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Home My WebLink About2007-P00697 (add./remod./repair) � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p11697 Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 11/28/2007 SITE ADDRESS: 3300 Carman Rd Unit# Excelsior,MN 55331 PID: 20-117-23-14-0015 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/RemodeURepair Permit Type: P DETAILS: Approved per resolution#: Separate permits requircd: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Reconfigure Master&Main Bath FEE SUMMARY: Permit Fee: $ 522.55 Valuation: $ 37,985.00 Plan Review Fee: $ 339.66 State Surcharge Fee: $ 19.00 TOTAL FEE: $ 881.21 APPLICANT: Wood Shaper LLC OWNER: .Toan Nielsen 2115 Wood Duck Tr 3300 Carman Rd Shakopee,MN 55379 Excelsior MN 55331 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 .ANT PI;RMITEE SIGNATURE UED E3Y SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 Z�o� �I� � Total Fee: $ U �� ! Date Received: /�-�� 'd7 Entered By: Permit#: �1//�q 7 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 C�R CONTRACTOR_,� _ JOB SITE ADDRESS: �'� ��Q ��j �/�i(/ � ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Y0S � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER�j-��j�r�c��t/ /Ui'C?�t Dyv PHONE: (home��-_��(- 5�� , (work) MAILING ADDRESS: CITY: �"i�p�/p ZIP: CONTRACTOR:�U G�� PHONE: ��-��'��C��f CONTACT PERSON: e e.� � .�h �MOBILE/PAGER: P�� 9 . ��y MAILING ADDRESS: 'u%� � CITY:�, � ZIP: S S,� }� STATE LICENSE: #�D��j� EXPIRATION DA E: O � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) (/ Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: (��c�,��c�v /�I�c��,2T� Gohi�✓� �=✓..r��oli,S n�vS:c�F o�hvc�S� �r� o��.�� ,c+� STORIES: _� � SQ.FEET OF EACH FLOOR: NO. OF BEDROOM�: �� GARAGE STALLS: ATTACHED � DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $��, ��Q.� � 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: DATE: � -�C�� 31 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 s[ored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply priva[e or confidential dataconcerning himselfshall 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 federal law to receive the data. This requirement shal I 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 place the notice reauired under this subdivision in the individual income tax or propertv tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,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 ofthe 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 additiona]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 ofmaking,certifying,and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. Ifhe 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 ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found[o be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomple[e 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 determination of the responsible authoriry may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY ln accordance with M.S. l 3.04,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: l. 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 Mi dle Last � Address City State Zip Phone I understand my.,rights as stated above. :' i`: �-' �� ___._.._� - , Signature / -- Reset Forn� 32 t CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: `5 j C;�C� �;F,�bvt,�-�,� �� PID: DESCRIPTION OF WORK ��'G'!��?C�� y�k �i,��,�5 ZONING REVIEW BY.• r N � Y� DATEAPPROVED: ��/y� � BUILDING REVIEW BY.• 4 ( DATEAPPROVED: /I•2f3.0'7 FEES TO BE CHARGED: Misc. Fees Calculated By: �M PERMIT Yes f No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No_� PARK FEE SAC Yes No_� SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: ~� Fire Department: Post O�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: P�•oposed Setbacks: Front (Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height• Def. Hgt. Peak Hgt. Loi Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: StaffApproval Date: �v� By:��' Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: Bluff Setback.• Lot Coverage. Existing Proposed Hardcover: 0-7.i' 75-250' 250-500' 500-1000' Hardcover i�ariance Regui��ed: Yes_ No Date of Council Appr-oval: REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: R'3 CONSTRUCTION TYPE: V�'`J Sg Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3'�,S�s �`� Inspections Required: Work Requiring Separate Permits: Site __�c 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 p� Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 ■ ■ ■■��■ k �.� . , , ■ ;� , - �1�I�.l�� L��:1�1i� l�li�-��`1�1�'�i; . �� : � ; � - �� i � . .,�,► ,�.� �� . � � ' �� ■ �� - ��i� �.��w��■�� s.........�...... '■i I� ■ I��l�� .. ;�:��IL�� I■ � � ��11�� . ' � 1 ■■ � �ii��iO��i��.:� ' , �� ..�.._��l��_� sl��u� .��r��rs��■�e■�� : �Il.�� I�1��.��■1��1l�I�■��!�� , �.■ I��ri�i��l1��.�I��e��i�l�� I■ ■��■�, �O �� E�I.�'��i ■ �� ii - - ��,l�l� ��v ��I _,_ `��ii ��li�l II■ ��:d ��■��il� � �� i� � �SI�� !�,r�l� ��■��■��iii�l�l �i��u�� , ��■�s■e■■�i�i t�i� ��'��.��.. t�i �;,■ ■ _��t��a�� i .:,�� l�� i�i■ ��ii� ��I��I��/`�i1i�i�i��i�1il�li� II��l� ■��i��o��il�� i�� ■� ;�� ._��=�� o��a _,_�� ■ �� i11JI.!,I!�iI�I��C�� i�\1�I�i ��1►�1��I�i��i�s��<��I�; ■ l,��.��l��►��! ��1��!l�d��,l�.� ��i�l��f��1�`•��I�ii�■ I�!iiii��.!�i��l�l1�ll.��■■■I��■ Il��%��►��■l��,�l��Il��■��lll�� e�c�r��u�'��■�r��i��e �■.�r��r,��!'ia� �� I�I�� I�r��l��r��;,(�ll�� W.��.��l��. Ia��C..��l�I� ��! �� I��l�..�.�.��11��1��1�l;1!■ ��c�� l��!!'�I■� ______-__ � 4.)-.! �t 1�'V �!(f f�(N.! � 1 .,- .. _ — Y //�. !p - --- - _ _ M��r { `� . •(� _ , . � . _ _. , _ .._ .--- ._� _.._ _. . -- __ __ __.__ L_ __ . . ._.:. ' � ., ' . 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OWNER CONTR.I��Y�S�,A�- �G TELEPHONE NO._ �5 Z ZGI Z ��57� � DESCRIPTION ��- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o .�; �(, S-�-� (1 S �,c O � P ��'�3 fS � �. d.�. �' � �S o -� 1CC��.� ��Cl � Q � z W � W � � � , d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V��EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN 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. �95Z� Z49-4600 OwnedContractor on s' e: Inspector. � S White Copylinspector's File Canary CopylSite Notice �� D C TIME � CITY OF ORONO CALLED IN � ��o INSPECTION Ny�TICE /� SCHEDULED - IL-1�� PERMIT NO. 1 I I�O`T� COMPLETED ADDRESS OWNER CONTR. c� � TELEPHONE N0. o� - a`� a - % � �` � / �!'1 fZP..�r��-e� � DESCRIPTION � n� � �' l � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTI �FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL � ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU• YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED • ROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP OftDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUiRED.CALI TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor�site: Inspector. ,d �J f White Copyllnspector's File Canary CopylSite Notice