HomeMy WebLinkAbout2002-P04962 - new structure ' ~ PERMIT
CITY O ORONO Permit Number:
2750 Kelley arkway - PO Box 66 P04962
Crystal Bay, innesota 55323 Permit Type: New stru�c�e
(952) 249-46 0 Date Issued: a�29�2002
SITE ADDRE S: 3160 Sussex Rd
Long Lake,MN 55356
PID: 04-117-23 32-0008
DESCRIPTIO : UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Pernut Class: Building Census Code 101
Pernut Type: New Structure Pernut Sub-type(s): New Home-Single Family
DETAILS:
Approved per resol tion#:
Separate permits re uired: riumbing iviecnanicai 5epiic rirepiace irrigaiion weii�siaie j Eiecincai�siaie j
NOTICES/RE ARKS:
FEE SUMMAR : Permit Fee: $ 4,896.25 Valuation: $ 850,000.00
Plan Review Fee: $ 3,182.48
State Surcharge Fee: $ 425.00
TOTAL FEE: $ 8,503.73
APPLICANT: Tony Eiden OWNER: Kyle Lewis
4100 Berkshire Ln 3160 Sussex Rd
Plymouth,MN 55443 Long Lake MN 55356
THE UNDERSI NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES 0 DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA B ILDING CODE REQUIREMENTS.
� � ~
L�
�a L/�-�G- "i�c �.L,��l2�i ;____ ( �(�_�
APPL[CA T PERMITEE SIGNATURE ' ISSUED BY SIGNATURE
Copies: 1-File(Si nitures Required). 1-Apnlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
c .-,J �.� � / �Cc Z
Total F e: $ � � �-' � Date Received: ;�� �(
Entere By: __ -G Perm.it#: ,� /,3 / Z `L
\_�\��-:, �\-- 1`"� - C �--_ _
CITY OF ORONO - BITII..DI�G PERNIIT APPLICATION
information must be submitted in full before plan review will be started.
(please print all inforncation)
THE PLICANT IS: (circle one) OWNER O CONTRACTOR
Jos s � AnDxEss: ..� 5 s z�: �
NAl� OF OWNER: �,Qv►, S Y'S U�--GL��PH0�1E: (home) Ia�- '0�.5/
(work) 7�3-07-�.3 - 8�8
I�IAII., � G ADDRESS: CTTY: ZIP:
rA x ��3� 5-s-s- 6�z3
co� ACTOR: '� �� xo�: 7 .3- ^ -a� �/
CON ACTPERSON: 10B /PAGER: � - -^ (P -
N ING ADDRESS:�=�(�J� CTI'Y/ ZIP:?z�`��P ..
STA LICENSE: # ���..oZ U
_- `
ARC CT(ENGliYEER: � `�' � ��Q .�'1!!��_ PFi0�1E: (,Q.SI- �ll�lP-1��89
1� Ii�TG ADDRESS: 7 . �CI : �IP:��
NAiV : Y7 v REGISTRATION#
TYP OF `VORK: New � Addition Accessory Structure _
Move Remodel/Alteration Land Alteration
PRO OSED W4RK(describe in detai�: � P[�.Z_ l •� �� ��v
/s �h •�Il��
STO S: �' SQ.FEET OF EACH FLOOR: vZ D a- l °Z (e-3°Z'
NO. OF BEDROOI�IS: .� GARAGE STALLS: ATT. ET.
EST IATED CONSTRUCTION VALUATION (excluding lanc�: $ U ��� ���
k'
I her by a�ply for a buildin� permit a�sd I acknowled�e that the information above is complete and
accu ate; �hat the work will be in confor�anee with the ordinances and codes of the City and with
� the tate Building Code; that I understand this is not a permit and work is not to start without a
pe ��� z�d that the work will be in accordance with the approved plan.
