HomeMy WebLinkAbout2006-P09644 - addn/remodel/repair ' PERMIT
•CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09644
Crystal Bay, Minnesota 55323 Permit Type:
Addition/RemodeURepair
('�52) 249-4600 Date Issued: 3/17/2006
SITE ADDRESS: 2683 North Shore Dr Unit#
Wayzata,MN 55391
P��� 09-117-23-42-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Electrical(state)
NOTICES/REMARKS:
Remove chimney,replace windows,remodel lower level and kitchen
FEE SUMMARY: Permit Fee: $ 1,413.75 valuation: $ 175,000.00
Plan Review Fee: $ 918.94
State Surcharge Fee: $ 90.00
TOTAL FEE: $ 2,422.69
APPLICANT: Stonewood Design Build OWNER: Duane Lund
4420 Shoreline Dr. 15315 Masons Pointe
Spring Park,MN 55384 Eden Prairie,MN 55347
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 STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�
�.
APPLICANT PERMIT NATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
1 / �
Total Fee: $ � �Zz ' �n`? Date Received: 3-3 "��
' Entered By: __/.(� Permit#: �(11°�(2�(
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 �AY�r-(,� I lZ;�/�"
JOB SITE ADDRESS: 2 6 8 3 /1/d jL�'3t s(fv!?.� D�?�(/� ZIP: S S 3 q /
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 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: DY/f�NGs i9 n�0 ll�G�( L!/�/� PHONE: (home) `�S 2 9 3� 76�D
(work) 6!2 7 4 6 ¢0 3 9
MAILINGADDRESS: /S 3�s M�9so�vs Pb��✓TS CITY: ���N Pi2�lR-« ZIP: 55347- L4!$
CONTRACTOR: $�vwd� prSl6Nr3✓�G� PHONE: qS2 �}7� ps'S4
CONTACT PERSON: 5v���vsr�Fs��v MOBILE/PAGER: 6!2 2 6� 7�70
MAILING ADDRESS: 4�1-Zo Skoa�cu^'� �R. CITY: S/��✓G Pq-�k— ZIP: Ss38`f
STATE LICENSE: # 2 0 33 o S�'2. EXPIRATION DATE: 3-3 I-D!o
ARCHITECT/ENGINEER: ��i416G�'A7'1�6 6�o�r" PHONE: 6l2 246 757,g'
MAILINGADDRESS: 20/2/�✓O/q-n/,e0_ !,�/, CITY: MMT7�f} ZIP: S53pS
NAME: pt�-i E3/v�c u,cc REGISTRATION: # (,v�' •
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeUAlteration(ie: Siding,Windows) K
PROPOSED WORK(describe in detai�: �ovc «iM�.�.f Rt�u�-ct=��.�WS .�cn�oo�
i���.y,'L c�.-�z- �✓�rrz��:,�✓
STORIES: 2- SQ.FEET OF EACH FLOOR: �R U���^�4�
NO. OF BEDROOMS: � GARAGE STALLS: ATTAC ED� DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /7$'�c�o
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: .,- DATE: � '/!?�'�Gi� -O,�
31
�
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.]. 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
informed of: (a)the purpose and intended use of the requested data within the co(lecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to sapply the requested data;(c)any known consequence arising from his supplying or rofusing to supply
private or confidential data;and(d)the identity of other persons or entities authoiized by state or federal]aw 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 mayplace the notice required under this subdivision in the individual income cax or proRerry 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 public,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 charge to him and,if he desires,shall be informed ofthe 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 discfosed to him for six
months thereafter unless a dispute or action 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. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within 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 inform the individual,and may have an additional five 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 individual may contest the accuracy or completeness of public or private data
concerning himself.To exercise this right,an individual shall notify in writing the responsible authoriry describing the naturo 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 rocipients of
, inaccurate or incomplete data,including recipients 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 detertnination of the responsible suthority may be appealed pursuant to the provlsions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we wouid like to iaform you that your request
for a perrnit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are riotified 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.
��7�. ,r-S. �(�.�f-1 LS'
First Middle Last
�9�°!�` �l�/��/�`A� QQ. (/✓�
Address
M/N�✓G-'� �/��l- M r✓ .�S"3 0.� �/2 2�� �J�7S_
�
City State Zip Phone
I understand my rights as stated above
��
Signature
32
. .
