HomeMy WebLinkAbout2002-P05097 - minor alterations ,
PERMIT
CITY OF ORONO
2750 �;elleyParkway - PO Box 66 Permit Number: Poso9�
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: a�2si2oo2
SITE ADDRESS: 3085 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-32-0015
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 181.25
Valuation: $ 9,900.00
State Surcharge Fee: $ 4.95
TOTAL FEE: $ 186.20
APPLICANT: Suburban Exteriors Inc. OWNER: Paul&Ruth Olson
7466 Washington Ave S 3085 North Shore Dr
Eden Prairie,MN 55344 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 BUILDING CODE REQUIREMENTS.
� �- � �r��.,�.r C�r(�Y�l�r'� ���l,l��
APPLIY T PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� APR-25-2002 08:08 FROM-SUBURBAN EXTERIORS E +g528818232 T-025 P.001/002 F-255
. _ � �,;/�l v`' ( � /�/� _ , -� /`� `�- �
��-;� ,
�atal F'�e; $ ,� � . `�� �I- � Date Received• � � Z���C,�=-
F.ntered By: � .1�`����� Permit�i: �,�; r__; �-�,� �
��i
CITY' OF ORONO - B�JI[.DING PERMIT APPI,�CATION
A►11 inform.ation n�ust be su6mitked in�'ull before plau reviaw will be star�ed.
�please prinz all informaraan) ' �
_._:..�-•.-. Y��������Ir����w-�..�
THE APPLICANT IS:� (circle one)�OWNER O C4NTRACTOR
r•
aoB srr� Ann�ss: � ��'�°' zre: ���'�9l
, , ,
NAME OF OVVIVER: / _ pH0 • �u�� J �8�
'WOT ' � � ��
- ( ��
MATLYNG ADDItESS: _���`���'' CITY• IP.
� � ,
� CUNTRACTOR: (. �.�`r/� P�i4 � J' a
CUNTACT P'E1tSON: MOBTLE/PAG .
MA'Q.ING�riDRESS: CTi'Y: ,�a��.eZL�.'= .,�GY���
STATE LIC�NSE: #
ARCHITECT/ENGIIV�EA• PHONT:
MAILYNG ADDR�SS- CITY: �''
N�: REGYSTRATION�
TYPE or WORS: New Additiou Ac,cessory SmzcL�ire
Move Remodel/Alcerario Land Alreration '
PROPOSED WORT�(describe in detctin:
�
ST012,YES: SQ.FEET OF�ACH F�OOR:
. NO. OF BEDROOMS: GARAGE: STALLS: AT'Y'. DET.
ESTIlVIAiTED C4NS'1'RUCTYON VALUATYI)11T (excluding Iancn:, � „'��,�/��
I hereby apply for a buildiag permit aad I acl�owledge thaL the iafornoation above is complec�and
BCCUTaie; that rhe work ravill be in confo�mance�vith�Y►e ordin�nces and cades of zhe Ciry aad with
the Stat� Buildirlg Code; that Y uadersrand this is not�perniit s.nd wark is not co starc wirhout a
p�rmit; and diaL the work will be in ac rdanee wirh the pproved plan. �
A�PLYCANT'S SIGNATURE: DATE: `r �'`J���
NOTE! p�rar�e nf Ha� events reguire sep�rate permit approva� by Podiee Department and
L'i�y CounciY 6D days pr�or to the event. Non permitted events will nut be allowed.
' "APR-Z5-2002 08:09 FRO�-SUBURBAN EXTERIORS E +g528818232 T-025 P.002/002 F-255
, �
� '
a�.�.a4 Rm�'rs o�s�us�e7s o�n�r� �
�ubd.l. Ti7�o[d�Ma. Zhc d�oi individael oa wbotn O�e das�S iweed or m bc wora�sma Oa at sec�b io dw�w�doo.
Stibd.3. Ldirmmiaa ew�ke�w be��i�l�. •�iadwidimL selo�d�supply ppysoa or coNldood4l 4aa wax��s�
aad lorw�dod u�a oT d�c�d�O Witb6a tba�oUoc�1ws aSeoq►•po1�'o�l�'�1°0i�oe to���
bo�lbe�d ah (a1�hs� �m����qq�4nm:(d��p0�pp6��cam�s�pplywg o«eNs�6�9WPA►
l6)whad►er ha sm4►�ae oi 1s�epllY�W �es O�aiodss sud�oertsd 09 6n[e o�fedaWl�aw�o roalvo C�e dan. 11+is a�im�c sb�
pdvu�o�wa�idasocl dea:aod(dI�W�ot od�asp�
� �,pply a�pcn an individwl it aslord w rupply imwdsedve d�m.puavonc oo�000n 39_e�.su6divi�ioo i.m`i�w anfiarc�ct�as.
v lsc
. .o 'v dual '
---_r�K A�P..e�l�ns f�ltftl9. ,
on oo a�m�poas�t�anlbo���iadiv9�l shiU be'tAlbrno�d wh�tbar he ii�to suqjoC[
S�bd.9. A�oee9s�o d•rp 6Y�� �P � Ll�I�d��ea iadivW�nl whe is du�u�
af s�r�d d�an bvi(vidu�,aid wlut���n Is c[�d'ud m�paWia pdvua�aon�• �P�
ot�P�oo publio daa on ludivi�nal��hall bc attiawo tqe dem wpd�a�u�a�pr r.hsrge m!�end:il bs d�s�sba{I lts ildoaaed of s�s aon�
ihe�s st�d ao�ds dls�tosad co hlsa tae
ead mawini u��u dnn. Af��iadlvidoal tus bem stfoWn�e Pel�daa Md �ddido�d���nd�ridual bas bcoa wlfe�ad or ereated•
�toc au�a�tbe�+u6�r anit��dispu�e e�swSoR pattsuant oa�IS'Kctiaa is Pa�di� le aahociq►
�e raponn'bla wt4o�iqr shril Peovide eopi�s a[dis pri�or publ�e d�m apon�que�6y du md�vldual subjce�vE+o►a�m. 1be�axpoa�b
snQY�qu�d1e Rq�P�'�"ta PeY�000�l 00s�s ef�Itio9',ce��.and Co�ttai6 dse�pi�s�
. Zha eraPw�le mdwrl�►sq��n�Y�1�0�'•ilpotslWo.wi�h aW'�a�m�o�m�is�abdtvi�ion,orwid�io t�days of
d�a dd�oid�e coqoe�es�iudlaB Si��.9und�,ys eaa feW hellda�.iC i►�aaedis�e co�pliaacc is ooc�o�@Icw��e c�eq us��,a�z i di��a•
w i�h l a d a u�m a.h a jhal!ao infarm the'v�'wldud►�nd,aay lnve�eddicoael Rve days wld�ahidt w complY
S�eyi�nd kgal holid�Yc.
9ubd-4. �eaaedt�+wbea d�w�no�aeeuraa or aar�p�• M indlvidutl�7l�mei d�e acwruy ar e�la�a of p�+b1i�or pdwre
daes eoneornin8 hla�sell. '1b q����an ia4ivi�lal s1r�11 aod1Y in MRidn�rhe roipon�'b1e Wd�ei�y dcscti+ba�6 t��to�����j�.��. �
Tha e�fpo�d+��l���30 d�y9 eirbe�: Lsy toeer�t ma dan Pouad oo bo E�oe ar iaroa►Alae iad ettaa�c
�n �P�at9 n�4Y��div�doal:oc(bf�d+�i�d�idad t�he bsllovea tbe daR�o be wee�e� naia
j�eeu�no�o�iifeomPleoe d8m.iud�d� S �t��dtd�rnh�a di�losad dam.
ia�shall bs disalo�d oabl if�indWidusl'r���g
'17u derssminsdon oe Qlt e�sPoa�i�k audio�sqr naf'b�o9P�P�'°�u w d�s ptovi�ioas at du ada�io9��tive proaed,uae tDs relsdaR eo
eontos►ed e�s- • '
DAT�t P��ACY A�VC�'S�
� IA accocdaace wich A�.S. 13.D4,Subd.2, °Ri�hcs of subjxts a�P daca"�ws woald li1r�w iafona you thac yaui requac
for a pera�i� �lie�e �rom che CiiY of O�n er aay af ics depazm�ea,rs maY n� You w furnish cerraia pr�+►are oe
canfidenria3 iaFar��
You a�re aotified�haz:
The ioford�tiva Yoa f�usish w�116e used ta dae�mi�Yoar qu�°m fos�he petmit or licen9e reques�ed.
1. e co ,upply da�a. b�u refusa! may t�quire d�ac �e Ctry dauy the permf� or liaense.
Z, Yau n�►Y �
S. �e in�bra�ioa may ba st�d witl�o�har local,s�e or f�deral ageadas io rhe ex�eut uac�ss�Y oo P�O�
�p� or lice�ose. tove. 9om� iath[�a maY becvmc
q. IY Y�'�1�� P� or ��''se cequues Couwcil aedoa co SPP
puet�c. �M.S. l3.0�E (a�a�labte upou reques�) co seviea privoca daia ou yoarseit.
5. Yoa tisve oet�sin rlgf�ts 1ti�cioa or e�uu�.
6. Your ia11 namo is requi�ed w process t1a�i�apP' P
� �x�� �
� �
�
��
s� z� paone
��, r .
