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Home My WebLink About2004-P07371 - addn/remodel/repair IT`�'� OF ORONO PERMIT C Permit Number: 2�150 Kelley Parkway - PO Box 66 Po�3�1 Crystal Bay, Minnesota 55323 P@rCTllt Typ2: Addition/RemodeURepair (952) 249-4600 Date Issued: 4ii2i2oo4 SITE ADDRESS: 2625 North Shore Dr Wayzata,MN 55391 P I D: 09-117-23-42-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing NOTICES/REMARKS: r.'`_._�__.._""�'t ____"''__ n t__.t_ wr�nvmnnr�n rvn e i.mr� FEE SUMMARY: Pernut Fee: $ 1,256.95 Valuation: $ 146,700.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.50 TOTAL FEE: $ 2,160.48 APPLICANT: Aulik&Associates OWNER: Bartholomew&Elizabeth Butzer 6401 Wayzata Blvd Blvd 2625 North Shore Dr St.Louis Pk.,MN 55426 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. �� ,�� '- ' �� - -� E �� _ ;�- �C ITYt�,c;e-s� /� i— .. �#PPLIC NT;PERMITEESIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . w ,,,�,1 U'Yl/ `1 "�otal Fee: $ � D,�{� � Date Received: '� -�-��( - Entered By: Permit #: ;� d`7_3�j 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 0 CONTRACTOR JOB SITE ADDRESS: Z,C� ��; ��-�:��-� ��-C ��-=� �� ` ZIP: �`� �'=� � , � NAME OF OWNER: ��• 1?��-� ��t..; PHONE: (home) (work) MAILING ADDRESS: Z•L'Z� 1.�5��c rt;�, ��` CITY: �%.!.�r�-c• ZIP: �=�� > >�` l\ CONTRACTOR: �u u�` * ! ��..•c ,��---Y�-, I�� PHONE: '=�l�%�-'=��'t 1--��-�� -� 1� � CONTACT PERSON: 1-�-� �-.��'�=-rzt�� :� MOBILE/PAGER: �--�Z Z�"--l�'t i� MAILING ADDRESS: ��1 l:�.a,.��r�.��;y� CITY: ��l-�<<�f Y�.�� ZIP: ��-z-c:_- STATE LICENSE: # 'Z-L ��- ARCHITECT/ENGINEER: �,��-,��„�.� �-;;� , �� PHONE: `�� ` � '�\ <<' ;�-� MAILIN6 ADDRESS: E-�c'i �� ,�z a�;. ��.:�,� CITY:!� t�:«�; t .>:.�. ZIP: � .��-�c c ��. NAME: _�'��+-�� .��,�,. ;a REGISTRATION # TYPE OF VVORK: New Addition Accessory Structure ----------- Move Remodel/Alteration :�: Land Alteration � �� , P OPOSED WORK (�escribe in defai�: G��,. i� f�--c-�;��,-z �`l � -�s- 4-��.-f�-� #t1�� - "�� `�-�-•-,-;�-::� �-� STORIES: � SQ. FEET OF EACH FLOOR: � � NO. OF BEDROOMS: 1�1� GARAGE STALLS: ATT. Pa�� DET. r�I A ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��-l_S , I',�-r'. u� 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 «•ork will be in accordan�with th� proved plan. a APPLICANT'S S[GNATURE G '�., . � .�,_- DATE: �/� � � ; NOTE.� Parade of Homes events require separate permit approva/by Police Department and City Council 60 days prior to the event. Non permitted events will not be a//owed. t Sec.I 3.04 RIGHTS OF SUBJECTS 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 indi�idual aske�to suppty private or confidential data concerning himself shall be informed oi: (a) the purpose and intended use of the requested data within the colk:.ing state agency, political subdivision, or statewide s5tem; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his supplying or refusiag to supply private or confidential data; and (d) the identity of other persons or entities authorized t� state or federal law to receive the data. This reqnirement shall not apply when an individual is asked to supply investigative data,pursuant to section I 3.83.subdi��sion 5,to a law enforcement officer. ' The commissioner of revenue mav place the notice reauired under this «bdivision in the individual income tax or propem• ta�c refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible anLhority, an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, private or confident�l. Upon his further request, an individual who is tbe subject of stored private or public data on individuals shall be shown the data without any char;z to him and, if he desires, shall be informed of the mntent and meaning of that data. After an individual has been shown the private data and inform�i oi its meaning, the data need not be disclosed to him for six months thereaher unless a dispute or action pursuant to this section is pending or adC:tional data on the individual has been collected or �fed. The responsible authority shall provide copies of the private or public data upon request b� �.e indi�idual subject of the data. The responsible anthority may require the requesting person to pay the actual costs of making,certifying,and compiling tt;e copies. The responsible authority shall comply immediately, if possible, with any re�::est made pursuant to this subdivision, or within fne days of the date of the request, excluding Saturdays, Sundays and legal holidays, ii immediate comF;�nce is not possible. If he cannot comply with the reqoest within that time, he shall so inform the individual, and may have an additional fi�e days within which to comply with the request, excluding Saturda�S, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An indi�i�Jal may contest the accuracy or completeness of pub8c or private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsibie authority shall within 30 days either: (a) correct the data found to be inaccurate or incomplete and attempt to notify past rec�pients of inaccurate or incomplete data, including recipients named by the individual; or (b) notii� the ind'nidual 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 L`.e disclosed data. The determination of the responsible authority may be appealed pursuant :o the pro�isions of the administrative procedure ad relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", �ce 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 prn•ate or confidential information. You are notified that: 1. The information you furnish will be used to determine �-our 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 necessarv to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubfic. 