HomeMy WebLinkAbout2003-P06173 - addn/remodel/repair PERMIT
CIT��' OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6i�3
Cryst�l Bay, Minnesota 55323 Per'mit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 4iloi2oo3
SITE ADDRESS: 625 Spring Hill Rd
Wayzata,MN 55391
PID: 25-118-23-33-0003
DESCRIPTION: UBC Occupancy R1
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 97.25 Valuation: $ 3,500.00
State Surcharge Fee: $ 2,25
TOTAL FEE: $ 99.50
APPLICANT: Kenwood Remodeling OWNER: v Z&E T HAWr1
DBA: Lahman Corporation 625 SPRING HILL RD
1830 Hennepin Ave S. WAYZATA MN 55391
Minneapolis,MN 55403
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.
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APPLICANT PERMITEE SIGNATURE y[SSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Anplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Apr-09-2003 11:28am From-CITY OF ORONO +9622494616 T-246 P.002/006 F-260
. �Tocal Fee: $_ nate Received:
Entered �y: Permit#:
CITY i�F aRONO - BCJ7�.nYN'G �'��T APPLICA.TI�N
AYl infarm��tion must be submitted in YuU before plan review will be Started.
(please prinr all irrformation)
T�iE APPLICAN7C IS: (circle one) O'WNER 4 �ONTR.AC'TaR
J'OB SITE ADDR3ES�: . 6 2'� SP�,,•�6 �d i 1a.. � ZIP: 5�3q 1
N.A�ME QF Q'VV'N�:R M��i �'�.5. Y�*� 1� P'�' ►� PHUNE: (home) �Z- �}�'b-2u`i l
� (work) b�Z - 38- 1 z.
Ma�.,nv�a�an�ss: �,� se�,�►�g ���.. � crr�r: �ca�c� z�: � ��
CONTI7ACTOR: LC�N vso e� 2�m o���f r�G ��IONE: ��2 ^ ��2- 1�}z�.
CO�1'I'ACT FERStaN: G�o F� 13 t�Y:��S MUBILE/PAG�1't: b�z - Z�.o - zg5� L�J
MAILING ADDR�SS: 1Q3m klr¢�.i��P�N Ac�.S. CY'Y"S2': '�M�NN�A�O�-ls 7.YP: 554�
STAT� LYCENSF,: # �- �q't3 �
ARC�T'1'�;CT/ENiG�NEER: �I� PI�O�:
MAI�.�a1VG AD1��SS: CITY: - ..ZIP: -
NAIVI�: REGTSTItATYON�
TYPE OF WOIt�:: Nevc� Addition Accessary Structure
Move �emodel/Alteratio�� Iand Alteration
PRQPOS�b WORK(describe indetail�: �-�crlod� L��o CL��Z�r+Cf� ��6��P�-fkC�' �
�..�� t��R L�l.. c�N o Q�o�r'��� �i��� o `n1#�r L1,. ; '� 1 N'� �v�+ `L8 �°�°w�
s�ax�s: _ 3 s�.�m o��acx�oox: 1�-
NO. OF BEAR�()MS: ? GARAGE STAI.L5: ATT. ? D�T.
ESTl1ViATED COKSTRUCTYON VALUATIQN (excludin�fand): $ ����
I hereby apply for a building permit and I acknovv'ledge that che information abo've is com�lete and
accurate; that the work will be in conform�nce with t�ie ordinances and codes of the City and wiFh
the State Building Ca@e; that I understand this is not a permit and wark is not to start without a
permic; and that the work wi11 be izt accordance with the approved plarl.
APPLTCANT'S S[GNATUR�: ` _,� 5 DA'YE: �r�10 - 0 3 �
NQ�'�! Parade o,�l���es events require separate permit approval by Police Departmeret and
City Council 60 dccys prior to the event. Nvn permined events will not be atlowed.
