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Home My WebLink About2008-P12017 - addn/remodel/repair PERMIT CITY OF ORONO 275U Kelley Parkway - PO Box 66 Permit Number: p12o17 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/RemodeURepair Date Issued: 5/2/2008 SITE ADDRESS: 1975 Fagerness Pt Rd Uuit# Wayzata,MN 55391 PID: 18-117-23-14-0006 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/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Plumbing Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 339.25 Valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 349.25 APPLICANT: Patterson Construction OWNER: John Purdy ETAL 1044 East Lake St 1975 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. . � _____ _ � L r� � 4�, � __ ------___._- � �.�,�_� � �`�t1�1�� APPL CANT RMI'I LE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, I-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 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTO JOB SITE ADDRESS: !�' 7S �a � e2 �es �f �d zTP: .s,3`,39 / Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �,�TO If yes, a special event permit is required with Police Department and City Council approva! 60 days prior•to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events ivill not be allowed. NAME OF OWNER: �o�lrf � L;t�v� �d 2� � PHONE: (home) `�S 2` 7/, �'7'/Z (work) MAILINGADDRESS: �'�j 75 Nq��.,y�� -�'L�ITY: 2 ZIP: ��,3q/ CONTRACTOR: P Qsmry Lp�t .`, PHONE: yS Z'Y`l,3�76 Z.� CONTACT PERSON: Q ,�.�./ MOBILE/PAGER: (�/2- `��'� — O.TB MAILING ADDRESS: !m y� r� CITY: ZIP: Ss39r STATE LICENSE: # 8G- Z,O!3 /�!(o EXPIRATION ATE: 3/o`j ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) � Any earth movement ma require MCWD review and permits! PROPOSED WORK(describe in detai�: ��,Q,�� e%se�' ��"�i�2� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �O,�io ,v� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wiil be in confarmance 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 SIGNATURE: DATE: .S B � 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righLs 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 individual. An individual asked to supply private or confidential dataconcerning himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,pol itical 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 shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or propertv tax refund 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 classified as public,private or confidential. Upon his further request,an individua]who is the subject of stored private or public data on individuals shal I be shown the data wi[hout 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[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 crea[ed. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wi[h the reques[ within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individua]may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurateor 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 disagreement is included with 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 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 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. ��S�c/L . T£' ` ( �e•s'o�-�-/ First Middle Last �o �� a.s� ��e s � Address �a,c� �.�, r�6� �'( q.S'2- 4��'� 'Z�7� City State Zip Phone I understand my rights as stated above. Sig ture Reset Porn� 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��l'1 S �/a r�2xv�S �Pc� ,,"� PID: DESCRIPTION OF WORK: ��,4;-�-� �2,��,b e� ZONING REVIEW BY.• DATEAPPROVED:�� Mr_ BUILDING REVIEW BY.• DATEAPPROVED: S'- 2.