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Home My WebLink About2005-P08968 - addn/remodel/repair � ` PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08968 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 7/22/2005 SITE ADDRESS: 650 Gander Rd Unit# Wayzata,MN 55391 P�� 04-117-23-43-0020 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Firepiacc Electrical(state) NOTICES/REMARKS: Basement Finish FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352J9 State Surcharge Fee: $ 20.00 TOTAL FEE: $ 915.54 APPLICANT: Woodwright Associates, Inc. OWNER: James&Whimey Tucker 17829 88th Ave.N. 650 Gander Rd Maple Grove,MN 55311 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. _} � � �„� .\�s � PLI A PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �r � C-C� Total Fee: $ C/ � � Date Received: �" ��^� � Entered By: � �� Permit#: �Dg (o 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 '`� , JOB SITE ADDRESS: ��c� ��,�,Q,�,� Z„ �„�.�,,�, ;, ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bz�s service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �,{,�,<J �c_,��z PHONE: (home) (work) MAILING ADDRESS: G"�� c i3,�,n;z,� R n CITY: c>��-�: �� ZIP: CONTRACTOR: �.��. ,,�,,Z,�rv;,asS . <�„< PHONE: CONTACT PERSON: .�-,�,=,= ��N,t,.,ti;,z„_, MOBILE/PAGER: c%=� ,3��-��-J�p MAILING ADDRESS: , »:� ; ��'�� r.�,,.,� .,, CITY: i,,,�,>�,� c:�,:, zZIP: �-�-� ;i STATE LICENSE: # �j�� EXPIRATION DATE:_� �- ��- �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration x- PROPOSED WORK(describe in detain: ,�3��„r.�„- �-,.-�,�-v. ;>��-� ,-�,�,,-. - ��,�.ci7 a,�,d,-�.,, STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �o� av-�% 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: �� ;- . � � 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. 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 InYormation 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,pol itical 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 to receive the data. This requirement shal] not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The wmmissioner of revenue may place the notice required under this subdivision in the individual income tax or proDertv taac 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 individuais,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 individuals 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 iu 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 actual costs of making certifying,and compiling the copies. The responsible authoriry 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 five days within which to comply with the request,exduding 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 himself To exercise this right,an individual shall notify in writing the responsible authority 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 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 provisions of the administrative procedure act 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 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature �2 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: (��'p GA�voc:,/L lZc,�,o PID: DESCRIP'TION OF WORK: (3 q5c:n.�c;-r,T F'� n,�s I-+ ------------------------___----_---------------------------------------------------�----------=--j---- ZO.�Pi iG REVIEW BY: („Q.�,..... DATE APPROVED• 7.Z� o BUII.DING REVIE`V BY: DATE APPROVED: �.21-o$' FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes r/ No SE�VER CO�iNECTION STATE SURCHARGE Yes � No WATF.R CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZO�t1NG CI�CK LIST Zoning District: o CH.4N �O Fire Departmenr. Post OfFce: School District: I.ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes I�10 Date of Survey: Proposed Setbacks: Fron[ (Lake): Right Side Rear (Street): Left Si : Adjacent Structures: �Vetland: Building Heijht: Def. Hgt. Peal:Hg[. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolu[ion Da[e: Shoreland Dis[rict: Av�. Secback: Bluff Se[ba k: L,otCoverage: E�istin� Proposed � Hardcover: 0-75' 7�-2�0' 2�0-�GO' 500-100�' Hardcover Variance Required: Yes No Date of Council Approval: �ZE1�LA.RKS (in house): BUILDING REV�W CHECK LIST �C� -- 2'3 CONSTRUCTTON TYPE: �(N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd F1oor x = Garage z _ R - TOTAL Estimated Construction Value: $ �f U,c9v0 � Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�( Mechanical Water Connection Footing ` Septic Sewer Connection �c Framing _�Fireplace Lawn Inigation �_Insulation (Masonry) Other �C Wall Board _�(Mfe,) Well (Sta[e Permit) 0` F�� Grading/Filling _�Electrical (State Permit) Other REMARKS(ni i HOUSE): � -------------------------------------------------------------------------------------------------------------- REVIE�V BY OTHERS: DATE: Access: Existin; New Access Approval: Date By: ---------------------------------------------------------------------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERl�II'1�: 8 H � �t1 . �.. ,,.;��. � �j , , 9aW11 lld 11��.L�6 NO l�S Nb''id SlNl d3�1 Ar �p G �� •Mai.na�S�u�u�pa�o�/i^2��a&cis:ou�w � fivip��. ;=�,m�ay l� Y__• .1. r:9�t„a� . . �.11 �x�j •epoa G�w�r pue Gui,, na a�;�:��,dc:;, ��2 „iM e 1_;,.,. :� ;;n� w � � � � q� � euop aa�us�:eM�;y �:�;�;aw�c;�.,;�nu,S�c��:e clu�ww�a;�s� v( � � �� 'I I^� 1 J ', - J L�1 l,itiu�i;,3t� 31:._,�3"��J- -G1,10r��c1y�:`;: � � �Yj � rr""'� � „�;6 T`—I a3i0lJ Sy SiJCii�3�;�J0� E�111;,1��102:�::'J� � � �; � � �� , C.,�.�,� G3lliU'u8i;S Sd C�AO�,,,_:�.� � d � 'ON11WL�3d Sn•r2 •� �ldv ,� .�, q .- � �.� _ U � � �� —»��-p d01�3deNl ' � �– � ;� � nn�i;,�� nt�d 14��3 ��v�a�ina � tt, Q W � N ;:. . orvoao �o �ii� , , , a tA w t� � � ?, � ��,r��,:. - h � ��, ;G� � � o o/ „ C-;// —� � ., . , � — , � ,. � � � � �• ,, ` , ; ` P � ' . ; � � .� . <.� v .- �� , z �O z � i `, n p � �. \ (O~ S � `' i V � � I� �� n F1 �� J � �. Q , i � L � T �7 ��h � � � 7 � ,� -1< � .rl � \� �I � � `` l\ � '� � t�1 ��" - �Y� i \� YL'�'.1 � O V i�y � � � � 2 ` a � � � G Q ,�, 1 � � � � v`�i . . , . � Q �, ( � rr. y IUOQR ,o � (,� � t �, •� 2 Y � � F' �� ,�Y fa k �p �p o t- .e', C',' � � � '?`, I .� `� � � � `� � � j �°, � � � � ; � y � z, o32b , . I� 2 � a (� � 2 � t ". � � � � t ��w r �. -� � 3 � ph J � � � t � .0 � . .n � K � J � ,� � r \ 1; � u � r', � � � � � yo;rY � � ;� ��:�, � � .� 1 �DATE � TIME CITY OF ORONO LLED IN �� INSPECTION NOTICE? (� SCHEDULED X'�3--�c.� � :��'�1 PERMIT NO. '��X ��L'X COMPLETED � i�; C�� `�� ADDRESS �� 5 C� �1 c=�f1 C�� OWNER CONTR. .�C�dc�Q i��✓l��i�' Ass a� - TELEPHONE NO�� -d S �d � DESCRIPTION ��" �Zk�.i.� �. . l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 0 TION 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 � 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 0. o l�/l. � S#-`'Q � �l r?•�-C S � �A O �/��' � �� " �.�A rT;�� ,-- _ re,�: �-��c�,�: W � Q � z W � W � � d � '_ ORK SATISFACTORY:PROCEED I� PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. rl PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s'te: Inspector._�,a��i• � �S/� � White Copyllnspector's File Canary CopylSite Notice �� \`�.. r/ CITY OF ORONO CALLED IN �QDAT��S TIME p v� INSPECTION NOTI E � �,,� r, SCHEDULED d 4"1�V� %��3 4�� PERMIT NO. d COMPLETED ADDRESS �� YIGQ. '` I�-� OWNER CONTR. GC '�L'`'�'� ASS��• r- TELEPHONE NO. ��" 3�(-�' "�S�� DESCRIPTION �` �- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING Q �2 FRA�t � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y �SULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 . 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-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 � COMMENTS: � W a o �A� ► K �ne' �-.a� � a � �a��f-� ►�� O(� �...��f S 0 � W Q 1 C:c�, 4C S rc�� f� � - . z W � W � � d W��ORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE W Cl RRECT WORK&PROCEED C�: ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. �,�,( r/ ��i3� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME � CITY OF ORONO CALLED IN I��0� INSPECTION NOTICE � SCHEDULED l/`� �• ° PERMIT NO. �D �9�� COMPLETED ADDRESS G S� �Q�'t-d.P�v �q� � OWNER �,�%�'�%�� CONTR. �D`�°� �Q �� TELEPHON E NO. ��-3�� — �-�� DESCRIPTION � � 01 FOOTING 11 MEC `/18 EXCAV/GRADING/FILLING Q 02 FRAMING MECHANICALFIN �da0 �' 1g LAKESHORE/WETLANDS y 03 INSULATION 24/2 OOD BURN /FIREPLACE 34 TREE REMOVAL o �__ �,/ Z 04 WALL BD. 12 WATER HOOK-UP C��.tf� 17 SITE INSPECTION � 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 PLUMBIN RI 23 SEPTIC FINAL 35 HAR�COVER REMOVAL J 10 PLUMBING FINAL �ID�(o 36 FOUNDATION/REMOVAL � OWNER/CO RACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � J 0 � � 0 � W � Q � z W � W � � a W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED '7 ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT � ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th next inspection 24 hours in advance. (g52) 249-46�� OwnerlCo n site: Inspector. ` White Copylinspect �'s File Canary CopylSite Notice