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Home My WebLink About2002-P05684 - addn/remodel/repair CITY OF QRONO PERMIT 2750 Kelley�i='arkway - PO Box 66 Permit Number: Pos6s4 Crystal Bay, Minnesota 55323 P2C'CTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: io�22�2002 SITE ADDRESS: 3175 North Shore Dr Wayzata,MN 55391 PID: 09-117-23-33-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Pernut Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: Eiec;uicai�siaiej NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 321.25 Valuation: $ 20,000.00 Plan Review Fee: $ 208.78 State Surcharge Fee: $ 10.50 TOTAL FEE: $ 540.53 APPLICANT: Benchmark Contracting OWNER: Micheal&Catherine Russin 2331 Driftwood Ln 3175 North Shore Dr Mound,MN 55364 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �__��_� ��,�- PLICAN ERMITEE SIGNATURE ISSUE BY SIGNATURE Conies: 1-File(Si�nitures Required), 1-Apnlicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 � �� 1� 5�� Total Fee: $ J ��J- -� ,7 Date Received: Ente�ed By: � Permit#: �/�/ / /�� , —� °��`� /C `� �`I�- CITY O�IrONO - 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: ,�j/ 7� � ��`j pr� ,�j^ ZIP: �.5��/ O�� NAME OF OWNER: ��' -�-�G��t N ��1�i i-, PHONE: (home) �j��- �7�-!/:,� J , (work) MAILING ADDRESS: �j;7S ,�/ Sfl�� ,�'',CITY: ..c��/'ve�•i v ZIP:�/ CONTRACTOR: �:�Gfi.,v!'/ ;� Co.��-u c ; ;ci PHONE: �.j��-��'�7y5 CONTACT PERSON: � � ,�-� � MOBITL�/PAGER: q��-- ��03 MAILING ADDRESS: ' - „ � CITY: ,�j�nJ��ZIP: ,�5�!� STATE LICENSE: # ;Z FJ� ��J�'q� ARCHITECT/ENGIN�ER: �I;r�e�1��,� c�� n �,NG- PHONE: �j�2--q;��J�j�%� MAILINGADDRESS: �� 7��r � 7r,�i��/UCITY:��j�d,c�,��n ZIP: ,��1�7 NAIVIE: REGISTRATION# TYPE OF WORK: New Addition5� Accessory Structure Move Remodel/Alteration Land Alteration � , j PROPOSED WORK(describe in detai�: ^;��f��1�� - �f e�`�' �i'f��T� r%Lv'ic� �:'c- �a c�'�C' f� T�i�r�c'!�- . ` / STORIES: _� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ;'� - 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: , �' ��-��- DATE: C,�G�� _0��2 c NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 t�as set iorh in this section. Subd.2. Information required to 6e given individual. An individual asked to supply private or cc::ridential L�ra concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agenc}�.�litical s.:bdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data; (c)any known conseqL:r.ce arisir_from his supplying or refusing to supply private or co�dential dara;and(d)the idendry of other persons or entities authorized by stat�cr federal L:��ro receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to sec��a 13.82. ��bdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individua]�come taz �*�ro�ertv tax refund instnictions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual sr.sll be informed whether he is the subject of srored data on individuals,and whether it is classified as public,private or confidentiaL Upon his::rther rz.;��st,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him ani.if he d�sires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of ics meanir�. the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additio;sl data on��individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request b� *�z indi�it�ual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,an�compili�_u`�e copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to c'�'_subdici�en. or within five days of the date of the request, excluding Saturdays,Sundays and legal holidays,if immediate compliance is not fcssible. I��cannot comply with the request within that time,he shall so inform the individual, and may have an additiona]five days within�hich to cenply with the request, excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accu:acy or cempleteness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible au�oriry de�nbing the t�ature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurare c:incompl�and attempt ro notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify thz i_dividual�,at he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included wirh the.