The URL can be used to link to this page

Home My WebLink About2000-P02057 - addn/remodel/repair ` ' - � PERMIT �CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: �� Po�oS`� Crystal Bay, Minnesota 55323 P2fCTllt Typ2: Addition/RemodeURepair (612) 249-4600 Date Issued: l�lg�oo SITE ADDRESS: 31ss rrortn snore Dr WAYZATA,MN 55391 P��: 09-117-23-32-0018 DESCRIPTION: Proposed Use: Residential UBC Occu an R3 P C3': Pernut Class: Building Construction Type: � Pernut Type: Addition/RemodeURepair Census Code: 434 Pernut Sub-type: Single Family DETAILS: Resolution#: N/A Separate pernuts required fo Elec�ical(state permit) NOTICES: F E E S U M MA K Y: permit Fee: $ 321.25 Valuation: $ 20,000.00 Plan Review Fee: $ 208�78 State Surcharge Fee: $ 10.00 SAC Fee: $ 0.00 Misc. Fees: $ 0.00 TOTAL FEE: $ 540.03 APPLICANT: OWNER: Robertxalvorson 3135 North Shore Dr Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IIvIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. � U. G��S �.-,�t�� APPLICANT PERMITEE SIGNATU SLIED BY SIGNA'TURE � . Today's Date: 1/18/00 Page 1 , . ` ., e Total Fee: $ � l��b Date Received: �a -' �� Entered By: ,up, Permit#: . ,. �/ZooS' 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 JOB SITE ADDRESS: .�j135 NORZI�i JHO�,E UIQ.4 ZIP� ��3� � NAME OF OWNER: }�pB�R�°'�DEC�C�RA ��vot�soN PHONE: (home) Ci�t2)`�171 -I 195 . (work) (��2)37 I-Z�58 MAILINGADDRESS: 3135 No�jt-�SHORE DR. CITY: oRONo ZIP: 55.�9a- CONTRACTOR: '�b No,r�i�v'S�r� �ou�►�+�� PHONE:,((�i2� �-171-I1yS CONTACT PERSON: 7�bb i e 1-�c�I v avS ar� MOBILE/PAGER: MAILING ADDRESS: 3 t3S No.ShcN� �� CITY� O�o nU ZIP: 5539 I STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N,�ME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration t'e tac-�- PROPOSED WORK(describe in detai�: �e�lace -E-roni- 4x��cY� —�� si�u�rcusc i nside So �n�c�� is �n f,rs� level '�ns�ea� of s�i�� 1eye1 Cse� plc�nl �� cNm� wc� w��,�w.�-s STORIES: o�i SQ.FEET OF EACH FLOOR: a��a NO. OF BEDROOMS: '-} GARAGE STALLS: ATT. �3 DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Oi C� 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: �uv�.��CN�m DATE: I a-��IQ NOTE! Parade o�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. 5 i � r . � � � Sec.13.04 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 req�rired to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idendry of other persons or enaues authorized by state or federal law to receive the data. 1'his requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The comm�ssioner of revenue m�v olace the notice reauired under this subdivision in the individual income tax or nrooerN tax refund instiuctions instead of on those forrtts. 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 confidenrial. Upon his further request,an individual who is the subject of stored private or public daha 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 its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pucsuant to this subdivision,or within five days of the date of the request,ezcluding 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,Su�ays 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 co�erning himself. To ezercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible autfioriry shall withic►30 days either: (a)correct the data found to be inaccurate or ic�complete and attempt to norify past recipienu of inaccurate or i�omplete data,including recipienu named by the individual;or(b)noufy 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 detcrmination of the responsible authoriry may be appealed pursuant to the provisions 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 would like to inform you that your request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified 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. T��b��a �nne +�ulv�;so Y� First Middle Last �i 3 S Nor-�1�� Sho�e Dr��v e. Address ��c�nc �1N `�5391 C�oi?)y7l-Ily� Ciry State Zip Phone I understand my rights as stated above. �bu� �.