HomeMy WebLinkAbout2008-00448 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2008-00448
"' 2750 KELLEY PARKWAY
ORONO, MN 5�3�6- DATE ISSUED: 12/17/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 35 CRYSTAL CREEK RD
PIN : 33-118-23-33-0002
LEGAL DESC : CRYSTAL CREEK
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTI VITY : 434-RESIDENTIAL
VALUATION : $ 8,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE)
BASEMENT REMODEL-ADD BATHS AND FINISH SPACE f ����-� ��-� ���`� `"u�
— (`� .�� � V�.nl2� �w�� �
, S f��/v�-2 .�+u S� �c�-c.o ,.1 S
^ �v o ��h N J�.=v��.-� i �Z
�C��-t�----
�( - � - 2--� i �
APPLICANT
PERMIT FEE SCHEDULE 16225
KOEHLER, STEVEN&ANNE PLAN REVIEW 105.46
35 CRYSTAL CREEK RD
LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 4.00
TOTAL 271.71
OWNER
KOEHLER, STEVEN&ANNE
35 CRYSTAL CREEK RD
LONG LAKE, MN 55356
AGREEMENT AIVD SWORN STATEMENT
The work for which this permit is issued shall be performed accordin�to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the 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 au[horized is not
commenced within 1 RO 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 applicant is responsible for assoring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
l l �LC.G� /d�l�7 / �
Applicant Permitee Signature Date ss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� CITY OF ORONO PERMIT NO.: 2008-00448
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 12/17/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 35 CRYSTAL CREEK RD
PIN : 33-118-23-33-0002 �
LEGAL DESC : CRYSTAL CREEK
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R
ACTIVITY : 434—RESIDENTIAL
VALUATION : $ 8,000.00
NOTE: SEPERATE PERMITS RCQUIRED: PLUMBING, MECHAN�ICAL, ELECTRICAL(STATE)
C3ASFMF:NT RGMODEL-ADD BATHS AND FINISH SPACE
APPLICANT PERMIT FEE SCHEDULE 16225
KOEHLER, STEVEN&ANNE PLAN REVIEW 105.46
35 CRYSTAL CREEK RD
LONG LAKE, MN 55356 STATE SURCHARGE(VALUATION) 4.00
TOTAL 271.71
OWNER
KOEHLER, STEVEN& ANNE
35 CRYSTAL CREEK RD
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issued shall be performed according to
thc approved plans and specifications,applicable Ciry approvals,and the
State[3uilding Code. This permit is for only the work described and does
not grant permission Yor additional or rclated 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 datc of issuance,or if construction is
suspended for a period of 180 days a[any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confonnance with the State Building Code.This permit may bc
revoked at any ime for due cause.
__ __ -- _'_ ;>„ ;c�_ / Z l � 7 / � � l � l CJ
Applicant Pe ' ee Signature Date [ssued B �gnature Date
� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
1�,�
1ti-
TotalFee: $ a7�• � � DateReceived: �2 � �Z- /��;5�
Entered By: Permit#: ��>p u - ��y_fl. �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all in,formation)
---------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SI•I•E A�D�SS: 35 Crystal Creek Rd,Orono Z�: 55356
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 approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site parking is avaelable. Non-permitted events will not be allowed.
NAME OF OWNER: steve Koehler PHONE: (home) (9sz>a�b-gss�
�WOrk� (612)330-0483
MAILING ADDRESS: 35 Crystal Creek Rd CITY: Orono Zjp: 55356
CONTRACTOR: Steve Koehler(Homeowner) P$Q�'
CONTACT PERSON: 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(describe in detain: Add 3/4 bath and 1/2 bath in basement,
Finish off additiona1270 square feet in basement.
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
- �n
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 SIGNATiTRF• -' DATE: ! `i l��
�� ,
31
CHECK OFF LIST FOR ISSU.q.NCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _�� �"�ys� Cou,��r /��l
PID:
DESCRIPTIONOF id'ORIi: �,/-1.5�5�'''�� /j,c n-L.> :�LZ
ZONING REVIEK'B�:• o� DATEAPPROVED: `^� �
B UILDING RE i�IEW BY.• �4....�— DATEAPPROVED: �z- i E���U
FEES TO BE CKgRGED: Misc. Fees Calculated Bv: � Mr � � � �
PERMIT Pes ✓� No
PLAN REVIEur Yes v�� No SEN�ER CONNECTION
STATE SURCKARGE Yes � No u�ATER CONIVECTION
INVESTIG_ATIOIV FEE �'es No ./' PARK FEE
SAC �"es No ✓ SITEINSPECTION
Number of SAC Units OTHER (spec�)
____---____-----------------------------
ZONING CHECK LIST Zoning District: G' �f fjr},�
Fire Department Post O�ce: School District:
Lot Area: Sq.ft. Acres Y6�idth Depth
Survey Szrbmitted. Yes No Date of Su�vey:
Proposed Setbacks:
Front(Lake): Right Si e:
Rear(Street): Left Sid .
� Adjacen[Structures: Wedand:
Building Height: Def Hgt. Peak Hgt.
Lot Coverage:
N� �i�jQ l�� �/�{d
Gradi�zg: StaffApproval Date: .,.�Jr �re��.u::n�� B}% Counci!Approva!Date:
Septic: SraffApp�-oval Date: By:
Zoning File: # Resolution: fr Resolutior�Date:
Shor•eland District: AICL�D Pe�•mit:
Avg. Setback: BluffS tback: LotCoverage:
Fa istin Proposed
Har•dcover- 0-�.i'
'S-'�D'
,so-soo�
�00-1000'
Hardconer 1'aria�sce Regzri�-ed: 7"es N'o Date orCotu�cil,9pproval:
RE�1LqIZIiS(i�1 house):
�3
B UILDING REVIEW'CHECIi LIST
UBC: fZ .3 CONSTRUCTlOI�'TYPE: VI�
Sq Footage $Per Sq Frg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
'�: UG�G `�=�
Estimated Construction Value: $ ,
Inspections Required: Work Requirin;Separ�zte Permits:
Site /' Plumbing Fire
Ha�•dcover Removal �Mechanica! Water Conrzection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
� Wal!Boa�-d (Mfg.) iG'ell(State Permit)
�Final Grading/Filling _�Electrica!(State Permit)
Other
RE1t2ARKS(IIVHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
.9ccess Approval: Date B}�
REMARKS (TO BE NOTED ON PERMIT):
34
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 set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be
infortned 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 legalty required to suppty the requested data;(c)any known consequence arising from his supplying or refusing to suppty
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 suppty investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income tax or pronertv tax refund
ins[ructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shali be informed whetherhe 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. 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 authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excl uding 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 responsible authoriry describing the nature ofthe disagreement. The
responsible authoriry shall within 30 days either (a)correct the data found to be inaccurate or incompiete 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 ofthe 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:
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 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.
Steven M. Koehler
First Middle Last
35 Crystal Creek Rd
Address
Orono � 55356 (952)476-8587
City State Zip P6one
I understand my rights as stated above.
� u re �
Reset Farm 32
� ,
-- -- - - - - - \
/ = G� �
i \
/ ,,��_=7`2 T311�"-=��:: \
/ � �/ � — � �� �\
r � ��
�r0%�� � �
� ���� �— — — — — — — — — -� . � —
� � � �7� �2�-���' —
�' / /�p� i V ` ��� — — — — -- — -
� � 0`/ ' _ � ���
,;
�-r (�, � � � — — — -- — — �� �
- -- �- -I/ � ' I I
� � � �
I I I I
— N � I
� I I (
-- I I
�_ ' � - i
� � # �
� � �
� � +� a�E � �
_ � �- , � i ��� '
- , � , �
� � � � i i
i , ? I
i i ' �
� I
� , ' � i
I I ` 7 �
� �� � I
� , � �� � i i
i � i i �
�
; � � , � �C��,.�. �o x z r.s�-�� , �� �
, I °°
N
— � I ,- I I
I I I
� I I
I � I I
� � � � �
� � � ��� e e��. panel � I
� ' ' I
� - - - -- -- - - - - - - - - - -- I
_ — — 14'_8_13/16"—-- ---- � t I
---
-- —
--- --- �
�1��_��`� —��\,__� �
��� '�I I � - -- - - -- - - -
� i
I M� ; ^
,P s�,�j �1'C �o�- f� x � � sZ -� - - - - - - - -
r
�i I �
�� I �
' I
� � - - - - �
`r � ��.�--'�`,:.. —�—K"�y'�>,����;'�, I
� / 4 i ♦
�, "� 'a t.�__ ..
