HomeMy WebLinkAbout1997-008717 - remodel - PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;;,t�j!f;i��l�;
Permit Number: ;,;_a;T;;-� ,
Crystal Bay, Minnesota 55323 • _ __ '
(612) 473-7357 Date Issued: i
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: '
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_. APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , -��.
�
Total Fee: $ /�0� ,7 5� Date Received:
Entered By: �,��. Permit#: ��7/�
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) WNER R CONTRACTOR
JOB SITE ADDRESS: r�t.cC�e L-�� I�[dt ZIP: j ��-- 3���
NAME
OF OWNER: �� � C�� PHONE: (home) Oo�
( ork) � ��
MAILING ADDRESS: �� �l�C e ���'e r CITY: � � ,�ZIP: S��
CONTRACTOR: � � C PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: S'e i� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration '�C Land Alteration
PR�OS D ORK(describ in deta�i�: 013 ' u. �f
; `r �a
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
/��
ESTIlVIATED CONSTRUCTION VALUATION (exclu ' land): $ ��C'C� S�
���-_._ PD o0
I hereby apply for a building rmit and I acld3owledge 'uiformation above is complete and �°`�
accurate; that the work wi e in conformance�� i o inan ' and codes of the City and with
the State Building Code; at I understand this ' n t 't ork is not to start without a
permit; and that the wor will be in accordan i e pp ved an.
APPLICANT'S SIGNA TE� o�
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.
6
�
Sec.13.04 RIGHTS OF SLJBJECTS 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 secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data wirhin the collecting'�tate agency,polidcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refitsing W supply
private or confidenrial data;and(d)che identity of other persoas or enaties authorized by srate or fedecal law to�eceive the data. This requirement shall
not apply when an individual is asked to supp(y invesdgadve data, pursuant[o secrion 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue mav ptace the nodce reauired under this subdivision in the individual income tax or oropertv tax refund
insavcrions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be iaformed whether he is the subject
of swred dxta on individuals,and whether it is classified as public,privace or co�dential. Upon his funher request,an individual who is the subjecc
of stored private or public dara on individuals shall be shown the data wichout any charge to him and;if he desires,shall be informed of the content
and meaning of[hat data. After aa individual has been shown the private data and informed of ics meaning,the dara need not be disclosed to him for
six months thereafter unless a dispute or acaon pursuant to this secdon is pending or addiaonal data on the individual has been collecud or created.
The responsible authoriry shall provide copies of the private or pubiic dara upon request by the individual subject of the data. The responsible authoriry
may require the requesdng 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 reques[
within that time,he shall so inform the individual,and may have an addidonal 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[he accumcy or completeness of public or private
data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nacure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempt to nodfy 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 comect. 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 appeated pursuant to the provisions of the administrative procedure act relatiag 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
confidential information.
You aze 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 shued with other local, state or federai agencies to the extent necessary to process
the pemut or license.
4. If your requested pemut 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 ful! name is required to process this application or permit.
F��� Middle Last
Address
Ciry State Zip Phone
1 understand my rights as stated above.
Signamre
t _ .
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
OR OFFICE SE ONL�j
ADDRESS OR LEGAL: � D L�,c Gc� � i K� l��� c.—
PID:
DESCRIP'rION OF WORK: �t�l.
ZONING REVIEV� BY: DATE APPROVED:
BUILDING REVI�;W BY: � DATE APPROVED: t
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes_� No
, PLAN REVIEW Yes No ,� SEWER CONNECTION
STATE SURCHARGE Yes �_ No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Pos Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Si :
Rear(Street): Left Side:
Adjacent Structures: Wetl �,1��� I
� � 1 f ��
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
SJO-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
10
,: _. .
BUII.DING REVIEW CHECK LIST
UBC: �� CONSTRUCTION TYPE: ��
Sq Foota,e S Per Sq Ftg
ase x =
lst Floor x =
2nd Floor x =
Gazage x
x =
TOTAL
Estimated Construction Value: $ �O�V
Inspections 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 (State Perm.it)
�Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE: -
Access: Existing New
Access Approval: Date BY�
REMARKS(TO BE NOTED ON PERMIT):
27 �
' xRT!�*i9a
' Exemption From The Property Tax Of improvements
Nlade To Homes 35 Years Of Age Or Older
Read the following information before completing the application for exemption from the property taz of
improvements made to homes 35 years of age or older.
vlinnesota law encourages property o�z�ners to restore or renovate their older homes. This law, commonly referred to as
"This Old House" exempts from the property tax all or a portion of the value of improvements made to homes 35 years of
age or older.
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Ia order to be eligible for exemption,the propem%must meet the following three criteria:
1. Property must be 35 years of age or older at the time the improvemenu commence.
2. Propem must be receiving the homestead classification. This includes property classified as residential homestead
(inciuding duplexes and triplexes)blind/paraplegic veteran/disabled homestead and agricultural homestead. Relative
homesteads are eligible for the exemption.
