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Home My WebLink About2005-P08725 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po8725 Crystal��say, Minnesota 55323 Permit Type: Addition/RemodeURepair� , (952) 249-4600 Date Issued: ��S�I�12/2005 � SITE ADDRESS: 1520 Bohns Point Rd Unit# Wayzata,MN 55391 P I D: 09-117-23-3 3-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/RemodeURepair Pem,it Sub-type(s): Building Undefined YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Fireplace Mantels&Spiral Staircase FEE SUMMARY: Permit Fee: $ g3.25 Valuation: $ 2,200.00 State Surcharge Fee: $ 1.10 TOTAL FEE: $ 84.35 � APPLICANT: MIHM Custom Homes Inc. OWNER: Fred&Senya Colen 842 Ivy Lane 1520 Bohns Point Rd Eagan,MN 55123 � Wayzata,MN 55391 THE UNDERS[GNED 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. � �� C.�-� f� ` � ` APPLICANT PERMITEE SIGNATURI; ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l � PERMIT � CiTY OF ORONO 2750 Kelley`Parkway- PO Box 66 Permit Number: P08725 C I,-`� 1 Cryst�!. Bay, Minnesota 55323 Permit Type: Minor A tions (952) 249-4600 Date Issued: 5/12/2005 SITE ADDRESS: 1520 Bohns Point Rd Wayzata,MN 55391 PID: 09-117-23-33-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 349.25 Valuation: $ 22,000.00 State Surcharge Fee: $ 11.00 TOTAL FEE: $ 360.25 APPLICANT: MIHM Custom Homes Inc. OWNER: David&Jodi Dalvey � 842 Ivy Lane 1520 Bohn�oint Rd �'��'l'`� Eagan,MN 55123 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. :"et/- � �. //� '/�j / 1 r `.-� �� L �.'/l� G� / APPLICANT EE SIGNATURE TSSUED BY SIGNATURE � Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � � ,� � � �/ / i_ Total Fee: $ � ��° ' Date Received:_ � 1 ZI �-'� Entered By: Permit#: />::.J(��,� S CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforhzation) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O � Ol\TTRACTO� JOBSITEADDRESS: �SZ� �o�'�'� vU��/> ZIP: a`�.�39� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO If yes, a special event pe�•mit is required with Police Department and City Council approval 60 days priar to the event. Shuttle bzrs se�vice will be required z�nless applicant demonstrates sufficient orz-site parking is available. Non�ernzitted events will not be allowed. NAME OF OWNER: ��'ED -�`-��✓y� CTv,LE,� PHONE: (home) (work) MA,ILINGADDRESS: /S�o �h'�' ��> CITY: �� ZIP• s�s 3�� CONTR.ACTOR: �//�M C��.rT�m �.nF� PHONE: �5�- E��-5'73 7 CONTACTPERSON: %o� /�'Ii�/r�'J MOBILE/PAGER; �iz .�so� ��Sv MAILING ADDRESS: �� v �A�E CITY: E�I F�� M N ZIP: S"s�z 3 STATE LICENSE: # ��3�' EXPIRATION DATE: o} �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home RemodeUAlteration ✓ PROPOSED WORK(describe in detai�: s�E�c qc� � ��C��-� /L1,�,�;E�f A�/v ,4vo A s P��z�� s-»,��°,�f� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �a�po. ou 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 SIGNATUREC� �� i�`y �'�� DATE: S-/Z—C�5'� 31 , i� � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is srored 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 private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting sta[e agency,political subdivision,or statewide system;(b) whether he may refuse or is legaily 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 tequirement shall not apply when an individual is asked to supply investigative da[a,pursuan[to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or propertv tax refund instructions ins[ead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infoRned whether he is the subject of stored data on individuals,and whether it is classified as publiq private or confidential. Upon his fiu-ther reques[,an individual who is the subject of stored private or public data on individuals shall be shown the data witllout any charge to him and,if he desices,shall be informed of the content and meaning of that da[a. After an individual has been shown the pnvate data and informed of its meaning,the data need not be disclosed[o him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the pnvate or pubfic data upon request by 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 within five days of the