HomeMy WebLinkAbout2008-P11947 - addn/remodel/repair � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11947
Crystal Bay, Minnesota 55323 Permit Type:
Addirion/RemodeURepair
(952) 249-4600 Date Issued: 4/4/2008
SITE ADDRESS: 1300 French Creek Dr [Tnit#
Wayzata,MN 55391
PID: 10-117-23-32-0015
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/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 339.25 valuation: $ 20,000.00
Plan Review Fee: $ 220.51
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 569.76
APPLICANT: Water Street Homes LLC OWNER: Bernard&Victoria Nann
464 2nd Street#105 1300 French Creek Dr
Excelsior, MN 55331 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.
��`' � /���-� �
` APPI,ICANT PEiRMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' � .A,,�-� RECEIVED
�'� MAR 3 1 2008
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Total Fee: $ rv . � Date Received: CITY OF ORONO
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 OR ONTRACTOR
JOBSITE ADDRESS: 130o F��►aGt� C'��� �� . zir: 55 3�1
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑YCS ❑ NO If yes,a special event permit is requered with Police Department rn�d City Council approval
60 days prior to the event. Shuttle bus service will be required unless upplicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: �rr���r�,( �v;cK�/ I.lBn n PHONE: (home)
(work)
MAILING ADDRESS: 13� �r�ach CR.�.,L ►.7¢. CI'TY: t,.��7Ath ZIP: ��
CONTRACTOR: „�p,-�-�, r'j r.,es L�.L. PHONE: cjS2 �-/7'-(- (oI (oO
CONTACT PERSON: I eN �1ey de MOBILE/PAGER: �i Z- 22( -�Og�{
MAILINGADDRESS: �-/��/. Z,�D �,7-, �/oS CIT'Y: �xc��s��Q ZIP: 55331
STATE LICENSE: # Z03°1 Oq D� EXPIRATION DATE: v'3- C��
ARCHITECT/ENGINEER: _� � R PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding,Windows) 1�'
PROPOSED WORK(describe in detai�:��s�-q�� Ne� [r/c�►/Coo�TaP �/ i-loac.( . C��«61-
�j'kAwd W/1/o�.a�{uu�_I l�ew WTNC' Co I�Bd � LC aA�'h jZe�GM►�¢� � l�l w 5fl��' �-h'1r� L'��tY'.
r
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 20,DoO�
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 work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: 3' 3 I -0�
31
' '
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /'� �� �_��,1 �,� � ��� �• ��
PID:
DESCRIPTIDN OF WORK.• _ ��rv,,o,�L—Z
ZONING RETtIEW BY.• DATEAPPROT�ED.+
BUILDING�Ei�IEWBY.• DATEAPPROT�ED: �r�
__________ — ------ _ 2-o� •
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTION
WVESTIGATION FEE Yes No � PARK FEE
SAC Yes No—�` SITEINSPECTION
Numbe��of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning Distr�ict: �� C,c./� ���
Fire Department: Post Off ce: School District:
Lot Area: Sq.ft. Acres Width
Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Streel): Left Side:
Adjacent Structures: Wetlan :
Building Height: Def. Hgt. Peak Hg
Lot Coverage:
Grading: StaffApprova7 Date: By: Council Approval Date:
Septic: StafjApproval Date: " �c�
� � By: l_,�.�(,•—
Zoning File: # Resolution.• # Resolution Date:
Shoreland District: CWD Permit:
Avg. Setback: BluffSetback:
Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Ha�-dcovei• Variance Required: I'es No Date of Council Approval.•
REMARKS(in Itouse):
33
BUILDING REVIEW CHECg LIST
UBC: i�•3 CONSTRUCTIONTYPE: V/`�
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ zc��c�cx9 °�'
Inspections Required: Work Requiring Separate Permits:
Site _�C Plumbing Fire
Hardcover Removal �Mechanical Water Connection
Footing Septic Sewer Connection
_�r Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
�_Final Grading/Filling �Electrical(State Permit)
Other
REMARKS(INHOIISE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARXS(TO BE NOTED ONPERMIT):
34
, '
Sec13.04 RIGHTS OF SUBJECTS OF llATA
Subd.l. Type of data. The rights of individual on whom the daLa is stored or to be stored shall be as set forth in this section.
