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Home My WebLink About2007-P11504 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11504 Cr�stal Esay, Minnesota 55323 Permit Type: Addition/RemodeURepair (9S�}�49-4600 Date Issued: 10/8/2007 SITE ADDRESS: 1835 Shadywood Rd un;t# Wayzata,MN 55391 PID: 17-117-23-24-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Pernut T e: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair YP DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Change out kitchen cabines&counter tops in kitchen&replace tile&carpet flo FEE SUMMARY: Permit Fee: $ 685.75 valuation: $ 56,000.00 Plan Review Fee: $ 445.74 State Surcharge Fee: $ 28.00 TOTAL FEE: $ 1,159.49 APPLICANT: Ashland Building&Design OWNER: Mr.&Mrs. Scott Hutton 20606 Hartford Way 1835 Shadywood Rd Lakeview,NC 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. �(��,��/ci �7�: �` L��i� ��O `— APPLI PE E 9 GNATURE SUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, I-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 Total Fee: $ ��_ r � Date Received: �' Z��V � Entered By: �,�i�N^ Permit#: A-��jQ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be star-ted. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O ONTRACTO JOB SITE ADDRESS: J�-�'� >S� �,,,,�,��, 1Z� zIp; .�'�`�k-��I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�-vice will be required unless applicant demonstrates suff cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �^�U�`�� y� PHONE: (home �1- i/-`�,7�y ' " / (work)`��.5 C�'��l- �,�.x� MAILING ADDRESS: /� �SLi,C�c��,/�a'�cl c� CITY: l,uc �4.�" ZIP: _��5� CONTRACTOR: �j � ' - ��=. PHONE: �5 I'�3� '10,�.,3 CONTACT PERSON: ' �� OBILE/PAGER: ��S�-,3'>��2 — �—� MAILINGADDRESS: � �.��p r7�,yL� �r-f�Y CITY: �-4�t'��i f� ZIP: ,S"�,�H�/ STATE LICENSE: # ��Gz,�t�� /,�; �XPIRATION DATE: �/`�,��'� ARCHITECT/ENGINEER: /�%�- PHONE: MAILING ADllRESS: CITY: ZIP: NAME: REGISTRATION: # 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 detai�:�Ce��7��% �'C;�� . � � ��,�r��.?S 161 �� cb'tt-n �_��fC-C /��' �C-Cii"�`�c'T �'`-�c�rY�, ,l� l�j`.'rl�c'n�-�illU�/�j�� ;r� .C4�'�. STORIES: �_ SQ.FEET OF EACH FLOOR: ��) NO. OF BEDROOMS: �' GARAGE STALLS: ATTACHED� DETACHED_ 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 ardinances 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:��72��.��%�.g� � GY�� DATE: ��p��/O/ �� C� �� Sec.13.04 RIGHTS OF SUBJEC'I'S OF DATA Subd.l,.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 shal l be informed of: (a)the purpose and intended use ofthe 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 shall not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or prooerty tax refund insvuctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as publ ic,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data._Aftet 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 unl�ss a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible suthority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal l 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 himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible suthority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including 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 determinaYion of the responsible authority 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 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 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. �� ti� �� First Middle Last �(oOl 1�d�^ �y Address �Z�ev�t le �'1X� �v�-( �.�-`�9-y�7 C�tY State Zip Phone I understand y rights as state bove. � Signature P ' I ''' 32 , CHECK OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE USE ONLY j � ADDRESS OR LEGAL: i fl35 5 N��w o��n PID: DESCRIPTIONOF WORK 1c�T-�,J �p�-Z ZONING REVIEW BY.• 1 DATEAPPROTIED: BUILDINGREI�IEWBY: �-- DATEAPPROVED: ta•z-b7 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 (spec�) ZONING CHECK LIST Zoning District: v C Fire Department; Post Of,fice: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted.• Yes o Date of Survey: Proposed Setbacks: Front(Lake): Right ide: Rear(Streel): Left Si : Adjacent Structures: etland: Building Height: Def. Hgt. ak Hgt. Lot Coverage: Grading: StaffApproval Date: CouncilApproval Date: Septic: StafjApproval Date: B : Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: Bluff Setba : Lot Cwerage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required.• Yes No Date of Council Approval.• REMARKS(in house): 33 < , BUILDING REVIEW CHECK LIST UBC: R' � CONSTRUCTION TYPE: V l� Sq Footage $Per Sg Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Esti►nated Construction Value: $ S(o,000 °� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal /C Mechanical Water Connection Footing Septic Sewer Connection �C Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permii) �c Final Grading/Filling oC Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval.• Date By: REMARKS(TO BE NOTED ON PERMIT): � 34 C " �� DATE TIME CITY OF ORONO CALLED IN �� "�� INSPECTION NO� SCHEDULEO /�3_p�7 �•3D PERMIT NO. 8� COMPLETED ADDRESS `�3S S � OWNER CONTR./'T.�`t-�� TELEPHONE NO. �'sl .�3Z- lOS3 � DESCRIPTION ��9 /IK��Z� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. p WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-S�TE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBI �/ ❑ FOUNDATION/REMOVAL � OWNE ONTRACTOR O MEET YO : 7�YE _NO uJ��,�Q � �;O'j� c�n COMMENTS: � W a � O >. � O � W � Q � Z W � W � � d W � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cati forthe ne t inspection 24 hours in advance. (952) 249-4600 OwnedCon ite: Inspector. White CopyMspector's File Canary CopylSite Notice C." U DAT TIME � CITY OF ORONO CALLED IN �d"�� INSPECTION NOTICE SCHEDULED /a�/9-U7 � PERMIT NO. �l�S�� COMPLETED ADDRESS ��5� s"-"-�"�u�'D� �l OWNER CONTR��S�4c-�� `�P� � TELEPHONE NO. w�J� 33Z L v5 3 � DESCRIPTION ��'l.G�-� — ��""C � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTiC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O �. � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL�NSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe ext inspection 24 hours in advance. (952� 249-4600 OwnerlCon site: Inspector. White Copyllnspector' File Canary Copy/Site Notice