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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. . r �> ` �,� j� � /�"' /L� �,�-- 7� � • � j _�:�. �ti� � APPLICANT P�R E SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 � '� ; � � j � � � '�i� l; � �'�� �.K- ��,.�C �-� ;���`I , � � � � � � '�� � � � ' � Total Fee: $ ;�'� � � �'� ��� Date Received: � �.3- ��Z Entered By: � � ���n,(���� Permit#: ' c' �f,g'� �- �� � � 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 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. 5 �#� ' � 4 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 �• 6 �.w t � � ` � 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� ------------------------------------------------------------------------------------------------------------------------ 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) ------------------------------------------------------------------------------------------------------------------------ ' ' ZONING CHECK LIST zoning District: F�f".'. - � C-3 � r k'1`� i � l 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: � �� v v � � Adjacent Structures: Wetland: � ^ Building Height: Def. Hgt. Peal:Hgt. ���� 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): 7 � � � � 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): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 � DATE TIME CITY OF ORONO CALLED IN INSPECTION�TI SCHEDULED ��-- (D.;�o PERMIT NO. COMPLETED ADDRESS ` � % -�. OWNER CONTR. � TELEPHONE NO. � — l�'�� ��D _ �� �-� O � � 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: � a S � I �vt p 0 � � 0 � W � Q � 2 W � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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 / � 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��� ----� �j` � 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: � W a O � Q CS�� ��G� �� � �. � O � W � Q � 2 W � W � � d 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: � a r ��.t�.� r�'�.�.ET�=b j O � � O � W � Q � Z W � W � j d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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: � 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: � a 1� �'� ��� 4 �.��� �-:����, :� � y � � � � c; c �,� , .,��,,;���-�? o �, � :z�; Q =� �-- � - � z W � W � j � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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