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.
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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
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RC>BEF�T SNYDER RESIDENCE
1 �� 3 BAY RIDGE Ra�Q �Rt�N�, /
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EXCA.VATION BY OWIVER `y. • ° -� r�
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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. TRUSSES �ROOF LOAD)
1NTERIC�R LC�WE� LEVEL �'T� �� f��,�:�~N
BUILDING Pr'f�iY�;� .�,.., .i; f:.:.�U:��9��
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