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Home My WebLink About2004-P07386 - addn/remodel/repair A w CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po�3s6 Crystal Bay, Minnesota 55323 Permit Type: aaa�c�o�Remodel�Repa�r (952) 249-4600 Date Issued: 4i2si2oo4 SITE ADDRESS: 2265 North Shore Dr Wayzata,MN 55391 PID: 10-117-23-33-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Yiumoing iviecnanicai c,iecn-icai�siaiej NOTICES/REMARKS: . „_�_---, .,,--,_ r, �_, o ,_, ,-,--- � - n----,��,,,,-,,.,,, ::::�:.:�::.:: .. �::-... ..... .- - ..,.,- �---...„_ .,, ..,., �. �......w.�....� 'b' FEE SUMMARY: Permit Fee: $ 1,36335 Valuation: $ 165,960.00 Plan Review Fee: $ 900.83 State Surcharge Fee: $ 85.50 TOTAL FEE: $ 2,349.68 APPLICANT: Aulik&Associates OWNER: Gregg&Denise Steinhafel 6401 Wayzata Blvd Blvd 2265 North Shore Dr St. Louis Pk.,MN 55426 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED AND AGREES TO DO ALL WORK 1N SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / . _� �7 �� , .f �j,/ '` � L ��__ �,,'�. ��j��---�_��j��'UL_.� PPLICA T P RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Apolicant, 1-Monthlv Reports. 1-Assessin�. 1-Finance Page 1 � ' cC . Cr , � Total Fee: $ '�, � / �` DateReceived: �� /�c/ Entered By: ��-� T Permit#: /3� �7�� L n�'�=�% L� � �� CITY OF O ONO - 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 O CONTRACTOR JOB SITE ADDRESS: ZZL� �tiT-��k� �;� (��;�� ZIP: '��--� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ;� No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��;,,:,�h�=�..�+��.�-��.,,�"� PHONE: (home)=�1��z -`�-+�; _ �:��'�;�) � l (work) MAILING ADDRESS• �(��-' �-��J�:-,sf'��r,, IL1� CITY: ��+-�s ZIP: ��- CONTRACTOR: ��-t � 6 'o: ,-�--� , i_:C.. PHONE:�11i2 -S�JI -`7�,�T, . �� /� r � CONTACT PERSON: I.��e-iL � ��.�:-z� MOBILE/PAGER: L-(Z- Z�-�� - l�l� MAILING ADDRESS: 6�s � �,�;,�.Q,��-� 5��.},"� CITY:�-��.�:� t�+� ZIP: �S�-ZC� STATE LICENSE: # Z-C_� � ARCHITECT/ENGINEER: ' ` �,,�� -��: ��.�;.� PHONE:��i,"Z- - ,��i �' �— �� MAILINGADDRESS: ��/ C��.-,�� ,) ITY:��µ�; �G•��. ZIP: St�� L NAME: 1.�1:�� :� �}�L.e�,�� REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration � Land Alteration PROPOSED WORK(describe in detai�: �� QGl1 lc.� �p � ---,�,�,�` �,Le +L�`- 'L-- Z-ti�� f- �!L�� . '� STORIES: �� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. ESTI�IATED CONSTRUCTION VALUATION (excluding land): $ l (-:� , '-a� L C' I hereby apply for a building pernut and I aclrnowledge that the information above is complete and accurate;that the work �vill be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a perniit and work is not to start without a permit; and that the work will be in accordance with the approved plan. �� / , APPLICANT'S SIGNATURE: !� (� ��-E� DATE: �� t Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type oC data. The rights of individual on whom the data is stnred or to be stored shall be as set forth in this section. Subd.2. Information required to be given individuai. Aa iadividual ulced to s�pply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collectiag state agency,potitical subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)an��l�owa consequence arising from his suppl}-ing or refusing to supply private or confidential data;and(d)the identity of other persons or entities authoraed br state or federal law to recelve the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to seaion 13�2,subdivision 5,to a taw enforcement afficer. The commissioner of revenue mav olace the notice reanired under t6is sub�ision tn the individual income ta� or oropertv tax retund instructions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a responsibie authorir�-,an individual shall be informed N hether he is the subject of stored data on individuals,and whether it is classified as public,priti�ate or confidential. L�pon his further request,an indi�idual who is the subject af stored private or public data on individuals shall be shown the data without an�•cbarge tn him and,if he desires,shall be informed ot the content and meaning of that data. After an iadividual has been shown the pri�ate data and informe3 of its meaning,the data need not be disclosed to him for six months thereafter unless�dispute or action pursuant to this secHon is pending or additional data on the Individual has been collected or created. The responsible authority shall provide copies o[the private or public data upon request b}�the individual subject of the data. T6e responsibie authority may require the requesting person to pay the actual costs of making,certifying,and compilia:the copies. The responsible authority shall comply immediately,if possible,with ao}-requtsY made pursuant to this subdivision,or within�ve days of the date of the request,ercluding Saturdays,Sundays and lega(holida�s i[immediate wmpli=nce is not possible.If he cannot comply with the requestwithin that time,he shall so inform the individual,and may have an additiooal five days�ithin w�ic6 to comply with the request,ezcluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate ar complet� An individual ma�-contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notif}-in writing the respoan"ble authority describing the nature of the disagreement. The responsible authority shall rvithin 30 days either: (a)correct the data(ound to be ina�urate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notif}-the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the Individual's statement of disaLreement is incloded�sith the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminlstratir•e procedure act refating to contested cases. DATA PRIVACY ADVISORY In accordance with NI.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 Orono or an��of its departmenu may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish�vill 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 arrion to approve, some information may become public. 5. You have certain rights under M.S. 13.0� (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address C'tY State Zip Phone I understand my ri s as stated aba e. . i/ / •� Signature t - ► CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: __ Z Z�S M7RTf�l �S-,�o�LC; Q2 PID: ' DESCRIPTION OF WORK �u.�r�crz 3� 2 ---------------=-------------------- - ----------------___..�- ------------------------------- ZONING REVIEW BY: �� DATE APPROVED: y-Z�-o�/ BUILDING REVIEW BY: _ DATE APPROVED: y-L 7-o Y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLANREVIEW Yes �/ No SEWER CONNECT70N STATE SURCHARGE Yes v� No WATER CONNECT70N INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: c, Fire Department: Post O,�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: W land: Building Height: Def. Hgt. eak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg.Setback: Bluff Setba k: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' . 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: � REMARKS(in house): 32 � . � B UILDING REVIEW CHECK LIST UBC.• /2- 3 CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement x = 1 st Floor x _ 2nd Floor x = Garage x _ x = TOTAL Estimated Construction Value: $ I b S��p � Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal �Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �_Wa1l Board (Mfg.) Well (State Permit) _�Final Grading/Filling _�Electrical (State Permit) Other REMARKS(INHOUSE): -------------------------------------------------_____ REVIEW BY OTHERS: DATE: Access: Fxisting ]��y Access Approval: Date g�,; --------------(-------�______��_____---- REMARKS TO BE NOTED ON PERMIT): w ��_��"'"____r___w____________� 33