HomeMy WebLinkAbout2002-P04318 - addn/remodel/repair - PERMIT
CITY �� ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04318
Crystal Bay, Minnesota 55323 Pefllllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: iitsi2oo2
SITE ADDRESS: 2684 Lydiard Ave
Excelsior,MN 55331
PID: 21-117-23-23-0032
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: i'iumbing iviecnanicai Eiecvicai�siate�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 853.75 Valuation: $ 80,000.00
Plan Review Fee: $ 555.03
State Surcharge Fee: $ 40.00
TOTAL FEE: $ 1,448J8
APPLICANT: Robert's Residentail OWNER: Andrew&Caroline Milne
16320 Ken Rick Loop 2684 Lydiard Ave '
Lakeville, MN 55044 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY OF ORONO ORDiNANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED&� IGNATURE ��
Cooies: 1-File(Sienitures Required). 1-Apolicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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` �� Fce: � $ / �7 � Date Received: q /0
f � ����� Entered By: '`,
;' �'� C ,' Permit,#: /-� �;�/a�/ro
�. �y�'')C�f� ��/�
, CITY OF �RONO_- BUILDING PE T APPLICATION
1 G-� , ��,`��y���� : �f .,;.:�
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l� All information must be submitte� in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR TRACTOR
JOB SITE ADDRESS: . � C� c'P �/ L l�.,��,��,� ZIP:
NAME OF OWNER: /',�,�;��. ���� ���� PHONE: (home) -�� -�1�-p�l
(work)
MAILING ADDRESS: 026�'�/����,� CITY: C�� ZIP: ,f�'�.2.c
CONTRACTOR: �U�; � �'%��{,,(��.l�,,� PHONE: ��� --r'r��'_-4���(/1
CONTACT PERSON: /��,,,�Q MOBILE/PAGER: 9S.? -�rG � ,3�ao °�
MAILING ADDRESS: iG.s'�c3 ,11r�,Q-ti���-p CITY: ,�,�/,�,,�, %�,� ZIP: s�7`o ySi
STATE LICENSE: #�C E X�..f�
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 detai�: � - �
_�
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: GARAGE STALLS: ATT. DET.
ESTINIATED CONSTRUCTION VALUATION (excluding land): $ d'C ��'
�
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 underst is is not a permit and work is not to start without a
permit; and that the work will be in ccord n ith the approved plan.
APPLICANT'S SIGNATURE:� � DATE: l�- � - G �
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.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd. 1. Type of data. The rights of irniividual on whom the data is stored or to be stored shall be as set forth in tivs section.
Subd.2. Information required to be given individual. An individual asked to supply private or co�dential data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
sysrem;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
rofusing to supply private or confidential data;and(d)the idenary of other persons or entiaes authorized by state or federal law ro receive the data.
T'his requirement shall not apply when an individual is asked to supply invesdgarive data, pursuant to section 13.82, subdivision 5, to a law
enforcement o�cer.
The commissioner of revernie mav olace the notice reauired under this subdivision in the individual income taz or nrocercv tax refund
instrucrions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on i�ividuals,and whether it is classified as public,private or co�dendal. 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 un►ess a dispute or action punuant to dus section is pending or additional data on the individual has been
copected 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 requesdng person to pay the actual costs 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 Sawrdays,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 ic►dividual,and may have an additional ftve 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall wid�in 30 dayg either: (a)correct the data found ro be inaccurate or i�omplete and attempt to nodfy
past recipiencs of inaccurate or incomplete data,including recipients 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating
to contested cases.
�ATA 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 fumish 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.
P � �� �
First Middle � Last
/�6 ,3.2� cr�l�
Address
�.� U,�,� �r,� s�-o �� Qs��6��3Fo�
Ciry State Zip Phone
I understan y r' as stated a ve.
Signature s
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' ' � . CHECK OFF LIST FOR ISSUANCE OF PERMITS
° FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2,c,.sgy �,yb�w„R.� A•k
PID:
DESCRIPTION OF WORK: +?,,Ey���
ZONING REVIEW BY: w,,. DATE APPROVED: Q�,�gg.o�
BUII.DING REVIEW BY: DATE APPROVED: g -� g•a r
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes �/ No SEWER CONNECTION
STATE SURCHARGE Yes _�� No WATER CONNEC'TION
INVESTIGATION FEE Yes No ^. PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: /V�3 G�/fi��K-�
J
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Depth �
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peak gt.
