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Home My WebLink About2006-P09702 - addn/remodel/repair - PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09702 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 4/24/2006 SITE ADDRESS: 3580 North Shore Dr Unit# Wayzata,MN 55391 PID: 08-117-23-34-0020 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 363.25 Valuation: $ 22,500.00 Plan Review Fee: $ 236.11 State Surcharge Fee: $ 11.25 TOTAL FEE: $ 610.61 APPLICANT: Prairieland Construction OWNER: Wade Davis 5964 Oliver Ave. S. 3580 North Shore Dr Minneapolis,MN 55419 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 MIN (�TA BUILDING CODE REQUIREMENTS. r �� C �- �:,�f% � � ,� � -` '� � j�f. _l_.,�/'!��Z '�l �� -�'"�`-� APPLICAN RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 . c�.�-� �-� �o� Total Fee: $ ��• �� Date Received: 3"� d� Entered By: Permit#: �b 97D o2� -�' 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: �I`J Q O �'�(, ��'�-�- ZIP: `J��5 Will this be�arade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a specia!event permit is required with Police Department and City Courrcil approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �� 1 S PHONE: (home) (work) MAILING ADDRESS: �lS pO �' �� I�., CITY: ZIP: CONTRACTOR: 1 1�L,�i,��J �5�-�1(4� PHONE: ��Z 22 Z�'jO CONTACT PERSO : S�4� "�O SG� MOBILE/PAGER: !v t L SS'(o MAILING ADDRESS: S°�(o4 �Z'k U�'a? �� CITY: @�l"v1,S ZIP: S l,� 5TATE LICENSE: # 20`:. `�p� �S EXPIRATION DATE: ARCHITECT/ENGINEER: �'� � ��T� PHONE: Cet2- �'LZ 2� MAILING ADDRESS: S GP (J"Z.ti �C� /�•��SOCITY: Yl (.,� ZIP: '� � Z� NAME: _ 5�,4'Ct �S`-� REGIST�# `2 � TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) _� Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detain: .1�0 1� ` " �l �,Q�,�,S '�-� � �{,� � 1� l, hl ' t�0 �1 '3 STORIES: ��L SQ.FEET OF EACH FLOOR: '�S(� S�� NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED '2 DETACHED_ � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 22 ,S Q�� (� I hereby apply for a building permit and 1 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 perm' an wo is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: � 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu 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 orconfidential dataconcerning himselfshall be informed of: (a)the purpose a��d 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 known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shafl not apply when an individual is asked to supply investigative data,pursuant W section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may_.,place the notice required under this subdivision in the individual income tax or properry tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infortned whether he is the subjectof stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or publ ic data on individuals shal I be shown the data without any charge to him and,if he desires,shal I 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 thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry 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 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, 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 conceming himself. To exercise this right,a�i individual shall notify in writing the responsible authority describingthe nature ofthe disagreement.The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt W notify past recipients of inaccurate ar incomplete data,including recipients na�ned by the individual;or(b)notify the individual that he believes the dats to 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 authority may be appealed pursuant to the provisions ofthe adminisVative procedure act relating to contested cases. DATA PRNACY 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 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 reyuested permit or license requires Council action to approve,some information may become public. S. 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. First Middle Last Address City State Zip Phonc I und rsta y r gh as stated above. 