HomeMy WebLinkAbout2007-P10988 - addn/remodel/repair PERMIT
CIT� OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10988
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
5/15/2007
SITE ADDRESS: 3090 North Shore Dr Unit#
Wayzata, MN 55391
P��� 09-117-23-32-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Pem,it Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Mold Restoration To Fimess Room, SW Bedroom, Closets, Spa Area,Main Level Bath
FEE SUMMARY: Pernut Fee: $ 748•75 Valuation: $ 65,000.00
Plan Review Fee: $ 486.69
State Surcharge Fee: $ 32.50
TOTAL FEE: $ 1,267.94
APPLICANT: Restoration Professionals OWNER: Dan McGlynn
505 Minnehaha Ave W 3090 North Shore Dr
St.Paul,MN 55113 Wayzata MN 55391
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.
S , �
� � ��
APPLICANT PERMIT SIGNATURE ISSUED Y SIGNATURE
Copies: 1-File(Signatures Reguired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�AY-11-07 08:06AM FROM-Restoration Professionals 651-3T9-1991 T-624 P.002 F-457
� ' .� ��1�!'iLou-e.9 �°-"""" S 1'� a-r
e F��►.�,�� ��,��. ��p• �y.
Total Fee: � `� � `�� , �� pate Received:��
Entered Sy: Permit#: !�=�r-0-� _
C�TY OF ORO�TO —BUII.DING PERMYT APPLICATYUN
All information must be submitted ia full be�'ore plan review will be s�arted.
(j�lease print all information)
TAE APX'LICANT IS: ,,,, (circ[e one) OWNER OR ONTRACTO�
����
JOB SITE ADDRESS: t�a e�� i�� Z�: `�3R I
'Will this be a Parade of�Iomes,Remode�ers Shorvcase I'�ome or other Displag�Hnme?
❑ Yes �NO If yes,a specia!evenl permit is required wrlh Police Departmen!and C�Q•Council apprwal
60 days prior ro the evenL Shuttle bus sernice wr1!be required unless appl�'cant demores�rales
su�cient on-site parking is available. Non perrnrtted events wi!/not 8e crllowed.
N.AMEOFOWNETt: 17 ��C � ,�►,! PHONE: (home) �--�-1�� -�ei6
(worl�) 6,a- s�� - y��
MAILING ADDRESS: _�oa o Nc��cH� �2_CITY: O��xi , Zn.': �-3� �
CONTRACTOYt: �:.S�e,�� ���,�r�S PHON�C: C:�� ��_990
CONTACTPERSON: C.�a�� w�k�a.j�c-r MOBIT.E/PAGER: �'�► '32�F �C'9
M�ILINCYADDRESS: 5CS l��ua� CTTY: S�. Pk-�-- ZIP: k1 -S
STA'TE LYCENSE: # ��"� `i� � w� EX�IRATION DATE: 3 � I ��
ARCHITECT/ENGINEEIt: PH�NE=
MAILIIvG ADDRESS: CYTY: ZIP:
NA,ME; REGISTRATIO�T: # _
TYPE OF WORK: Ncw Home Addirion Accessory S��ructure
Move Home RemodeUAlteration (ie: Siding, Windows) �_
Any earth movement may require MCwD review and permita!
PROPOSED'WORK(describe in dela��: �1 oL� �Lt E�carn�� � �r�K+i� �v�E S� s��'"''
�o�r�i, �JA� �(.GS.�� S� VtC.rm�,� /�KV.S Lb�uCl� 12.a��1^ V 4?:�- S� 'f�,�Q�c+r"l -�__S-{..�,4Crr
STORIES: �Z SQ,FEET OF EACH k�00R: 'LSo d
NO. OF BEDROONXS:�_ G.A1tAGE STALLS: ATTACHED 3 DIETACHED�
ESTIMATED CONSTRUCTION VAY,iJATION(excluding land): ���:x�4 0•� o�� •
I hcreby apply for a building permit and 1 acknowledge that the information above is complete and accurate;
that the work will be i�n conformance with rhe ordinances and codes of the City and with Lhe State Building
Code;that I understand this is noc a permit and work is not to start without a permit;and tha.t the work will be
in accordance with the approved plan.
,A.PPLYCANT'S SICNATURE: � ���-�'� DATE: � I I 6'�
31
WUY-11-O7 08:06AN FR01�-Restoration Professionals 651-379-1991 T-624 P.003 F-457
, ' _. .
,
Scc.13.04 RiGFi'fS OF SUBJECI'S OF DATA
Subd.1. Typc of dota T6e rlghfs of individua!an whom dte��i9 swrcd or to be swred shell be as sct forth in this s�ion.
Subd.2.Infomtation�aquired w be given individual.An individusl a4lced m supply p�ivate or cooC�delttisl dw concem6�g himvdf shal[be
infocmQe oe:(a)d�purpose+nd inccnded use of the requested da�wirhm�t►C coUecdng steoe agcney,Politiwl subdivision,or,mrcwida syx�em:(b)
whethen c�may�sfi�se or is legaOY�xN�r�d�°juPP�Y��N��(c)any known consequena arisin�fmm his aupplyir,g or rctiuing w saPP�Y
pri�mu or wnf deadol da�a:and(d)�hc idendry of other persons or en�des suthorixed by s�.ste or federal Iaw w caeiv��he da�a,This 2quicemrnt stral I
not apply when sn individual is 2�4ked�o suppty imestiga[ive dass,p�vsuont w seaion 13.62.subdivisioo 5,to a law enfoYc��+�e�n ofTicer.
