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Home My WebLink About2002-P05442 - addn/remodel/repair CITY Q�F ORON PERMIT O Permit Number: 2750 Kelley Parkway- PO Box 66 P05442 Crystal Bay, Minnesota 55323 Per'mit Type: Addition/RemodevRepair (952) 249-4600 Date Issued: si2oi2oo2 SITE ADDRESS: 4665 Bayside Rd Maple Plain,MN 55359 PID: 06-117-23-22-0017 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: iviec;nanicai r,iec;uicai�siaiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 391.25 Valuation: $ 25,000.00 Plan Review Fee: $ 254.28 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 658.53 APPLICANT: Owner/Self OWNER: Irvine&Marjorie Geffre M� 4665 Bayside Rd Maple Plain MN THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ., , � � �, ��rnc APPLICANT PERMITEE S fj-aI'URE ISSUE�D" Y SIGNATURE Copies: 1-File(Si2nitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 . � Total Fee: $ � ��j -�� Date Received: �� G' h�� L� Entered By: �� .� Permit#: `�� Z >��..}, � . , L � >1 �`/�� ) �-�X� ; ". 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 OR CONTRACTOR l JOB SITE ADDRESS: -j��. .:; �,4�.,� � � � ��,� ZIP: �,� ;� c�� NAME OF OWNER: _L��'�k � � � �,.� PHONE: (home) 9�� 7a 3 �� (work) ��,� �7 3 i;� :� MAILING ADDRESS: � _�_—_.: .__��_�:._, CITY: .,. ZIP: -s5-3 s 7 �f��S �a-�<<1� 1R�� ;�,� s i'`r' �, `s �r 3 CONTRACTOR: ,n4�, t,�:�, r,.- PHONE: `is-� `�7�� 3,' �S CONTACT PERSON: s ,.„ ; ,., MOBILE/PAGER: MAILING ADDRESS: /� �_� f.�-��_. �� ,��zG% CITY: ��{,�/,��/�� ;� ZIP:�>"�.;- "7 �� STATE LICENSE: # ARCHITECT/ENGINEER: ��-�-,,,,` P PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition � Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �N �r :� � C° /d s f_ �<, STORIES: SQ. FEET OF EACH FLOOR: a ��,, NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED 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 SIGNATUR�:___ ,�i�, DATE: � 3 � NOTE! Parade o�'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. 5 � � 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 se[forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning hunself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state ageacy,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 en[ities 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 mav olace the notice reouired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher 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 hun 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 acuon 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 reques[by the individual subject of the data. The responsible au[hority may require the requesting person to pay the actual cosu 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 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 individual shall notify in writing the cesponsible authoriry 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 tecipients 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 disaereement is included with the disclosed data. The determinadon of[he responsible authoriry 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 �ity 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 fumish 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 Ciry 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 pernut 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. --� � �, ; , � � �z.� ,4--s G� `��_ First Middle Last -� �� ,� � ,�l� �2 . Address �lI,� J � �P I G � � t�1 w �s.�.�-, 9=s"� �� :�> > i City State Zip Phone I understand my rights as stated above. `-12c � Signature ) 6 . , CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: Y665 Q�9 y�s�oc-: !�-v� PID: DESCRIPTION OF WORK: /},�Joi n o� ------------------------------------------------ -----------------------------------------------------------------=----- ZONING REVIEW BY: DATE APPROVED: � -Z�, -�Z BUILDING REVIEW BY: DATE APPROVED: -�. z5 -o Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes v� 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: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes ,� No Date of Survey: pi✓ r-r� 8-Z3-g�j Proposed Setbacks: Front (Lake): 9�o� Right Side: �35' Rear (Street): l b3� Left Side: )�� Adjacent Structures: �Q-��1-Iv'�'� Wetland: r� I� Building Height: Def. Hgt. C9.� Peal:Hgt. d`�,� Lot Coverage: ��/2 Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: � By: Zoning File: # � Resolution: # Resolution 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 . � BUILDING REVIEW CHECK LIST UBC: ��•3 CONSTRUCTION TYPE: V�/`� Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = R = TOTAL 0 Estimated Construction Value: $ 2 5 C�d�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �--Mechanical Water Connection p( Footing Septic Sewer Connection _p�Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) �Final Grading/Filling � Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ---------------------------------------------------------------------------------------------=-------------------------- REMARKS (TO BE NOTED ON PERMII�: 8 J,�`� � Cri ��-ra� I . MDTcheck COMPLIANCE REPORT I . Minriesota Enerctv Code ,.k,,.�,r`±,,,,� �� ,i Permit # MNcheck Software Version 3. 0 � ,,�, �� + � � -� I Checked bv/Date I COUNTY: Wriaht STATE: Minncsota ' ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-17-2002 COMPLIANCE: PASSES Required UA = 78 Your Home = 68 � I3. 3� Better Than Code Area or Cavitv Cont . GlazinQ/Door Perimeter R-Value R-Value U-Value ---------�------�---------------------------------------------------------- CEILINGS 280 44 . d 1 . 0 WALLS: Wood Frame, 16" O.C. 384 19. 0 2 . 0 BSMT: Conc. 8 . 0 ' ht/7. 0 ' bcrl8 . � ' insul 384 11. 0 2 . 0 GLAZING: Windows or poors, Abpve Grade 12 , 0 . 350 DOORS 40 0 . 350 --------------------�------------------------------------------------------ COMPLIANCE STATEMEAIT: The proposed buildina desicrn described here is consistent with the buildina plans, sAecifications, and other calculations submitted with the �ermit aAplication. The proposed buildinQ has been designed to meet the requirements of the Minnesota �nergy Code. Builder/Designer Date T 'd B6LS E96 OZE ?J3HWfl� 3�Id� 3�ddW Wd6 T =� ZOOZ L I 1f1C DATE IME CITY OF ORONO CALLED IN �� _(� INSPECTION NOTIC,��j��,� sCHEDULED J�� PERMIT NO. /`� ��eOMPLETED ADDRESS—_`7�D��5 �CL.L1cSi G� OWNER �=r// �� ' _ CONTR. fl!�'� Ul�e�f TELEPHONE N0. � �� J`�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 INS TION 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 O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL �IOWNERI NTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a �� O >. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952) 249-46�� OwnerlCon or n it : Inspector. - White Copy/lnspector's File Canary CopylSite Notice / DATE IME CITY OF ORONO , i ALLED IN INSPECTION NOTICE :;� ��"t SCHEDULED j�-/j-b JE;OCJ,fI-�'/I PERMIT NO. �' �` � COMPLETED ADDRESS `f �i.�� i�l-�-e�:3a,��2 Kc� • OWNER ��1�1/- G1 c��-� CONTR. G1,�1�� TELEPHONE NO. j��?�� 1�� r ,�� DESCRIPTION � 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q - FRAMIN 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL BING FINAL 36 FOUNDATION/REMOVAL OWNE ONTRACTOR TO MEET YOU:_YES_NO � OMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 OwnedContrac site: Inspector. White Copyllnspecto File Canary CopylSite Notice i �/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED � % .'�A�1!1 PERMIT N0. �C� S�/y Z COMPLETED ADDRESS `7Lo��J /�� )��-�;'��. ��- Z�✓,n C� OWNER ��r�`rPd CONTR. G�-c�_ TELEPHONE NO. �l L��a' ,'��' LP�3� � ��i'S a y7� � 3��7� � D tP�'i l� 1 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H Q 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 v 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 Z OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ��V a � � O � � O � W � Q � 2 W � W � � � IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-46�� OwnerlCon o n i • Inspector. � White Copyllnspector's File Ca�ary CopylSite Notice