5. You have certain rights under M.S. 13.04 (available upon request) to review pri��ate data on yourself. 6. Your full name is required to process this application or permit. First hliddle Last Address City State Zip Phone - /.. I understand my right�as-s{ated abovQ.� �� ' - 1 � �� Signature�—�i� ! ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2 cez S N 0 2-rrf ��o� pd2i vc PID: ' DESCRIPTION OF WORK: �v�•�o p� ZONING REVIEW BY: DATE APPROVED:�-9-o Y B UILDING REVIEW BY: DATE APPROVED: �(- 7 - o Y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLANREVIEW Yes J No SEWER CONNECT70N STATE SURCHARGE Yes_�" No WATER COIVNEC770N INVESTIGATION FEE Yes No ,/" PARK FEE SAC Yes No � SITE INSPECT70N Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �D C �..y�.�.�� 4` Fire Department: Post O,�ce: School District: LotArea: Sq.ft. Acres Wcdth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wet[and: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Sta,�`'Approval Date: By: Council Approval Date: Septic: Sta}�`'Approval Date: By: Zoning File: # Resolution:# Resoluaon Date: Shoreland District: Avg.Setback: Bluff Setback: � Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' asasoo� 500-1000' . Hardcover Variance Required: Yes No Date of Council Approval: � REMARKS(in house): y 32 B UILDING REVIEW CHECK LIST UBC: �� 3 CONSTRUCTION TYPE: �� Sq Footage $Per Sq FIg Ba.rement x = Ist Floor X _ 2nd Floor x _ Garage x = x = \ TOTAL � � Estimated Construction Value: $ /�{6,)00 � � Lispections Required: Work Requiring Separate Per►nits: q� Site �C' Plumbing Fire � 1 Hardcover Removal Mechanical Water Connection U Footing Septic Sewer Connection _�Framing Fireplace L.awn Irrigation �In,sulation (Masonry) Other _� Wall Board (Mfg.) Well (State Permit) � Final Grading/Fi[ling Electrical (State Permit) Other _________�__---------------_—__----___ REMARKS(IN HO USE): �� ^� � ------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By. -------------------------------------------------- -------------------------------- ---------------�----------------- REMARKS (TO BE NOTED ON PERMIT): _ �jUO CX TL FZ-i o2 Cx ,,qsv�� n1 �1�-�w �-� 33 -- �(/ ' DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED -� - � :D� PERMIT NO. COMPLEfED ADDRESS �� A�� D'l/ OWNER CONTR. � TELEPHONE N0. �v�Z ��o � �7g � DESCRIPTION WL��:(iiC,JC� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG 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 HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a J O >. � O � W � Q � W � W � � d W� WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT YVORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 OwnedContr o 'te: Inspector. White Copyllospector's File Canary Copy/Site Notice �� ✓ D E TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED + -� _�� PERMIT N0. 0737 l COMPLEfeg, _ ADDRESS _r�GX�J'` NO7'7�1i. S�'�/7lG OWNER CONTR.1�7�i�!.LC�1�- �l"['Jv�L TELEPHONE NO. ��Tg � DESCRIPTION �rn� � 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL 19 IAKESHORE/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 O6 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 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a � J O � � O � W � Q � 2 W � W � � � ��J WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952) 249-4600 Owner/ConVa o ite: Inspector. White CopyMspector's ile Canary CopylSite Notice � � AT TIME CITY F RONO CALLED IN '� INSPECTION N I� SCHEDULED �•� � PERMIT N0. 37 I COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. �� 7`�O � T 7 9 � DESCRIPTION !`I Gf(��L'� �y FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � RAMING �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H O NSULATION�� 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � a � ��t�/lJ`" 0 � 0 � W � Q � a W � W � � � O W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECT�ON REQUIRED.CALLTOARRANGEACCESS. Ca11 for the ne inspection 24 hours in advance. (952) 249-4600 � OwnerlC o on e: � Inspector. �� White Copyllnspector's Fil Canary CopylSite Notfce / <]`�` DATE TIME � CITY OF ORONO CALLED IN S�S INSPECTION NOTICE � SCHEDULED S-/5�—D /; O� PERMITNO. P�73� � COMPLETED ADDRESS _ ��S /�• �S�LD�- �/ OWNER CONTR.�/��%c:Lc��i� TELEPHONE NO._ �� 1�� `�'�7g � DESCRIPTION _ �L''t�� .L � 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 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 i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W - 0. o � - -'�ti�l C � �'c)` �- � � ° �J�a�- W � Q � Z W � W � � � ORK SATISFACTORY:PROCEED PROJECT COMPLETE " W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next nspection 24 hours in advance. (95Z� Z49-46�� OwnerlContr t n it : Inspector. White Copylinspector's File Canary Copy/Site Notice