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HomeMy WebLinkAbout2004-P07208 - addn/remodel/repair ( � • - • � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po�2os Crystal Bay, Minnesota 55323 P2t't711t TypG: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2i2�i2oo4 SITE ADDRESS: 290 Crest�iew A�e Long Lake,MN 55356 PID: os-1 i�-23-ia-oois DESCRIPTION: t1BC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Permit Class g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: r--- -- �-.- -- -r�---- n—�- - --- . FEE SUMMARY: Permit Fee: $ g3.25 Valuation: $ 2,500.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 139.08 APPLICANT: Owner/Self �WNER: J�n&Kristen Wikman MN 290 Crestview Ave Long Lake,MN 55356 THE UNDERSIGNED IIIItEBY REQUESI'S PIItMISSION TO MAKE THE REAL IlvIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BliILDING CODE REQUIREMF.NTS. _ . � . ' � /'� 1 � .. Y ��.� � _ � �. , /_- � �ICANTPERMITEESIG ATUR�E�� `��� ISSUEllBYS[GNAT[IRE � � Coqies: 1-File(Sienin�res Renuired). 1-Applicant, 1-Mo�thlv Reoorts, 1-Assessine, 1-Finance Page 1 . ,� , �f 1Ce DEPOTo (,t�I� - �'(.c.�-�e- c��,-�I /� �U ��'�'J�V��,�t/ ���� , � �- _ � z �- � � � � - ��.e,��M�� -� �Z�� � i � , -e N��r 2 �,��b ��"°ckr� . �k/�("� Y i ^'�-e'' /1,u�.� ,�—rwr�•�� 0.,-4. �n'�'�'s � �� ��,. I„ 7,��p� �-�" J'�LX-�'� ��-�/� ��� ��1 v�os� vl�' Octobei� " � 2008 November 2008 S M T W T F S S M T W T F b I 2 3 4 5 6 7 S 9 10 II 2 3 4 5 6 7 8 12 13 14 IS 16 17 IS 9 10 II 12 13 14 IS 19 20 21 22 23 24 25 16 17 IS 19 20 21 22 26 27 28 29 30 31 23 24 25 26 27 28 29 30 Tuesday zeaio�s October 14 <��"' ,�1�u��S Co..�¢-e'd ��a s/o�' Total Fee: $ � 3�. �� Date Received: .;;' � � `�C� Entered By: � ��%! Permit #: .," `, - � A072og a�' S 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) WNER R CONTRACTOR �- l ' �- ��1 r JOB SITE ADDRESS: �-rl� L 1�S \v 1� I�1/Z4't�<_ ZIP• > I � '�� � ��- r ,� • NAME OF OWNER: ��1., exJ'��-✓�^� PHONE: (home) � � 1_ -� �'� '�l_ �� (work) MAILING ADDRESS: Z��ll: L��e`��11t'�.� �w� CITY: 1.�, - 1���,.,t ZIP: `'a>jr(d CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �: Land Alteration PROPOSED WORK(describe in detai�:�,hS-�� �i� `Yi,v`} �� �o�t �„,��_, p��:yr�.. G��=•-��'- �1�'��� �����3— Iww".J��4-,.,,..:. R�,I°.�.�..r !',.;�k -�U�i�% �fi> �'-,:<3 rG:�✓��. �i1�'� v�e,��,�1� wi�1 �u +� �-�,L .�`�P lr' tT�ir�?i� �.y`� \.1Ii,'3�� L.�n+_'a e_�, �r����" i..�i�.�. �,� � �yfi�.✓' ��j' \V���Cl✓� L.Y 1 �.� . STORIES: � SQ.FEET OF EACH FLOOR: G Z`� � �"�`w �����r NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. L ta �� 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 SIGNATURE: �_�.c'C-���� DATE: NOTE! Parade of Homes events�require separate perntit approval by Police Deparlment artcl City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � Sec.13.Od R/GHTSOFSUBJECTSOFDATA � . Subdrvision 1. Type of data. The rrghts of rndividua!on whem the data is slored or ta be stored shall be as set forth rn thrs section. Subd.2. Injormation required to be given individuaL An indivrdua!asked to supply prrvate or confidential data concerning himself shall be informed of. (a)1he p:�rpose and intended use ojthe requested data wilhin the collecting state agency,politica!subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the reguested data;(c)any knoivn consequence arrsing from his supplying or refusing to supply prrvate ar confidentral data,and(d)the rdentiry of other persons or entities authorrzed by state or federal law to receive the data. This requiremenl shall not appfy ivhen an rndividual is asked to supply rnvestigative data,pursuant to sectron 13.82, subdivrsion 5, to a lativ enforcement o�cer. The commrssioner of revenue mcrv place the notice required under thrs subdivrsion rn the rndividual income tax or property tax rejund inslruetrons instead of on those forms. Subd.3. Access to dala by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject ojstored data on individuals, and whether it is classifred as public,prrvate or confidential. Upon his further request,an rndividual who is the subject oJstored prrvate or publrc data on rndividuals shall be shoivn the data witho:�t any charge to him and,if he desrres,shall be rnjormed of 1he conlent and meaning of that data. After an indrvidua!has been shotivn the