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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 � 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���-���'` � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPL4INT � ❑ 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 � � l�-� / ���" ��tf 5(1��"�'! G� /V �C.t1��� � — ��(`�lrY� �,,[.��'�J^ � Ir ll�J.� 0 � W � Q � Z W � W � � GW ❑CNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � '�CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. �, PHOTOTAKEN 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 (� � -- � d CITY F ORONO CALLED IN INSPECTION TICE SCHEDULED //.-�U� PERMIT NO. ��R'�7 COMPLETED ADDRESS ' OWNER CONTR. � TELEPHONE NO. � � -{o �'l.S � � �, � /� � DESCRIPTION `yZ�/�c--r ` f`��4� D�1�� °l� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z �WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ 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 � � J O � G- ,�(� l i! � ��� .�_ 0 � w � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: � Inspector. �[, r�+� � _ White Copylinspector's File Canary CopylSite Notice �l��n.6�•c� ��/y y�,/ �e�J ��Z DD f � AT TIME 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��� � ❑ FOOTING ❑ MECHANICAL RI ❑ �XCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o - -�✓�oY-� �'��C��� An C.c� . S ,. --� � -�'/l ��cu„ S 0 � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY �,�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V�BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN NOURS. � pHOTO TAKEN INSPECTOR WILL REfURN =J CITATION ISSUED ❑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 - � � � PERMIT NO. COMPLETED ADDRESS l.�Y^i /— il ef�'��'47 �lF-'��- � OWNER CONTR. ��.[�%�J�C��f'E_'��" � TEL PH�O��N,O. ��� � ��I � G?�� �����'� � �'E . � DESCRIPTION �CC.��- � ��cn6 I�I� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ` Q ❑ FRAMING ���y�'�❑ MECHANICAL FINAL ❑ LAKESHORE/WETLAN �1 y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ^ ❑ TREE REMOVAL I� � ❑ WALL BD. ❑ WATER HOOK-UP � ��%�C��J'� ❑ SITE INSPECTION j ❑ FINAL ❑ SEWER HOOK-UP �� � ❑ PROGRESS ✓ � O DEMO-SITE ❑ SEPTIC MAINT. ✓ ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ S TIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YO YES_NO � COMMENTS: � � W C � � O � � O � W � Q � Z W � W � j d W� 1�IORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN 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: ,. Inspector_ �' White Copyllnspector's File Canary CopylSite Notice