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Home My WebLink About20078-P10736 - addn/remodel/repair PERMIT CITY �F ORONO 2750 �<elley Parkway- PO Box 66 Permit Number: P10736 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 3/29/2007 SITE ADDRESS: 2630 Fox St Unit# Wayzata,MN 55391 PID: 04-117-23-42-0009 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 Mechanical Electrical(state) NOTICES/REMARKS: Approved: Add Dormer, Windows, Siding,Roof Replacment,New Bath&Laundry FEE SUMMARY: Petmit Fee: $ 923.75 valuation: $ 90,000.00 Plan Review Fee: $ 600.44 State Surcharge Fee: $ 45.00 TOTAL FEE: $ 1,569.19 APPLICANT: Owner/Self OWNER: Kevin Wehrmann MN 2630 Fox St Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDIN CODE REQUIREMENTS. t � � � ��_��e C�yl G� /J��.- CANT PERM[TEE S[GNATURE ISSUED BY S[GNATURE Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ] i� � �� , V Total Fee: $ f �� Date Received: � � � � � � Entered By: �� d��'� �"(�� Permit#: � l L��G CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. ____ _ --------------- � (please print all informntron _ -- -- ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cif�cle o��e) WNER R CONTRACTOR JOB siT�aDn�ss: Z�3C �ox 5-�-�e� ziP: 5�53`�/ Will this be a Paracle of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, n specia(eve��t per•irrit is required ivith Po(rce Departn:ent and City COl1J7ClI C1�7�71'OVC1I 60 days pi•ior to t�ze event. Slaarttle bus service 1��ill be reqarired atnless applicar�t de.�nnnstrates sl�fficie�vt or�-site parldng is avcailable. lVon-pern�itted evenls ivill no1 be allotived. NAME OF OWNER: �V�N I,�F��N PHONE: (home)��z"��6��Z � (work) MAILING ADDRESS: Z6� �I��X S�� CITY: ��'�Z��7A ZIP: S S39/ CONTRACTOR: �l�iN' �.C�E'`1d'w�� PHONE: (p�Z ZQq SS�d CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �Z�ri,jC� � n P� CITY: L�� yZf4%7� ZIP: .5 S3 i/ STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADI)RESS: CITY: ZIP: NAME: REGISTRATION: # 'I'YPE OF W0�2K: New Home Addition Accessory Structure Move Home Remodel/Altec•atioil (ie: Sidi�ig, Windows) .�� Any earth movement may require MCWD review and permits ! � PIZO�'OSE�WO (descf•ihe in detain: (�l9/ t7lit%� 5Il�lNG� �iD�� f��Eli'`Q f}--�� Li4 vN �-' r,� 5�� P�WN� s�roluEs: �Z s�.�E�T o��Acx F�,00x: NO. OF BEDItOOMS: � GARAGE S'I'AL,i,S: A'I'TACHED Z DE'I'ACHED �� ES�I'Illil�'T]ED�ONS'I'�tUC'I'ION VALUA'TION(excluding lancl): � � � �� I hereby apply for a bttildinQ permit and I acknowledge that the information above is complete and accurate; that the worh�vill be in conformance with the ordinances and codes of the City and �vith the State Building Code;that I understand this is not a peri��it a l�vor is not to start without a permit;and that the work�vill be in accordance witl� tl�e approved plan. AYPLICAIVT`S SIGIi'AY'�J�E: �a"�'�,: l 3d__�7 31 Scc13.0a RIG}[TS OF SUBJECTS OF DATt\ Subd. I. Type of data. The ri�hts of individual on�vhom the data is stored or to be stored shall be as set forth in this section. Subd.2. ]nformation required to be given individual. An individual asked to supply private orconfidential data concernin�himselfshall be infonned of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any kno�v��consequence arising from his supplyinc or refusing to supply private or confiden[ial data;and(d)the identity of other persons or entities authorized by state or federal Iaw to receive thc 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 revenuc ma��l�tce the notice required under this subdivision in the individual income tax or properri tax retund instructions instcad of on those forms. SuUd.3. Access to data by individual. Upon reques[to a responsible authority,an individual shall be infonned whetller he is the subject of stored data on individuals,lnd whether it is classitied as public,private or confidential. Upon his further request,an individual�vho is the subject of stored private or public data on individuals sh111 be sho�vn the data without any charge to him and,if he desires,shall be informed of thc content and meanin�of that data. After an individual has been sho�vn the privlte data and informed of its meanine,the data need not be disdosed[o him for six months tltereatler unless a dispute or action pursuant to this sectioo is pcndin�or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or publ ic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certif}ine,and compiline the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of d�e date of the request,excluding Saturdays.Sundays and legai holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days��ithin which to comply��ith the request,e�cluding Sa[urduys, Sw�days and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual muy cuntest the accuracy or completeness of public or priaate da[a concerning himselt. To eeercise this right,an individual shall notity in writing the responsible authority describing the nacure ofthe disagreement.The responsible authority shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to noCify 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 stltement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relatin�to contested cases. Dr1TA PRIVACY ADVISORY ln accordance with NI.