HomeMy WebLinkAbout2000-A002000 - addn/remodel/repair l-
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Aoo2���
Crystal Bay, Minnesota 55323 P21"1711t Typ2: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 2�4���
SITE ADDRESS: H2s xuntFarmRct
LONG LAKE,MN 55356
P��: 30-118-23-44-0003
DESCRIPTION: uBc occupan�y R�
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Sep�rate permits requirecl: riumoing iviecinanicai �iecu-icai�siaie j
N/'1T1!'`CC/�C�A/��IlC•
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BASEMENT FINISH
FE� ci innnnn r�v� . �. ��„ «
� vv�v��v�r�� � � . YGLLIllIPGC. � '*�-i•-'-' 28,00�.��
Valuation: �
Plan Review Fee: $ 273.99
State Surcharge Fee: $ 14.00
TOTAL FEE: � 709.54
APPLICANT: sAwxoRSE BUILDERS OWNER: L v auDiTo�K J�iTo
4740 42nd AVE N 825 HUNT FARM RD
ROBBINSDALE MN 55422 LONG LAKE MN »3�6
1'I IL:UNDERSIUNED HER1313Y RBQUL,STS PERMISSION"I'O MAKE TI�REAL IMl'ROVENIEN'I'S SPECIF'II�D
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
,
. �^�G� ��yt��/ /r��
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� APPLICAN ITE sIc f TURE SUED BY SIGNATC7RE ,
Copies: City, Applicant. Assessor. Finance Pagc 1
INSPECTION RECORD
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: aoo2oo0
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 2i4ioo
SITE ADDRESS: 825 HuntFarmRd
LONG LAKE,MN 55356
APPLICANT:
SAWHORSE BUILDERS
4740 42ND AVE N
ROBBINSDALE NIN 55422
Proposed Use: ;';,,;.ut�-�-yY��s}:Single Family
Pernut Class: Building
Permit Type: Addition/RemodeURepair
S�arate inspections required:
Building: Framing Insulation Wallboard Final GeneraL•
Plumbing:
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON TI-iE PREMISES ON WHICH Tf�WORK IS TO BE DONE.
Total Fee: $ �C� `�•% � Date Received: �� O G
Entered By: ��j Pernut#: C t' ;� :�
CITY OF ORONO - BUII..DI11G PERIVIIT 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 ONTRACTO
JOB SITE ADDRESS: � �� ����`� FcivW1 �:�cLc� ZIP: �c3�(o
NAI��E OF OWNER: �V Y� � ����t� �Y A �-�n PHONE• (home) � 3�—�-�1�7
� (work)
i�IAILING ADDRESS: ��_ ���1� �aV�'v� �.`� CITY: ��V'��a ZIP: C;Y? ,� (e
CONTRACTOR: «�,'�..�'�r5`z �" ` �c�-�";S PHONE: ���I ��3 �3.,<�?��i �
CONTACT PERSON: �a d � ,��e v� NiOBILE/PAGER: �,� 1` 3�3
MAILING ADDRESS: 1��4L) _ a"d �' CITY:Q�Ioia4L�� ZIP: ��_�SL��'-�--
STATE LICENSE: # : � a3�—
ARCHIT`ECT/ENGINEER <����:�' �` PHONE:
1�IAILING ADDRESS: J CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition / Accessory Structure
Move Remodel/Alteration V Land Alteration
PROPOSED WORK(describ in detai�: �tiS�ivtr:l� � �� �S�� \ ��� f ������`�
���d �a.��t< <� y'a�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTINiAT'ED CONSTRUCTION VALUATION (exclud.ing land): $ �� �a�'
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 pernut and work is not to start without a
permit; and that the work will be in accordan e with the approved plan.
APPLICANT'S SIGNATURE: DATE: � ��
NOTE! Parade�Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
�
Sec.13.04 RIGHTS OF SLJB.IECTS OF DATa
Subd. 1. Type of data. 'Ihe righcs of individual on whom the data is stored or to be scored shall be as set fotth ia chis secaon.
Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and inunded use of che requested data wirhin the collecang 3tate agency,polidcal subdivision,oc sratewide system;
�b)whether he may refuse oY is legally requirod to supply the requested data:(c)any imown constqueace arising from his supplying or refusing to supply
priva�e or conndendal data;and(d)the idendry of o�her peaons or entides authorized by srace or federa!law to receive the dara. This requirement s6a11
not apply when an individual is asked to supply iavesdgadve dara,punuanc[o secdon 13.82,subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav pta- the nodce reauired under[his subdivision in the individual income rax or propettv rex refund
instrucaons instead of on those forms.
