HomeMy WebLinkAbout2006-P10302 - addn/remodel/repair ' � PERMIT
�ITI�" OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p103o2
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 9/8/2006
SITE ADDRESS: 1420 Bohns Pt Rd Unit#
Wayzata,MN 55391
PID: 09-117-23-33-0003
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/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Add 12'Length to Existing Garage; Low Slope Roof,Resue Garage Doors,Add To Ex
FEE SUMMARY: Permit Fee: $ 181.25 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 186.25
APPLICANT: Owner/Self OWNER: Morrie&Maurice Wagner
� 1420 Bohns Pt Rd
Wayzata MN 55391
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.
APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all iiifor�nation)
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TH� APPLICANT IS: (circle oite) OWNER R CONTRACTOR
JOB SITE ADDRESS: ��2 d �o�n�s �o�.,,� �mo�dL ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No If}�es, a specia!event per•�nit is r•eqarir•ed lvitll Police Depnr•tment and Ciry Cozrncil a�prova(
60 days prior to the el-ent. Shuttle br�s service ivi11 be requir•ed arnless apJ�licant der�zonstr•ates
si ffrcient on-site parkirag is avnilable. A�on��errnitted evenls 1vi11 not be allotived.
NAME OF OWNER: �aul���cst J . �.•� PHONE: (home)95Z��71
l�-1 2c� i3oG.�s Po iZd. U�sn.d (work)`3S2-797 - I��l b
MAILING ADDRESS: ( 2 S 2o c,J o,�-t�-1,� CITY: �a ZIP: 5 S as�S'
f�L.�d . i''`^`� �c,`
CONTRACTOR: bw�-�-• PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: J�.exre.h t'�'c.�.�a.� A��-t- PHONE: Z 63-54 y - 3
MAILING ADDRESS: �gS9 �ls .N� CITY: V`1 p ls, r1r. ZIP: S� 2 Z
NAME: � �v�-�.� . c.,L� REGISTRATION: # / C� �C y �t
�h�s,►� G�.
TYPE OF WORK: New Home Addition _� Accessory Structure
Move Home RemodeVAlteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(descr�be i�z detain: Q 1 Z� ,,.. � r..�a.c� '�
� s l urv�. � . ��
(�� �rtS�
STORIES: � SQ.FEET OF EACH FLOOR: 5y o .
NO. OF BED1200MS: c5 GAI2AGE STALLS: ATTACH�D DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � L�. bo0�°�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confoc�mance with the ordinances and codes of the City and�vith the State Building
Code;that I understand this is not a pennit and work is not to start�vithout a permit;and that the�vork��ill be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: 9 4 ��
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Scc.13.0�1 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. [nformation required to be given individual. An individual asked to supply private or contidential data conceming himselfshall be
infonned of: (a)the purpose and intended use ofthe requested data wi[hin 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�,to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or prooerty taz retiind
instructions 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 classitied as public,private or contidentiaL Upon his furtller request,an individual who is die subject of
stored private or public data on individuals shall be sho�wi 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
mondis thereafter unless a dispute or action pursuant to this section is pending or additional daca on che individual has been collected or created. The
responsible authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible auchority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,esduding Saturdays,Sundays and legal holidays,ifimmediate 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 tive days within which to comply�vith the request,escluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complece. An individual may contest the accuracy or completeness of public or private data
concerning himselt. To e�ercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The
responsible authority shall within 30 days either (a)correct the data tound to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete dafa,induding recipients named by che 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�vith the disclosed data,
The determination of the responsible authority 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 inforn�you that your request
for a pennit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidentia( infortnation.
You are notified that:
1. The information you furnish will be used to detennine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the pernlit 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 NLS. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
� Cs�uh�c.� � . W 'c.�.C'��J�,.Q�.
First �tiddlc Lnst
I`� Z O �u��h.S Q O �!' � ��
.add���ss
��� ►'`�N , qSi-�g� -13y o
Cify S�ate 7_ip nhoz�e
I understand m rights as stated above.
� "��
Signaturc �
a � Q
Reset Form 32
' �HEC� O�'F i�IST FOR ISSUANCE OF PE��'fITS
FOR OFFICE USE NLY
A.D
DRESS OR LEuAL: i /.�a 1�s �'°�"'T
PID:
JDESCRLPTION OF WOR.K: �2 �/�� �e� o�r� �=z � s nr.�� �0�l�4-��
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ZOY.�i IG REVTE�V BY: `--- — --------- pATE APPROVED: �C-q8 'O�
SUILDING REV7EtiV BY: . . DA.TE APPROVED: s-8-0.�
FEES TO BE CHARGED: Misc, Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEtiV � Yes _� No SEtiVE.R CONNECTION
STATE SURCHARGE Yes _�� No �VATERCONNEC`TION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes I`Zo �� STTEINSPECTION
Number of SAC�Uruts OTHER (specify)
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ZONi�i IG CIIE.CK. LTST Zaning Districr. �J� CFf'�'�1'� .
Fire Departmenc: Post Office: Sc ool District: �
Lot Area: Sq.ft. Acres Width Depch
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front(Lake): Ri�t Side: ,
Rear(Street}: L�f:Side:
Adjaceot Structt!res: �Ve and:
Buil�lin� Height: Dei. Hgt, eak Hgt.
Lot Covera�e:
Grading: Scaff Approval �ate: B;: Council Approval Date: '
Sepcic: Stafc Approval Date: �Y�
Zoain� File: � Resolution: � Resoludon Da:e:
Shoreland District: I�ot Coverage:
Av;. Setback: Bluff Secback:
E�iscing Proposed
H�dcover: 0-75'
75-250'
2�0-50C'
soo-i�c��
rr .� ,_ �� • o n�� ��-ed: :''es :�`o n�;� nF Co�!ncil A ��vz:
na:�cc•�,.� ��:�.cc.. .,� � - PP'-
, � _ # �nS�3C� �'2-�7-oZ
F.EtiL�,R��S (in house): �?.� �9�-
BUILDING REVIEti� CHECK LIST
�C� � � 3 � CONSTRUCTION TYPE: �(r/V
Sq Footage $ Per Sq Ftg
Basement � , X _
lst FIQor z � _ .
2nd Floor x ^ .
Garaoe x V
z —
TOTAL
Estimated Coastruction'vaIue: $1 � p� °U
Inspections Required: `Vork Reqviring Separate Pecmits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Coaaection
Footing � Septic Sewer Connection
� _�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (Scate Perm.it)
—�F�� Grading/Fillin� _� Electrical (State Permit)
O ther
REMARKS (IN HOUSE): - - --
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REV��V BY OTHERS: DATE:
Access: Existing New .
Access Approval: Date gY:
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REI�LARKS (,'TO 3E NQ'I'E� �v PEF.�I�lI'�:
8
� � � -�
�� �� /�DATE, � TIME
CITY OF ORONO CALLED IN O� �UL ,�d
INSPECTION TICE SCHEDULED
PERMIT NO. l COMPLETED
ADDRESS a-o �-+ f ""��
OWNER �- ��CONTR.
TELEPHONE NO. (��o� ��� �sJ�--
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� �RAMIN�_� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
;� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-46�0
OwnerlContr s e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice