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Home My WebLink About2002-P05569 - addn/remodel/repair , 4 � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05569 Crystal Bay, Minnesota 55323 P@I'1711t Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 9�i2�2oo2 SITE ADDRESS: 2465 North Shore Dr Wayzata,MN 55391 P I D: 09-117-23-44-0002 DESCRIPTION: UBC Occupancy R3 . Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: i'iumning iviecnanicai Eieciricai�siatej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,273.75 Valuation: $ 150,000.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.50 TOTAL FEE: $ 2,1'7�,2g APPLICANT: Owner/Self OWNER: Mr. &Mrs. 7ohn Lindahl M� 2465 North Shore Dr Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESI'S 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 BUILD__ING CODE REQUIREMENTS. \ �: `�� -- t � ------ ` .��-/_��/ �LZ-/ _ -,-,' '. APPUCANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 � . � Total Fee: $ �� j " ' � `� "� Date Received: �-�J �U�' Entered By: �L� �.� �� _ , Permit #: ��('��' ,. . ,� , _,_ , ; , , , . �__7;�;' '� � � ` � 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) OWNE OR CONTRACTOR JOB SITE ADDRESS: � ��iS 11�cy,�L,i}} �5��,�, �ti-�,��, ZIP: �s 3 g I NAIVI�OF OWNER: �,�H v ��vQA r�.�. . PHONE: (home) 9Sc� '`��,3•F'�3 0 (work) G�a • G-3� � /s�SY MAILING ADDRESS:�,b, $o�c o�-G CITY: C�t. � � ZIP: S d..3 CONTRACTOR: �w�u�,�. PHONE: CONTACT PERSON: ,., o �,v MOBILE/PAGER: Gid-� 8 y� • 5��9�L MAILING ADDRESS: �, • �4 . � _ CITY: --- ZIP: -- STATE LICENSE: � ARCHITECT/ENGINEER:��.�,,J �v��- PHONE: �� ' �'� � ' 3539 MAILING ADDRESS: ,.$3 (o (�,N,,,Q,,�,E �4��. S CITY: �p�s . ZIP: ,5-,1-�� NAME: REGISTRATION# TYPE OF WORK: New Addition ✓ Accessory Structure Move Remodel/Alteration ✓ Land Alteration PROPOSED WORK(describe in detai�: A�Da � 5�t c��- G�ar. d�-� Il��.�t� �,�_, f�s1�..� ''" i�0�s-l�A�iD� �'1�-Ge'hatrviL.,4-v5 —' �.+•�Sw�+tT'�. , �c-ie�uA�.,l � STORIES: � SQ.FEET OF EACH FLOOR: ' NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,�� 0 v D I hereby apply for a building 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 Building 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 acc�rciance with the approved plan. ,�. _. _\ .� _ . ? APPLICANT'S SIGNAT . _ _-------�� DATE: J � �v0a.�, 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. 9 / � Sec.13.04 RIGHTSOFSUBJECTSOFDATA Subdivision 1. Type ojdata The rights of individual on whom the data is stored or to be stored shall be os set forth in this section. Subd.2. Injormation required to be given individuaL An individual asked to supply private or confrdentia!data concerning himself shal!be informed of (a)the purpose and intended use of the requested data within the collecting state agency,political subdrvision,or statewide system;(b)wheeher he may refuse or is legally required to supply the requested data;(c)arry known consequence arrsing from his supplyrng or refusing to supply private or conf dential data;and(d)the idenlity of otherpersons or entities authorized by state orfederal law to receive the data. This requirement shall not apply when ax indrvidual is asked to supp[y imestiga�ive data,pursuant to section 13.82, subdrvision 5, to a law enforcement o�cen The commissioner ofrevenue maV place the notice required under this subdrvrsion in the individual income tax or nroperty taz refund irrstructions instead of on those forms. Subd.3. Access to data by individuaL Upon reguest to a responsible authority,an rndrvidual sha/1 be informed whether he rs the subject ojstored data on individuals,and whether it is classified as public,private or confrdential. Upon his further request,an individua!who is the subject of stored private or public data on rndividuaJs shall be shown the data wi�hout arry charge ro him and,if he desires,shal!be informed of the content and meaning of that data. After an individua[has been shown the private data and info»ned of rts meaning,the data need xot be disclosed to him jor six months lhereafter unless a dispute or action pursuant to this section is pending ar additional data on the rndividual has been collected or created. The resporrsrble authority shall provide copies of the private or public data upon request by the individaal subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,cer[�ing,and compiling the copies. • _ The responsible authoriry shall comply immediately,ifpossible,with arry request mad¢pursuant to this subdivision,or withinfrve days of the date of the request,excluding Saturdays,Sundays and legal holidays,rf immediate compliance is not possible. I,jhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional frve days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. - Subd.4. Procedure when data is not accurate or