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Home My WebLink About2008-00034 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2008-00034 2750 KELLEY PARKWAY � , ORONO, MN 55356- DATE IssuEn: 07/28/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1955 HER[TAGE DR PIN : 10-117-23-13-0014 LEGAL DESC : FOXHILL : LOT 001 BLOCK 004 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 800.00 NOTE: DECK/BALCONY APPLICANT PERMIT FEE SCHEDULE 34.75 NADEAU, BERNARD&NANCY PLAN REVIEW 22.59 1955 HERITAGE DR WAYZATA, MN 55391 STATE SURCHARGE(VALUATION) 0.50 TOTAL 57.84 OWIYER NADEAU, BERNARD&NANCY 1955 HERITAGE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with�vhether or not specitied herein."Chis pemlit will espire a ecome null and void if construction authorized is not commenced ithin l80 days of the date of issuance,or if construction is suspended fo a period of 180 days at any time after work has commenced. "fhe applic t is responsible for assuring all required inspections are reques in conformance with the S[ate Building Code.This permit may be re �e at any time for due cause. � 7 ,a �� , C1�' ��-� � � � ��,-,t,:�-��-,� �� , , �,. pplicant Permitee Signature Date Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � ' � �I D�O Total Fee: $ � , O DateReceived: �'��vb Entered By: Perm�t#: a0 � ( o?oo�-- D o�3 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, R CONTRACTOR JOB SITE ADDRESS: C � � � � 6Z- �/� ` � ��-l1%�IP: �� / Will this be a P de of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS NO If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demorrsb•ates suff cient on-site parking is available. Non permitted events will not be a[lowed i ` NAME OF OWNER �� - � PHONE: (home) �� U / �1�o r � (work) C e�/ MAILING ADDRESS: CITY: C��L d " � ZIP: 3 �� —�� CONTRACTOR: PHONE: CONTACT PERSON: -, c � � MOBILE/PAGER: MAILING ADDRESS: _�-r---� CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Hame Addition Accessory Structure �J Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WO K(describe in c� ��—` -� � C'd � � STORIES: �_ SQ.FEET OF E FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(exduding 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 a�work is not to start without a permit;and that the work will be in accordance with the approved plan. ; APPLICANT'S SIGNATURE: � �-� DATE: � / �� 31 , Sec13.04 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. lnformation required to be given individual. An individual asked to supply private or confidential data conceming 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 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 identity ofother 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 mav olace 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. 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. 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding 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 authority describing the nature ofthe disagreemen[. 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 disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the 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. / o have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. our full name is required to process this a plicati n or permit. �—�ti�� - �� First Middle Last / j ,�.� f/c ,� . -�..c}--� -�-� � � Address `� ��o��- � ,— o l/1/1 r� ,� .� �/ �/� / � / 5�� City Statc Zip Phone I understand my r' hts as stated abov .1 _�" / natyr Reset Form 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: � �i �S ��;�'..�� e ��✓Q PID: - DESCRIPTION OF WORK: _'� " x /� � ��P c K C h,�/<r �� ZONING REVIEW BY.• � �' DATEAPPROT�ED: � � y B UILDING REi�IEW BY.• � DATEAPPROTfED: 6 -�c� . ��3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PL�4N RE i'IEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No_l� PARK FEE St1C Yes No � SITEWSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District.� Lot Area: Sq.ft. • Acres Width Depth Survey Submitted: Yes� No D� of Survey: _ G r'('`( �"�� cC,t N Proposed Setbacks: �`> ►��:' �'c'v �tc"S� Front(Lake): ��G`� t � �Zight Side: �Q Rear(Street): ��1�' Left Side: �� /� � Adjacent Structures: �1�+ Wetland: -T � �z Building Height: Def. Hgt. Peak Hgt. Lot Coverage: !J f�— Grading: StaffApproval Date: By: CouncilApproval Date: Septic: StaffApproval Date; �`' � By. (��;.� Zoning File; # Resolution: # Resolution Date: � � '" .,�,��,. Shoreland District.� IrJ�(Cc o t.y �c E�, ��.�� -�(� MCWD Permit: Avg. Setback, BluffSetback: LotCoverage: Existing Proposed Hardcover: 0-75' 75-?50' 250-500' 500-1000' Hardcover i�ariance Required: Yes No Date of Council.4pproval: REMARKS(in house): Q.�-�zti�c( S��"�J�-+C �C.. � ��1� L b]�; r ��nti� 1 e c� `l-�� :� � ��-1�% ' ��C;tcr�_� i L� E�'. ' �� wt �1 �C C.-r� L�.A-°'� C'GvtS }YZJC v/ D� '1`ei S �G2C1C� ::.� ir� . � Y�71�1� (�'��viC� �r_Ci5 ��-e,d� /-�Cle��2(;� • �j-�'�-ti' Z�"'n�ji�n�� w�(� �O� V'L� ��c�eCi t h.�-� - ;� �� ;s �� ►��,I . � ��<< �.> i z K �z � c��wa ��,�� B UILDING REVIEW CHEC%LIST UBC: (Z- - ,3 CONSTRUCTIOh'TYPE: �l� Sg Footage $Per Sg Ftg Basement x = Ist Floor x = Znd Floor x = Garage x = x = TOTAL � ov Estimated Construction Value: $ �� fnspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _ Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(Siate Permit) _�Fina/ Grading/Filling Electrical(State Permit) Other RE1I�ARKS(INHDUSE): REVIEW BY OTHERS: DATE: Access: Existing New ,4ccess,4pproval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 "`�„"� � �' � t�� ;� , � ��+. � (� � - - � � � � � � � ; � r , , f�� .� , � � ; :� �- �; .� � � ; � w =_ �-� �. .. � �� , � � �- �� r << � a - � _ ` ,----_ � � � � = -- _ _ �� "�.r I . _, �t _ - ��_ �� Q. �;�1 C�,� ... �r+3 F-� ... �._ _ : � -` . i :� paLy ,r�� } , ' 1 , , 9me° u' f 1 ' n �T ' �r, �!l� .::, 4 ' _ � � �.��. ' �I .� � �:� ? � i � � � � � :i' � - L'� �— � ' - � .. �: � ` � W � ' ❑. u` � _� _. ' �I . � � \ � 1 �—, � , �'f � . * , — x� � , _ ----- ---- . � � � � x � __ _ . -------. � � � � �g c� � � . � -, � c� ► � � � �_-_-- � _�� --- � sOrx � ' �. � � � , , �( �� ;�` DATE TIME CITY OF ORONO�_��,� ��ca,��E iN INSPECTION N TICE. SCHEDULED .�$'�$ /��s G PERMIT NO. COMPLETED S ADDRESS � �� S� 1-�e/ 1 t�j� ��i�✓Q OWNER L Gu� �A neAv CONTR. TELEPHONE NO. 'v ,� ' � b I ' �,��C7 � DESCRIPTION :� �C IC �rI�M�� S � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q �FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ NSULATION ❑ 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 ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � o �� • C�C�iGi✓ a � � � X c'l v i�P�� DC�c�C i��;.� I�- W � �--< <- � � �� f��`� b� �'�-t-i,�l�•2 Q � ----- z _.-- --- , - � / � t� � � 13 .-� �' "!—_\ � � ��_ � � —-- --__--------------------- - a W� ,�WORKSATISFACTORY:PROCEED CI PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C I ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector_ � i / �i ��V White Copy/lnspector's File Canary CopylSite Notice �` � � DAT �f TIME V CITY OF ORONO CALLED IN � O` INSPECTION NOT C �CHEDULED � � • �— PERMIT NO O -�D COMPLETED ADDRESS OWNER ONTR. TELEPHONE O. �� v� � ZG�- �a�� DESCRIPTION � ��CV � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. O N�ATER HOOK-UP ❑ SITE INSPECTION _�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� d f9 r�s N�Q� �-r� tZ� -�� a j �� O � � tj �3�/� � i P C�-��.