AP L:C ANT'S SIGNATURE: �!�'�o �� DATE: -3-"�-� 'D oZ
1�'0 E! Parade of Homes events require separate permit approval by Police Department and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0,t RIGIiTS OF SZ,BJECTS OF DATA
Subd. 1. Tvpe of data. The righcs oi icdividual on whom che data is s:oc-d or oo be scored shall be as sec for�h ia[his secrion.
Subd.2. Information reqtirired to he��m individual_ �n iadividual aslced to�FIY Privace or confideadal daa conceraing himseif s�ll
be informed of: (a)�he purpose and inrended use of[he requestod dan wichin the colleccing 3�ar_ageacy,polidcal s�bdivision,or sacewide ryn.:m;
�b)whe:her he may rfuse or is Ie3alIy required�o si:ppty ehe czquestcd dan;(c)any I�own coas-':ueace arising from his supplyi;.g or refusing to supply
priva[e or conr.dendal dam;and(d)�he ideaaty of o�er persoas or enriaes au�koriz�by sca`or ftd�rsl law co ce=eive che da�a. �his r�quir:menc s�all
not apply whtn an individual is asked to ssppiy5a�•uri¢arive dara, pursuan�co se:�on 13.82, subdivision 5, co a law enforceWeac officer.
The commissioner of r�enue nav ois:e che nocce rauircd under chis subdivision in the individual income a�c oc orooem taz refur.d
instrucdons ins:cad of on �hose focros.
Subd.3. ?rccess to datz br•individuat_ lipon request w a responsible�uchoriry,an individual shall be informed�vhe[hcr he is the subjec�
of stor_d dara on individuals,and whe:her it is classif:ed as public, privace or con::�e^dal. L:Fon his fur.her request,an iadividual who is the subjecc
of stor:d privace or public daa on individuals shali be shown[he dac�wiehaut any caarge cn h�and:if he desires,shall be iniormed of rhe concer.c
az:d meaning oi�hat dars. After an individua!hss�een shown[he privace daca ar.d icformed oi ics meaniag,the data need not be d'uclosed to him for
su mon�s cheraiter uniess a d'upu�e or acaon pu;suanc rn chis setdon is pending or addi¢oaal da[a on�e individual has beea collected or erea�ed.
The responsiblz auehoriry shall provide copies of che private or public data upon reGu_st by che izdividuai subjecc of rhe daci. Tae responsible auchoriry
may require che rcqucsring person ro pay[he acalal coscs of malcin¢,certifying.ar•d.ompiliag the copies.
The responsible au�horiry shalI comply ir.sn:cdiatefy,if possible, wich���quest��t pursuant co this subdivision,or within five days oi
the dace of�ht request,ezcluding Samrdays,Sundays and legal holidays,iF immeCa�compliacce is noc possible. ff he csnao�comply wi[h[fie requesc
wIL`11R[$3C QIIIQ,he shall so inform che individual,and may have an addidonal five days wishin wtiich co:ompiy wi�z the request, excludiag Saeurdays,
Sundays and Ie3s1 holidays.
Subd.4. Procedure when data is not accurate or complete. An ir.diviCual may conmst[he accuracy or comp(aeaess of public or pri�•ate '
data eor.ceming himselF. To exer.ise rhis ri¢hc,an individual shail noafy in wridcg�.e rtspoesioie auchoriry describing�he aacu:e oi thz disagreemza�. .
'I1�e responsible au�horiry shall wi�hin�0 days ei�`er: (a)corrccc che dzra found ro t:inaccL3�or incomplece and aaempc to norify past recipients of
inaccurs:e oc incomplece dan, including recipieaa named by �he individual;or(b)cocify [2:e i�dividual[ha[he believes[he daci to be correct Dan
in dispu�:shsll be disc:osed only if�he individu�l's sncemenc of disagreemen�is i^:luded wic`�[he disclosed dam.
'Ihe duerminadon of th� r�sponsibi� auchoriry may be appealed purn:�-:ro the provisions of[hz admicusuarive proceduro act reladag �o
+ contesc:d cases.
