HomeMy WebLinkAbout1997-009657 - pump house bldg - �
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley �arkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: .
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER:.
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LICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR
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Total Fee: $ •� '7 C- '%1 Date Received: /c�/�;�e ; -�
, Ente'red By: L�t�; Permit#: ��'� �;�?
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 OR CONTRACTOR
JOB SITE ADDRESS: �" L�� ��I1. �� �-��� ZIP: ���j`� �
d�,-,p
NAME OF OWNER: ��,ti�L-, �i L� �OL�C�LvT',PHONE: (home) q 7 jQ_ �7�
, (work)
MAILING ADDRESS: �7G'�% S�z-;ti�.(�; �-4 t�_+_- CITY: w�t'zr}�rr� ZIP:��
1Zc��t�i7
CONTRACTOR: �� ��� t._���2��r,a��-��� 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�: ���;-i-�;��; ,� -F�>„�� „�� --r�; �. ,���- �
'1 ���C�'��-ri��r� �j tv�� ��T14��l`:•v�
STORIES: �_ SQ. FEET OF EACH FLOOR �-}- x ��
NO. OF BEDROOMS: -- GARAGE STALLS: ATT. — DET. —
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i L%. ��
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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 acco danc �v� h the approved plan.
/
APPLICANT'S SIGNATURE: DAT'E; ��`,- G�;�-�� ��
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.
5
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Sea 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 secdon.
Subd.2. Information required to be given mdiridual. 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,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 officer.
The commissioner of revenue mav nlace the twtice reauired under this subdivision in the individual income tax or procertv tax refund
instrucrions instead 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 classified as public,private or confidential. Upon his further request,an individual who
is the subject of srored 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 su 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 of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesdng 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 cannot comply with
the request wiihin that dme,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. Prceeduce when data is not accurate or complete. An i�ividual may contest the accuracy or completeness of public or
private data concerning himself. To exercise tlus right,an individual shall notify in writing the responsible authoriry describing ihe nature of the
disagreement. The responsible authoriry 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 dara,i�luding 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 deternunation of the responsible authoriry may be appealed pursuant to 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 aze 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 Ciry 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
'7d0 S prul� �-cL� 'T��
Address
�.��i� ti1�l I�! SS`3�1 1 � 7(� - `���
Ciiy State Zip Phone
I understan my r' as stated above.
Sig re
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
, ` FOR OFFICE USE ONLY
ADDRESS OR LEGAL: -i Z S 51`�T�ci �4�lL=. N
PID:
DESCRIPTION OF WORK: p�)�n (.��,�,y� �C�D�
ZONING REVIEW BY: DATE APPROVED: /f-�-S �
BUII.DING REVIEW BY: DATE APPROVED: ( �-`•-97
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �/' No
PLAN REVIEW Yes ✓' No SEWER CONNECTION
STATE SUR:HARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE Yes No. PARK FEE
SAC Y;;s No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECB LIST Zoning District: /LQ•�� I
Fire Department: N s Post Office: � School District: (�(L0�0
Lot Area: Sq.ft. o Acres — Width — Depth —
Survey Submitted: Yes X No Date of Survey: 8-4- $�f
Proposed Setbacks:
Front (Lake):_ _ SO� Right Side: —
Reu(Street): — Left Side: —
Adjacent Structures: /l�(/�- Wetland: --
Building Height: Def. Hgt. C9.,�L Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File; # Resolution: # Resolution Date:
Shoreland Dis�ict: ,.
�. Avg. Setback: Bluff Setback: Lot CoveraSe:
�l)• � Eaisting Proposed
Hudcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS('in house): _
� 26
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BUII..DING REV�W CHECK LIST � �
UBC: lJ� ( CONSTRUCTLON TYPE: . .V tV
' Sq Footage $ Per Sq Ftg
Basement x =
lst Flbor x . —
2nd Floor x = �
Garage x =
x =
TOTAL
Estimated Construction Value: $ lD. nOe ��
�
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
eL Footing Septic Sewer Connection
_�C Framing Fireplace Lawn Irrigation
Insulation' � (Masonry) Other �
Wall Boazd (Mfg.) C Well (State Permit)
_�Final Grading/Filling � Electrical (State Permit)
Other
REMARI�S (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT�: �
27
DATE TiN
CITY OF ORONO CALLED IN y i � ��#'
INSPECTION NOTICE 7 r SCHEDULED 'Or�/i����' iC3 . Y�....
PERMIT NO. � �J � COMPLETED
ADDRESS ��� J ' `� �
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OWNER � CONTR. �� _-�
TELEPHONE NO. `�I�/ • ,a Cc�b
� DESCRI�TION �Asi �(����
01 FOOTING_ 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED I" PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the nex inspection 24 hours in advance.473-73�J7
OwnerlContr ct on 't :
Inspector.
White Copylinspector's File Canary CopylSite Notice
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� REMOVABLE
WATERTIGHT Sf(`(LIGHT
3' X 4' PANEL
(WATER TIGHT)
------ --- - FELT ON 3/4G PLYWO%D�
-----_------------- �— (20 YEAR WARRANTY)
-----------------------
-------- -- --- _ _---------- ----_...- ---- WOOD SIDING
-- - - --------�.----------- --- - -- --'— ��y -JYj�-1fc� CK.n�P�Cw��.nTr1�YL
--- ----- -- - - -
--------------- --------------------- -----_--------- _ CINDER BLOCK W/ SFAlAN7 PAINT
---
------ -----. ; ' -------- -
--- -.------------------- -- PAINTED FACIA
-�-,----- ANO SOFFIT
VENT -
—------
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_____-__----- --,
' ----
-----------�---- ---- ---'---------- GRADE SET
_.__ .
! ' ', _ --=------ BY OWNER
---- �
' STEEL 42" DOUBIE DOOR
WITH LOCK
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+ � . .
REMOVABLE • •
WATERTICHT
3' X 4' PANEL
�
(2) FLUORESCENT LIGHT FIXTURES PRE ENGINEERED TRUSSEs
0 0 0 0 0 0 18" ovERHANG
4"DSR RECOMMENDED POWER
ENTRANCE
ELEC. CONTROI.
PANEL EXHAUST FAN
VENT
ISO VALVE _A_.__
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LOUVER � r �°,
:
120 V.AC. ELEC. OUTLET
PUMP HOUSE
120 VA.C. CONC. FLOOR GRAOE SET
• ELEC. OUTLEf 4 MIN. BY OWNER
--- -r.��,-. .-.t•. ..y:.:<.�,;• .,. _�.. +� _,- '
�� �*r' 12' '-'4-�;r GRANULAR FILL
�� '.�,�� 4" MIN.
=�1.. 6�4 E�CG'WELL �'-j'' .
FOUNDATION
- - p�t.vra,
Q'���CONCRETE.FOOTINGS
W/ S?EEL REINFORCING . INSULATION
BARS.
f00TiNG
� SECTION �
B �
. EQUIPMENT REQUIREMENTS AND JOB SPECIFICATIONS
� DETERMINE BUILDING SIZE. IF OPTIONAL EQUIPMENT
IS CHOSEN, STATION SIZE MAY VARY (CONSULT FACTORY).
NOTE:
EQUIPMENT REQUIREMENTS AND JOB SPECIFICATIONS
DETERMINE BUILDING SIZE. IF OPTIONAL EQUIPMENT
IS CHOSEN, STATION SIZE MAY VARY (CONSULT FACTORY).
PURPOSESSAND�ARE AMINIMUM RR QU REMFENTS pNPOj AL
NOT FOR CONSTRUCTION.
BUILDING AND SLAB CONSTRUCTION NOTES
1) BUILDING TO CONFORM TO STATE AND LOCAL BUILDING CODES.
2) MECHANICAL TO CONFORM TO STATE AN� LOCAL CODES.
3) ELECTRICAL TO CONFORM TO STATE AND LOCA� CODES.
4) MEET BOCA BUILDING RE�UIREMENTS.
ROOF OVERHANG CINDER BLOCK
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FOUNDATION I � I I
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• I � I O � I �
FOOTING I
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LOWER I I I �
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I I I 42"REOUI�REp R�TION I I
. � I NATIONAL I I I
I � ELECTRICAL CODE_ _ _ _ _ _ _ _ _ _ _ _ _
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�LOOF� PLAN
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1 24' } , •
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36" �
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3'-0" W X 1'-4' H OUTSIDE - I t/2"TOL 6'-� �-►
AIR INTAKE LOUVER �- H�
22.5X53 o a�
WEfWELL
'� HATCH 72X36X16 � � 944uCFM MIN.
INCLU�E AUTOMATIC
60"�WEfWELL I BACKDRAFT DAMPER
� MINIMUM TO AND DISCONNECT SWITCH
ANY OBSTRUCTION
42"REQUIRED BY
� NATIONAL
� ELECTRICAL COOE .
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FLOOR PLAN - MECH.
2 $�,�� 1/4• . r-�• �
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TRANSfORMER � o
Dccr�C
D(HAUST
LINE CONDITIONER 72X36X16 � F�
BREAKER PANEL � MINI�AUM TO
fwY oesrRucnoN �,�,
FROM TRANSFORMER 42"REQUIRED BY
NATIONAL
I ELECTRICAL CODE . .
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OUTDOOR C/T CABINEf �
ANO MEfER FITTING
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