HomeMy WebLinkAbout2005-P09116 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09116
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
9/7/2005
SITE ADDRESS: 1025 Heritage La Unit#
Wayzata, MN 55391
PID: 10-117-23-13-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Pern,it Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 411.45 valuation: $ 27,000.00
Plan Review Fee: $ 267.44
State Surcharge Fee: $ 13.50
TOTAL FEE: $ 692.39
APPLICANT: Boyer Building Corporation OWNER: Stephen&Pamela Byrnes
3435 County Road 101 1025 Heritage La
Minnetonka,MN 55345 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: ��� `�c� Date Received:�-�� fo��a�
Entered Ey: � /LL— - � -y���� ��� rermit�: ��� ( lC�,P
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all informafion)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTO�
JOB SITE ADDRESS: � C� �j {��u,�,.lu-�.� �n� D�v.�%� ZIP: Sj 3��
Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home?
❑ yes �o If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
suff cient on-site parking is available. Non-permitted events will not be allowed.
NAME OF O WNER: ��e �- ��„� ��2.,�e� PHONE: (home) �(�2� `�'�q��5��2
(work)�5'2 z i 2- ���
MAILING ADDRESS: �,� CITY: ZIP:
CONTRACTOR: �� P�;�.-;c�,;..� Ga�z�� PHONE: �'l Sz-� ti�s��7
CONTACT PERSON: g,r�, g�„��� MOBILE/PAGER: ��2���s��'-O i o 1
MAILINGADDRESS: �--r3-� �.,ti,�-,., � �jai CITY: II�L,hv�z-�-r�:� ZIP: �-�K�
STATE LICENSE: # EXPIRATION DATE:
ARCffiTECT/ENGINEER: 1�L- t���z.✓ PHONE:
MAILING ADDRESS: �� CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Access�tructure
Move Home Remodel/Alteration
PROPOSED WORK(describe in detai�: ���z,�u..-,�,Q 2�=' Sfin,,, �y, kcw� �" � s:�� �-��►-�v-rnj
n.�e�..� �� _ �CG�� . ��.�x�.� ���,���'s�(� ���1,�r �
,7
STORIES: 2 SQ.FEET OF EACH FLOOR: -
NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z�-�Z>
I hereby apply for a building pennit 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 tl�is is not a pennit and work is not to start without a permit;and that the work wil]be
, in accordance with the approved plan.
APPLICANT'S SIGNATURE: z.! DATE: �I-2��U�
1
Sec.13.04 RIGHTS 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 confidential data conceming himself shall be
informed of, (a)the purpose and intended use of fhe 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 supply
private or confide��tial data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or property tax 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 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 data on individ�als shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning ofthat 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 action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsiUle 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 cos[s of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. Ifhe 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 ofpublic or private data
concerning himself. To exercise this right,an individual shall notify in��iting the responsible authoriry describing the nature ofthe disagreement. 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 data,including recipienu 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 infonnation.
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 perniit or license.
3. The infarmation 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
C�ty State Zip Phone
I understand my rights as stated above.
� � �
Signaturc
32
CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �pZ� t—i eR�Z A�� LAr��
PID:
DESCRIPTION OF WORK: 2,n�c� �(.o 0 2 �'Lc ww,�Z
ZO�G REVIEW BY: DATE APPROVED: 9 -.S'-o S
BUII�Dl�G RE'VIE`V BY: DATE APPROVED: q -s-o s
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _� No
PLAN REVIEW Yes �/ No SEtiVER CONNECTION
STATE SURCHARGE Yes � No `VATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZOti'P�i G CH�CK LIST Zoning District: N� cc-�-�-e
Fire Department: Post Office: _ School District:
Lot Area: Se.ft. Acres Wid[h Depth
Survey Submitted: Yes No ate of Survey:
Proposed Se[backs:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: � etland:
Building Hei�ht: Def. H�[. Pe • Hgt.
