HomeMy WebLinkAbout1999-011372 - addition/remodel PERMIT
� CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number. --`'��''�`-'
Crystal Bay, Minnesota 55323 ''.;�� �-=�.''�
(612)473-7357 Date Issued: _ _ _
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� SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: _ �;�:;�,� ; ,-_�.,-;�_. — OWNER:
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APPLICANT/PERMITEE ATURE ISSUED BY:SIGNATURE �
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Total Fee: $ ' �Q �. '�/ Date Received:
Entered By: �'�, Permit#: �/`3��'
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 OR CONTRACTOR
JOB SITE ADDRESS: 5�C7 ��r-t-(1 ,��ry✓� �✓'� ZIP:
NA.� OF OWNER: �r�C� �1- �a�t,[q ���`'�S� HP ONE: (home) y 7Z- 5/�7
(work)
MAILING ADDRESS: �j>'4-�� CITY: ZIP:
CONTRACTOR: �� H�- J'� �e ���a� i �''�PHONE: ��l 3 'o37u
CONTACT PERSON: 1 �r BILE/PAGER: �4� �'S v 7�
MAII.ING ADDRESS: �.O� �o x !i y 3 CITY: �v al H Za fiq ZIP: �53 qJ
5TATE LICENSE: # p o O �N 7 °—,
ARCHITECT/ENGINEER:�ot r�I �V o V1 C S PHONE: G►Z' g 6���aD�
MAILI�G ADDRESS: �jo0o Kuo x A�t. S , CITY: /���s , ZIP: �54 I 9
NAME: T��S;o�� ��vao v� REGISTRATION# 7
TYPE OF WORK: New Addition �C Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�: /�o�a� o�o�o�r�'1'►a✓t -f-o �Q(�� S��°�Q ,
d e� r NGll.to�� , V1 �CUJ �✓01��"" 2N-Fry 1,Ua✓� , V�C��aC� (.Ji H.,�7W5
STORIES: � SQ. FEET OF EACH FLOOR: ���
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $� ��'� ,���
I hereby apply for a building permit and I acknowledge that the information above is complete and
�:���uratP: that the work will bP in conformance with the or�iriar_ces and codes of the City and with
j '" ,- ^'�{l ,_,�.. 1 �LC;I';�;� 3 � ;� - , �•_�. , �?'a �J i.,,, it; Jl"__i � .1!`�1i�t
i'_. _ ..._. ._ . . •�]ilv �. _, � _ _ . -• �-•- --- - _ ..__� _ .. �, ..i _.
permit; and that the work will be in ac danc 'th the approved plan.
APPLICANT'S SIGNATURE: DATE: �����r /
NOTE! Parade Qf Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
9
- �
Sec.13.04 RIGHTS OF SITBdECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be swred shall be as set forth in this secrion.
Subd.2. InformaHon required to be given indtvidual. An individual asked w supply private or confidential data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,polidcal 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 wnfidendal data;and(d)the idendty of other persons or eatities authorized by state or federal law io receive the data. This roquirement shall
not apply when an individual is asked w supply investigative data,pursuant to sec6on 13.82,subdivisiou 5,to a law enforcement officer.
The commissioner of reveirue mav place the notice required under this subdivision in the individual income taz or pronertv tax refund
inshucdons 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 individuals,and whether it is classified as public,private or confidential. Upon his further nequest,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 thereafur unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created.
The rosponsible 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 roquesting person w 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,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that 6me,he shall so inform the individual,and may have an addidonal five days widun 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 ezercise this right,an i�xlividual st�all notify in writing the responsible authoriry describing the naturo of the disagreement.
The responsibte authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and ammpt W nodfy past recipients of
inaccurate or incomplete data,including rocipienu named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispuu shall be disclosed only if the individual's s�tement of disagreement is included with the disclosed data.
The determination 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 aze 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 permit or license.
3: The information may be shazed 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 pernut.
First Middle Last
Add:ess
C�ty Scate Zip Phone
I understand my rights as stated above.
Signaturo
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �4x; �v c�z�7-� +��.-�,ti-. O�
PID:
DESCRIPTION OF WORK: 64r�;a ; n�,v ��w�,���
ZONING REVIEW BY:---c,-,J------;�-�,�.s..-_-------------DATE APPROVED: y�-_�`7-�7`r---
- C�
BiTILDING REVIEW BY: ! ��' „ ' DAT'E APPROVED: y- Z?-��4
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes :/ No
PLAN REVIEW Yes � No S::WER CONNECTION
STATE SUR��-IARGL Yes � No WATERCONNECTION
INVESTIGA7'ION FEE I'es No �/' PARK FEE
SAC Ycs No �/ SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONI�IG CHECK LIST zoning District: c;�'' I�;
Fire Department: ��wL�� Post Office: �•v�.� �<� School District: �.�--� 5�.v«t
Lot Area: Sq.ft./�,�� G���' Acres — Width = Depth �
Survey Submitted: Yes ,.,� No Date of Survey: �,v ,='i�,�:; � l� `t c
Proposed Setbacks:
Front (�ai�c): _ r/`` � Right Side: i 3v� '�
Rear (Street): �1`j '�:_ Left Side: ( � �
Adjacent Structures: /�T7 AL �y? Wetland: �U �(/�
Building Height: Def. Hgt. L'� k Peak Hgt. �
Lot Coverage: N ��
Grading: Staff Approval Date: —"— By: — Council Approval Date:
Septic: Staff Approval Date: — By: —
Zoning File: # Resolution: �# Resolution Date:
Shoreland Dist��ict: '�/.�5
Avg. SetbackT��. (� Bluff Setback: ,�t� (/1 I.ot Coverage: .t/(/�
Existing Proposed
Hardcover: 0-75'
75-250' % ": ��
250-500'
500-1000'
Hardcover Variance Required: Yes No_� Date of Council Approval:
REMARKS (in house):
� 26
BUILDING REVIEW CHECK LIST
UBC: (� � CONSTRUCTION TYPE: �/L
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ i 4'`�;L LC= `
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 Permit)
�` Final Grading/Filling ��'Electrical (State Permit)
Other
REMARKS (IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS(TO BE NOTED ON PERMIT):
27
, HARDCOVER CALCULATION WORKSHEET
' S�TBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTIl�TG AARDCOVER IN ZONE
A. House 14 X 2 Z x O.S x►0 x = /5�{O S.F. �
Length Width
s� x��l R = 3Og S.F.
ao k �� x = a a s.F.
I�f x �2,5 X o.s"X L x = SaS S.F.
B. Gazage 30. 2 x 30,s = `��D S.F.
C. Driveway ee �r.,W, x = 5�00 S.F.
x = S.F.
D. Sidewalk a/ x ,� _ /C7,r S.F.
x = S.F.
E. Patio/Deck 3o x /a = 3l00 S.F.
�O R 3 0 = / O v S.F.
�� x ��o�r �
F. Landscape 70 z � _ �—�D S.F.
Underlain -�j'D x G = ,�'�d S.F.
By Plastic -2d x /� _ �3 00 S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY A IN ZONE - S.F. B
A �/ — B �2, 3 55 x 100 = /�, � %
PROPOSED HARDCOVER IN ZONE .�iiz+i �
A. House x = C�,��i i—3b0 S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Guage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk z = S.F.
x = S.F.
Sa� as ab�
E. Patio/Deck x = _-3h0 S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A — B x 100 = %
14
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MATTSON/MAC�ONALD INC. �:���,����� �!� , �
STRUGTURAL ENGINEERS
'I 5'i B W. LAKE STREET
MINNEAPOUS, MINNESOTA 55408 (�'I 2) 827-7825
April 28, 1999
Daryl Trones
Design Group
6000 Knox Avenue South
Minneapolis, MN 55419
Re: 580 North Arm
Orono, Minnesota
This letter is to confirm that Mattson/Macdonald, Inc. has provided structural engineering
services for the remodeling of the residence at 580 North Arm. The necessary structural
information (sizes of inembers, connections, etc.) has been incorporated into your drawings,
specifically sheets A2, A4, and A7. I have signed those sheets, indicating that I have reviewed
the structural information shown on them.
Please call me if you have any questions.
i cerel ,
C
� ��
Wesley .' attson, P.E.
Minn. R o. 16801
l.,� DATECr G TIME
CITY OF ORONO �r rj,�CALLED IN /-�o' / ��� I�
INSPECTION NOTI E . � �� SCHEDULED��I� , �(�
PERMIT NO. COMPLETED �� 4 Zt �<J
ADDRESS .� �� �� �,�rn- l��Y •��,Z-�^-�.
OWNER ���� CONTR r�. T1� ��'�
TELEPHONE`fVO. � �G �— � G �'�-> �
� DESCRIPTION
� 01 F � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 F�M�If � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
� 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
� CO TS:
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d �IORKSATISFACTORY:PROCEED L PROJECTCOMPLETE
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� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL RETURN ❑ PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. �2G�-/2-OQ-tiI�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED o r � �
PERMIT NO. COMPLETED
ADDRES� ��� !s�/���^2 �y
OWNER �`�°c� CONTR.
TELEPHONE NO.
� DESCRIPTION_U�-�'�'`"a� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 FIN 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACT TO MEET YOU:_YES_NO
� COMMENTS:` � � `
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac r on site:
Inspector. a���
White Copyllnspector's File Canary CopylSite Notice
� �0�2� -oos .z7� ��-9 �
SURVEY FOR: GAQY �oEHN ��U /Uo r�� /-�'��� �
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Pre ared B . � �'�p�
p Y
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DESCRIP7ION: SCHOELL & MADSON, INC.
Engineers • Surveyors • Planners • Soiis Testing
That part of Lot 6, Block 1. YICTORIA ESTATES lying 10550 Wayzata Boulevard
south of a line parallel to and 1020 feet south �}-
measured at right angles to the north line of Tract o Minnetonka, Mn. 55343
B, R.L.S. No. 924, Hennepin County, Minnesota. Tel. 546-7601 a:
BENCHMARK: ' � � �
o � � • �
Metal door sill on the southeast side of existing N C Ot' �
house as shown. Elevation = 935.89 (NGVD-1929). �
� d � ^
GENERAL NOTES: � -�i-U / \
1) • - Denotes iron monument found. . � `� d / N O R T H
2 a - Denotes iron monument set. c + � \ ��-'��
3� O - Denotes wood stake. ,_ ��{- �
4) x941.6 - Denotes existing spot elevation. 4, o � .
5) �- - Denotes direction of surface -� �
drainage. �i. � �/
6) 93i.4 - Denotes existing contour 2 0 --
line. j .
I hereby certify that this survey was prepared /
under my supervision and that I am a Licensed Land
Surve r under the laws of the State of Minnesota. : ,.._120, x 932.8 ••..
� �1• ... ..-71.01—•.. ,z • 49.`il ••
�iel G. N�cko s '� /
Land Surveyor MN Lic. No. 19839 ' �� V
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