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HomeMy WebLinkAbout2007-P11566 (minor alterations) � • PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11566 Crystal Bay, Minnesota 55323 Permit Type: 1vlinor Alterations (952) 249-4600 Date Issued: 10/16/2007 SITE ADDRESS: 1513 Bay Ridge Rd Unit# Wayzata,MN 55391 PID: 10-117-23-34-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 391.25 valuation: $ 25,000.00 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 403.75 APPLICANT: Gustafson Remodel Inc. OWNER: Robert Snyder 1505 Evergreen 1513 Bay Ridge Rd Plymouth,MN 55441 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. <� /— .- .R - _��>� �� _.�, �� �� �_ � ��1 �� APPLICANT PERMITEE SIGN �URE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ' � ����_ _ lor 1��7 Total Fee: $ ��• `� Date Received: d�'�'�� Entered By: Permit#: � �� 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 C�ONT CTOR,_.,r� JOB sITE anv�ss: ,'�� � ` �y .,�.�� ,� z�P: Will this be a Pa�ade of Homes, Remodelers Showcase Home or other Display Home? ❑ yes �NO /f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: �,E,�-� -����- PHONE: (home)�������-fl (work���- ��-��� MAILINGADDRESS: /��� � °r/ ��� CITY: ��'�� ZIP: . .��v CONTRACTOR�����'y-�� �y'�����r�-m���HONE:��� �_ --..��".���G� CONTACT PERSON: �►e� MOBILE/PAGER: �r'�: 3_.�''��'� MAILING ADDRESS: /'�'O f�'�.�r�.�-•� �ITY: ,��s-�9-���-r�IP: � STATE LICENSE: # ����E� �� EXPIRATION DATE: o �� ARCHITECT/ENGINEER: " 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! PROPOSED WORK(describe in detai�: -�'T.�,��� �-�'� ,� o� �',z,,i;t��' �`".i��' �" �Ss��.s� �- ��-,_-�'���—►� � S£� � 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 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: _, �`-- �ATE: �� �r � 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 data conceming himself shall 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 legal ly 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 investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of rcvenue mav place the notice reauired under this subdivision in the individual income tax or property tax refund instructions mstead 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 dassified 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 ofthat 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry may require the requesting person to pay the actual costs ofmaking,certifying,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 le2al 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,exduding 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 ofthe disagreement. The responsible authority shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt[o 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 detennination of the responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY ln aceordance 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. ��-�_ � �.�:�- .�_z�� ���g�=-_�v �-_ Signature Reset Form 32 CHECK OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �'�l 3 13 A��2t p�� 2� PID: DESCRIPTION OF WORK: T'�a o a 2 + W 1 r�5,0 b v-1 .� = M�o,,�►T Kt�7�(,�.7�y,.�J ZONING REVIEW BY.� �N/��� � �______�DATEAPPROVED:���W wY_ BUILDINGREVIEWBY: �. �� DATEAPPROVED: ( a•rz-o-� FEES TO BE CHARGED: / Misc. Fees Calculated By � �_______________�__ PERMIT Yes ✓ No PLAN REVIEW Yes_� o SEWER CONNECTION STATE SURCHARGE Yes_�No WATER CONNECTION INVESTIGATION FEE Yes No �RK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (spec�) ______���_�_-----------------_--------------____--------------- ZONING CHECK LIST Zoning District. /�� Fire Department: Post O�ce: School District: Lot A��ea: Sq ft. Acres Width Depth Su�•vey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wet and: Building Height: Def Hgt. P ak Hgt. Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: StaffApp�•oval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: BZuffSetback. LotCoverage: F.xisting Proposed Hardcover: 0-75' 75-2.i 0' 2.i 0-.i 00' 500-]000' Hardcover Y'ariance Required: Yes No Date of Council Approval: REMARKS(in house): 33 B UILDING REVIEW CHECK LIST USC: l2.' � CONSTRUCTION TYPE: V(�T Sg Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage z = x = TOTAL Estimated Construction Value: $ Z�jQ 0� �V Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal .Mechanical Water Connection �_Footing Septic Sewei�Connection _�( Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _�Final Grading/Filling �O �Electrical(State Permit) Other REMARKS(INHOUSE): REi�IEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARKS (TO BE NOTED ONPERMIT): 34 ����� ���� RC>BEF�T SNYDER RESIDENCE 1 �� 3 BAY RIDGE Ra�Q �Rt�N�, / �� EXTERI�JR W�LKt�UT ��--� �� _I' ; j .� � EXCA.VATION BY OWIVER `y. • ° -� r� �, _ �� � ..:..,.-� j ^ I - � �3 FT FOOTlNG EXTEN�IOhJ?C � •—"�----� 'f �057 ��" D 3057 -�..�__�/ � � CONCRETE BLOCK E�fISTING ,,.-�O6$ CONCRETE BLOCK(EXISTING) LVL SP�tN 37" � SPAN 7�" LVL SPAN 3��� �X6 POST 2X6 POST MARVIN 6/0- 6/8 SLIDER LVL HEADER 3- 9 11�" X 1 3I4" �950 Fb �.OE SPAN 75" LOAD: 1�T FLOOR - FLOOR LOAD, EXT.UVALL, ROOF JOI�T DlREGTION �?G14 16" O,C. 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