-o g FEES TO BE CHARGED: Misc. Fees Calculated By �__________________�__ PERMIT Yes � No PLAN REVIEW Yes No_� SEWER CONNECTION STATE SURCHARGE Yes ��No N'ATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (spec�) ----�----------��-�--------�- ZONING CHECK LIST Zoning District: /�� G Hp.1.�c� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Vidth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetl nd.� Building Height• Def Hgt. Pea Hgt. Lot Coverage: Grading. Staff Approval Date: .52.�-+P� y: Council Approval Date: Septic: StaffApproval Date: Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: B1uffSetback LotCoverage: Existing Proposed Hardcover: 0-75' 75-250' 250-.i 00' 500-1000' Hardcover l�ariance Required: l es No Date of Council App�•oval: REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: �z ' �j CONSTRUCTION TYPE: V/� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL o� Estimated Construction Value: $ �,(�� Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Nardcover Removal Mechanical T�Y"ater Connection Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _�C Final Grading/Filling OC Electrica!(State Permit) Other_ REMARKS(INHOUSE): REVIF.W BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ONPERMIT): 34 ` � � �. � � � � � �� o � � � � r '� a r9 � � �� - M �' v� �'' b �aI �-=.; �� u � ;, � �� ! ^ vt1�� 1.,�]� Mf '� � �. "� S �- _- � :� � � , tV, �1� V V 1,1' � ,., Y r a �'J � � 1 F' �i a � J�l_ � . . ,a ��. O� `n � ^ � � �^ � � � �J 1 1� r: � 4d �� .G: ' 'J . Q 'J'` '`u ` a"S. `y ` �,l '`� . � f�, Q �G.i � � � ` I . , '. 9� i,� -,�� . � J �' � � � � QI � S:; d1 I.ry �Mr .� � `i `' ,.K ,r� ._ .` '� � '� .� �� ,q /.i. � i C �• �(y� �'� l � � ' � � � 'V 1� �' 1 �. '�.�a� �� • � ^ ;� :-� �( � `�- � '`� J. '' � c� "� � � � 4 + ``. � '' • " �� e s �� y/) � ; � � s .�-, �:, i.:� � � G: ;. �Z ° � � :'' � � � � � � � * � �' � ��:, � `� { �o ��N � ''� � --� (�_� a o C� cr. � ; � , � � ;_,n � };► � o d'- � "�: _ � �u x ,� ;,`: ;�cr� ��r � � - � � � c�1 t� � � �y � �'- �p I cf� :;; �' L'7' f�iis ,) O, •�' �r � `� � � Lfl,� �° �y C�3 9� .,: �.= =' ; �'� '� Y � �6' � � ��a,,,V'' � , �,1 � 6.J � � ! ' tL.. i f, � '`�� N , � _ �- �-. � =-z�t. � _. + � 4 I , .-- ' v N '` � !� �- �-? ` ��'� v1 � . �, ., .�_�.� v n ° (?- ;: �:- , :� , _ � -S? � � � �`'c � ;�. ` • � • � � J � n �n �� _�� u .'�� . . a . _ _ �"°p-y,� . � _ , � ; . . , � � � � ` � � � . _ , o , �� O ,, �F_ �� v / _V7. _ � �, - •s ,� :-�' � � ��• � . ~ � � � � - � 'J �;u�� r �� 7 � ' ` os � �7 ) � ` + �T �va.+ � 1n � � �1 -^ 4� � � � + �` `' �„� . �" _ - °.- � . ��) � � �' ' �� ¢�� .� �'N � - "�e� .� � . � � � � �� °:� � Q , l � � . - � � � � � � �-- _ _ -=' f, _ � ` � � � d� ' ' - . � . � � . , ` - , _ _ n _ � �� - -. . �l � � � - , ti �% /� � �p� TIME CITY OF ORONO CALLED IN J INSPECTION N ICE SCHEDULED '��D o�:o C7 PERMIT NO. " � � COMPLETED ADDRESS I� I J� �l�'2JY�L� �'� � OWNER ` CONTR.�7"C�-�Zh.AN�'l G�1� TELEPHONE NO. �� ,�� ,� � DESCRIPTION `�!i 1�c� ��tk-�-t` ��l � `JC�`��-LL�'�'Yl � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � QJ � '�0 12 �t� � z W � W � � � d � W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ,=�� White Copyllnspector's File Canary CopylSite Notice �g � ✓ /�pAT�� TIME � CITY OF ORONO CALLED IN �/ � INSPECTION NO ICE SCHEDULED !D�S-D� 4�=� PERMIT NO. COMPLETED ADDRESS ��7� a D� l�� OWNER CONTR. � �� TELEPHONE NO. �n`-� �� Q �� 1"�S/-90,52 c�� DESCRIPTION -' 1��n� ��u h1� i n c� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/ ADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ P BING FINAL ❑ FOUNDATION/REMOVAL � OWNE CONTRACTOR OMEETYOU: YES NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice