HomeMy WebLinkAbout2001-P04033 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P04033
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 7/3/2001
SITE ADDRESS: 102 Chevy Chase Dr
Wayzata,MN 55391
PID: 36-118-23-41-0031
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
BuildingCensus Code 434
Permit Class:
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 60.10 Valuation: $ 1,700.00
Plan Review Fee: $ 39.04
State Surcharge Fee: $ 0.85
TOTAL FEE: $ 99.99
APPLICANT: Rob Ehlers OWNER: Rob Ehlers
102 Chevy Chase Drive 102 Chevy Chase Drive
Wayzata,MN 55391 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.
PA D D
APPLIC NT PERMI f ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Pagel
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Total Fee: $ Date Received:
#:ermit
Entered By: t ,�,�... Py .
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: a(� ZIP: S <�
NAME OF OWNER: �{ � .�_'k PHONE: (home) ?-47c,
(work) 61 Z, 4,Z-"- e>
,,NIAILING ADDRESS: S 6- e ni s t;� °`f CITY: ZIP:
CONTRACTOR: ' yam_ PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGLNEER: PH0N`E:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF `FORK: New Addition Accessory Structure 7�<=
Move Remodel/Alteration Land Alteration
PROPOSED`YORK(describe in det il): �,r , ( c�� V,-� b�� � �C'� � r,
C,cc c k�-
C, --
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: GARAGE STALLS: ATT-. DET. -
ESTL-vIATED CONSTRUCTION VALUATION' (excluding land): 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
permit; and that the work will be in accordance with the approved plan.
' A
APPLICA\TTS SIGNATURE:
�V �' G�/ DATE:
NOTE! Parade Qf Homes events require separate permit approval by Police Depqrtment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
See.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the dam is stored or to be stared shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential dam concerning himself shall
be informed of. (a)the purpose and intended use of the requested data%thin the collecting Itate agency,political subdivision,or statewide system;
(b)whether he may refuse of is legally required to supply the requested dam:(c)any known consequence arising from his supplying or refusing to supply
private or conftdendai data;and(d)the idendry 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 dam,pursue t to secdoa 13.82,subdivision 5,to a.law enforcement officer.
The commissioner of revenue may place the notice rewired Lrder this subdivision in the individual income tax or oroperty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a re_s-,.oasible authority,an individual shall be informed whether he is the subject
of stored dam 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 dam on individuals shall be shown the dam wig out any ch 3e 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 dam and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is rending or additional dam on the individual has been collected or created.
The responsible authority shall provide copies of the private or public dam Lion request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,ce_ •ing,and compiling the copies.
The responsible authority shall 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 irnmediam compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidocal 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
dam concerning himself. To exercise this right,an individual shall no0i in writing ce responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the dam 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 dam to be correct. Dam
in dispute shall be disclosed only if the individual's statement of disagree-ent is included with the disclosed dam.
The determination of the responsible authority may be appeased 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 i�s deparments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to de-:ermine 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 understan 'ght st d abo
Signature
CHECK OFF LIST FOR ISSUANCE OF PERIMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: f o l C HGF y C i-�^S!L R
PID:
DESCRIPTION OF WORK: eJ eCK
__—_—_---------------------------- — -------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: -7-3 -o c
BUILDING REVIEW BY: �,. DATE APPROVED: 7-3-o t
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes ,/ No
PLAN REVIEW Yes f 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 District: 2-I A
Fire Department: WAj Z• Post Office: School District: W►�2 .
Lot Area: Sq.ft. 1(o i yx)u Acres 3c8 Width 12-0 Depth 14 O
Survey Submitted: Yes r__ No Date of Survey: (,-`-t- 01
Proposed Setbacks:
Front (Lake): 690 Right Side: -3
Rear (Street): 5-7 Left Side: 3t6
Adjacent Structures: oq--t-yWc tn� Wetland: /U 1/1
Building Height: Def. Hgt. 0,t c Peak Hgt. d•1L
Lot Coverage: 1 S�b
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: IVO
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: - �� CONSTRUCTION TYPE: \41"
Sq Footage $ Per Sq Ftg
Basement R =
1st Floor R =
2nd Floor R =
Garage R —
R =
TOTAL
Estimated Construction Value: $ Z 5-p a°= f -7 U 0, `0 C
Inspections Required: `York Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
—X Footing Septic Sewer Connection
_X Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_ X Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------ ------------------------------ --------------------
REVIEW BY OTHERS: _ DATE:
Access: Existing New
Access Approval: Date By:
------ -------------------------------------------------------------
REMARKS (TO BE NOTED ON PERIIM):
8
2422 Enterprise Drive i
* Mendota Heights, MN 55120
*PIONEER LAND SU"YDRS•Om E NGNEERS (651) 681-1914 FAX:681-948$
* eng nearing LAND PLANNERS. LANDSCAPE AROOTECr5 625 Highway 10 N.E.
