The URL can be used to link to this page

Home My WebLink About2000-P02998 - minor alterations PERMIT C I�Y O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P02998 Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (612) 249-4600 Date Issued: 9i2o�2o0 SITE ADDRESS: 3768 North Shore Dr WAYZATA,MN 55391 PID: 08-117-23-34-d058 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 250.00 �tca-,L2 d,�,�;1Cj�;�yL- . ��G TOTAL FEE: $�3�g-" �v e�- QPPLICANT: KAREN SCHRAMM OWNER: NANCY L BLAIR 3768 NORTH SHORE DR 38 ADDRESS UNASSIGNED ORONO,MN 55391 MN 00000 THE UNDERSIGNED HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO UO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ,7`�` ��-�------ �� '� �-=) c� �'1 APPLI ANT PERMITEE IG ATU ISSUED BY SIGNATURE , Copies: City,Applicant,Assessor, Finance Page 1 � r - _ � � Total Fee: $ �y' �^� Date Received: `'�- �-�' (�� Entered By: /�� Permit#: �� ' ��r�� 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�01�TRACT____ l� JOB SITE ADDRESS: ��,� /�l/ ��,--t.r� ��_ ZIP: S3 �- j / NAME OF OWNER: Q �� f �" PHONE: (home) / � (work) MAILING ADDRESS: j J��,,Y f7/"�S�C�_ CITY�;�ryL�� ZIP:_5�.,3�/ CONTRACTOR: � � l�Kq� H� PHONE: �/7/ �/� L/ CONTACT PERSON: // MOBILE/PAGER: MAILING ADDRESS:�7�v� � �.�CITY: ,f'i.2..z,-,-�? ZIP: �� STATE LICENSE: # ARCHITECT � PHONE: MAILING ADDRESS: CITY: ZIP: NAME; GISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: ��t.v r,�� .? l�.i`,�o-u.i�~� %c�o�� - �_,� � � , r - u s� ` �� .�rr r2''��/- � ��iJ — �L� �!�+,.� �.u;�-.-•.�.e�ws.��' - STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT� DE� E�c> %r�/_"� ESTIMATED CONSTRUCTION VALUATION (excluding land): $��C�� , `f ��C�e— :L`t-�' I hereby apply for a building permit and I acknowledge that the inform ion above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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: �,��_ S��'�u�..s=.-._. DATE: `� -.� �-�U NOTE! Parade of Homes events require separate permit approval by Police Department and City Courecil 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 be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be infortned of: (a)the purpose and intended use of the requested data within the collecring 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 entities 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 section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orocertv tax refunc! instructions 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 co�dentiai. Upon his further request,an individual who is the subject of stored private or public data on i�ividuals shatl be shown the dara 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 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 itnmediately,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 infortn 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 ihe accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in wridng the responsible authoriry describing the nature of the disagreement. The responsible auihoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of inaccurate or icxomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be conect. Data in dispute shall be disclosed only if the u�dividual's statement of disagreement is included with the disclosed data. The determinadon 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 fiimish 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 shazed 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. ,,�� 'o s� �'�h v� �,-.�-, �.,-, First Middle Last �'7��.i/ ��,.�r� 1� c/- Address �.��,� /Y�,�/ S-3�/ !-f7��d' �-� a. ��n, State Z�p Phone I understand my rights as stated above. Signature 6 � ✓ • - . - CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPT'ION OF WORK: ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes .No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.fr. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak 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 Setback: L.ot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 � , , - � � BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $Per Sq Ftg Basement x = lst Floor z = 2nd Floor z = Gazage x = R = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI'I�: 8 .._.__. _.�_ �y --- _ _. ---=--� _._ __ -__�---- __ _ -- _ _ --._�.�.. ___. ---�--..:_-..,.., _.. ""'�-. � - � _._. `__.�.........,_'�,.,�`` o ' -------- --- _'� '_"�'_— ---_.___---_ --------------._-- ---_-_��_..,---___- _.._--.. ---•- -_ --- __. -_. ,,..,` --`� -`�--....�.�_ --`_' __._._� � � —� !_ DATE �IME�� CITY OF ORONO CALLED IN ��'``��c INSPECTION N ICE SCHEDULED /4- -�C70 /U rDU PERMIT NO. �� COMPLETED d-' � o •�� AD ESS 3��P � �V S�l�`i{ ��Z OW�E��C�f�'1�� l�� i I'� CONTR. � /l�-��Z TELEPHONE N0. � �� - � f � � � DESCRIPTION ��'�''�� lL 01 FOOTING 11 fv1ECHANICAL RI �-J 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a j � ��5 Gt. O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED i PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFIARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN �:;STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContra tor on site: Inspector. �c�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �Ur�'�-� �- �� INSPECTION NOTICE-� ,(� SCHEDULED � - -- af � PERMIT NO. �� `��v COMPLETED C � ��-� --'�� ADDRESS � ��'� NC r'fh S�10f'C ,Olc� , OWNER N� � �a�i" CONTR. � � ��'hrU�n�-- TELEPHONE NO. � � � � � � �� DESCRIPTION -��'� �� '� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �' 03 I�NSULATIQF�1 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q� -d--�--t_.! 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 � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� �NORK SATISFACTORY:PROCEED I' PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.��L?� White Copylinspector's File Canary CopylSite Notice