HomeMy WebLinkAbout1997-008688 - 2nd sty addn-abv garage PERMIT
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � '����� .__
Crystal Bay, Minnesota 55323 Permit Number: s_:�r j;�;�-,;_;��;````�
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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REMARKS:
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I FEE SUMMARY:
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CONTRACTOR: '.. �'�'_�_°� =� �=��'��'=� �- OWNER:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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' Total Fee: $ /"> i" ; �' `� Date Received: %/,�,�9�
Entered By: ���t..% Permit#: �� �,Y
CITY OF ORONO - BUILDING PERNIIT 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 . ONTRACTO�
JOB SITE ADDRESS: ,�3 7�S' � �- ,� � ,,, �. q �.L�. ZIP: 3�3 S L.P
I r(7f'r,r:7C
NAME OF OWNER: (�'�,G v�c�s � �5'o s F I'��ri r-- �� PHONE: (home) �l7LP- d°37
(work)
MAILING ADDRESS: ,�;�7S )�F v��, �-.�� � CITY: ��,�,�dr�• ZIP: ��
CONTRACTOR: �_����,,�.��. L, d s�n s �tti���. PHONE: ��7��,� ?1�,
CONTACT PERSON: ,� J MOBILE/PAGER:
MAILING ADDRESS: �� �, ,� .3 _CITY: j�� /4�, �, ZIP: 53�,3,�1 '
STATE LICENSE: �#_����
ARCHITECT/ENGINEER: �r������� �'a
� ���, �/,�� PHONE:�
MAILING ADDRESS: G°l7 • � t� �, iy����;� N�'-�� . C ITY: ,�� ��?�/s ZIP: 7 5-���
NAME; REGISTRATION#
TYPE OF WORK: New Addition ;��� f J�r Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detain: ;1 „ �� �/o � < d � -�� > ���s��T�
� Y�� � r�
STORIES: _�_ SQ. FEET OF EACH FLOOR: J � /����� ;�'�'�� s k , �
NO. OF BEDROOMS: �� GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��'l,;S�o:
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: /- o.?-� 7
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
6
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set focZh in this secdon.
Subd.2. Information required to be given individual. r1n individual asked to supply private or co�dendal data co�ceming himself shall
be informed of: (a) the purpose and intended use of the requested data wi[hin the collecting'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is leeally required to supply the requestzd data;(c)any imown consequence arising from his supplying or refusing to supply
private or confidendai data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invescigadve data, pursuant ro secdon 13.82, subdivision 5, to a(aw enforcement o�cer.
The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propem tax refund
instrucrions instead of on[hose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individuai shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or confidencial. Upon his further request,an individual who is the subject
of stored private or pubtic 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[he 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 addidonal data on the individual has been collected or crea[ed.
The responsible authority shall provide copies of the private or pubtic data upon request by the individual subject of the data. The responsible auchoriry
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, wi[h any request made pursuant ro this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possib(e. If he cannot comply with the requzs�
within that time,he shatl so inform the individual,and may have an addido�al five days wi[hin which to comply with the request,excluding Saturdays,
Sundays and leeal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may con[est the accuracy or completeness of public or pri�atz
data concerning himself. To exercise this rieht,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shafl within 30 days either. (a)correc[[he data found to be inaccurate or incomplete and attempt to nonfy past recipien[s of
inaccurate or incomplete data, including recipients named by the individuaf; 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 determina[ion of the responsible authoriN may be appealed pursuant to the provisions of the administrative procedure act relating to
contes[ed 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 pernut or license from the City of Orono or any of its departments may require you to furnish cer[ain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the pemut or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pernut or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
$. You have cenain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this application or permit.
� 1 c�F� � �> �� r-5 � l�
First
vf iddle Last
� �> 3 .
Address
� , IGL� �, ,,-�� �.% � � � �� � �� 37��
Ciry State Zip Phone
I understand my rights as stated above.
�.f',1.��" � • �2�-�� —
Signature
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��?� ;��v+►v �r�►v�
PID:
DESCRIPTION OF WORK: 2�.►c�- ��e�i-�.; r`�'1�.�; t�c;,�.� c�.:�2 �:o�cr:�a4.;�::.
