HomeMy WebLinkAbout1999-011371 - addition PERMIT
CETY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 _ _ �v_.�:::;°wt�
Permit Number: �''.'� ._.��,,
Crystal Bay, Minnesota 55323 Date Issued: `�'' ���+�� '
(612)473-7357 t:`�:`:.:`i�`=
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: _ ,-;�:�; ; ;_ _;.;-,f, _ ^;,� . ;.;;: OWNER: �
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APPLICANT/PERMITEE SIGNATURE IS UED IGNATURE
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` Total Fee: $ J, ��� 7-�' Date Received:
Entered By: l'�j Permit#: �i �7i
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 O ONTRACTOR
JOB SITE ADDRESS: Z��SSt�-M C-�STa�N 1C�i, ZIP:
NAME OF OWNER: ���. �,��u� PHONE: (home) �{7S=�9z v
(work) �70-!o�i_3
MAII,ING ADDRESS: 2 5'�S ���K CITY: ('��,�o ZIP: �+sr3 Z3
CONTRACTOR: �.,c�� �o ✓�c- PHONE:__(Q.(Z-�3G-5'�-��
CONTACT PERSON: MOBILE/PAGER ��L�L3 -4rZ 6
MAILING ADDRESS: �1.�S,�,vn,,�C�-� CITY: � ZIP: �53�lS
STATE LICENSE: # ZoI S�'7�Z
ARCHITECT/ENGINEER: ��-r��I�,� PHONE:t��Z-��3�-3�z�
MAILING ADDRESS: ���> T"-e.���r�,..�..,�T �t� CITY: ZIP: 5'S-
NAME: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move � Remodel/Alteration 1� Land Alteration
PROPOSED WORK(describe in detai�: �br►�N � �,�e�sa,J �,,�-c,� �' ,rotas�t,,.�
�-���
STORIES: 2 SQ. FEET OF EACH FLOOR: Z 5 7
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ �Sa�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 SIGNAT � - DATE: �U�9
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall 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 confidenaal 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 mav olace the notice reauited under this subdivision in the individua]income tax or oro�em 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 confidenrial. 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 thereafrer unless a dispute or acaon pursuant to this section is pending or addiaonal 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 authoriry may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall 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 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data fou�to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipienu 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 determinadon 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 �ity 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 fumish 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.
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First Middle � Last
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C��y State Zip Phone
I understand my rights as stated above.
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Signature
6
� � r� F R ISSUANCE OF PERMITS �/ ��/
CHECK OFF LIST O
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: `Z 9 y S 3�+�►'����'N 20�
PID:
DESCRIPTION OF WORK: W-A� � �o�
ZONING REVIEW BY: DATE APPROVED: y-Z? •S S
BUII..DING REVIEW BY: DATE APPROVED: Y- Z 7-S�j
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/ No
PLAN REVIEW Yes _� No SEWER COTfNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
- --------------------------------------------------------
ZONING CHECK LIST Zoning District: R R-�C�
Fire Department: (�t�n�6�t«-�= Post Office: ��� School District: C9(LdNn
Lot Area: Sq.ft. `��,�� Acres �- Width �ct S Depth S(S�
Survey Submitted: Yes � No Date of Survey: `�-�7�80
Proposed Setbacks:
Front(�dee): ��� Right Side: ?�c�o � t-
Reaz(Street): �v� � Left Side: t 5 5 � =
Adjacent Structures: /�-�7 i�+�J Wetland: /J l/+�-
Building Height: Def. Hgt. D-�� Peak Hgt. p.�<
Lot Coverage: /� �/a-
Grading: Staff Approval Date: �' By: �— Council Approval Date:
Septic: Staff Approval Date: '— By: �
Zoning File: #�_ Resolution: # � Resolution Date:
Shoreland District: /U'U
Avg: Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
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BUII..DING REVIEW CHECK LIST
UBC: �Z- 3 CONSTRUCTION TYPE: fN
Sq Footage $Per Sq Ftg
Basement x =
l st Floor a =
2nd Floor a =
Garage x =
R =
TOTAL
Fstimated Construction Value: $ c�S�c�dv J'
Inspections Required: Work Requiring Separate Permits:
Site K Plumbing Fire
Hazdcover Removal � Mechanical Water Connection
�Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
�_Insulation (Masonry) Other
�Wall Board (Mfg.) Well(State Permit)
( Final Grading/Filling _ LQ�Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMII�:
8
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MNcheck COMPLIANCE REPORT � �
Minnesota Energ� Code ; Permit # ;
MNcheck Software Version 2.0 ; �
Minnesota Department of Public Service ; �
1-612-296-5175 1-800-657-3710 ; Checked by/Date ;
COUNTY: Hennepin � �
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-21-1999
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 154
Your Home = 134
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS: Raised Truss 257 40.0 0 . 0 6
WALLS: Wood Frame, 16" O.C. 645 19 . 0 2 . 0 33
GLAZING: Windows or poors 180 0 . 320 58
DOORS 32 0 . 350 11
BSMT: 8. 0 ' ht/5. 0 ' bg/8. 0 ' insul . 360 10. 0 Zg
HVAC EFFICIENCY: Furnace, 92 . 0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans , specificatians , and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer Date
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Certificate of Survey
for Robert P. Niichel
- - of Lot 1, Block 2, Garden Grove
Hennepin County, Minnesota _
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S ltEM HI�S BEEN
_ MICROfIIMED� .
