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Home My WebLink About2005-P08313 - adn/remodel/repair CITY OF ORONO PERMIT 2750�elley Parkway - PO Box 66 Permit Number: Pos3i3 c;rystal Bay, Minnesota 55323 PeCClllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: i�2oi2oos SITE ADDRESS: 26ss Ket�y a�e Excelsior,MN 55331 P I D: 20-117-23-14-0025 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Perniit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Yiumoing iviecnanicai niecnicai�siaie� NOTICES/REMARKS: ,..--�----�--- —�-=----�------ -- — ..�.. :..�....�...,...,...�.�,.,.,....��. ..;Y� FEE SUMMARY: Pernut Fee: $ 593.25 Valuation: $ 45,000.00 Plan Review Fee: $ 385.68 State Surcharge Fee: $ 23.00 TOTAL FEE: $ 1,001.93 APPLICANT: Danberry Company OWNER: Mr. &Mrs. 7ack Eugster 4410 Shoreline Dr 2655 Kelly Ave Spring Park,MN 55384 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. -� � - ' �- � �_ C t �''� (C`i`� ✓'�.J ' A ICANT PERMITEE S ATURE ISSUED BY SIGNATURE J Copies: 1-File(SiQnitures Requirecl), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �1� �j,..�� v r�„ �/�o•� � �a.� / 2/s s•�ja.� l /�r— G'� %�� _ T�tal Fee: $ � , • Date Received: /d� aa�O� , Entered By: Permit#: �OS 3/�3 �✓�•� �/�`�`�oST � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will�e started. (please print all i�aformation) ---------------------------------------------------------------------------- -- ------------------------------- , THE APPLICANT IS: (circle one) OWNER O C NTRACTOR oZb55 JOB SITE ADDRESS: � Z�P: ��5 9'/ ; Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a s�ecial event permit is Yequired with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: �E�fit� �L1,�4� PHONE: (home) �.l�2 �sd'� '�l Z ? (work) MAILING ADDRESS: � �C��r�C..CITY: � �"lrnr- ZIP: S'S""39 t CONTRACTOR: `�W" �,p . •,��- PHONE: Y 7I�'0'^3 Z CONTACT PERSON: ,�.: MOBILE/PAGER: �12 -- 2S'+D 7e�o"'r �,y MAILING ADDRESS: �'f' �d .-t '� CITY: ,-� ZIP: ��c f STATE LICENSE: # /�-�Q � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ' ZIP: NAME: REGISTRATION#; TYPE OF WORK: New Accessory Structure� Addition Move ; Remodel/Alteration -� Land Alteration � PROPOSED WORK(describe in detai�: ` .�s 1'�'S GC��,� : ; . i � STORiES: �r SQ. FEET OF EACH FLOOR: �- � - NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMA'TED CONSTRUCTION VALUATION (excluding land): �$y$�;dt9e "' I hereby apply for a building permit and I acknowledge that the informarion 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 pernut;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATEi �Z a� e Sec.13.04 RIGHTS OF SUBJECTS OF DATA � Subd.t. 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. Intormation 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 legaily required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidentiai duta;and(d)the[dentity of other persons or entities authorized by state or federal Iaw to receive the data. This requirement shail not appiy when an indivldual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav alace the notice reauired under this subdivision in the individual income tax or oropertv tax refund instructions instead ot on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an indivittual 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 farther request,an individual who is the subject of stored,p'rivate 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 coilected 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 compiy 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 possibie.If hecannot comply with tl�c request within that time,he shali so inform the individuai,and may have an additional�ve days within which to comply with the request,excluding 3aturdays,Sundays and legul holidays. . � Subd.4. Procedure when duta is not accurute or complete. Ad iodividual may contest the aca�racy or completeness of public or private data concerning himsclf. To ezercise 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 duta 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 correcG Data in dispute shall be discbsed only if the individual's statement of disagrfement is includetl with the tfiscloeed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. IIATA PRIVACY ADVI�aRY . 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 clepartmenfs may require you to furnish certain private or conf►dential information. • . � You are notifed 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 refusat 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. ,� �1I�► �l t�►rw Eirst Middie Last % �`a � ��L �r� Address • �'� V/� J� � �7�--dS'�3 Z Ci � State Zip Phone I unders rights as stated abo . Signat � CHECK OFF LIST FOR ISSZIANCE OF PER1tiIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2.655 Kc3 L�.