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEPI BY: �� r' DATE APPROVED: f -f3 `� �
BUILDING REVIEW BY: , �,, `. r}�,, L DATE APPROVED: ; - � 41�_
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v' No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ;/ No WATER CONNECT'ION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: �1�-i�
Fire Department: � ,v� � Post Offce: (�eai,, 1�tit.Z; School District: `;�:�„L;v
�
Lot Area: Sq.ft. �1i�?SC Acres � v� Width 3ri (_- Depth �2 2 5
Survey Submitted: Yes X No Date of Survey: j 1- ��=
Proposed Setbacks:
Front (Lake): �a S� Right Side: ��v
Rear (Street): �G�� { Left Side: Z�iU
Adjacent Structures: /}T>1c H c�'� Wetland: ti"��
Building Height: Def. Hgt. u.IG Peak Hgt. � t�
Lot Coverage: I�I�
Grading: Staff Approval Date: /�` ��fa By: - Council Approval Date: -'
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
,�t P' Hardcover: 0-75'
�" 75-250'
250-500'
5�0-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
10
BUII..DING REVIEW CHECK LIST
UBC: 1; .� CONSTRUCTION TYPE: V�v
Sq Foota�e 5 Per Sq Ft�
Basement x =
ist Floor x =
2nd Floor x =
Garage x =
C =
TOTAL
Estimated Construction Value: $ ��r��Lc`
Inspections Required: Work Requirina Separate Permits:
Site � � Plumbing Fire
Hardcover Removal ,� �Iechanical Water Connection
Footing Septic Sewer Connection
X Framing Fireplace Lawn Irrigation
1l Insulation (Masonry) Other
_� Wall Board (Mfg.) Well (State Permit)
:� Final Grading/Filling �i Electrical (State Permit)
Other
REMARKS (Pi 1 HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
RENIARKS(TO BE NOTED ON PERi��1IT):
27
' EXTERIOR ENVELOFE AVERAGE "U" COMPUTATION
.
OWNER la�r'ZLts a � ROU1=`�'��t>N 11" (,/L�aJiJF`.�J 1i 1'U DATE I I�I� c;,
�----------------------�----------------- ----- - -�----
,�I TE AUDRESS c�� ),� �F`v��J L.N 4r��::�r�U 1�',� r `�� `� �
� �
------------=------------------�------J J v v=-
-----------------
CUNT'PACTOR FHUNE#
DETERMINE THE WOkKING S�UARE FOOTAGE OF THE FOLLOWING:
1. Total exposed wall area . . . . ��J� _Z�__ sq. ft. x . 11 = �(t�. �,�,}
2. Total roof/ceiliiig ares . . . . ��)�C�____ sq. ft, x . U��i = 0`�3.���
TOTAL EXPOSED WALL AREA ABOVE FLOOR = 8 3�0
A. Total window area . . . . . . . . . �o�� Z^'.��
----�-------
B. Total door area . . . . . . . . . ,
C. Total patio door area . . . . . . . ___�Q O �____
D. Total fireplace wall area . . . , . --
E. Total wall framing area <avg, 10%) . ___�j�,(�, ____
F. Total net wall ar. ea . . . . . . . . (o�q v�
------1=-----
Csubtract line5 A-E from total
exposed wall area above floor. >
G. Total rim ,joist area . . . , . . . � • � � �
---�---��--
TOTAL EXFOSED FOiJNDATION AREA = ` -
--------�------
H. Total window area foundation . . . ' � "
I . Total net foundation area above grade __�_�=____
(subtract line h from ttie total
foundation area . >
DETERMINE "U" VALUE FOR EACH WALL SEGMENT.
�. _��_��__ x „�„ __ , 33--_ _ __�?_��.i--
B. __ X ��U,� � _ „_
---------- ---------- ----------
C. __�p_Qol __ X „tJ„ ----'-�---- --�.�_�U--
U. - X "1J" - _ ._
E. --$.�G --- X „�,� --�O�---- — --��.�
F. _4ao�g�u�_ X „iJ" ___,O�--- --�'�'��---
c. __i g�.��__ X „U„ ___523--- - ---���--
H. _... g �,U„ _ _ _.
----------- ----------
I . --------- X ,�U„ - -
3. . . . . . . . . . . . . . . . TOTAL - --��'-��--
If item #3 is the same as, or less tlian item #1, you have mct tL�e
intent of SBC 6006 Cc)2.