�i:�:losed data. The determination of the responsible authority may be appealed pursuant to the provisions of the ad.::inistrari�=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 in:orm you that your request for a permit or license from the City of Orono or any of its departments may require yeu 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 den� the permit or license. 3. The information may be shared with other local, state or federal agencie_ to the e�tent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, sor:e inforWation may become public. 5. You have certain rights under M.S..13.04 (available upon request) to re��iew pri��a:e data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address Ciry State Zip Phone I unders�`and my rig s tated above. Signatur � 6 BUII,DING REVIEW CHECK LIST �C� - R'3 CONSTRUCTiON TYPE: 'VN _ Sq Footage $Per Sq Ftg Basement x — lst Floor x _ 2nd Floor x _ Gazage x _ � x = TOTAL Fstimated Construction Value: $ 20,nao`� InspecNons Required: , Nork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection .. �L_F��B � Septic Sewer Connection � oc Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) � _�F� Grading/Filling _ C�Electrical(State Permit) Other REDZARI�.S(IN HOUSE): � REVIEW BY OTHERS: DATE: M ~~�---------------N��r_ Access: Ezisting New Access Approval: Date gy; ----- ------_______---�------------------------------ REMARI�.S (TO BE NOTED ON PERMIT�: 8 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ' � y . ADDRESS OR LEGAL: 3�� (10f�1�Y a rro/k; �02 PID: DFSCRIPTION OF WORK: FR o�ur �NT� snoP A� s�� Po� ZO�TING REVIEW BY: DATE APPROVED: �o.z�.-•z. BUII.DING REVIEW BY: DATE APPROVED; c c� -z�.� �z FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes _� No PLAN REVIEW Yes JC No SEWER CONNECTION STATE SURCHARGE Yes _,G No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CHECS LIST Zoning District: . Fire Department: Post Office: School District: � Lot Area: Sq�.ft. Acres � Width Depth Survey Submitted: Yes� No Date of Survey: �n•z�• o'L__ Proposed Setbacks: 9"''P p,"ti. .sT-o p ��,.�; Front(i�e�): QO Iy0 Right Side: �t� Reaz(Street): �36 "19 Left Side: y 1 0 FeoniOhn�.�(i� Adjacent Structures: 1 l' F,,,Now.r,�,� Wetland: N 1 A Building Height: Def. Hgt. d•Sc- Peak Hgt. 0�k Lot Coverage: 10.2 Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: !t — Resolution: # Resolution Date: Shoreland District: y Q5 Avg. Setback: /v/A- Bluff Setback: rv 1✓fi Lot Coverage: r o•2 Eusting Proposed Hazdcover: 0-75' 75-250' 250-500' i}�.Z �4•` 500-1000' Hazdcover Variance Required: Yes No�_ Date of Council Approval: REMARKS(in house): 7 �� 1 DATE TiME CITY OF ORONO CALLED IN '�'/ i /L 3 /_� INSPECTION NOTI SCHEDULED �` ' � PERMIT NO. �`�_ �c�u connP��Eo << �' ADDRESS ^/ �7 Sl /�1 S�� =%-� /.�2 OWNER CONTR. ��-�"G�- �'�/� �(' TELEPHONE N0. � �� -�� c-�U'�-'� � 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 TAEE REMOVAL Z04 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 � OWNER/CONTRACTOR TO MEET YOU:,�YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J ��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUiRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlConUactor on sit • Inspector.� WhHe Copyllnspector's File Canary CopylSite Notice �-��- �/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC � 5� c�HEDULED % � PERMIT NO. � COMPLETED � ADDRESS �� 7£� �� ,�� OWNER CONTR. ,��_�lC'.I�Yf'llLh,l� TELEPHONE NO. ,.