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Home My WebLink About2004-P08115 - addn/remodel/repair PERMIT C I TY O F O RO N O Permit Number: 2750 Kelle y Parkwa y - PO Box 66 Posi is Crystal Bay, Minnesota 55323 PefCTllt Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: tiii2i2ooa SITE ADDRESS: 1743 Fagerness Pt Rd Wayzata,MN 55391 PID: i�-i i�-23-22-003� DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate perinits required: Yiumoing iviecnanicai niecincai�statej NOTICES/REMARKS: �,_.-�--- � .,_.,- �- ---,_, , „-- �- FEE SUMMARY: Pernut Fee: $ 713J5 Valuation• $ 60,000.00 Plan Review Fee: $ 464.03 State Surcharge Fee: $ 30.50 TOTAL FEE: $ 1,208.28 APPLICANT: Stonehouse Designs OWNER: Mr. &Mrs. Taubenberger 420 East Rice 1743 Fagerness Pt Rd Wayzata,MN 55391 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. � � ,�-' , - � .'�� ( �,��'�_. ANTPGRM[TEESIGNATURE ISS EDBYSIGNATURE Covies: 1-File(Siunitures Rec�uired), 1-Applicant, 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1 r 'i.(.',��; '�'� Total Fe�e: $ Date Received: '��/�'`� Entered By: G�r_> Permit#: �p �l l`� � �.�� r" � `,� `��'� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�lt al[i�zfor�rlatiofi) _ _ _... ---------------------------------------------------------------------- -- ----------------------------------------------------- __. THE APPLICANT IS: (circle orae) OWNER O �ONTRACTOR � ` -----_--...- JOB SITE ADDRESS: � 7%`� /�G. S'�'�x�ss �C��h/- �� ZIP: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event per�rtit is required witlt Police Depar•tment and City Coa�yicil appf-oval 60 days prior to tlze everrt. Non per-niitted events tivill not be allowed. NAME OF OWNER: �� r�c"`� ��"'�5e'��' PHONE: (home) (work) MAILING ADDRESS: /�S`� f-�y�'�'��'�s l'o�-��CITY: D.�v�� ZIP: s��/ CONTRACTOR: S�.�c�c�1e DG�.��1 PHONE: ��'1_�'s� -5'`��%t�'-�2/ CONTACT PERSON: ��-, Sw�.�s��-, MOBILE/PAGER: 6�z -��2/-G�.-�3 MAILING ADDRESS: �,2fl�i�� -(� CITY: ��N�z�:� ZIP: �s��/ STATE LICENSE: # � O(�3 S�s`�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration x Land Alteration PROPOSED WORK(descrihe i�z detai�: /�i �G��7 �C c� �� -�-�o�/ �,r`�``�✓�� STORIES: �� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: S GARAGE STALLS: ATT. _� DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ G�� 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 pernut; and that the work will Ue in accordance with the approved plan. APPLICANT'S SIGNATU -''�'- DATE: �%--��/�j`" h 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 individuai. An individual asked to supply private or confidential data concerning himself shall be informed ot: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) �vhether he may refuse or is Icgally required to supplV the requested data;(c)any known consequence arising from his supplying or refusing to supply private or conrdential data;and(d)the identity of other persons or entities authorized by state or tederal law to receive the data. This requirement shall not apply when an individual is asked to supplv investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement otficer. The commissioner of revenue mav �lace the notice required under this subdivision in the individual inwme tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL Gpon request to a responsible authority,an individual shall be in(ormed 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 indi��idual H•ho is thc subject of stored 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 necd not be disclosed to him for six months thercafter 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 private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of maldng,certi(ying,and compiling the copies. The responsible authority shall comply immediately,if possiblc,with any request madc pursuant to this subdivision,or within five days ofthe date of the request,excluding Saturdays,Sundays and legal holidays,if immediate wmplinnce is not possible.It he cannot comply with the request within that time,he shall so infonn the individual,and mav have an additional five days�vithin which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedurc whcn data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercisc this right,an individual shall notify in writing the responsible authority describing the naturc of the disagreemenL Thc responsible authority