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Home My WebLink About2005-P08514 - add./remod./repair • ` PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08514 Crystal Bay, Minnesota 55323 P2�fYllt Typ@: Addirion/RemodeURepair (952) 249-4600 Date Issued: 4iii2oos SITE ADDRESS: 3145 North Shore Dr Wayzata,MN 55391 P I D: 09-117-23-3 3-0013 DESCRIPTION: uBc occupancy R3 Construction Type VN Proposed Use: Residenrial Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolurion#: Separate pemvts required: riumbing iviecuanicai Eiecmcai(siateJ NOTICES/REMARKS: n--`'-'-�-.•"--r'--:�'n-'�"--- �rrr----- :�GJi.::::.:::::::b::::,.::G -:::C:::'.::,::::.:::::G FEE SUMMARY: Pernut Fee: $ 1,441.75 Valuation• $ 180,000.00 Plan Review Fee: $ 937.23 State Surcharge Fee: $ 90.50 TOTAL FEE: $ 2,469.48 APPLICANT: Peter Boyer Construcrion OWNER: Sveron Peterson 19685 Excelsior Blvd. 3145 North Shore Dr Excelsior,MN 55331 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. r . % �Gv �%�—f�� • P ICAN ERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Si2nitures Reauired). 1-Avplicant, 1-Monthlv Renorts, 1-AssessinQ. 1-Finance Page 1 . � CHECK OFF LIST FOK ISSUANCE OF PER,�1%fITS FOR OFFICE USB ONLY ADDRESSORLEGAL: 3�`-�S Iv�C�+�S�� p2- PID: DESCRIPTION OF Yf�ORX: Rx.�� ZOtYItVG REVIE tv B X':-----�-�'�r-------------r-r------------DATE APPRDVED: �''S—O-S � B UILDItYG RE VXE N�B Y' �-�- ^� �-- Dr•.l TE APPR O 6'ED: �-��'- ^ ----------------------------------------------------------------------------------------------- --------------a�----- FEES TO BE CH.�lRGED: h•Iisc. Fees Calc�cfated By: PERh�tIT Yes _� No PLAtV RET�IEGV Yes � �Vo SELVER GOtWt ECTIO�V STATE SURCHARGE Yes�� tVo tiVATER GO��NECTIO�V � Il�!'VESTIGATIOtV FEE Yes �Va� PA�K FEE SAC ,Yes 1Vo � SITE tNSPECTION Ncunber of SAC U�iits OTHER (specify) ----------------------------- ---------------------------------- Z'O�VI[YG CHECK LIST Zor�irag Dish•ict: �/O G/-f'K�'i`�� Fir•e Departrrierrt: Post Office: Scicaol Disn'ict: _.. Lat.�lrea: Sq.ft. Acres ��idth Depth Su�-vey Subrriitted: Yes No Date af Su�vey: — Proposeci Set6acl;s: Front(LRh.e): Right S e: Rea�•(Sh•eet): Left Sid Adjncent Str•uctur•es: 6Petland: Builcling Height: Def. Kgt. Peak Kgt. Lot Coverage: � Gracling: Stnff:tpp►'aval Date: By: Coa�ncil Approval DRte: Septic: Staff.dpproval Date: BY� Zorci�tg File: # _ Resalution: # Resaliction Date: SJto�•elancl Disd�ict: Avg.5etbnck: Bluff tback: Lot Coverage: � Esisti Proposecf Hardcover: 0-75' 75-250' ' 250-500' ---�— , 500-!000' Har•dcover Variance Rec�ccirec{: Yes No Date of Coa�ncil Approval: .REIVIARK'S(iri lsoccse}: ;31 , . � . BUILDXtVG REYXEYY CHECh'LIST UB C: !�" j � CONSTR UCTIOlV T YPE: v/V Sq Footage .�PerSq Ft� Basenie��t ,r = !st Floor x = �nd Floa• � _ Gai•c;e a x = TOTAL Estimated Caistruction Vafcie: �S t"dO,000� Inspections Reqttired: i{'ork l�equiri�tg Separate Periuits: Site _�Pl�unbing Fir•e Hardcover RemoL�a! _�Nfechc�nicc�! GYater Co�uiection Footing Septic Setiver•Conrcection �P�•anti��g Fireplace Lawn 6•rigatiai _�lns�datiai • (r�tasontv) Ocher 6Y'al!Boarcl (A�Ifg.) G�ell(State Per�nit) o� Final Gradi�ig/Filli��g ��Elecn•ical(State Perncit) Odier ' RE�'�I.4R1'CS(.(N HO USE): � RE f�IE Y�B Y OTHERS: DATE: Access: Existin,; Nerv Access App�•oval: Date By: RE14�IARh'S (TO BE NOTED OtYPERctiIIT}: 3Z ' • 1 �) Total Fee: $ r_ ^�,! � Date Received: �j-((�-�(�)5 Entered By:�r�= ' �'��' � r' Permit#: �- p�5 (� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please priiit all informatio�i) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR JOB SITE ADDR�SS: �)�c� %�G�� Jt.�`�'-�`�� i� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,�No If yes, c� special event permit is required witla Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��i/g��'_ ��r��'/'�c31-( PHONE: (home)��.-g��)315 (work) MAILING ADDRESS: IJ�� " �� ;n �a, (�t��,,,� CITY: �=��r� �r��j� ZIP: �5�`f CONTRACTOR: -i �`'��/'L- W�S% PHONE:��- Lf��/- �'C�' 7 • CONTACT PERSON: � E�1 MOBILE/PAGER: (Q/2 ' ��>c� — J�j'7`-� MAILINGADDRESS: �q/oo-�� X��ls/a/��, /Uc' CITY: ��,�SlC✓2 ZIP: aS��S/ STATE LICENSE: # l/�o� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration� Land Alteration PROPOSED WORK(describe iiz detai�: ��e st��G�'U2�/a�� f/J�5'jG� U� �-�7'/p,/y S' �� ' �%h'��_--- STORIES: _� SQ. FEET OF EACH FLOOR: �,� �� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��%O �%GG� I hereby apply far 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: �'-�L� - � P� DATE: �� D�-'b� • , Y Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. 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. Intormation required to be given i�dividual. An individual asked to supply private or confidential data concerning himself shall be intormed of: (a)the purpose and intended use ot the requested data within the rnllecting state agency,political subdivision,or statewide system;(b) whether he may retuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the dats.This requireme�t 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 mav�lace the notice reauired under this subdivision in the individual inrnme tax or orooertv tax refund tnstructions instead of on those torms. 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 classit7ed ss pubiic,private or con£dentiel. Upon his turther request,an individual who is the subject of stored private or publlc data on individuals shall be shown the data without any charge to him and,i[he desires,shall be informed of the rnntent and meaning of that data. Aiter an individual 6as been shown the prlvate data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or actlon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ot the private or public data upon request by the individual subject of the data.The responsible authority may require the requcsting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,wlth any request made pursuant to this subdivision,or within tive days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot compiy 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 rnntest the accuracy or completeness of public or private data concerning himself. To exerclse this right,an tndividual shall notify in writing the responsible authority descrIbing the nature otthe disagreement. The responsible authority shall within 30 days either: (a)�rreM the data tound to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individusi;or(b)notify the tndividual that he believes the data to be correcG Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responslble authority may be appealed pursuant to the provisions of the administrative procedure act relating to rnntested 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You are noti£ed that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to suppiy data,but refusal may require that the City deny t6e 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. V2- ��e� � � e 0^� First Mid e Last c 1.fC� �� ,�x��ef� ��2 �IUc� Address ��s rQ�, MrNi�/ -��!' �'S 2.---�fly-�d 7 7 City State Zip Phone I under and my rights as stated above. Signature Minnesota Commerce Page 1 of 1 Commerce Home� North Star Home � Commerce Site MaK : ,p�; Thursday,March 10,20( �r�ur�s�rr nr �-°�, i. .�,ri��MER�CE �`r�i t�r��t.�.t�cN'th St�1' Energy Info Center� News Releases� Advanced Search � Search Topics� �` Afl NorthStar� �` Commerce Site Only ' Contact Us � �� — �� " Consumer Industry Applications, Unclaimed Heating Weights& Minnesota Info and Info and Registration, Property Assistance Measures Relay Petrofund Services Services Certification License Detail Here are the details for the license you are currently looking for: Licensee Name: PETE BOYER CONSTRUCTION INC Licensee Address: 19685 EXCELSIOR BLVD City State Zip: EXCELSIOR, MN 553310000 License Number: 1160 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Dec 12, 1991 License Expiration/Renewal Date: Mar 31,2005 Qualifying Person: PETER BOYER Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No � ' � ' Copyright 2000 North Star, Minnesota State Government Online State Of Minnesota �About Us( Get Acrabat North Star is led by the Office of Technology, Department of Administration Reader� This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NUM=1160&LIC_TYP... 3/10/2005