HomeMy WebLinkAbout2005-P09256 - addn/remodel/repair PERMIT
CITY OF �RONO
2750 Kelle,;.Parkway- PO Box 66 Permit Number: P09256
Crystal Bay, Minnesota 55323 Pel'mit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
10/14/2005
SITE ADDRESS: 3843 Cherry Ave Unit#
Mound,MN 55364
P��� 08-117-23-33-0040
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
YP
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical
NOTICES/REMARKS:
New foyer,kitchen remodel,bathroom,roof beam support,new staircase
FEE SUMMARY: Permit Fee: $ 293.25 Valuation: $ 18,000.00
Plan Review Fee: $ 190.61
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 492.86
APPLICANT: Owner/Self OWNER: Michael Mei�er Company
MN 25625 Birch Bluff Rd.
Shorewood,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� �
/� � i''�" „ , . C...;�7 _ /� ,/
1�.. , �jy ?� ,'�� -, i --- rlX
/ . ��.--�1- l_ � ) `. �. ,
� : . - ___...__. '1,,' �/1
. �-���:��` � � .�. � i:./ �� 1` ,.
'APPLICANT PERMITEE SIGNt�TURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�o��
. t � , �
� - '1 . �' 11
Total Fee: $ j� ` v �� Date Received: l�� y OS
Entered By: �`�,� v,� Permit#: ,40 9a5�
�
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(/�lease pt�iixt all information)
------------------------------------------------------------------------------------------------------------------------
._---
THE APPLICANT IS: (cir•cle on OWNER O CONTRACTOR
JOB SITE ADDRESS: �3�L{� C��`(-l_�{ �'�, ZIP: ,L��r"�!�
Will this be Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special eve��t per�mrit is reqziirecl�vith Po/ice Department nnd Ciry Council approvnl
60 days p��io�•to the ever�t. Shz�ttle bus service rvi!(be required tmless applicant denzonsU•ates
szi f cient on-site parking is nvailnble. Non-permitted evenis will not be allorved.
NAME OF OWNER�(� � lCl-Vl.i�i V' �C�l �CVIQ-� PHONE: (home) �Z`���
(work)
MAILINGADDRESS:�p�1���C;�'(��1,��-� CITY: ��IiI�I��.�� ZIP:� _ �
CONTRACTOR: PHONE:
CONTACT P�RSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
AI2CHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration�C
PROPOSED WORK(describe in cletrri�: N�,� �y�, K�iZ;�-}E'f�} �`�t�j�"�
�� �I`���-��, ��� ��'Y�1.��A��.T �tiJ��1�..Cfl�=
S'I'ORIES: � S(�.�'T�'I'OF�ACH�+LOOR:
IvO. OF BEDROOMS: _� GA12AG� STALLS: ATTACHEI� DETACHED
ESTIMATED CONSTRUCTION VAL,�1A'�'ION(exclucling land): � ' �� ('J�, �� —
I hereby apply for a building permit and I acknowledge that the information above is complete and accurat"e';"
that the work will be in conformance with the ordinances and codes of the City and with the State [3uilding
Code;that I understand this is not a perinit and work is not to start withoLit a permit;andthat the work will be
in accordance with tt�e approved plan.
APPLICANT'S SIGNATUR . � ATE: O
�1
Scc.13A4 RICIiTS OF SUBJECTS OF llATA
Subd. l. "I'ype of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this seclion.
Subd.2. Intbnnation required to be given individual. An individual asked to supply private orconfidential dataconceming himselfshall be
informed of: (a)die purpose and intended use of thc requcsted data within the col lecting state agency,pol itical subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising 1�om his supplying or refusing to supply
private or contidential data;and(d)the identity of other persons or entitics au[horized by state or federal law to receive the data.This requirement shall
no[apply when an individual is asked to supply investigative data,pursuant[o section 13.82,subdivision 5,to a law enforcemen[officer.
The commissioner of revenue tnay place the notice reauired under this subdivision in the individual incomc tas or propertv tax refund
instructions instead af on those fonns.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or contidential. Upon his tLrther 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 privafe data and intbnned of its meaning the data need not be disclosed to him for sis
mon[hs 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[he 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,wi[h any request made pursuant to this subdivision,or�vilhin tive 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 requcst
within diat time,he shall so inform the individual,and may have an additional tive days within which to comply with the reyuest,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 publ ic or private data
concerning himseH'. To eaercise this right,an individual shall notity in writing the responsible authority describing the nawre ofthedisagreement. The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incotnplete and attempt to notiCy past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual th�t he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with die disclosed data.
The determination of the responsible authonty 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 infonnation.
You are notified that:
L The information you furnish will be used to detenuine your c�ualification 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. lf 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.
� �G�-�n-�� �, r`1�i ��=��/
First 1 ( Middle Lxst
���w���"r-- ��
Address
City Statc Iin Phonc
I understand my rights as stated above.
