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Home My WebLink About2003-P06736 - addn/remodel/repair � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po6�36 Crystal Bay, Minnesota 55323 P2fCYtit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: io�2oi2oo3 SITE ADDRESS: 1950 Concordia St Wayzata,MN 55391 PID: 18-117-23-14-0016 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Perniit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: i'iumning iviecnanicai niectricai�staiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 583.15 Valuation: $ 44,000.00 Plan Review Fee: $ 379.11 State Surcharge Fee: $ 22.50 TOTAL FEE: $ 984.76 APPLICANT: Special Additions,Inc. OWNER: William&Karen Peters 26305 Edgewood Rd 1950 Concordia St Shorewood,MN 55331 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. , ( � � 1 s^ /`�. � `' `' ,`� / //��. ��i%'_� �- i� � ��v. APPLI ANTPERMITEESIGNATURE ISSUEDBYSIGNATURE i�� Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � _ � • '' ' � �., Total Fee: $ �'�;��-� . ' `- Date Received: f l�= �' � -J Entered By: �` �,� Pernut#: � 5 _ � _� wr � � �`t CITY OF ORONO - BUILDING PERMIT APPLICATION �l `�, `� 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: �� C�h�'�"1�"�y�} � ( . ZIP: �,�� NAI�IE OF OWNER: ��'Vlti �C��Z� PHONE: (home) : y � (work) , MAII.ING ADDRESS: �q�� Zrl��Y�� CITY: �,t�;��t2r-1'(1� ZIP: � S ��il , .` , - CO\�'RACTOR: , �C1�` � v ' PHOl��: ��Sd' 7v� S�,/�� CO��TACTPERSON: L�� G��v ,_B1�,E/PAGER: (�/ – ��° �� , C?=�� , NL4�.Pi 1G ADDRESS: � L� '` , " ' CITY: ��r,�,'�c.L' ZIP:_<�`Z� ST�TE LICENSE: # '`�- % ARCHITECTlENGINEER: PH0�1E: MAII.,I�i tG ADDRESS: CITY: ZIP: NA_�IE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detai�: � �tt �1.=�i� (,�d�(,�i� ��"1� �'�L� ��1�� 12� '" ' � � L(� '' �.- �l ir�'L._(�-QL,�� STORIES: SQ. FEET OF EACH FLOOR: ( (�'�� NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. ,�1 c�: ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ � ��V . 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 Buildin� Code; that I understand ,�his is not a permit and work is not to start without a pemiit; and that the work wiR be in or nce th the pproved plan. � , �--� APPLICAi�iT'S SIGNATURE: ! � U �— DATE: �� v C� � � ,. NOTE! Parade �Homes events re�q re separate permit approval by Police De�artment and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 � _. ! . l Sec.13.04 RIGHTS OF SLTB.TECTS OF DATA Subd. 1. Type of data. The rights of individuai on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Inforcnation required to be given indiridual. An individual asked to supply private or confidencial data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whzther he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or reCusing co supply private or confidential data;and(d)the idenary of other persons or endaes authorized by srate or federal law to receive the data. This requiremznt shall not apply when an individual is asked to supply investigacive data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav lace the nocice re uired under[his subdivision in the individual income taz or ro ertv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dential. Upon his further request,an individua]who is the subject of stored private or public data on individuals shall be shown the data wirhout any char�e to hirn and, if he desires,shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not bz disclosed to him for six months thereafrer unless a dispu[e or action punuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[hority may require the requesring person to pay the actual cosu 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 request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wichin that cime, he sha(1 so inform the individual, and may have an addirional five days within which to comply with the request, excluding San;rdays,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 dara concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemenc. The responsibie authoriry shali within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienrs of inaccunce or incomplece dara,includin�recipienu named by the individual;or(b)notify the individual that he believes the data to be coaect. Data in dispute shall be disdosed only if the individual's statement of disagreement is included with the disclosed data. "Ihe determination of the responsible authoriry may be appealed pursuant to the provisions of the adminis�ative procedure act relaang to contested cases. D�TA 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 fumish certain private or confidential information. You are notified that: 1. 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 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. r � � G�� First `liddle Last , v � � 'L � � Add ss , / � � � r / - �• r , � �� ?L; _ C�ry State Zip Phone � I unde and rights as tated ab e. `. .i ,� � Signatur� . � 6 , CHECK OFF LIST FOR ISSUA��ICE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��S v C.c�rvc o�2.�,� s� PID: DESCRIPTION OF WORK: g,�,sc vw�-v T i=��v�s H Z0��1ING REVIEW BY: /U (�4 DATE APPROVED: BUILDING REVIEW BY: �„�' �,.e� DATE APPROVED: q- $-o-� ------------_—_------------------- ' -----_------------------------------------------------------------ FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERMIT Yes c�' No pL,�,N REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes �' No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------- ZOti�Il�1G CHECK LIST Zoning District: N o c�-r-�a-.� {> 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: We land: Building Hei�ht: Def. Hg[. Pe � Hgt. Lot Covera�e: Grading: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: . Shoreland District: Av�. Setback: Bluff Setback L.otCoverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes o Date of Council Approval: REv�ARKS (in house): �� 7 . BUILDING REVIEW CHECK LIST UBC: I� • 3 CONSTRUCTION TYPE: �I N Sq Footage $ Per Sq Ftg Basement x = lst Floor R = 2nd Floor x = Garage R = R c TOTAL Estimated Construction Value: $ �-I'��po0 � Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal i- Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling o� Electricai (State Permit) Other - ---------- REMARKS (IN HOUSE): ----------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existino Ne�� Access Approval: Date By: --------------------------------------------------------------------------------------------- REv1ARKS (TO BE NOTED ON PERNIII�: $ , �� ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT N0. DO L�"�7:3(,� COMPLETED ADDRESS I �S� � r.�Drr�i�9 ��_ OWNER CONTR. :��C��'-�Cx�� TELEPHONE NO. lJ' /oZ-�C� / '-��'1 � � DESCRIPTION ,�f�G�t-�� FOOTING 11 MECHANICAL RI 18 EX V/GRADING/FILLING d FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 INSTAIL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J 0 � � 0 � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED [a PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe ne inspection 24 hours in advance. (952� 249-46�� Owner/Contr or s te: Inspector. � White Copyllnspector's Pile ' Canary Copy/Site Notice s�-� � /l DAT TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED �-6-Q3 /D:30 PERMIT N0. .3 COMPLETED� ADDRESS ��5� C�CrYLCOZu-c-c� .�t. OWNER CONTR. ��"�1 TELEPHONE N0. (� I �— ��I 3 U Cf � DESCRIPTION ��5�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑COARECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContr o on site: Inspector. White Copy/lnsp8ctor's File Canary CopylSite NoUce