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Home My WebLink About2000-P02056 - addn/remodel/repair .�= � - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: � p o 2a�S Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: lilx��o SITE ADDRESS: 141 cne�yci��SeDr WAYZATA,MN 55391 P��: 36-118-23-41-0026� DESCRIPTION: Proposed Use: Residential UBC Occupancy: R3 Pcrinit Class: Building Construction'I�pe: � Permit Type: Addition/Remodel/Repair Census Code: 434 Permit Sub-type: Single Family DETAILS: Resolution#: N/A Separate permits required fo Plwnbing Eleclrical(state permit) NOTICES: F E E S U M MA RY: Permit F��: $ 492.2s Valuation: $ 35,000.00 Plan Review Fee: $ 31998 State Surcharge Fee: $ 17.50 SAC Fee: $ 0.00 Misc. Fees: $ 0.00 TOTAL FEE: $ 829.73 APPLICANT: Micnae�xaves OWNER: ROGERD �MEGaNM�Ma� f 998 Kenmore Dr 141 CHEVY CHASE DR Bloon�ington, MN 55438 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQiJESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AUREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES fLND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �, --- �. .� ;,� �—>i'L-tt�_-�! ,e-9, c,- �r� 2 <.�' APPLICANT PERMITEE SIGNATU -�-�--��UI?D BY SIGNAT[TRE t�� :%I TodaV�s Date: 1/18/00 Page 1 � � �► . Total Fee: $ � , -�-� ��C; '7'3 Date Received: � �`� �---\ Entered By: Permit#: �-� _ -�� c>,�^c� � 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: i y/ C/��c�� '/��- �r � � ZIP: S�S3 S / NAME OF OWNER: /C�f�,,,/<_ PHONE: (home) (work) MAILING ADDRESS: /yi e//t�n, ��J� CITY: �-°�7�� ZIP: Ss� �. CONTRACTOR: `�/ic�/� � , ,G.��:s PHONE: `j�� -`; ��;<� CONTACT PERSON: i��,/�� MOBILE/PAGER: MAILING ADDRESS: C�y,s' •�<,�.�.�� /� CITY: /'%v,�4..,�- ZIP: S s�y � �� STATE LICENSE: # �i�� ARCHITECT/ENGINEER: PHONE: MAILL�G ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detai�: Cl��,�.��, ' /��/� ��- -�- ��'•��"^ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �S�-`��' 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: ,r�� L� /5 5� , 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. 5 .�► � , 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. M individual asked to supply private or confidential data conceming 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 lrnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identity of other persons or enrides authorized by state or federal law ro receive the dara. 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 nlace the notice reauired under this subdivision in the individual income tax or vrocertv tax refund instrucrions instead 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 srored 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 thereafrer unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public daha upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,ceRifying,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 immedia[e compliance is not possible. If he cannot comp►y 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 authority describing[he 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 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 detemunadon of the responsible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relaang 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 fumish 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 pernut 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. ��'//a�� .��_..,.! ._ �,��y� � First Middle Last ��i�' %�� - �- �� Address ,��1�; ��,�.__1�_ ��-�- ss�s� ��- -s�sy Cih, State Zip Phone I understand my rights as stated above. �/,�� /�� — Signature 6 + � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: i y� C►��t c� a s� �R PID: DESCRIPTION OF WORK: �c �r c c�r e�v tk��J e� ZONING REVIEW BY: �(l DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: � z.2� -�,� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes <./ No PLAN REVIEW Yes �- No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /�o G�r9�,� CJ 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: Wetlan : Building Height: Def. Hgt. Peal:H t. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution 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: �� ' 3 CONSTRUCTION TYPE: V N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ 35,c�c�d `'� Inspections Required: Work Requiring Separate Permits: Site D� Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation Insulation (Masonry) Other 0� Wall Board (Mfg.) Well (State Permit) .- Final Grading/Filling o< Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARI�.S (TO BE NOTED ON PERMI'1�: 8 DATE TIME CITY OF ORONO CALLED IN �-Z �� /� 3 ` -��-� �C� U INSPECTION NO ICE SCHEDULED 2 Z , 3� PERMiT NO. b a�5 COMPLETED ' ADDRESS y � ,�—� OWNER CONTR. � ;L��- ---a TELEPHONE NO. ��Z- � 7s y� y� � DESCRIPTION ~ 11 MECHANICAL RI 18 EXCAV/GRAOING/FILLING ly� 01 FO -� C, � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 I�� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 14 SEWER HOOK-UP 06 PROGRESS Q 05 FINAL � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO o �dM�111ENTS: �, � 'f/�G�1 �� a J ' S� O � � o , � S�, �, w � � �� U - �'��l � `�-f, - . Z w � w � � d PROJECT COMPLETE W Cl WORK SATISFACTORY:PROCEED � �ORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W OCi CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT C l CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED f'STOP ORDER POSTED.CALL INSPECTOR [� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspecto��,�� r' a �� White Copyllnspector's File Canary CopylSite Notice AT TIME CITY OF ORONO CALLED IN C� INSPECTION N TICE SCHEDULED o � ' 3 �� PERMIT NO. OavS�o COMPLETED c� �l ADDRESS /`'y/ � � �� OWNER �� CONTR.�.K� A.� TELEPHONE N0. �'7� - �� `�" � DESCRIPTION �� .��% l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q � 03 INSULATIO ' 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q ti Z W � W � � d WORK SATISFACTORY:PROCEED f ' PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORAfiY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor n si . Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �-�a�V �' v �� INSPECTION NOTI ��d�EDULED � ��N°� PERMIT N COMPLETED ADDRESS � � �� %� �� OWNER Q -��-�� CONTR.��.�� -=--�-P � TELEPHONE NO. �7�� :3 97` � DESCRIPTION ��--�R �L�`�� - -��'`-� �"�/�D 1� lu 01 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W C � � O a � O � W � Q � Z w � W � j �ORK SATISFACTORY:PROCEED C PROJECT COMPLETE � -l`7 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. i_ pHOTOTAKEN INSPECTOR WILL REfURN r CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr or sit - Inspecto . White Copyllnspector's File Canary CopylSite Notice LM` - - - 72 iL r-)/ ( �! �IupJ�- � IJF-1JF�✓ n --- --3 J L -L CoT I Gam , pry--rGI.,E RJw CI -T L1F� J�Gi I -/- rra4-4bJ / L.-�,li e� -�L I C�,12 SPECIAL NOTA SEE ATTACHED SHEET FOR�r�� GQUE REQUIREMENTS BUILDINGP IM1TT PLAN REVIEW INSPECTOR_ lQ� DATE �L'Z�►'r1�j0 PERMIT NO: K ,o& APPROVED AS SUBMITTED - -- -- ❑APPROVED WITH CORRECTIONS AS NOTED fi ❑ NOT APPROV rD --- CORRECT p RESUBMIT Thcsa comments are for your information. All work shall be done in fa compiian.ce with all appticable- building and zoning cede. Rey fv7EP.IS inG1Ud?n(3 items nrt specitica!ly.noteti in this revs ew. KEEP THIS PLAN SET ON SITE AT ALL TIMES 'i �JLI.� vtJ onnKo �Y Q