The URL can be used to link to this page

Home My WebLink About2001-P03784 - addn/remodel/repair � ' PERMIT , C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03784 Crystal Bay, Minnesota 55323 P2f1711t Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: siiv2ooi SITE ADDRESS: 133 Chevy Chase Dr WAYZATA,MN 55391 PID: 36-118-23-41-0022 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: ttesicientiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai c,iectricai�siaiej NOTICES/REMARKS: � FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.00 TOTAL FEE: $ 915.58 APPLICANT: Robert Olson OWNER: Mr. &Mrs. Robert Olson 133 Chevy Chase Drive 133 Chevy Chase Dr. Wayzata,MN 55391 Wayzata MN 55391 TI-�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� 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. �y, �-�!.. �� l. ': i�'�� AP LICANT PERMITEE SI NATURE SSUED BY SIGNATi.JRE Copies: City,Applicant, Assessor,Finance Page 1 c . � `�� Total Fee: $ ��j�.��l Date Received: � � 0 / � �- Entered By: ��- Permit#: . O - g n „� � , �� °�� 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 R CONTRACTOR JOB SITE ADDRESS: ��'�C,��v�{ �� ,�� ZIP: �j�j � NAME OF OWNER: �� PHONE: (home) ��j?- YI3 S7Z� (work) 7�3.S3S�'l�c�� MAILING ADDRESS: /� G��Clti�"�ITY: (,�1��ZIP:_i�� ',f'.C. G�2-'J�D- &5'�G CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition � Accessory Structure Move Remodel/Alteration� Land Alteration �_ PROPOSED WORK(describe in detai�: � /�d��✓�.�/ � � � � STORIES: � SQ. FEET OF EACH FLOOR: L��d sr c.i' �f�</-��Cl��r/2'�'f� NO. OF BEDROOMS: � GARAGE STALLS: ATT.� DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��Q 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 t ' t ermit and work is not to start without a permit; and that the work will be in ac r ce approved plan. � APPLICANT'S SIGNATURE: AT'E: �/ �'� NOTE! Parade of Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 _ � s , Sec.13.04 RIGHTS OF SLJBJECTS 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 concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, polirical 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 appty when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be informed 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 informed of the content and meaning of that 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 bee�collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsibie authoriry may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authority shall comply immediatety, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Satuidays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that rime,he shall so inform the individual, and may have an additional 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 data conceming himself. To exercise this right, an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The respor�sible authority shall within 30 days either: (a)correct the data 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 tha[he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The determinaUon of the responsible authoriry may be appealed pursuant ro 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 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 pernut 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 pernut. �1�f02.J1�� <�C�c� First +/�� Mjjld�e� Last �� G�h`�f'� �,� . Address ��G� —_� � / ��`/ /�/� L�t��_�-7�� G�f /�/ .S/ �G 7 / J/ City � State Zip Phone I understand m as Signature 10 t CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � 3 �, �;t{�.,.� � C.E..,�`,�a PID: ' DESCRIPTION OF WORK • , �,,� =y��,;;-�-,�-Z �,. ,., -------------------------------------------- -------------------------------------------------------------------------- ZONING REVIEWBY: _ � DATE APPROVED: � - P� - c;� B UILDING REVIEW BY.• ' r� DATE APPROVED: �-(� -c:� _________________________��_______________1 ��______�____ _ ___�____________________�_____�_______________�____��__�___ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLANREVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes_� No WATER CONIVEC770N IIVVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIS7' Zoning District: (��„-1� Fire Department: ��.�,1i�,..,� Post Office:��,�,-Z��1 School District.• �✓,��..� T' LotArea: Sq.ft. nto t' �� Acres — Width �/1,2-i,'�., ,,.