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a . �
COUNTY � STATE AID HIGHWAY N0. 6
N89'So jo"E
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�" �ITE PLAN G�ADiNG PLAN � � -
C�-A�'�'�Q�J`J I�dp �rvoN � I
❑ A�;��=;;)s�� �!TH REl�15tONS � �
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_., �— — — —195.00 — — — �
N89°0T�56��W
I hereby certify that this is a true and correct representation of a
survey of the boundarias of Lot 1, Block 2, Garden Grove, the location
of all axisting buildings, if any, thereon� and the propoaed location
_ of a proposed building. It does not purport to show other improvements
or encroachments. �
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.-- Scale: ln. = lpp� Gordon R. Coffin Aeg. o. 6 4 -. -
Date s 9-17-80 I.and Surveyor and Planner
o : Iron marker Long I,ake, Minnesota
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310.9.1 Smolce detectors.
310.9.I.I General.Dwelling units,�congregate residences and hotel or Iodging house guest
rooms that are used for sleeping puzposes shall be provided with smolce.detectors.Detectors sha]1 be
installed i.n accordance�vith the approved manufacturer's instzuctions.
310.9.1.2 Additions, alterations or repairs to Group R Occupancies.When the valuation of an
addition,alteration or repair to a Group R Occupancy exceeds $I,000 and a pennic is required, or
tivhen oneor more sleeping rooms are added or created in existing Group R Occupancies, smoke
detectorsshall be installed in accordance tivith Sections 310.9.I.3, 3I0.9.I.4 and 310.9.1.5 of this
section. �
EXCEPTION:Repa�ss'to the exterior surfaces of a Group R�Occupancy are exempt from the require-
ments of this sectiori.
310.9.1.3 Potiver source. Ln new construction, required smolce detectozs shall receive their pri-
mary power fzom the building wiring when such tiviring is served fxom a commercial source and
shall be equipped with a battery bacicup.The detector shall emit a signal when the batteries are Iow.
tiYiring shall be permanent and without a disconnecting switch other than those required for over-
current pzotection. Smolce detectozs may be solely battery operated when installed in existing
build.ings; or in builclings tivithout commercial power; or in buildings�vhich undergo alterations,
,repairs or additions regulated by Section 310.9.1.2.
3I0.9.1.4 Location within dwelling units. Iz►dwelling units, a detectoz shall be installed in each
sleeping room and at a point centcally located in the corridor or area giving access to each separate
sleeping area.When the dwelling unit has more than one story and in d�vellings with basements, a
detectoz ahall be installed on each story and in the basemenG Xn d�velling units tivhere a story or base-
ment is split into two or more levels, the smolce detector shall be installed on the upper level, except
that�vhen the lotivez level contaiuns a sleeping area, a detector shall be installed on each level. When
sleeping rooms are on an upper level, the detector shall be placed at the ceiling of the upper level iun
close proximity to the stairway, xn dwelling units tivhere the ceiling height o£a room operi to the
halhvay serviung the bedrooms exceeds that of the hallway by 24 inches (610 mm) or more, smoke
detectors shall be i�zistaIIed in the halltivay and i,n the adjacent room. Detectors shall sound an alarm
audible in all sleeping areas of the d�velling unit in which they are located.
ATE TIME
CITY OF ORONO CAILED IN �7 °r �1�1L
INSPECTION NOTIC SCHEDULED 5 2s �•30
PERMIT NO. ? COMPLETED � K
ADDRESS 2'G45 �q'�r�}p�'`��.
OWNER CONTR.
TELEPHONE NO.
`
� DESCRIPTION
t� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra ite:
Inspecto
Whi1e Copyilnspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN
��� yq �T�r�,�
INSPECTION NO��� SCHEDULED � a PN1
PERMIT NO. 7� COMPLETED
ADDRESS a 9�5 J�¢G7�klh �
OWNER ��-<<'.l� CONTR. _ w�-+'�'� � /4�c�'�c
TELEPHONENO. 9.3�P -9.��5
� DESCRIPTION �a'�''��� - I�'C'/
l� Ot FOOTING 11 MEC ANICAL RI 18 EXCA /GRADING/FILLING
Q�FRAMING 13 ME NIC�FI � � 19 LAKESHORE/WEfLANDS
y 03 INSULATION /� /`�2�5 `OOD 6URNE E 34 TREE REMOVAL
Z04 WALL BD. /�� XYW TE OK-UP 17 SITE INSPECTION
Q 05 FINAL � SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME �
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Cont or o ite:
Inspecto
White Copyllnspector's File Canary ' iV'otice
D� TIME
CITY OF ORONO CALLED IN a� ��
INSPECTION NOTICE SCHEDULED -7-�� �� 3OPM
PERMIT NO._% �/ COMPLETED
ADDRESS �y�� ..fa-�ti��� ��
OWNER �'�-�L�t�- CONTR. �(.�n�.�'L Hd)u-c kt'at�r,
TELEPHONE NO. �`'�3 - 9��L�
� DESCRIPTION �w'�"� '`�
� 01 FOO��TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
= 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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W� ❑WORKSATISFACTORY:PROCEED C PROJE T E
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� ��EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHW. HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance.473-73�J7
;
OwnerlContra on sit :
Inspector. -
opyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �,� � �tYl�
INSPECTION N TICE SCHEDULED 7� '-��--
PERMIT NO. COMPLETED
ADDRESS �
OWNER � CONTR. (/V G�/I��r `,�C,�z.��i
TELEPHONE NO. f`� �o "�l� 4L�
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 @�-'-----� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
_ 03 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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