HomeMy WebLinkAbout2004-P08068 - attached garage �ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pogo6g
Crystal Bay, Minnesota 55323 P2CCYllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 11�16�2ooa
SITE ADDRESS: 115 Chevy Chase Dr
Wayzata,MN 55391
P I D: 36-118-23-41-0013
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pemut Type: Addition/Remodel/Repair Pernut Sub-type(s): Garage-Attached
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanicai nieciricai�siaiej
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 1,05535 Valuation: $ 110,235.00
Plan Review Fee: $ 718.83
State Surcharge Fee: $ 60.50
TOTAL FEE: $ 1,834.68
APPLICANT: Michael Hayes Homes,Inc. OWNER: Amy Schuett
6998 Kennmore Dr. 115 Chevy Chase Dr
Bloomington,MN 55347 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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APPL ANT RM[TEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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Total Fee: $ ��3 y•G� Date Received: ��J ��`" �`�
Entered By: a8 Permit#: _f}Ogd��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pr•ifzt all infoi�matio�i)
THE APPLICANT IS: (cif•cle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: � I�� C4.c.�;a C�,�5� U / o�,ZIP: 5 S s�7/
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � If yes, a special event pe�mit is required wit1T Palice Department ca�id Cih�Coa�ncil approval
60 rlaps prior to the event. Shttttle bus se�vice rvil!be reqa�ired tnzless applicant de»zo�istrates
su�cie�zt o�s-site p�u�king is availab/e. Non pernTitted eve�its will�zot be allowed.
NAME OF OWNER: ��T_��(��`f� PHONE: (home)
(work)
MAILING ADDRESS: ]�� CL,��u C.I••c��.: CITY: ��v,��� ZIP: �S " €,
CONTRACTOR: M�C1Jnc 1 1-�a��5 �����;s� I n U PHONE: c���z - �i 7 s-��.3y y ,
CONTACT PERSON: �yj,%t ,cl���,, MOBILE/PAGER:
MAILING ADDRESS: ,.;�yX ,��L�;,�,�,� ��n CITY: �lv�..� ' � ZIP: ss y 3 y
STATE LICENSE: # `2� � � EXPIRATION DATE: ��/� �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Hoine Remodel/Alteration ��
PROPOSED WORK(describe in detain:��c,,,,�,�� �'n,��/�T�',�n,� �,.� ��/�
�ur:..� w��L 7'v���G� �,v�l�ti
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��d, 2-3 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: ^ DATE: �� ���2 "`'��
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 fo�th in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be
infonned of: (a)the pu�ose 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 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 ofticer.
The commissioner of revenue may_place the notice required under this subdivision in the individual income tax or pronertv tax refund
instructions instead of on those fonns.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infonned 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 infonncd of the content and
meaning of that data. A13er an individual has been sho�m[he private data and infonned 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 tlie individual has been collected or created. The
responsible authority shall provide copies of the piivate or public data upon request by the individual subject of the data. The responsible au[hority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible autho�ity shall comply immediately,if possible,with any request made pwsuant to this subdivision,or within five days ofthe
date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply wi[h the requesf
within that time,he shall so infoim the individual,and may have an additional tive 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 piivate dat��
concerning himselE To exercise this right,an individual shall notify in writing the responsible authority describing the nature of[he disag��eement. The
responsible auchority shall within 30 days either. (a)con'ect the da[a found[o be inaccurate or incomplete and attempt to notify pas[recipients of
inaccurate or incomplete data,induding 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 authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested c�ues.
/ DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infocm you that your request
for a perniit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential inforniation.
You are notified that:
1. The information you furnish will be used to detennine 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 pennit 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 pennit.
First Middle Last
Address
City Statc Zip Pho��e
I understand my rights as stated above.
Signature
32
CHECK OFF LIST FOR ISSliAtVCE OF PER�ti,fITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: I I 5 CH cv Y C I-� A S� -
PID:
DESCRIPTIONOF Yi�ORh': ��� � -r i o�1 —
------------------------------------ ------------------------------------------------
ZOt�7NG RE VIE t�B Y: ,,_ D.�4 TE APPRO VED: l�-S • �Y
B UILDING RE VIE W B Y: DA TE APPR 0 6'ED: ��- 9 � °Y _
-------------------------------
FEES TO BE CHARGED: hlisc. Fees Calczclated By:
PER�fIT Yes �� ��'o
PLAN RE I/IE 6V Yes ,/ No SEYVER CONNECTIOIV
STATE SURCH,4RGE Yes � 1Vo tiVATER CO�Vt�IECTIOIV
ItVVESTIG.4TIO�V FEE Yes [Vo ✓ PfiRK FEE
S.AC Yes [vo _/ SITE NSPECTIO�v
[Vumber� of Sf1C U�zits OTHER (specify)
-----------------------------------------------------------------------------------------------
ZO[vI�YG CHEC.Ii LIST Zoning District:
Fire Deparhfiertt: Post Ojjcce: ScJeoo!District: ___.
Lot.�(rea: Sq.ft. Acres GYidth Depth
5cvvey Subncitted: Yes ,/ Na Date of Stuvey: !��Z�i -U`i
Pr•oposed Setbacics: ,
Frorit(Lalce): SS� Right Side: (05
i
Rear (Sd•eet): ,�0 Left Side: �-7•�
Adjnceiit Stra�ct�cres: 10' G�etlarid:
Builcting Height: Def. Hgt. O.�<. Peak Kgt.
Lot Coverage: � ��•S�
Grading: Scaff Approvcc!Date: I I —l�l '�Y By�__(2._ Coc�ncil ripp��oval Date:
v
Sepcic: Stnff,4pprovc�!Date: — BY�
Zorii,:g Fife: # Resolutia:: # Resolution Date:
Sltoreland Dish�ict: ✓��
Avg. Setback: Bluff Setback: Lot Cover•age:
Ecistiizg Proposecf
Hardcover: 0-7�'
75-2�0'
250-500'
500-1000'
Nardcover Variatice Regceir•ed: Yes No Date of Co�uicil�Ipproval:
.RE1I�IARKS(in faouse):
31
B UILDI�VG.REVIE tl'CHECh'LIST
UBC: IZ' 3 COtYSTRUCTIO!V TYPE: V N
Sq Faatage .�Per Sg Fr.Q
Basenieru � _
!st Floor x =
?,id Floor .ti =
Garage s =
.� _
TOT.�{L
Estil�tated Corist�•uctio�t t�afue: ,S I�0,23S ��
Inspectians Required: 66"ork Reqcril•i�tJ Sepa��ate Perli�its:
Srte �_Plc�n�brrtg Fir-e
Nardco��er•RemovaL oC rLlecha�ircal Water Co�inection
_�Footirtg Sc�ptic Se•.ver Conrcectio�i
��Fr•aneirig Fir•ep(ace Lativ�i Irrigatio�:
_�hzsulatio�i (��lason�l�) Otlier•
_� GY'al!Board (rl�tfg.) b�ell(S�ate Permit)
_�Final Grading/Fi!lin; r�Elech•ical(State Perniit)
Other
-------------------------------------------------------------------------------------------------------------------------------------------
RE�titARIiS(.lN HO USE):
------------------------------------------------------------------------------------------------------------------------
REVIEYV BY OTHERS: DATE: �
.4ccess: Existiiz� tVetiv
,�fccess App�-oval: Date Bt:
------------------------------------------------------------------------------------------------------------------------
RE�tiI�RIiS (TO BE NOTED O�V PEIZ1tiIIT):
32
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7�A'T�� TIME
CITY OF ORONO CALLED IN �
INSPECTION N IC p� SCHEDULED �� �
PERMIT NO. D��vO COMPLETED
ADDRESS �� '�J ���•tn�t L:��i12
OWNER CONTR. ��e
TELEPHONE NO. �p�2 Z �Z Z/ ��
� DESCRIPTION [J�
l� 01 FOOTWG 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SiTE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-46��
OwnerlContr r n 't
Inspector.
White Copyllnspector's File Canary CopylSite Notice
L-� DATE TIME (/
CITY OF ORONO CALLED IN 3 �a�
INSPECTION TI E SCHEDULED �3' �
PERMIT NO. COMPLETED
ADDRESS � S C�� �
OWNER CONTR.I� �C``-c�-c-C �f��l�,Q,� �
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TELEPHONE NO. �l o� a �a a l �,�j
� DESCRIPTION ���`�-� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next i pection 24 hours in advance. �952� 249-46QQ
OwnerlCont n s te: '
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice
✓
DATE 'i TIME
CITY OF ORONO CALLED IN 1�
INSPECTION NOTICE SCHEDULED lr � l� ' �' � e
PERMIT NO. ����' �' � COMPLETED
ADDRESS �I� �+-�-�^�, ��-�c_
OWNER�,���� CONTR. � ��
TELEPHONE N0. ���— 9�S � 4 3 9 y
� DE TION ��`-��- �d��''�
� 1 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
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING fil 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
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN �
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe xt inspection 24 hours in advance. (g52) 249-46��
OwnerlContract r�site:
Inspector. �
White Copyllnspector' File Canary Copy/Site Notice
� .�--�� ✓
DATE �D� TIME
CITY OF ORONO CALLED IN � l �_
INSPECTION NO IC SCHEDULED�Z�' -,���1��
PERMIT NO. �� COMPLETED
ADDRESS ���J C-� ��/ _. L�� �
OWNER CO TR. ,,L�l �� .�a,e�
TELEPHONE NO. �/c� ���' �� ��
� DESCRIPTION ��� ���J/�/�
� Ot 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlConUac n �:
Inspector. �'
White Copy/lnspector's File Canary CopylSHe Notice
CERTIFICATE OF SURVEY FOR ��f����� ���t����`'�' �.
MICHAEL HAYES H � ME � ��s�� c��� ,�� �
OF LOT 8 BLOCK 1 , H1LL 0' WAY MANOR I
' CHEVY o
HENNEPIN COUNTY, MINNESOTA
cHASE
DRIVE
��90.
O6 0 p0
4 =43°QO' OOf�=12
_.__
� ��TY aF oRONo
�
q�ev _.�.._ a�iT� �LAN GRADIN� Pl.AN
�' � ,'r;�`:;,:f�V'�D q/�✓���o� �
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0.5 0 0
12' N 2Z.67
�� 0
F ,� STOOP 45,g
� ..........�9.7 '....... �
,'�� � PROPO�SED'—=•_ „ '
� ADDITION N EXISTING r,-�
�� 'Z.° ^ � HOUSE M
�
^'� � � #115 N C3�
� 2 t.as �
�
EXISTING�7 �� �i 45.g �
GARAGE 15.0 �
TO BE �
REMOVED cn
.�
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Ss'' s,� EXISTING �
SHED �ti° '�o EXISTING �
� �SCREEN �
HOUSE ?
�• __ �
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_ ,��� UTILITY
� ''EASEMENT
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LEGAL DESCRIPTION OF PREMISES : STRUCTURE COVERAGE
LOT = 19,002 SF
Lot 8, Block 1, HILL 0` WAY MANOR
o HOUSE = 1253 SF
�' ADDITION = 1119 SF
o : denotes iron marker SCREN HOUSE = 144 SF
SHED = 51 SF
Bearings shown are based upon an assumed datum. TOTAL STRUCTURES = 2567 SF
2567 / 19,002 x 100 = 13.51�
This survey shows the boundaries of the above described (15.0� ALLOWABLE)
property, the location of three existing buildings, and the
proposed location of a proposed addition thereon. It does not
purport to show any other improvements or encroachments.
G R O N B E R G A N D I hereby certify that this survey was prepared by me or under my direct sup r- sca�e
A S S O C 1 AT E S, � N C. vision, and that I am a duly registered Civil Engineer and Land Surveyor un r
1"=20'
C D N S LI LTI N G E N G I N E E R S, the laws of the State of Minnesota. oaTe
LAN D S U RVEYO RS, �0-29-04
AND SITE PLANNERS /
445 N.WILLOW DRIVE LONG LAKE, MN. 5535 ��i�s!fy[ �!/. . JOB N0.
Ec� 952-473-4141 Mark S. Gronberg Minnesota License Nu er 12755 04-175A
04-175A