- t,�adecccaad u�► � � ed ab . . •
Siwnw+a ' " •
� �. � _ ���� a��- ���� �j� -. a� �-��9
�
To[al Fee: $ Date Received:
Entered By: Permit#:
CITY' OF ORONO - BYT�.DYNG PERMTT APP�CATION
AIl information must be submitted in i'ull before plan review will be started.
(please print all info�rnation)
------------------------------------------ ------------------- ----_=-
. --�---�_�����_�----
THE APPLYCANT IS: (circle one) OW NER O CONTRACTOR '
_ ,- _.�
JOB SY'Y'E A.DDRESS: �C�.S�� �f'Z c v��' ' � � ��`�L
� � � ZIP: _��
� .
. ,-
NAME OF OVVNER: lti� ; `' -:;�`� Z-- P�TO ,�_ (l�m�� � , �-�' ''�'G}
��� .�� �
_ (work� �.� ) �
MAII.ING ADDRESS: -�������' CI'1'Y: II'.
� '
� CONTRACTOR: �..�C��i ;i����L � .Cv'�-�- P�IO�� G�,- , r/' �
ERSON: � � MOBTLE/PAGER"
CONTACTP ,
MA�.ING AriDRFSS: ' �� CITY•l`"��� �QZ�=���r�
STATE LICEN'SE: #
��' ARCHITECT/ENGINEER: P����
��4 MAILYNG ADDRESS: CITY: ZII':
�' NAME: __REGYSTRATION#{
TYPE OF WORY�: New Addition Accessory Suucwze
Move Remodel/AlteratioA Land Alteration �
,
PROP�SED WORK(describe in detain: �' ` /
�
J
� •
ST�RIES: SQ.FEET OF EACH�'LOOR:
NO. OF BEDROOIVIS: GARAGE, STALLS: ATT. DET.
��r
��TIM��� Car��"Y'Io�TC�'���T VA.LUATYUN (excluding lan�: � ��l� —
I hereby apply for�building permit and I ad�owledge that the infoanation above is complete and
accuxate; that the work will be in conformance�vith the ordinances and codes of the City and with
the Stace Building Code; that I understand this is not a pernnit and work is noi to start wichout a
permit; and that ihe work will be in accordance with che-�approved plan.
,� � ``
APp'LICANT'S SIGNATiTREs ` � ' DATE: 7 -�'J L��
J
NOTE! p�ra�Xe nf Hame� events require�seprrrate permit approval by �''olice Depardnent and
City Council 60 days prior to the event. Non•permitted events will not be allowed. �
� , .
Sca13.04 RYCrHTS OF Srt$IECTS OF DAr.� •
Suhd. 1. Type o[da�a. 'Thc rigbcs of individual oa whom�e da�a is ewced or co be s�ored shall be�sec foeth in rhis aecdoa.
Subd.3. Yaformndoa req�ared to be given iadivldual. An indiv9dual asted�o svPP�Y Pnvace or wnfidendal datc conccming himsalP shall
be iaformcd a!: (a)�he pu�se and inwnded use of fie�equesud da4 withiu the collccdag Srare ageneY.peliccal sabdi�isina.or s�arcwidc rymm:
(b)whether he may�sfuse or is leg�lly required m supply rhe reques[ed d��a:(c)anY knowa caasequence arising Pmm his suppiying oc nfusing o�suPP�Y
privau or aonfidendal data;and(d)rhe idaariry of odier penoas or enrieas au�horized by s�ate or federal law co meivc me data. This re4uiremen�shali
� not apply when an individual is asked to supQly invcsdgaave dara,punuan��o secoon 13.62,svbdivisioa i. to a�aW es�f°rcemonc officer.
'Ilie comm'seioner of rcvenue mav 1Ace shc norice r ired under this s�bdiVision in rhe individusl ineome Cix or rooeccv �x_Rfund
ins�rucuons ins�ead oP on rhnse forms. ,
Subd.3. Access co d�ta by individunl. Upan reques[ro a it�poasib►e an�ho�ry,an individual shall be inForcned whethec he is�e suhject
of swred dara on individuals,and whe�her ic is elassified as public,priva�or canridznrial. Upon his fusrher reques�,sa inciividual who is�e subjac[
of senred pri�at�or puhlic daa on individuals shall bc shown�he daza w��hout any cha��m����he desiros,shap ba infoaned of dic coateni
and meaning of chac dara. Af�er nn individus!has heen sho��e P����ara a�d'°tomud of i�mcaaiaS,ihe data n�eed no�be disciosed ro him for
six atond�s rhereaf�er uNass a dispuu or acaon pursuanc cn iltis secrion is pcnding or addirional dara on�e iadividual has bccn collec�ed or cres[ed.
