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Home My WebLink About2000-P02164 - addn/remodel/repair PERMIT tiCI�Y OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P02164 Crystal Bay, Minnesota 55323 P2�CYllt Typ@: Addition/RemodeURepair (612) 249-4600 Date Issued: 3i2ii2oo SITE ADDRESS: 3324 North Shore Dr WAYZATA,MN 55391 P I D: O 5-117-23-41-0012 DESCRIPTION: uBC occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 329 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Marina DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai �iecu�icai�siaie j NOTICES/REMARKS: uFr�rnnFr FEE SUMMARY: Permit Fee: $ 853.75 Valuation• $ 80,000.00 Plan Review Fee: $ 555.03 State Surcharge Fee: $ 40.00 TOTAL FEE: $ 1,448.78 APPLICANT: T.M.C. OWNER: GARY BRIGGS 121 E.COURT STREET 2400 CROSBY RD BELLE PLAIN,MN 56011 WAYZATA,MN 55391 THE UNDERSIGNID 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 BUII.DING CODE REQUIREMENTS. � ��__� � P LI A A D BY SIGNATURE ,� Copies: City,Applicant,Assessor,Finance Page 2 , � Total Fee: $ /��.7 a' Date Received: 3`�""6� Entered By: ,� Permit#: �D a'�l CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTO JOB SITE ADDRESS: ��/ ,Uo�Ti� 5�cl�.E D,�. Z��. SS 3 9/ NAME OF OWNER: GAeu E. l�e�aa s PHONE: (home) y73-2(oby (work) �30—97oG MAILING ADDRESS: Z y6('j G,Qo s,8 u � C�� Gv.4 u�aTA Z��,�ss 3 9/ CONTRACTOR: /,/�'J, L_ PHONE: 9v`2-�7.3-y38S CONTACT PERSON:�,,, /y� �G�,SJE-E MOBII.E/PAGER: !a✓z- ya - 9 6 MAILING ADDRESS: ' Le�„2.T ST C��"/l� IO�wE ZIP:��S�p// STATE LICENSE: # N ARCHITECT/ENGINEER: �/�I,57c � 50� ,�PHONE: �/7d— OB49 MAILING ADDRESS: ' �_CITY: �'�C�E'L�ie2 ZIP: SS�_3/ NAME: �',e// ,�i S 7''oL7"�' REGISTRATION# SS 7/ TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: ; p '� T ,., 3 �� .a' E�v 1J�C �v ,�„�r/ STORIES: !t�1'J��Z, SQ. FEET OF EACH FLOOR: 7��p;,� _ l�000 .S,�D S�' � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRU�TION VALUATION (excluding land): $ �AD�O. �o 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 starE'without a permit; and that the work will be in accordance with the pproved plan. APPLICANT'S SIGNATURE• �_�//! c DATE: ,3 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 � ; Sec.13.04 RIGHTS O�SLJB3ECTS 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 individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or enades authorized by state or federal law to receive the data. This 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 cortLmissioner of reve►rue mav olace the notice reauired under this subdivision in the individual income tax or orocertv taz refund insn„rr;�.,c instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data 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 i�ividual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter uNess a dispute or action pursuant to this secuon 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 authoriry may require the requesting 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 pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays a�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,Sundays 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 conceraing himself. To exercise this right,an individual shall nodfy in writing the rosponsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy �ast recipients of inaccurare or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data ••••tv�be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination 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 aze 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 Ciry deny the permit or license. 3. The information may be shazed with other lo'cal, state or federal agencies to the eztent necessary to process the permit or license. 4. If your requested pemut 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. �n, w h'1�GE-�f/E-�c First Middle L�� /Z/ Go v�T ST� Address /� I�L'/��' /'��qIN�"' /!��? SC�O// c�a/2'9D�'£�SS� ��y State Zip Phone I understand my rights as stated abov `�—y.__.��' " Signature 6 ` CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGALr 3�Z� IV 02'rl-� SF't o cz� p TZ PID: DESCRIPTION OF WORK: —�vw.p�e L __________� -------------------------------------------------------- --- -----�--- ------ ZONING REVIEW BY: /U lA DATE APPROVED• BUILDING REVIEW BY: DATE APPROVED: 3 • ' � _----------__ ____.