-c ia 1 =��U�9- ) ° - - �—�1 S 5�.,�-r c�-��- �"�T�cJ� W � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED L7 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W ��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice � y�ul 1��1�, c�r COIISLili vvir,n competent tegal counsei, ir � j � � o� � �� - rect, and that any matters of record, such as easements, that you � � � ��o �� \ �� n shown. � I -'� �� i' improvements we deemed important. � ' �, ' \� � �� ' 931.0 °� � �, � i i�� ing old monuments to mark the corners of the property. � " %� • ' \ °<.= �°.�� "�� v t selected locations to give some indication of the to o � � �� a h of ' P �' P Y � �' O'f Of0 � only to the benchmark provided on this survey. Use that � j ' ;? � ' `� `� �` • � / r�' 1 _ Planni Zoning Pla evi � / � X925.2 her feature shown on the map when determining other elevations 9s9.s ,� / ; ' ate: I i I \�Pian Revie � � � � I Wood Fence 930,3 � \ / � � ENTIONS: ; � I �� i i� AP,P-FtdvED t � � �� '�� ' — � ,Q APPR WIT VISION.S (see no,e � � � tic plug bearing State License Number 9235, set, unless � �� " ,��-�% �� i� —�—� % NIED � � � , � � x x , ,�jk 0 �. / �� '�tQ.,/ �� l I k ication re ort or surve was re ared b me or ��h �+/ r��/�� / // 9��3 X � � P Y P P Y �, �O /�� /'�� /� � X925.i �� I am a licensed Professional Engineer and �, � � 932,8 � �-�--�" ;"� ' s o f t h e S t a t e o f M i n n e s o t a. � �� / � j � . � 938.2 � X %� � '` � �� 935,2 � �� ;j I � iS 9381 � j� � BENCHMARK � _ �a ; � TOP OF WELL p � � `��'' � � i ELE6'=93�.08 A�� . � �\ �� C i r .�,� i \ '\ X I .�Ic. � � � �� 936.0 �' � � l�lteCL//1U.ST f3-Q 2UUl�� 3' � � o � /� �� • - � � �or= oc,��-++�� o�c. Ms��oo.�e� / 9�i,� � � - � 'l , �� '9 �' � /4�� /�'G�.-/ w C c-c� �8� � � � 30.O �,�i �36.7� , � ' sllt� ,fIO.B N � � �.v� � � � � / //// , � � Z ! � �Proposed GarageN ,;�Paa �?� I W 1 �---� �'FZ OR ELEV 933.06iN �?� _� = O � k e °�� , pp /� i py_ 4.2 } X925,6 a ` -a � Q��T ►� , I . O t� ��. ! 30.0� � � Ou:`doa- Wall' St0!-y Bl7C�C �; � �+ �►d X 38,4 " ','/ // f1RST FLOOR ELEV-933.16 � � I \ (,,� O � � ,� ��.0 � � ��`r`'�� l ""�' �� ,x � ` ` I _� 933,0 ^ �\ i � \�': �'�'�, }� � �t� y;. � � �; � � c:,� ��j:�,��f;�'� �, t��....._._ h � � �� _>-_"� _ N �`� I I � � ' � t'`.,;,,�� !� P�oposed Conc�ete Pofio(ypJ ; I � � ` Addition � 'rt�u�� .�: e�� ,,,��+++,,, 941.1 940.1 � �Retainmg WaN � � � \ �Si41 �� ,rs�� \ � 36.4 � � \ � � _ � �� \ d o � -�� :4�- �' ��v� �is�,�;��#�� ..�i�t �- 0 Q y � � � � X932.9 � -,� •-, y� �:.,. �p�Q � / � � �"�� 930.� f� r .r F f, '1 \ \ � ! \ � 15.0 � ��r�s , 1V r� a: X925 2 / � I � � � � � �� ?, 932,2 � � � � �,� ,g. .., �tr;�-, �, � ...��,,.� , M �:�V,��.,�•� � V� �� 'ti 93ZJ i �� r . .1 E �';' �d i i �.. � � � 1 i � �o�° � V � �� C,�� i � � � ' r��i; ��\�� '��' f F,�' ;/ \ ��, �J �,,i, \ � � � � v� � \ \ \\\,�, ` \ l.�� ( � �' � � G �, � �� ;� ``� � c,�� D�T� ` �-� � � � � -� � �� .� .� � � � .� . 941.1 � �\�� 1 � � � � � �` (� � � � ��`� 933,p �� `�'cs' / ` Edge of Bituminous(Typ) \� �� \ \�� ` i � � � �� 9 � � �� , V �� 1� � �� X933.3 � ��i � � � � � �� i�� A � ,� � 928,2 � /�/ � 9S8 � ��X940,4 � � �� y� �� •� � � � � � �< � � � �� `� �\ � \ 1\ i � � �� F ��1Q" � � � � 9S6 � � \ �� 4 � i � "� � \ or��,✓C� � __ � co �`9��> \ � \ � i � I °� \ 1 _ �\ � �� pj �j`�`9��\ i � � � � � � / % �,Q � �� . � � � A � � � � C �� 1 V��..�� .�� 933.9 vI �� . 9P , � � • ��, � � � �� , A '•' I 3 4�� -- , � � � �; '4=�1,��6, ,��V�` ,__ ,� � L_102. �8, 0.5� » ` � , d-1> 12>>��,� � A �� R-746 , »� . � p xV1 ' � � � � \ � � d=7'53 9 0 x9ao.o S g) 30'3 � � � . � . �a��„ n--=��.,