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Home My WebLink About2004-P07456 - addn/remodel/repair ` ' PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P07456 Crystal Bay, Minnesota 55323 P2�Illlt Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 5/10/2004 SITE ADDRESS: 2870 Little Orchard Way Wayzata,MI�T 55391 P I D: 09-117-23-21-0008 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Census Code 434 Permit Class: Building Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pern-rits required: riumbing iviecnanicai nieciricai�staie� NOTICES/REMARKS: • »r._'-'-t-�T_"__'_T_."_.T_ TT_"._ T'" A"'__"____ :.:::: "::::b:::.:::.::::::.:D.'.::::.:: :::.i::»:,G..:::' b -.,., FEE SUMMARY: Pernut Fee: $ 293.25 Valuation: $ 18,000.00 Plan Review Fee: $ 190.58 State Surcharge Fee: $ 9.50 TOTAL FEE: $ 493.33 APPLICANT: Hickory Fine Homes OWNER: Steven&Elizabeth Bohl 153 E.Lake Street 825 Brown Rd S Wayzata,MN 55391 Long Lake,MN 55356 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. --------..__ � � L NT PE ITEE NATURE SUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � � �, �,t�-1� ��-%s - ��--� -� Total Fee: $ �� J � Date Received: .5 '� -ZUC��1 Entered By: �� ! � %��`_��3 ��/ --� Permit#: �7c-�SC� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) _ _ __. _.._.._._ ___----------__'------- -' _'_"------'- -----"_'_'_yr =--------------y"`_'___-------'-'__'__-_'�'- THE APPLICAI�IT IS: (circle one) O`V�"ER O �-CONTRACTO,R..----'� _.__...___,. JOB SITE ADDRESS: �Z� L�TTLE� /'/�lfA� �A-f ZIP: 'S53S� jJ2r�rr--�Fa ,� �r-� Will this be a Parade 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. Non permitted events will not be allotived. NAl�1E OF OWNER: �o T7 1�� PHONE: (home) (work) NIAILING ADDRESS: CITY: ZIP: CONTRACTOR: �rGDe-1 �,-�' 1=�M�r��- PHONE: ��j2•�J�j . Z�v`� CONTACT PERSO\: �)a� I�IOBILE/PAGER: � � 2� 3� � - iZZq MAILING ADDRESS: !� G��iz.�� CITY: l.�� Irq� ZIP: 5'S��L�,, STATE LICENSE: r Br5 ARCHITECT/ENGI\-EER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�IE: REGISTRATION # TYPE OF`VORK: \ew � Accessory Structure �ddidon Move RemodeUAlteration Land Alteration PROPOSED WORK (describe in detai�: �'� �'r�_..��,�-t � �c.,�� `�n.;( r� �bV� �f-�' P�'�C...��5� STORIES: SQ. FEET OF E�CH FLOOR: NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. � " ESTI�I.ATED CONSTRUCTION VALUATI0�1 (escluding land): $ r��. �� '"'W"�" I hereby apply for a buil�'inQ pernut and I aclrno��ledoe that the information abo��e is complete and accurate;that the work w�ill be in conforir::nce �tizth the ordinances and codes of the City and with the State Building Code; that I understand this is not a p�:rnit and work is not to start«ithout a pemut; and that the work will be in accordance with the approved plan. � APPLICAivT'S SIG\�TURE: ' DATE: (7 S � �%�- �� ; � � � � Sec13.04 RICHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of(ndlvidual on whom t6e data Is stored or to be stored shall be as set fort6 in this section. Subd.2. Informatlon required to be given individual. An indt�idual asked w supply private or confidential data concerning 6lmseif shall be informed of: (a)the purpose and intended use of the requested data wtthin the coUecting state agency,pollc;cal subdivision,or statewide rystem;(b) �shether 6e may refuse or Is legally required to supply the requested data;(c)any knowa consequence arising from his supplying or refusing to supply private or confidential dats;and(d)the identity of other persons or entities authorized by state or federal law to receive the data This requirement shall not apply w6en an individual is asked to supply Investigative data,pursuant to section 13.82,subdlvision 5,to a law enforcement officer. The commissioner of revenue ma lace the notice r utred under this subdivision in the indlvidual income tax or ro e taa refund instruMions instesd of on those forms. Subd.3. Access to data by individual. Upon request to a respoasible authority,an individual shall be informed w6ether he is the subjeM of stored data on(ndividuals,and whether It fs classifted as public,private or confidendal. 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 htm and,if he desires,shall be Informed of the cootent and maning o[that data. After an individual has been shown the private data aad in[ormed of its meaning,the data need not be disclosed W him for six mont6s thereafter unless a dispute or action pursuant to this seMion(s pending or additional data on the individual has been collected or created. The responsible authority shall provide rnpies of the prtvate or publlc data upoo request by the individual subject o[the data.T6e responsible authorlty may require t6e requestlng person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,w�ith any request made pursuant to t6is subdivision,or within five days ofthe date of the request,excluding Saturdays,Sundays and legal holidays,if Immediate rnmpliance is not possible.If 6e cannot comply with the request within that time,6e shall so inform the individual,and may have an additional five days wit6in whlch to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure w6en data is not accurate or complete. An Indivldual may contest t6e accuracy or compieteness of public or pr(vate data conceroing himself. To exercise this right,an individual shall notlfy ln writing the responsible aut6orlty describiug the uature of the disagreement. The rcsponsible authority shaU w(thin 30 days elther: (a)correct the data fouad to be(aaccurate or incomplete and attempt to notify past recipients of Inaccurate or incomplete data,including reciplents named by the indlvidual;or(b)nodfy t6e iadivtdual 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 dlsclosed data. T6e determination of t6e responsibie suthority may be appealed pursuant to the provistons of the admialstrative procedure act relating to rnotested cases. DATA PRIVACY AD�ZSORY In accordance with 1�I.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that�-our 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�our 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 estent 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�ourself. 6. Your full name is required to process this application or permit. First biiddle Last Address � City State Zip P6one I understand rpy ights stated a e. \ Signature i ! �� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z Z p L , �� PID: ' DESCRIPTION OF WORK: on�t ��,�r es N ---------------------- ZONING REVIEW BY: /� DATE APPROVED: BUILDINGREVIEWBY: DATEAPPROVED: _�-_G -�y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes f No PLANREVIEW Yes �/' No SEWER CONNEC770N STATE SURCHARGE Yes � No WATER CONIVECT70N INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPEG"IION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: � G�-sy4�,c,fJ � Fire Depanment: Post Office: School District: Lot Area: Sq ft. Acres �dth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetl nd: Building Height: Def. Hgt. P ak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: � Avg.Setback: Bluff Setba : � -Lot Coverage: Exisdng Propased Hardcover: 0-75' 75-250' asasoo� 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: � REMARKS(in house): 2 . , BUILDING REVIEW CHECKLIST � ,o UBC.• _ /C�3 CONSTRUCTION TYPE: _� Sq Footage $Per Sq F1g � Basement X Ist Floor x — ° 2nd Floor x — Garage x — x TOTAL Estimated Construction Value: $ � g,o� rr� Inspections Required.• Work Requiring Separute p¢rmits: Site �_P[umbing ` Fire Hardcover Removal MeC�ica1 �� Footing —�' j Water Connection Septic Sewer Connection �Framing Fireplace Insularion ;�_�n Irrigution (Masonry) Other ___p�_ Wall Board (Mfg.) Well (State Permit) �C Final Grading/Filling �_Electrical (State Permit) Other REMARKS(INHOUSE): ---------------------------- --------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing N�, Access Approval: Date ------------------------------------------------- BY. ----- "�'"----------- --- REMARKS (TO BE NOTED ON PERMIT); �---- —� 33 �� Centered c �•_ _ .Q . . z, r, :I O I h. �� N K ��AI � ' #�� ' � ;r, -- .. ,.r,:,,-� � � .:�;�; ET i [ �Lf � ' I' C11 �F C��t�4�d - � _ �r � f'1\i l��L.�:�i:_.�YV .�._� 2N� FLOOR �i�.�a,'� � r��`r;� ! ,.1 . �' ir��"- — � , . ._ _ �— �� N MECHANICAL �N -_- �� ' ,g,,�,,, _ ,� ,.�,s f �--- 2;a fi � TYLER' S SUITE _ � , ;�L,� .. :: s� � . ^ � �� , L ,: �� CARPET i �� F f, ' , r-, �: . � ,. . , _�d�18 � r�; .. „ . � _ _ . . __ �t;de. 2868 , , , , ��.n t :eaia'MY. -1 �� ,:;'�b ,s< � � �� ,.1T�F.i� (iMc"S ; Qo � .` . , , _ r , - � _ \ _ BATH � =° � N � ��>> � M �2468 OPG �ER TILE II Vanity � - - � � w/Mirror � _ � .- � 3 4 ' � I I� , � � �� M ' 4;1/2° � �:.:.�o � � � 6 TH -,o �' �� v � ' CLOS. , _ _—__ �-_ , CARPET - -. . I - --- � Plumbing _- �I, v ', -- - Access �� CT Surround � ✓ire Shelving � _ _ � _ _ � � I ', , I ',� �' , II , -- , �I 6'-3 3/4" 5' 8 /4"�� o - I 5 _ �� '-2 3/4 � I � � M � � � � _ - DN 18R - � ■�' _ - — _ RO 8-3 X 1-11 5/8 ' � 0 (3)CAWN2424 STAT ' � � � BLOCKING AT MULLS � �P �- I � Sloped Ceiling'�� i , i ', I � i � � � � Sloped Ceiling �, I II n �� r� r+ � � � I I