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn you that your request for a permit or license from the City of Orono or any of its deparnnents may require you to furnish certain private or confidential information. You are notified that: l. The information you furnish will be used to dete�7nine 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 loca(, state or federal agencies to the ertent 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. Y�u have certain rights under NI.S. 13.04(available upon request)to review private data on yow-self. 6. Your full name is required to process this application or pennit. 1� v�.� � 1r�� r��ivn�. F�rs� �i��ii� i.:�s� Z C�30 �x� S�r ee� :�dd��ss w� �!7�v�`T�1 y'1�� / . Citv Statc Zip Phone I unde►•stancl my rights as te abo . Signaturc Reset Forn> ;� � �CHEC�K pFF i,IST FOR TSSUANCE OF �ERi�ITS FOR O�FICE U ONLY � OR LE%AL: � � "'� S �.�� p��s �. aR PlI))' w�nl e e n� /Lc rt.o - r�1 P�,•J 6 , n/ � . • - r �. ESC O� OF WORK: ^� �� j ^ �rl�Ti G REVIE�V BY: c�_ - ----- _ DATE APPR VED: ZO: D.A.TE APPROVED: Z•2�-6'� $UI��DING REVIEtiV EY: � . �'EES TO BE C�IARGEA: � Misc. Fees Calculated By: PERM.IT Yes ✓ No SE�VER CO�INECTION PLAN REVIE`V YeS `� No tiVATERCONNEC�'I.ON STATE SURCHARGE YeS � ✓ p� FEE INVESTIGATION FEE YeS �0 � S�EINSPECTION SAC Yes No OTHER (specify) Number of SAC�Units ________________ -------------------------- ------------------ -------------------------- -�� ZON..7�i IG CH�CK LIST Zoaing Discricc: " • Post Office: Scho°�1 District: F ire D ep 3rtmenr. �„�c l�clQ� cc..�E��tCV L.oc Area: Sq.ft. Acres �. Width _ �� Depth 3 � Survey Submitted: Yes � No Da[e of Survey: I C�� . As b�,l Proposed Setbacks: ,� -� � �'1�✓� Froa[E�): I�5 �Side: i'�c �-�n/�'v�CL{Z- 1. �,�'� � a Rear{�reet): � d� �eft Side: r�� S— � � `\farlanr�: � �'P r`�.Qj3CPP�t GrniCnllzS; L � Q Fea�:Hgt. yn C �vt Car¢�n�� i v� (-Jl C� � hu��1'T � p B u i l�l i ng H e i�[: D e P, H�t, Lot Covera�e: �1�v B Council Approval Date: Grading: S�aff Approval Date: Y• Septic: Stafi Aporov�l Dace: �- 1 �O•" d� �y: �C,� Zoain� F'�le: �,_ Resolutioa: R__ Re�olution Date: _ Sho�e�and Dis[ric�: ►�� L,c�Covera^a. p,vQ. Setbac't,: p,!uff Se(�ack: �_. � P;oposed Eisti_e� H�cco��er: G-i�' '1�-2�0' — 2�0-�C�' ��0-i OC�'� �,_ �;� u� o� Co�� .��_ ., �: �a-eco�;e' `vzi�.ce R��u'.:e�'. `: � '- � . . - - � n�.� s T �c` CrnJ SQ J�-� ��' (P��C' � �'.=�L'�.R.�� r Ln h o�.v el: l.J/kS C� vwi �o Y�,,kC�-�/ e..sl-c.l�l�sirwt�v►� r�wred $UILDIIV G REVIEtiV CHECK LIST UBC� �' 3 � CONST'RUCTION TYPE: �/.l Sq Footage $ Per Sq Ftg Baseraen[ . X = ls[ Floar x � _ 2nd Floor x _ . Garage x _ x — TOTAL Estimated Construction Value: $ �j(��(�d�� Inspections Required: �York Requiring Separate Permits: Site _�Plumbing Fire Hardcover P,emoval �_Mechaaical Water Coaaection Footing ` Sepcic Sewer Coanec[ion � Framin� _�_ o Fireplace Lawn Irriga[ion �LnsulaCion (iviason,ry) Ocher _�`Val1 Board (Mfg.) Well (State Permit) .—.c�_F�� Grading/Filling p� Eleccrical (State Pe�cnit) OCher �REMARKS (L'Vi xoUSE): _F'v-rvn�: AQa� n��s w e�.E 2e�vr�-t,.lN� .�,o ----- I w �v�.C� CN T �1 /W c9 - 0 a C, � IN IUC�e r �[.yt1� ��_��____�� _-___�..�� - --�LS� _ GL��'Z�'�' _�N_�_ � ------------- ---�'`�-- -f----1 --------- REVIE'4V $Y OTHERS: �A�; Access: Existing New Access Approva;: Late &y: --------------------------- REI�LARIiS (TO EE NO'I�ED ON PERiI�IIT}: 8 �� G�� ✓ DATE TIME CITY OF ORONO CALLED IN __��L� __�� INSPECTiON TI/� SCHEDULED 10•L(�C�61 If�:_� PERMIT NO. � �v COMPLETED ADDRESS �� OWNER CONTR. 1._(/�,�111 ��,I��I�KG�n� TELEPHONE NO. C� Z �' ZC7E'fY ��c� � DESCRIPTION ��I� —C� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � �.'Gl� � �� ,d.�C� ��: ,� a � 0 � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED f�� PROJECT COMPLETE W ❑C RRECT WORK&PROCEED " ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. lo,� J /I ��.� White Copy/lnspector's File Canary CopylSite Notice DATE TIME " ITY OF ORONO CALLED IN �b- ZJ-� g.�1�►'�'� INSPECTION NO IC SCHEDULED lb��i U7 � �� PERMIT N0. �7 � COMPLETED ADDRESS Z-� �� J I OWNER CONTR. ►wUl� �N� IYYY�YIVI TELEPHONENO. ��2� �� "�� DESCRIPTION 1 -- ��-� � ❑ FOOTING ❑ MECHANI AL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECH CAL 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 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 � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL 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 t e next inspection 24 hours in advance. (952� 249-46�� OwnerlContra on site: Inspector. White Copyllnspect 's File Canary CopylSite Notice