* * Blaine, MN 55434
* )c (612) 783-1880 FAX:783-1883
- THE ROTTLUND COMPANY, INC.
CITY OF
C ORONO CHEVY CHASE DRIVE
X SITE PLAN 11GRADING PLAN
R AP ROVED- IOGGK
1, APPROVED WITH REVIII NS
' �� •..-fit. Rii--...ice.
11DISAPPR OV 24 J.
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DATE— 1 — 3 —01
120.00
P:f':--- ----------------r-- ---------------
UTILITY EASEMENT�=
PER PLAT
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26
27 NG 25
WH
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O O�° R WXI TING A LING
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22.8IA 2.6.5 �J
0 / -- -- 21.1 0 49.6 --------
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120.00
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EDGE OF BI T
CHEVY CHASE DRIVE
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: LOWEST FLOOR ELEVATION:
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND TOP OF BLOCK ELEVATION:
FOUNDATION DIMENSIONS.
GARAGE SLAB ELEVATION; —
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB @ LOOKOUT ELEVATION:
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR,
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE AND UTILITY EASEMENT
—_- DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM —0 DENOTES MONUMENT
—B— DENOTES OFFSET HUB
WE HEREBY CERTIFY TO THE ROTTLUND COMPANY INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF;
LOT 26, BLOCK 1 , HILL 0' WAY MANOR
HENNEPIN COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 4 DAY OF JUNE, 2001.
i"
SI NE D PIONEER ENG�PVEER G, P.A.
SCALE : 1 INCH = 30 FEET
B
101191.00 JMM �JhnC. Larson, L.S. Reg. No. 19828
DATP TIME
CITY OF ORONO CALLED IN �y
INSPECTION NOTIC SCHEDULED !S" ` 2
PERMIT N0. h COMPLETED •- ?�� ( j '���~
ADDRESS ��2 /Y
OWNER CONTR. G ,
TELEPHONE NO.
DESCRIPTION
1
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
QC
W
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CC
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CC
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BJ
CC
Q
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4j RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ,1❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra dor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. '-ia3-_", COMPLETED <a-(`A
-0/
ADDRESS DZ C 4071D y Chi✓}Ste"
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
&FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Zt 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES NO
ZZ
o COMMENTS:
cc
W
Q.
cc
O
O
cc
O
W
cc
Q
Z
W
W
cc
d
L WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W L CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O . CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
I CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
I STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contras on
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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----- CITY OF ORONO
- BUILDINGP I LAN REVIEW
- - p INSPECTO?
- CEDAR, 8 DATE 7_Z c� _PER%,";7 NO.
;T AFP-,C --rr,- E''T&RES1✓BMIT
• --- _ Thrss c„in.�_ aye for vsur ir.;�:-:�t:cn. ;�:I
w.-,r sha'I be done
------- -
_ 1n f::N Cornp•ian:.c v;:h �!I app:icabl2 b'.ild;nc, and zGni�,g Looe.
_-- - - Requirements ins! ging items nct sp,ci5ca'ty noted in mis reviewR
t - - - KEEP THIS PLAN SET ON SITE AT ALL TIMES
( r I
i ! ! STAIRS 12-x
g ,r. ES
8" MAX. RAISER q" ;v;tN. TRIAD
t U-S" MIN. HEADR00".4
STA1c� �l s AT LEAST ONE t-4ANDRA;L REQUIRED
GUARDRAIL OPEN SICES
10
SPECIAL NOTE
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CODE REQUIREMENTS
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