HomeMy WebLinkAbout2003-P06628 - addn/remodel/repair CITY F R PERMIT
� � �N� Permit Number:
2750 Kelley Parkway- PO Box 66 P06628
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 8ii2i2oo3
SITE ADDRESS: 2180 North Shore Dr
Wayzata,MrT 55391
P I D: 10-117-23-31-009 8
DESCRIPTION:
Proposed Use: Institutional-Schools
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolurion#:
Separate pernuts required: v'rner-�rire�prinicierj
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 111.25 Valuation• $ 4,300.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.65
TOTAL FEE: $ 186.18
APPLICANT: �VIN R HOVEY OWNER: Martin&Andrea Schneider
1070 Wayzata Blvd. 2180 North Shore Dr
Wayzata,MN Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH�A�CI�OF ORONO RDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
, ���
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required),1-Auplicant 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
CITY OF OR N PERMIT
� � Permit Number:
27�0 Kel�ey Parkway- PO Box 66 P06628
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: aii2i2oo3
SITE ADDRESS: 2180 North Shore Dr
Wayzata,MN 55391
PID: 10-117-23-31-0098
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolurion#:
Separate permits required: vuier-(rire Sprinicia'�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation• $ 4,300.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.65
TOTAL FEE: $ 186.18
APPLICANT: �VIN R HOVEY OWNER: Martin&Andrea Schneider
1070 Wayzata Blvd. 2180 North Shore Dr
Wayzata,MN 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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� l��-�- � � �--- C��
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Annlicant,1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
� �
Total Fee: $ � �'�%• �� Date Received: �' ������%%
Er.tered By: .;�� Pernut#: /�-t;(� ;�?�"
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 CONTRACTOR
JOB SIT'E ADDRESS: 2 � 43 a N�°4�,s'��� Dr z�: �'S�9 I
NAME OF OWNER: 1't� �� � �� I r Sc�c� I PHONE: (home)
(work)
MAILING ADDRESS: 21 �0 Nr�°��Is�tc,rr �� CITY: ��y'2a ZIP:�
CO\�RACTOR: ���,n IZ N�c y PHOl�'E: �(2�(�� � ~7 2 G Z
COr�TACT PERSON: s�.� 1�IOBILE/PAGER: S��► �
M.AII.ING ADDRESS: 10�� t�T� �i.�l w CITY: w;�y�za� ZIP: S'�391
STaTE LICENSE: #
ARCHITECTlENGINEER: PHO��TE:
MAII,ING ADDRESS: CITY: ZIP:
NA_�IE: REGISTRATTON#
TYPE OF tiVORK: New Addition Accessory Structure
Move Remodel/Alteration'� Land Alteration
PROPOSED WORK(describe in detai�: ►y� d�'� eX�s�}-,i-k, ��cv-�'�,z� w��� a-��
-� ���I �d r�; I���,
J
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET.
ES'TLl-IATED CONSTRUCTION VALUATION (excluding land): $�_300, a�
I hereby apply for a buildin�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 Buildin� 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: Kr7��,,,�� DATE: ��-- 0(�-. 03
,.
NOTE! Parade of Homes events require separate 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 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 reqtrired to be given indivIdual, qn individua!asked to supply private or contidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
rystem;(b)whether he may refuse or is legaUy required to supply the requesud dara;(c)any tmown consequence arising from his supplying or
refusing co supply private or confidenaal data;and(d)the idendry of other persans or eadaes authorized by srau or federal law ro receive the data.
This requirement shall not apply when an individual is asked to supply invesNgative data, pursuant to section 13.82, subdivision 5, to a law
enforoement officer.
The commissioner of revenue mav olace the notice rewired under this nibdivision in the individual income taz or nro�ertv tax refvnd
instru�rions instead of on thoce fortns.