shall�vithin 30 days either: (a)correct the data found to be inaccuratc or incomplete nnd uttempt to notify 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 disagrcement is included with the disclosed data. The determination of the responsible authority may be appcaled 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 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 tliat: 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 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. �1 v�� SG.i c- z �S U y First Middle Last �10 /� s�� S� Address l�� z��f� /��/ S��7�/ �S1-rf�/-��-2� City State Zip Phone I understand my rights as stated above. / 7 �� Sign re . B UILDI��rG REVIEW CHECh'LIS?' UBC: R-3 CONSTRUCTIO�YTYPE: �!N Sg Faotaue 5 Per•Sg Fta Basenie�u t = Ist Floor x = ?nd Floor 1 = Garage s = .c = TOT.AL Estimated Caristrt�ctio�t G'ali�e: S (od,0oo o� Inspectiorts Requi��ed: bY'oi•k Reqcririrc,;Separate Pe�vuits: Sr:te _�Plct�rtbirtg Fire Na,•dcover Rernoval � Nlechaiiical G�ater Co�uiection Footirtg Seplic Se�ver Connec[ia�z �c Frami�ig Fireplace Lati��ri Ir•rigatioi: X �nsulation (f�lasonl};) Otlier �_ 6Y"al(Board (Nlfg.) b�ell(Srate Per�nit) _��Final Gradi��g/Fi![iiig _�E/ech-ical(State Pertnit) OIIIeI' --------------------------------------------------------------------------------------------------------------------------------------------- RE�tiIfiRI�S(IN HO USE): ` ------------------------------------------------------------------------------------------------------------------------ REVIE l�B Y OTHERS: DATE: .4ccess: E,risting rVetiv ,�(ccess�{pproval: Date B�•: ------------------------------------------------------------------------------------------------------------------------ RE�I�I�RIiS (TO BE �vOTED ONPERttiIIT): 32 . CHECK OFF LIST�'OR ISSUANCE OF PE.RItiIITS FOR OFFICE USE O.NLY ADDRESS OR LEGAL: 11`l3 t��»�-�Z�C SS Po w� (2�A0 PID: DESCRIPTIO.�'OF Gi%ORK: 2.E�Oc ------------------------------------------------------------------------------------ ZONINGREVIEyi�BY: N/ � D.ATEAPPROVED: B UILDIr��G REVIEW BY: DATEAPPRO�'ED: � l- Y- °`� ------------------------------------- FEES TO BE CHARGED: �tilisc. Fees Calci�lated By: PER�IIT �eS � ��'"o PLAN RE I/IE GV Yes !� No SE yYER CON�VECTION STATE SURCH.4RGE Yes � No tiVATER CO�WECTIO�V INVESTIG.4TIOIV FEE Yes No PARK FEE SAC Yes No SITE NSPECTIO�V Ncmiber• of SAC Uriits OTHER (specify) -------------------------------------------------------------------------------- ZO�YI�vG CHECIi LIST Zartiitg Dfst�'ict: /V�� C�!ANG� Fire Deparhr�ertt: Post Office: School Dlstrlct: ____. Lot.=irea: Sq.ft. Acres YYidtl: Depth Sauvey Subruitted: Yes Na Date of Scuvey: P�•oposecf Setbnd,s: Frortt(Lalce): RigJzt Side: Rear (Str�eet): Left Side Adjc�cent Struct�u•es: G�etla�i�t: Builc(iiig Heigltt: Def. Hgt. Peak Kgt. Lot Coverage: � Gr�adi,�g: Scaff.4pproval Date: y: Coiu�cil�lpp��oval Date: Septic: Staff,�tpproval Date: B '� Zoi�ing File: # Resolutiai: # Resol«tion Date: S/toreland Disd�ict: Avg. Setbnck: Blc�ff Set cic: Lot Coverage: Etisti�tg Propased Hardcover: 0-7�' 75-250' 250-500' 500-1000' Nardcaver Variafice Reqicired: Yes N Date of Couricil�(ppraval: .RE11�lARKS(in hotcse): 1 � DATE TIME CITY OF ORONO CALLED IN /J— ��O� INSPECTION NQ�IC�EI f � SCHEDULED � � —/? l��3� PERMIT N0. �� COMPLETED ADDRESS �� Q OWNER aK 2h �` CONTR. S-�om��l.0+��- +�a-�aw TELEPHONE NO. �O l'Z — .2 � � - l0 3 2 3 ` � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q FRA � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y LATION �(� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z • •� 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � O � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PEAMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe nex nspection 24 hours in advance. (g52) 249-46�� OwnedCon it : Inspector. \ White CopyllnspectoPs File Canary CopylSite Notice �� DATE � TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED o5 �,�� PERMIT NO. �C2�//�_ COMPLETED ADDRESS � ��J� ��'� �'�`� OWNER CONTR. �S7`�YL�-��-c.�.e�� TELEPHONE NO. �`J �' y 7 � �=�c� I � DESCRIPTION �i r�� l '- /�-x��/ � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: ac ---� � a i c tS ' fc� \ � � O / �. � � ° Po��5�2.�:� � a Q z r�o � �gR �C�,�� w � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnerlCon n�e: Inspector. White Copyllnspector's File Canary CopylSite Notice