�E oF ��o s.�. pq'Pwv�,d �i�c� R-vaf _EGAL DESCRIPTION OF PREMISES: R�j`I'1OYa�S � acts I and J, Registered Land Survey No. 192, files of Registrar of Tities, • nnepin County, �Ilnnesota s survey shows the boundaries of the above described property, the (��cation of an existing �`�� ,�yt �t, ise, deck and d�iveway thereon, and the proposed location of a proposed carport. It does ��t��', �,�x� �,R��`%� purport to show any other improvements or encroachments. x f " . . �`R : r" � . Iron ma�ker ! /+ t, ; ��" FT'�.�� 1e Judicial landmark '� t��{ �� C.i'q(ZPOI�T �F'PITL{�� ,� eorings shown are based upon an ossumed datum � `�° ��` _' � .� � �.� �� '. �'� _ �_.._ � p !Y� 1� A � ,.z-_,��y �`" AT TIME � CITY OF ORONO CALLED IN �� INSPECTION N CE SCHEDULED '/� :3 D PERMIT NO. / COMPLETED ADDRESS 1525 OWNER CONTR. TELEPHONE NO. Z Z1' 7� � DESCRIPTION ��5��`�'v �/n lV 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 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: � y � ��°�.� � � 0 � � 0 � W � Q � z W � W � j d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED != 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 ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the nex in pection 24 hours in advance. (952� 249-4600 Owner/Contr si : Inspector. � White Copyllnspector's File Canary Copy/Site Notice C l " DAT TI � CITY OF ORONO CALLED IN 7/v� � INSPECTION NOTI�/� SCHEDULED --� d��:%5 PERMIT NO,�D �G' �I COMPLETED ADDRESS �� Z a ��r�� G� OWNER_/�0 � — CONTR. TELEPHONE N0. C-PI �``- �`� 7 � 9 �7 � DESCRIPTION �f� � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 SEPTI FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU YES_NO � COMM NTS: - � � - �LtQ� 0 O Y'L V^- � S S � � o �.�� Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-46�� OwnerlCont r site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO �I�� CALLED IN � -�`� INSPECTION NO�,i SCHEDULED � �-I'U'I �'� PERMIT N0. ' �U� COMPLETED ADDRESS I .z� C� /�i r-��r OWNER ` � h .�.�'��c-�L. CONTR. �-�-t- TELEPHONE N0.��v�' o�7L�' - /�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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 NOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT �ypl-fJEMO-FiNA'L "` 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z � � COMM TS: � (��:�-b� '�_ � ��r-. }- ', � W � � �1 �L �� ~ �,+� . � � O � W � Q � Z W � W � � d W� e ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspe tion 24 hours in advance. (g52) 249-46�� Owner/Contractor o Inspector. � White Copyllnspector's File . Canary Copy/Site Notice