The mmmissioner oFrevenue m�.��ce die noricc rrnuired unde�this ahdiviaion in the i ividual incomc ta�c or�roocm�rnx refund
in. p �
Subd.3.Accessto dambY individual Upon requcscto aresponsible aqdwrity,an individwl shall be infotmedwhctherhe is�he subjeaaf
storod da�on individuals,and whether it is classified as public,private or confidetuial. Upon hia fiether n:quesC an Individual who is the subject of
.s�ured private or public dars on individuals shall be shown the dsm without any charge oo him and,if he desires.shall be i�foTmed of the concen[snd
n�eaning ofihac dma HRer an indivi�ral has been showu sbe privuc dam md iofamed of ia mcu►in�,�he dna�ed noc be di�clo9ed m him foc six
tnomhs thMeafter�lass a disptue w eccon pu�auan�w diis secdon is pending or�ddluortal dsa on rho individual has been couecud a ccrated.Tha
respo�btc aud�oriry shall provide copiea oFthe priwaoz or puWic dam upon reques�by�he individud subject ofjhe data.Th�responsible auUto�iry
may require du mquaning person m pay rhe aaival cos�s of makin�,c«tifyiag.�nd compilins�he copies.
The raponsble audwriry shsll cort�ly iaunedistely,ifpossiWr,with any requcat made piusuane to this subdivisio.-i,oc wi�hin five dsys af
dte dare of the requcsy cxcluding SenudaYs,S�mdays and legd notiaays,;f�ediaze compiia�c u aoc poabls.lFhe cemw�r.omp�y wi�h d�e reques�
wilhitl Thst iime,6e s6oll so in[ortT�the individual,�nd may hsve an eddidonul ftve days within which to comply wish du requ��exduding Smutdays,
Swdays and legal holidays.
Subd.d.Procrdwe when dam is noc aocaunu oc complete.M imd'mdwd may conrest�e aecuracy or compleoenes9 efpublic or private dara
concemieg hlmgclf.To acercise rhis riglx,an individual shal�n�iy in writmg che respoosiWe authoriry desaibing the nanue o f the dis�reemrnt The
respo�ibk aud►oriry 9hs11 wirhin 30 days cither: (a)correct the dam fo�aul to be inaccwaoe or mwmplere and atu�n►pc to r.odfy past tecipicnts of
u�accuru�e or incomplcoe dam,i�I�ilfg tecipicaa num�d by the individual;ar(b)notify Tha individuol that he bel ieves the dam m bc correcc.Data in
dispute sk�all be disclosed on1Y if ths indivi�al's smtement of disa�emenc is included with the disclosed data.
The decemiinadon aFt6e rtsponsiblc autlwriry may be appcaled p�¢suant to ihe provisions of the adminisaa�ive Crocedure uct rela[ing to
contested cuses.
DATA PRiVACY AAVISORY
�.
In accordence with M.S.13.04,Subd.2,"Righ�s of subjeers of data",we would liketo inform yi�u thatyour requcst
for a permii or lic.�sc from the C�ry of Orouo or any of its depsrpnents may requirc you to furnish certain private or
confidential information.
You are notified that:
a. The informavon you furnish will be used lo decermine your qualification for thc permit or licensc
rcquested.
2. You may refuse to supply data,but rcfusal may require that che Ciry deny the pami t or f icense.
3. The information m�y be sharcd witl�other local, ssatc or federal agencics to�he s,.xcent necesssacy to
process the permit or license.
4. If your rcqutsted permit or liccnst requices Council action to approve,some informarion may beeome
pubIic.
5. You hsve certain righu under M.S. 13.04(available upon rcqu�sc)w review privatc data on yoursclf.
6. Your full name is required co process this application or permit
l< � o
fi� Middk La9t
Se� �c•l�,.v�a,a�.a. �s �,�
naa�
� � aa�i ��� Ls� z=� �yqa
��, Slale Trp Pdoac
I understand my vights s�s stabed above.
�
Si�namre
32
V �� DATE TIME �/
V � 3 d .'t�
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED �' / �d �` c�''
PERMIT NO. �� COMPLETED
ADDRESS �d�Jd ��'�Z/�-�u"�- ��-
OWNER ��'-���.� CONTR. ���"L�
TELEPHONE NO. C�S��'— --���' �Y `f
� DESCRIPTION
l� 01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 F ^_ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 3 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 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 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
e �JLtu�ti �Z, ..����-t'�'r��L,cl� �-�-d �.z-As�-Q-t'ti
j
O �
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
a
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OAOER POSTED.CALL INSPECTOR ��' CITATION ISSUED
C INSPECTION REQUIRED. ALLTO ARRANGE ACCESS.
Ca11 for the inspection 24 hours in advance. (952� 249-4600
OwnerlContr t on e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �� DA E TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION N SCHEOULED - �
PERMIT NO. �� COMPLETeo„
ADDRESS � D,�O �U�Y,� ���� �
OWNER CONTR. /�C"562.�Z�Y� �
TELEPHONE NO. � S� ��-'�`" D T11 �
� DESCRIPTION I.�GZ���.L�
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 FOILOW-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
�
�
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ne inspection 24 hours in advance. (g52) 249-46�0
OwnedContra n e:
Inspector.
White Copylinspector's File Canary CopylSite Notice
✓
D Er� TIME
C TY OF ORONO CALLED IN �� "�/�
INSPECTION NOTICE,�`� SCHEDULED � 1 .�
PERMIT NO. �I�M COMPLETED
ADDRESS �- �� 1 �'� <S � �- ��
OWNER CONTR.�(d��'(� C/Y��� �•
TELEPHONE NO. �� y� �� �b �
� DESCRIPTION � 1��,� ����:�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMME
�
W
0.
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next,nspection 24 hours in advance. (952� 249-46�0
Owner/Contra o on it :
Inspector. ,
White Copyll�spector's File Canary CopylSite Notice