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Home My WebLink About2003-P06423 - add/remodel/repair a . , PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06423 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: sii2i2oo3 SITE ADDRESS: 3545 IvyPlace Wayzata,MN 55391 PID: 20-117-23-42-0034 DESCRIPTION: UBc occupancy R3 Construction Type VN Proposed Use: Residenrial Pernut Class: Building Census Code 434 Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Garage-Attached DETAILS: Approved per resolurion#: 2837 Separate perxnits required: Eiec�icai�siaiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 391.25 Valuation• $ 25,000.00 Plan Review Fee: $ 254.28 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 658.53 APPLICANT: Danberry Company OWNER: Jeffrey&Debra Danberry 4410 Shoreline Dr 3545 Iry Place Spring Park,MN 55384 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. G�—� �C�� PLI NT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(Signitures Required),1-Anvlicant, 1-Monthlv Reuorts. 1-Assessine, 1-Finance Page 1 � � ' Total Fee: $ �-�� ' �' ��' Date�Received: � Entered By: � � Permit#: f �1�� _ ��: � I �: � C '> CITY OF ORONO � BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � --------------------------------------------------------- -------------------- ------------------------------ THE APPLICAI�IT IS: (circle one) OWNER OR CONTRACTO JOB SITE ADDRESS: �� -,� ZIP: �S 3�'7 � NA11�iE OF OWNER: �� M-�� F�'��'' PHOi�TE: (home) 7/� 7t �` � n (work> y7t d s'� z MAILING ADDRESS: 3s�s� �y (l"� CITY: ZIP: CO\�'RACTOR: ��''i^ PHONE: 7 �l-0� � COti�TACT PERSON: G %�= MOBILE/PAGER: Zs'� � /O M.4II,I�1G ADDRESS: CITY: ZIP: ST�T`E LICENSE: # ARCHITECT/ENGINEER: PHO�TE: MAII.,I�i 1G ADDRESS: CITY: ZIP: �,TA.��; REGISTRATION# TYPE OF WORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �c�-c V at��'e�..-�-c_ STORIES: _� SQ. FEET OF EACH FLOOR: �Q �I\'O. OF BEDROONIS: � � GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ �oad°� I hereby apply for a building pernut 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 wifl be in ccordan w' h the approved plan. APPLICANT'S SIGNATURE: DAT'E: .S��? NOTE! Parade of Homes even s require separ e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � Sec.13.04 RIGFiTS OF S[JBdECTS 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 forrh in this secdon. Subd.2. Information reqirired to be givm indiridual. An individual asked W supply private or co�denaal dara concerning himself shall be informed of: (a)rhe purpose and intended use of the requested dara wi[hin the collecting state agency,polidcal subdivision,or statewide rysum;(b)whecher he may refuse or is legally required to supp(y the requested data;(c)any Irnown consequence arising from his supplying or refusing to suppiy private or confidenaal daa;and(d)the idenary of other persons or entiaes authorized by srate or federal law to receive the data. T6is requirement shall not apply when an individual is asked ro supply investigative data, pursuant to secdon 13.82, subdivision 5,to a law enforcement o�cer. 'Ilie commissioner of revenue mav olace the notice reauired under this a�bdivision in the individual income taz or o ertv x refund 'Lnstrucaons mstead of on those form . Subd.3. Access to data by iadividual. Upon request W 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 confidenaal. Upon his further tequest,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 rhe content 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 w him for six months thereafter unless a dispute or acaon pursuant W this section is pending or addirional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any reqaest made pursuant to this subdivision,or within five days of the dace of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or private daa conceming himcelf. To exercise this right,an individual