complete An individua!may contest the accuracy or completeness of public or private data concerrring himself. To exercise this right, an rndivrdual shal!not�in writing the responsrble authority describing the nature of the disagreement. The resporrsible authority shal!within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to not� past recipients of inqccurate or incomplete data,including recipients named by the individual,•or(b)not�the rndividual that he believes the data to be correct. Data in dispute shall be drsclosed only if the individual's statement of disagreement rs included with the disclosed data. The determination of the resporrsible authority may be appea[ed pursuant to the provisions o,jthe administrative procedure acl relating to contested cases. DATA PRIVACYADVISOR'Y In accordance with M.S.13.04,Subd.2,"Rights ofsubjects ojdata';we would Irke to inform you that your request for a permit o�license from the City ojOrono or airy of rts departments may require you to furnish certain private or conftdential information. You are notified that: - 1. The information you furnish will be used lo determine your qualiftcation jor the permrt 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 lrcense. 4. If your requesled permit or license requires Council action lo approve,some information may become public. 5. You have certain rights urtder M.S. 13.04(see following page)to review private data on yourself. 6.- � ' Your fu11 name is required to process this application or permit. ' PLEASE PRINT, " ' First Middle Last • • Address City State Zip Phone I understand my rights as stated above. Signature • 10 r , , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRFSS OR LEGAL: Z�{b s ivo2� stte� �(,� PID: DESCRIPTION OF WORK: „/ �L cc�so c�t,vtt� ZO.�TPTi G REVIEW BY: DATE APPROVED: 9-�2�°�- BUII.,DING REVIEW B : UATE APPROVED; 9.�z.--oz. FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �/' No PLAN REVIEW Yes _,� No SEWFR CONNECTION STATE SURCHARGE Yes _�/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: . Fire Department: Post O�ce: School District: � Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�c_ No Date of Survey: •Z 3'9 O Proposed Setbacks: firent(Lake): 2 2 S ' Right Side: �2 � R�e�r(Sueet): Z 3K� Left Side: 31� Adjacent Structures: �7� f' Wetland: /V J�A- Building Height: Def. Hgt. __��s�,vy Peak Hgt. L.ot Coverage: � J/f Grading: Staff Approval Date: �tJ J,� By: Council Approval Date: Septic: Staff Approval Date: N//s By: • Zoning File: # — Resolution: # Resolution Date: Shoreland District: �f.�5 Avg. Setback: N//i- Bluff Setback: .✓ �/� Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' �.r�' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 , , � BUII�DING REV�W CHECB LIST �c: v - l CONSTRUCTION TYPE: vw Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Garage x = x — TOTAL Fstimated Construction Value: $ /,sp�ppo o� Inspections Required: Work Requiring Separate Permits: Site _ cS Plumbing Fire Hudcover Removal /`Mechanical Water Connection x Footing ' Septic Sewer Connection �C Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �Wall Boazd (Mfg.) Well(State Permit) �F� Grading/Filling vc Electrical(State Permit) Other REMARKS(IN HOUSE): . REVIEW BY OTHERS: DATE: -------�'_��__ Access: E�cisting New Access Approval: Date � gy; REMARKS (TO BE NOT'ED ON PERMI�: M M � 8 � �✓%` A . TIME CITY OF ORONO `�"r��ALLED IN � l 3 6 3 INSPECTION NgTI�E SCHEDULED � � �3 __�� PERMIT NO. � ��l�� COMPLETED ADDRESS ��1 r � �I � � VI,O V�� I�I� - OWNER ��C�'l�t� �\Y1C��II CONTR. TELEPHONE NO. l� I-� �J ��f " � C��I � � � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 1 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEFjTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL � _ 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � 0 � � 0 � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4fi00 OwnerlContractQ�yn 'te: Inspector. � White Copylinspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALIED IN 3 3-a3 INSPECTION NO I SCHEDULED � �O3 ' d PERMIT NO. COMPLETED ADDRESS S� /�/0'�� - OWNER � ��t CONTR. ��L�/"' TELEPHONE NO. �102 -�/p�l��1 9' G�/��•`� ��.2e i��. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATI N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: ES_NO c� COMMENTS: � a j 0 �. o� 0 � W � Q � 2 W � W � � � NORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor s,jt�: Inspector. V White CopyMspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE C SCHEDULED _/ `�' �b• �%� PERMIT N . � COMPLETED ADDRESS �� 0�� -�le��U�� OWNER '�--�� •'��a �l� CONTR. TELEPHONE NO. �'�L �� S �cSS �� : .�I,pJ� �/'C(, ��c� � Ot FOOTING 11 MEC ANiCAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContrac ite: Inspector. White Copyllnspector's File Canary Copy/Site Notfce