HomeMy WebLinkAbout2002-P04834 - addn/remodel/repair � ! PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po4s34
Crystal Bay, Minnesota 55323 P@fCTllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2i2si2oo2
SITE ADDRESS: 2285 French Lake Rd
Wayzata,MN 55391
PID: io-i i�-23-22-ooi i
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 2709
Separate pernuts required: riumoing iviec;nanicai irrigaiion Eiec;uicai �s�aiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,329J5 Valuation: $ 160,000.00
Plan Review Fee: $ 864.43
State Surcharge Fee: $ 80.00
TOTAL FEE: $ 2,274.18
APPLICANT: Boyer Building Corporation OWNER: Richard&Anne Shull
18279 Minnetonka Blvd 2285 French Lake Rd
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.
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APPLICANT P�R E SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1
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� Total Fee: $ ;�'� � � �'� ��� Date Received: � �.3- ��Z
Entered By: � � ���n,(���� Permit#: ' c' �f,g'� �-
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: 22,� ��tw�,I,� ��C. Zc� • ZIp:
NAME OF OWNER:�`Gk $ �y�� ���`` PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: D � PHONE: ��Z— �('7S�2v�'�
CONTACT PERSON: p M BILE/PAGER:(�Z- C�F�S'—U1 a�
MAILING ADDRESS: ($�1�-� �`Jd CITY: e� ZIP: sS3q�
STATE LICENSE: #Z� ��
ARCHITECT/ENGINEER�a�Y� ��-�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: N�w Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ���D�` ��,�„�,ti, (��S�T� .
� �..� arwV1���Q '�'3c�.
STORIES: _� SQ. FEET OF EACH FLOOR: �� 8 .
NO. OF BEDROOMS: � GARAGE STALLS: ATT. Z. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ` � ppp
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: Z OZ
NOTE! Parade of Homes events require separat permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGH'I'S 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 confidenrial 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 suppty private or confidendal data;and(d)the idenary of other persons or entides authorized by srate or federal law to receive the data.
This requireme�t shall not apply when an individual is asked to supply investigative data, pursuant to sectio❑ 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revenue mav nlace the norice reouired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or co�dentiaL Upon his further request, an individual who
is the subject of stored private or pubiic data on individuals shall be shown the data without any charge to him and, if he desires, shall be infornted
of the con[ent 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 acdon pursuant to this secdon is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply unmediately,if possib(e,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 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 public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt ro notify
past recipients of inaccurate or incomplete daha,induding 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 determinabon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaung
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 permit or license from the �ity 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.
First Middle Last
Address
' Ciry State Zip Phone
I understand my rights as stated above.
Signature �•
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` � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �-��.�5 F� ��<�(` 11 1--���:� ,e' i�����,t
PID: 1�'. - i �, _� _ � �� �,�_. C�? I 1
DESCRIPTION OF WORK: _ (-��,��rit,��_ l : �'�c�c� -E�t��Y�
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ZON�TG REVIEW BY: L'(.��,t DATE APPROVED:
�2 �� c�--
BUILDING REVIEW BY: � DATE APPROVED: z -� � -� �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No __� PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST zoning District: F�f".'. - � C-3 � r k'1`�
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Fire Department: l�y ��k� Post Office: �, =;C'�t"LL School District: � y ^ ��
Lot Area: Sq.ft. �J� a�01 Acres ` -� Width �,� ( �j Depth ;Z� ;� :,,�
Survey Submitted: Yes X No Date of Survey: i� " ��' � 1 �
V �
Proposed Setbacks: � �/
Front (Lake): Right Side: . tC1
Rear (Street): Left Side: �
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Adjacent Structures: Wetland: � ^
Building Height: Def. Hgt. Peal:Hgt.
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Lot Coverage: `�.�`7��C� - 3� ��`-�3 ,�`� S -E--.
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
t���
Zoning File: #{ 4.1' C'�i Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: I,ot Coverage:
Existing Proposed
Hardcover: 0-75' t ' - �S� '�(c-,.�t��G� ����(���.<,�.�� -; -��- (�3.��-�(o )
�s-2so� �1 t��3� �;�a.a��i�:: ) 7(���,� �.�=. (. ��.��J� )
2so-soo�
500-1000'
Hardcover Variance Required: Yes :'� No Date of Council Approval: ,2- I� � ��--
REMARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: � ' 3 CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 1 �C�, pc�o °v
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal �Mechanical Water Connection
�! Footing Septic Sewer Connection
_�Framing Fireplace .� Lawn Irrigation
�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling � Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�TI SCHEDULED ��-- (D.;�o
PERMIT NO. COMPLETED
ADDRESS ` � % -�.
OWNER CONTR. �
TELEPHONE NO. � — l�'�� ��D _ �� �-� O
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� DESCRIPTION
� O7 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FI AL 14 SEWER HOOK-UP 06 PROGRESS
� 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe ne inspection 24 hours in advance. (952� 249-46��
OwnerlCon t o s te:
Inspector.
White Copyllnspector's Fil Canary CopylSlte Notice
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� C\�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC �' SCHEDULED � �� =3
PERMITNO. � 3� COMPLETED � —aZ �' Jv�
ADDR ESS Z 2�'j �/P_ �-'�'�''� L�/ /Zc�
OWNER CONTR. T�L./t'/"�
TELEPHONE NO. y -��a.�—�-7� - �f���
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� DESCRIPTION `�-���` � "-+' ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/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 OS 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 SEPT{C FINAL 35 HARD COVER REMOVAL
J 10 PLUMBfNG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� �J JORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
Owner/Contr ctor on site:
Inspector. ^ '�
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTIC SCHEDULED �-3--�a-- �
P�RMIT N0. J� COMPLETED
AD�FtESS �� �J �� � �
`- OWNER ����j� CONTR. k'-'�
TELEPHONE N0._ / S o� `� ,7 S �� 9 7
� DESCRIPTION ����-t� ---
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
2 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 O6 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 FOUNDATlpN/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTORWILLRETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor site:
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Inspector.
W Copyllnspector's Fil Canary Copy/Site Notice
DATE TIME
CITY OF ORONO ✓ CALLED IN
INSPECTION NOTI SCHEDUIED � .a� ���U.��
PERMIT NO. COMPLETED ��' �" '"'
ADDRESS =�,� �� f �- L--z--�� �-�u /4�•
OWNER CONTR. ,��-�.-� �3 ���� •
TELEPHONE N0. �Z �� y�`S_ :�O( �J
� DESCRIPTION�T ��
llr Ot FOOTING I 11 MECHA CAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING l,,` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPIACE 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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C� MENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
O CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlConUac�or on site:
Inspector. 4���'� 7
White Copylinspector's File Canary CopylSite Notice