shall notify in writing the responsible authority descdbing the�nature of the disagreement The responsible audioriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete dara,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara in dispute shall be disclosed only iF the individual's statement of disagreement is included with the disciosed data. The dererminaaon of the responsible authoriry may be appealed pursuant to the provisions of the administraave procedure act relating to contested cases. . DATA PRIVACY ADVI ORY 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 aze 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 equired to process this application or permit. -�l T ��rw Firsc Middie Last Address /�'rrr-a-- Ciry Srate Zip Phone I und tand my rights a at above. Signa 6 ( � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADDRESS ORLEGAL: 35W s sv�� Pwc,,,E PID: DESCRIPTION OF WORK: �Att►AGcr ►4a�i-ri o n� _ --------- ------------ ------------------------ • 6_ ZOi�TIl�tG REVIEW BY: aP DATEAPPROVED• �Z�o3 BUILDING RE�W BY: DATE APPROVED: � ��Z-°3 FEES TO BE CHA.RGED: Misc. Fees Calculated By: pERMIT Yes ✓ No pI,AN REVIEW Yes v' No SEWER COrfNECTION STATE SURCHARGE Yes [/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC Units OTHER (specify) Z4�'ING CHECK LIST zoning Districc: LR-►�. Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width _ DePth Survey Submitted: Yes X No Date of Survey: Proposed Setbacks: , Fre�(Lake): I 2 0' '� Right Side: 1 � Rear(Street): l�^3� t Left Side: �� Adjacent Structures: �rw.�+L� Wetland: �� Building Hei;ht: Def. Hgt. v•��. Peal:Hgt. a•K Lot Coverage: Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: -- . By: Zoning File: # o2-aS3'7 Resolution: # `/885 Resolution Date: �o•Z`� -�Z . . Shoreland District: T s Av�. Setback: ni�_ Bluff Setback: _ff/�/� L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 2�.s S 2 Y•`15 250-500' 500-1000' Hazdcover Variance Required: Yes No�_ Date of Council Approval: RE1v1ARKS (in house): 7 , BUILDING REVIEW CHECK LIST � � �C� - 12' 3 CONSTRUCTION T'YPE: V/� Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ R c TOTAL Fstimated Construction Value: $ ?S p oo � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanicat � R/ater Connection �Footing Septic Sewer Connection _�( Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) _ Well(State Permit)-- ---.-- . _ �F� Grading/Filling _ os Electrical(State Perm.it) Other REVIARKS(IN HOUSE): . ---------------------- ----------- -------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy_ � -- -------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT): . 8 `�ROM :SCHOBORG LAND SURVEY`I NG, ]NC. FAX iJO. :763-972-3221 Sep. 16 2002 �?�:5?F'f�l P 1 -• r..., a�. .A: iw .��i� ��11! �M M .Y ..1' . .. l��.I�: � 1�;..`� �� ,,��r�Y,s�;",j;n• �R i �' �TgAGK ' �� 'I!�'� , ,: ,� :x�:�-..;-��.� ,. WI'-._.� � `�� . , .. .. ��5�' .1:,' �t• . .�:�,'� .� Y ....� . .�. . .. � Y� , ,� ; . . . .. . . • 4 � � ��. i/ = I V / A. Hvwe S.F, @ � ' ,� 26 ,� - ' 3 9'D S F, , 't � '_..,""_��. � �t.F. x / � Si.F. . ' ` .�'..�" x� �r� a. �araga ___�-,� x � � - S`� s.P. C. Ddve�v�y �r� x , �� , � •{. .�24 S.F. L�' x 2 S' - �,?�.r.s.F, x� 3C> ' ��`Q D. Stdew�tic / S' _ x � ' �.F. ....._.� x � "` �8,F, Z //O E, Patio/Dsck � x ,3�._. ' � S.P, f,��7a�9 /� x Y..._/6, �' � d �S.F. F. I�adtcape /1� x �� -- [1�. r S��. Un�e�aia A x c = _ z"� S.F. sy �� /� x 3 � �„ s/ s.�. o��,� iB � �-�-,...�._.._ Q, �'w. /¢ x .��,,,_„ � /�� s.�, Tc7TAL HARDCOV�R !N ZONE • � y S.F. A TOTAL PROPSR'TY'AREh �N ZOtv� - 5.1�. � A Y�3 T B �'Z f;�':7�'.1 A 1 oiS � Z Z. �i �te�vn�r.n,wa�,��i�1 zOtiTE �y„ �� x = S.F. �, wa� x y S.F. x � S.F. x s - ---- g.F. � �� - H. C3era�e I � x ....�.�....� m � '� .,.�. S.F, �C. Ukiveway �� z � "�' a t7T �,F; , x � S,F, D. SideYvrlk z i 9.F. s � �.F. �. P+u3e/Dedc x '" S.F, x = S�F. F, t�pa , z • S,F. �,_��,� z +� S,F. gy pl�uic x � _ B.F. Qr Fabric G. �t6ar x *� 9,F. 1 �:o�ra�.. ��wx�cavEx irc zoN� - �(� s,�. ,�� TO'TAL PRU 'I"!f X�tE�A IN ZO1K� - g.F, g' A Q + 8 ,17� a lOf! . l. +�i , ._._....�� G'. '�f '�i�� '��q�j�f�/ (�� — . .G� 7'�./td ' I4 [�. ✓ �•T DATE TIME CITY OF ORONO CALLED IN `� �3 fi-� INSPECTION NOTICE SCHEDULED �'/f1-� t� PERMIT N0. P��' tj�'��3 COMPLETED ADDRESS �-��f� �V w% ��' � OWNER CONTR. �=�i�t h�-/"�- TELEPHONE NO. ��a y �� - �� DESCRIPTION �� e�'��i � � 01 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 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 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOI�YES_NO � COMMENTS: � � a � J O � � O � W � Q � 2 W � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-4600 OwnerlContractor si . Inspector. White Copyllnspector's File Canary Copy/Site Notice ✓ DATE TIME CITY OF ORONO CALLED IN 3 'Y`� INSPECTION NOTI � SCHEDULED 3��c '�'`� �vI PERMIT NO. � ` � COMPLETED 7 ADDRESS � ` � �" ��t�� OWNER CONTR. �-`G� '�r!"�c� �vz.�'� TELEPHONE NO. �� 0-� �� DESCRIPTION �� _f��'f -�— � 01 FOOTING � MECHANICAL RI 18 EXCAV/GRADING/FILIING Q 02� 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS y 3 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL flETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor s te: Inspector. White Copy/lnspector's Ffle Canary Copy/Site Notice � �M � D TE TIME CITY OF ORONO CALLED IN �' INSPECTION TICE SCHEDULED - 4:3a PERMIT NO. `�a COMPLETED ADDRESS V �a,C.�� OWNER CONTR. TELEPHONE NO. /Z 2SD �DD� � DESCRIPTION t�y�FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG �l 02�RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �'�3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 2� CpMpIAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTICFINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETYOU:_YES_NO � COMMENTS: W a j O �. � O � W � Q � 2 W W � � a W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next nspection 24 hours in advance. (952) 249-4600 Owner/Contra Inspector. White CopyAnspector'a File Canary Copy/Site Notics � D�� TIME CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED -�� PERMIT NO. 'Z3 COMPLETED ADDRESS 5 �� -� OWNER CONTR. � 1ir TELEPHONE NO. a 1" � � DESCRIPTION �G �� . � 01 FOOTING 11 MECHAN AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAICESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL Z D. 12 WATER HOOK-UP 17 SITE INSPECTION OS FI 14 SEWER HOOK-UP O6 PROGRESS � 0 EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �� 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO y COMMENTS: � � W a j " � O �C o S � �� w o� Q z ��i° , d'd U P.� � �ul r ��tiC.� W � � O � ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑ RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY D�RECT WORK,CALL FOR REINSPECTION TEMPORARY V� BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next ins ion 24 hours in advance. (952) 249-4600 OwnerlConUa ite Inspector. White Copyllnspector's File Canary Copy/Site NoUce . _ �yo�d, �,.,,,� � �� . . � �� b . ; . ; , �,.� ;;,._ �,�6��o o � � � . r � d � ; • ., '' '!� �, � �^ %: , , � �� , . . 4 . , \ . � 1-. , • � , � 3z- r'� �� i�'� o��6J � • ' � � " � SITE R�AtJ GR�l71NG PLAN ; ' . `� � G_3�APF'Fi(}VCG - GAtt4t� A�Oo�rpn� 0 A'r�F'i;0�,��:� �fJiTf-� REVISIONS `�--�� 0 DISAPP V • , , BY � ° DATE 6 -�� -� o ,�� , � - � --� ��. . „ � • ,, � � i� � . , � • , k . ' � ' '" ,, � . -�, � , ��'p+A � - , �,� �� . � p \ • • ' • � � - .t�.� , v / , � . � V�Q � �� ; �i tt� h \ � ' j a �� E� N �� . .� , � � � � � V ` � I S I "�o o � y � � ,� . . � ' .. J '= �n �o �. � o . • ` Q . � ,� ' � ;� :\b ' . v . . .� . �n tio . ' . �; . N " .r:p�0'�,� � M N � ' . � ` / .� � _`�'�o Ir 0. ' / .� � � �''{ a �� / - . T �' �-�. . .� . �� ``�' ' �� o�� . . � . �' �, ` �``\ � < <� ` �v6s, �� s�"� .. 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