HomeMy WebLinkAbout2007-P11107 - accessary structures � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P111o7
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Accessory Structures
Date Issued: 7/19/2007
SITE ADDRESS: 2240 North Shore Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-32-0019
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Institutional-Schools Census Code 326
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Kiln Shed
FEE SUMMARY: Permit Fee: $ 860J5 valuation: $ 80,500.00
Plan Review Fee: $ 559.49
State Surcharge Fee: $ 40.25
TOTAL FEE: $ 1,460.49
APPLICANT: Streeter&Associates OWNER: Art Center Of Minnesota
18312 Minnetonka Blvd 2240 North Shore Dr
Wayzata,MN 55391 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL RK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA C�JILDING E REQUIREMENTS.
�
�-}
PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
���� � � qq
--�-, .
n ��
Total Fee: $ � 9{j'�'.4"I � �\�� Date Received: CY1�Y�QAI (p•l L6�
Entered By: (,a'y1 yy� ��,��' ���\�;� Permit#: A►�l p1
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 SITE ADDRESS: 2240 North Shore Drive Wayzata,MN Z�: 55391
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes � lv0 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
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: Roxanne L.Heaton �,K�� C�� �„� pHONE: �hOrile� �952)473-6335
�WOrk� (952)473-7361 �� ��
MAILING ADDRESS: 22ao rrortn snore Dri�e CITY: Wayzata ZIp: 55391
CONTRACTOR: Streeter an dAssociates Inc. pjjQ�i; (952)449-9448
CONTACT PERSON: Ben Duntap MOBILE/PAGER: (612)801-4002
MA.ILING ADDRESS: 18312 Minnetonka Blvd. CITY: WaYza� ZIP: 55391
STATE LICENSE: # 13ao EXPIRATION DATE:
ARCHITECT/ENGINEER: James Dayton Design LTD. pHONE: 612-338-0005
MAIL�G E�D�SS: 530 North 3rd Street CI'j'Y: Mpls ZjP: 55401
NAME: 7ames Dayton REGISTRATION: # 26013
TYPE OF WORK: New Home Addition Accessory Structure ✓
Move Home Remodel/Alteration (ie: Siding, Windows)
PROPOSED WORK(describe in detai�: See attached
STORIES: 1 SQ.FEET OF EACH FLOOR: sao
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ✓
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ go,soo.00
I hereby apply for a building permit and I ackno ge th e information above is complete and accurate;
that the work will be in conf�rmance with the nanc nd codes of the City and with the S�ate Building
Code;that I understand this is not a permit a ork i to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: �
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2.Infortnation 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 the 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 confidential 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 mav olace the notice required under this subdivision in the individual income tax or propertv 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 publ ic,private or confidential. 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 chazge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual6as 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 acUon pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. 1'he responsible authority
may requve the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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,ifimmediate compliance is not 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 Sahudays,
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
conceming himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu 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 administrarive 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 Omno 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 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 required to process this application or permit.
Roxanne LeFebvre Heaton
Fi�st Middle Last
2240 North Shore Drive
Address
Wayzata MN 55391 (952)473-7361
City State Zip Phone
I understand my right s stated a ov
Signature
. ,�.a.� � �,,,.
�� 32
�' k � �
, , .
�HECK OFF i�IST FOR ISSUANCE OF PER.i�'IITS
FOR OFFICE USE ONL�k� � S,��e p �,�e
, �,.D)RESS OR LEGAL: <<7 U
PID:
DESCRLP'I'IO�i OF WORK: 1�tt.N s�'�
------------___ -------------
--------------------------------�-------------
-- --- " DATE APPROVED: / � D�
ZOYT�TG REVIE`V BY: �C .� , ��,o .
� � DATE APPRO�JED: 7 .
SUII�DING REVIE�Y BY: � �
FEES TO BE CH.AI2GED: Misc. Fees Calculated By:
PERNIIT Yes � No
PLAN REVIEW � Yes —� No SE�VER CONNEC'ITON
STATE SURCHARGE Yes �� No WATERCONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No STTEINSPECTION .
Number of SAC•Units OTHER (specify)
----------------------------------
-------------------------------------- '
ZONI.��IG CI�CK LIST Zoning Districc .
Fire Deparcment: Post.OfFice: _ School District: • '
/
Lot Area: Sq.ft. 2��Z ���7 Acres �.� � Width � � De�„�j�CJ�.�
��-e
p 1 `'
Survey Submitted:� Yes No x Date of Survey: �� �' � � � �'
Propos Setba ks: �� . I'� � � :
Froat ake): ' 't Side: ,
� � ��� �
{Street}: �V� t Side:
��` Wetland:
Adjacent Struccures: ��'
Builclin�Hei�t: Def, Hgt. N I-f'� Peak Hgt.
Lot Coveraoe: � �����
Gradina: Scaff Approval Date: _ By: Council Approval Date: _ ' �
Szptic: Staff Appcoval Date: �Y���
Zonin� File: � Resolutioa: � Resolutioa Date: 5
Shoreland District: Lot Coverage:
Av�. Setback: Bluff Setback:
E�.isting Proposed
Hardcover: 0-75' -
75-250' -
ti0-500' __
500-1000' . •� �/� .7
K�.�d�over Va�iance Required: Yes No Date of Cot�ncil Approv�.
F.E�L�S{in house):
. ,
BUILDING REVLEtiV CI�ECK LIST
UBC: U� � CONSTRUCTION TXPE: �//J
Sq Footage $ Per Sq Ftg
Basement . x _
ls[ Floor z _
2nd F1oor � _ .
� Garaoe x _
x =
TOTAL
Estimated Constructioa 'Value: $ �O,SD� pO
Inspections Required: `york Requiring Separate Permits:
5ite Plumbing Fire
Hardcover Removal Mechaaical Wacet Coanection
� Footing ' Septic Sewer Coanectioa
_�c Framing Fireplace Lawn Irrigation
Insulatioa (Masonry) Other
Wa11 Board (Mfg.) Wetl (State Perm.it)
°'� F�� Grading/Fillin� � Electrical (State Permit)
O ther
REMA.RKS (IN HOUSE): - -- --
-------------------------------------------------------
REVLEW BY OTHERS: DA'I'E:
Access: Existing New
Access Approval: Date gy:
---------------------------------------------------------------------------------------------
REI�LARKS ('�'O BE NO'I'ED �DN PERitiSIT}:
8
DATE TIME ✓
CITY OF ORONO CALLED IN Z � •�D
INSPECTION NO ICE �J SCHEDULED
PERMIT NO. �/b / COMPLETED
ADDRESS A�a� �D fUD�"Y�( t�� '�--�
OWNER CONTR.�`�,Q��h
�
TELEPHONE NO.
� /—
� DESCRIPTION ��Z- � ��� — Z � � �"T/
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL N
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 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
�
Z
W
�
W
�
�
d
W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac it •
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice