HomeMy WebLinkAbout2005-P08393 - addn/remodel/repair � . .
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos393
Crystal Bay, Minnesota 55323 PefCTllt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 2ig�2oos
SITE ADDRESS: 114 Chevy Chase Dr
Wayzata,MN 55391
P I D: 3 6-118-23-41-003 5
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Census Code 434
Pernut Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing Eiecv-icai�statej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 304.53
APPLICANT: Knight Const. Design OWNER: Christopher&Elizabeth McLean
2989 Watertower P. 114 Chevy Chase Dr
Chanhassen, MN 55317 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 BUIL�IG CODE REQUIREMENTS.
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APP[�}CANT PERMITEE SIGNATURE ISSUED BY SIGNATURG
Copies: 1-File(SiQriitures Requirecl), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ �D�•J��- Date Received: ,�--�%,�- 2c��
Entered B �'��i� Permit#: ,-�����Y� ���,
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O ONTRACTO
JOB SITE ADDRESS: f/� C�f f��I�'� ��/�I��� �� ZIP: �SS�Q'�
NAME OF OWNER: ��{��j f� �L��/�,� PHONE: (home) �/�-���-._;7�ZI
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: j�j(,�`C-�i�1� C�G'�/`v'S i- �i; SiC-�V� PHONE: t1`�� - 3��-�ry�r�
CONTACT PERSON: �����/� SL'H i�(/���C k�OBILE/PAGER: �;�/2 -�j l y -`� �y�
MAILING ADDRESS:,�� �.�/���7�'�%Gic�i:� �L. CITY:��j����,to`r��SS��ZIP: '-� i
STATE LICENSE: # �C�.%_;I.-L�>j
ARCHITECT/ENGINEER: ---- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: N�w Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: �l�i LN�7'U ���U UL.�
STORIES: I SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: 7 GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /��' C-G'f'. y
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: ' �- , �. �����G''l�� DATE: �. 5` �� ,
�,-�-L:
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Counci160 days prior to the event. Non permitted events will not be allowed.
5
. . ;
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. M 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,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 co�dential dara;and(d)the identity of other persons or enades aurhorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supp(y investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or oroaertv 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 pubiic,private or co�dential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown rhe 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 thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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 legal holidays, if immediate compliance is not possible. If he canno[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,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or comp►ete. An individual may contest the accuracy or completeness of public or
private data concerning hunself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro 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 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 determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRNACY 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 permit.
First Middle Last
Address
C]�y State Zip Phone
I un �S d my rig Cs as tated above.
f
�'��� �` c -�
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t 1 y C N EV y c���.s�.
PID:
DESCRIPTION OF WORK: K ,T�,,,, i 2,�,,�,�,� a e�
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ZONING REVIEW BY: DATE APPROVED: Z _� -�s
BUILDING REVIEW BY: DATE APPROVED: 2-7-o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/' No
PLAN REVIEW Yes �— No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTION
INVESTIGATION FEE Yes No _� PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: iv-c� c�,�,�,,.r<,P
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 ide:
Rear (Street): Left Si :
Adjacent Structures: etland:
Building Height: Def. Hgt. Pe �Hgt.
Lot Coverage:
Grading: Staff Approval Date: B : Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setba : L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes o Date of Council Approval:
REMARKS (in house):
I7
BUILDING REVIEW CHECK LIST
UBC: �•3 CONSTRUCTION TYPE: VN
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 1d,��o `�
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
,r Framing Fireplace Lawn Irrigation
�( Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
ic Final Grading/Filling �� Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMI'I�:
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��,�,� 5�����o j��p� Drawings and reaiize thai any changes will
��� S�l�i�j�t/,�L� ����j�� �• Resutt in a change arder that may require a -
Price increase from the original signed
������� ��� ��1`��i1•�5�7 L Contract.
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FI!'IIS�a ��1�E ���f �1.�Z�. Date:
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A L L D I M E N S 1 O N S A N D DESIGN PLANS ARE PROVIDED FOR THE FAIR DESIGNED FOR BY • • TE BY SCALE DWG
SIZE DESIGNATIONS �`e�'"`'`t USE BY THE CLIENT OR HIS AGENT IN M�._��.1'` 2489 Watertower Place �WN ��M N i
Profeuionals COMPLEIING THE PROJECT AS LISTED WffHIN ��� (� _� A�� �].�l`I r REV
• G 1 V E N A R E S U B J E C T TO in the 1�'itchen ��v Y �t r t{t=< � V F— �G^ r
V E R I F I C AT I O N ON JOB &Bathlndustry THIS CONTRACT. DESIGN PLANS REMAlN THE Chanhassen, M N 5 5 3 1 7 � Oi�
F T JOB CONDITIO S� T O USED O R USED'WITHOUT PERMISSION. BE w -
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�e�.Na� ���� Knight Construction Design owN z
SIZE DESIGNATIONS USE BY THE CLIENT OR HIS AGENT IN � NO.
�°`��°°°� 1�.. ��� � � 2989 Wat�ertower Place �(
G 1 V E N A R E S U B J E C T TO ��/��e„ COMPLETING THE PROJECT AS LtSTED WITHIN ' � R� ��,�� REV ,�y
V E R 1 F 1 C AT I O N ON JOB &Bath/adustry THIS CONTRACT. DESIGN PLANS REhAA1N THE Chanhassen, MN 55317 �} �
SITE AND ADJUSTMENT TO PROPERTY OF THIS FIRM AND CAN NOT BE � _ I*J�A�—� 1./1� r�� I
FIT JOB CONDITIONS. USED OR REUSED WITHOUT PERMISSION. W fti�l� � � � t J (
952 361-4949
N 7 06183-6002
y /'� DATE2 TIME v
v CITY OF ORONO CALLED IN (.�-5 "�./��
INSPECTION NO CE SCHEDULED 1�5��-US���t� �cX��
PERMIT NO. COMPLETED
ADDRESS J � �`'G��-/ �6tf�.S-� ��
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OWNER CONTR.�f:�j��� lJi/Zt.Sf-
TELEPHONE NO. L*'�� 4�3� �5 ��
-�
� DESCRIPTION ��/l�l�l�'
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FIN 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT •
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� ❑CORRECT WORK R PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the nex !inspection 24 hours in advance. �952� 249-46QQ
OwnerlContra r i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
D TE TIME �
CITY OF ORONO CALLED IN ����}� --��,. ,�
INSPECTION NOTICE SCHEDULED � ��1
PERMIT NO. <<-�G R'3�13 COMPLETED
ADDRESS //� i �. �z.-1,-t� Ll �!� f�
OWNER CONTR. �1•�:`c� �'_, � q_ "C'I—
TELEPHONE NO. ( v �� l��� �/ �l I
�
� DESCRIPTION
� 01 FQOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y ON 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (JSZ� 249-46��
OwnerlCont��on i e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice