HomeMy WebLinkAbout1997-009213 (building) PERMIT
CITY OF ORONO PERMIT TYPE: = : : � ;
275G'Kelley Parkway- P.O. Box 66 - `�'�� = "�
Permit Number: �.'����_-':•��{:='
`� Crystal Bay, Minnesota 55323 � Y :
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: $ /��� . j7,.Z Date Received: ���2�r �
� Entered By: ,�;�_ Pernut#: `�.2/_�
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 O CONTRACTOR
JOB SITE ADDRESS: Z��0 C�cS�0 p�cn f` �D�`� ZIP: ss3 g�
NAME OF OWNER: �fq-PPy C/o v-�r� PHONE: (home) �f 7 ! — �y�'o
(work) y a 1- S/b�
MAILINGADDRESS: Z`f�'0 G�.S�o PBc�� �D- CITY: fn/�a�2�.�a ZIP: S.�3y/
CONTRACTOR: Bra h d� R�/�s o� �o� PHONE: ���-o�- 3 v
CONTACT PERSON: (',�rt,S Q��v�r� I 1`+'IOBILE/PAGER: 3 7 S�- t���
MAILING ADDRESS:/bG Co�h��S�nR- L.av� CITY: ���n s��<�� z�: ss�� �
STATE LICENSE: # �/3 ��
ARCHITECT/ENGINEER: ��`-t- PHONE:
MAILING ADDRE5S: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: (�p�$�1'vC� �2� k ��/ � ���a�4 �D�O ��c�G
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIA'TED CONSTRUCTION VALUATION (excluding land): $
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: ` DATE: �(�l �
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.
9
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Sea 13.04 RIGHTS OF SCJBJECTS 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,polirical 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 idenrity 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 invesrigarive data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav vlace the notice required under this subdivision in the individual income tax or aropertv tax refund
instmcdons 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 iu 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 collecte_or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting 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
within that 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 conceming himself. To exercise this right,an individua]shall noafy 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.
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:
i. The information you fumish will be used to detemune 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 pemut 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 pemut.
Co✓� TL�nI 6�oR6C cLov�r-,t z �T/�',
First Middle Last
Z��'b Cits'c-p Pocti.-f- /{o A-o
Address
w�z�� ��l s5 3 y i ���- �y�o
Ciry State Zip Phone
I understand my rights as state abo .
���1 � .,
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS ORLEGAL: 2`I 9 o C�Sc.o Por�v-� K.oao
PID:
DESCRIPTION OF WORK: �Q�
ZO�TING REV�W BY: DATE APPROVED: 1 -z�-5 )
BUII.,DING REV�W BY: DATE APPROVED: 7_z Y-5�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes -� No SEWER CONNECTION
STATE SUR:HARCrE Yes ✓ No WATER CONNECTION
INVESTIGA'I'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOi�tI1�TG CHECK LIST Zoning District:
(`J�Z Fire Department: Post OfFice: School District:
1����
�� t Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes�_ No Date of Survey: _�.... �i� 2-�S-9 S
Proposed Setbacks: � �t
Front (Lake): . �s + Right Side: I Oo -}
Rear (Street): �� •�. Left Side: �t�` +�
Adjacent Struc[ures: (-��T�9�N-� Wedand: �vJ�
Building Height: Def. Hgt. yl��_ Peak Hgt.
Lot Coverage: U.k
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
'Zoning File: # Resolution: # Resolution Date: �
i � � � � � �
�Shoreland Dist:ict: .
