HomeMy WebLinkAbout2008-P11933 - addn/remodel/repair � �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11933
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
4/16/2008
SITE ADDRESS: 2905 Fox St Unit#
Long Lake,MN 55356
P��� 04-117-23-34-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Pcrmit T e: Addition/RemodeURepair Fermit Sub-type(s): Addn/Remodel/Repair
YP
DETAILS:
Approved per resolution#:
Separate permits rcquired: Plumbing Mechanical Fireplace Irrigation Electrical(state)
NOTICES/REMARKS:
2 Story Garage Addtn, Screen Porch,Covered Entry&Interior Remodel
FEE SUMMARY: Permit Fee: $ 6,956.75 valuation: $ 1,250,000.00
Plan Review Fee: $ 4,521.89
State Surcharge Fee: $ 620.00
TOTAL FEE: $ 12,098.64
APPLICANT: Streeter&Associates OWNER: Michael&Berit Francis
18312 Minnetonka Blvd 2905 Fox St
Wayzata, MN 55391 Long Lake,MN 55356
THE UNDERSIGNED HEREE3Y REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLfANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
' 1 �
APPLICANT PERYIITEE SIG\'ATURE ISSUED BY SIGNA"1'URE
Copies: 1-File(Srg�iatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
{ ►,
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z qDS� ft�X ,
PID: rnlvrrw �oc(t,l �cr¢�.yl �£l c��t�i+-, � � r-�2h At(cl�h�., �� cGe c l�p
DESCRIPTION OF WORK: C r/YI S /Zl.w A� � � ��j� � � �,
---- — �______� - Ap� fo
ZONING REi�IEW BY.• DATEAPPROVED: � C�e� l�v�Ky
BUILDING REi�IEW BY.• DATEAPPROVED: y-�1 -�8 �'��
FEES TO BE CHARGED: ~ Misc. Fees Calculated By.• M ~ ��� ~Y�_
PERMIT Yes ,/� No
PLANREi�lEu' Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes_� No WATER CONNECTION
INVESTIGATION FEE Yes_ No ✓ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST~W Zoning District L� -�� �� ��-'�_______��_____w__
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Widlh _ Depth
Survey Submitted: 3'es � No Date of Survey: (/Y)K , \�
Proposed Setbacks: � ��'�\ �'F''��
�,y � Q�
� ��v �� ��i��rv�t�
Front (L�: 2 -f 5 �tght Side: p ��
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Reai•(�t►�eetj" O ,befY Side: ��� �.;�� ����
Adjacent Siructures: YY'etland.•
Building Height: Def. Hgt. 2� -S • Peak Hgt. Z� �
Lot Coverage: �. �t,•
Grading: StaffApproval Date: By: Council Approval Date:
Septic: StaffAppi�oval Date: `�� � t ��� By•�,�i'
Zoning File: # Resolution: # Resolution Date:
Shoreland District• I'jC� WGrir /Yj S�l���'hC'�z�`� MCWD Pe�-mit:
Avg. Setback: Bluff Setback: Lot Coverage:
Fa isting P��oposed
Hardcove�-• 0-7�'
75-250'
250-.i 00'
�00-1000'
Har-dcover 1'ariance Requi��ed: 3 es No Date of Council Approval:
REMARKS(in house):
33
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BUILDWG REVIEW CHECKLIST ,
UBC: R '.� CONSTRUCTION TYPE: V/`�
Sg Footage $Per Sg Ftg
Basement x = �
1 st Floor x =
�nd Floor x =
Garage x =
z =
TOTAL
Estimated Construction Va[ue: $ 1,�5�,��m
Inspections Required: Work Requiring Separate Permits:
Site C Plumbing Fire
Hardcover Removal QC Mechanical Water Connection
�( Footing Septic Sewer Connection
��Framing K' Fireplace ��Lawn Irrigation
_�Insulation o� (Masonry) Other
_�-"'^'�rd oC (Mfg.) T�'ell(State Permit)
oC Final Grading/Filling _�C Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Fxisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
34
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Total Fee: $ /02 49 g. �� Date Received: �"Z��g
Entered By: Permit#: A �I q3�
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 OR CONTRACTOR
JOB siTE Avn�ss: Z�os Fo� S�.,T zir: 5535�
Will this be a Parade 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 prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non per»aitted events wil!not be allowed.
NAME OF OWNER: M,c,,�a� 4 Br'R�r I�r�aNc�S PHONE: (home)
(work)(v I 2.l09!�.Z8Z2
MAILING ADDRESS: 2°►°1S 1.�f47�ZTokJ�l RD. CITY: �RoNo ZIP: 5535b
__._.w_._,..______..--._.,
1 CONTRACTOR: S�Tt���,T�2 ? AS5oGu4i�5 �NC. PHONE: 95Z-y�9.S74lo c-� I 16
�, CONTACT PERSON: �T }�q�s � MOBILE/PAGER: (012.$01.9$l9
.`
MAILING ADDRESS: I S�J I Z MINNETOhIKA B�-vD. CITY: W�+ ZA ZIP: 553�� �t
STATE LICENSE: # � 3 �(j EXPIRATION DATE: 3 ► 0; -z--% '��t' '�� ;`�^ N��
ARCHITECT/ENGINEER: M�'EFSKI CooK/-4F2GN11LU�5� INC. PHONE: �3�1. 83S.7o�31
MAILINGADDRESS: 71(a VEKNo�! AvE, CITY: G��.ICA�, IL ZIP: (oOpZZ
NAME: �ON►J W• MYEFSk.I REGISTRATION: # Z012Z
�'Y TYPE OF WORK: New Home Addition � Accessory Structure
�0
( Move Home RemodeUAlteration(i.e.: Siding,Windows) �
� **A��y eczrtl� move�rtent ry1a��require MCYVD Revietiv and Permit!
� PROPOSED WORK(deseribe in detai�:TME PRa�Eu-ee�r�s�srs oF� 2-S�aRy GARAG�W�nICi A�ilo�l�oveR�D FRorh-
\�� ENTR.y F�Rc.�l ADDinorJ, P-E#ZSc.REF,N�U PoRU�1 RDDinorl � (ZF1�IovA7)a�1 oF �isn�-k 2-staR.�/ R.F--S�DErcGE.
� r ��4bnNC�-�% y3�0 S•F•
STORIES: 2 SQ.FEET OF EACH FLOOR: NE1�.("'� I°I00 5•F•
NO. OF BEDROOMS: �3 GARAGE STALLS: ATTACHED 5 DETACHED O
j/' C ��, ci.'` r x `.a�. 4./„ ;� -
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, c� �� �,. , !:�. `^`�
,�—�
1 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: .� a� ��
31
. , �
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 wncerning himselfshall be
informed 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 legal]y 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 propertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,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. lipon 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 authoriry 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,ifpossible,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and]egal holidays,ifimmediate compliance is not possible. Ifhe 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,exduding Saturdays,
Sundays and]egal 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 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 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 disdosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry 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 fiu-nish 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.
' S. 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
33
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�� �� D TIME �
CITY OF ORONO `� CALLED IN � ���
INSPECTION NOT E SCHEDUL�ED �
PERMIT NO. � �� COMPLETED
ADDRESS .� ��� �_``�; St �
OWNER CONTR. VV`)C�j'u l�
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� DESCRIPTION � �� � ���J�
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� ❑ 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 ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46��
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Inspector.
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� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
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❑CORRECTUNSAFECONDITtONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor site:
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN
INSPECTION T C SCHEDULED 8� r''!<'
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� DESCRIPTION �� � ^
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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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. �,� /� S
White Copyllnspector's File Canary CopylSite Notice
�(� �� DATE TIME
CITY OF ORONO CALLED IN ��'a�
INSPECTION N ICE SCHEDULED � 1�
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� DESCRIPTION DO�
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� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP
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INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on s te:
Inspector._ I�,_��l ��
White Copyllnspector's File Canary Copy/Site Notice
F� c:>`-� ' DATE TIME ��
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INSPECTION NO ICE ? SCHEDULED d 4��.�1�
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INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
C��% "' DATE r TIME �/
CITY OF ORONO CALLED IN O � Gb�
INSPECTION NOTIC�F SCHEDULED % _�_
PERMIT NO.�f��� I I�7 `� COMPLETED
ADDRESS �7�C��� �� � � u r� - '
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❑ 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 ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on sit
Inspector_ l
White Copyllnspector's File Canary CopylSite Notice