--------�------------------------------------------------------___--_-------__ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEW Yes �/' No SEWER COrfNECTTON STATE SURCHARGE Yes t/ No WATERCONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No � STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /Vv c� � Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Si e: Rear (Street): Left Sid : Adjacent Structures: etland: Building Height: Def. Hgt. eak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ck: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes N Date of Council Approval: REMARKS(in house): 7 �. BUII.DING REVIEW CHECK LIST UBC: 1Z • 3 CONSTRUCTION TYPE: �[Y� Sq Footage $Per Sq Ftg . Basement z = lst Floor x = 2nd Floor x = Garage x = R = TOTAL n Estimated Construction Value: $ (�0,QOd� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal �Mechanical Water Connection Footing Septic Sewer Connection � � �Framing Fireplace Lawn Inigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling oL Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMII�: 8 DATE TIME CITY OF ORONO CALLED IN ��6 INSPECTION NOTICE SCHEDULED -S�/-��r� oa � PERMIT N�Io��la� COMPLETED J �,�i_'� �� -` ' `�" ADDRESS 33a� 97� ,�� • OWNER CONTR.��iS. e' TELEPHONE NO. 4OJ�'g��o� � DESCRIPTION � �, C' �!7 � � � � 01 FOOTING MECH ICAL 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 5 FINA 14 SEWER HOOK-UP O6 PROGRESS � 0 EMO-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/REMOVA� � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CO M EN : � ' a , i � � � J �� rG� S/ l� o �� W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED f PROJECT COMPLETE ��CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ,--- Call for the next inspection 24 hours in adv nce. 249-4600 ; OwnerlContractor on s�: Inspector.��-fi� C�.G'1� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �$ '�D a'• d PERMIT NO. bc�1��'�. COMPLETED � ADDRESS �y � �"�'1��'1-�2- pl�'• , OWNER CONTR.� TELEPHONE NO. �� g�� DESCRIPTION 'T'C � 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � NTS: � � � a � � j _ c/ j/�� C� � � n `— � �,- �'S S' � �� G. �..S /1') O � � Q-�,, y D✓ w�� S � � Q ms � P 2P�� C � �u.Ss-P� � �,� � l � � � a ' ��:�r�u�e W ❑WORKSA FAC ORY:PROCEED � PROJECTCOMPLETE � �CORRECT WORK&PROCEED SU CERTIFICATE OF OCCUPANCY W � ❑ 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 Ci INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector.�i'� �/�'!iC'�(I��lit' �� White Copylinspector's File Canary CopylSite Notice DAT TIME CITY OF ORONO CALLED IN �"�� f� INSPECTION N TICE SCHEDULED �� PERMIT NO. ��'o�� `� COMPLETED 5'' � �' `�� ADDRESS � 3�`� N c°'�� -�'t-F�� i,e�� OWNER� CONTR. �•I'yI� �-�1"/7• TELEPHONE NO. �� - �� 'i U �: p N ✓�-��= � 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG � 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 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 � OWNER/CONTRACT R TO MEET YOU: YES_NO � COMMENTS: :��G��7-7�."i �G� ,�" �',�' �h (/ � `� , 0 2 ,� , ��rc � � C-� �`l�c� � � �� L�z�c�:. O � � G. O � � / W �] Q ��L/`PC�C ��f �-C!� � Z W � W � � d ��WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector.�d��`�--�'�1� White Copyllnspector's File Canary CopylSite Notice ATE TIME CITY OF ORONO CALLED IN O O INSPECTION N TICE SCHEDULED ''� d �� PERMIT NO. O �.1(0`-� COMPLETED � ` 'f ADDRESS �3�?��i� ��--�-� � • OWNER CONTR. �� Cr TELEPHONE N0. �Q��•'►�'��—'�b' `�D�i - ��'(�d' � DESCRIPTION �� ,ri.�?F l� 01 FOOTING lf1 MECHANICAL RI 18 EXCAV/GRADING/FI�LING � 02 FRAMWG 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 14 SEWER HOOK-UP 06 PROGRESS � O-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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CO ENTS: � - a P �-c.-v� �%2 o �rs �✓ rz�c.� o � � °� � s, n W Q G oS� � /y � � G-� � �S ~h,� � ✓ W � �( — j Q �ORKSATISFACTORY:PROCEED (/ �� /�ROJECTCOMPLETE W W ❑ CORRECT WORK&PROCEED /� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-4600 OwnerlContra tor on site: Inspector./�"��5 White Copyllnspector's File Canary CopylSite Notice