1 Si ature , Reset Form 32 CiiEC�K OFF i�IST FOR ISSUANCE O�' �ERMITS � FOR OFFICE USE ONLY ADDRESSORLEGAL: �..S�c; Nuazrt-� �+�-��- 'Q2� PID: DESCRIPTIO�i OF WORK: Zr��i �--��2 (��_��✓� �-_ ZO.VI�Ii G REVIEtiV BY: DATE APPROVED: v- �� s BUILDING REYII��V BY: r DATE APPROVED: y - � -� s FEES TO BE CHARGED: Misc, Fees Caiculated By: PERMIT Yes ✓ No PLAN REVIE`� � Yes —� No SEtiVE.R CONNECTTON STATE SURCHARGE Yes —� No WATERCONNECTION INVESTIGATION FEE Yes No ./� PARK FEE SAC Yes No � STTEINSPECTION Number of SAC�Units OTHER (specify) ------------------------------------------------------------------------------------ ZO�II�IG CH�CK LIST Zoning Discrict: V� v ��C Fire Department: Post O�ce: School District: Loc Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No \��,� Date of Survey: \ Proposed Setbacks: Froa[ (Lake): Right Side: ; Rear (Street): Left Side: � Adjacent S[ructures: Wefland: Building Hei�t: Def. Hgt. Peak Hgt. Lot Coveraje: Grading: Staff Approval Date: ` By: Council Approval Date: � Sepcic: Scaff Approval Date: \ Zoain; File: # Resolution: #_� Resolution Date: Shoreland District: Av�. 5etback: Bluff Setback: L,ot Coverage: Ex.isti.nQ Proposed 0 Hardcover: 0-75' 75-250' 2�0-SQO' 504-1000' Hardcover Variance Required: Yes No Date oE Council Approva?: RE`�L4RKS (in house): -, BUILDING RE'VIE`� CHECK LIST �C� i�- 3 CONSTRUCTTON TYPE: �(N Sq Footage $ Per Sq Ftg Basement x = lst Floor z = 2nd Floor x = Garage z _ z _ TOTAL Estimated Construction Value: $ ZZ,SOv°� Inspections Required: `York Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing � Septic Sewer Connection _ ( Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other _�Wa11 Board (Mfg.) Well (State Perm.it) � F�� Grading/Filling a Electrical (State Permit) Ocher REMAR��S (IN HOUSE): ' - --- - ------------------ REVIE'4V BY OTHERS: DATE: Access: Existing New Access Approval: Date By; ------- - REI�IARKS (TO SE NOTED ON PERtiITI�: 8 A� � � � � �a' ! �' �� w � � � � Z V � � I , �� , � � � u � � � g � _ �; ; �� ;�o "L � � � � � �� ° yJ � 9 �� i � ��#� � ' � � _ � � � _ � P �I �- �1 �: ' ; i'�; J� al ° � Q '� ` � . � � � p. - I 2 � a i � �'� � e s!� � �.. � �, w � � a� � � �Q � i ��, �; � �� ►� J ¢ � --- � V 9 I . 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IN , , �.v. r �� E TIME � CITY OF ORONO CALLED IN � ��_�� INSPECTION NOTICE SCHEDULED - �� '� �U: " PERMIT NO�� /C� a COMPLETED ADDRESS � �� "`�- Y' � �� ' OWNER CONTR. �i�'��-•;,.•� L.c�•t��(` CGt�J"}' TELEPHONE NO. l ��' ��r✓r)�� DESCRIPTION ��t�(k� �"j � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �2-PR;4NItld 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O�� _��N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4'�VACL 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � a � J 0 � � 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V B FORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�� Owner/Con r n ite: Inspector. White Copylinspector's File Canary CopylSite Notice �� /' D �j TIME V CITY OF ORONO CALLED IN "'� ~ �"' INSPECTION NOT CE SCHEDULED �� PERMIT NO. � � G Z COMPLET�D ADDRESS � �,,�Z�C,' ;1�C7��1 )l�t�!✓'(� �� . OWNER CONTR. f'/`.ri.rn°e LG'�.:t<� Cc:;��.,t'i, TELEPHONE NO. L� �� .�f�- -�CP(�,� � DESCRIPTION ��Z`y�- t c'.� /f1,�Le/ ��--- �e.G�G'L�� l� 01 FOOTING t��MECHANICAL RI 18 EXCAV/GRADING/FILLING �� FRAMW 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 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the ne t inspection 24 hours in advance. (J52� 249-46�� OwnerlContra n i e: Inspector. White Copyllnspector's File Canary CopylSite Notice � 5 S-e-�- DATE r,� TIM CITY OF ORONO CALLED IN J• v INSPECTION N�TIC , �� SCHEDULED Ulp ►�11� PERMIT NO. cornP ETEo ADDRESS O vr 1�/�U� � OWNER CONTR. I�O�` y �� TELEPHONE NO. �.O�� '_I�a-��U� � DESCRIPTION � ��-� �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS OINSULATION 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�� Owner/Con rac site: Inspector. White Copyllnspector's Fil Canary CopylSite Notice