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Home My WebLink About2001-P03624 - addn/remodel/repair PERMIT C I TY �F O RO N O Permit Number: 275C� Kelley Parkway - PO Box 66 Po362a Crystal Bay, Minnesota 55323 P2ft711t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4i3i2ooi SITE ADDRESS: 1600 Bohns Point Rd WAYZATA,MN 55391 PID: i6-ii�-23-22-000i DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 18,600.00 Plan Review Fee: $ 199.68 State Surcharge Fee: $ 9.30 TOTAL FEE: $ 516.23 APPLICANT: KATHERINE TAYLOR HOME OWNER: CONNIE R SWEEN 1665 COUNTY ROAD 24 1600 BOHNS POINT RD MEDINA, MN 55356 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 CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � _ � , ��L�c� �.- � ', : /�� PPLICANT MITEESI ATU SUEDBYSIGNATURE ./ Copies: City, Applicant,Assessor,Finance Page 1 . - �;��, . � � . , � Total Fce: $ Datc Received: �... J_ �/ � Entered By: //� _ � Permit#: .�} �'3(�,�� _, . , `�/`;��i �c � ,�� CITY OF OROl�TO � 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 CONTRACTOR JOB SITE ADDRESS: ��(�('? () ,��,v j ,� ZIP: ,j�C/ � PHONE: (home) - -7�,�g NAME OF OWNER: ,[1�CJ�� ?n / (work) MAILING ADDRESS: � ITY: ��,Q�,��p ZIP: ✓r-S.�g/ CONTRACTOR: ,�/��f��/,lf� /.��Lo,Q,Y ;PHONE: 7��-�77�-/I�� CONTACT PERSON: ��J ��.d/� MOBILE/PAGER: MAILING ADDRESS: /GGS��a��/ _,�CITY: /��/u�ZIP: .�.� STATE LICENSE: # �{'�� ARCHITECT/ENGINEER �S �� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: ��.� l t STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. G�c� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, �d0. 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 e approved plan. APPLICANT'S SIGNATURE: " � �y2�� DATE: ,�•��'�� NOTE! Parade of Homes eve ts require separate permit approval by Police Department and Ciry Courzcil 60 days prior to the event. Non permitted events will not be allotived. 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 fonh in�his secrion. Subd.2. Information required to be given individual. An individual asked to supply private or confidential dara ccacerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdi�i_ion,or sratewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising frcn his supptying or refusing to supply private or confidential data;and(d)the identiry of other persons or entides authorized by state or federal la„ ;�receive ch�data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, suh?:�ision 5, to a law enforcement officer. The commissioner of revenue mav alace the norice required under this subdivision in the individual income tax or rr,oertv taz refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shal]be inform_�whether�z is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further requesc_�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.:hall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meanins.�.data need not be disdosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on thz L.dividual t�s been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individuai s.:bject of the data. The responsible authority may require the requesting person to pay the acival costs of making,certifying,and compiling th:�opies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision.e:within fice days of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he::r.not comply with the request within that time, he shall so inform the individual, and may have an additional five days within which to comF�.with thz request, excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comp:e:�ness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describi,^?the namrz of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurare or incomplete a:.'.attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that�_believes[he data to bz correct. Data in dispute shall be disdosed only if the individual's statement of disagreement is included with the discl��d data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative prc.edure act relating ro 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 City 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 furnish will be used to determine your qualification for the pe�it 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 Middle Last Address Ciry State Zip pter.e I understand m rights as stated above. � Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS , FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1 l�c�c� L3 O�-1 t�s PO�►�!T j?o J PID: DESCRIPTIONOFWORK: Q��tR� ozu-� C�.