��-��c��rr� s►gnatu�e 6 ♦ , � � • CHECK OFF LIST FOR ISSUANCE OF PERz1�IITS FOR OFFICE USE ONLY • _ ADDRESS OR LEGAL: 3 l 3� N'o R�-t S l't-o� �2 PID: Rx P�,n u �x�Sirt N� a,.'► n�e� DESCRIPTIO�t OF WORK: P1�ba�= ove'�. 1=YlAnt r sr�o0 't4N0 [_�n7'L1r�v� �N�'jifi°y`s ._______________�________ - _-- ZO.�'G REVIEW BY: _ DATE APPROti�ED: � z- �t,�c-�`t � BUII.D�TG REVIEW BY: � DATE APPROVED; i Z-�� -� FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes t/ No pI,AN REVIEW Yes r/ No SEWER CO�fNECTION _ STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC•Units OTHER(specify) �--------__---__ __--------- ZO�^L`�'G CH�CS LIST Zoning District: �tZ.-1r3 . Fire Department: tA�t.�: Post OfFce: C� School District: o�•�o� Lot Area: Sq.ft. Y4,39 o Acres /.o r � Width r itit�'.6��'�- Depth Survey Submitted: Yes �C No Date of Survey: '1`l�$'�5 EN'rN�t �.�'N�uco . Proposed Setbacks: �r ✓wa�►uw�ut-s � K � � Front�bake�: 'N' Right Side: � 1 0 . Reaz(St�eet}: � � 5� Left Side: n � � Adjacent Suuctures: — �•�� Wetland: -- _ �gr dWOr+�w+wf'S Buildin�Heighr. Def. Hgt. y.� ' Peak Hgt. — Lot Coverage: �,�� ' Gradin�: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: —' By: Zoning File: # "'— Resolution: # Resoludon Date: Shoreland District: y-P 9 Avg. Setback: �J(�f- Bluff Setback: i✓ ��' Loc Co��erage: . Eustmg Proposed Hardcover: 0-75' 75-250' /�'d G H'�4�v� 250-500' _----- 500-1000' Hardcover Variance Required: Yes No�,� Date of Council Approval: REMARKS('in house): 7 r . ' • - BUII.,DING REVIEW C�iECK LIST . , � .w��,i�.df . UBC: 2•3 A� CONSTRUCTION TYPE: y�..r Sq Footage $Per Sq Ftg � Basement - . . x . _ �. lst Floor � x . _ : 2nd Floor x _ �. Gaza�e x _ x — TOTAL Estimated Construction Value: $ �,p� vop "= Inspections Requirec�: tiYork Requiring Separate Permits: Site � Plumbing Fire Hazdcover Removal Mechanical Water Connecrion . —�FO°�g Septic Sewer Connection � � o`Framing . Fireplace Lawn Irrigation Insulation (Ivlasonry) Other Wall Boazd ((vifS-) . Well(State Permic) �F�� Grading/Filling _�c Electrical(State Permit) Other REi1RARKS(1N HOUSE): . . REV�W BY OTHERS: DATE: N _� Access: Existing New . Access Approval: Date By; � REI�IARKS (TO BE NOTED ON PERiI�IIT�: M �N 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED PERMIT NO. 0 o�'-as7 COMPLETE -l S''�a %"�' ADDRESS J�l �C�"" f G'6,�� 'S`jOre L�Y OWNER CONTR. TELEPHONE NO. ` � PTION � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIILING Q 02 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � MMENTS: � � � 2 � . � .. J _ O �� - � �� ._.. .. � � z' Y , � � ' -�!r�'Wl/ Q _C��'�,i.��t� � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContractor on site: Inspector.��.��-f�U�11 Lt� White Copy/lnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN A`�`� �a�M a� INSPECTION NO CE a 0�� SCHEDULED -'�� le=3 Z� PERMIT NO. �� COMPLETED '� �� ADDRESS 3�3-S !��• ��-- '"�lu^^Q� OWNER CONTR. TELEPHONE NO. � DESCRIPTION , � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C MMENTS: � W a /� j /; �2 n O�� 5 '�S � 0 � W � Q � z W � W � � ��ORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. C' PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnedContractor on site: inspector. -l'c.�G //I� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED W ��3/aa INSPECTION NOT CE SCHEDULED � o • � • PERMIT NO. � COMPLETED � -� �� ADDRESS � OWNER CONTR. TELEPHONE N0. '�7�� DESCRIPTION _�1��-�Cc.�/ ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 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 � 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�, C MENTS: a (� ��^ � �� PQo��-vo o �^ ^ ��`� � 1 � v S � sc • ss�o � � v� � � W s ^— Q `� � l /'L LC'��ct c-c`.�� L[ci � � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFiCATE OF OCCUPANCY W � ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.�.-�i(�Q-�f White Copylinspector's File Canary CopylSite Notice