APR-�9-2003 11:25AM TEL)+952z494616 ID)KENWOOD REMODELING PAGE:002 R=1�0%
CHECK OFF LIST FOR ISSUANCE OF PERMITS
� � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 6 2 S sP2�w� �`E�<< U�.o/�
PID:
DESCRIPTION OF WORK: (�bo�
ZO�tPi TG REV�W BY: N(FF DATE APPROVED:
BUII,DING REVIEW BY: DATE APPROVED; �!-�o-03
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/� No
PLAN REVIEW � Yes � No c/ SEWER CONNECTION
STATE SURCHARGE Yes _1� No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOl�TI�1G CIi�CK LIST Zoning District: /�� G�"h'u'�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: W land:
Building Height: Def. Hgt. Pe •Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbac Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
�
7
r +
BUILDING REVIEW CHECK LIST
�C� '` � 3 CONSTRUCTION TYPEs ��
Sq Footage $Per Sq Ftg
Basement x _
1st Floor x _
2nd Floor x =
Garage x _
a =
TOTAL
Fstimated Construction Value: $ �5 0 U°=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hudcover Removal Mechanical Water Connection
Footing ' Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (1Vlasonry) Other
Wall Board (Mfg.) Well (State Permit)
��F�� Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE): .
� �--- ------------------------------------
REY�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
"r"�'-"----- ----------------------------------------------------------
RENIARKS (TO BE NOTED ON PERMI�:
S
Apr-09-2003 11 :28am From-CITY OF ORONO +6522484616 T-Z46 P.003/006 F-260
Ses.13•04 RIG[�T5 OF 5"fJBJECTS OF DATA
Subd. 1. 'X'ype af duta. The nghcs of iudividuat on whom[he dara is seoced or co be swrtd st,a31 he a�sec for�b ia chis section.
Subd.2. Iafarmatton required to 6e�iven mdiridual. An individua!asked to supply privare or co�denoal dara coaceraing himsetf shall
ba infaimcd of: {a)[he purposc and intended use oP ihe reqvesud data wirhin iha coliecdng�rare age�y, paliocal subdivision,os sffi�wide sys�m;
(b)whe�hcr he may�fuse oti is lagally�equired ca auppIy she nquas�ed daea;(c)�y lmowa coqsequeace�rising fmm his supplying or refusing to supply
privutc or confidennal da�;and(d)the ideariry of odur persoRs ar ennnes aurhorized by srare or federnl law so rrecive me 4ara. This requiremenc s6all
na��pp1y whan an individvai is asked�o supply invasugaa�e da�.punuani io secdon 13.82,subdivision 5,io s law en{e�emenc afficer.
The comrnissioner of revenur mav nlace che nori�e rnouired under�his subdivision irt �he individua! income r�x or�raoem�ax rctund
inS[ruc�loRS IRs[cad of on tho90 fOTfns.
5ubd. 3. Aecess to��ata by mdividual. Upoa reques�to a nspansible au�hunry,an iadividual shaU ba islformed whe[her he is t�e subjecc
of scored dara on individuaIs,ar�d wheEher it is classiCed as public,pnvau vc coafiden�sl. Upon his tUnher requesz, au individasl who is�he subject
of srnred private or public dara on individuals sha!!be shown ihc daw wi�hou�any cha�e ea kim and,-if he desires, ShaU be inlormed of ihe cantenc
and rry�anieg of rhu daw. Af�er an individual has becn shawa che privsc�c dam and informcd of its meaaing,[ha dsA accd not bc d'uelased ro him for
six mon�s thcre$fttr unless a dispute nr ac[ion pursuarn W chis Se�caoa is pendine or addioodal da�a aa cho individual has been collccud or crenred.
'YTie responsible auihoriry shall pravidc capies oP[he Qrivau or public da�a upon reqaat by ehe individual svbjcc�of ihe datd. 'Y'he rasponsibte auchoriry
may requirc the requesdng perfion co pay the acwaI co�ts o�making,cerdiying,and compiling c[�c copies.
