HomeMy WebLinkAbout2000-P02906 - addn/remodel/repair � � ' ' PERMIT � �
CITY OF ORONO 4
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Permit Number: Po2906 �/ �
2750 Kelley Parkway - PO Box 66 � �,�--
Crystal Bay, Minnesota 55323 Permit Type: a���esso ctures / '�� '
(612) 249-4600 Date Issued: toi4i2oo ���
SITE ADDRESS: 1835 Shadywood Rd
WAYZATA,MN 55391
PID: 17-117-23-24-0006
DESCRIPTION: UBC Occupancy 3 '
Construction T e VN tX?'�
Proposed Use:
Buildin Census Co 434
Permit Class: g
Permit Type: Accessory Structures Permit b-type(s): Garage/Attached
DETAILS:
Approved per resolution#:
Separate permits required: riumbing iviecnanicai \r,iectric �siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: 1' $ 1,105.75 Valuation: $ 120,000.00
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State Surcharg'e Fee: $ 60.00 ��
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TO�`AL FEE: $ 1,884.58
APPLICANT: SCOTT HUTTON OWNER: S W&K M HUTTON
1835 SHADYWOOD ROAD 1835 SHADYWOOD RD
ORONO,MN 55391 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEME TS SPECIFIED
AND AGREES TO DO ALL.WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO O ANCES AND
STATE OF MINNESOTA.�UILDING CODE REQUIREMENTS.
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T PERMITEE I NATURE IS D BY SIGNATLJRE
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Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ F�`�'``/ � �''� Date Received: \ f
Entered By: �� Permit#t: �?�y �
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 R CONTRACTOR
JOB SITE ADDRESS: ���"'"l �S/���;c..;�e.v /�G ZIP: �� �/
NAME OF OWNER: ��/T����j,z /����i,�" PHONE: (home) �So? %7j�1�.,5'S/�
� (wark) e`.;:.� ���• .����
MAILING ADDRESS: �!''.�.�5��,�f���:�,t:� .1i�CITY: �%_'���' � ZIP:.�S.3�•
CONTRACTOR:�jw1�-y �D G����PHONE: � ���
CONTACT PERSON: �y- MOBILE/PAGER: --
MAILING ADDRESS� 2 _ CITY: �-�- ZIP: �
STATE LICENSE: # ����'�_ �U ?�F-
i�����
ARCHITECT/ENGINEER: ���iz-�,,y��.,� PHONE: �s � ��� �c�iL�
MAILING ADDRESS:����if y C� �z�� .�- CITY:il� l�x,- .- ZIP: S.S�.� `r�;
NAME:.i>��:<<• �> %z_,z,1 �:.�,�,,. �,:%��.;-G, .'� REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration ;�' Land Alteration
PROPOSED WORK(describe in detai�: /�/c� :;� t�z--i� � c_� r ���s�•:�.�c:<s
STORIES: � SQ. FEET OF EACH FLOOR: �����/� �� �
NO. OF BEDROOMS:� GARAGE STALLS: ATT. J� DET. C�
t,�G� •b�
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:-< /,�- -- DAT'E: � .� `j• Gc-`
NOTE! Parade of 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.
9
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Sec.13.04 RIGHTS OF S[JBdECTS 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 fo�th in this section.
Slibd.2. Informatioa required to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting stau 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 idenary of other persons or enaues authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of ievernie mav olace the notice iequired u�er this subdivision in the individual income taz or propertv tax refund insuuctions
instead of on those forms.
S�bd.3. Access to data by mdividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stoied 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
privaoe or pubiic data on individuals shall be shown the data without any charge to him aad, 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 iu meaning,the data need not be disclosed to tum for six months
the�eafter unless a dispute or acbon pursuant to tlus section is pending or additional data on the individual has been collected or created. T6e responsible
authoriry 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 cosu 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 cr,quest,excluding Satucdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within
that ac�,he shall so infoan the individual, and may have an addiaonal 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[he accuracy or completeness of public or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The
responsible authoriry shall widvn 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate
or incomplete data,i�luding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall
be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detemrinaoon of the responsible authority may be appealed pucsuant to the provisions of[he 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 pemut 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 infonnation 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 infom�ation may be shazed with other local, state or federal agencies to the eztent 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.
First Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature '
10
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: L �33 S 5l�rJ� w o c�✓J ��D
PID: a- r����5
DESCRIPTION OF WORK: �A R�6�=.T iq O D �� �
�
ZONING REVIEW BY: DATE APPROVED: 9• I�r —C�
BUILDING REVIEW BY: ' DATE APPROVED: � -�� -va
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 � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning Disuict: ( _jZ- I L
Fire Department: �/l���v,�0 Post Office: w A�,r u:va School District: W�:3z't�n�K�
Lot Area: Sq.ft. � ��o��- Acres .5 y Width I t�0 Depth Z 3�S
Survey Submitted: Yes Oc No Date of Survey: ��Z"T°��t
Proposed Setbacks:
F�eat(Lake): I 1 t� �= Right Side: 3Z� =
R�eaf (Street): �1 ` � Left Side: �{6` + ._
Adjacent Structures: A����'-"`� Wetland: N �A
Building Height: Def. Hgt. O•/L Peak Hgt. 0•/�
Lot Coverage: D•f�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: � �-- Resolution Date:
Shoreland District: y,�,5
Avg. Setback: p.� Bluff Setback: IU 1 A Lot Coverage: C�•(C.
Existing Proposed
Hardcover: 0-75' N��-
75-250' Z'� 2�"70
250-500'
500-1000'
Hazdcover Vaziance Required: Yes No C Date of Council Approval:
REMARKS(in house):
27
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BUII�DING REVIEW CHECK LIST '
UBC: R• 3 CONSTRUCTION TYPE: V N
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x = ,
2nd Floor z =
Garage x =
R =
TOTAL
Estimated Construction Value: $ l'L�,l�c�o`��
Inspections Required: Work Requiring Separate Permits:
Site x Plumbing Fire
Hardcover Removal c Mechanical Water Connection
�p _Footing Septic Sewer Connection
� Framing . Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
ot Final Grading/Filling oC Electrical(State Permit)
_�
Other
REMARI�S(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
�_____���� --- -------------- �:-----------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT�:
28
. . . . . � , .
MNcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
NIIdcheck Software Version 3.0
Checked by/Date
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-1-2000
COMPLIANCE: PASSES
Required UA = 182
Your Home = 151
17.2� Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
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CEILINGS 720 38.0 0. 0
WALLS: Wood Frame, 16" O.C. 1184 19.0 2.0
GLAZING: Windows or poors, Above Grade 80 0.350
DOORS 42 0.350
FLOORS: Over Unconditioned Space 608 30. 0 0.0
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COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer Date
DATE TIME r,
CITY OF ORONO -, � ��j CALLED IN �v ��'��G �- lO
INSPECTION NOTICE '� ``�'' � SCHEDULED --��/�f Y� :'� L�U
PERMIT NO. ��� COMPLETED ;���D�'�'� �� `���
ADDRESS /��� 5�7��c� [,v�G� �-G�
OWNER �. -�-Iu+t-oN CONTR. ���-�.� L7�ni��ScTn
TELEPHONE NO. l�IZ � 7Z� - �`/��5
� DESCRIPTION OG"�"i nlE� — C�3►'�z�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL
� OWNERICONFRACTOR ZO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. i PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDEfl POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContr tor on site:
Inspecto� /.�L-L l� �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO ��C �� CALLED IN j -Z -U �� I2—�
INSPECTION TIC SCHEDULED Z-�- �'�= U °
PERMIT NO. `�� � COMPLETED —2 � ��
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ADDRESS � . `- Cu��-(.t ti��e�_
OWNER 1L-,.��� 'JCONTR. �t� � ��n.c..e��
TELEPHONE N0. �' '�j� e�Z � � 1 �'� C�' "�C
� DESCRIPTION
lu 01.FQCITMIG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac r on site:
Inspector.����x'�[..�f�2-�'I,
White Copylinspector's File Canary CopylSite Notice
DATE TJ1`�Ef�,
CITY OF ORONO ��F"� CALLED IN !I Z`�� �`._7�-��
INSPECTION NOTIC scHEou�E� ' ��' ��-'`�
PERMIT N . cornP�ErEo � � � "�� �
ADDRESS
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OWNER ��t� 1 CONTR. �f'�`�'"
TELEPHONE N0. ���f ��L� � 5
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRA G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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.�Q'� INS` ULATION_� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '--, CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on si :
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White Copyllnspector's File Canary CopylSite Notice
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