Subd. 3. Access to data by individual. Upon rcquest to a responsible authoriry,an individual shall be informed whether he is the subject
of stored dan on individuals,and whecher it is ciassified as pubiic, privace or confidenaal. lipon his fur[her request,an individual who is the subjecc
of stored private or public dara on individuals shall be shown�he data wichout any charge to him and;if he desires,shall be informed of the contenc
and meaning of chat data. After an individual has been shown the privare data and informed of ics meaniag,the data need not be disclosed to him for
six monchs thereaf[er unless a dispute or acdon pursuan[ta this secaon is pending or addidonal data on the individual has been collected or creaced.
The responsible au[horiry shall provide copies of che private or public data upon requesc by the individual subject of the dara. The responsible authoriry
may require the requesting person to pay the acnlal cosu of making.certifying,and compiling[he copies.
The responsible au[horiry shall comply immediately, if possible,with any request made putsuant to this subdivision,or within five days of
the date of the request,excluding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with ihe request
wirhin d�at tuae,he shall so inform the individual,and may have an addidonal five days wirhin which to comply with[he request,excluding Saturdays,
Sundays and lega!holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate
data conceming himself. To exercise this right,an individual shall nodfy in writing[he responsibie authoriry describing the nature of the disagreement.
The responsibte au�horicy shall within 30 days eid:er: (a)correct the data found m be inaccurate or incomplete and aaempt to norify past recipienrs of
inaccurate or incompiete data, including recipiencs named by che individual;or(b)nodfy[he individual that he believes rhe data to be correct. Dara
in dispuce shall be disclosed only if the individual's sratement of disagreement is included wi[h the disclosed data.
The decerminadon of the responsible auehority may be appealed pursuanc to the provisions of the adminisnadve procedure act reladng 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 fumish certain private or
confidentiai 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.
�, You have certai.n 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.
�N���
Last
1q74o ��"���e ����
Add ss �(/�/U 5��'p�,�, � 3 3 `�J�
�o�Ob t nS d d��..- —
Ciry Scace Zip Phone
I unders d my ri� s tated above.
Signamre
CHECK OFF LIST FOR ISSUANCE OF PERI�II'IS
FOR OFFICE USE ONLY • .
ADDRESS OR LEGAL: 43Z 5 1-t�n�� ��2 v� cZo✓�� ,
PID:
DESCRIPTIO�T OF WORK: �h►sc:..n��.-� �i�v�s�� ---
ZO.�i�G REY�W BY: DATE APPROVED: .✓��
�. BL7LD�1G REVIE`V BY: _� � � DATE APPROYF.•D: 2�• 3�-v o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓' No
pLAN FLEVIEW Yes �- No SEGYER CO�'F,CTION
STATE SURCHARGE Yes �-- No �VATERCONNECTION
INVESTIGATION FEE Yes No P��E
SAC Yes No STTEPii SPECTION
Number of SAC-Units OTHER(specify)
-------------------
ZO�Z�'G CHECS LIST Zoning District: /�o �-h P .
Fire Department: Post Office: School Dsrrict: - �
Lot Area: Sq.ft. Acres ' Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side: � .
Rear(Street): LeR Side:
Adjacent Structures: W�tl
Building Heiaht: Def. Hgt. Peak °t•
Lot Covera;e: '
Gradin;: Staff Approval Date: By: Council?,ppro�-2t Date:
Septic: Staff Agproval Date: By:
Zoning File: # Resolution: # Resoludoa Date:
Shoreland District:
Av�. Setback: Bluff Setback: I-°�C°�tra�e=
. Ezistino PrOposcd
Hazdcov�r: 0-?5' .
. 75-250' ---
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of CouncL Approval:
REI+IARKS ('in house):
7
BUII�DING REVIEtii� CHECS LIST .
�C� �Z'3 . � CONSTRUCTION TYPE: vN
Sq Footaae $Per Sq Ftg
� Basement . . , x . � _
•, lst F1oor � x . _ : : .
Znd Floor x _ .
