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Home My WebLink About2005-P08809 - addn/remodel/repair , � � PERMIT CI''TY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po8809 Crystal Bay, Minnesota 55323 Permlt Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6/9/2005 SITE ADDRESS: 2235 French Creek Cir Unit# WAYZATA,MN 55391 PID: 10-117-23-32-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/RemodeURe air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,340.95 Valuation: $ 162,000.00 Plan Review Fee: $ 871.62 State Surcharge Fee: $ 85.00 TOTAL FEE: $ 2,297.57 APPLICANT: Anthony L Patterson OWNER: Anthony L Patterson 2235 FRENCH CREEK CIR 2235 FRENCH CREEK CIR 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. , _ e/a—�_. `\`_`�/�� ✓ � 1 � �/j,�;��-- _ ��'y'r-� PPLI ERMITEE SIGNATURF. ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l , Ca.�-�-�- Total Fee: $ ��97• �7 Date Received: l �� Entered B , Permit#: �Ar-� � �,`% '%� y: -"�„�/t� CITY OF ORONO - BUILDIl\TG PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please pf�int all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT iS: (circle o�xe) OWNE R CONTRACTOR JOB SITE ADDRESS: �� / /�/lCf ��-a��! C ZZ�: �-� � Will this be P rade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a special event permit is��equired wilh Police Depnr-trne��t and Ciry Council app�roval � 60 days pr•ior to the event. Sharttle bars servrce will be reqtirired arnless applicnnt deirtonstrates sufficient on-site parlcing is available. Non permitted events will not be allowed. NAME OF OWNER: 1 v/l� d'L�a c..� ��0:� PHONE: �6�> ��3-3y ,� �!' , (work) � -- � ��S oZ MAILING ADDRESS:��Z^/e'►c� �/�� .r�'c��CITY: c� ZIg': �� CONTRACTOR: O��)�� PHONE:O I�c��-��-Svl CONTACT PERSON: r` c MOBILE/PAGER:�-_��—��-/D -�E- 1VIAILIi�G ADDRESS: /, l� /r� �', CITY:(�.�'v�� ZIP: �� STATE LICENSE: # _ EXPIRATION DATE: ARCHIT�CT/ENGINEER: PHONE: MAILING A.DDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition � Accesso Structure Move Home RemodeUAlteration � � ' / , � PROPOS D W RK(descr•ibe 'n detai�: �'� ��' �OG��`ri'�� d� �t�� '1�j. �c� l 1 �^� ,.� �v . r �V V.t:�)�)�/TC:.�^ O ,�,��,r�'—� STORIES: � SQ.FEET OF EACH FLOOR: � SU(� Cxj' � � ' Uus-� J>�� s / NO. OF BEDROOMS: � GARAGE STALLS: ATTA HED �3 D ACHED� /o�cr, ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �o� �C:� . �� I hereby apply for a building pernut 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 an or is not to start without a pennit;and that the work wi11 be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: � �� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The nghts of individual on whom the data is stored or to be stored shall be as set forth in this section. 5ubd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be infor[ned of: (a)the pucpose and intended use of the reques[ed 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 known consequence arising from his supplying or refusing to supply pnvate 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 da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or propertv tax refimd instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whecher he is the subject of stored data on individuals,.and whether it is classified as public,private or confidentiai. Upon his further request,an individual who is the subject of stored private or public data on individuals sha11 be shown the data withou[any charge to him and,if he desices,sE�all be infonned 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 disdosed 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 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 che achtat costs of making,ceRifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin five days of the date of the request,exc(uding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques[ within that time,he shall so infoi�n the individual,and may have an additional five days witltin which to cornply with 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 comple[eness of public or private data conceming himself. To exercise this right,an individual sha(1 notify in writing[he responsible authoiity describing the nah�re of the disagreement.The responsible au[hority shall within 30 days either: (a)con•ect the data found to be inlccucate or incomplete and attempt to notify past recipients ni inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be conect. Data in dispute shall be disciosed 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 procedttre act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.Z,"Rights of subjects of data",we would like to inform you that your request for a pemlit 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 fumish will be used to determine your qualification for the perniit 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 pernlit or license. 4. If your requested permit or Iicense requires Council action to approve, some inforniation 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 rec�uired to process this application or permit, n, LG.v^G✓� C � ��- � �� First � Middie / Last ��3_� /�/'cn� h �..rt t ,� ��r� � Address ��,��_, /�1�-> ;s3 `� � ��(�� -1�� City State Zip Phone I understand y right �ts stated above. 5ign ure - 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ZZ-3s F��chl Crt�..�k C�2c�c..�.s PID: DESCRIPTION OF WORK /�-,�D� n�i✓/ ��n e� --------------------------------------- ---- ----------------------------------------------------------_---,-o------ ZONING REVIEW BY: DATEAPPROVED: 6 S s' BUILDING REVIEW BY: DATEAPPROVED: 6 -S• � s FEES TO BE CHARGED: Misc. Fees Calczclated By: PERMIT Yes�,� No PLANREVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes c/ No WATER CONNECTION INVESTIGATION FEE Yes No ,/ PARK FEE SAC Yes No �/ SITEINSPECTION Nz.cmber of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZONING CHECKLIST ZoningDistrict: Fir•e Department: Post Office: School Distr•ict: Lot Area: Sq.ft. Acres Wiclth Depth � San-vey Submitted: Yes� No Date of Si�fvey: _�� 4 6 Pr-oposed Setbacks: � Front(Lake): �� Right Side: � b(�� ' Rear(Street): J�� Left Side: �� ' Adjacent Structures: It/� � I�, Wetland.• �t/�� Bt�ilding Height: Def.Hgt. � . �-- Peak Hgt. � Lot Cover-age: �11(✓� Grading: StcffApproval Date: -- By: Coa�ncil Appr-oval Date: Septic: StaffApp��oval Date.• — By: Zoning File: # ^ Resolution: # Resohrtion Date: Shoreland District: /1,� Avg. Setbuck: BluffSetback: LotCovemge: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcove�� Variance Requir-ed: Yes No Date of Council Approvul: REMARKS(in house): 33 B UILDING REVIEW CHECK LIST UBC: � ' S CONSTRUCTION TYPE: �l� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Consh•uction Vulue: $ l ca Z, a�U � Inspections Required: Work Requiring Sepnrute Permits: Site _�Plurnbing Fire Hardcover Removal �C Mechanical Water Connection --i-�- _�C Footing Septic Sewer Co�Tnection �_Framing Firepl�ice Lawn Irrigation ___�Insz�lation (Nlasonry) Other �_ Wall Boarcl (Mfg.) Well(State Pe»nit) /� Final Gratling/Filling C�Electrical(State Pennit) Othe�� ---------------------------------------------------------------------------------------------------------------------------------------------- REMARKS(INHOUSE): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access App�-oval: Date By: ------------------------------------------------------------------------------------------------------------------------ RE1I�ARKS (TO BE NOTED ON PERMIT): '�4 �� C� DATE TIME ✓ CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED 4 i��s� a�o PERMIT NO. O COMPLETED ADDRESS ola C�� OWNER CONTR. TELEPHONENO. �� "- C�7�' Q�Dyt ��,�� /9 � DESCRIPTION � 01 FOOTING 11 lv1ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � a � f ORK SATISFACTORY:PROCEED f i PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑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 C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex in pection 24 hours in advance. (952� 249-4600 OwnerlContra or sit : Inspector. White Copyllnspector's File Canary CopylSite Notice � � V � �E( TIME CITY OF ORONO ca�� INSPECTION N TIC SCHEDULED lb:D�I PERMIT NO. D COMPLETED ADDRESS �� E%�� OWNER CONTR. �'I TELEPHONE NO. �QS� �7� /a oZ� � DESCRIPTION ��/ l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 NARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J ��.X-� O � � O � ti � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor r�si�e: Inspector._�� White Copyllnspector's File Canary CopylSite Notice � / �ATE_ TIME CITY OF ORONO CALLED IN � INSPECTION N IC SCHEDULED � -� PERMIT NO. � COMPLETED ADDRESS ad.3S �-4�.tc� � OW N ER��27��-t1� ONTR. TELEPHONE NO. �/l� 7d� <� O � DESCRIPTION 6K� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z04 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 v 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 � COMM��ITS: a � �►'�L� o ��r ��,`" � � 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED :, ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r7 pH0T0 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. �95Z� Z49-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice (� �� 61 � i� DATE TIME ✓ —C1TY OF ORONO CALLED IN INSPECTION NO�IC� SCHEDULED �� : � PERMIT NO. :��0 �G� COMPLETED ADDRESS �a � � ��E'�CG� C�•��R OWNER��'�,�J�QC-��NTR� TELEPHONE NO. �l a ��'��' �L� �� DESCRIPTION �`��-y�`-� �>'� C`Yl � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W _ WORK SATISFACTORY:PROCEED [� PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t spection 24 hours in advance. (952� 249-4600 OwnerlContr o it • Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �O�d9 COMPLETED I' J � �<o _��Z ADDRESS �� 5 � l—!��Z ��,�� l�' C`� � OWN ER CONTR. TELEPHONE N0. w � DESCRIPTION �L/L-� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � . � ��/�t L ��7 GiL.1 �J /'L'! � cJ� a � 0 � W � Q � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. "/ �' �� White Copyllnspector's File Canary CopylSite Notice � '"�� ` / C /' f (A�E i�Jc�^ TIME v IT OF ORONO CALLED IN �_ INSPECTION NOTIC SCHEDULED �1 �� , � PERMIT NO. �� COMPLETED ADDRESS � �� r`"�� C.e. � � OWNER CO TR�"�� TELEPHONE NO. I �(�'— �O I �C�J�� DESCRIPTION �{��1 ��f • � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 fINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNEHICONTRACTOR TO MEET YOU• YES_NO � COMMENTS: ��'`3�" •3°�^�r � W a o � � A,�c?� c_a � e C� 5 S ��f3( P lr�i S '' �S L►,�� t'�� ' �Tl�� S c � � t3. � ,F;� � w , " � 3 e� � � � Q 6c�r Ce,' ,�,� � �e.. �e�-��9 �-��U�) S �l=z� ��,�� .l�ocs� z � �'�. � ►�I �.��r.� �� ;-n S ��CP�S �c?-.� jt_� �7S -f-�-�°� S �lvl��.Sti.a�e� a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. 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