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Home My WebLink About2001-P03966 - addn/remodel/repair � • PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03966 Crystal Bay, Minnesota 55323 P@fCTllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: vi6�2ooi SITE ADDRESS: 137 Chevy Chase Dr Wayzata, MN 55391 P I D: 3 6-118-23-41-0024 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair D ETA I LS: Approved per resolution#: Separate permits required: F'iumoing iviecnanicai �iecuicai�siatej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 748•75 Valuation: $ 65,000.00 Plan Review Fee: $ 486.78 State Surcharge Fee: $ 32.50 TOTAL FEE: � 1,268.03 APPLICANT: Micheal Hayes Homes Inc. OWNER: Mr.&Mrs. Sattervall 6998 Kenmar 137 Chevy Chase Dr Bloomington, MN 55438 Wayzata MN 55391 TI-IE 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. ��i!�G L�� C� APPLI ANT PER ITEE SI NATURE ISSLTED BY SIGNATURE . 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � 4 � � Total Fee: $ .�.� �� '�' Date Received: ;/��`�%O/ Entered By: �?� Permit #: " ;✓-�� 9�,� _ /` r ��'�- � _ � ,� ' - ' 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�ONTRACTO� JOB SITE ADDRESS: �37 C{��/ �( e i�/�S� (�j,�,. ZIP: NAME OF OWNER: � S��}-er V�<< PHONE: (home) (work) MAILING ADDRESS: I�7 c'y c�y c'��- CITY: ZIP: CONTRACTOR: YY11C 11:in�� /a.�� 1�,•-,.� PH0�1E: -�'j�2 - �t�7�� I��5'I CONT�CT PERSON: �„�, ,, MOBILE/PAGER: MAIL�G ADDRESS: �g� � �'��,,.�,,A,� CITY: � �J , � ,t ZIP:�� STATE LICENSE: # ��,c3 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAivIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: /�c,,•��c / �� —� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIl�iATED CONSTRUCTION VALUATION(excluding land): $ (o�v��? 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: DAT'E: NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. ` 9 � '1 Sec.l3.0�1 RIGHTSOFSUBJECTSOFDATA .. i Subdivrsion!. Type ojdata The righ[s of indrvrdual on tivhorn the data rs stored or to be slored shall be as set jorlh rn this section. Subd.2. Injormation required to be given individuaL An individual asked to supply private or confrdential data concerning himselj shall be rnjormed of.� (aJ[he purpose and intended use of the requested data wrthin the collecting state agency,politica!subdivision,or stateivrde system;(bJ ivhether he may refuse or is legally required to supply the requested data;(c)any knotivn consequence arising from his supplying or refusing to s:ipply piivate or confidential data;and(d)the rdentrry ojother persons or entities authorr_ed by state orfederal law to receive the data. Thrs requirement shall not apply when an indivrdua!is asked to supply investigative data,pursuant to seelion 13.82, subdivision S, to a lmv enjorcement oJfrcer. The commissioner of revenue may place the notice requrred:ender this subdivrsion in the individual income tc�or propertv tax refund instructions instead ajon those jorms. Si�bd.3. Access to data by individual. Upon request to a responsible authorrty,an rndrvidual shal!be informed�vhether he is the subject ojstored data on indivrduals,and whe[her it rs classrfied as publrc,prrvate or confidential. Upon his firrther request,an individual ivho is the st�bject of stored prn•ate or publrc data on indivrduals shall be shoivn the data ivilhout any charge to him and, rf he desires,shall be informed oj the content and meaning of that data. After an indivrdua!has been shoivn the private data and injormed ojrts meanrng the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section rs pending or arlditional data on the indivrdi�al has been collected or crealed. The responsible authority shall provrde copies ojthe private or public data upon reqt�est by the individual subject of !he dafa. Tlre responsible authority may require!he requestrng person!o pay[he actua!costs of making, certifyrng,and compiling!he copies. The responsible authoriry sha[I comply immediately,ijpossible,with any request made pursuant to this subdivisron,or within jrve days ojthe date oJthe reguest,excluding Saturdays,Sundays and legal holidays,ijimmediate compliance is not possible. Ijhe cannot comply ivrth the request tivrthrn that trme,he shal!so rnform the individual,and may have an additronal frve days lvithin ivhich to comply ivith the request,excluding Sarurdays,Sundays and legal holidays. Subd.,t. Procedure when data is not accurate or complete. An individual may contest the acci�racy or compleleness ofpublic or prrvate data concernrng himself. To exercise this right, an individua!shal!no[ify in writing the responsib(e au(hority descrrbing the nature oj the drsagreement. The responsible authorrry shall wilhin 30 days erther: (aJ correct the dalafound to be inaccurale or incomplete and utlempt to notify past recipients of inaccurate or incomplete data,including recrpienrs named by the individual;or(b)not�the indrvrdual rhat he believes the data to be correct. Data rn dispute shal!be disclosed only if the indivrdua!'s s[atement of disagreement is included tivith the disclosed dala. The determination of the responsible authority may be appealed pursuant[o the provisions of the adminis(rative procedure act relating ro contested cases. DATA PRIVACYADVISORY b�accordance lvith M S.13.0�1,Subd.2, "Rights ojsubjects of dala",1ve tivou/d like to injormyou�hatyour requestfor apennit or/rcense from the Cih of Orono or any of its departments may require you�o furnish certain private or confrdential rnfonnation. Fou are notrfied that: /. The information you furnish ivrl!be used to determine your qualrfrcation for!he permit or Ircense requested. ?. You may refuse to supply data,but rejusa/may require that the City deny the permit or license. 3. The information may be shared ticrth other local,stale or jedera!agencies to the extent necessary!o process!he permi!or lrcense. . -1. /jyour requested permit or license requires Councrl action!o approve,some rnfonnatron may become public. .i. You have certain rights under��LS. 13.Od(see follotiving pageJ to revieiv private dala on yotrrse j 6. }�our full name is required!o process lhis applicatron or permit. PLEASE PRINT � /�<t�/,l��( �� .�y�� Frrst .tliddle Last GZ�! O ��'v-�/i.►/?/Z ��/t ' AJdress ��O°"`_.,. /2v�" S�7'z 1r . G City State Zip Phone 1 undersrand my.' hts as stated above. '�[S Z'� � �5 � 1�� _ ��—� Signalure 10 � • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �3-1 G It�::.� W �.�,q � PID: � DESCRIPTION OF WORK y�-�Q d Q p(2,�c��.5 + �2�i�,�o p L-�. 2,,,r d1 0�C ------------------------------------- --------------------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: G - � ) - o� BUILDINGREVIEWBY.• DATE APPROVED: 6 .•Z� -v� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLANREVIEW Yes_� No SEWER CONNECT70N STATE SURCHARGE Yes �/ No WATER COIVNECTION I.�IVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTIDN Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: �(1 o C�{.Dq�y,P a Fire Department.• Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted.• Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Sid : Rear (Street): Left Side: Adjacent Structures: etland: Building Height: Def. Hgt. ak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: #{ Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setba : 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): 32 . � BUILDING REVIEW CHECK LIST UBC: �Z.- 3 CONSTRUCTION TYPE: �N Sq Footage $Per Sq F1g Basement x = Ist Floor x = 2nd Floor x = Gar..zge x = x = TOTAL Estimated Construction Value: $ (,5,000°� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal ,< Mechanical Water Connection Footing Septic Sewer Connection �C Framing Fireplace Lawn Irrigation _�Insa�lation (Masonry) Other _� Wall Board (Mfg.) Well (State Perniit) � Final Grading/Filling pt Electrical (State Permit) Other RE�YIARKS(IN HO USE): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: E.Yisting Ne�v Access Approval: Date By: ---------------------------------------------------------------------------------------------------------------------- RE�LIARKS (TO BE NOTED ON PER�YIIT): 33 . �_' `" DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED �� ( 'YO v�' PERMIT N0. � COMPLETED / --�j v ADDRESS � c� / OWNER _r�`�'•-��'vu--�t=.. CONTR. �-- TELEPHONE NO. lSL- � � � �3 �� DESCRIPTION � 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W 12 WATER HOOK-UP 17 SITE INSPECTION 05 FI� 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � 0 ENTS:- � � l�'1�I c y S , � o ��5 �C- �5P �. � 0 � W � Q � z W � W � � ��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 Own�er/Contr t� site� Inspector.,�jl�� White Copyflnspector's File Canary Copy/Site Notice �� 1� " '�� DATE TIME CITY OF ORON� �� 1�1 CALLED IN INSPECTION NOTIC ` SCHEDULED � ^!�C� PERMIT N0. COMPLETED 'Q Z� ADDRESS� �k UV ��S-� OWNER CONTR. ,�r I�. � '�— TELEPHONE N0.�.S c� I�IS_ C3 �� DESCRIPTION c-3 �I ��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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEFI REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � d W� �T'qfORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE r �� W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContract on site: Inspector. �- 1� Whiie Copy/lnspector's File Canary Copy/SNe Notice DATE TIMS� CITY OF ORONO CALLED IN cF ,1 O� INSPECTION NOTICE SCHEDULED �I •G `7 ��3U PERMIT N0. �� COMPLETED L� G� ADDRESS �� C�� --�� OWNER CONTR.��C-2 �Gs.as�� TELEPHONENO. ��r�, — �-1� -- q�c1 � � DESCRIPTION ,C��OC��C`��`� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 O6 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 Z OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � d �ORK SATISFACTORY:PROCE ❑ PROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REiURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contracto it • Inspector. White Copyllnspector's File Canary CopylSNe Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � a PERMIT N0. ��I�� — d� �� COMPLETED ADDRESS f.�� C�t/ C��t1�-- �. OWNER CONTR. ��; � TELEPHONE N0. /SC� 7 7S�y � DESCRIPTION��C��I fGu� � 01 FOOTING 11 MECHANIC RI 18 EXCA�//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 OS FINAL 14 SEWER HOOK-UP O6 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � O M TS: � � � � _ P -�cr- oGz-S ✓�" t,J�' , � � 0 � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlCon ra or on site: Inspector. �� White Copyllnspector's File Canary Copy/Site Notice