Gara�e x _
x =
TOTAL
Estimated Construction Value: $_Z��(�po�
Inspections Required: �Vork Requiring Separate Permits:
Site � X plumbing Fire
Hazdcover Removal _�I�fechanical Water Conaection �
F��o° � Septic Sewer Connection �
�� �Frazning . Fireplace Lawn Irri;ation
_�Iasulation (M�o�y� Other
_�,Wall Boazd (Mgg,) Well(State Permit)
'� F�� Gradi.ng/Filling �C Electrical(State Permit)
Other
REI�IARKS(1N HOUSE): � .
REVIEtiV BY OTHERS: DATE: ~ �
Access: Existing New .
Access Approval: Date By; �
REI�IARKS (TO BE NOTED O�T PER1tiIT1�: N M N w
8
� �D1 �TE TIME
CITY OF ORONO CALLED IN ��x
INSPECTION NOTICE SCHEDULED 3/�d/ .� °-3�
PERMIT NO. 1°��a�� COMPLETED � --l�� � -� 3�
ADDRESS i� �S �^t I—C.cr-�t1 ��
OW N ER CONTR.SC���`1cX"�
TELEPHONE NO. 2��- �3� 3
_�ls c�(a�,ar� � � pr wr- +J
� DESCRIPTION �C��' — ��,,�. -c�,�t ����°-�-�
t� 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
�� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�_�.—---�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� C MENTS:
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a � °�- S �. S �� (C
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° � bC -��� c�s �-- � S � t,c s S� .
w
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d C?WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� C� CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
I ! CORRECTUNSAFECONDITIONWITHIN HOURS. i PHOTOTAKEN
INSPECTOR WILL RETURN
f I STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.-�����2G-f-C"�2�'�-�l
White Copyllnspector's File Canary CopylSite Notice
3�O�ATE ��I�j
CITY OF ORONO �q�ja`�CALLED IN �_ �
INSPECTION N SCHEDULED
PERMIT NO. COMPLEfED '� � ��
ADDRESS b�� ��[1� ►�;�rn �
OWNER CONTR.S�.`= �,��
TELEPHONE NO. ��� " `1�3
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� M TS:
�
W
� ,.
C�.- �i
O
�.
�
O
� �
Q �� s �. � ��
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2
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W
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�
d ❑ ORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W
� �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector�y��/l3'�il�
White Copyllnspector's File Canary CopylSife Notice
V- FIREPLA E tLEVATION
C
1/2 1 0
B'DRO M WINDOW%. -A
<1 T E
IF E), H. -
S
0'
E
BED
Roo ='P—ILG Hi Tt
F 11
0
20"
: 2 HEIGHT
NS41LL
24t T ORKHr-41N(N
M�X
E 2-'1
44" Mji%X. SILL HEIGHT a.
1/211=1 loll
A,
14A
13 ELECTRICAL SYMBOLS
110 WALL RECEPTACLES
Ground Fault Protected RepiaclE
X� Water Proof Cover Receptacles
Z 220 volt RECEPTACLES
C. Existing Outlets
FLOOR RECEPTACLES
WALL/CLG LIGHT
ONCO?K2MKcl, RECESSED LIGHT
FLOOD LIGHT
L FLUORESCENT LIGHT
4-0
EXHAUST FAN
SINGLE SWITCH
4—
j SWITCH
EXISTING
- A04_�
THREE OR FOUR WAY
4*
SINGLE SWITCH DIMMER
L Z PHONE JACK
TELEVISION JACK
THERMOSTAT
nn(IM P1 1TTnN/rHIKAP I
CITY OF ORONO
BUILDING RPRiVil PLAN REVIEW
INSPECTOR
DATA Z"
6
0 tkF;PR0V_E'_D AS'
1"O'C7 C -D
0 N,.";T AP?E0'-y:ED --- CC 1`0T & R E S U 811M 1 T
Tle rommmt3 a�:; for your 4forma!':on� A11 work shaii be dot&
in 7U compliance willh 0, appiicarie bui:ding and zoning code.
i"MI S Q0'specific-0y.notted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES
PROJEWT MANAGER:
T
EXISTING
1/8'1-11011
*L
DRAWN BY: JOB # 7NIN. =li,# 2382
rrmyr-w-S ED PLAN DENERS & BUILDERS �41_ ININ. Lic238'7
11 SIGIl11 4740-42n&.Ave-nue North, Robbinsdalc,MN 55422
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