' DAT?, PRIVACY �DVISOR�'
In accordance wi�h�i.S. 13.04, Subd.2, "Ri�ics of subjeccs oi data", w�e would like to inform you that your reauesc
for a permit or license from the Ciry of Orono or any of ics depz�.ments nay require you to fumish certain private or
confidential information.
You are no[ified that:
1, The information you furnish will be used to determiL�your qu�lifica[ion for che permit or license requested.
?. You may refuse zo su�ppIy daca, buc refusal may reeuire that the City deny the permit or license.
;. The informacion may be shared wi[h ocher local, s�a��or federal agencies to the excen�necessary to process
� " the pecmit or licease.
.�. If your requested permit or license requires Council action to approve, some information may become
public.
�. You have cenain riQhcs under ;�1.S. 13.Q4 (availabl� upon request) to review pcivate data on yourself.
6. Your full name is required ro process this applica�:oa or pe,:uic.
F"�` 4100 B ��SHIRE LANE L'�`
�ddr_ss PLYM �
��� ���n251
Ciry Sctr Zip PF.aa�
I undecstand my rights as stated above.
� `
� � —_.---
Signacur-
, `
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADD S OR LEGAL: �l(,c7 S v Ss L. X �Zo��
PID:
DESC ON OF WORK: �L W �� S
-- --�--------------------------------------------------------
ZO�t�1 REVIEW BY: DATE APPROVED: �-�, - o z
BUILD G REV�W BY: DATE APPROVED; �.Z,. o�
FEES T BE CHARGED: Misc. Fees Calculated By:
PERMI Yes ✓, No
PLAN VIEW Yes � No SEWER CONNECTION
STATE URCHARGE Yes �/ No WATERCONNECITON
INVES IGATION FEE Yes No �' PARK FEE
SAC Yes No � SITEINSPECTION
Numb r of SAC�Units ��.�arr� ,4,��-,a OTHER (specify)
ZONI�i 1 CH�CK LIST Zoning Districr.
Fire Dep ment: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey S bmitted: Yes_ CL No Date of Survey: 2-Z7-O Z
Proposed etbacks:
ron[(�ake): '�7`'1. � � Right Side: 5 S y
ear (SfFeet): Z? 5' Left Side: b°l
djacent Structures: � �l} Wetland: (b 0' 't
Building eight: Def. Hgt. 3o Peal:Hgt. 3�
Loc Cove age: nl�1�
Grading: Staff Approval Date: �{-/7- d 2 By: �_ Council Approval Date: —
Septic: aff Approval Date: �• `z'7 –c�Z By: �li�
Zoning F e: # — Resolution: # — Resolution Date: —
Shorelan District: �V'O
v�. Se[back: Bluff Setback: L.ot Coverage:
Existing Proposed
ardcover: 0-75'
75-250'
250-500'
500-1000'
ardcover Variance Required: Yes No Date of Council Approval:
RE S (in house):
7
,
BUII.DING REVIEW CHECB LIST
�C: R'3 CONSTRUCTION TYPE: V1�1
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd floor x =
Garage x _ �
x =
TOTAL
Estimated Construction Value: $ �$V,DOC3�
InspeMions Required: Work Requiring Separate Permits:
Site x Plumbing Fire
Hazdcover Removal X Mechanical Water Connecaon
.. _�F���S X Septic Sewer Connection
_�Framing �t Fireplace _�Lawn Irrigation
�_Insulation (Masonry) Other
_�Wall Boazd �c (Mfg,) �Well(State Permit)
� F�� Grading/Filling �c Electrical(State Permit)
Other
REMARI�.S(IN HOUSE): .
-------_---_----------------------------- --- -
REVIEW BY OT�iERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
_--_____--- ------------------------------------ -
REMARKS (TO BE NOTED ON PERMII�:
8
�1 : D.F. . PLANN I NG 8 DES I GN, I NC. PHOt� N0. : 651 63B 1412 Mar. 12 2002 12:32PM P2
/ „ .
