HomeMy WebLinkAbout1997 - 009016 - garge/bedroom addit PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway. P.O. Box 66
hVi.L., iO4,D
Permit Number ........_„.. ., ...
Crystal Bay, Minnesota 55323 ---- , ,
..,,..• ..-..'..,J
Date Issued.
(612) 473-7357 0 /2S/97
SITE ADDRESS:
.IC,3
P , I . N . ; 04-117-2 -42-0020
DESCRIPTION:
GARAGE/BEDROOM AOOTT
Building Permit Type
Buildina Work Type AuoiiloN
UBC Occupancy R-3
Construction Type
Zoning
Census (:cd e zi.:.74 t._ i . NESIOENOAL
REMARKS:
SEPARATE PERMITS REQUIRED FOR PIK, MECH, FIREPLACE & STATE ELECTRICAL .
CLOSETS MUST BE REMOVED FROM BEDROOM TO MAKE IT A DEN - DUE TO 3 BEDROOM
T,T7F IIMIT ON SEFTIC SYSTEM
FEE SUMMARY:
VALUAIION tT,18b, 000
Sase Fee $1 , 312 . 25
PiRn R7,.:view
..:,urcnarge
_. .,
Total Fes -o,4_ 3 ,L.-....F . el
CONTRACTOR: - Applicant - OWNER:
SIEPHENSONCONSTRUCTION 1.476b02 r-.E.L.i t Y CHARLES
202S PAWNEE AVE 2720 WHITE OAK CIR
MAPLE PLAIN MN SS3S9 LONG LAKE NN SS3S6
I I
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
.',7:4-1:CIFIED AND AGREES TO DO ALL WORK. IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS , •
L _J
1\4-
APPLICANT ZIL SIGNATURE ISSUED BY:SIGNATURE C93
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2-1 2.0 W t i. Oro K Gt 0-cAZ
PID:
DESCRIPTION OF WORK: AK)C Ty(51.)
ZONING REVIEW BY: P . S DATE APPROVED: 5--2 3 57
BUILDING REVIEW BY: ' X 11 DATE APPROVED: s-z3 97
1
FEES TO BE CHARGED: 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
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: t22- !G
Fire Department: (AD r sr5AK,�. Post Office: 1�N (,4 tc,c, School District: 0t2.pn(0
Lot Area: Sq.ft. /Vo Gf-haf t Acres Width Depth
Survey Submitted: Yes No Date of Survey: ON Fick 1(-6-S
Proposed Setbacks:
Front (Lake): 12.0 Right Side: 2.OBI +
Rear (Street): 10'-f .5 Left Side: 17.0
Adjacent Structures: pQ7T/}-G{'f EYO Wetland: 0 (44
Building Height: Def. Hgt. ZS Peak Hgt. 3 e
Lot Coverage: O.
Grading: Staff Approval Date: 5-Z3 -5 By: 0• Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
(k). 7 Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
10
BU LDING REVIEW CHECK LIST
UBC: )Z-3 CONSTRUCTION TYPE: "/N
Sq Footage S Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ I cd5 .0 0 b-
Inspections Required: Work Requiring Separate Permits:
Site tX Plumbing Fire
Hardcover Removal p( Mechanical Water Connection
K Footing Septic Sewer Connection
o.. Framing K Fireplace Lawn Irrigation
pc Insulation (Masonry) Other
of Wall Board X (Mfg.) Well (State Permit)
oL Final Grading/Filling 74 Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT): 7 /3-0 :' r�cc
13o c-e71J0 /l -4
>C1�'L `i ( 4 T A div nue: `t/ e a)O:ti
S (�Z Lt (-r -TA. C. �s7572t-
27
01* RIF.
Total Fee: .$ �` a 7. 7 1 Date Received: S"c7)-`' " -7
Entered By: Cb Permit#: Gf 0/ro
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 ORONTRACTO3
JOB SITE ADDRESS: 7&a `liteal4 Cikt , ZIP: t 5536
NAME OF OWNER: (•h4K1,5 iel1e I PHONE: (home) 4/25-- )„2$O
,rr (work) 3353 - 410 7 7
MAILING ADDRESS: /-,?2/0 ��A i k ke;je - CITY: Z,,f � ZIP:,•,33'�G,
CONTRACTOR: ;y]E f1erts. ,rJ C_cns"i. PHONE: 7, 55A
CONTACT PERSON: pt, J a. MOBILE/PAGER: ,5-,7-g5-4S%
',%
MAILING ADDRESS:pZO X J) CITY: �1 ibt ZIP: : �.S34/
STATE LICENSE: # lJW) 7570
ARCHITECT/ENGINEER: PHONE: ..ir
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration f/ Land Alteration
PROPOSED WORK(describe in detail): Oo_dr • ' el460 thlivza
.sieve 1/4 enc) •-714.erdC
STORIES: oC SQ. FEET OF EACH FLOOR: 405
NO. OF BEDROOMS: GARAGE STALLS: ATT. vZ DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /55;400
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 ,,374.___ DATE: _,,1"---- -7 7
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.
6
•
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 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 may place the notice required 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
and mayhave an additional five days within which to comply with the request,excluding Saturdays,
within that time,he shall so inform the individual, Y
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 disagreement.
The responsible authority 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 disagreement is included with the disclosed data.
T'ne 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:
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 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
Address
Cit, State Zip Phone
I understand my rights as stated above.
Signature
riiE TIME
CITY OF ORONO CALLED IN . "L) )
INSPECTION NOTICE SCHEDULED c 7 4/ 3G ef?)
PERMIT NO. .._ C/O I Lv COMPLETED
ADDRESS 9 7-7--() t-e--)it---c-ts,---Ca_A c .
OWNER K-c..—L-C_c`,. CONTR. t.:,-„, ,L -t --,,Ltrr�� rt
TELEPHONE NO. 5 7 - S's cc 4 041)11 c
DESCRIPTION
IV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Le/ 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
-4 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:CC
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CC COMPLETE
W LCORRECT WORK R PROCEED : ISSUE CERTIFICATE OF OCCUPANCY
C) Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
Owner!Contracto n Si
Inspector. _.
White Copyllnspector's File Canary Copy/Site Notice
J7 'ATE TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTJ E SCHEDULED 9 9 3v
PERMIT NO. �`--ioCOMPLETED 7-3O S 7 itY
ADDRESS ,--;.5'17,-Z
OWN ER CONTR. s!1-(j/l4, ...e. ci
TELEPHONE NO. 47/ (r, S-0 Z
DESCRIPTION ,}7P . Q
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
ti 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
• 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 ANAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
cc
0
cc
0
LL.
cc
W
W
CC
WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
IZ LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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 for the next inspection 24 hours in advance.473-7357
OwnerIContr on si •
Inspector. —
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 31-9 7 ! �
INSPECTION NOTICE /- SCHEDULED . —97 3'oz.)pm
PERMIT NO. %L' I Y� COMPLETED !� bl
ADDRESS c? 7��.Z LU�� (S ?
OWNER 5 06-71-01C0 N T R. ",��e
TELEPHONE NO.
35— 3 �t�.li6.a �ue.Lec,
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
a;
cc
O
O
a;
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L.
W
W
W
cc
• WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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 for the next ins ction 24 hours in advance.473-7357
Owner/Contr or si :
Inspector. 1
White Copylinspector's File Canary Copy/Site Notice
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