date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request within that time,he shall so inform the individual,and may have an additiona]five days within which to comply wi[h the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete.An individual may contest[he accuracy or completeness ofpublic or private data concerning himsel£ To exercise this right,an individua]shall notify in writing the responsible authority describing the nature of the disagreemenL The responsible authority shal]within 30 days either (a)con�ect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,i�cluding recipients named by the individual;or(b)notify the individual that he believes[he data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed 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 infornz you that your request for a permit or license from the City of Orono or any of its deparhnents may require you to fumish certain private or confidential information. You are notified that: 1. The information you furnish wili be used to determine your qualification for the perniit 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 infornlation may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your fuli name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature 32 ..� . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE NLY � ADDRESSORLEGAL: � �Zv /,�vl�,� a�,,,�►— PID: _ DESCRIPTION OF WORK: SA��+-( -s��/t-s -r (t.�'YJ c�+-ec c�.�/'�c� v�� ZO�G REVIE�V BY: / DATE APPROVED: BUII.DING REVIE�V BY: DATE APPROVED: S"- l Z - a� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/ No PLAN REVIEW � Yes No t/ SEWER C0�INECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- ZOYI�tG CI-�CK LIST Zoning District: /Ud C�-/�¢,r�t�Q � ri Fire Department: Post O�ce: School Dis[rict: Lot Area: Sq.ft. Acres Widch Depth Survey Submitted: Yes IVo Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Ad;acent Structures: Vetland: Buildin; HeiGht: Def. Hgt. Peal:Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolu[ion Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting Proposed Hazdcover: 0-75' 75-250' 2�0-500' 500-1Q00' Hazdcover Variance Required: Yes No Date of Council Approval: RE1�iARKS (in house): 7 • !1�"' BUILDING REV�W CHECK LIST �C� �" � CONSTRUCTION TYPE: �1N Sq Foota;e $ Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x = R - TOTAL Estimated Construction Value: $ 2 Z.,v c�a �=— Inspections Required: �Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing � Septic Sewer Connection _�_ Framing Fireplace Lawn Irriga[ion ��OII (Masonry) Other Wall Board (Mfg.� Weil (State Permit) �F�� Grading/Filling Electrical (State Permit) Other RENIARKS (IN HOUSE): ----------------------------------------------------------------------------------------------------------- RE'VIE`V BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date BY: -------------------------------------------------------------- REI�LA.RKS (TO BE NOTED ON PERivII'1�: 8 � � �� CITY OF ORONO CALLED IN �,��(,� TIME INSPECTION NOnTICE c SCHEDULED � � a PERMIT NO. Y��7 COMPLETED ADDRESSI�o C� I�J �'f�i�1 S / � /� OWNER CONTR.�J�/y� C�t.c-�j� TELEPHONE NO.IO �� -��I "" /CD LU e7 1��`�'� � DESCRIPTION V—��_��X. �" ��/►' (J� I � 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SE TIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO �Q�// � COMMENTS: Po � 6 � �" �Y j � � t � � � � O � • ~ � Q � �1 �� ^ 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�0 OwnerlContra�tor 't : Inspector. White Copyllnspector's File Canary Copy/Site Notice �,� �3- � � T��j � TIME " CITY OF ORONO �� CALLED IN ��v`/ INSPECTION NOT E SCHEDULED o�`� � ; �> PERMIT N0. � COMPLETED ADDRESS � � �� L-��°-� � " � OWNER CONTR. N�l�'YI I�r�C ZLS-J TELEPHONE NO. �'l�, �- �1 --Q�r�� "`�,-�� y �� ^ `� � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 = 09 PLUMBING RI 23 SEPT}C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w 0. � � O a � O � W � Q � Z W � W � � GW �RKSATISFACTORY:PROCEED C7 PROJECTCOMPLETE � �Cl CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor�Qn�te: � �c Inspector_ �� White Copyllnspector's File Canary CopylSite Notice