HomeMy WebLinkAbout2008-P12093 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12093
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remode URepair
(952) 249-4600 Date Issued: 6/l0/2008
SITE ADDRESS: 2615 Countryside Dr [lnit#
Long Lake,MN 55356
PID: 04-117-23-12-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Interior Remodel.Porch,Deck
FEE SUMMARY: Permit Fee: $ 1,176.75 valuation: $ 120,000.00
Plan Review Fee: $ 764.89
State Surcharge Fee: $ 60.00
TOTAL FEE: $ 2,001.64
APPLICANT: Katherine Taylor Homes,Inc. OWNER: Paul&Mary Tichy
PO Box 35 2615 Countryside Dr
120 Railway Street W Long Lake, MN 55356
Loretto,MN 55357
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM17'EE S[GNATURE ISSUED BY SIGNATLIRE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l
Total Fee: $ ��l DateReceived: �'�'08
Entered By: Permit#: f1�2093
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 O CONTRACTOR
JOB SITE ADDRESS: �-6�5 �J�✓t� S � DV ZIP: ,��35 G
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YCS �NO If yes, a special event permit rs required with Police Department and Ciry Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAMEOFOWNER 1'2�( ��YI ary ��G�y PHONE: (home)`l5�'y�3• Q,yg'
Qw••I (work)6/� - 33)- ��6 y
MAILING ADDRESS: �'6/5 �U..n�iyj��{ D✓ CITY: Orvit D ZIP: ,S�`3�
CONTRACTOR: k�,t�ev,K. ry����g l�ow�es PHONE: �6� - v�'-�c� (
CONTACT PERSON: ��4,,��,. MOBILE/PAGER: G/) -3(,eG - 6/�9
MAILING ADDRESS: /4� ��,;�,,,,u, ,�- W CITY: L�rc� ZIP: �j+ �
STATE LICENSE: # �(?3$ EXPIRATION DATE: �
ARCHITECT/ENGINEER: C� ,S4h�,l�e i- ��r�<. PHONE: �S I — �Y�? - �`C��h/
MAILINGADDRESS: 3�l;c( (ekt�.�,�. A,,� �CITY: 3{�Jrc�`c� ZIP: 3��}�
NAME: G1e�,,� C,, y REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home RemodeUAlteration (ie: Siding, Windows) �
Any earth movement may re uire MCWD review and permits!
PROPOSED WORK(describe in detai�: Rar►��� �1h Q �t 8
$G►-�•L�n u vrs � � o �v � /�+
STORIES: d� SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: `'� GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� v(1 L�
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: -�^� '"���
31
Sec.13.04 R[GHTS 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
infonned 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 nrooert�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 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. lf he cannot comply with the request
within that[ime,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Samrdays,
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 authoriry 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 responsibie 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 ar license from the City of Orono or any of its departments may require you to furnish certain private or
confidential inforn�ation.
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 pennit or license.
4. If your requested pennit or license requires Council action to approve, some information inay 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 pennit.
C�Ov�2 T�tJc� �A�GD�-
First Middle Last
����� ��a��lN.r(, S��— V�/
Address
Gow� /1?nJ �3'3�`� 763 -�/7y-�
City State Zip Phone
I und and my rights as stated above.
