HomeMy WebLinkAbout2008-00104 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 200&00104
2750 KELLEY PARKWAY
` ORONO, MN 55356- DATE IssuEn: 08/07/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1525 SIXTH AVE N
PIN : 26-118-23-33-0033
LEGAL DESC : ALBEES LONG LAKE ADDN
: LOT 002 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING AND MECHANICAL
APPLICANT pERMIT FEE SCHEDULE 118.00
AAA EXTERIORS, LLC PLAN REVIEW 76.70
153 BRIDGEPOINT DR
SOUTH ST PAUL, MN 55075- STATE SURCHARGE(VALUATION) 2.50
(651)451-3366 TOTAL 197.20
Minnesota State License#: 20629074
OWNER
MORRISON, SCOTT& SHERYL
1525 SIXTH AVE N
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and speciYications,applicable City approvals,and the
State Buiiding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at a time for use.
i � �� Ciy�e,;�l /a� ���
plicant P mitee Signature Date Issued By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Tota-i Fee: $ ` ! !' b DateRe 'v • �/ T �U
ce� cd.
Entered By: Permit#: �� � �(,`��
�
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 CONTRACTOR
JOB SITE ADDRESS: ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Y0S ❑ NO If yes, a special event permit is required with Police Departmen[and City Council approval
60 days prior to tlze event. Shuttle bus servzce�vill be reguii�ed unless applicant demonstrates
sufficie�it on-site par•king is available. Non-permitted events will not be allowed.
NAME OF OWNER: 5 �9��i' a, ���-� '(�10 r r�s,,.-,PHONE: (home) �S o�- y y 7 -0101
(work) (�1c�� SOS �9 y7(�
MAILING ADDRESS: I S a,� �1� �v.�c. �/, CITY: Ov��fl ZIP: S" - S
CONTRACTOR: _�A Q. �x�Q� 1 a� �-L�_ PHONE: (-,S I ^ y5/ -33 �6
CONTACT PERSON: (Y��\,c� }-Iq,�.�,�_ MOBILE/PAGER: �� � - `�7 S- 3�3
MAILING ADDRESS: _�S 3 �..�Jl�c.� ,o�;�� '�,�- CITY: S •S_ �P- ZIP: S SO�S
STATE LICENSE: # ao 6 ��o � �� EXPIRATION DATE: 3 /3 1 /a��?
s�w,,�,,, ?,t,p l� A c3'x r. 4�z -Y Gt a-3 5..�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition ,�C Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: �X !,, .��A._ ��1�,..� /s�
� ���� �
�^w� '��vob�-� �_..�.. �c�i ti.,,,.. l ' ��_� /(�' ,/_� ' �i-t�p
STORIES: o� SQ.FEET OF EACH FLOOR: a (�, S ;� F �-.
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $,������
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City and with the State Building
Code;tllat I understand this is not a permit and k' not to start without a perinit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: /�� DATE: `� l �"c7�
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 forth in this section.
Subd.2. Information required.to be given individual.An individual asked to supply private or confidential data conceming 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 notice reauired under this subdivision in the individual income tax or property tax refund
instructions 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
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 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 authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
� The responsible authority shall comply immediately,if possible;with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shatl 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 ofpublic or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disageement.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 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 disageement is included with the disclosed data.
The determination of the responsible authority 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 are notified that:
l. 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 shazed 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
publia
5. You have certain rights under M.S. 13.U4(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�ty State Zip Phone
I understand m rights as stated above.
Si ature
P
32
CHECE OFFLIST FOR ISSUANCE OFPERMITS
' FOR OFFICE USE��ONLY
ADDRESS OR LEGAL: t j� � � ,4�e 1�� .
P�D:
DESCRIPTION OF WORg: x (} (� S �����
ZONINGREVIEWBY.• DATEAPPROVED: P'i y O�'j
BUII.DING REi�IEW BY.• DA7'EAPPROVED:�g-S _v g5
FEES TO BE CAARGED: Misc, Fees Calculated By.•
PERMIT Yes_� No
PLAN REVIEW Yes_.�/' No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No �/' PARK FEE
SAC Yes No �/ SITEINSPECTION
1Jumber of S�1C Units � OTHER (spec�)
ZONIIVG CHECg LIST Zoning District: — �
Fire Department: Post O�ce: School I3istrict:
Lot Area: Sq.ft. • Acres �.S I1t'i Width Depth
Survey Submitted.• Yes No Date o S
.f �►'eY•' �Y�C�I h 2rv�►� � ..
Proposed Setbacks: _ S�''� tvc�v� �,�j �
Front(Luke): Right Side: � �.,���� p,�,�
Re�(Street): Left Side: .�- O K — laClcl i ��
►5 w!�I V1 �l�t��Q �Y1GuS�,,
Adjacent Structures: _�� Wetlana!• �/�. :
Building Height; Def.Hgt. � (�, Peak Hgt.