Avg. Setback: Bluff Setback: I.ot Coverage:
N� � Existing Proposed
Hardcover: 0-75'
! 75-250' � �
i 250-500' �I 6 0
� 500-1000'
I� Hardcover Vaziance Required: Yes No Date of Council Approval:
. �,
REMARKS (in house):
26
BUILDING RE'VIEW CHECK LIST '
UBC: R'3 CONSTRUCTION TYPE: �/�1
� Sq Footaae $ Per Sq Ftg
Basement R =
lst Floor x = �
2nd Floor x =
Garage x =
�=C-K �SZ 7c ((�•t�O = 3.5 L-��
TOTAL
Estimated Construction Value: $�,��`� -
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
oc Footing Septic Sewer Connection
a Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� F�� Grading/Filling Electrical (State Permit)
Other
— ----------------------------------_____----__---_--------
REiI�ARKS (IN HOUSE):
------- ------------------------------__
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
---____------------ --_— —__
REMA,RKS(TO BE NOTED ON PERII�IIT�: �
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DATE Gq TIME
C1TY OF ORONO CALLED IN IU ��l'/,/ �� ��'
INSPECTION NOTIC�j SCHEDULED /�- � 9> ��� ��i
PERMIT NO. �:�� COMPL� ED �t�� '- i 1 F'�--
ADDRESS � `-��'! � � • � �� ������ i�.��.�
OWNER �U��{�/ CONTR. r,.�E;-_{.C�'.,,c.1(�•%.�e.,`�
,
TELEPHONE NO. �C7�1 ��.�3�.' ���
9 ,
� DESCRIPTION ��� L ��
� 01 F�OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z FINAL 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO--SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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lL �WORKSATISFACTORY:PROCEED „,..!Pf30JECTCOMPLETE
�� CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
O C' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra tor n,��e:
Inspector. � �^--
White Copyllnspector's File Canary Copy/Site Notice
'` "'�'urvey for: �'
' �" � CITY OF ORONO BRANDL ANDE
;/ ` � °C SITE PLAN G�iAL�ING PLAN coT �Eas
�A���OV�� �� AR A� L17�` LOT 3 LO 6 Jl,. l
� /�� / / \ � ❑ AP���V�� WETH REVISI�}n1S AR n . ' rv -.. __ 'c j�F+,� 5aF9 SF -_� _-_-�
N JF i� �Su ��N ' 1�; � . ��71 ib9 �_�_ '. y'o>.�. a.. II
j .+nc r _ I
�\\ s�� ❑ DfSAP� iAREA OF 250-500' ZONE 129,dy0�.F. - -�_
� ���O � � � .�, -
- I � 59 S.F. 6 „0 S.F.
�t�� � TOTAL i3�2�.,.,F �79 J38 S P_+- .,1844 S.E i �„7J�.F I
`l oF
/'� Q`O � �� �o�' O � � *\ ! BY �= cnrcH ensiN EXISTING HaRDC04ER AREAS
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/ / , SN� � � * \ �I L � �2��cj � _�_—._`p = E�ecnc 6ox zct�E o-�s' .__. �or 3
/ \Y�� i'� :� � ��o� �OO u�'� n ,\ 1 - FeNce coRNea nr H � _ --_ s � .F. - -�- -- - - --
, ,
i �� j7 � T S n CK 386 S f
,% � i � . � � � FLARED END SECTION __ _
j i S�i � j �REi�INiN� WALL I - I t2 cF o��c --
� QJ�� " � ��` �J I 0 � - H7DRANT TOTAL ---- -- 1 025 S.F.
�� � � ___ _
^ �4�" �a i N `3J_ P ftCENTAC{ --- --- 5309. 0.287.
/ O\ � \ '�1�0 �� t� �,.ti a�� r \ � = lIGH7 POLE tuYv� 75-25u' ___ ___
Q / � \{ 'y o0 � �J � !�P 3u i r \ HARD CO�ER 4REA5 L07 1' --- LOT 3 '--- t0T S OUiLQT I
/ ,\�/ / ❑ V. ��. . � �� \�9J��p`i i � I �= UTILITY POl£ '__ ___ _ ___ ________
i� / , � '� HOUSE 1 691 SF.
a� / ' ,' � � Qf. ` �."c^ i d f (1 - SANRARY OR STORM AIANNC�E DRIbEWAY 117 S.F. 2,146 5F
�' P� / " i r � Zc^.' O ` �P f � � a i wn -- -- -- - -_ 8a5 S.F. -uo-s.r._-
r � � z ��� = TELEPHONE 8�X pqP 849 S.F.
f '1� � � �� REiAINING NALL - 45 S.F.
� -- . 1y�„ . . . , 0 707n� ___' __ _ ___ 3547 S.F. 2284 S.F.
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;' �G� P��� � ,.--�"" y.�� ��� � �, ''s � �� sT�,9 FRECERICK STREET � PER�EN.A� ----- -- - ---- ,o.,B� ,9oz� �
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/ � 1 / .. � _A . � � 0� �t �� �— '' i -- ----i nraE 250-5nn' ---- --- ----- -- -------
\0/ / �'�,� 1-�T'R ���3'30' ' / /////// N 1q9 f i I HARD CObER AREAS �OT 1 LOT 3 __ LOT 4 vU107 7
/ � �J � ,�.yy ns��Y/ ( ' �35.90 l �-// ! ,O\/n/ /�p'\ i GARAGE 906 S F.
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j � �i�• 7' Y '2827 4 G i ` _ __ __ -
I 3 UE � i DRtVEWa.v 2.227 SF. 1,n5 SF. 2.980 SF.
1�a7, `L �r` / E ESS �1/ �A �� �, �'ty PRP � ,,' , �sirE ,�; � , iu�n� �.zz�s.F. z o�9 s.F. z aao s
j ti 6 c��°�sE`�, � / � ' , - -- --
� � �� � ��'' � R�Q$E INGRESS Ac `^ i � i i PERCEN7AGE 6.517. 5.797. 24.81'G
c�h .�� / GRESS ASEMENT-B�__ �'1�{� I � �o o. � � �
. �. � :•. ' , r: l.�'R��j�3'aE' �c.' '�_ __ '__ __'_'____'_"
� � .. . � , 36 8 62 � _ / � I I PRO�P CO AREAS
. ��'_---- �'� �r �� ��\ i Hn �o��s°°HARD VERT �oT 3 �o� a curtcr�
�
. :'±1 • , f•/S�8�7'S9'µ� � �� A SE'LY LINE OF LOT 1- � � \\ i ;� i N�U�E 2 C4E �` - --- '-- --- ---
I �� O \\ �3.�3 I� � / � '� �;:�; �\/ � ' i i RI wAI 2,•19 SF.. .
�' r 4?e'ae�'�Py' \„ T'1-f-�oyZ4nnU � ���4� "��'JM� ���-�.^\ � ��� ^ i r�`�^ I 30BS.F. _ ___ __ ___ ___
.,�:_ ' �; �=-, .' . .' pP 5.52� �:C11�3(�CC� �/: ��'\ 'i �rnr>i_ y,y,. � --T- -- --- --
p - i a ` '� T � _ - I � PEftCENTAC£ 13.077.c ' ' --- ' -- ---- ---
�'r. �-i
o � �� ;� � .20�°��� +��{,5� `� `\ �j `------- -�--------' - --
� �,= �� �� '
, �5
i �� ������ `� �� o� + �� �. .�� �� N
SECTION 20, PNP. 117, RGE. 23
� � W ��� w� t\`\ ao` 0� � ����j�� \�O. LOCAl10N AIAP cFrF�� �_ � �`,C E;K
� _ � E. �. ?E��� .E�5 tASEMENT - a
�, u7 � 6� �� o r �� z^ ��% . � i �.' O.,
� � - ,� ry �� o�SE� `� L ��� ,SdE ��� �� ����� A 15 0 �o� .v�� � al c��ern . r in�r ss and egress pu p�s ., �n
O 00 �',O� d� pl��� � h� �Y� 9
, ^Q �O� i .yo� ��p A ` -� . NQ-�� ,5pqa7 over �nCer o � �o.s _ _ 1 3^;.r � PLLSGN S VILLA C?Rb1�N.
�(�� �e pti�A�,t W,_v_ � LOT 1 AREA = 34.215 S.F. ,,,., „ ,, ,,, � , ,�, � „� �
��"� . O i' ��oe° �C� o}� �� jtioJ \ �__ d,_, . . , aa,.,. �1^�__..:
/ .a Z ,,�pR \2 � y vD'60 �'/ '^� = OJ8 ACRES cznter line of said eesemenr'is descrbed os follows
� zo� \�?,\ \��� = j 42� �y \ �/ �- DRNEW4v EASEMENT-A AREA = 2,680 S.F. �
i TM
!n _ \���1a�h�\�� `O,�N/" =L_E_y_n�c np�pT 1 / � •�`1 \ \' ! ��� - Q06 ACRES -
� �p, � t , / (,emmer �n� . �he mcst r.;rtl'er� com�er of smd Lot 1; tn<�ce �.r �
y.-� PC'-�R ,, ,� /yyy� 'y�oj 'F� GRIVEWAr EASEMENT-B AREA = 526 S.F osaumed bear:ng of South 5� degrees 22 minutes 15 second> wes+ ..�a����;
1� .�SE�'�P /,/ y� = O.QI ACRES the nor hwest rly line o! said Lot 1, o distance of 44.00 feef to th_
.-��OC N -' i / e� /� LOT 1 AREA - DRNEWAY EASEMENTS = 31,009 S.F. point of beg nn:ng of soid center line; thence South 11 degrees 19
� :-��� „--�'0.51 ACRES --___„_Zog°o����j� �98^� ` 9l� �5� � / ��"��� -�6.9 = 0.71 ACRES minutes 15 seconds West, a distance of 18.39 feet; thence southwe=_te��v
