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Home My WebLink About2007-P11736 - accessory structure �. . PERMIT CITY GF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11736 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 12/26/2007 SITE ADDRESS: 1540 Fox St Unit# Wayzata,MN 55391 PID: 02-117-23-32-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 328 Permit Class: Building Permit Type: ACCessory Structures Permit Sub-type(s): ACCessory Structure DETAILS: Approved per resolution#: Separate permits required: Water Connection NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 993.75 valuation: $ 100,000.00 Plan Review Fee: $ 645.94 State Surcharge Fee: $ 50.00 TOTAL FEE: $ 1,689.69 APPLICANT: Yerigan Construction OWNER: David&Elizabeth Weyerhaeuser 27741 University Ave NE 1540 Fox St Isanti,MN 55040 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. " �_.. A ��AN I YI:RMITEE SIGNATURE ISSUED[3Y SIGNATURG v / Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page l • , L/ ,o� ��a� Total Fee: � /6�q, � 9 ,_ Date Receiv : / /p Q Entered By: � Permit#: � CITY OF ORONO - BUILDING PERMIT APPLICATION Alt information must be submitted in full before plan review wi❑ be started. (please print all information) � ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle nne) OWNER OR CONTRACTOR JOB SITE ADDRESS: �,��;�Q �� S�- ��n G ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ yeS � NO If yes, a special evenl permit is required tivith Police Department and City Council approval 60 days prior to the event. Shutde bus service will be reguired unless applicant demonstrates suff cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �-t s„� 4 l�c-�. � ��P�p��r:�� '-�� PHONE: (home) � (work) MAILING ADDRESS: J c�„� � CITY: ZIP: CONTRACTOR U ,-, G c,�. ( �,,,�-�� }, ��.� PHONE: ��v � � ��l 4-S 3 S.3 CONTACT PERSON: �;��,��;� MOBILE/PAGER: �,a - 3G L - �:� ii u MAILING ADDRESS: �7�� ► (,(�,, ,,.�:�;,�,u zL]v F CITY: �5�,,,-� ; ZIP: 5 Su y C STATE LICENSE: # "3 y� y � EXPIRATION DATE: 3� O� ARCHITECT/ENGINEER: � n�i P� ��r��. ;�{r5 PHONE: G�a- 3 7 i- �i � MAILING ADDRESS: 3�1 13�,9,,� N�� r fv�CITY: ��;,,,,��,;5 ZIP: F i NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure � Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: ��» � ��, STORIES: �_ SQ.FEET OF EACH FLOOR: �i��C? 5� F-�- NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J��c,�� ' I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the wark will be in confonnance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be in accardance with the approved plan. APPLICANT'S SIGNATURE: ' � DATE: � (� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Typc 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 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 agenep�,political 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 supplving 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 shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.8?,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or pronertv 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 publ ic,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge[o him and,if he desires,shall be informed of the content and meaning ofthat data. ARer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to 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 ofthe private or public data upon reques[bq 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 authoriry 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 notpossible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional 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 the accuracy or completeness of public or private data conceming himsel£ To exercise this right,an individual shal]notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authoriry shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt 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 disagreement is included with the disclosed data. The determination of the responsible au[hority 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 pern�it 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: l. 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. lf 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 a I��,,�o�r �� First Middle Last �13�s�s j�l��. �Je, Address I��, �� sv.�� a -3L6-s��a� C�tY State Zip Phone I und�st�d my ri ts as stated above. A � � � S tu Reset Porm 32 r . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � ,.��-(p �� X 5�.�_ . PID: DESCRIPTION OF WORK p p 1_ (-'��n;�� ZONING REVIEW BY.• `tti�� DATEAPPROT�ED:s z L� � � BUILDING I2Ei�IEi�'B : � DATEAPPRO i�ED: j Z _ -Z � _v1 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,� No PLAN REVIEW Yes ;� No SEYI�ER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No_1� FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (spec�) — _---____________ ZONING CHECK LIST Zoning District: � � � Fire Department: Post O�ce: School District.• Lot Area: Sq.ft. �„�, Acres�" � � � ' W'tdth � 7�� D Survey Submitted: Yes No� Date of Survey: � f/1C S � Proposed Setbaclr�: r � � � ��C�G� (?� �(� �- , � - � � Fr n 'ke): t Side: � � � Z`7U' -f/- � /� %� ar(Str et): �f'�Side: ` � �r � Ad' ent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: f'f �`-��/ � �°)C'� �'�(� , � Grading: StaffApproval Date: , _ By: Council Approval Date: � � �� Septic: StaffApproval Date: � I� �� gy. ��J Zoning File: -��/'�/ Resolution: #� Resolution Date: � � Shoreland District: M� VD Permit.� Avg. Setbac�t: BZuffSetback.• l v ' LotCoverage: F�isting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Ha�-dcover i�ariance Required: Yes Date of Council Approval.• x��Rxs��hous��: p�� se --, �� _, � � �1 � -� �r�,1 � ., t �-, � `/ ��/ � � I�C, � /� C�1(• " 1/ " �� / 7 33 . , 1. B UILDING REVIEW CHECK LIST UBC: �- � CONSTRUCTION TYPE: �jiti Sg Footage $Per Sg Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = z = TOTAL Estimated Construction Value: $ � �v,U��% � Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other .--T�kc�-Board (Mfg.) Well(State Permit) _�Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOUSE): - REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: R RKS(TO BE NOTED ON PERMIT): �- � �.,. ��-, � -� ;- � �-- � r 0 r � �� , "vC� � 34 a�� - _ � \ ��.v� DATE (� TIME ' CITY OF ORONO CALLED IN � � "� INSPECTION NOTICE SCHEDULED �' Q `{ � v(:— PERMIT NO.� V � �� COMPLETED ADDRESS � �� (�� • OWNER CONTR. �--b"�I �� C� �' . TELEPHONE N0. � C� � � ' �O ., � DESCRIPTION ��-�'�'� \ `� ��'C� �Cl � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a " � J - O � � O � - W � Q � - Z W � - W � � d . W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY :Y V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: • � Inspector. � '��/ — White Copyllnspector's File Canary CopylSite Notice ` ..,....,__�, . �� DATE TIME � CITY OF ORONO ALLED IN � � �� INSPECTION N TICE SCHEDULED �� ?� PERMIT NO. I � � COMPLETED ADDRESS � � � � OWNER CONTR. � , TELEPHONE NO. ` �' ^ ' cJ � DESCRIPTION ��'la_�I �� '� i'u� � CCc-�l��i � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a j �'(�c� f"l�1 Ci-.) c� � '/� !'�v� 0 � � 0 � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN '_7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on si : � Inspector. �� White Copyll�spector's File Canary CopylSite Notice