��.,�o�S ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: /� I/-� DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 3 - z.5 -o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes J No PLAN REVIEW Yes No r/ 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: /liD G l-�v�-P 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: Wetl d: Building Height: Def. Hgt. Peak gt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By:� Zoning File: /t Resolution: # Resolution Date: . . Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' � 75-250' � 250-500' � 500-1000' � Hardcover Variance Required: Yes No_� Date of Council Approval: � REMARKS (in house): i 7 I �I . BUILDING REVIEW CHECK LIST UBC: �' 3 CONSTRUCTION TYPE: V/v Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = x = TOTAL Estimated Construction Value: � 1 °U� b e� o= Inspections Required: Work Requiring Separate Permits: Site Plumbina Fire Hardcover Removal Niechanical Water Connection Footing Septic Sewer Connection p�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (�Ifg.) Well (State Permit) ,��Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing tiew Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PER�'�II17: 8 . .r�� CITY OF ORONO - �R��o �� BUi�Di�lG P Rti^;IT !A�d Fi�'dIEW � � II��CS Cr'_4'YV(l ...__�.�� ;"E__�,2.�►�� _P� '`:-'--`____- " �: hF:ri:�(;�ltt�.f`�.�7�"t?`�iti:i!�i=.. � . �f�.`f-1 tl^..'4'r�i�t�� 1 I ,..:. __,," ;�,.�' �'1 �i^,.�' n.[•r�:`f`.!-�.� -:�__.�`�'."��. _, ��..�i r. _ �. _ . T, - -- �. ,� _,. .o� "�_� IP . _ .��'r�r .",� �Jiiift. C"��? �.� .. _-,l5 I;Ci 4fi�.C�iiOc.�lv - 'i��(�1�.>! 4Y. P C IS F ` `' -�7E AT Ti E ---_ � G -- .__.._ _ _ ___ _. _...._ _�.- vPECtAL NOT� � S�'E ATTAC�� a�-iE�T � �O R�°��= 9-e�x-o 2 �ODE REQl�"Ii��9V;ENTS� CITY OF ORONO DATE TIME INSPECTION Ad�qTIC CALLED IN PERMIT NO.��0 SCHEDULED J7-,� .• 3 Q COMPLETED ADDRESS f�o �� a��-'3'�.a2/` OWNER�ti�Q-�J CONTR. � , TELEPHONE NQ. �J � � � � DESCRIPTION � � � 01 FOOTING � MECHA L I y 02 FRqMING 13 MECHA CAL FINAL 18 EXCA�//GRADING/FILLING Z03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 �KESHORE/WE7LqNDS 04 WALL BD. 34 TREE REMOVAL 12 WATER HOOK-UP 77 SITE INSPECTION FINAL 14 SEWER HOOK-UP {� 07 DEMO-SITE O6 PROGRESS � 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. = 09 PLUMBING RI 22 FOLLOW-UP 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � OWNER/CONTRACTOR TO MEET YOU: YES NO 36 FOUNDATION/REMOVAL � COMMENTS: W � � J O � � `! O ��f `�� Q � 2 W � W � j d �W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT YJORK,CALL FOR REINSPECTION V BEFORECOVERING TEMPORARY ❑CORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT INSPECTOR WILL RETURN � PHOTO TAKEN ❑S OP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 2Q9-4600 OwnedContractor o i e• Inspector. White Copy/Inspector's File Canary Copy/Site Notice � DATE TIME CITY OF ORONO CALLED IN -v�� INSPECTION NOTICE ' I SCHEDULED '� _� PERMIT N0. �O �a�l COMPLETED '� '�� p ADDRESS � LP C� L�C�I n� Pf - �� OWNER CONTR. CXt h2 f i�Yl.e_I li�'IUi ,[..f vTS TELEPHONE NO. �� `�-7 5- I I (DC� � DESCRIPTION �-i�U�✓�' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMObAL 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 SEPTIC FINAL 35 HP.RD 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 � � � �JV�/ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W �❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnedConUac r on site: � Inspector. ��i�� White Copy/inspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO � CALIED IN �` � INSPECTION NOTI E SCHEDULED - /``-'�n� PERMIT NO. �3 � COMPLETED � � '�� .. C��7 ADDRESS ��2r�O ��5 /'�T le -lJ�.y • OWNER �U��-� CONTR.�.47"C�T1 /�9�1�aK�itS TELEPHONE N0. C� /c� c�t�U �,S�S�� DESCRIPTION ��..�1��tJG- l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 I ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMM NTS: � a � � � � �su�� M T .V J O � � O � W � Q � Z W � W � � � �/VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. C� (� t�I� White Copyllnspector's File Canary CopYlSite Notice