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Home My WebLink About2001-P03514 - addn/remodel/repair PERMIT CITY Qi= �RONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3si4 Crystal Bay, Minnesota 55323 P@CI'Ytlt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2isi2ooi SITE ADDRESS: 1212 Briar St WAYZATA,MN 55391 P I D: 10-117-23-31-0075 DESCRIPTION: UBC Occu�pancy R3 Construction Type VN Proposed Use: Kesidentiai Census Code 434 Permit Class: Building Permit Sub-type(s): Addn/Remodel/Repair Permit Type: Addition/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanic;ai Eieciricai �siaiej NO�'ICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 Plan Review Fee: $ 72.28 State Surcharge Fee: $ 2.50 �y'^')�. TOTAL FEE: $ 186.03 h1 1 ��1 ,;��,1; k APPLiCANT: ' ROBERT KIEMEN OWNER: R&J KIEMEN 1212 BRIAR STREET 1212 BRIAR ST WAYZATA,MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SP�CIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . -� �,; �� l��'�� J / � �J ,j �/,� APPLICANT PERMITEE SIGNATURE ISSUED B IGNATI_JRE Copies: City,Applicant,Assessor, Finance Page 1 � • J � � Total Fee:� $ �� (p- E 3 Date Received: 1 � ` L '� Entered By: C ,�f;'��,� ��'� Permit#: �� -��"� J ) J � CITY OF ORONO - BUILDING PERMIT APPLICATIOtiT All information must be submitted in full before plan review will be sta�-ted. (please print all infonnation) THE APPLICANT IS: (circle one) _ WNE R CONTRACTOR JOB SITE ADDRESS: /Z I Z ,QiL,Q`� f,� ZIP: �.��3gj- NAME OF OWNER: ,�� r�,�r��=��e,y PHONE: (home) �SZ— y7,f=�a�� (work) l�/z—7 5}i-z�� z MAILINGADDRESS: /ziL ,�i�,,��fr CITY: �.�,Q.�-� ZIP: �-�� CONTRACTOR: /ri��/./�.�,,.,u, PHONE: y 7�c��ip CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �Y/� PHONE: MAILING ADDRESS: � CITY: ZIP: NAME: REGISTRATION�# TYPE OF WORK: New Addition Accessory Stnzcture Move Remodel/Alteration _� Land Alteration PROPOSED WORK (describe in detai�: y;�,,;5 L ��,s��,�- — £/c� J,� STORIES: � SQ. FEET OF EACH FLOOR: /�� NO. OF BEDROOMS: -� GARAGE STALLS: ATT. ,�r A DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �"�ya, — I hereby apply for a building permit 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 with the approved plan. APPLICANT'S SIGNATURE: �_,s.�� DATE: _ -E., � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � .. , Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. 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 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 request�d data; (c)any known consequence arising from his supplying or retusing to supply private or confidential da[a; and(d)the identity of other pzrsons or enrities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigaa�z data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav P1ace the noac:r.quired cmder this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon r.ques[to a responsible au[horiry,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 daa withouc any charge to him and, if he desires, shal!be informed of the content and meaning of that data. After an individuat has been shown the pri�ate data and informed of iu meaning, the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pendins or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon reqi:�st by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, cerrif}in„ and compiling the copies. The responsible authority shall comply immediakly, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,exduding Satutdays,Sundays and legal hclidays, i�immediate compliance is not possible. If he cannot comply with the request within that Ume,he shall so infomt the individuai,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 conceming himself. To exercise this right, an individual shall nodf}- in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correc[d�e daha found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,indudin;recipients named by the indi�:dual; 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 ir.:tuded with the disclosed data. The determination of Ihe responsible authority ma} t�appei�i puisuant to the provisions of the administrative procedure act relating to contested cases. D�TA 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 an�- of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fumish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refu�al may require that the City deny the permit or license. 