Signature
Reset Form 32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 261� C O v n�T Rt,S�✓11Z ✓J 2 W
PID:
DESCRIPTION OF WORK: i4,�d,;,.,,�,3
___��__�_�------------------------ ---M_________-----------____________�--
ZONING REVIEW BY.• �„Q(Q,�,,� DATEAPPROitED:�,.�-p g
B UILDING RE f�IEW B Y� �p� -w_�--�-+--r--__NDATEAPPRO VED.�N b'9=o g-- -
FEES TO BE CHARGED: Misc. Fees Calculated B}':
PERMIT Yes ,/' No
PLAN REVIEW Yes_� No SEWER CONNECTIOIV
STATE SURCHARGE Yes �/ .No ti�ATER CONNECTION
INVESTIGATION FEE �"es No PARK FEE
SAC Yes No__� SITEINSPECTION
]V'umber of SAC Units OTHER (spec�)
--------------------------_---------
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Gi idth Dep[h
Survey Submitted: Yes� N'o Date of Survey: �l-I'S—�5
Proposed Setbacks:
F�-ont(Lake): loSB� Right Side: "It�' w
Rear(Street): 3t90 ' -�- Left Side: !os` �
Adjacent Structures: (v��q K etland: �/J�
Building Height: Def Hgt. �,� Peak Hgt. -
Lot Coverage: n1��
Grading: Staff Appr�oval Date: -22-(9 S� By: (�•(� . Counci/Approva!Date:
Septic: Staff.dpproval Date: �_ /U�_ 81,: �
Zoning File: # — Resolution: TM Resolution Date:
Shoreland Dist�-ict: � NIC6�D Pe�-mit:
.Avg. Setback: Blz ff Setbac�: Lot Coverage:
Existing Proposed
Hardcover: 0-7,i'
?�-_'�0'
?.i 0-.500'
�00-1000'
Hardcover (ar•iance Reqarired: 3'es ��"o Date of Coanacil.�pp�•oval:
REMARKS(i�r house):
33
BUILDING REVIEW CHECK LIST
UBC: 2 '3 CONSTRUCTIO.�'TYPE: �/►�J
Sq Footage $Per Sg Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
�
Estimated Construction Value: $ 12.c7,(9c�p �
Inspections Required: Work Requiring Separate Permits:
Site '! Plwnbing Fire
Hardcover Removal _�Afechanical W'ater Connection
�ZC Footing Septic Sewer Connection
_�( Framing Fireplace Lawn Irrigation
C Insulation (��lasonry) Other
Wall Board (Mfg.) i�ell(State Permit)
�Final Grading'Filling _�Electrical(State Permit)
Other
REM.ARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Fxisting Neiv
,�Iccess Approval: Date Bi�:
REMARIiS (TO BE NOTED ON PERMIT):
34
Page 1 of 1
Evelyn M. Turner
From: Evelyn M. Turner
Sent: Friday, May 30, 2008 9:56 AM
To: 'ctaylor@katherinetaylorshomes.com'
Subject: Attn: Darren re: Tichy Residence
Attachments: admin_ci_orono_mn_us_20080530_100043.pdf
Please see attached.
Evelyn Turner
City Planner
City of Orono
952-249-4623
952-249-4616 (fax)
5/30/2008
� �11�' Cit f r n
yo0oo
O ,:;\ O 2750 Kelley Parkway
'���;� � _ P.O. Box 66
� ;
� !��� ���� � Crystal Bay, MN 55323
'' ' f � !S► (952) 249-4600
�� ` ��:;j���t�,T.�► G�' Fax: (952) 249-4616
'� �',�`.��t ,�� �
'�'EsHo�`'
Date: May 29, 2008 Page 1 of 1
To: Darren at Kathryn Taylors Homes
From: Evelyn Turner, City Planner
eturner(�ci.orono.mn.us 952-249-4623
Subject: Permit Application A 12093, 2615 Countryside Drive (Tichy Residence)
Before the building official reviews building plans planning staff reviews building permit
applications for zoning code compliance. We are unable to complete this review for
because the following information is missing:
1. Per policy established by Resolution, two original copies of a survey with the
existing house and driveway located on the property as well as all easements
and proposed additions shown along with setbacks from property lines and any
wetlands one the property.
2. An estimate of the cubic yards of material that will be excavated and an
indication how excess material will be disposed of.
If you have any questions feel free to contact me.
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CITY OF ORONO �"'�""�. �-���f/ �0 p "�' '
INSPECTION N0710E ,c�u ouu�� S�—��} —
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call for the next inspection 24 hours in advance.__
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ADDRESS � S I•G�� � ��
OWNER C NTR. /
TELEPHONE NO. ' � - �� � ��
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� DESCRIPTION /�� �� 'G«IG��(�`"l G'Yl �
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
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Inspector. � .� � �-%
White Copyllnspector's File Canary CopylSite Notice
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TELEPHONE NO. � ��- � s�S3 S � ��O
� DESCRIPTION
��'FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �����'-
White Copyllnspector's File Canary CopylSite Notice
� TE TIME �/
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y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
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_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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Ca11 for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contracto on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � DA� � TIME
� CITY OF ORONO CALLED IN �` �
INSPECTION TICE SCHEDULED �� �• �
PERMIT NO.��� COMPLETED
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Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnedContractor on site:
Inspector. /�r _
White Copyllnspector's File Canary CopylSite Notice
�� � DA TIME
1 `�_l�
CITY OF ORONO CALLED IN
INSPECTIONNO ICE SCHEDULED � - � l •B�
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
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J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on s e:
Inspector_ �
White Copyllnspector's File Canary CopylSite Notice
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac s' :
Inspector
White Copylinspector's File Canary Copy/Site Notice
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