�=�����u�. ����--____
Signaturc
32
- CHECK OFF LIST FOR ISSUAI�TCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3�c3`�3 C��c 2�.� I�1�,�.
PID:
DESCRIPTION OF WORK: A(�� � �- i o�+S / FtA, w.,3��
------------------------- -----------------------------------------------------------------------
ZONNG REV�W BY: �-�� (Q,�,,,,,,,� DATE APPROVED: /o -��- 0 5-
BULLD _I�i'G REVIE�'V BYC��U DATE APPROVED: �o-��-(-o S
F'EES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ./ No
PLAN REVIEW Yes � No SEWER COiVNECTION
STATE SURCHARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE Yes No ,/ PARK FEE
SAC Yes No �/ SITEINSPECT`ION
Number of SAC Units OTHER (specify)
---------------------------------------------------------------------------------------------------------------------
ZO`�i 1G CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Se.ft. Acres Width Depch
Survey Submitted: Yes�_ No Date of Survey: �e.p-f 2�, Zc,oS
Proposed Setbacks` � t � �+-r e
Front (Lake): -7'-± 7 0�+ R.ight Side: 23'�' 3G.S�
Rear (Street): -l1'= 60� � Left Side: �4�* � ��
Adjacent Structures: ��,� Wetland: /�/ l�
�suiiding Heignt: Def. Hgi. (�.IL rea�:Hbt.
Lot Covera�e: � L �'�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zonin� File: # — Resolution: # Resolution Date:
Shoreland District: y-e�j
Av�. Setback: /v Iv4 Bluff Setback: N f� Loc Coverage: �}• 'Z
Existin, Proposed
Hardcover: 0-75'
7�-250' �, �C
Zso-soo� C 3�
500-1000'
Hardcover Variance Required: Yes No_�_ Da[e of Council Approval:
�1'�LE�RKS (iIl t10L1Se):
7
BUILDING REVIE`V CHECK LIST
�C� /` ' 3 CONSTRUCTION TYPE: 1IlJ
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x _
Garage x =
R =
TOTAL
Estimated Construction Value: $ / �,Qc�c� `�
Inspections Required: `Vork Requiring Separate Permits:
Site _�Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
_� Footing Septic Sewer Connection
_� Framing Fireplace La�n Irri;ation
_�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
_�F�� Grading/FIlling �Electrical (State Permit)
Other
RENIARKS (iN HOUSE):
-------------------------------------------------------------------------------------------------------------------
REVIE`V BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date gy;
------------------------------------------------------------------------------------------------------------------
REI�IARKS (TO BE NOTED ON PERiI�fI'1�;
8
C� CL%� DATE TIME
CITY OF ORONO CALLED W l���
INSPECTION N T C SCHEDULED l_ -D,S r�7:d�
PERMIT NO. �� � COMPLETED -�I'v� j�c�v
ADDRESS �
OWNER �2�Q �e�x��-� NTR.
TELEPHONE NO. ��a ?�d p 102�
� DESCRIPTION `nS G��L�-�/
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
o � � ,�/� i S� .�i�.�;>/�1-{'i v ti.1
� ��c� i� �1 j�� 3�r�:c;'_
0
�
W
Q US @ � ec�,.. ������c1�� �,9�-� toL p..r
z �=1� � o�� �. �J� `�. «J�i K
� � �U�_�''C7 ;�;'S' � cx�i� �C.�f�e�e1'.,✓�
� ��°s �'� �� •
a
W� ORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING 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. �952� 249-46QQ
OwnerlContractor on site:
Inspector. �/ ����
White Copyllnspector's File Canary CopylSite Nofice
�� D TE TIME
CITY OF ORONO CALLED IN �� a
INSPECTION N���a� SCHEDULED !O �,2;d�7
PERMIT NO. COMPLETED
ADDRESS � 3
OWNER e( CONTR.
TELEPHONENO. ��Z 7b Z ��O Z�
� DESCRIPTION � ��
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G DING/FILLING
� 02 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �1�.E'.�(�
a �
o ���� ��
� �.`� o ' �
0
�
W
°� i i!�
Q
�
Z
w
�
W
�
�
a
W WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOl1RS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (J52� 24J-46��
OwnerlContrac�n sit :
Inspector. �� �� �~"�
White Copylinspector's File Canary CopylSite Notice
�� i��N' DATE TIME �
ITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED __���� ---�, `�
PERMIT NO. COMPLETED
ADDRESS _�� �����i ��/L_1�h ll�� f. _
OWNER �.7,,�"(,���X�CONTR.
TELEPHONE NO. CO�� ~ ��Z —�IlJL�
� DESCRIPTION /— 1 �/1� j�f'T�l(�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 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 O6 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEN S: "
a " �� '� . C• c`V�
o ._ a ; �� �
�. . � i,l � � � t��V� � �
� �
° -- �u . s v�S
W
�
Q
�
z
W
�
W
�
�
d � �
W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W fO C RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,�; pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
G INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next' spection 24 hours in advance. �95Z� Z49-4600
OwnerlContract s :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
(/� � DAT TIME ✓
CITY OF ORONO CALLED W `� � �����
INSPECTION NO C 2�/., SCHEDULED l C' ' ' D M
PERMIT NO. vJ �' COMPLETED �C./�c� � JO
ADDRESS �3�3 ��/�n�' �� .
OWNER �G���r� �i,�_�,�i1L!' CONTR. OL�//'�QT
TELEPHONE NO. n7�vhcC � /�- �Or� �CC� c��'
� DESCRIPTION ��C�a� . � ('�,'�_ L,%�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
j
o � � � G ��e'Cr.`� r"c� � /�A �J�.<
� �u� �✓�d� � ��C �,��-� r �
0
�
W
�
Q
�
Z
W
�
W
�
�
W� �RK SATISFACTORY:PROCEED I_�ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION � ` TEM�ARY
V BEFORECOVERING �qNENT �'f/((�/Dr„
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN � � Jv
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on ite:
Inspector.
White Copylinspector's File Canary CopylSite Notice
051036 8/117/23 MEIXNER, TANIA
AD VANCE SUR VEYING � ENGINEERING CO.
5300 S. Hwy. No. 101 Minnetonka, MN 55345 Phone (952) 474 7964 Fax (952) 474 8267 � � _
� �
",' Chey.�.y � _ _
suRVEY FOR: TANIA MEIXNER �j venue �
— _ ,
,
-Fw,d,�? � �-- S 81'4,5 57" E o�
SURVEYED: September 26, 2005 DRAFTED: September 27, 2005 � -��� 12-_ �;
� ,
� �
LEGAL DESCRIPTION: ;� ; ;� ''�
Lots 6 and 7, Block 7, Crystal Bay View, Hennepin County, Minnesota. � � � � F�n�Z.� � �
I
, � �
SCOPE OF WORK: ; �, ; � �
��' I�r�1,���Yc-��%c �
1. Showing the length and direction of boundary lines of the above legal description. The ; � ; �; � _, ,-
scope of our services does not include determining what you own, which is a legal matter. ' �� � r'=�j��
Please check the legal description with your records or consult with competent legal counsel, � � � /
if necessary, to make sure that it is correct, and that any matters of record, such as easements, that ; o ' � �°�'`� �e ,%r: �;_� ,�� ,-. <<
� _ �� .,:
you wish shown on the survey, have been shown ,- �'
2. Showing the location of existing improvements we deemed important. �,- ' �'/ R �k K'�fh ,o Oeck
3. S e tt i n g n e w m o n u m e n t s o r v e r i f y i n g o l d m o n u m e n t s t o m a r k t h e c o rn e r s o f t h e p r o p e r t y. %Sf;�
� � e�K
4. Showing and tabulating hard cover and area of the lot for your review and for the review of �� / � � 4j 9 � �s.s
------------
such governmental agencies as may have jurisdiction over hard cover requirements. ,� ' � ti
� � o � ti � �tory �-r �
STANDARD SYMBOLS & CONVENTIONS: = j ,� � � �O�k O�t °�e '��
" • " Denotes 1/2" ID pipe with plastic plug bearing State License Number 9235, set, unles O � �'� �' o �a.s � W
otherwise noted. �o �cj � ?95. '¢¢ -----.�---- � �
O � � _ � � 5 y � �
I hereby certify that this plan, specification, report or survey was prepared by me or '� O I ?2,o Ro� .,� i o Q�� � �o
r
under my direct supervision and that I am a licensed Professional Engineer and Z � ��� '� � � � p
Professional Surveyor under the laws of the State of Minnesota.. b � o°i '6.� o I O
� � o�o°' � � I Z
- �s�� �' �' � �
am s H. Parker P.E. & P.S. No. 9235 c��'
� ` �o�k_.
�� � �.��
CITY Q�� OR�#�� , 9-$� � � �o
_ 8o I
, � SITE PLA.i�I GRh�ING PLAfJ ,_�--�' oc�� �
;f, F . ..:,,��_ �oy.��. �- OeU� �� � �
, .
. .�m�:_�;���,� �
,. . . _ . . . . . ,� ,!
C•3`s��r
i � '. :'.^i,'�,��'�N
! �,;Y- .,— � ��2? �1
� ��:;�-- �o-/Y-o�' m �
`.. ' ,O�c o
� � o
, �
�z 2 � ,
� � ` �-' � l <<� (_._
GRAPHIC SCALE _ _ � Fo��d .�r,- F�,�d ,,�• ��� ,���� �� '%; '� `� j �
zo o ,o zo ao '- ——99.25—— -- ��-
� � ��� ��c.'��' S 8950'48" E ^
( IN FEET ) — — — — — — — — — — — — Or(N. / V 0. 05�0`36