, CHECK OFF i.IST FOR iSSUANCE 4F �ERMITS
FOR OFFICE USE ONLY
� ADDRESS ORLEGAL: Z�Cd3 �V02� s(-to� Dfz •
PID:
` DESCRIPTION OF WORK: �2�wwb�.
---------------- - - --`-�_---------------------------------------------:--- --------------
ZO�t .Pi tG REVIEW BY: C51.tn,�.-_ _ DATE APPROVED• ��-�i-0 6
SUII�DING REVIEtiY BY: DATE APPROVED; �3• 4. o�
FEES TO BE CI�A.RGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW � Yes � No SEWF.R CO�INECTTON
STATE SURCHARGE Yes �/ No WATERCONNECTTON
INVESTIGATION FEE Yes No _� PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI�YG CIi�CK LIST Zoning District: v�� c
Fire Deparcment: Post OfFice: School District: �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right de:
Rear (Street): Left ide:
Adjacent Structures: Wetland:
Buildin, Height: Def. Hgt. Peak Hgt.
Lot Coveraoe:
Grading: Staff Approval Date: By: Council Approval Date: '
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Set ack: Lot Coverage:
Eusting Proposed
Hazdcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes o Date of Council Approval:
�E`�iA.RKS (in house):
�
BtTIIrDING REVIEW CHECK LIST �
UBC: !Z• 3 � CONSTRUCTION TYPE: �!/�
. Sq Footage $Per Sq Ftg
Basement . . x _
lst Floor � x =
2nd Floor x =
Garage x _
x —
TOTAL
Estimated Construction Value: $_I"1'S,0�� °=�
Inspections Required: Work Requ'uing Separate Permits:
Site �_plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�Footing � Septic Sewer Connection �
_g.,Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Boazd (Mfg.) Well (State Permit)
F�� Grading/Filling o� Electrical (State Permit)
Ocher
REMARKS (IN HOUSE): .
--------------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New .
Access Approval: Date By;
- --------------------------
REI�IARKS (TO SE NOTED ON PERAZ['I'):
8
�� `� —7p ATE TIME
� CITY OF ORONO CALLED IN (/ � �
INSPECTION NO ICE SCHEDULED � (7�0 _� � 30
PERMIT NO. O � COMPLETED
ADDRESS ��g.� N � ��l1 CS I�E'_ �
OWNER CONTR.
TELEPHONE NO. ln I� ^ a� �� �� T
� DESCRIPTION ,
�ly 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q"OP FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 YO YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
O
W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAII FOR RE�NSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the t inspection 24 hours in advance. (g52) 249-4600
OwnedCon or
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
/1 DATE `TIM/E
�CITY OF ORONO CALLED IN 7 '� � ✓
INSPECTION NO �. SCHEDULED Z d
PERMIT NO. � � C PLET D
ADDRESS S�Y�
OWNER CONTR. ' ���
TELEPHONENO. l� (��J(.�
`
� DESCRIPTION . �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y NSU ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-S�TE 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
v�, COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
� •
Q
�
2
W
�
W
�
�
�
a
W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLT ARRANGE ACCESS.
Ca11 for the next s tion 24 hours in advance. (952) 249-4600
OwnerlC n si :
Inspector. C
White Copyllnspector's File Canary CopylSite Notice
�� ���� �� ��
�/ DATE �� TIME ^j
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED �� ---�
PERMIT NO. COMPLETED
ADDRESS
�
OWNER CONTR
TELEPHONE NO. �DI� � �a� � ����
,
� DESCRIPTION r
� 01 FOOTING 11 MECHANICAL RI 18 EXC V/GRADING/FILLING
y- 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 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
i09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
v�, COMMENTS:
W '� �' � 10�
a
� ^
�
� �.� /��.c�-,
�
o .
�
Q o'S �-
� -
z
� :
W �
�
�
a
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT C PLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� "�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� � �FORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 for the n t inspection 24 hours in advance. (952) 249-4600
OwnerlCon ite:
Inspector. �
White Copyllnspector's ile Canary CopylSlte Notice