HomeMy WebLinkAbout2008-00343 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2008-00343
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssUEn: OS/20/2009
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2685 COPPER VIEW DR
PIN : 33-118-23-43-0018 �"
� '�
LEGAL DESC : ROSCH ADDN � "''��;�
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPA[R �``�
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 3,000.00
NO"I'E: PUT A PERGOLA ON THE SOUTHSIDE OF HOME ON PA"I IO OUTS[DE SLIDING DOORS.
APPLICANT PERMIT FEE SCHEDULE 88.50
TURKBAS,MR. & MRS. JAY PLAN REVIEW 57.53
2685 COPPER VIEW DR
LONG LAKE, MN 55356 STATE SURCHARGE(VALUATION) 1.50
TOTAL 147.53
OWNER
TURKBAS, MR. &MRS.JAY
2685 COPPER VIEW DR
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The a t is responsible for assuring all required inspections are
uested in c nformance with the State Building Code.This permit may be C.
revoked at time for d_u�use. ( � � �� . (,��
� �� � S l ��v i ��� ;� ��--2-'� C��-�'l l
Applicant Permitee Signature Date Issucd By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
P �: 1�
1
.`��a,a3��r "�.liJ�����4`+',d i ai :5��es�
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Total Fee: $ /�7. �:� _7 Date Received z�0�g-�C�c3�
Entered By: Permit#: /D/��'�O�
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 1S: (circle one) �OWN_ E�2�OR CONTRACTOR
JOB SITE ADDRESS: z.(of'j�.� Co rp�z-�r V P�v I���V e ZIP: ���j (�
�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes -�NO If yes, a special event permii is required with Police Department and City Council app�roval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site pa��king is available. Non-permitted events will not be allowed.
NAME OF OWNER:-��y v�KhG�S PHONE: (home)q5a y`f���j�Q(o
(work) 7l�3�a5 3- I 3 6�
MAILING ADDRESS: Z C.��J Cc��,�,e.�'V�E�,J D/'� CITY: Cj RO N O ZIP: JS35(�
CONTRACTOR: (-�t�L O w N P y� PHONE: ����� �� , �t U9�
CONTACTPERSON: �,�� T��L���x� MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �_
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(descrihe in detai�: - �� f� _
_ o
v c��s c� '� , ;�' "
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED�_ DETACHED_
EST'IMATED CONSTRUCTION VALUATION(excluding land): $ ��.,� -� � ���
�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the wark wil] be in confonnance 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 ihe wark will be
in accordance with the approved plan.
aPpLicaNT�s sicNaTuu ,� � � O��x�2� �aTE: �`�-�- �7 c�8
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type oi 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 dataconceming himselfshall be
informed of: (a)the purpose and intended use oY 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 shal l
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 place the notice required under this subdivision in the individual income tax or.prooertv tax refund
instructions instead ofon 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 ofthe content and
meaning of that data. Afrer 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 shal]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 authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and]egal holidays,if immediate compl iance 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,excludine Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accura[e or complete. An individua]may contest the accuracy or completeness ofpublic or private data
conceming himsel£ 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.
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:
l. 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.
a;-f r r �_ � ln����P ��iZ�.��-�
First Middle Last
7 c����� ��r-- Y;N�,� Dn ✓e
Address
_l>�On�U /'n nl S � y��� y�l� y�q�
Citv State Zip Phone
��utr tand my rights as stated above.
�/ —�� I�,
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S�gnatureT^
Reset�Form 32
CHECg OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY ���`'����� ���"' '
�ADDRESS OR LEGAL: �,��� �,� ������ ��`
PID:
DESCRIPTION OF N'ORK:
ZONING REVIEW B • DATEAPPROVED:
BUILDING,RE[�IEW BY.• DATEAPPROVED:1 v- Z y _p y�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PL�4N REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes�� No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No—�r SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CKECK LIST Zoning District: �
Fire Department.• Post Office: School District.•
C
Loi Area: Sq.ft._ ��� Acres �- � Widih�G'vC/ � Depth
Survey Submitted: Yes No� Date of Survey: �'�`—C�� �j�-�j�
Propose cks: / i j
Fro (Lake): �U� Right Side: '�" ��
�- l
Re (Street):'�� �� Left Side: �T �� I �
,4djacent Structures: YT�etland:
Building Height.• Def.Hgt. Peak Hgt.
Lot Coverage: N�
Grading.• StaffApproval Date: /t/lj� By: �-- Council Approval Date:
Septic: Sta}�.4pproval Date: �f n By: ��(�j--
Zoning File: # Resolution: # Resolution Date:
Shoreland L%istrict.• /V d MCWD Permit:
Av�. Setback.• BluffSetback: LotCaverage:
F_zisting Proposed
Hardcove.r: D-75'
75-250'
250-500'
500-1000'
Hardcover 1'ariance Reguired.• Yes No Date of Council.4pproval:
REMARfiS(in house):
33
B UILDING REVIEW CHEC%LIST
UBC: /` '� CONSTRUCTION TYPB: Y�
Sq Footage .�Per Sg Ftg
Basement x =
Ist Floor x =
?nd Floor x =
Garage x =
x =
TOTAL .
�
Estimated Construction i�alue: $ ��Uc�� �"
Inspections Required: Work Requiring Separdte Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Waier Connection
_�Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) W'ell(State Permit)
�C_Final Grading/Filling Electrical(State Permit)
Other
REMARKS(I1V HOUSE):
RE itIEW BY OTHERS: D.4 TE:
Access: Existing New
,4ccessApproval: Date By:
REMARIiS'(TO BE NOTED ON PERMIT):
34
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��,annin� R ?�:�io� ;'ian Review
C� :.`1 i�`i 1�F' ���t3i�;�,' :�
� � ��n Review Date: I D�J 0 � 8�J!!G??��. ,- �- �.f`�( �;t< :;c�r'l�:t�J
INUPEC,t:F; �K�_-�__`_a_'-.—
"Z G V E i� D?,TE �U•2y � J�� r,,- ,;, i,�'�- �,
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;_j PPROVED WITH REVISIONS(see notes) �r. . . .. . _: _ � �� `
co;
❑ DENIED 17 �� :�,. . , .: ��,�y, �'���ED � �t
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Staff: �,� � - . t� . � r; , .3 Z�
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688164
CERTIFICATE OF SURVEY FOR
y . � . . . .. JAY TURK6AS �� � � .. '
. . OF LOT 2, BLOCK 1 ,, ROSCH.,.. ADDITION .
� HENNEPIN COUNTY,' MINN"��O�A' "' �� � ����� �~
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1019.
.. , . � . o ;�jo���� .. Q i .�•.+ ��,,�.o, " 1019.6) i
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�s ,yti '�`v 'i : � � � �1�` � � 1019.6) i
cy �i' 1 �
,� N � ; � (1016.3)-- �� � � �
2.s �/ i 4� ; , �
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- �z.o y ;� i i oi! ,�F, �, 1017.0) i o`}0
, � F'ROPpSEp ie.o �� .o �;-- ss.o---- _� �e� � `�.
. � 4.0 , . H � �� � .. � , , . � .(1011.8 r ,a,5.,, ia4 . . . �
z2.o � ��sE � . . .= �"y:;; . � '�� � _�. '�- .0 7 ;
�t.o o '� '' a.o �p � � '(1013.B) ,
� 12. � M •� N � ' I
� �: M � �� � I ,`� I
..� o � ._PROPOSED �-
HOUSE � _
� �
° ; ��p���I6�- (,see detaill � p
. �-I�U��, ��fiAiL :; . . ; �,p�.��;���� ,-,; .. ; �
1 = 30 Scale �_� , "� ,� �
, __. �
_ ' 2.274 ± Acres �
_ . _ . . � „ O i; , ; � , ;:'������. .. .. � , , �. . .,.,'. ,_
. LEGAL� DESCRIPTION ,OF PRE�tISES�: , , , ;, , � ,,,,, , , ' " , �
, .. Lot 2, Block 1, ROSCH ADDITION . „�,.., , , .,, , � .
I .. � 1 i i.� 3�1 ' ii 1 I:'i. i �. .
�
o : denotes iron marker � �
(1019.6) : denotes existing spot elevation, � � • ;
, mean 'sea level� datum �• • • ; �
1013.8 : denotes proposed spot elevation, � ' ' � � �� � ; �
' mean sea lev�l 'datum ' � '� � ' �
. . , .. ,
. . . , . ,. ...,, .. .. .. . ., . . . . � ,.� .
Bearings shown are based ; , :_•�
upon an assumed datum. � ' ' ' ' ' �a ,�� ,
o �� i
, „ Lo f �I r�4 = ?.2 7 t � Q,
AG.I FJ . , � „ , �� P�� 15 ,.
� 5 i
This surv.ey intends to show the ' ,, o�� �,o �
, , ,...,. , .. . .., .... ,. , . ,
boundaries of the above described � � ��� � 0�.�� � � ;
• • � � property, and the propo"sed location � , • ,� � . ,,,;J�� , . ,, . � . ., . ,
of a proposed house thereon. It does . ' • : � � �
., • � ,
� pupdrt to show any�tother-hmprov'em'ents �.. �. ` `;� ,,. ,--=---��-���-�-�'1-----�,,__..,�-,_-�----�---�-,---' ,
or encroachments. • • •� �••-"-�� �� � � . '
,. � � , , ., , , , , , �„ H ,�, __ „ . „ , S 89°�20' W �., , , 21 1.9.0 . '�
. .. „ , , .. �
. . , , , .., . . . , . � �: � , ' . ' . " .... " � .� ,�•� .�� � �� � . ���.
� P.�oiolFr ELEv.I�i�.�J �f.ta�►+ PL.�,�J) � • � „. � ,,,. .
/� G./.l�Gf = /a?O./ City of Or�Qna ..._. , ., '�t� - . . . .... . ��`�i,,i � e� �7 { i�• � �..�.:,�_.. ,..
., z) >'��� o�F,�o�w=io?o.s � Planning 8 Zoning Plan Review . 4t �` �l5, � �J ?� `�
9) 4.IlF.�.Fn.r = �oi1.9 � , , . �,.
Site Plan Review Date: ��61l
'�APPROVED ' � ����� �
O APPROVED WITH F?�VISIONS(see notes - �
_� O DE I ) !�-t.,v(S C 1� �Su/L;l/P�
, Staff: , .. . , ,. ��W' G—N C�-R-�/Yt�f
' ., . .. . .. . . . ,. . � . ., ., .. . , , .. .. ,� O(= F'��rrO��N
. , .. . . .. .. . ._ ,.�,. . .. �d �� �
�
1 hereby certify that this survey was prepared by me or under my direct s er- �a7'E 8-9-96
1 � 1 i '
� vision, and that I am a duly registered Civil Engineer and Land Surveyor under 10-��•9 -aE� N a.+
"� the laws of the State of Minnesota. scA�e Iw=50�
��
s?i�s�c�_� ' ' ��
Mark S. Gronberg Minnesota License Number 12755 JOR No� 96-288
-�Me .. . ,. _ . . . .� ,�a• r I � �:Yi li• � „ .� � .� il � ... . .i�,. . .�r...