Lot Covera�e:
Grading: Staff Approval Date: By Councll Approval Date:
Septic: Staff Approval Date: By
Zonin� File: � Resolution: # Resolution Date:
Shoreland Districr.
Av�. Setback: Bluff Setback: L.ot Co�•erage:
E;istin� Proposed
Hardcover: 0-7�'
7�-250'
2�0-SQO'
�00-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
R�EI�LARI�S (in house):
�
BUILDING REV�W CHECK LIST
�C� i2' 3 CONSTRUCTIONTYPE: �!^�
Sq Foo[age $ Per Sq Ftg
Basement x =
lst Floor x _
2nd Floor R =
Garage z =
x �
TOTAL
Estimated Construction Value: $ 2"l,c�oo '�
Inspections Required: `Vork Requiring Separate Permits:
Site _2( Plumbing Fire
Hardcover Removal _�c Mechanical Water Connection
Footing ` Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�Insula[ion (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
F�� Grading/Filling _�C Electrical (State Permit)
Other
REI�IARKS (IN HOUSE): � �
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REVIE`V BY OTHERS: DAT'E:
Access: Existin� New
Access Approval: Date gy:
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REVIA.RKS (TO BE NOTED ON PERiI�fI'1�:
8
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��� REMODELING CONTRACT
Page 1 of 12
Builder: BOYER BUILDING CORPORATION
Remodeling Division
3435 County Road 101, Minnetonka MN 55345
P: 952-475-2097; F: 952-475-2005
Owner Steve and Pam Byrnes Date Au ust 2 2005
Address 1025 Heritaqe Lane Home # 952-449-8792
City/State/Zip Orono MN 55391 Office #
Email address Cell # 952-212-4554 — Steve
Boyer Building Corporation, Remodeling Division, includes items required for your custom plan as listed in the
following project specifications. Building permits taken out for all work by Boyer Building Corporation, Remodeling
Division, a fully insured and licensed contractor, Minnesota license number 0002988.
Key: AWAP =As Well As Possible. NIC = Not Included inContract. BO = By Owner. NC = No Change.
Scope of Work: Builder shall execute all work and furnish all materiais designated or described in the
Construction Documents (the "Work") except to the extent the Construction Documents state that the Work or
materials are the responsibility of others. Builder is responsibie for obtaining all necessary permits and complying
with all applicabie laws relating to the work.
Remodel 2�d stor on house. New trim re aint trim and walls retexture ceilin s new bath tile and fixtures.
Demolition:
Existinq carpet doors trim plumbinQ fixtures hardware
NOTE: All demolition products and materials unless specified in the Construction Documents are the property of
Builder.
BATHROOMS:
Bath demo #1: Existing
Master ITEM REMOVE SAVE ITEM REMOVE SAVE
� Toilet X X
� Sinks X
��� � ,��Vanity top X Fan vent X
�1 �v 1 Vanity X Lighting X
� / Shower stall X Tile walls
� • Tub
Tile floor X
Walls X Mirror X
Remarks The master bath toilet to be reused in same location.
Plumbing fixture allowance provided (AL) see below:
Bath # Master Toilet Reuse Lav Corian Inteqrai Color TBD
Tub --- Shower Ceramic tile Shower door TBD
Vanity size 6'x22" Brand Custom Material Paint arade
,
� Ip (�� DATE . TIME
CITY OF ORONO CALLED W `'' ��� —�
INSPECTION NO ICE �09��� SCHEDULED --�y`��• ;/V'
PERMIT NO. � COMPLETED
ADDRESS , z� � �-
.
OWNER CONTR. °� �
TELEPHONE NO. �7 r� t1`�� -r ��'�
� DESCRIPTION � � , �' �
L� ///0���1 FOOTING 11 fv1ECHANICAL RI EXCAV/GRADING/FILLING
Q/02 FRAMING4 K 13 MECHANICAL FINAL �19 LAKESHORE/WETLANDS
Q��INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� �❑ RKSATISFACTORY:PROCEED [i PROJECTCOMPLETE
W CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContract i e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice