The URL can be used to link to this page

Home My WebLink About2004-P07384 - addn/remodel/repair �ITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po�3s4 Crystal Bay, Minnesota 55323 Permit Type: Aaa�t�o�Remoaevxepa�r (952) 249-4600 Date Issued: 4i22i2oo4 SITE ADDRESS: 1260 French Creek Dr Wayzata,MN 55391 PID: io-i i�-23-32-ooi2 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: i'iumoing iviecnanicai EiecRicai�siatej NOTICES/REMARKS: r_`'_..__.r_____�_t o. r__`_...___rn_.._ n r.._._. FEE SUMMARY: Pernut Fee: $ 1,273.75 Valuation: $ 150,000.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.50 TOTAL FEE: $ 2,1�'7,Zg APPLICANT: Hickory Fine Homes OWNER: James&Beverely Nyce 153 E. Lake Street 1260 French Creek Dr 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� L / �'�Y-- APPLICANT PGRMITEE SIGNATURG SUED E3Y SIGNATURE f Conies: 1-File(SiQnitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 , '�?� (�` �n..��-. i��--� �� /'i � iJ� e•.� �•Y"�,y�i,��' Total Fee: $ �� ;� �� 7 Date Received: ��=� -'` Entered By: ,�_/� ��'�"'�'�-� Permit#: '� - �� ` I% � / �� ` CITY OF ORONO - BUILDIN�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 OR CONTRACTOR JOB SITE ADDRESS: � I� —�tZgT_x:F.c �Z�E;Z=?[: �- ZIP: �v►-� , �,{ti Will this be a P r de of Homes, Remodelers Showcase Home or other Display Home? � Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non-permitted events will not be allowed. NAME OF OWNER: j�� 'j�Tc� ��-f-r� PHONE: (home) 7�� •� (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �lcL✓-a�y �z�, ��'l� PHONE: �'s ��Z- /�73 • l��e fi CONTACT PERSON: ,��F, MOBILE/PAGER: �,��, � ��;� . �'L2`� MAILING ADDRESS: j�;4 4- ��:y�c'z�IZA �cvs� CITY: L:=,--•:-- L,<a�-� ZIP: �� :�c.:- STATE LICENSE: # �' `�`''` �� EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure _ _ Addition Move Home Remodel/Alteration �C � PROPOSED WORK(describe in detai�: [�--�z�yz.;�.<< �e:�c-;��-Z � (=�,�--�-��sz � �`zi�-�� -izt,�T STORIES: �7✓ . SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED�_ DETACHED ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 L/ . (.i��' 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 wark is not to start without a permit;and that the work will be in accordance with the approved plan. 7 APPL�cANT�s s�GNATU�: '� �aTE: �y�� g , � r � CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: ►z ce o �_�'t�`�►ca-1 �� ,p 2 PID: ' DESCRIPTION OF WORK (L�vw�(J e� ------------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY: � DATE APPROVED: �-(-L i - o y B UILDING REVIEW BY: DATE APPROVED: z.-z�� -- 6Y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLANREVIEW Yes ,/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: �� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front (Lake): Right Sid�{: � Rear (Street): Left Side: A Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Cot�ncil Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolz�tion Date: Shoreland District: Avg.Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' . 500-1000' Hardcover Variance Required.• Yes No Date of Council Approval: REMARKS(in house): 32 B UILDING REVIEW CHECK LIST UBC: �-j CONSTRUCTION TYPE: 1(�, Sq Footage $Per Sq Ftg Basement X _ Ist Floor x _ 2nd Floor x = Garage x _ x TOTAL Estimated Construction Value: $ ��!b�a � Ltspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other I( Wall Board (Mfg.) Well (State Permit) '� Final Grading/Filling _�Electrical (State Permit) Other _____�_�___-------------- REMARKS(IN HO USE): "�-'�-�-----_----______--_- ------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By, ----------------------------------------------- -------------------------- REMARKS (TO BE NOTED ON PERMIT): 33 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 individual. An individual asked to supply private or conTidential data concerning himself shall be informed 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 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 ta 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 mav olace the notice reauired under this subdivision in the individual income tax or oropertv 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 individual who is the subject of stored private or public data on individua►s 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 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 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 aMual 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive 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 individual may contest the accuracy or completeness of public or private data concerning himselL To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority 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 authority may be appealed pursuant to the provisians of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.5.13.04,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. .�'�'►�� Qt--%T�-!or% � l�,/�11_. k-`�-T First Middle Last ,`2�4�dF �A�t z�7.a ��.�r� f� �r �3(S Address �::.; I-AY� �-'�r-� �.�'-i7� `��2 � `�7�• "Z t'�`� City State Zip Phone I understand my right as stat above. r � \ Signature I Reset Form DATE TIME " CITY OF ORONO . CALLED IN INSPECTION N TIC�8 SCHEDULED -a` -O �/:dU PERMIT NO. COMPLETED ADDRESS � � OWNER CONTR. TELEPHONE NO. C� l � DESCRIPTION Pb�� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL AL 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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENT : � � a '�' t � � � \ � � � a � � 0 � W a Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED i� PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED '-, ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-460� OwnerlCon or site: Inspector. White Copyllnspector's F le Canary CopylSite Notice � ? �- � DATE TIME CITY OF ORONO CALLED IN ��/5��`�� INSPECTION NOTICE SCHEDULED _ �"7- �'�D� //� 3� PERMIT NO._�-��.�� COMPLETED ADDRESS ��lod =�� /��y111� G��P.� ,� . OWNER CONTR. TELEPHONE NO. �� -/ � DESCRIPTION �l Q f-� � � t� 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � w e � J O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C-I PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next in ection 24 hours in advance. (952� 249-4600 OwnerlContractor�sit : Inspector. '°�--°� ��J White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN �a� INSPECTION N J�CE SCHEDULED ��"� /l,�3a PERMIT NO. v 38 COMPLETED ADDRESS �o2loO �I"1�i�(-G�'1 L��-��=�iZ-_ � � OWNER CONTR. TELEPHONE NO. COIZ 7�'J S� o�..�� /2 366 /'ZZ`'j � DESCRIPTION �� ^ ��`�'� 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 OS FINAL 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 � J O a � O � W � Q � Z W � W � � G _ � OR SATISFACTORY:PROCEED Cl PROJECT COMPLETE W RRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ':� CITATION ISSUED G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�0 OwnerlContr e: Inspector. White Copyllnspector's File Canary CopylSite Notice