�� � � ����
Permit Number
MEC heck Compliance �Zeport
1999 innesota Energy Code
MECche k Software Version 3.2 Release I Chccked�y/I�ate
TITLE: 01476
CO :Henaepin
STATE: e�ata
7ANE:2
C�NS CTION TYPE:Single Fannily
DAT'E:0 /l2/02
DATE 0 PLANS:3/OS/02
PR03E INFORMA.TION:
FORSY"�' RESIDENCE
3160 SU SEX ROAA-4YtON0,MN
COMP Y TNFORMATION:
rorr'Y'E �co�ANY
COlvJPL CE:Passes
Maxim UA=820
Your e=684
16.6°10 Than Code
Gross Glazing
Area or Ca�ity Cont ar Do�
Pe�rim R`V'alue R Value U-Factor UA
Ceitiu�g l:Raised or Ez�e*gy Tn�ss 2143 44.0 0.0 47
Wa�l 1: ood Frame, 16"o.c. 53U8 19.0 0.0 247
�Vindow 1:
Above Viny1 Frsme,Dauble Pane with Low E 820 0.320 262
D9or 1: lid 54 O.140 8
Door Z:G ass 204 0320 65
Baseme�at all i:,
Sotid caete or Masoary�9.0'bd8_5�bg/9.0'insul 819 t 1.0 0.0 45
Baseme�t a112:
Solid C crzte or Masonry,4.0'ht/3.5'bg14_0'insul 140 11_0 0.0 10
Ftiur�race 1 Foroed Hot Air,90 AF[JE
Propvsed d Mnrimam U-Fsctor Averages
�rapo�ed Maximum
Ave.rage U-Factos' A11pw�,d U Factor
Abovo- windows and Giass Doors o.320 0.370
Includes Foundatian Vl�indows>5.6 ft2
COMPLI CE STATEMEN'I': 'i'he proposed build�n$design desa-lbod hexe is consisteiqt with tfie building
'�ROM : D.F P. PLAIJ�!I NG & DES I GN�I NC. PI-IOhE t�. : 651 6� 1412
' . Mdr. 12 2602 12:32PM P3
�
plens, jficatians,and other calculations$ubuiitted with the pe�snit application. The pcopo�od buikling has
beat igaed to meet the l 999 Minnesota Ene�y Code roquirements in MECc1�ck Versi�3.2 Release l.
8uilder i�er `sG��ltl�4• �e=- i o�:Qz
DATE TIME
CITY O ORONO CALLED IN
INSPE TI� NOTIC SCHEDULE 5- � �� �� �p
PERMI � �90�_ COMPLETED
ADDR SS �/ (a � ���- p��
OWNE ��lLr� CONTR.
TELEP ONE N0. �G'�,-� � �0 �/�
� DES PTION
w FOOTI G 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSU TION /25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 1 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO SITE 2 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO FINA 5 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM ING I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUM IN FINAL 36 FOUNDATION/REMOVAL
� OWNER/C TRACTOR TO MEET YOU:_YES_NO
� COMM NTS:
�
W
4
�
J f
O
�
�
O
�
W
� i
Q
�
Z
W
�
W
�
�
d
W� ❑WORK ATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORR T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORR T WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOR COVERING
PERMANENT
❑CORR TUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
IN PECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP RDER POSTED.CALL INSPECTOR
❑ INSPE TION REQUIRED.CALL TO ARRANGE ACCESS.
all for the next inspection 24 hours in advance. �952� 249-Q6��
Owned ontractor on site:
Inspect r.