- Ra2���0^ j� �� � ��///�' ,� �� AREA W£ST OF W'LY DRIVEWAY EASEMEPJT =� 22,216 5-F. o distonce of 28.21 feet, clor�g a tangentiol curve, concove to the
� 42.8� � ``: \o l I c�� �`' � = 0.51 ACP.ES northwest, havmg a rodius of 1�5.9G feet, and a centrol engle of 't
a'�� 3�� I � � � -o� Z��GS� C)HCREtE � Jcyiceo �3 i i uica �0 secwiJs, liiei�c swif weolcily, u Jioi�nc.e �' ;,&-'3
/ �5/ S„o� Fan� fee!, along a reverse curve, concave to the southeast, having a radus
'�� ��j � �� � � COHCRE��.��;a.,o � � ���� ��,;�� � - of 137.62 feet and a central angle of 15 degrees 03 minutes 46 secords;
-� J�SB � � � / � vnuu � . �, � , � �ho..�a 5.,_�n ng 'oy.<o< n7 �,�.uro< 5a oo�onns Wogr, r..�.�a,.t r�
� �3n�0� �*� �'� � � ��� ."' y a0+ said curve, a distance of 15 73 feet; thence southerly, a distance
.�� �$jQ O+ , ��,�ef�21 �� ,J \�� � \ �,,,i� tia� of 5.52 feet, �long o tongential curve, concave to the east, hewn�� ^
, � ��� \ �, � \ �! radius of 13.OU fezt, and a cer.tral angle of 24 dzgrees 2 m n�tPs GO
0.J, � pq` ,' � /�� `J cor�cRe7E\"'�/ n " � secunds; thence Scuth 16 deqrees 13 mfnutes Ol secunds East tanyert ;
.p 9� �� � � aano �r � said curve, a distonce of 48.89 feet; thence North 89 degrees 11 m nutesJ
�p�}�_ S n���/"r�.o �i � O6 seconds East, a distance of 25.61 feet to �n easterly line cf s�id
Sy�Q�J� �Ar • �M \ ,- �ot 1 ana there terminating.
�YYJ O+ `� 6 �
�--�2�5 W \ t�R�N� The side lines of said easement slioll br, prolonged or shortened t� terT��nate
r� h
' �j.�� '\ tyh',ph� vr� ,uu nor[Fweatcny o-�d easterly 'r�es of said Lut 1.
f�P��\GH
\ ,pRONP �
� /
s � PROPOSED iNGRESS AND EGRESS EASEMEP�i - B
ti
��� \� � /
�� /� �� � ��'- � An eosement for Ingress and egress purposes Ipng over, under on:] cacss that
� - �/ ,//��/�ifs ` _\0:1` pnrl of Lot 1. Block t, TILLSON'S VILLA CARMAN. according to the reroraed plat
� � ��� i F � E ,� / thereof, Hennepin County, Minnesoto, lying easterly of the following describeC
/ �`o�F.� �
. ���� ������i� ��o���N� � line:
(� ��t p�N �
�� � j 82� ,, 5 Commenang at the most northerly comer of said Lot 1; thence on an
en � - ���((( ��� � � h� �''p assw��eu bea�ing o` So�th 23 degrees 38 n-��n�;es iC seco��ds Cast, ao���.� a
! � "Ws�c�� �Nc�° c�(� ,'FEg.�5' northeasterly line of said Lot 1, a distance of 71_3i feet tu the point�
! �� 00" ��NElEO of beginning of said line; therce South 03 degr=es i6 minutes 39 seronds
Eq /� �/ a .cgocP �Ean�oEscaian2N - t �t 5 03 �PP� ��-, ,, hP iy � �f
� ' c- � ,Hp.s�. East. a dis o�ce _ 5 . _ =�ut as'.e� _ _ sal� ��,� � ar.d
�lf p OU1LOi 1, LOiS 1, 1 AhD 4, BLOCK I, T11150N'S V1LLA CARMAN, ACCCRpINC
therv terminatmg.
SCALE IN FEET A j CF / {�'`����A TO THE RECORCEG PLAT i}IEREOF, HENNEPIN CWNTV, MINNES(lTA
� ,OO�j �Qa\4���P � �-.
I