...—_'__��..__. ...._ ___.f._...
�� , � _ —'_ _.— _
��� 4'-6" —
� 'x��.� r.'_� . ., �. � . . . �
�,ra'�e�`..- . ,� , .
�— — -- - -
— - - -- -- --
� — - - -- -- - - - - - - -
I ___ _— 12'-8"—
1 O I\f'��� I I �x:-..:::tr.ss'.zoas�+kywass*ssw�a:+r��:..w.......�.
� � ...._ �.� .
I ���pi�e�t"`4'€ A',%'� �`t�;_F p � Z,:;
� �' � .../ w
� -� � � � � ,.. "�. �
, . , .._ ..; , . �
� . ', : ; . . .. ,. � t
I G�-{.5 Yw�I lx �Q.'C'T��o v� i
— - - - - - - - - - - -- - - - - -_ _, � ,
_ ? : _ - �
—.—� ' � ----- --—— I �— — —
� ,�— — —�—� � �
� �I � I ���� �� ������ � �
_ l `� � �
-- - I I �,�11_JiP�, , ��-�;�ti�� � s,.f�M �,�-��,°R �:a
� � �;v��=� �.�._ __� __ __—____-- � I
- — — -- � � I � . •2.�_b _�� � _ .__-----._.n.. �
� ,_ ,. I I
I I ;�! , . , . : .. � I
� I � _ �
� � , ', � '' -dona � �
�� ., ,-,,�ie.
� , _ . r::;�r: ra��>��,.
�'!. .� _ � . .��9��sr r,r�!�,� :a�'.!_�. a r n,;_�
THE: DRAWN BY:
.
� Koehler --
DftTE: �
E5IDENGE:
35 Crystal Creek Rd --------
r
�. Orono, MN 55356 SHEET#
�
- d 19'-6"
� - -��--
io I _ 19'-0 1/2"—
---- 17'-0" — M� �r>
--- - - - - - - -- I�-
I , - - - — -/ - -
� /�--- _
� - 14'-5 5/16" � � `
I � Y
/
I I /
I /
I /
/
I �
� %
� I ~ � �
� � 1 � _
.- N CV � A'
I � � �.
I / �
� � �
i
i
I � �'
� � — 14'-5 5/16" � � �
�
5'-6" / .��.
� - - - - -- --I �
' 4'-0" -�
� i -- - - - - 9'-2 11/16" , 4'-10 5/8" ro � �
� _� ; � - � � _
21'-1 11/16"
� ,,
� �� � �, , ,�,�;E
/ � � ��
' � � I - 14'-17/8"
� � % � ,
i � �-
� � � �
� � �
- - � � � N
I � � �
. � �
� T
I i 1 {I�^
I � I-
/
I \
I I I /
_ � Existing wall and door,� � -- ---- 20�-�� �� _ _
�
x + �.� �� � �
{ 1.? `\�
� � `� � \;I 1 I y.� � \ f .f�.� 1 't .
'.�i� ��� � � �-���^" ;i �.'`
r_.. i ` �� _
� � ,,
, � ,i � �
�
��5� ;��.� � �,�'��`'� �('ic /o s� �� � I -- �'; '1�_ d�
, � I � , ; _ . -.-.� f�
�� � I . ;;,,� ,; '���cU� .s'� C� s� .-�-�
,>� .' �.. i
� ; F . � �- �' .�—.�. (� 1� UNFINISHED !
0 0 ,
L __ _ ___ _- __-
�
�-- - - - - -
- - - - - - - - - - - - - - - - - - - - - -- -
=— - 12'-2"- - _� � -
�
-_--_-_- -_--_- —_ - -- - - i - -=39'=6"=- --
�
I �
� I - - - - - - -
Scope of Work: �
A —Add '/� bath
Need to add door in load bearing wall
B —Add 3/4 bath
C - Finish additional area
Remove double door and wall portions
under existing load bearing arch. No load bearing
portions will be removed. �