HomeMy WebLinkAbout1999-011728 - new residence PERMIT
�ITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 _ - _
Cr stal Ba , Minnesota 55323 Permit Number. � � _ --
y y Date Issued: -'�� � �'-�=�_=��
(612) 473-7357 -
_ - .'i�i',-_
SITE ADDRESS:
1 E ;�'.i __.'�;-} i_�:`'s`�'�'s ,—�`�'':r
�.�i::�
_ F.,; - --f i-- -- - _ "itif '
DESCRIPTION:
. .__.. �";�
, Total Fee: $ d`, , -��S �!';� Date Received: �—j —a� � `�1 1
Entered By: � Permit#: L;, -1?.�!:
CITY OF ORONO - BUILDING PERNIIT 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 ADDRESS: �l3v L�wia Lind�i Avt• ZIP: 5536y
NAME OF OWNER: (,J��l l�a M �• 13o ckn^a"" PHONE• (home) �172- y l6 0
(work) 7y s' 350�
MAILI�IGADDRESS: /090 Lo►^�q L-�k�� �• CITY• /Vloun� ZIP• SS'�6�/
�
CONTRACTOR: `S �� b�5 =�-��--PHONE: V�(�' Z`�Z �
CONTACT PERSON: �. 1`+�I BILE/PA R: �
MAILING ADDRESS: $'d CITY: ZIP:
STATE LICENSE: # �,�, I a,� �(�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New �_ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: Te� oloWh e�%f-�1�� �-B�s� � �e"^°"� l�c'eN"�"`�,
���� V�,ew �oun��r'9^ �- Ca„S"P'lte.-{- het,� 2 � T'�"'^7 feS��/'�u2.
—T
STORIES: 2 SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. Z DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $���,(�Q�
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
pernut; and that the work will b ' c d wit the pr ved plan.
APPLICANT'S SIGNATURE: , �� �D�TE� � 4
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.
9
Sec.13.04 RIGHTS OF SUBdECTS 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 conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,political subdivision,or statewide system;
@)whether he may refuse or is legally required to supply the requested data;(c)any I�own consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idendty of other persons or enaties authorized by state or fedeial law to receive the data. This requirement shall
not apply when an individual is asked to supply investigadve data,pursuant to secaon 13.82,subdivision 5;to a law enforcement officer.
1'he commissioner of revenue mav alace the nodce rewired under this subdivision in the individual income taz or aropertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request w a responsible authority,an individual shall be informed whether he is the subject •
of stored data on individuals,and whether it is class�ed 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 acdon pursuant to this sec6on is pending or addidonal 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 authoriry
may require the requesting 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,oc 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,ezcluding 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 authority describing the nanire of the disagreement.
The responsible authoriry 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)norify 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 detercnination 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 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 pemut or license.
3. The information may be shazed with other local, state or federal agencies to the eztent 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 's required to process is application or ermit.
G� � /�e
First Middle Last
h
A ress
Ci SCate Zip Phone �
I unde d �y s as st d ove.
Signaw
CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY •
� ADDRESS OR LEGAL: l 13� l,o Wt,4 t.�rv�i4 A v�. �, � � � � /�' .
PID:
DESCRIPTION OF WORK: N�, c�s fu.S
ZONIl�TG REVIEW BY: DATE APPROVED: c�- �(-- 9r°t
BUII.DPIG REV�W BY: DATE APPROVED: � -�{- 9 g ,
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �' No
PLAN REVIEW Yes -✓ No SEVVER CONNECITON
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SIT'EINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CS LIST Zoning Districr. L R- )(3 .
Fire Department: Wl�v n►� Post OfFice: y►�w�nn� School District: W Q sto N K.q
Lot Area: Sq.ft. (9,l�b S Acres •`'r� � Width `�S� Depth Z�c�•b`6 Av L I
Survey Submitted: Yes_� No Date of Survey: 3 -2��9 SS j
Proposed Setbacks: , � I
Front(Lake): `1 g Right Side: Z.a � ',
� i
Reaz(Street): �1�� Left Side: ZV���
i
Adjacent Structures: /'V�A Wetland: —
Buildin,Height: Def. Hgt. 3 0' Peal:Hgt. 3 3� I
Lot Coverage: I 0�° ' �
Grading: Staff Approval Date: � �K' 9� By: � Council Approval Date: —
Septic: Staff Approval Date: _ N ��. sy: I
Zoning File: # 2 3 b Resolution: # Resolution Date: �
Shoreland District: y.25
Avg. Setback v,4�-�,h�.c. Bluff Setback: ��r'a- Lot Coverage: 1 d`�
Ezisting Proposed
Hudcover: 0-75' D
75-250' <2�°7'
250-500'
500-1000'
Hazdcover Variance Required: Yes No_� Date of Council Approval:
REMARKS(in house):
7
BUII.,DING REVIEW CHECK LIST
UBC; R '3 • CONSTRUCTION TYPE: �IN
. ' � Sq Footage $Per Sq Ftg .
Basement x =
lst F1oor x =
2nd floor x =
Gazage x =
x =
TOTAL
Fstimated Construction Value: $ /?c,7.�OD�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hazdcover Removal _�Mechanical - � Water Connection
�C F��S Septic Sewer Connection �
�r Fr�B . ' � Firepiace Lawn Irrigation
,�_Insulation (Masonry) Other
- _�Wa11 Board . (Mfg.) Well (State Permit) .
f' F� Grading/Filling _�Electrical(State Permit)
Other
REMARKS(1N HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy:
REMARI�S (TO BE NOTED ON PERMI�:
8
R _ I � .
/ ��i�. � � ����'1: � •�.�(j.
' �' -_ ,. i v, . f ����� � FYl
1 _
. . . ��(Jt? � ��' �
EXTERIOR fNVELOPE AVERAGE "U" COMPUTATION .
04lN�R: - DATE: � :
SITE AODRESS: ____ P�IONE:
CQNTRACTOR: ���� ��'"�• _.__
Determine workinc� sqca��re foot�c�e of each
1. Tota1 exposed wall area. . . . . ���� sq. ft. x .11 =_ ���''��'
2, Total rooF/cei 1 ing area. . . . . t ,�''� sq. ft. x .026 = �'+� •Z•�+
Total exposed wall area above floor= ��I'�'�
a. Total wall window area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._..__. ___._
�.5• to'�
b. iotai door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �w
c. Total sliding glass door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,'�„�
d. Tota1 fireplace wall area.
4
e Total wa11 framing area (average 109�) , m . . . . . . e . � . � . . . . . . . . . . . . . . . �.�a
f. Total rim joist area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. net wall area above floor . . . . . . . . , . . � . . . . . . . . . . .. . . . . . . . �
h wall area above floor . , » . . , :
i �wall area above floor . . . - .
i frame walt area �Y- f���nc���ion �
Trat�i expnsPd fn�ind�tian area- '�' "�
k Total foundation window area
1 Tnt�l nQt founda#:ion are� db�v� qra�1P ��
Determine "u"° valR.�e of each wa11 segment
f,�.q win�inw� �innr, a��h SPp�r»ta wall sertinn�
� �'°��•��t v ���i" "'�� ��t •�.�
h �"'�, Y 11 �t �� .lA�
�. �'�"t� x i r.. '�� 5� ��
ri "�j'g v �� '�"� ��L•��
A
�'��„ u ►� '� �_�_"'-'��'.�
i ��� Y `I{ �� ��. 3�
Q �J���'"7� y 'li '�� ��•i.9
h Y '�!
; v 'i�
� y ��k
I P �t�m #::' i s the �
r, � �t as ^f le,s than it
#I, you have met tf
� '�� v i� , �"�� �r.+»�.� ..F cnr t,l1n!'
a
� y�rior Lnvelope Average "U" Computation Page 2 of 4
• � •
Total exposed roof/ceili.nq area = ��`
,
m. 'Ibf:al skylight area . . . . . . . . . � � ,
. . . . . . . . .. . . . . . . .. . ,
n. Total roof/cciling framing area (avera�3e 10�) . .. 1 t�r��F
o. Total net insulated roof/ceilinq <�rea. . . . .. . . . .. 1041'�
Determine "U" valuc for each roof/cefling segment
i
s�• X n U u �rr. a �r
m. __.__.� _ _____� ____. _._. _.... _... ,
l t Gr��}... x ��U,� •bZ„� � Z•'4�10I
n. �.� ._...
Q �,�.v X „�,,. •Qt. � to•95
• -
4. .. . . . . . .. o . .. . .. . . . . . . . . . 'ibtal � Z� •��'
If total of #4 is the s<ame as� �r L�ss t.han �#2, you h�ve met th� intent, nf
Sbr 50C►6 (�3 1.
Alternate Buildin� Enve]o�e _Desiqri
�b utilize the total envelope �syste.m method, the values established by the sam af
�tenas �k3 ara� #4 sh��� n.nt- bs greater .*han che Gu� nf i*ems #1 and �k2
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME _
CITY OF ORONO CALLED IN � —��--�� '
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� 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
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Inspector.��-� ��
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC / t Q SCHEDULED ? -���'
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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DATE TIME
CITY OF ORONO CALLED IN �Y �,�, �,30
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED y � �aZ-�
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v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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Inspector.�'�G[� �"�-'�
White Copyllnspecior's File Canary CopylSite Notice
., /DATE TIME
CITY OF ORONO CALLED IN ��J�7��s
INSPECTION NOTICE SCHEDULED � 95 / '3�
PERMIT NO. / COMPLETED �Z �Z G�' G
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� 03 IN$ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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DATE I E
CITY OF ORONO CALLED IN �- �o- P . C��
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
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OwnerlContractor on site:
Inspector. 1�'/ ��-�—C- � ��J
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��� _ �q._� I '�
PERMIT NO. [� (..(�7�'g COMPLET D L-- '`- / '-�� � �-g<�
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Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.��C��-����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTtON NOTICE SCHEDULED 3- 3v--� �{ :�c,�
PERMIT NO.� 2� C MPLET �-�� -'a�"
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J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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6N8484
CERTIFICATE OF SURVEY FOR � o ��"�
_ .. _. . � ��' �.
_. . .. . . . . . . . .,��
. _ �lIILLIo�M ��CK{VIANN �
OF LOTS 11 AND 12, LOMA LINDA
HENNEPIN COUNTY, MINNESOTA
'� 40
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N SEF�VICE
_LEGAL DESGRIPTION OF PREMIS S :
Lots 11 and 12, LOMA LINDA
o : denotes iron marker
Bearings shown are based upon an assumed datum.
This survey intends to show the boundaries of the above described property,
and the proposed location of a proposed house thereon. It does not purport
to show any other improvements or encroachments.
._ . .._ _... . _. . ���o { P�
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c�TY oF o�o�o
� 3iT� PLAN � GRAD�fVG PLAN
C�F+PFROVED - n�ew (�.s
❑ Af�R�O'��U W1TH REVISIOidS
� DtSAPP 01�E
BY
DATE $ -`�'
I hereby certify that this survey was prepared by me or under my direct super- . oA�� 32f✓98
� 1 � � ► � vision, and that I am a duly registered Civil Engineer and Land Surveyor under ''°� s-6 9 6'/9-78
�� the laws of the State of Minnesota. SCALE �'�- ¢Q'
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� �.' � � Mark S. Cronber�; Minnesota License Number 12755 98-06¢�
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