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HomeMy WebLinkAbout2003-P06379 - addn/remodel/repair CITY OF ORONO PERMIT Permit Number: 2750 Kelley Parkway - PO Box 66 P06379 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6/10/2003 SITE ADDRESS: 2165 Watertown Rd Long Lake,MN 55356 PID: 03-117-23-21-0023 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Porch-Residential DETAILS: Approved per resolution#: Separate permits required: iviechanicai Firepiace mecmcai(stale) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 15,000.00 Plan Review Fee: $ 163.28 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 422.53 APPLICANT: Anthony Thomas Homes OWNER: R&M Kantor 4100 Berkshire Lane 2165 Watertown Rd Plymouth,MN 55446 Long Lake MN 55356 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 BUILD G CODE REQUIREMENTS. �, APPLICANT P RMITEE SIGNQ.TURE ISSUED BY SIGNATURE Conies: 1-File(Siznitures Required), 1-Awlicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 Total Fee: $ Z2 • 5 3 Date Received: k -3 -03 Entered By: iZ/] s' U/g Permit#: fi O(�z ��9 CITY OF ORONO - BUILDING PERTNUT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACT JOB SITE ADDRESS: �U �1(iY�rN� IU91jIb ZIP: 'L✓`r NAME OF OWNER: Q�l�i � , 'I PHONE: (home) (work) NIALLING ADDRESS: I(1� lr �n �� CITY: AN ZIP: CONTRACTOR: W10m PHONE: ���- Dom-✓� CONTACT PERSON: NIOBILE/P GER: — I MAILING ADDRESS: 4400 tr tr CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF `YORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): (mG&&O" oy �Pn wo s ,F STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTL IATED CONSTRUCTION VALUATION (excluding land): $ 16 DOD '6a I hereby apply for a building, permit and I acknowledge that the information above is complete and accurate; chat 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 perm -it- ?-nd that the work will be in accordance with the approved plan. L APPLICANT'S SIGNATURE: DATE: l� ' '3g, —0-4 NOTE! Parade Qf 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. Sec.I3.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the dam is mored or m 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 dam concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting 3mr_agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(e)any known coas-quence arising from his supplying or refusing to supply private or confdendal dam;and(d)the identity of other persons or entities authorized by star_or federal law to receive the dam. This requirement shall not apply when an individual is asked ro supply investigative dam.pursuant to se-.--;Oa 13.82,subdivision S,to a law enforcement officer. The commissioner of revenue may ola- the notice required under Ns subdivision in the individual_income tax or orooetty 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 dam on individuals,and whether it is classified as public.private or conrdendal. Upon his further request,an individual who is the subject of stored private or public dam on individuals shall be shown the dam without any charge to him and:if he desires,shall be informed of the content and meaning of that dam. After an individual has been shown the private data and informed of its meaning,the dam aced not be disclosed to him for sit months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the dam. Tae 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 a_y request made pursuant to this subdivision,or within five days of the date of die request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within chat 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 complete. An individual may contest the accuracy or completeness of public or private data concerning Himself. To exercise this right.an individual shall notify in writing the responsible authority describing the nature of the disagreemear. .. The responsible authority shall within 30 days eit.`.er. (a)correct the dam found to be inaccumtn or incomplete and attempt to notify past recipients of inaccurate or incomplete dam, including mcipieats named by the individual;or(b)notify the individual that he believes the dam to be correct. Dam in dispute shall be disc:osed only if the individual's statement of disagreement is included wic'i the disclosed dam. The determination of the responsible authority may be appealed pursu+_.t 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: 1. The information you furnish will be used to determine your qualification for the permit or license requested. ?. 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 permit or license requires Council action to approve, some information may become public. S. You have certain rights under NI.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 City State Zip Phone I understand my rights as stated above. Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: zt`5 w AST-awo., (Lo PID: DESCRIPTION OF WORK: (L s crrj,o,J on-CJ, )754 1z ZONING REVIEW BY: J-4 ~ � DATE APPROVED: 6-6 -o3 BUILDING REVIEW BY: DATE APPROVED: 6- `- 03 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLAN REVIEW Yes t/ No SEWER CONNECTION STATE SURCHARGE Yes—� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: ti o C y,�sYu 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 Side: Rear(Street): Left Side: Adjacent Structures: Wetlan Building Height: Def. Hgt. Peak H t. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: 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): 7 r BUELDING REVIEW CHECK LIST R UBC: 3 CONSTRUCTION TYPE: Vl%-� _ Sq Footage $Per Sq Ftg Basement x _ 1st Floor x 2nd Floor x _ Garage x _ x = TOTAL Estimated Construction Value: Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _X Framing _�Fireplace Lawn Irrigation _ K Insulation (Masonry) Other Wall Board (Mfg,) Well(State Permit) —pc- FinalGrading/Filling k_Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PEP.M17): 8 ORONO Copy 4100 BERKSHIRE LANE PLYMOUTH, MN 55446 Phone: 763-559-0251 Fax: 763-559-6423 } PROPOSAL Bob and Monique Kantor Date: May 30, 2003 2165 Watertown Rd. Orono, MN 55356 Home Phone: 952-476-0875 Bob's Cell: 612-968-0474 This is a proposal and shall be considered the specifications for this project, items included: 1. To build Four Season Porch—Approximately 12' x 16', 192 Sq. Ft. • 2" x 6" exterior wall • 25/32 Built-Rite sheathing • Scherer Bros. windows 2- 4-2660, I.ow E, 3' swing door • Insulated walls R-19 and ceiling R-38 • 1" x 6" Pine tongue and groove boards on ceiling and walls • Seal and varnish pine interior boards • Electric outlets and switches to code • Electric heat, under ceramic with thermostat • Exterior weatherproof outlet • Ceiling fan and light fixture allowance of$200.00 • Ceramic tile floor- up to $4.00 per sq. ft. allowance ' • Clean-up CITY OF ORONO • Permits B U II-U'iNIG - A T PLAf,q s i-VIE V • Final cleaning/windows INSPECTOR • No �'Er`-A,,1"i NO. rain gutters included �- • No landscaping included C =cI TED Ell lo _ . .. 1: v;or<3i.=.Ji J9 dons coft KELP i NiS Pi.r1N SE7 ON *ITE AT ALL TIMES 2. Remove existing fireplace and chimney and install new gas Superior see through fireplace A. Four season porch side • Raised stone hearth • Cultured stone face Door to ceiling • Birch box mantel B. Family room side • New ceramic surround • New ceramic raised hearth • Install existing mantel C. Run new flue from basement fireplace through existing chimney i i •4 �a6 a , /inn u c kar�c�- S W&f crEo h Rd. 6rono- Mn. �ur Seasm, 'Pn r r� ......... .. . ............ 2' ' 4-5 I r:. �71 At gs �wlL ue KAr,�or 21f 5 o h Rd. Orono , Mn . ' .i .� r r :a. �a`:i• ., i AN.... __.. - i �`„`14.��i [.Jt.,{�+- �.>.Y.. 14 NSR i• .�• . s ' ; ' ,� �,:. i ,:.E,�.: •ly _ SFr,, •:�' � - t rill- g abort =W,u c Kah6 2165 VIpj. C7r , Mn. l 4- Season ' • /vv� DATE TIME CITY OF ORONO CALLED IN y` INSPECTION N TIC � SCHEDULED PERMIT NO. G X371COMPLETED ADDRESS 216S (,vAr-crtTaw/ Otl Nf--R —MAf! CONTR. TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 16 EXCAWGRADING/FILLING h 6RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q (f ISULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CCUj 0. J O cc O U_ W CC Q Z W W O � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cu EICORRECT WORK&PROCEED EIISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952) 249-4600 Owner/ContraeVn it Inspector. White Copy/Inspector's File Canary Copy/Site Notice V/ TIME CITY OF ORONO CALLED IN INSPECTION NOE� 3�� SCHEDULED PERMIT NO. COMPLETED ADDRESS Z l S f 't )n f ,2 ff ''C,-� l/1 OWNER CONTR. - lUA UXQ / , TELEPHONE NO. O 7 pm DESCRIPTION 14 01 FOOTING 11 MECHANICAL RI 18 EXCA GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0. j O Cr O 0. W cc Q 2 W W cc O WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next in ection 24 hours in advance. (952) 249-4600 Owner/ContractoroT".3 e- Inspector - White Copy/Inspector's File Canary Copy/Site Notice V D TE TIME CITY OF ORONO CALLED IN C INSPECTION NOTI F SCHEDULED PERMIT NO. ✓ COMPLETED ADDRESS � OWNERnONTR. S TELEPHONE N0. `� DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWbRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC cw<� cc cc cc C/l 2tt� 0 LL W cc Q 2 W W CC LLJ�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor si Inspector. White Copy/Inspector's File Canary Copy/Site Notice I �ATrr TINIER CITY OF ORONO CALLED IN `(5 INSPECTION NOT SCHEDULED -50 PERMIT NO. 0 3 COMPLETED ADDRESS �- CDS I of _-f e�LAX OWNERD06 +r CONTR. TELEPHONE NO. Co 12_ --G C10— DESCRIPTION T 1 rte[ _ ick 4j 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Coo 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05FINAL 14 SEWER HOOK-UP 06 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a Cr tuQco Q Po1 W W C t WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours In advance. (952) 249-4600 Owner/Con o s te• Inspector. White CopyMspectoes File Canary Copy/Site Notice