Subd.3. Access to data by iadiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on uidividuals,and whether it is class�ed as public,private or co�denaal. 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 its meaning,the data need not be
disclosed to him for siu months thereafter unless a dispute or acaon pursuant to this section is pe�ing or addidonal data on the individual has been
coilected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible auchoriry may require the requesdng person W pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,wich any request made pursuant ro this subdivision,or wi[hin 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 infocm the individual,and may have an addiaonal five days wirhin 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 of public or
private data concerning himself. To ezercise this right,an individual shall nodfy in writing the responsible authoriry describiag the t�ature of the
disagreement. The responsible audioriry shall within 30 days either: (a)correct the data foucyd to be inaccurate or i�xomplete and attempt w notify
past recipients of inaccurate or incomple[e data,including recipienu named by the individual;or(b)nodfy the individual that he believes the dara
m be coaect. Daca in dispute shall be disclosed only if the individual's sratement af disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating
to contesmd cases.
DATA PRNACY 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 iu departments may require you to furnish certain
private or confidential information.
You ue notiFed 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 Ciry 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 acdon 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 pemut.
First Middle
Last
Address
C�ry' State Zip Phone
I understand my rights as stated above.
�.�, 21��- '
Signature �
6 . ,
� �
CHECK OFF LIST FOR ISSUANCE OF PERMITS
, • FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: �Z t$0 /�ro2'h4 �'�-�vt�:. �(J�2._
PID:
DESCRIPTION OF WORK: �?�-w�-��c. �-�.ss �R•ed� s;0�c�t.
ZONING REVIEW BY: N�� DATE APPROVED:
BUII�DING REVIEW BY: DATE APPROVED: 8�-,2_�3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes r/' No SEWER CONNECTTON
STATE SURCHARGE Yes —� No WATERCONNEC"ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOti7.NG CHECK LIST Zoning Districc: �vo c t-�t,ti5 p
Fire Department: Post Office: School District:
� Lot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Reaz(Street): Left Side: �
Adjacent Structures: Wetl .
Building Height: Def. Hgt. Peak t.
Lot Coveraae:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoni.ng File: # Resolution: # Resolution Date: . . .
Shoreland District:
Avg. Setback: Bluff Setback: I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REI�ZARKS (in house): '.
7 �
- _ r
. .
BUILDING REVIEW CHECK LIST �
� �C: CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ y, "3 0 p °=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) p� Other �F�rL� sPltwk�
Wall Board (Mfg.) Well(State Permit)
_�Fina1 Grading/Filling Electrical(State Permit) �
Other
RENIARKS(IN HOUSE): .
--------------------
RE'VIEW BY OTHERS: DATE:
Access: Existing Nec✓
Access Approval: Date By; �
REMARKS (TO BE NOTED ON PERMIT�:
$ .
���� ATE TIME V
CITY OF ORONO CALLED IN � ��
INSPECTION N T C SCHEDULED _���1��`"uJ �
PERMIT NO. Z COMPLETED
ApDRESS a/C�O a�
�WNER CONTR.�C�dX�� �8��
HONENO. ��Z � 70 72'( �---
� DESCRIPTION _ ����-''r�-�'r`�' •��
� 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� �� �
0
�
�
0
�
W
�
Q
�
2
W
�
W
�
�
� �i INORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor n site:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
-4 -
Door fo o Asi�e cl ec K
sfr,%Iklr., PI'Pc C,,,sbj,5
Lpr'141cr P"V
e
hesaj
na
PGUrT- -4,0n '9
F^'Afj,$P-j SP1041V (+CcA
to he +c-,e'J 6�4
Dlcm r -;Tc proirti"'ark
+t. e.-Awo- ,,'de ,g new
par�-'aox W.R11
41-11 sc�ba
Par W -t I I
—12AA Floor
le-VIVI R Rb,.k-,4
69- Ll?-- 001Z�2
V -z " s CA -(e -
CITY OF ORONO
I,:,
DA-
rJ
-,*;,v:. A:i Cvc-,k r,3 don*
j'',.
1,"1
1'1111- . -.1; coda.
notal in this review.
Ki Lim -riils P L.4i� SET -0, N 3; SITE AT ALL TIMES
I4;II School
tian_ til a
2hJ Floor
—S4 -,eel C� s��1 ._�se s�e�-F�aC<<
n
r
S`
),5-'l 0 %
-AN REVIEW
U.71' 1IT
r. M work 09 dme
builcling and Zoning code.
;call; -noted
in this review.
"TE AT ALL TIMES