�/ A�t- PID: DESCRIPTION OF yVORK: K��r-c��N �='��Z --------------------------------------------------------------------------------------------------- ZO�YINGREVIEtiVBY: / _ DATEAPPROVED: B UILDING REVIEW B Y: DATEAPPRO 6'ED: i-i 8 b'�( ----------------------------- FEES ?'0 BE CHARGED: tYlisc. Fees Calculc�ted By: PERh�IIT Yes � No PLAN RE VIE GV Yes f No SE LVER GONiVEGTION STATE SURCHARGE Yes� tVo tiVATER COtWECTIOIV I�VVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No '� SITE INSPECTION Number of SAC U�zits OTHER (specify) --------------------------------------------------------------------------------------------------------------------- ZO[YING CHECIC LIST Zonir:g District: /l!d C!�'+4N0�. Fir•e Depa��hnerit: Post OfJcce: Scl�oo!District: __, Loa,�frea: Sq.f't. Acres Width Depth Sic�vey Subrriitted: Yes No Date of Siuvey: - Proposecf Setbacks: F�•oru(Lalce): Right Sid : Rear(Streei): Left Si e: �ldjacent St��ucteu•es: � GVetlRnd; Bitildi�rg Height.• Def. Hgt. eak Hgt. Lot Cove��age: � Grading.• Staff Approva[D�cte: v: CozuTcil Approvc�f Date: Septic: Sraff Approval Date: BY� Zoni�ig File: # Resolution: # Resolt�tion Date: Shoreland Dish•ict: Avg. Setback: Bla�ff Set ck.• Lot Coverage: Existing Proposecf Hardcover: 0-7.i' 75-250' 250-500' 500-!000' Hardcaver Varia�zce Reqc�ir•ed: Yes No Date of Coccncil Approval: REtIlARXS(irt laouse): 31 B UILDING RE VTE tv CHECK LIST UBC: R-� CONSTRUCTIO�V TYPE: V N Sq Footage .�Per•Sq Frg Basenie�it x = 1 st Floor x = ?nd Floor t = Garcge � _ s = TOTAL Estintated Constrccctiai T�alt�e: �S �S+(�00� Lispectio��s Required: lYork Requiri�ig Separ�te Perniits: Site �_Plu�nbing Fire Hardcover Reuioval _�Nlechanical 6l�ater Connection Footing Septic Sewer Cavtection _�Frnnlirig � Fireplace Lawn lrrigc�tion �lnsulation (r�lnson�}�) Otlier• _� GYc�(!BoRrd (A�lfg.) GYell(State Per•n:it) �c Finhl Gradi,zg/Filling me Electrical(St�te Permil) " Other .�E�YtARIiS(IN HO USE): � --------------------------------------------------------------------------------------------------------------------- REVIEYV BY OTHERS: DATE: - Access: Existing Nerv Access Approv�il: Date By: ------------------------------------------------------------------------------------------------------------------------ REttiI�1Rh'S (TO BE NOTED ONPE.RNIIT): 32 Dec 1'! u4 1u: Yud �-� �-�� ^.. , ~ E HEN CABINET COMPANY . ' � The:Darrpet�tyEA,mpa'ny ' ��5 Commerce Drive ' � � �ug��tei��R�'sid��nce � Hastings, MN 55033 ' " � K�'�Y��e�� .: ' 651-460-39�4 [�12�17-U4]-- - ' �g3�'��1-,7�22 � � Ro o C11� 1 � fYot To Scala s t ,. a ,. ,. 21 LT 33 78 , , � St 1B �� 98 15 19 � 8recd Board SihK base squ�fa vlf `� W/CO�Yfi1h3 1 I N1 This is a CLOSE G2`WaIKWay ' . , �e�rz e7�r� Rspteaenhllatt af , • wh�[H wlll laek Itk�a , I THIS IS No7�XACTII • • � Weiling fo�tha WIRdoW . j lobcirr.talled --�---- "------�-- ..----- - i, 541R _ - � i —��2 � � y� . 27 O m� O 25 � I i � � o I� o � , . < < I I i 9� I � 1 �Q�B°w8��(W'dY , I • _ � , so�WalkWay s2,rz aa 8 481/2 6s 3ra � 09 76�IZ DESK 967� --" -'_- - Zo�B / �� ..��✓ � �! :p�a � .�r�. IB42 � 201/d 6s!j d �'�`�'' �;-�"��:'j�2�._f . e,, , ;, -: .. , ,;,� ----_� C�..�.--- _ ._ � --- � �►�:f � � 48 rJi'�`�� I��O _.�,. . ... .._ � ----..-__-� _. ... �s��'^'��i`�i��a ��,�a �"�' � � ---- .. ,� I:.- , ----' � , . `� '' r . . . . . �. . �:_:,� �� , -�+ , �_ ��.� w�,,.�,.�_ _ . �`� �"ri � 1f."'ya`2�� 'f <....i-.�.�1"'�...,$ L... . . . .. . .. . . .. . ._ ,_. 'r � �1 i ��.1��M_-C�_L��_.____ a _ , '- :c;�n� , �� ' . :•,, , .-;, �-ude. ' �.��'.�. �`'�� .�._ z� .. .. . . .s. . �^y ! Fi . ',,. r ,t., �,��his.e��i�ty. „;. . ' .--.e : :�,.,.;:�a�,��c ��i�ai�A��.Tinnes , ` r� . 7 � � �nr �n�i iniuneinn ivu�nniun ieiu+,+,� 1 I rnn� ��,I 'hIU� �1 � �� DA E TIME `� CITY OF ORONO �� eCALLED IN l�c�I y INSPECTION NOTIC .. ,�S�Eou�Eo / �:d0 PERMIT NO Po83i� ��" c6MPLETED ADDRESS �1��` f �C- OWNER CONT . �� TELEPHONE NO. / ' �7` �c�3� � DESCRIPTION �� . � ' � 01 FOOTING 11 MECHANICAL RI 1 E AV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 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 � OWNERICONTRACTOR TO MEET YOU: f ES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor ite: Inspector. White Copyllnspector's File Canary CopylSite Notice � ( � DATE TIME � CITY OF ORONO CALLED IN '02 �� INSPECTION NOT C SCHEDULED /-Z�-t�� .' PNl PERMIT NO. lJ'� COMPLETED ADDRESS ��lOSS ��/lc,/ f/�E' OWNER CONTR. „j�.:�T�� TELEPHONE NO. Sa y�� OS�3 2— � DESCRIPTION ��i� /��O' - l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 3 INSU , 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � O � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra ite: Inspector. White Copyllnspector's ile Canary CopylSite Notice DATE TIME � CITY OF ORONO c �� " Z INSPECTION NOTICE SCHEDULED — PERMIT NO.a�/a — COMPLETED ADDRESS a SS ��%`��— OWNER - ELEPHONE NO. �Z l�7 �� CONTRACTOR —��"� � DESCRIPTION �l'`�`�' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � � � d � 0 a � c.J —� o ,�-1.� � � ^ �� Qcaa ��P a W � W � � d W� ❑WORKSATISFACTORY:PROCEED �I;QJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL REfUHN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice