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Home My WebLink About2006-P09812 - addn/remodel/repair � ' PERMIT .CITY �F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9812 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/12/2006 SITE ADDRESS: 2166 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-42-0011 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Approved as equivalent replacement for same size"grand level" deck approved FEE SUMMARY: Pernut Fee: $ 251.25 Valuation: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.06 APPLICANT: Owner/Self OWNER: Scott&Deah Udell 1�1N 2166 Shadywood Rd 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. �; J _ � �lj�� '=� _,�� 1-v� �.�-- APPLICA1v'T PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �-7 `� �ST� ,�� Total Fee: $ � r �C�l`"� DateReceived: �� Entered By: E7 � Permit#: � _ i � 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: �1��L� S�/�,�� ,,+c�cil� ,� I� ZIP: ��-`� SS�7� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO !f yes, a special event per�mit is required with Police Department and City Council approval 60 days p��ior to the event. Shuttle bus ser�vice will be r•eqi�ired i�nless applicant demonstr•ates sufftcient on-site par�king is available. Non-per�nitted events will not be allowed. NAME OF OWNER: �C-C'o f�- �- l�t'� �� lJ�FC L PHONE: (l�e neSS `15�-�1?-G -11��O ( �"�� s�- �/��r-i.�2 y U MAILINGADDRESS: ��'� 51��'� ��/� CITY: �✓��'��!� ZIP: 5535 / CONTRACTOR G(,✓�vP,Z PHONE: `�SZ-- �i2G-9ZG G CONTACT PERSON: Scas�t Uc��ii MOBILE/PAGER; c��/� - 5`i�- �i�,S� MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER OG�ti��Z PHONE: MAILING ADDRESS: 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 ! PROPOSEDWORK(describeindetain: ��,r�c;� C�XrS��i /J��i� /� ",�Fz�-'� .>'�'�� '� ,�!"��e ��P� y�Jct�ie ( �1v�;5 cj�' F/ �s�u;,.�,) �nc�� i2ralGcr £�'is��, />0�>,�5 � .j , v�ndcus ( 7e��i� t � J/ti55 /rs i -��-;� ��,�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ f 5� GjnO �s�� 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 pennit;and that the work will be in accordance with the approved plan. � ' APPLICANT'S SIGNATURE: `-'�7%/'�� DATE: 31 � 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 confidential dataconceming himselfshall be informed o£ (a)the purpose and 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 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 m�}�olace the notice reauired under this subdivision in the individual income tax or�ro�e�y tax refund instructions 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 public,private or confidential. Upon his further request,an individual who is the subject of stored private 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 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 authoriry shall provide copies ofthe private or public data upon request by the individuaf 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 I comply immediately,if possible,with any request made pursuant to this subdivision,or widiin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f 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,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)corcect 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 tliat 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 determination 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 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 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 City State Zip Phone I understand my rights as stated above. Signature Reset Form 32 , Ci-�C� OFF i�IST FOR iSSUANCE O�' �ERMITS F�R OFFICE USE ONLY ADDRESS OR LEGAL: Z I�0 >�C ��-��`->�!� PID: DESCRIPTIO�i OF WORK: ( " u�l" k A �'�'r`i ---------___1S11�. n- ---�-{� Q------------------------------ ZO.�I�Ii G REVIEtiV BY: DAT'E APPROVED: p BUILDING REVIE`V BY: DAT'E APPROVED: s'� 8 •�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V Yes i✓ No SEWF12 CO�TNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ----------------------------------------------------------------------------------- ZONIi�IG CHE.CK LiST zoning Disc:ict: L'(Z l— 1 G Fire Department: Post Office: School District: L,ot Area: Sq.ft. �S��_Acres Width (02,�� Depch 2�0.