�-�Depth Sun�ey Submitted: Yes� No Date of Survey: Proposed Setbacks: Front (Lake): �(; � Right Side: � 2 1 Rear (Street): '�7� Left Side: ' � Adjacent Structures: ,�4 rT�c;�t�-�e� Wetland: /�i!f�- Bui[ding Height: Def. Hgt. (�- !G- Peak Hgt. L. IL Lot Coverage: j L``7� = Grading: Staff Approval Date: _ �- i(,,- c7� By:� Council Approval Date: Septic: Staff Approval Date: ,v i� By: Zoning File:. # — Resolution: # - Resolution Date: � . Shoreland District: /�`✓ Avg. Setback: Bluff Setback.• Lot Coverage.• Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Yariance Required: Yes No Date of Council Approval: � REMARKS(in house): 32 � 1' ; , BUILDING REVIEW CHECK LIST UBC: !�. ` 3 CONSTRUCTION TYPE: V/� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = Znd Floor x = Garage x = x — TOTAL Estimated Construction Value: $ Ll Q��;�3c;"'-' Inspections Required: Work Requiring Separaie Permits: Site _�Plumbing Fire Hardcover Removal .�c Mechanical Water Connection _�Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other _,� Wall Board (Mfg.) Well (State Permit) _ ,�Final Grading/Filling �� Electrical (State Permit) Other ----------------_—_--------------------------------------------------------------------------------------------------------- REMARKS(INHOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 33 _ _ . SURVEY FOR: �ERRY PR�ULX ��'2182 •OOt 4�?��aC�9 �� Prepared By: - � , ' 1 � �� SCHOELL & MADSON, INC. i/ t„)�1� I�y. �C�SemeT7 - _ ENGINEEIlS • SUf1VEYORS • PLANNERS �1 � SOIL TESTING • ENVIIIONMENTAL SGRVICES � ��209.98�� 103l0 WAYZATA BLVD. • � HINNE70NKA, A7N. 65»] � � � � � •' (l121 6�f-T001 FAXi l41-90l6 \ � � �� ' �� I ' T�� Mi ;`` ��:�r�� z� 1 ��1/`� � . �� S�, : ia�, `.;�! t� �'� DESCRIPTION: °�� '��`l�:i��,:, c�...:..�,,�,�` �� 2't.� � �, � � �q� � .../ S k `� } � �,,Z� �.,� __�,2�___ : Lot 17, �lock 1, HILL O'WAY MANOR, accordinc� t � .Q � , n . ti� 6 �o�33 �•�`r `'`� ' ��, the recorded plat thereof. NORTH � � � -; : � n � 4j{l� M `,s''4 J+ 32 3 � �'`� `' � '�' '� GENERAL NOTES: .��9 , � ; �,N ` ��, � 9�jO ��'-' 1`� ��' " 1. • - Denotes iron monument found. ,' -'�� ` �0 2. o - Denotes iron moument set. . ,� , ( `r ',� °1� � 9 � %� ��; �'� ! -�. _ ,�� r ��.. � � � ; � Fd9e o�b��'.� . ' i' i , ti •., ,-� °.sc:. 1 0 6 '\O'1.�6 Q�120.00 CITY OF ORONO �- �; �� ' AS �� °� SITE PLAN GRADING�=`AJ. ' �/Y CN E -� [�-APFROVED- �An�� op�o� •� .... C�� pQIV� ° ❑ Af'PROVED lNlTH REVISI@� o �b,{uminous ❑ DISAP Ol,�f � u� ��a9e o BY C� DATE s-i� -o� . I hereby certify that this survey was � prepared under my supervision and that � ' I am a Licensed Land Surveyor under the This.drawing has been checked and - laws of the State of Minnesota. reviewed this L��- day of � � ' b vem ber- , 19 93 , Theodore D, Kemna bY � f��a- Date: lo•2q•`�3 License No. 17006 DATE T_ IME CITY OF ORONO CALLED IN '�-�� __�_�_CL INSPECTION N , ICE -SCHEDULED S"- 3/-C� � Z% PERMIT NO. � � COMP�ETED �3 —d� �'.' -3d , � `, ADDRESS I �3 __� � C.,�u ;,��L ��--1k=_ �_��uL� OWNER �,1�m , CONTR. TELEPHONE NO. ��(�- � J �-` ��f � � DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAM� � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Q W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � J O � � O � W � Q ti Z W � W � J d �WORK SATISFACTORY:PROCEED I PROJECT COMPLETE W � l] CORFiECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CA�L INSPECTOR f� INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac o on site- Inspector. 1 �� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO ca��Eo w — -v f •��`� INSPECTION N TIC SCHEDULED - -U � �p PERMIT NO. �e � �� COMPLETED � �� ADDRESS /�3 C-e`-�2�- '�`'�� -- OWNER f�� . ��€>r� CONTR. TELEPHONE NO. �S� ��3 � �� DESCRIPTION �-�-��-� � Ly� 01 FOOTING %i 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING QAMING � `� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z ' Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � CO MENTS: � �� '�c.��%1 ;�y�� I'� �Ei. -, ,' i'G'� ?G'_�: � ��, J C�'Gf .�i�_` .� S L-IU.� U f � �'�'` Lv � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED -� pROJECTCOMPLETE W � L�ORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN INSPECTOR WILL RETURN " CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr�ctor on site: i/i� � ;� Inspector.�/��_� .Z G � (;='��l i`�� White Copyllnspector's File Canary CopylSite Notice