HomeMy WebLinkAbout2000-P03339 - gazebo storm damage repair � ��,�,�,d' ,q,�(1 .D(
' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po3339
Crystal Bay, Minnesota 55323 Permit Type: A��essory scructures
(952) 249-4600 Date Issued: 12�igi2000
SITE ADDRESS: 2545 North Shore Dr
WAYZATA,MN 55391
P I D: 09-117-23-41-0003
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 437
Permit Type: Accessory Structures Permit Sub-type(s): Gazebo
Storm Damage Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 153.25 Valuation• $ 8,000.00
Pl�. ,� q�,s � �
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 256.83
APPLICANT: CAROL G CALLAHAN OWNER: CAROL G CALLAHAN
2545 NORTH SHORE DR ''" "" 2545 NORTH SHORE DR
WAYZATA MN 55391 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicarrt, 1-MonthlyReports,1-Assessing, 1-Finance Page 1
i
' ' � PERMIT
C I TY O F O RO N O permit Number:
2750 Kelley Parkway- PO Box 66 P03339
Crystal Bay, Minnesota 55323 Permit Type: Accessory structures
(612) 249-4600 Date Issued: 12iiai2o
SITE ADDRESS: 2545 North Shore Dr
WAYZATA,MN 55391
P I D: 09-117-23-41-0003
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 437
Permit T e: Accesso Structures Permit Sub-type(s): Gazebo
� �' Storm Damage Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit e: $ 153.25 Valuation: $ 8,000.00
l� �-- ��► , ��
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 256.83
APPLICANT: CLASSIC BUILDERS REMODELERS OWNER: CAROL G CALLAHAN
2418 BLACK LAKE Rd 2545 NORTH SHORE DR
SPRING PARK,MN 55384 WAYZATA MN 55391
THE UNDERSIGNID 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
STATE OF MINNESOTA BiJII.,DING CODE REQUIREMENTS.
� �
. ����� �� �
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L I IS D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ ����l� �� � Date Received: � i-ti lP �,k�+ 1 C--K�� t_� ��� �ZJ+/�
Entered By: �' i� _ Permit#: _ _f i t: 3 �3 ��
v
����� � -� �� / �'l� �.C � . /LI( C'�C�1�( '1 ��'�1��_ j�i �Gv� t�_` � rl `i %�C,Cj��t,.
CITY O� 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 O � CONTRACTOR
JOB SITE ADDRESS: ��y5 D �S' ,�•2,�,� ZIP: s,5"3�/
�
NAME OF OWNER:���G ((� �.�L,,,q.�/►}qJ PHONE: (home)�y��LU C ; \
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(work)
MAILING ADDRESS: /�jl���� CITY: � ZIP: ��z 3 v��
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CONTRACTOR: �� ,f C, g ' *
1�,���a,� -�t�DIJJ j� 1'�` HONE:
CONTACT PERSON: MOBILE/PAGER: /
MAILING ADDRESS: CITY: ✓� ZIP:
STATE LICENSE: # .. �k�i
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ARCHITECT/ENGINEER: PHONE: ,
l�IAILING ADDRESS: CITY: ZIP: � ��;���' �
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration ��
.��
PROPOSED WORK (describe in detai�: �`���/_��r()�a-,-�y�—��f f�'1/r���� � �,''b
�`�1 °�� ��s' �jf�'�Y ��'�G�Jt/l ,�v�(rr ; f�:�:� c C''��'4� �Zi
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
n �'Q
ESTIMATED CONSTRUCTION VALUATION (excluding land): 9V /,.c� ,��
I hereby apply far 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 accordan w' h t a ro ed plan.
APPLICAI�IT'S SIGNATURE:. �,, DATE: /� 2�r�
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 RIGH7'S OF SCTBJECTS 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 required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be infotmed of: (a)the purpose and inte�ed use of the requested data wichin the collecting state agency,polidcal subdivision,or statewide system; (b)
whether he may refuse or is legally required to supply the requested data;(c)any]mown consequence arising from his supplying or refusing to supply .
private or confidential data;and(d)the identiry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuanc to secaon 13.82, subdivision 5,to a law enforcement o�cer.
1he commissioner of revernie mav place the�tice�uired under this subdivision in the individual income tax or propertv tax refund insttucdons
instead of on those forms.
Stibd.3. Acceas to data by individual. Upon request to a responsible authoriry,�an individual shall be informed whether he is the subject of
soored data on individuals,and whether it is claccified as public,private or confidential. Upon his fucther 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 ics meaning, the data need not be disclosed to him for six months
theieafter unless a dispute or acaon pursuant to this section is pending or addirional data on the individual has been collected or created. The responsible
authonry stsall provide copies of the private or public data upon request by�e•individu�el subject of the data. The responsible authority may require the
requesdng person to pay the actual costs of making,certifying,and compiling the copies.
The nesponsible authority shall coraply irt�mediately,if possible,w�th any request made pursuantrto this subdivision,or within five days of the
date of fhe cequest,excluding Saturday's,S�ntiays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within
that titc�,he shall so infoan�e individual,and may have an additional five days within which to comply with the request,excluding Saturdays,Sundays
and legal holidays.
StiDd.4: Procedure when data is not accurate oncomplete..`An individ�µal pnay contest the accuracy or completeness of public or private dara
co►�eming himself. To exercise this right,an individual shall notify in wriring the responsible authority describing the nature of the disagreement. The
responsible authoriry shali within 30 days either. (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipienu of inacwrate
or incomplete data,including recipients named by the individual;or(b)noafir 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 wi[h the disclosed data.
The determinaaon of the responsffile authoriry may be appealed pursuanCto the pmvisions of the adminisaadve 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 Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The informarion you fiunish 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 i�formation may be shared with,other lacal, 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 pemut.
First • , Middle �S�
Address
Ciiy State Zip Phone
I understand my rights as stated above.
SignaNre . • �
10
�
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: z S�S /�r n 2�c-� �t-t-at� �2�v�e
PID:
DESCRIPTION OF WORK: {2,�p A�,(i �s-ro Ct�va� �J�Avw�6`
ZONING REVIEW BY:- c!� --- -~-------------------DATE APPROVED: !/ 3�-�
BUILDING REVIEW BY: DATE APPROVED: (�•� 3 0 -�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes �' No SEWER CONNECTTON
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION �
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning District: No
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right S de:
Rear(Street): Left Sid : _
Adjacent Structures: etland:
Building Height: Def. Hgt. eak Hgt.
Lot Coverage:
Grading: Staff Approval Date: � • By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: !i Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setba k: I.ot Coverage:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes N Date of Council Approval:
REMARKS(in house):
2
�
BUILDING REVIEW CHECK LIST
UBC: � � "� CONSTRUCTION TYPE: V/�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ ��Ooo °=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
e� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wa11 Board (Mfg.) Well (State Permit)
< Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT�: S��3 P*N h c�n.�. w A,u v-j`
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 2 SCHEDULED � �
PERMIT N0. P ��sJ� COMPLETED � �� -`0
ADDRESS ��7�5— U/�// i� f�d�'Q. �i�
OWNER CONTR. Kd,C,
TELEPHONE N0. �Ct7� �-{ c3 d ��f /Zp �
� DESCRIPTION �(� <</��1�
� 01 FOOTING 11 MECHANICAL� . 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 NOOK-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 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContra�t�r on site:
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