Lot Coverage:_ (a �. .
Grading: Stcr,�"Approval Date: By.• CouncilApproval Date;
� Septic: StafJApproval Date: gy; �
Zoning File: # Resolution: # Resolution Date: -
Shoreland District: � ��' MCWD Permit:
fI vg.Setback: Blu,f,�'Setback; Lot Caverage:
Fxisting Proposed
Hardcover: p_�S�
75-250'
250-SDO'
500-1000'
Hardcover Yariance Required.• Yes No Date of Council Approval:
REMARKS(in house): �
33
B UILDING REVIEW CHECg LIST
UBG 1Z-3 CONSTRUCTTON TYPE: �N
Sq Footage $Per Sq Ftg
Basemenf x =• '
1stFloor x = �
� 2nd Floor x =
Garage x =
x _
TOTAL
Estimated Construc.tion Va/ue: ,S �,c�o O °iO
Inspedions Required: Work Requiring Separo.te Permits:
Site �_Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
Footing Septic Sewer Connection
�C Framing Fireplace Lawn Irriga[ion
^�t Insulation (Masonry) Other -_
Wall Board (Mfg.) Well(State Permit)
aC Final Grading/Filling o�lectrical(State Permit)
Other -
RE1I�ARSS(I1V HOUSE):
REV.�EW BY OTbTERS: DATE:
_
Access: Existing New
Access Approval: Date By:
REMARSS(TO BE NOTED ONPERMI7�:
34
, C1TY oF oRon�
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K � � DATE TIME ✓
CITY OF ORONO �— CALLED IN ��
INSPECTION NOTIC SCHEDULED ad` 48� �'�O.ZdiV(
PERMITd�O OD� COMPL�TED
ADDRESS
OWNER CONTR.
TELEPHONE N0. �!/L�i�O ' (O�a— ��"f� "�.3sSC�
`
� DESCRIPTION
lti ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q �,FRAMING ❑ MECHANICAL FIN ❑ LAKESHORENVETLANDS
O �-INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q p FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ IhiSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
WhNe Copyllnspiecto�'s File Canary CopylSite Notfce
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/5� iXfh - 62684-001 306/73
SURVEY FOR: SCOTT & SHERYL MORRISON ���� �����
(��-ss)
t S��"�`��`�_A-1'`�.- -� = - - - - - - - - --,
40 0 40 80 120 Feet / I \
, SCHOELL & MADSON, INC.
( ENGINEERS * SURVEYORS � PIANNERS �
� SOIL TESTING * ENVIRONMENTAL SERVICES �
� �� � � 10580 WAYZATA BOULEVARO, SUITE 1 �
\ I (612) 546 E760�A, MN FAX 5 6-9065 1
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gituminous-� � � '� � —
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x978.3� � � � — 303.79
979.4x� � -� N81•�g•32 E
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C0�5�3•� 3p x978.5
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— � — _ $�1 R=g88,40 , City of Orono ,
T
g, X 3i Planning&Zoning Plan Review J� x 10,S ��
!I�� Site Plan Review Date: � � U�
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� � � O�APPROVED
� s % p APPROVED WITH REVISIONS(see notes)
� o O DENIED
� � Staff: � `�'� �
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, �� S88'57'46"W
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� — — �✓— �—�— � 321.55 n 967.Bz I
`-' I z992.0 �� \/ _ ��U��S�"C' '-`�'IC.1� �L%- J I
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DESCRIPTION: �
Thot part of Lot 2, "ALBEE'S LONG LAKE ADDITION", occording to the
recorded plot thereof, Hennepin Co. Minnesoto, lying north of a line
drawn ot right angles to the west line of Lot 1 in said oddition, through
a point in soid west line 292.71 feet south of the northwest corner This drowing hos been checked and
of said Lot 1. reviewed this J 9 ;�Gj doy of
� BENCHMARK: /-t�Lj vJ` , 19 �, ,
� Top of iron monument os shown by � ,vy��
S Elevotion = 997.71 (NGVD-1929)
m
� GENERAL NOTES: I hereby certify that this survey wos
0 1 . o — Denotes iron monument set. prepared under my supervision and thot
� 2. • — Denotes iron monument found. I om o Licensed Land Surveyor under the
¢ 3. x890.0 — Denotes existing spot elevation. lows of the State of Minnesoto.
LL 4. x(890.0) — Denotes proposed spot elevation. %r�`� �
" 5. �� — Denotes direction of surface drainoge. �.���11�d2[_ �
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� 6. Proposed garage floor elevation = 998.2. Theodore D. Kemno
� 7. Proposed bosement floor elevotion = 988.5.
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Dote: Aug. 14, 1997 License No. 17006
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