HomeMy WebLinkAbout2007-P11366 - addn/remodel/repair PERMIT
CIT'�OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11366
Crystal Bay, Minnesota 55323 Permit Type: Addition/xemodel/Repair
(952) 249-4600 Date Issued:
8/31/2007
SITE ADDRESS: 2300 Fox St Unit#
Long Lake, MN 55356
PID: 03-117-23-32-0013
DESCRIPTION: UBC Occupancy R3
Consri-uction Type VN
Proposed Usc: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair i
DETAILS:
Approved per resolution#:
Separate permits required: Elcctrical(state)
NOTICES/REMARKS:
Add Starage Area To Existing Garage
FEE SUMMARY: Permit Fee: $ 349.25 Valuation: $ 22,000.00
Plan Review Fee: $ 227.01
State Surcharge Fee: $ 11.00
TOTAL FEE: $ 587.26
APPLICANT: Lake Country Builders OWNER: E&K Cunnington
Peter W. Jacobson 2300 Fox St
339 Second Street Long Lake MN 55356
Excelsior, MN 55331
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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APPI.ICANT PERMITEE SIGNATURG IS U D BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, l-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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Total Fee: $ •�`87•��o Date Received: � �-��J-L%�
Entered By: Permit#: ��. j �(��,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforination)
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-- �-_____--__.._,
THE APPLICANT IS: (circle one) OWNER O CONTRACTOT�
�_.--. -. __._�
JOB SITE ADDRESS: v�v� fl C� �c�lC�� �%�^� � �: ZIP: S S�S�
Will this be a Yarade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS � No If yes, a special event permit is required with Police Department and City Council approval
60 days p��ior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site par•king is available. Non permitted events will not be allowed.
NAME OF OWNER: �c� � �c�� Ct�n,�i X ��, � PHONE: (home)
�, (work)
MAILING ADDRESS: �C�C� �--cyt -Sf CITY: C��'� r�G� ZIP: S��'���
CONTRACTOR: ��� �� �j�p �'��� .�u t ��r� ('s PHONE: t.5� 'Y 7y -7l �-I
CONTACT PERSON: aC'1 c r vt VC,�e v� MOBILE/PAGER: !o � � -� Ss- -�j 3.5"D
--- MAILING ADDRESS: -��?___ 33� �Z;,�(.s'r CITY: �'x�=(s s e�' ZIP: ,SS 33 �
STATE LICENSE: # � '� �" � EXPIRATION DATE: 3 3 ��
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 detai�: /���{ s te�c��� C( �� �p
� S� �C o��'c�� �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � a � d� 0
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 wark will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: r� :�� DATE: �� -� 7
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. Type of data. The righu 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 ofthe 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 identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I
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 olace the notice required under this subdivision in the individual income tax or propertv tax refund
instructions�nstead of on those forms.
Subd.3. Access to data by individual. Upon requestto a responsible authority,an individual shall be informed whether he is the subjectof
stored data on individuals,and whe[her 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. 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 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 shal I 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 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,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data
conceming himself. 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 incomple[e data,incl uding recipients named by the individual;or(b)notify the individual[hat 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 ofthe 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 wouid 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.
C ����< <� �� ����� f�J� -e ��s v �
First Middle Last
�� Il l Yt � �f' � �C���j �� '�-
Address
��� 1 e � �� � � �� �s.�.s�� � i a �f�3-s�r�
C�b' Statc Zip Phone
I understand my rights as stated above.
__ �- �—e���-
Signature
Reset Form 32
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�CKEC�K pFF LIST FOR ISSUANCE OF �'E��'LITS
FOR OFFICE USE ONLY� .
A.DDRESS OR LEGAL: � �C�`% �U��c S-}- .
PID:
pESCRZP'].TI4�T 4F WORK: � � �
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----- ---- -------- --____—.---- �ATE APPR.OVED: c� Z� a
ZOYL�tG REVIE�FV BY: !.� DATE APPROVED: 8 -2g-o� . .
�UIZDING REVIE�V BY• � .