White Copyllnspector's File Canary CopylSite Notice
. - d�'�
DATE TIME
CITY F ORONO CALLED IN
INSPE TION NOTICE SCHEDULED � /(�
PERM NO. �'y9� COMPLETED
ADDR SS_ �C Co G S(.t S��C ,�p'�
OWNE CONTR. / (?Y��-1 f;�2�^I
TELEP ONENO.—_ � I � - 9�D �-- �/�'l(l
� DESC IPTION ���i`t=',
� 01 FOOTI G 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMI G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
= 09 PLUM ING RI 23 SEPT FINAL 35 HARD COVER REMOVAL
J 10 PLUM NG FINAL 36 FOUNDATION/REMOVAL
� OWNERIC NTRACTOR TO MEET YOU: YES_NO
� COMM
�
W
a
�
�
O ��
� � �
O
�
W
�
Q
�
Z
W
�
W
�
J
a
� ❑W TISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRE T WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRE T WORK,CALI FOR REINSPECTION TEMPORARY
� BEFOR COVERING PERMANENT
❑CORRE TUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INS ECTOR WILL RETURN ❑CITATION ISSUED
❑STOP O DER POSTED.CALL INSPECTOR
❑ INSPEC ION REQUIRED.CALLTO ARRANGE ACCESS.
all for the next inspec ' n 24 hours in a v nce. (9 ) 249-4600
�:
Ownerl ntractor site: �
Inspect
White Copylinspeclor's File nary Copy/Site Notice
DATE TIME
CITY F ORONO CAL ED I�
INSP TION TICE SCHEDULED 11f"� 1
�" _17TiG�
PERM T N0. � � COMPLETED �
ADDR SS .��� C�,c .c ��Q �!
OWN R CONTR. �1.�/ �IGGQ--��
TELE HONE N0. U� � � -"��(� '— �CI lT_
�
� DESC IPTION ��' i���'{1�,��
� 01 FOOTI G 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAM G 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
y 03 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM ING FINAL 36 FOUNDATION/REMOVAL
� OWNERI ONTRACTOR TO MEET YOU: ES_NO
� COMM NTS:
�
W
a
J /
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� �NnRK ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORR CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORR CT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFO COVERING PERMANENT
❑CORR TUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
�N PECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP RDER POSTED.CALL INSPECTOR
❑ INSPE TION REQUIRED.CALLTO ARRANGE ACCESS.
ail for the next inspection 24 hours in advance. (952� 249-4600
Ownerl ontra �on site:
Inspect r.
� �-L .-z ��'
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CI OF ORONO CALLED IN
INS CTION NOTICE I' SCHEDULED '� ���' C �'�'�
PER IT NO. �Q U` � COMPLETED
ADD ESS �I��D ;S'c; =�Se X ,�'c�� .
�
OWN R CONTR. i c�7tc1 f �^�2---
TELE HONE N0. (��' ��- -( �C% ��/ I I
� DESC IPTION
� 01 FOQ 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q �2 FRAM N _ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL D. 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 FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM NG RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
J 10 PLUM NG FINAL 36 FOUNDATIOPJ/REMOVAL
� OWNER/C NTRACTOR TO MEET YOU: YES_NO
� CO ;
W0. � L� �
�
J � � �
O
� � ,
�
O ,---,
� �
W
�
Q
� '`''
2
W
� �
W �''
� � ... � �r I�"" '
J
d 'jf`� �
W� ❑WORKSA S ORY:PROCEED ❑ PROJECTCOMPLETE�'—�
W ❑COR ORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 RRECT ORK,CALI FOR REINSPECTION TEMPORARY
V BEFOREC VERING PERMANENT
❑CORRECT NSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPE TOR WILL RETURN ❑CITATION ISSUED
❑STOP ORD POSTED.CALL INSPECTOR
OINSPECTIO REQUIRED.CALLTOARfiANGEACCESS.
Cal for the next inspection 24 hours in advance. (g52) 249-46��
Owner/ site:
Inspector M
e Copy/lnspector's File Canary Copy/Sfte Notice
�i���� � �DATE TIME
CITY O ORONO CALLED I�/ =����
INSPE 10 T SCHEDULd�,�
PERMI N COMPLETED
ADDRE S �✓
OWNE CONTR.
TELEP ONENO. ��a �J-- � .� �-- �Z-5
�. +
� DESCRI TION -
lL 01 F MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
Q 03 INSULA IGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL B . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBI G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI G FINAI 36 FOUNDATION/REMOVAL
� OWNER/C NTRACTORTOMEETYOU:_YES_NO
� COMME TS:
�
W
a
� � " < �'
o -
� �.
�
0
�
W _
Q �--
�
z
W
�
W
�
�
O
W� ORKS TISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRE WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRE WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRE UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INS ECTOR WILL REfURN
❑CITATION ISSUED
❑STOP O DER POSTED.CALL INSPECTOR
❑ INSPEC IONREQUIRED.CALLTOAARANGEACCESS.
au for the next inspecti 24 bours in, ance. (952� 249-4600
Owner ctor on site: �
Inspect . �
ite Copyllnspector's File Cana opylSite Notice
yO� Y DATE TIME
CITY F ORONO �>'� CALLED IN
INSP CTION NOTICE, G� SCHEDULED � �y�
PER IT N0. `� COMPLETED
ADD ESS ?f�o� r c 'G�o�c. �Q( -
OWN R CONTR. �L�YI-�.! �.cc.�D,�
TELE HONENO. �ia -��� -�9�,
� DESC IPTION _ ��� /��%��j
� 01 FOOT NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAM NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSU TIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE flEMOVAL
Z 04 WALL D. 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 FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUM ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUM INu FINAL 36 FOUNDATIONlREMOVAL
� OWNER/C NTRACTOR TO MEET YOU�YES_NO
� COMM NTS:
� �
a
� ' � �
0
�
�
o .�
W
�
Q
� �
z
�
W
�
�
d
W� WORK S TISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRE WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRE WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE OVERING PERMANENT
❑CORREC UNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INS CTOR W{LL RETURN
❑STOP OR ER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTI NREQUIRED.CALLTOARRANGEACCESS.
C 11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/C or on site:
Inspecto -
hite Copyllnspector' Fil Canary CopylSite Notice
�� DATE TIME
CITY F ORONO CAL�ED IN
INSPE TION NOTIC� ` f SCHEDULED � I . �v
PERMI NO. L bT��2 COMPLETED
ADDR SS � t l.a Ci S,-�t S�.P,�� Y�
OWNE CONTR. �TaY1ti-�-ix�_��
TELEP ONE N0. � �3 �Q D - �IG �I
� DESCR �tON �r b�v` � '�- �j0yY10�
� Ot F G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
RAMI G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSU IGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 PLUMB G RI 23 SEPTIC FINAL 35 HP.RD COVER REMOVAL
� 10 PLUMB G FINAL 36 FOUNDATION/REMOVAL
� OWNER/C NTRACTOR TO ME YOU:�YES_NO
� CO NTS:� � .�=.� ��'�"�T «<
�—
W �--
C -�
�
�
O � � )
� - C�' �
O Q �
W t S
� �
Q
� . _.. ; - � - �
Z
� � �
W
� '�—
d
W� ❑WORK S TISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C C WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� RREC WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE OVERING PERMANENT
❑CORREC UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INS ECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OR ER POSTED.CALL INSPECTOR
❑ INSPECT NREQUIRED.CALLTOARRANGEACCESS.
C II forthe next inspection 24 hours in advance. �952� 249-46QQ
Owner/C trac r on sit -
Inspecto
W ' Copyllnspector's Ffle anary Copy/Site Notice
DATE TIME
CI OF ORONO CALLED IN t�
INS ECTION TICE SCHEDULED `l/'dy —���
PER IT N0. � �� COMPLETED
ADD ESS � /l
OWN R CONTR. �
TELE HONE NO. � C — �
� DESC IPTION t� Ct�.�J�-,e,�
� 01 FOO ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y INSU TION ' 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM iNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUM ING FINAL 36 FOUNDATION/REMOVAL
� OWNERIC NTRACTOR TO MEET YOU:_YES_NO
� COMM NTS:
�
W
a
�
J B
O
a
�
O
�
W
o� <
Q
� ___.
W
�
W
�
j
d
W� WORK SA ISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT ORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT ORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC VERING PERMANENT
❑CORRECT NSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPE TOR WILL RETURN
❑STOP ORD R POSTED.CALL INSPECTOR �CITATION ISSUED
OINSPECTIO REQUIRED.CALLTOARRANGEACCESS.
Cal for the next inspection 24 hours in advance. (952� 249-4600
.
OwnerlCon o site:
Inspector. �" `
�
hite C yllnspector's File Ca CopylSite Notice
�
J /J� �/
/l��l,�
DATE T
CITY O ORONO CALLED IN ��
INSPEC ION I�'T,�E f / ��SCHEDULED _ //.` .��/� `
PERMIT N0. I� J Lf COMPLETED
�
ADDRE ��' CJ �- -�-.� c's� �
OWNER CONTR.�v � � e��
TELEPH NE N0. c�c C� '
� DESCRI TION �\ -�K � /cc��
� 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADIN LING
Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULA ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL B . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO— ITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO— INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBI G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI G FINAL 36 FOUNDATIOWREMOVAL
� OWNERICO TRACTOR TO MEET YOU: YES_NO / .
� COMME TS:
� �, � . S � �� � �� • .
O C� L� C
o�r � _ � �
0
�
--- _----_�_
W
o� — _ _.
Q __ .
z `
.
� �-l'� ` '
W
� � �� �
�
�
GW j�'WORKSA ISFACTORY:PROCEED PROJECTCOMPLEfE
W�❑CORREC WORK&PROCEED �I ISSUE CERTIFICATE OF OCCUP NCY
>V�
Q ❑CORREC WORK,CALL FOR REINSPECTION TEMPORARY + �+�
� BEFORE OVERING � v� �,,1
V PERMANENT ,c�,��
❑CORREC UNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN f\'V�
INSP CTOR WILL RETURN �
❑STOP OR ER POSTED.CALI INSPECTOR
❑CITATION ISSUED
O INSPECTI N REQUIRED.CALLTO ARRANGE ACCESS.
C II forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlC tractor �te:
Inspecto i,l�
White Copyllnspector's File Canary Copy/Site Notice
_ -
• l �
Established in 1962
INVOICE N0. 62115
LO SURVEYS COMPANY , INC . F.B.NO. 917-49
LAND SUI�VEYORS SCALE: 1 �� _ _��' � __
REGISTERED t.JNDER TI�E I�AWS OF STATE OF MINNESOTA o Denotes Iron Monument
7 O1 73rd Avenue North (763)5G0-3093 ❑ Denotes Wood Hub Set
Fax No. 560-3522 for excavation only
Minneapolis, Minnesota 55428 X0000 Denotes Existing Elevotion
3 u r u P � � r s C�P r t i f i r tt �P 000.o Denotes Proposed Elevotion
--�- Denotes Surface Drainoge
�---.
ZCx1Y EIDIN OOPIPANY �A�� NOTE: Proposed grades are subject
_..�-
to results of soil tests.
.` ;-- ���� ' 986.3 , .15.0�� 9852 Proposed building information
Property locateci 'n Section 9B6. 2Q,o„ must be checked with approved
T r ""� building plan and development or
' 4, Taw[l,shi.p ll�� e 23, .�....•-o"ti 2y3� ,�,o,o o grading plan before excavation
Hetznepin Co. , � ���a \ s•. and construction.
Minnesota o• 5:pp� �tim� r � ' ���'� Proposed Top of Block
9A�� r Posed C o '�� � ���o Proposed Garage Floor
s� '� 28'4" P Resid�n e�; ��14.g� ' �� Proposed Lowest Floor(S�o�T�-�r �
_ r ,ti1 '�1 �� . 987.0
-��\,__--- �, �. ^`� Type of Building
9,4„ . _ ti3 987.0 �:
r��o�"s��� M1� � 987.6 �T�2�0�,19B7.0 : 15.00..p �Vl•l.' ��"s��'JG�� ��
� �.l G � �! o (�W'�-.-•--- 9B6.4� � L'�r
� 987.2 0" -��0. . �A',tM�l�T �':?41(•o,."- ,;� EVA�"�olJ
2�� �� .
987.0 t p(�o�•'S��
15.�--- �
- �O• .
�, " T SPk De t a l l � a _:.�, f��%Z��P �.�-r�����
9 .53 ii_ � . -+-� °
�' 1 -30 �r�ct�t'tN� lr��t'oJx�.
�, - -
� �
� 975.3
976.4 �, 3 Z.�� � �
-� 991.5
^ -------------------�-
� 975. �90.00 ' i - - �- ------ ------��
� I tn � \ � :�,� _ �
N Urainnge & ' � �__. \
' ____..._
Utility Eosement ' , \ 48� \\
� , � � �1 � __-______ � _--
� q , --- � � \
< --"'� �� � .,, .-
AVV 97�4 ��� ��8 \ ., �\Oroinoge \�� I � � � --.��(_ . __. � %'�\` -._.
.` Eo.sement � - , \
� -�� � I � ,
` �� ----- -�
, 11 I � \` ��i-.._..��_ -_-._� \ >
\J
N I � �,.., •,, � - ��_ .
y � �5 ; � f '''*,, - _ _ �d -_____ '.._ _ _ . �\
.l i I � \
� �� � �
� 6� i ! ,�. ....._ .. �\ �
1
'� � �� � �a�..�
` � sez.o �
` 974.3' � �. �� ' 9B1.2 } ,-.. � c.r�
f• � I /' �• � �......` � ....r. .
, I \ ��.. . .
975.5 � ' �981.6 �L �� �
•�I�"e P " q � _
� �i N'4�l.9 74;0'l se�.� - \ '
�"` .
� 1 �, r _.. . �' - �
/980.9 w \ � �
'� �- � � \� 9B5.1
� � s � l.,,.' '" �' 986 B �
�j /'4 � �r�,� .9B ('l�•7.� ' '-o
_ ,'s� � j' � � ,y �■ .. .r�55 4 �
� '/ „p.�,0 O�- '' � See -.,_ \� .. ,
r�,• .� � Detoi/
��� a� ���� �
� SIT� i��,AN GRAQIN� R�N '�' 983.8 �r �/` �� se�� , 4�.�� 9as.�
�-AI�PF�nVCD -rvc; � � � Q�° � � . � _
�, , _� : �
: [� �AP���`dED 1N�i�H R VI�IQP�S � � ,� �� � -....�.��,. .. ��. _, _....Nm� ... ---
� �� �'����P�i� � � /�p a m
/�' y O
�� • �\ �/ 1�Pr.i .M J[l �� / `
_��< �, 69 ��-%`_'���� �.''� �`'1-,�.� 9B 5
p , , -,
y-� _oL � �
� ��. . 9B6.6 � 986.7 �,,, �- ~ ��
�-.�: 9 �� ,i
1R � \ � ec
/ 9B5.30
r ` /� C��
����� �� ' `� /�// � ���
989.5 � O �
�
9s,.��' g a
994.9 ---�(
\ .�
�� \
\ n� �
The only easements show are from plats of record or information � Risers ,� 8�8 G�Q�
provided by client. 984.5 �.,� �
We hereby certify that t is is a true and correct representation of ��'983.57 ��}
a survey of the boundari s of the above described land and the
locotion of all buildings a d visible encroachrnents, if any, from or on
said land.
Surveyed by us th�s 27t doy of February 20 02 Lo 2, 1310�'�k 1, i;ox Bend
-- '\; �/
Rev Drawn BY 9. .�mm� `'' 's,... �� t �1�
Signeci -f -
.� .�_.�., �� ' �� ' File Nam� Charles F. A de�son, Minn. Reg. No.21753 or
_�.___ Fb2-1fb917h9inv62115.590 (;reqcry . Prasch, Minn f2eg No. 2499?_
1 1 I, 0 7_ •, �-t
\