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Home My WebLink About2004-P07222 - addn/remodel/repair PERMIT CITY,OF ORONO permit Number: 2750 Kelley Parkway - PO Box 66 Po�222 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 2iiii2ooa SITE ADDRESS: 3559 Livingston Ave Wayzata,M[�155391 PID: 17-117-23-43-0048 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#: Separate permits required: �iec;mc;ai(suuej NOTICES/REMARKS: nt--`r.-..-i- :"-"�-`- '-"- ----'-� =`--r'- '-"--'---- ii_.nn wT- -i-".. .;::GG...,..:.�::::.»:.::G� .»"-:.c:..............._..._..._� .::;:.::;:,a.: r.. � ,,,.Y.......... :......, FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 128.75 APPLICANT' DRS Home Repair&Remodeling OWNER' Paul&Jill Bryant � 6299 Birch Lane � 3559 Livingston Ave Mound,MN 55364 Wayzata,MN 55391 TI�UNDERSIGNID HEI2EBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPI,IANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUII.,DING CODE REQUIREIVIII�ITS. ,/ � APPLIC T PERMITEE SI RE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reaorts. 1-Assessine, 1-Finance Page 1 � `"`� Z��° �°� _ � Total Fee: $ 1 a8•7S Date Received: 2- ID -D� Entered By: Permit#: /�072-2Z- CITY OF OR0�10 - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infor�nation) -------------------------- THE APPLICANT IS: (circle or:e) O�VNER O � ONTRACTO$J ' 6 � JOB SITE ADDRESS: �5�� -��,5�z�s--, � -r ZIP: S� ` i/ `Vill this be a Parade o€Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � i To If y�es, a special event permit is reqi�ired with Police Department and Ciry Cauncil approval 60 days prior to the event. Non permitted events will not be allowed. NAIVIE OF O�'NER: � :-;'i.:�_� � ;_��``� PHOl�'E: (home) 5�5 Z -Si�i- _. �''�'�'� - (work) MAILING ADDRESS:_�S.S i C�� . �f.,,�� -',,.. CITY: „ _l/��-;__�� ZIP: ;�� ,s �-� CONTRACTOR: , ,�e� �= -,.r .J �,..4�l 4. PHONE: '�',�_,� _ �i�> > --'�'�; CONTACT PERSON: . � •� � .� . `IOBI /PAGER: ��5>`- yC S=5',�° ��.. �- MAILING ADDRESS: �_��'S�� 1��,� CITY: ,.��-..u�''/ ZIP: SS�"s'� � STATE LICENSE: # ��/�" ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAl�IE: REGISTRATION # TYPE OF�VORK: New Accessory Structure Addition f..... 1love RemodeU_�lteration L''J Land Alteration PROPOSED WORK (describe in detai�: _ - -� -' � � r� � E-� --•� ,-./,1 %l��•F _��`./'/_7i�"/�F/ /�`�f�y l[� ..i( �L� c�.rc [' �\• _� � � . .�+_ r, �- X �) \ r� y/ r.r:/.',� ._ F�E-<,�"�' STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROO`IS: GARAGE STALLS: ATT. DET. ESTI�IATED CO\STRUCTIO\ VALUATIO�' (excluding land): $ ��r ,�'� I hereby apply�for a bui?ding perm.it z.d I acl�owledge that the information abo��e is complete and accurate; that the �vork �vill be in conformance «zth t�e ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and�-ork is not to start w-ithout a permit; and that the work�vill be in accordance with the approved plan. � �� ' � ��s APPLICANT'S SIGNATURE: � � ;ii��.,/"�j��. „ � DATE: _�-- /C; '_ �;� _ _� Sea13.04 RIGH'I'S OF SUBJECTS OF DATA � ' Subd.1. Type of data. The rights of(ndlv(dual oo whom t6e data is stored or to be stored shall be as set forth in t6is section. Subd.2. Information requlred to be givea Individual. An indi�idual asked to supply private or confidential data conceming himgelf shall be Informed oL• (a)the purpose and intended use oi t6e requested data wit6in the co0ecting state agency,polltical subdivision,or statewide system;(b) wdether he may refuse or is legally reqeired to supply the requested data;(c)any known consequence arising from 6is supplying or refusing to suPp�v private or contidential data;and(d)the(dentity of other persons or eotities authorized by state or federal law to rece(�•e t6e data.This requirement shall not apply when an indlvidual is asked to supply investigative data,pursuant to sectioo 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma lace the notice re uired under this subdivision in the lndividual inrnme taz or ro ertv tas reCund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie authority,an Individual shaU be inCormed whether he is the subject of stored data on individuals,and whether it Is classitied as public,private or rnnPdential. Upon 6is further request,an Individual who is the subject of stored private or pubilc data on Indivlduals 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 indlvidual has beeo shown the private data and in[ormed of Its meaning,t6e data need not be disclosed to him for stz months thereafter unless a dispute or action pursuant to thls section Is pending or additional data on the individual 6as been collected or created. The responsible suthority shall provide copies of the private or public data upoo request by the Iodlvidual subject of the data. T6e responsible authorhy may requlre t6e requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall rnmply immediately,if possibie,w�ith any request made pursuant to t6ls subdivision,or Hithin five da}�s of the date of the request,excluding Saturdays,Sundays and legal holldays,if immediate compllance Is not possible.If 6e annot compi}•wit6 the request within that time,he shall so inform the individual,and may have an additional five days within whic6 to rnmply 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 rnncerning himself. To exercise this right,an 1ndlvidual shall notify in wridng the responstble authorlty describing the nature of the disagreemeo�The responsible authority shall within 30 days e(ther: (a)correct the data found to be inaccurate or incomplete and attempt to notify put recipients of inaccurate or Incomplete data,including reciptents named by the ind(vldual;or(b)noafy t6e individual that he beUeves the data to be correct Data in dlspute 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 AD�ZSORY In accordance with NI.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 suppiy 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 necessarn to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. 5. You have certain rights under NI.S.13.04(available upon request)to review private data on�ourself. 6. Your full name is required to process this application or permit. Flrst �Iiddle Last Address C�ty State ZjP Phone I understa my rights as stated above. Si nature .. _ , CHECK OFF LIST FOR ISSUANCE OF PER�LIITS , . FOR OFFICE USE ONLY ADDRESS OR LEGAL: 5 5-S; � � :., r,ti� �T„�; PID: ' DESCRIPTION OF WORK %�,.s-n,��r� p -------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY.• DATE APPROVED: BUILDING REVIEW BY.• �<______ _ DATE APPROVED: z-iu--o y ------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �� No PLANREVIEW Yes No v� SEWER CONNECTION STATE SURCHARGE Yes �/`� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District.• /L� ��/-�9-,v� Fire Depanment: Post Office: School District: Lot Area: Sq ft. Acres ' Width Depth Survey Submined: Yes No� Date of Survey: Proposed Setbacks: ; Front (Lake): Right Sid�: Rear (Street): Left Side,� Adjacent Structures: Wetland.• Building Height: Def. Hgt. Peak 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 Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Counci[Approval: REMARKS(in house): 32 BUILDING REVIEW CHECK LIST • UBC: +��' 3 CONSTRUCTION TYPE; ��'/� Sq Footage $Per Sq Ftg Basement X Ist Floor X 2nd Floor X Gurage x = x TOTAL Estimated Construction Value: $ (', a�e G'"= Inspections Required.• Work Requiring Separate Permits; Site ' Plur,ibing Fire Hardcover Removal Mechanical Footing Se tic Water Connection P Sewer Connection �Framing Fireplace Lawn Irrigation Insulation (.Liasonry) Other Wall Board (.lifg.) Well (State Permit) _c�Final Grading/Filling va—�lectrical (State Pernzit) Other _�'_______._�____--------- REMARKS(INHOUSE): �� -"" --------------------------- -------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing �,��,,. Access Approval.• Date By: ------ ------------ --------------------- REMARKS (TO BE NOTED ON PER�tiiIT): r 33 � J� DATE � TIME CITY OF ORONO cALLED IN � INSPECTION NO ICE �cHEou�Eo .�2�� ,� P� PERMIT N0. 2-Z COMPLETED ADDRESS �55�9 ��'�U�.%�c.S;1`��%� �IvP � OWNER CONTR�� S �!/�'t �e ,��/� TELEPHONE N0. �l� c�e� yc3 �� DESCRIPTION W Ot__�n� ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 I >ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � / � � , d W �C]WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i�spection 24 hours in advance. (952) 249-4600 OwnerlConUa�t on�Sit,e: Inspector. •� � �fT 6�� White Copyllnspector's FNe Canary Copy/Site Notice �i� �� DATE TIME CITY OF ORONO CALLED IN a-a� INSPECTION N TICE SCHEDULED -a -� % PERMIT N0. 7a�� COMPLETED � 3O ADDRESS 5S �-L OWNER NTR. D�:S �n�-�� TELEPHONE NO. �� 8�S' 939� � DESCRIPTION �� 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 �EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � O W� ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUHN �TOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContr n e: Inspector. Mlhite CopyMspectors File Canary CopylSite NoHcs