�� 7� —��L C �� ;� � � � DESCRIPTIONr'�C%�`-�� /��''�� j�% ��;�C� � 01 FOOTING ` 11 MECHANICAL RI ��i�9 EXCAV/GRADWG/FILUNG Q 02 FRAMING 13 MECHANICAL FINAL � LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETY :�YES_NO � COMMENTS: X � w � � W a � J O � � O � W � Q ti 2 W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORAECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (J52� 249-46�� OwnerlContra o i : Inspector. White Copyllnspector's File Canary CopylSNe Notice � , �� i .� DATE �� CITY OF ORONO CALLED IN INSPECTION NOT CE !..� SCHEDULED I�I Z`f�� l1') PERMIT N0. � ��cJ�� I COMPLETED � ADDRESS � 1 `I � N �Y1�',VP_ �I� OWNER CONTR. �-/'IGh i'YY�1'Y_ C1�71� . TELEPHONE NO. c�`"; 2 - 4 -7 Z - ��--7�j 5 ��SCRIPTION �-�x�,�! Nt � 01 OOTING 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 Z04 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 � 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 � OWNERICONTRACTOR TO MEET YOU:_YES�NO —� L�Y�t C=�S ��(�1 � COMMENTS: � � W � J T� '- t O � � O � W � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAL�INSPECTOR O INSPECTION REOUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContr n site: Inspector. White Copyllnspe or's File Canary CopylSite Notice c� �._... DATE TI CITY OF ORONO CALLED IN II " � I � INSPECTION TIC SCHEDULED PERMIT N0. S � COMPLETED ADDRESS � � S �v d� � /�0"'�-�l i�-- OWNER CONTR. � TELEPHONE NO. lr`,' � �' �J / � - S{� Gj � DESCRIPTION 1 � � ^ � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � � �- �,,^�f�. � "��C1 vt. r.� .1 .ti^c� � C� j � O � � O � W � Q � 2 W � W � � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor s't�: Inspector. ' White Copy/lnspector's File Canary Copy/Site Notice �� -7J /�l S�l L�r�--� � / �� v� � - �� , , ogE , � s� - 5i g�`� , �. � HARDCOVER CALCULATIONS �� – �c� / Existing Hardcover / � • _-_, House (Inc. Eaves) 1438 Sq.Ft. �, Garage (Inc. Eaves) 692 Sq.Ft. � , E 1�`�'65, ' I Brtuminous 1798 Sq.Ft. � �JI' N 72^�2�37� Conc./Brick 499 Sq.Ft. � � ' `-" Total Hardcover 4427 Sq.Ft. , ,- :� / ;� � V� " Lot Area 24;303 Sq.Ft. �� ,� I —� �15 9 of Hordcover = 18.2 9 �,, I � . o ;�; � � Proposed Hardcover � I House 1841 Sq.Ft. � Gorage 692 Sq.Ft. ` I � � Bituminous i 798 Sq.Ft. �5.4 �".� ` I Conc./Brick 442 Sq.Ft. 4 � � L�iturr-rinous Surfoce ° � + Garu�1c � ` Total Hardcover 4773 Sq.Ft. R I a I S( c¢ � I \f 5 J � �4.' ��`r`F I � � — Lot Area 24,303 Sq.Ft. 10.0 n;'c _p��F,�sed Porch `�tuup � of Hardcover = 19.6 9 I _ � 0 � V 2d o � � � I `d I I � _... � I � �—Hrick RC30 - . � � � � i��s� � C�� - v � � � �' �� .� c � � y Floor Elev.= �t � �+ , �; ,. ,�^.; �J A!•.: C�1 � I � 946.35 �t � J�� "�.��: ; c �,r1.�: i � s> � o I I I i t� E,��'1`��V':�� S�o��Ot sc.Rr�N PoR.cW f � SA i o `�9 I ` 6 � ❑ �t�i��4J� ' ��+i E i _ . ._ ,'�� i � 0 34S '-� 't� A. pC�t,��.. t ��. � I —` �4 (943.9)ar �-- 9� � ❑ Q?J�1�''�f�i s_�? � � �" pros'°�� , (saa.$) BY - P'�`�� • I � �qa tl D,"��. /u-ZZ-o z ' ---... � ---------.__ _ ________– (944.9��3 x X 9A3• Y.,.__�_. .__.. _ J � � � _��: �R�� L��j� ��- 943' x � ��,,�!� `-'. � F �, x yaz a � – –�, 9�q.2 x P 9b�2 x N 9'��' i i 9`Te i i` 9ag b o � x �� . �� .� �'� , �, -- S 89"55'00" W f33.50 --� �� ''---- 16.50 C3ituminoi�s Orivewuy o S f19"55'00" i� �, LEGAL DESCRlPTION � .w Tract F, Registered Land Survey N0. 269 0 � . 0 0 0 0 O Denotes iron monument `� Entire property lies only within the 250'-500' setback zone. � Denotes Judicial Landmark x 000.o oe�otes existing elev. SUlV6y0f"�S Nofe: A title opinior� was r►ot fur►�►shed (000.0) Denotes proposed elev. t0 fh@ SUNey01" CiOC' WOS a specific tlf�@ search —�— Oenotes surfoce drainage conducted by the surveyor as part of this survey. I hereby certify thot this survey, plan �r report was prepared by me F��e NO. DEMARS–GABRIEL or under my direct supervision and that ! om a duly Registered Land 1 1909 B CERTJFICATE OF SURVEY LAND SURV�YORS, INC. Surveyor under the Laws of the State of Minnesota. Book–Page FOR 3030 Horbor Lane No. _��,�,�_____ � 411/17 CATHER/NE PIy mouth, MN 55447 David E. Crook Phone:(763) 559-0908 RUSSIN Fax :(763) 559-0479 �O�Z��O Z Scale Date: Minr�. .Reg. No. 22414 1 "=30