Subd.2. Infortnation required to be given individual. An individual asked to supply private or confidential data conceming 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)
whetherhe may refuse or is legally tequired 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 peisons or entities authorized by state orfederal law to receive the data.This requirement shall
not apply when an individual is asked to supply invesGgative data,puisuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or property t�icfund
ineWctions mstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an indivi�al shall be informed whdher 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 da[a on individuals shall be shown the data without any chazge 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 ita meaning,the data need not be disclosed to hun for six
months thereafter unless a dispute or action putsuant to this section is pending or additional data on the individual has been collected or c�ated The
responsible authority shall provide copies of the private or publie data upon request by the individual subject of the data. The responsible authority
may require[he requesting person[o pay the actual costs of making,cettifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant[o this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shall so infortn 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 individual may contest the accuracy or completeness of pubGc orprivate data
concetning himself. To exercise this right,an individual shall notify in writing Hte responsible authority describing ihe nature of the disagreetnent.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 da[a,including recipients named by the individual;or(b)notify the individual that he believes the data[o be cmrect Data in
dispute shall be disclosed only if the individual's statecnent of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed putsuant to the provisions of the adminiabative procedure ac[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 pemut or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential infom�ation.
You are notified that:
1. The inforcnation you fiunish will be used to deternune your qualification for the pemut or license
requested.
2. You may refuse to supply data,but refusal may requue that the City deny the pernut or license.
3. The infonnation may be shared with other local, state or federal agencies to the extent necessary to
process the pemut or license.
4. If your requested pernut 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 yotuself.
6. Your full name is required to process this application or pemut.
K�uu ��-4 .�aw.�s �I-��rv,�
N��t Middle I,ast
�/Ls�/ ��P S�• �k- /oS'
Address
�zxc�(s��or ✓h��( SS331 ciS2- �/7'�-�l�o
City state Zip phone
I understand my rights as stated above.
Signature
Reset Form 32
�`� DATE TIME �
CITY OF ORONO CALLED IN �'/�
INSPECTION N IC // SCHEDULED —SJ �� �
PERMIT NO. ���`�' COMPLETED
ADDRESS �3�� C�L ��
OWNER CONTR. ��-e-� ��'�-e-��
TELEPHONE NO. �O�a �a / ��9 S
� DESCRIPTION /�ef���-���'`
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
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_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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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 o site:
Inspector.�� (f'�� ��
White Copyll�spector's File Canary CopylSite Notice
L� DATE TIME (�
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INSPECTION TICE SCHEDULED //.-�U�
PERMIT NO. ��R'�7 COMPLETED
ADDRESS '
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TELEPHONE NO. � � -{o �'l.S
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_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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INSPECTOR W4LL RETURN
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Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site: �
Inspector. �[, r�+� � _
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CITY OF ORONO ca ED IN � ��
INSPECTION NOTICE S HEDULED % �
PERMIT NO.,�/Q�4 ���9Y7 COMPLETED
ADDRESS �i�DD �'CGyc.�� L�L2_Q� �
OWNER CONTR. �lJ��t����2.:�e�
TELEPHONE N0. �p la — �oZl--�9�1.5
� DESCRIPTION ��� J r���
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� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
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V�BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN NOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on si e:
Inspector. �� r C (,
White Copyllnspector's File Canary CopylSite Notice
� � ��-� � ��3 ag TIME ,/
CITY OF ORONO CALLED IN
INSPECTION ICE< r I�'v�vSCHEDULED `"r - � � �
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
OwnerlContractor o�site:
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White Copyllnspector's File Canary CopylSite Notice