The respoasible authoria shx11 provide copias oC dte pnvace or public dara upor reques by the indi��dual s�bJcc�of d►e dar3. Tt�e�csponsible auchoriq�
:,�y.e�i�e rhe rcque•sang person to pay�he acaial costs of malcing.cerdfying,aad compiliag�he cnp'ses.
y ��::!:::�^-p:y immedia�ely,iP passiblc,a'i�any reques�made pursuasu m�his subdivision,or wi�hia fiva dnys of
The responsible su�hoii� ��
tha dax of dia rcquest,excluding Sar�rdaYs.Sundays and iegal holidays.if;mi ::disu�����F!:W.==*.`-nee.3esibfc. Tf he c.:lnnc coraply wich du requesc
wirhin�hat�ime,hc shall so infarm�ha individual, and may have an addibonal five days wiehia which to comply wiw�ho��qucs�,cxctudin�S�:.t:+iais�
Sun�ys snd �egal holidays.
Subd.4. �.'roeedure when d�ta is not neeura[e or eomplece. An individuat may con[est�he accurscy oc complcc�ness of pubiic or priva�e
dsia eoncarning himself. To exercisa�his righ�,an individual shall nodty in wriung rhr responsible au�ho�ip dascri6ing chp naa�re of d��ei�grecn�t�s of
'i'he tcspo�uible sudioriry shall wi[hin 30 days einc�t: (a)corrcct the d��c�faund ro bc inaccuraw or incom le�e and a�m �to noufy p �p
inaccucsce or incomplose daca,iaetuding recipienrs named by�e indiv�du�l:ar(b)nodfy cha individual�ha�he bclicves rhe dara co be conecc. Dam
in d'ispua shall he disclosod only if�hc individual's sneemenL of disag�emrni is includad wiih�he disclosed data.
'fhe dcierminarion of rhe respersible auihoriry may bc app�::►lcd pursuan[to rhe provisioos of che adminisrr�cive procedure act reladng w
contes�ed cases. •
DATA PRI'�'ACY ADVIS012Y
In accordauce wirh M.S. 13.o4, Subd.2, "Ri�hts af subjeccs of data", we would like to inform you tha�your requesc
for a permit or license from �he Ciry of Orono or any of its deparnnents may require you to furnish cettaia privace or
confiden�ial informa[ion.
You are nocified rhat:
1, The information you furnish will be used to de�etmine your quali�icacion for[he permic or lieense requesied.
2. You may refuse to supply data, bu�refus:�l may require that che Ciry deny che permic or license.
3, The information may be shared wirh other local, scate or federal agencies to che extent necessary to proecss
the permit or license.
4. IP your requested permic or license requires Council ae�ion to approve, some informacion may become
public.
5, Yeu bave cettain rights under M.S. 13.0�4 (avnilable upon request) to review private data ou yourself.
6, Your full nam� is reqn:rec� �c. Yrcc�ss th��� appliea[ion or peTmz�.
��N�c � � y��`f�c�-� -
F�
M�a�� ��
Address �
5�� Zip Phone
C;ry
• t unders�and my righcs as��ated ab� .
� ^\
.
�
Signacure �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. � v.�o � COMPLETED —� I ^O`Z �
ADDRESS �� ��' �- � �� � . f � .�.�, ,j1�u. t� IG%tC -
OWNER CONTR.
TELEPHONE NO. �l 7_ --�1�— 4/-tj'oi
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: "��4P �
a —' 2 �� —� —
o � o o.A � ' �
�' D(iC .S C ��-t N L° �c.tJ�
� .�
� l"��`�� ��"����-c �-r���
W
� �`�� �F���c�1L�`� c--��� �,,�61,� 1��
Q
� ��'r���1 c-� ,�4-�� �-,P_�s r,J �1�:�
� �i ��� _c s l�--r r� �-r— � �. c..f�_,�,� C�
W
�
j
d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
� �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVEAING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOUFS.
INSPECTOR WILL RETURN �� PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCo ctor on site:
�
Inspector.
' Copyllnspecior's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION T G� SCHEDULED �r�'-�Z
PERMIT NO.��� / COMPLETED
ADDRESS__ ?J � �� /v � . �'(,�.f9tif�
OWNER CONTR. �
TELEPHONE NO. _ /�� ���� � � ��.
� DESCRIPTION_.(/�_�
� 01 FOOTING 11 MECHANICAL RI 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 ��II� 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATlON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT�S:
W
�
J t /�/f _'
O
>.
�
O
�
lu
�
Q
�
Z
W
�
W
�
�
�
d
W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46��
Owner! actor �Site:
Inspector.
!
hite Copyllnspector's File anary CopylSite Notice