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: L.ot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUILDING REVIEW CHECK LIST
UBC: /c• 3 CONSTRUCTION TYPE: V�
,�q Footage $Per Sq Ftg
Basement� ' a =
lst Floor ' ' � ~ z =
2nd Floor x =
Gazage x =
R =
TOTAL
Estimated Construction Value: $ $(�,Qp0 �
Inspections Required: Work Requiring Separate Permits:
Site eC Plumbing Fire
Hardcover Removal K Mechanical Water Connection
Footing Septic Sewer Connection
x Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
R Wall Board (Mfg.) Well (State Permit)
� 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�:
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� DATE TIME
CITY OF ORONO LLED IN
INSPECTION NOTI CHEDULED � r� % 3 L�. �(
PERMIT NO. � 1� COMPLETED
ADDRESS L .�i� ��
OWNER CONTR. � � ' `tS �S�
TELEPHONE NO. �D l�� ��'�1 `7 7 ��
�
� DESCRIPTION � �� � � C��"��`�' ,
� 01 FOOTING j 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL
Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 -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
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next in pection 24 hours in advance. (952� 249-4600
OwnedCon cto s e
Inspector.
Whiie Copy/lnspector's File Canary Copy/Site Notice
DATE� T�IME
CITY OF ORONO CALLED IN 3 6
INSPECTION NOTIG� 7, SCHEDULED -� � f�. (Z�
PERMIT NO. � �✓� COMPLETED
ADDRESS � -�- � ci-` � C��i^�'�
OWNER � L- i'P.� CONTR. c.t-`t��c� ��ur��.%J -�'j
TELEPH�NE N . �7�— � � c`�� `�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING R_ I _ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�10 PLUMBWG FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i� pHOTOTAKEN
INSPECTOR WILL RETURN
[7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContracte�or�si e:
Inspector. �-- ��L (�r�
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White Copyllnspector's File Canary CopylSite Notice
Elevation Dining Room Stair
�- (2) 9 1/4" Micro -lams
Columns bear to
Ftg. below
Half wail
t Column wrap
Elevation Dining room Archwag
Elevation Fireplace
SPECIAL NOTE
SEE ATTACHED SHEET
FOR Sit o K 01--nE O
CODE REQUIREMENTS
SPEC;5AL NOTE
SEE ` ° -a 4 SHEET
FOR U,4rtiD S2ArIL-
CODE REQUIREMENTS
Porch t Deck Elevation
STAIRS
81K MAX. RAISER 9" MIN. TREAD
6'-8" MIN. HEADAO� QUIRED
AT LEAST ONE HANIRL
GUARDRAIL OPEN SIDES
REVISIONS BY
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DRAM : CHECKED:
PW P NAME
DATE : 01/24/01
SCALE : A8 NOTED
JOB No.: OI -G..
SHEET /
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jOF 1 SHEETS
CITU OF ORONO
BUILDING P IT LAN REVIEW
INSPECTOR
DATE p, -N, is NO.
A, Pnvv EL) "dliHA
S NOTED
❑NO
rlSGPftJ'4;EL;--- (',lam �nrG'2f ...
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Th :se CQi ,rnents are for yo,-,
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in fullJ -'ia s, wli,h c r ' -,;C' a 11
KEEP THIS PLAN SEI 004 AL ,
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Section at Screen Porch Section Through Hearthroom
Scale 1/8"=i'—O"
-4 _0 1
Porch t Deck Foundation
and Framing Scale 1/8"=1'—O"
BENSONS BY
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DRAW I CHECKED
Paul P NAME
DATE : OV24/0I
SCALE: AS NOTED
JOB NO. Ol-GNa
SHEET
W-9
OF 1 SHEETS
Dining Roan
wan/wrapped Caluwna
,Wcwd bakutera t newel
— — Hall
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Office/Guest
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f Laundry/Mud
- L-9 J-Q—�
� = � Kitchen
_ ! I Hl190 ,ir mQ.r.. wq. �°� mei
Ho..re r
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f=oyer no Familg/Hearth Room
Demo at d
Interior Remodel Demo Plan View Scale 1/8"=1'-0"
Interior Remodel Plan View Scale
iilEVISiONS BY
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Pad P NAME
DATE: 01/24/01
SCALE. AS NOTED
JOS NO. 01—C'n
SHEET
a-9
OF 1 SHEETS