, � TOTAL EXPOSEU ROOF/CEILING AREA = __ �QO ____
J . Total skylight area . . . . . . , . �
K. Total roof/ceiling framing area . . ____��_______
<10`/e of roof/ceiling area>
L. Total net insulated roof/ceiling .
-----��------
DETERMINE "U" VALUE FOR EACH ROUF/CEILING SEGMENT.
J . - X "U,� � -
------ ----------- ----------
----
K. `i'O X ,�U„ ,6G = ----�-'��--
L. __�4l o-_ _ x „U„ ---'-°-�--- - ---�9'��-�--
4. . . . . . . . . . . . . . . . . T'OTAL = --��1��--
If total of #4 is the �ame as , or 1@SS than #2, you have met the
intent of SBC 6006 Cc? 1.
ALTEkNATE TOTAL ENVELOFE SYSTEM METHOD
TO UTILIZE THE TOTAL ENVELOFE SYSTEM MF_THOD, THE VALUES ESTABLISHED
BY THE SUM OF ITEMS #3 AND #4 SHALL NOT BE GREATER THAN THE SUM OF
ITEMS #1 AI3D #2.
#1 . _ Jo�_ao__ + #2. __a 3_qo _ _ _�3�-�4_
�3. __ ?�,��i__ �- #4 . __�.q.70-- - --��rL6�--
TH�+' F{�LI.OWIATi1 IA]FOR2+IATICttd WA� PREPAkEL� FY:
ARCHITECTURAL DRAFTING SERVICES
MINNEAPOLIS, MINNESOTA
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-- 390 00 �V. 89����4iE.
Proposed Top of Foundation Elevation = 158.0 �a6��
Proposed Garage Floor Elevation = 157.5
Proposed Lowest Floor Elevation = 150.0
I hereby certify that this is a true and correct representation of a
survey of the bourdaries of:
Lot 10 , Block 1 , THE NURSERY, Hennepin County, Minnesota .
And of the location of all buildings, if any, thereon, and all visible
encroachments, if any, fron or on said lend. As surveyed by me this llth
day of Novenber, 1980. ;
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�����'�����.� Tho�-�es S. Bergquist � '
� `°� � � Land Surv�yor, Minn. Reg, r.o. 7725
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SCnLE
1 ��= �� Prepared for :
• , SATHRE-BERGC3UIST, INC. e�oR o.cE
= __ Z 6� REGFIELD HCr.'ES
•� !75 EAST WG/2AT4 8LV0 • WaYZATF,MN SS]91
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TELEPHO'�E e12 476-CE=3 � r 1
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DATE TIME
CITY OF ORONO ca��Eo w `����/i 7
INSPECTION NOTICE _. scHEou�E� '�/=`%/�� i G' '-—�c.'
PERMITNO. �'`:�^�� COMPLETED � �_
� �
ADDRESS c`i'_'� i' =� ., _�'�!�i ,_.�f �,-�_
OWNER ��L��;z�-r.,� CONTR. ����.���'
TELEPHONE NO. �/��-� - -� 7i L:
� DESCRIPTION _ � �� �� � -��- �=�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
QC-84WALL BD 12 WATER HOOK-UP 17 SITE INSPECTION
_ �FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEM�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O f' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOF CITATION ISSUED
I"-i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt in ection 2a hours in advance.473-7357
Owner/Contra or site.
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN � S�
INSPECTION NOTICE SCHEDULED � ..Z-� 9� // ` v �
PERMIT NO. ��b'� COMPLETED
ADDRESS �'7_5 �.�.,,, i .
OWNEF� �,l�s e�� CONTR.���A1'�
TELEPHONE NO. �'1�7,Z � .� 7/�
� DESCRIPTION _ /lp6�Z,.�,e.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMIN 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
F' 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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DATE TIME
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INSPECTION NOTI SCHEDULED — r--
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN 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
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Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
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White Copy/lnspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN �1'.�9�9�
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
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Call for the next ins ction 24 hours in advance.473-7357
OwnerlContract o te.
Inspector.
White Copyllnspector's File Canary CopylSite Notice