�l � �� ✓ No Date of Surve Z 00� 5urvey Submitted: Yes Y� C��1/IG�IV►RI WAS M 5�7'��,� . Proposed Setbacks: "��- Froat (Lake): � �} �kt Side: �1 � ��Q�. . Rear (Street): h(/� �eft Side: �_'-� Adjacent Structures: -- Wetland: � Buildin� Height: Def. Hgt. l� ( � Peal:Hgt. /U I 14 Lot Covera;e: tia c�— Grading: Staff Approvat Date: �!/� By: Council Approval Date: Septic: Scaff Approval Date: � BY� �`' Zonin� File: (# l Z.�o Resolutioa: � 3295 Resolution Date; _��T Shoreland District: ✓ Av'. Setback: N�A Bluff Setback: n1//� LAt Covera�e: �✓"G�� EzistinQ Proposed a Hardcover: 0-7�' 75-250' � G�� 2�0-500' 50a-1000' Hardcover V�riance Required: Yes No Dace of Council Approva�: �EtiLARKS (in house): ��v � 1 S " 1 l`� Ct � � r BUII�DING REVIEW CHECK LIST UBC: R • 3 � CONSTRUCTION TYPE: UN Sq Footaoe $Per Sq Ftg Basement � . . . x = � lst Floor � x . _ . 2nd Floor x = � Garage x = z = TOTAL Fstimated Construction value: $ 1 S,pou °-Q Inspections Required: tiVork Requiring Separate Permits: S ite Plumbing Fire � Hazdcover Removal Mechanicat Water Conaection Footing ' Septic Sewer Conaection � Fr�g Fireplace Lawn Irrigation Insulatioa (Masonry) Other Wa11 Boazd ' (Mfg.) Well (State Permit) .�F�� Gradiag/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): . ------------------------- REVIEW BY OTHERS: DATE: Access: Eusting New . Access Approval: Date By; � � ------------------- REI�IARKS (TO SE NOTED O�t PERII�IIT): 8 SCa*--�' C�c�� I( ,; �'`� — J�� /' - �/S Z 2 ( (�(� s��-oy(�oUg �n ��y 2�-r� � '� S,�3� / � ��Ccs �r�-i.r 4 � �' !--�r��rh�� 2 � j S� ' J N �c�-� j�.�Tro �-7 3 �� , I�s s s P��ps �O��- r�nla I �C' e-� r /� zlv�c�Ps 1..Ac,{ � � S� = Gor�-' i 2= 5°s7 � --� 2� 57 l o s� � ��a�� 5�5 r-��p�� s� -S'�P��'�s �y s�,�� ; � sy � w�- /��- �'� '�-''° �J�` � P � �' o _I� � S �� °�``� C�..-- b _ � -v� �� p ��J C t �' P�e/r��/��,C P �,� /�n�i� I D U � �oo -�- sT�,�P�� s Y � �� s r , ��c 2S X� i,��ti�s = C�a'� �/ 7, 2 S ��x � = 2Y � s�sy � �,2 , 5 .��e/o�� N �� (��o � 75 r ,�-�l< 5 2 S � /�/ — 23 �7 �-�–�'� ��'2 a��e'°�``� �. � o I v / ( S� S/��ccS � � � �� _----- -- % �� 7 S _ --� , -- � !� - _ ,., _ _ �2, � �. ^ �j �� r c`�},ce/t z S ;�( L�/�c� L./'�� Gr� � 2� �.--- 7 � � � !o'�`' 225 �2`5 � �i� � � 2 3 � � r � _ S� I �,� sti t�c� � ,��, ��, � �P��'° .S' r Z �� j d �,,�t �, � � ScaT`j ' v��« b5'lQ�� ,M,sc � 5� el SNe� � � � .2�l�Cv S/�/��J (.�k�d l, n��r� ' 1� � ti� � �� 3�l� �� '�'�Z�4T�} !i`��l 2 �— l'l2 - S5�'- 5/SZ Y'` +�" / ' � i- : ,/ f ��so� 9�y� , / � � � � �W` \ � p�TO � � � �a-.,� ,� U�P <�',r. i '�s`• `� `� •� � �� O �� ,/ � / �� PLANTER \ / i / S ` <��`''1�U�'�� i � � ' ��'�.�`�p '�' � / ; i / � ; � � , F� � ; ; � jsl i �. � 'tic � ! � � ; � / ..,, i / o�s� �' r-'� s�� ST S / / � �� \p CONCRETE �•9 / � e CURN b; / '; �,�- i ' � � �� O�, , �'r / Gr�s'�� '�� / i S / / ,% ��' / ; / '1 r,s / �� I 7 %q��iti�f � � / ^�, j ,•D �� . / ? ,�h / / rp I / ,�,� �XIST11�1G ; �a o�`� \ o�� a' / HOIJS�" ''�y � °``� � ' Fti �d /' ; . � \, �� / ti .... , �5� � .. ,� �`�� ;.-.-� / ��b CF�-' �� <' o�`b /-r'� � , F'� / �,f-�Sl. � ��c�o� ` , / ' � � ��` i �\�� / �A� o � `y� �� / , �o , �s� / , ,,� / y , / � � ^ � J / �. . . .�� l ,, �Q / f' ' '��,. ��• . / , �`�`� / ��I� ' t..+��.�� / � ...�� / :.�,.....,..�. � .�� DN4 � � � ��` � x _ S��F� �LAN GRADING PLAN i �o°'� / 6� �i6��'f�UV�I� �� r�c� � ,P�+;,� ' ��B�:TF � � ,�E�t�U�� l��ITH R��dI�IcJNS �� ^� � C1 DI�A� i��J1�� ,,�r`��'� � BY WALL �, p�` � DATE 5 ^�"�b �'�,�° / �4�,� / /ub inrGc.e�sP �N s�z.e �t-�.�we� ��°� / '�`�, � n�� •, / � i� ,� ` J y �*' f T��(�RL, I71;$C'£t1'�'�C,�IQ'N. ,' <.,, � - � , , , i / � 'sl��t �� o� L,a�: 1t3 , f31.c��k 1 , lying Nor.th'w��r; `�s � dr.�wrt , �h�augh sai.c� lc�� a��(lle]. witri ��tie SoU�tl�e� / e�� sa.id ,�r�� r�c� 1 ;� . 5 f'��t �ie�zth�aes��r.�.y �h�.r��r� � , ` �ti� ��.ttheF��r1.y h�.L� , .Fi^c�n� �ind z�ar , ca� �c�� 'i �, �/ �:]_]. :in "W;i1��y`' � I��r.k , T:,�k,c; M1.nne;�a�k� , � r � �l�,i� �u�v�y '�}�t�w� t�.h�a 1.;,7c��t:i.�an of �n �xi��,i�tg hx