. Thc crsponsible au�horiry shall comply immcdia�eiy, iF oassible,wirh any reques�madc pursaant re rhis svbdivision,or wi�hin five duys of
rhe daw of che reques�,czcluding S�airdays,Sundays and legal hoiidays,if irmnediaco complisnee is no�possible. If ha car�aoc comply wieh�he requese
wirhin diae cim�,he shail so inform ihe individual,and may have an addidonal five dsys wi=h'sn which�a eompiy wi�h che tequesc,cxcluding SanlydAys,
Sun3ays aad fcgal holidays,
Subd.4. Procedure wben data is nac aceurate or cousplete. M individual may cona�c the accutacy or comple[tness oF gubtic or priti�a�e
dan concerning himself. To cxanise�his righx,ati individwU shal!nonfy in wricing rhe respoasibfe auzhariry describing�e nanirc af d�e disagree�eat.
The responsibia auihoriry shall widiin 3D days eirher. (,)corrccc tho dara found to be i�aec�rare or incampler�and atma�pt c0 noety pas�recipicnu oF
inaccurs[e ar ineumpie�e da�a, ineiuding rccipicnrs named by rhe individual;ar(b)ootify rhe individuul thac he believes rhe darx to be correct. Data
in dispuu shaJl he disclosed only if nc�indivi�uai's sa[emen�of disasrecmeni is culudzd wirh the disclosed darz,
Thc dcr�rminadon oi tha rasponsibie au�oriry may be appcalcd pursuanc co die pmvisions oP rhe adciiniscrarive procedure act�lacing w
con�es[cd cfl�s, • �
DA'Y'A PRIVACY AD'VYSO�X
In accordance wizh M.S_ 13.OG., Subd.2, "Righzs of subjects of da[a",we would]ike ta inform you zhat your request
for a permii or license from the Ciry of Orono or any of i�s depanmeats may require yqu �o funaish cenain priv�ce ar
confidential infornia�ion.
You are notifed th�u:
1. The informazian ydu furnish will be used ro determine your qual�catian for the permit or license requested.
2, Yau may refuse to supply da�a� but refusal may requirc [ha� the Ciry deny the permit or license.
3. The infarmation rnay be shared wi�h athar loca�, sta�e or federal agencies �o the extent necessary �o process
the permis or license. '
4, If your iequested permit or license requires Council ac�ion to approve, some iufo�mation may become
public.
5. You have �:enain rights under M.S. 13.0� (availabie upon reques�) to review private data oa yourseli.
6. Your full name is required to precess rhis application or permi�.
---�a,�#I' S
�`� 1 g3p Henr��f� Ave. So ��
Address mn ,
_ 61Z , g�2 _ 1��L �
Ciry Staca Zip Phuue
T underszand my ri�hu as stated above. �
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Sigc�atu rr '
APR-09-2003 11:25AM TEL)+9522494616 ID)KENWOOD REMODELING PAGE:003 R=100%
�'� v
/�j DATE TIME
CITY OF ORONO CALIED IN � ��D 3
INSPECTION NOTICE SCHEDULED S �i���/I
PERMIT NO. �f) fo l�7-3 COMPLETED
ADDRESS (� �� �� �r�� r`� �f—{ 1 �� �c�
OWNER CONTR. l�o.�'t i_�;�:n(�
TELEPHON E NO. _�,�,n t a ' � '� �� - ��I� ��'
� DESCRIPTION f���"�fi
�TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� `02 MING O� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. ^ � 12 WATER HOOK-UP 17 SITE INSPECTION
Q�AL �'� 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:
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W� WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOi1RS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALLINSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe nex inspection 24 hours in advance. �952� Z49-4600
Owner/Contrac i e:
�^oector.
''Q Copyllnspector's File Canary CopylSite Notfce