. � � ---=-----------------------=-------------------------------
�`EES TO BE CHARGED: Misc. Fees Calculated By:
PERIv1IT Yes No
PLAN REVIEtiV � Yes No SE��TER CO�ECTION
STATE SURCHAR.GE Yes � No tiVATERCONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No _� STTEINSPECTION
Number of SAC�Units OTHER (specify)
----------------------------------
�py�t��,tG �CH�CK L�ST Zoai.ng District: 2R-1� .
Fire Department: Post.Office; School District: �
I.ot Area: Sq.ft. i»,i37 Acces �J.O6GS' Widch Depth
Survey Submitted: Yes t�fo Date of 5urvey:
Proposed Setbacks: • :
Fron[(�: 2'��� Riaht Side: ��/l. �'1 .
P.ear (��3� 68'� � } Left Side: 120'
�3j3CP�� Srnir7irz=: /}��L� tivarlZil�: /J��
BuilSin� HeiUht: DeF, �-Igt. c�. I� Pe�`�'�t. —
Lot Covera�e: N�1�
GradLn�: Scaff Approval Date: /UD GM,Ar.fs4__. BY� CouncL Approval Date: '
Septic: S[afE Aporovai Date: �-'� '" � �Y� �"`��
Zoain� File: � — Resolutioa: n Resolu�ion Date:
Shorzland District: /V�
Av;. Setbacc_: B!uf:Setback: L.o!COV?2�?;
Eustieo Proposed
Hzeca��er; G-��'
7�-2�4'
2�'J-���:;
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SUILDING REV��V CHECK LIST
�C� (� ' � � CONSTRUCTION'I'XYE: V/J
Sq Footage $ Per Sq Ftg
Basemeat . . X _ � .
lst Floor � . x � _ . � .
2nd Flaor x _ � �
Garage x = .
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TOTAL
Estimated Co�struction VaIue: $ 22,pc9p °`�
Inspections Requirec3: tiYock Requiring 5eparate Pecmits:
5 ice Plumbing Fire
Hardcover Removal Mechanical Water Connectio❑
�Footing � Septic Sewer Connectio❑ ��
' ✓Framing . � Fireplace Lawn Irriga[ion
Lasuiacion (1Y1�oary) Ocher
�al1 Board (Mfg.) Well (State Pe:nit)
✓ r�� Grading/Fi11inQ �Electrical (State PeRnit)
Other
R.EMA]t�S (IN HOUSE): "� -- --
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REVIE'4V BX OTH�RS: DArI'�:
Access: Ezis[ing New �
.Access Approval: Datz gy;
RE1��IAR'KS ('I'O EE NOTED Q�I PERtiII�:
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CITY OF ORONO CALLED W ����^'
INSPECTION N I SCHEDULED `7 YJ`'�/ •�
PERMIT NO. ���� COMPLETED
ADDRESS a3oo �O� �7�7"'L���
OWNER CONTR. �P ��
TELEPHONE NO.___Co% ��J� l�"���,�
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� DESCRIPTION r' �'yll/� g
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 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 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:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETl1RN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO RRANGE ACCESS.
Cail for the next ins ction 24 hours in advance. (952� 24J-46O0
�
OwnerlContract o e:
Inspector. `
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIME ✓
CITY OF ORONO �CALLED IN �
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WSPECTION NOTICE scHE�u�Eo ��
PERMIT NO. �//_���o COMPLETED
ADDRESS �OO � c�T -
OWNER CONTR.
TELEPHONENO. �� - �A�Y�J �4 ��� �� S
� DESCRIPTION �'Y,Zt,c--�a-rt 7 07'1 � C�,Y'-c./2Gz�C--
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEP71C FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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❑CORRECT WORK 8 PROCEED -, ISSUE CERTIFICATE OF OCCUPANCY
� U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL O ARRANGE ACCESS.
Call for t x "n pection 24 hours in advance. (J52� 249-46��
OwnerlContr t si :
Inspector.
White Copylinspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN i I f D�TE�� � TIME
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INSPECTION N TI� SCHEDULED �1 ��:;:
PERMIT NO. COMPLETED
ADDRESS ���-�C' ��-' X S1�" .
OWNER CONTR. �--��--�L� �.(�1.�-
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TELEPHONE NO. _ l.� I v�- ��-�J `t�L�
� DESCRIPTION �C�I�C���-. � ,�K r{ 1--I �'�-'��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEF�TIC F�lOAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:� YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
'�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREOUIRED.CALITOARRANGEACCESS.
Ca11 tor the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector._��,, � �
White Copyllnspector's File Canary CopylSite Notice
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city of Orono 0 0
Planning 8 Zoning Plan Review �J����LI ��C41 l�� �lJ �C�1�l�J �l�J�U l��
Site Plan Review Date: � L� (J7 DONJG�DaG��(9[��3����G��� �I�pG�Co�ML��1L�1��9 p�G�G°aDC������J
APPROVED ��3�0�0�(S��G��[ If' OG�OG�O f�G� PREPARED FOR j
� s EDWARD CUNNINGTON
O APPROVED WITH REVISIONS(see notes) saoo Fox sT�er
ORONO,MN
O DENIED ` e,s-�oa-as9s
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LAND PARCEL SURVEYED ==� =-� I
� Lot 1, Block 1, BILL KELLY'S LAND FIRST DIVISION, � ��
� according to the recorded plat thereof in Hennepin
i
County,Minnesota.
I
Easements, if any,affecting ihe land parcel surveyed by i
i
usage,of public record,or otherwise indicated on any plaf
� or map were nof reviewed and are omitted,unless
otherwise indicated.
' LOT 1
The above land parcel description is inferred from the �77,137 SQ. FT. � �
sfreet address and/or legal descripfion provided by the
4.0665 ACRES N
i client,togefher with review,if any,of the Counfy tcixation �
descripfion for the land pnrcel and/or Couniy surveyo�'s
I� secfion map informafion.
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� HARDCOVER & AREAS �� �� �
i land parcel surveyed(LOT) 177137 SQ.Ff. �q� \ �. i
'�� driveway 3959 SQ.Ff. � � �� �^�j, �
�, building 2651 SQ.Ff. S� \ "' I
u
sidewalk and slab 144 SQ.Ff. . �� ��� �� �
` � i
' e�'B_k i:v:.S�.x^.. �-" V � ` �� �� � �
��, refaining wall 100 3C#.FL. �'. � � ��
\
I LOT hardcover 7960 SQ.Ff. 4.49% \ �\
allowable(259'oj LOT hardcover 44284 SQ.Ff. � � \\ �
II �
I plan building addition 160 SQ.Ff. \\ ` \ ,� I
i proposed LOT hardcover 8060 SQ.FT. 4.55% \ � \ ��
��� � � ��� �
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� NOTES r�`�� "�h � ��
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��� ��\ �s., �� ,,,d,IR•�. "°"'�"°° "� �
� Surveyoe's iron monument iound in ground
"���������
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i Bearings ara on an assumed basis � � ��
, Elevations are according to NGVD ` �
PLAN ADDITION gwdes to match exisYing grades � � ;�7; �
� �' - � �
Existing gawge floor=970.6 feet elevation
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' 1 hereby certify that this survey was prepared by me or � ' Jr��
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'I under my direct supe ' n. 1 am a duly registered land -�y��� � ,��'q w
surveyor under t ws o�the State of Minnesota. 2� oy
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j �? August 22,2007 \ g
Fmf R.Cardarelle,L.S.
Registmtion No.6508
Drawing revised on � ��1,
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'� Frank R. Cardarelle � �`�� ��� � ;°-��.-�
' La n d S u rveyo r, 1 nc. S •s��•w� ,,#. ``°, .�
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�'� 6440 Flying Cloud Drive __ ___�—" a � , � `�0��;6��,0„ ���
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� Eden Prairie, Minnesota 55344 ���--�-�-- T'="` p ,
� 952-941-3031 fax 952-941-3030 �F� S� 'T\,�ET • J
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