3. The total market value of the property must be less than�1�0,000 (residential: land and buildings; agricultural:
house/garage/1 acre).' In special circumstances, a property�vith a total market value of�1�0,000 or more but less thaa
$300,000 may qualify for the eYemption. In these instances,your assessor��ill help you determine if your property is
eligible for the etiemption. Properties with a total market value of$300,000 or more do not qualify for the exemption.
If your property is a condominium and��our living unit is receiving the homestead classification, any improvemenu ma�de
to the unit would qualify for the exemption. Improvements to common areas are not eligible. If�our property is a dupiez
or triplex and it is receiving the homestead classification, improvements made to any portion of the property qualify for the
e:cemption from the propem•ta.1. If�•our property is used as a homestead and for a non-residential use,the e:cemption
applies only to improvements made to the residential portion of the propert�receiving the homestead classification. For
e�cample, if your propem is used both for a residence and for a business, the exemption applies only to the improvemeats
made to the homesteaded residential portion of your propem•.
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Only improvemenu that contribute a minimum value of S 1,000 or more to the house or garage of a property classed as
homestead during the year of the improvement qualify for the e�emption from the property tax. This includes improvemenu
such as additions to the eustin�house and gara�e, eYpansion of the eYisting house and garage, restoring, remodeling or
upgrading of the existing house, addition of a porch or deck or construction of a ne�v garage. Please note that the area
qualifying for construction of a garage is limited to h00 square feet.
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Improvements made to the site surrounding the home do not qualifi�for esemption. This includes such improvements to ttle
site as: construction of a fence, construction of a drive��a}•, installation of a la�rn sprinkler system, installation of a
swinuning pool or tennis court,landscaping of the grounds, agricultural buildin$s.
If mort than 50 percent of the square footage of a house is torn down or razed,the original house is deemed to no
longer exist, and any subsequent improvements made to the remaining structure are considered to constitute the construction
of a new house. As a result,the value of any improvements would not qualify for exemption. •
If any combination of improvements double the original size of the structure, any improvement that further increases t�e
size of the structure will not qualify for esemption.
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There is a limit to the dollar value of the improvement which may be exempted. The limit depends on the a�e of the
property. Houses that are less than 3�years of age do not qualify. Houses that are at least 35 years of age but less
than 70 years are limited to one-half of the value of the improvement up to a maximum exemption of�2�,000. Houses
that.are 70 years of ase or older are eligible to have the total value of any improvements exempted up to a ma.tiimum of
5�0,000. The age of the house is based upon the number of years that the qualify�ing residence has e�cisted on iu preseaz
site.
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:�lthou�h the cosc of improvemeats may be substantial, the actual vaIue added can be significantly less. This can be largelv
attributed to three facton:
• Often times, improvements made to a house, particularly an older house, constitute routine maintenance.and do not
cause the valuation to increase. Reshinglin�a roof, painting the house, repairing a foundation, replacing a plumbin�
fixture are all e:camples oi improvements that would not ordinarily result in a value increase.
• Improvements made to an inditiidual's home often times reflect that particular individual's personal likes or interesu and
most times the cost cannot be recovered when a property is sold. Adding a sauna, a gre�nnouse or an indoor swz.-nr.iing
pool would all be examoies of improvements that t�pically add less value than their cost.
• Improvements made to different areas of a house typically result in greater or lesser returns. It is a�t•ell estabiish�
appraisal peincipaI tr.at rzmodeling or improving a house's service areas (kitchen, laundry and bathroom) will Qenerallv
yieid the greatest return to the o«�ner. Expenditures such as finishing basements or attics �t�ill generaily pr�duce L5�
smallest rerum.
?�lthough these considerations mav vary from house to house and market to market, in almost no instar►c�is it possible to
receive a doIlar for doilar return bea��e�n cost and value added to the house.
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linder the la�v, a property owner must disclose to prospective buyers whether any improvements made to a home are
ezempt from the property tax_ Additionally, sellers are also required to notify buyers that the exemption will
terminate when the property is sold.
If you sell your property, only ir.►provements made b��the buyer aiter the closing date of the saie are e!igible for Lhe
e�emption.
If the property loses its homestead status the eszmotion expires as of the nest assessment date.
If the name of one of the owners of the property is removed from the titIe to the property as a result or a separacien or
divorce, or if a name is added to the tit;e of the property as a result of a mamage, the improvements continue to qualifi�
for the e�emgtion.
If you transfer the title to the property to someone else, but retain a tife estate in and continue to receive the hom�stead
classification on the property,the improvemenu continue to qualifi•for the e�emption. If you transfer title to a related
person or persons as a aift or inheritance,the eaempcion espires as of the next assessment date.
In aeneral,as long as you,the owner of the homestead, made the improvements to the house; maintain the property as your
principal residence and retain an o�ti�nership interest or control of the propem�,:he improvements continue to qualify for the
esemption. �
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If vou live in a cirv or to�cm that requires buiIdin¢vermits, you must obtain a buildin� permit for construction of tt:e
improvement before the��ork commences. In addition vou must complete a separate application for value exemption before
the ne.ct�ssessment date. If you do not obtain a building permit before construction begins,the improvements are not
eligible for exempuon.
If vou live in a cirv or town that does not reauire buildin�oermits,vou must maI:e application for esemption before t�:e
improvement is begun.
The exemption may be appiied to no more than three separate improvements made to the house and garage. All
improvements listed on a single building permit or an application for the e�empaon constitute a single improvement.
In either case, if more than thr�separate improvements are plaruied you must choose�r•hich improvements you want to
qualify for the e�cemption.
Once an improvement has been desi�nnated for e�emption, it cannot be zepealed or replace3 b� a later improvement.
If you need additional information, please contact your assessor's office.
V
DATE TIME
CITY OF ORONO CALLEO IN
INSPECTION NOTICE SCHEDULED '- �'? `�"1 '`3 ' S��
PERMIT N0. f5'�� �� COMPLETED
,
ADDRESS �� e , �. ��ti-° ����3�.�:.
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/GRADIN(�/FIWNO
g i52 FRAMING , 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
W-----_ ---
Q 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMQ-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
0. '' i�- �1 �'1�,.. v�C �+2� 5 � 2x �
�
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� SI 'L2 S �- � .
O
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W
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� �
d�VORK SATISFACTORY:PROCEED - PROJECT COMPLETE
� �
W ❑ CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ` pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac r o ' e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
`��v W M'�c,��rJ
HOUSE HEATING TEST RECORD
OCCUPANT� ���� �`��� OWNERS'��ONT� CITY�QSUBURB
HEAT LOSS DATE HTG. INST.
SOLD BY iNSTALLED BY
Electrical Work By Gas Line By. �"
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. bTHER
i
GAS DESIGN CONVERSION
MAKE � MAKEOFBURNER
Model O O Modsl
Ssriol Max. BTU Roting
INPUT MAKE OF FURNACE � ��a�
Model -. ,�
j CONTROLS k ~
THERMOSTAT+�� Heat Plug Vent Sizs �
Valve KIND OF L ER SIZE NONE
Limit S�)�� D�O Draft Hood RegulaTor
Limit S�tting � � „ Filters Size umber
Fan Setting ��� Chimney Location �n i s Outside
Pilot Typs ��-���N��-' Chimney Construetion -
Pilot Make �� �
Pilot Model — Smoke omb Wiring
Pilot TiminQ � �!� Draft � '�T—d� Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
t� o
o Prsssure �� •S t�7t- Pereent C0� •' Date Tested �� � _7
` ,1 Input CFH Peresnt OZ �•s Company Testing � �L- �-
V Staek Temp. eree�t CO Name oF Tester
Form 235
HOUSE HEATING TEST RECORD
ADDRESS ✓� ��=��'��"6 � APTTFLOOR CITY�SUBURB
OCCUPANT OWNE� L�I��
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED B
Elsehical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN ` CONVERSION
MAKE MAKE OF BURNER
Mod�l Model
Seriol � Max. BTU Rating
INPUT � MAKE OF FURNACE
Model
'�''�/� CONTROLS �
THERMOSTAT L(11�w Heat Plug Vsnt Size �
Valve (1,,���r6 �� KIND OF LI ER SIZE NONE
Limit �S 0 Drah Hood Regularor
Limit S�Hing Filters Size Number
Fan Setting Chimnsy Loeution �Jr}Sids Outside
Pilot Typs �' Chimnsy Construction��1�'
Pilot Maks / �
Pilot Modsl — Smoke mb Wiring
Pilot TiminQ ' �� Draft ��� '�T���—Test Tap
L.W, Cut Off �� Door Pressure Lightiny I�st_
/� r n (
Pressure V V �� P�reent COZ '� Date Tested �� N
Input CFH Peresnt 02 Company Testing �L
Staek Temp. ercent CO Nume of Tester �
Form 235
HOUSE HEATING TEST RECORD
ADDRESS � �� �'��6 1�LO�� APT. FLOOR CITYQ'���SUBURB
OCCUPANT OWNER ���-�'�
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ��� � �- � .n
Eleehicu) Work By Gas Line By �
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
{� ,C�- GAS DESIGN CONVERSION
MAKE �jSQ�e MAKE OF BURNER
Modsl C� C `Z- Model
Serial Max. BTU Rating
INPUT Q� n- MAKE OF FURNACE
Model
CONTROLS �i
THERMOSTAT �� Heot Plug Vent Size �
Valve W��T� ���� KIND OF LI ER SIZE NONE
Limit o Droft Hood �����Regularor
Limit Setting Filters Size umber
Fan Setting ( 6� 11 Chimney Location �n;� Outside
Pilot Type - �-�� ��' N�+ Chimney Construction V
Pilot Make �� �
Pilot Model �� Smoke omb Wiring
Pilot Timing � �� Draft �(��s...i -O�Test Tag
L.W. Cut Off M Door Pressure Lighting I�s�-
Pressure ���S �� Percent CO2 y'� Dote Tested '2
G�Input CFH Peresnt OZ U '� Company Testing L
4 '�Staek Temp. � Pereent CO Name of Tester
�• Form 235