private data and rnjormed of its meaning, the data need not be drsclosed to him for six months thereafter unless a dispute or action pursuant to this section rs pending or additional data on the rndividua!has been colleeted or created. The responsible authoriry shall provide copies of the private or p:�blrc data upon request by the indrvidual subject of the data. The responsrble at�thority may require the requestrng person to pay the actual costs of making,cert�ing,and compiling the copies. The responsi6le authorrry shall comply immediately,ifpossible,ivith any request made pursuant to this subdivision,or within frve days of the date oJthe reguest,excluding Saturdays,Sundays and legal holydays,if immedrate compliance is not possrble. If he cannot comply ivith the request�vithin that time,he shall so injorm the individual,and may have an additional five days lvrthrn which to comply with the request,excludrng Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not aeeurate ar eomplete.An indivrd:�a!may contest the accuracy or con:pleteness ofpub[ic or private data concernrng himself. To exercise thrs right, an individual shall not�in wrrting the responsible authority describing the nature of the disagreement. The responsible authorrty shall ivrthrn 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to not� past recipients of inaccurate or incomplete data,rncluding recrpients named by the individual;or(b)not�the individua!that he believes the data to be correct. Data rn drspute shal!be drsclosed only ijthe individua!'s statement of disagreement is included with the dise[osed data. The determrnation of the responsible authority may be appealed pursuant to the provisrons of the adminrstrative procedure act relating to contested cases. DATA PRIVACYADVISORY In accordance wrth M.S.13.0�,Subd.2, "Rrghts ofsubjects ofdata",we tivould like to inform you that your request for a permrt or license Jrom the City of Orono or any ojits departments may require you to furnish certain private or confidential informafion. You are notrfied that: 1. The information you furnish will be used to determine your gualrftcation for the permit or license requested. 2. You may refzrse to supply data,but refusal may requrre that the Ciry deny the permit or license. 3. The information may be shared with other local,state or jedera!agencies to the extent necessary to process the permit or 1 rcense. -1. If yo:�r reqtiested permit or license requires Council aclion fo approve,some rnformation may become public. 5. You have certain rights under M.S. 13.04(see following page)to revietiv private data on yourself. 6. Your ful!name is required to process this app/icalion or permit. PLEASE PRlNT First Middle Last Address City Stale Zip Phone I understand my rrghts as stated above. Sr ature 10 BUII.,DING REVIEW CI�CK LIST UBC: �' 3 CONSTRUCTION TYPE: VN _ Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd F1oor x _ Garage x = x = TOTAL Estimated Construction Value: $_ 2,5(�c�`� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection FO°��g � Septic Sewer Connection X Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other ��Wall Board (Mgg,) Well (State Permit) �F�� Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): . ----- --------------------------------------- REVIEW BY OTI�ERS: DATE: Access: Ezisting New Access Approval: Date gy: ------------------------------------------------------------ REMARKS (TO BE NOTED ON PERNIIT�: 8 CHECK OFF LIST FOR ISSUANCE OF PERMITS ' � FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2`�C� Ci-�.�srvi�-c� �4� � PID: DESCRIPTION OF WORK: N '?,00 S C,'T'1) = J SsP ZO�t.Pi 1G RE'VIEW BY: DATE APPROVED: Z-��{ -0'3 BUILDING REVIEW BY: DATE APPROVED; Z. �. Y _�3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _/' No PLAN REVIEW Yes ✓ No SEWF.R CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes � No Date of Survey: /-�� •O`t Proposed Setbacks: � Front(Lake): (,�"5 } Right Side: I�. 3 Rear(Street): 37�i Left Side: y� Adjacent Structures: I Z � Wetland: i✓�/� Building Height: Def. Hgt. v, k Peal:Hgt. L.ot Coveraae: O ��L Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: /� Resolution: � Resolution Date: Shoreland Districr. Avg. Setback: Bluff Setback: L.ot Coverage: �� Eaisting Proposed �I Hardcover: 0-75' (�I'�P 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: MARKS (in house)• 7 V DAT TIME CITY OF ORONO CALLED W � r��U INSPECTION NOT �E�2�1� SCHEDULED "�����,5��,�� /l 3 UQ�ti� PERMIT NO. COMPLETED ADDRESS � � � � ��'�- OWNER �' �'� C '� �G' CONTR.1%��;?�6 . TELEPHONE N0. � S�� ���� / �// � DESCRIPTION _ `'vc�f �C �v'SS�S � Ot FOOTING_ 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 2rFRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ON 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 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 J 10 P ING FINRt-_ 36 FOUNDATION/REMOVAL � OWN CONTRACTOR MEETYOU:�YES_NO � COMMENTS: � w a j I o CL'' (,' �`� � � 0 � W � Q � z W W — � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe n t inspection 24 hours in advance. (g52) 249-46�� OwnerlCont oti�ite: Inspector. � �� White Copy/inspector's File Canary Copy/Site Notice �� �� AT '`-�� TIME � � ,� � C�J CITY OF ORONO CALLED IN � � / INSPECTION OTICE SCHEDULED 'r -��.31: PERMIT NO COMPLETED � ADDRESS� _ ��1� _�i.i.°�J' �f U�.� ) � � OWNER <�I�l� %(`,/�fY��NTR. TELEPHONE NO. ��� � v��� '�U�� � — 50�1'�F_ � DESCRIPTION C� `- f /�/'�� �`t � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FII�LI� Q 02 FRAMING 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTI MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTI INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SE I FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO ,� � COMMENTS: � w a � J O � � O � W � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED , PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WIIL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe n t inspection 24 hours in advance. (952� 249-46�� Owner/Co�tr ite: Inspector. — White Copyllnspector's Fil Canary Copy/Site Notice l� ✓ �-�'J D E TIME C�TY OF ORONO CALLED IN � / ��L� INSPECTION NOTICE SCHEDULED ___� �-� � �� PERMIT NO. /�_ L��G�� COMPLETED _ ADDRESS � � '"'' �-�= OWNER �.JOI�v� L��/<ll!/YI�CoNTR. TELEPHONE NO. ��v� -�/ �� " ��' � � � DESCRIPTION �!�L� ��-��� C� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAD!NG/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � j � O � � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED f i PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRE .CALLTO ARRANGE ACCESS. Cali for ext inspection 24 hours in advance. (952� 249-4600 Owner/Co tr tor i • Inspector. White Copyllnspector's 'Ie Canary CopylSite Notice CERTIFICATE OF SURVEY FOR 1 � J � R . WIK A � � OF LOTS 7 & 8, BLOCK 1 , BAYSIDE ADD. TO LAKE MTKA. HENNEPIN COUNTY, MINNESOTA . , 40 i i� I 1�� I �� I I 1 1 I S 89°46' 00" E 125.25 l� � 1�.:,...o.,s o.i s.,,:..... :� :� ................................. 24.3 2�'4 W GRAVEL DRIVEWAY ,� EXISTING a � N �ARAGEN � O 24.3 O W Q o � �L`�311�1T`��:.'_;;�;�. i�:�:S IGN TO � � O ........................................... 'f�'f'E�`TC�;�. ,'�'�`�::� ,�, j:%�:�� IN��'EC`C�C?'�' O � ., � ........... .. � 63.7 24.3 0 0 �c io �� .��_..�__���.�___�-_ __���-����_ -�__.�_-���^�_��__ 6.EXISTING � � � _ �v�w 1200� � (�� _ � ��S /�1�,�,-� � � � W F--I �z B.� HOUSE '., � � 8 � #2so � � 24.5 37.0 � 0 ni WWELI �: --- � � N 89°46' 00" W 125.25 � � �IILL STREET � - � ����'�.:�.��� � � ���� �� � ___ ___________________ _______________________ _________� �� �� ����� _ _ ��. �ET� P�.AN GRAf2�t�� Rl,A.� I . �Ar���i�}`y�,i.� —/vCw �2r�o�= s�?Zvc �.f ocr Yt�N 40 �7 ��P��.i'�::;}��a'!TFi REV1�14N� i� nI�AP�,���,� aY - � � �AT�_ 2•zY�o� � LEGAL DESCR i PT I ON OF PREM I SES : '�""""'�"'� Lots 7 and 8 , Block 1 , "Bayside Addition to Lake Minnetonka" o : denotes iron marker set • : denotes iron marker found Bearings shown are based upon an assumed datum. This survey intends to show the boundaries of the above described property , and the location of an existing house and garage thereon . It does not purport to show any other improvements or encroachments . i haeby certify that this survey wos prepared by me a under my direct super— scn�.E GRONBERG & ASSOCIATES, INC. Y 9 � y �"-20" vision, md that I am a d�d re istered Civ7 E meer and Land Surve or under ���� �,��R� the laws of the State of �linnesota. �ATE 1-16-04 445 K WLLOW DRNE LONG UIK� I� 55356 i`��%_ Q l JOB N0. � E� 952-473-4141 �` ��G 04—OOJ Mlark S. Gronber �iinnesota Lic nse Number 12755 04-009 