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HomeMy WebLinkAbout2005-P09443 - addn/remodel/repair PERMIT CITY �F ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09443 Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 12/1/2005 SITE ADDRESS: 1675 Shadywood Rd Unit# Wayzata,MN 55391 P��� 17-117-23-21-0004 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Pemut Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate perxnits required: NOTICES/REMARKS: Install egress windows in basement, 1 sliding door, 1 casement window FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 128.25 APPLICANT: David Schweich Construcrion,Inc. OWNER: Angela Williams 21716 Kenrick Ave. 1675 Shadywood Rd Lakeville,MN 55044 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. � APPLI ANT PERMITEE SIGNATURE I SLTED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �@'�.a..!.�i�.�L��.y� Total Fee: $ j Z..�. �`� Date Received: Entered By: �-� ;� Permit #: �,16 95/�/.3 � rY , � . - CITY OF ORONO — BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease print a//informafion) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circ%one) OWNER OR CONTRACTOR JOB S1TE ADDRESS: ��t�� �''1C.�c,"�.(.�'����� �C�C�� ZIP: >���,� I NAME OF OWNER: ��,Q�1,�,�1 r�,(,�y�� PHONE: (home) - ' 2�"Zj--L-5���- � `,�. (work) t�l�.,:"dG RDDRES�: I f�-.� 7�i"'��:t�.tX�,��t�l'��-'� �Y�:T1': ��- . � Z[P:��� J � CONTRACTOR: �(��ii�f���1 L�.�l[��i1 CC�'I���.Ct�Y 1�Y� PHONE: �`�7�-��-�L-z-7 CONTACT PERSON: � �= MOBILF/PAGER: MAILING ADDRESS:21 i i ��-K,���1.na('��'- . ,"� CITY: c���}; C � c ZIP: ��y STATE L[CENSE: #.:�;a,(�;�/��,� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure -------- Move Remodel/Alteration -_�_� Land Alteration PROPOSED WORK escribe in detai�j: (Vl�Z��� �Lirl�,1� �.���,���t/�I;l,��i,'�-� ���'�1 Q�rt� c'S✓'�L, ��'� I �1�� ��>�:' <,`i��>��C.� r'',����`/�;'�rJ' STORIES: SQ. FEET OF EACH FI.00R: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUAT[ON (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 1 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 ap roved plan. APPLICANT'S SIGNATURE• DATE: �I ..zJ Z5� NOTE.� Pa�ade of Homes e vents�equire separate permit app�o vai'by Police Deparhnent and City Couaci/60 days prior to the e vent. Non pennitted e vents wil/not be a//o wed. Sec.l 3.04 RIGFfTS OF SUBJEC7'S OF DATA Subd. I. 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. Informatlon required to be given individual. M individual asked to supply private or confidential data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the coliecting state agenty, political subdivision, or statewide system; (b) whether he may reFuse or is legally required to supply the requested data; (c) any known rnnsequence arising irom his supplying or refusing to supply private or con�dential data; and (d) the identity 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 c�f revenue ma lace the notice re uired under this subdivision in the individual income tax or ro tax refunJ instructions ins�ead o(on ihose formc. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subjed o( stored data on individuals,and whether it is classlfied as public, private or confidential. Upon his further request, an individual who is the subjeM of stored privale 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 o( ihat data. ANer an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereafler unless a dispute or action pursuant to this section is pending or additional data on the individual has been collec�ed or created. The responsible authority shall provide copies of the private or public data upon request by ihe individual subject of the data. The responsible authority may require the requesting person to pay the adual rnsts of making,certifying,and compiling the copies. The responsible authority shall rnmply 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, ezcluding Salurdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. M individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right, an individual shall noti(y in writing the responsible authority describing the nature of the disagreement. lhe responsible authority shall within 30 days either: (a) rnrrect the data found to be inaccurate or incomplete and attempt to notify past recipients o( inaccurate or incomplete data, includ'ing recipients named by the individual; or (b) notify the individual that he believes the data to be coneM. 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 o( the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rigfits 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: I. 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 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. �� � � i1 1 1�P��� F�( 7 � � 'i�Q.1/l/1,(• hlid e Las� �����f�1 A � dress ��a--�n � o � M� SSZj�Q� Gty State Zip Phone I understa y ri as d ab ve. �� Signatu CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY - ADDRESS OR LEGAL: I b75 S��y t.v��A lLe�,4D PID: DESCRIPTION OF WORK: t,v„VO�✓ inls�wA��� Z0.�1Ivi G REV��V BY: G�/�iQ DATE APPROVED: BLTII�DI�i'G REVIE`V BY��-_�NN�---------------DATE APPROVED---l,_23-�6------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW � Yes No �/ SEWER CONNECTION STATE SURCHARGE Yes __� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No � STTEINSPECTION Number of SAC�Units OTHER (specify) ZOi�TI�TG CH�CK LIST Zoning Districr. w o G�Q Fire Department: Post O�ce: School District: Lot Area: Sc.ft. Acres Width Depch Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Si . Rear(Street): Left S' e: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av?. Setback: Bluff Set ack: L.ot Coverage: Existing Proposed Hardcover: 0-7�' 7�-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Da�e of Council Approval: RE�KS (in house): -- 7 BUILDING REVIEW CHECK LIST �C� ��' 3 CONSTRUCTTON T'YPE: �l/� Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ x — TOTAL Estimated Construction Value: $ (��p�p � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing ' Septic Sewer Connection _�Frami.ng Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Perm.it) —�F�� Grading/Filling Electrical (Sta[e Permit) Other 1tEMARKS (IN HOUSE): . ___--- ----------------------------------------------------- REV�W BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date gy; -------------------------------------------------------------- RENIARKS (TO BE NOTED ON PERi1�II'1�: 8 • � . �� �;;,���-}t �, ��r,. a�'ti��'�. p��J� � R O��p�� " ����� ���� ��_�- �� 0 ��►1��i I��'��� ' �aES � ;,c. � , � �, �� �nrs� � � � ,<<:-,�� (' �,/ . CITY c�� �►Ft��� �� `f �� � BUILDINr �'�='�i"�T Lt\rd �;f�VIFV��9 S�,, �vL � ��cTo�___�� _ __ \ o ., .,..,... . � � , Z , , ,.;..,�� r,o. — A?�_ ��� -— ------ L' i�,: � i)�-- � � � � ! , �, .. , . (-rr- �� �. . _ ''� � � i . �r �� i ,.�> ,_. , - - , , , �� .. C� .�� . ., , _ _r;!N'�E /i �( T?' r _ - rv�;'2. i l�� �I �r � : � �._ _ J �":'N. F �'�_� ��,`...t . ::f• ����`.!1 ,�.`,.�. i iF�t rnJA-�e� �� � � �� ������� � �� ���� ' �� � � � L �,�,���L � '� � � . 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Y �n ���� .v�-.. �. .f,�`'��,. �. ;A,�.. y � .>� 'y,�.`"- "� . .E�'�„-` '-4��` �T.�. .6�.��;,.�,�� ' �x, ''« �r� ��' +"t"`$ '��"_'�-_� ..,'�� ���j�`� � '�'F�i �!�C ��� + t,a�� � '' !�. y� i' r ; �ys #�r � _.. � �.. ,u.�. � �� � �a . . ,� , ..� �� ,.J�►A � �,a�r'� �,� ���.. �' S... '„I�;st Y -''�. � ��,.. �1Y�'��"+�, �, � ai` � . '"i� � �C�' �.z ,`� +�.,_S' �A�. "4''�-'� �'a � �.� y� � . � +��ai� `Tr�° � �� � �. � � `�,F,,,' � v- Y�" � e .� �' } .��,,,��,�' 1� f +Ik' �' >�3 e ��,,,,�` 4� f�3"s'�J�"�'�;'�. z'�r � � '` y. c i'w�. } " t � '°i= . ` „'4 �' � � � �,_— .�, a _� �a�`� �� - �"� . . . , . �r�� . . , . � . �" . � i♦ � � }'+�, ::� �"�h ��♦ .� .� � �L t�r'� ,��,'`� 9j�� � A ' �' 'w��. ,�' �t+`-d"° ; " � � . � -p� r . .. . .. ... ..�..� a�''�� : � __ �`�'�;c.?,i� >. � '�.,: , t .,. ��.� .. � , . ' �, � � � � .'' �--.J� ;��� �C �-- ,.,_.,r,,,y ������� nnyu��nindn�� . .. �. , �„ , � ;. ; .:�. , ,� . . ; :_:. � - � � ,au sieeping rooms shall have�a! least onelegress win� � '� � �' �' FLOOR oow (see iuusirsrlon)meeting all these..requlrements;�� .° . �� . ' ' � Siu Heigh�.normore than 44 Inches.above floor �� . � Openable Area,...,not less than 5.7 square feet Ertl:ergency�Escapes- (e2o aquare �nches):.:f. � W�ndow.Wells. Balow Grade � Opening Height,,,,,,,,,,,;,not less fhar� 24 Inche� , 8sotlon 510,4.�'.'� � � � � Opening Wldth..............not less than 20 Inches ..� � . � ` " �' ,: �.. Mlnlmum�cc���WITH WINDOW FUI.LY OPEN: , '. ,' • • . 8�'Ji18213Uf0�h0ljip�4p11y.:IfOrt1 lh!IWrldeUo(�waJl to the weli Emergency Escapes- . '�� � � �� � � :• and•�rom the wlndow surtac+►o the wall,No�e:9'by 9�weiis ��i �'��-����;;` ���� :�� NOT provfde:tl�e'rayulred acces�forcasem�nt windows. Window Wells Below Gradel,i ��• r• . •• � � � � .. ..�.� . . � . � . . . .. . . ?he c�ear horizontal dlmentlon��:hall allow the win• �� • HOUSE w�!�. co�� �o be tully opened and �provlde�,�� minlmum� . • , acce99ibie net clear opening�of 9 squ6ro feet wlth WELL � , � m n�mum dimenslons of 36'Inches,. � • . AREA ' � , � ,•.,•..�.. :� :,,',:.. , . . � � LADO'tn �,�v,ndow we►Is with e vertica�depth oi.,more than 44 Inch= � : . :� � ;` es snaii be equipped wlth .an�epproved�permanently CASEMENT �� (R�U��� a!��Xed iadder or s�alrs thal ere accessible wlth the wln• ; 36'min ii we���s o.-- W.INDOW �• � �,.. � �oW �n ine fully open posltfon.The�lad�er�or a�alrs shall�� ;Open posltlon) ' � neer ^c�, encroach in�o ihe required dlmenslons ot 1he wlndow p�qN or TOP VIEW ,�ei� oy more than six Inches, • ' � .� . . ' . ' ' �--,. .:.__ . i� p v 2. --� • � �L ' _.._.___ • �� ►�9 ���`' � . . �1�.!iN�� ��p�-C _... 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