3. The information may be shared �;�ith other local, state or federal a�encies to the extent necessary to process the permit or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have certain rights under Ai.S. 13.0� (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First MiCdle Last Address Ciry State Zip Phone I understand my rights as stated above. �—�f%(—`r Signature 10 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � 2 ! Z 62 i K}�z Si PID: DESCRIPTION OF WORK: ,i( aS�V�� I=iiv�s l� ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: fV I� DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: z � - o � FEES TO BE CHARGED: Misc. Fees Calculated By: �PEI�^✓^�IIT Yes c� No PLAN REVIEW Yes r/' No SEWER CONNECTION STATE SURCHARGE Yes �No WATERCONNECT'ION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEIN5PECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: N U C /-f�f-yv q-(� �J Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Fron[ (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wet and: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: B : Council Approval Date: Septic: Staff Approval Date: B : Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback L.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: /2 " �j CONSTRUCTION TYPE: �� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ S, O�C� � 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 �Wall Board (Mfg.) Well (State Permit) �Final Grading/Filling �Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OT��RS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8 �� Iii�v v�e w..�// ,cv.s�,.� G._,�a/o.�,s _ . � � {e�< o`a+wy�u�„ �' � � � � S«.4. I � �� /Y �' l . _ � , '' i�a.r �� i �i w,,.//s w/ ,� C t o.t11' _ X , ;i ,.,,.s, ,� ��s�f:"'�,�_, �yi�...� �i � � � ,�� ,` .� � -r -��.. � ''.�3:.T � , r �4^ � � ...t": � ,! ..�_ `-- _ - , ' � d�`1. - -- --.:......_._ ___ ;' � �,•,��.�''�� "�� ,.�` +`.��:�+�,`_��J' ,� _....�....__..__....� . .. .___...._�...._ ;� -�G /( �f r r . 3aI ' '. qoot , ; �g CI�Y OF OR4N0 -- �� , �i ._ �� i '� N � ir�;p=:,�o,-, ,, - -- _. ; ,_ , ..,. ' VNiFR cov�v�t. -- �_;. L_ '! /'lI'ri' �tiR � '�'.� � � �� . , i; .i�� _ I��_ . . . ,'.I..�.. . .._ . . � . . . .. ,. . . U'.'!;CJ(16 �j !t1 '� , _ � � ., i i rJC:i9. .� �� BC� . i � `�.0 ��- , � .� ._i , tJ S�t Ci(v SfTE F�i'ALL ;? -� _ '; — pj7,OVrDETREATEL` t'L,`,.'I�i�.`�; `ivt:�.�-y '� - ,, � r r �� ,� s,`� 2 'S' .;; - /� tu�.r,� - /V1 . - r'r a O --- — ��p\ /�t�c✓Ps_r ' ----- f�u.�a� i, ------ -- -- /ziL ir.,�rsr ----- - ---- � �AD.vv —------ � �� Lu D i[/Y �Q D 0�'( '� G/9G+/1Ql�I� � /T��N.r iP.4 .— \ �� n' 6�9-.c�a��"�. Ce f i-.�li6� ------ �� " _ �7��,. s,� -!`�4`�.�0�� -- -- - -- --------- � �� s�,` _��us ��"�� "_. _ ._ _ � � -- - , F,+ � F'OR ,�� /-�urJ2 � ' ; _..1 _ COI�� :��g _; >�:,��' � DATE TIME CITY OF ORONO CALLED IN _Z�� INSPECTION TICE SCHEDULED 7-/D �3�'3 v PERMIT N0. G -� � COMPLETED � �"-0 3 . 3 ✓ ADDRESS � OWNER �Jtk�-s.-�'--�'�-' CONTR. TELEPHONE NO.�((.� `��Z7- �71.� � DESCRIPTION J ty� 01 FOOTING 11 MECHANICAL RI 18 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O a � O � W � Q h Z W � W � j d ORK SATISFACTORY:PflOCEED r' PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,- PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CA�L INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: ' � ,�2 -� Inspector. �� % White Copyllnspector's File Canary CopylSite Notice TIME CITY OF ORONO CALLED IN � /��/� INSPECTION N E SCHEDULED C? PERMIT N0. � COMPLETED � �-�U ADDRESS_ f��/,� /�� l7'� OWNER�„��,.��_CONTR. / TELEPHONE N0.��a� ��J "�� DESCRIPTION �!� c O(�� G��j\� � 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 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 FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a ��l � �� , . � �:fi�'� L--� l ; o , a � 0 ti W � Q � z W � W � j a ^ W/�,J��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contr tor on site: � i �� j z� Inspector. White Copyllnspector's File Canary Copy/Site Notice CITY OF ORONO ALLED IN ��E v� T� INSPECTION N I� _ � SCHEDULED � �L�o PERMIT NO. �� COMPLETED � � ADDRESS� �o��Z. /�/'�tit- �� OWNER_�-i-��-- CONTR. TELEPHONE NO. �.�� S � �� DESCRIPTION � 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING Q RAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � 03 IN ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � ��l�iDUORKSATISFACTORY:PROCEED �- PROJECTCOMPLETE � W [_1 CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac � : Inspector White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO � CALLED w -5-/� INSPECTION NOT CE2 SCHEDULED -- � 0 " :C�O PERMIT NO. OJ COMPLETED .d� ��.� ADDRESS _�0��02 �/'i i�r OWNER CONTR. lJG<-�� rr�U< <�c�. TELEPHONE N0. � �n� o�S�7 ��1 � � DESCRIPTION � �. �� , � 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 Z 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 Q r 9 PLUMBIN 23 SEPTIC FINAL 35 HAFD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector._1"/� �'�L �,�J�� White CopyllnspectoPs File Canary CopylSile Notice