HomeMy WebLinkAbout2000-P02062 - building . � PERMIT %
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2o62
Crystal Bay, Minnesota 55323 P2f1711t Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 2i23�oo
SITE ADDRESS: 495 Oxford Rd
LONG LAKE, MN 55356
PID: OS-117-23-41-0011
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: riumoing Eiecu�icai �siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 685.75 Valuation: $ 55,900.00
Plan Review Fee: $ 445.83
State Surcharge Fee: $ 27.95
TOTAL FEE: $ 1,159.53
APPLICANT: Renovation Systems OWNER: J A KILBANE&R A KILBANE
2735 Cheshire La 495 OXFORD RD
Plymouth,MN 55447 LONG LAKE MN 55356
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.
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APPLICA ERMITEE SIGNATURE ` SSUED BY SIGNATiJRE
Copies: City,Atpplicant,Assessor,Finance Page 1
, � INSPECTION RECORD
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2os2
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 2i23ioo
SITE ADDRESS: 495 O�ord Rd
LONG LAKE, MN 55356
APPLICANT: Renovation Systems
2735 Cheshire La
Plymouth,MN 5544'7
Proposed Use: ^�----=��--�- yY���):Single Family
1 V11�LLL 1JLLV�L V �l �
PP.lrillt C18SS: Bllll(�1Tlg
Pernnit Type: Addition/RemodeURepair
Separate inspections required:
Building: Framing Insulation Wallboard Fina1 General:
Plumbing:
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON TI�PREMISES ON WHICH THE WORK TS TO BE DONE.
� ` Total Fee: $ Date Received:
Entered By: Pernut#: PO�t� Ce, 2_
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
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JOB SITE ADDRESS: �q�;f �,��"O V(i {��;`(� �,'��I��I�`.�ZIP: �j,;,:.��
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NAME OF OWNER �=J;��p,� : ; ; �J ��i��� i` . . PHONE: (home) �,�,5 � ��^�;'
(work)
MAILING ADDRESS: Si�-rm� /�S �}��U E CITY: ZIP:
CONTRACTOR: � ', ; � �>, �;" j _ :,,
t �., �� �'G';��.���r PHONE: ��...� �,,,,.i=���'t.. .
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CONTACT PERSON: �° ` ' � � OBIL AGER: �-`fe2 - 3 SoZ.S
MAILINGADDRESS: �735 Cf�ESHiRE �N CITY: �L�J�Mov7�ff ZIP: SSy�f7
STATE LICENSE: # �p/77p/�
ARCHIT`ECT/ENGINEER: � -�r'y�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: �'� REGISTRAT�ON#
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TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: ��ry��EL ►�STE�2 � �4-TF� �OdVyl •
�Z�P�c� �RoN T �2 � w��u oo c.�s �-cl��tf N�w o�1 Es'.
�Ew C�U �1*�E��"`��'e, �N ta4uN�2y r'Z.00v►�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
o�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ss, �1Dv�
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
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �i � e-..�.._-- DATE: �- /s C�O
NOTE! Parade of Homes events require separa e 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 RIGIiTS OF SCTB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on w6om the data is stored or to be stored shall be as set forth in this secdon.
S�bd.2. Information required to be given individual. M individual asked w supply private or confidendal data conceming himself shall
be infomxd of: (a)the purpose and intended uu of the requested dara within the collecting state agency,polidcal subdivision,or statewide system;(b)
whether he may refuse or is legaliy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidendal data; and(d)the idendry of other persons or endties authorized by state or federal law to roceive the data. This requirement shall
not apply when an individual is asked to supply investigadve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
11ie commissio�xr of revem►e mav olace the notice rewued ucder this subdivision in the individual income hax or�ropertv taz cefund instrucdons
instead of on those forms.
Stibd.3. Accesc to data by mdividual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and wtxd�er it is classified as public,private or confidential. Upon his fucther request,an individual who is the subject of stored
privaoe 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. Aher an individual has been shown the private data and infortned of iu meaning, the data need not be disclosed to him for six months
thereafter unless a dispuoe or acdon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible
authority shall provide copies of the private or public data upon roquest by the individual subject of the data. The responsible authoriry may require the
aquesting person to pay the actual costs of making,certifying,and compiling the copies.
'It�e�ssponsble authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or wit6in five days of the
daoe of the�equest,ezcluding Sawnfays,S�ndays azd legal hoiidays, if immediate coe►pliance is not possible. If he car.not comply with the request within
that time,he shall so inform the it�dividual,and may have an additional five days within which to comply with the request,ezcluding Saturdays,Sundays
and legal holidays.
St�bd.4. Procedure when data is not accurate or cwmplde. M udividual may contest the accucacy or completeness of public or private data
conceming 6unself. To ezercise this right,an individual shall noafy in writing the rosponsible authoriry describing the nature of the disagreement. The
�nuble authoriry shall within 30 days either. (a)coriect the data fouraf to be inaccurate or incomplete and aaempt to nodfy past rocipients of inaccurate
or incompleoe data,including recipients named by the individual:or(b)no6fy the individual that he believes the data to be correct. Data in dispute shall
be disclosed only if the individual's statement of disagroement is included with the disclosed data.
'lhe detem�inaaon of die cesponsible audarity may be appealed pursuant ro d�e provisions of the adminisnaave pmcedure act relating to contesud
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 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 shared with other local, state or federal agencies to the eztent necessary to process
the permit or license.
4. If�our reques:ed pe�it or lice:ise requi.�s 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.
First Middle Last
Addross
C�ty State Zip Phone
I understand my rights as stated above.
� � �
Sig ture ,
10 •
� CHECK OFF LIST FOR ISSUANCE OF PERI�IITS
FOR OFFICE USE ONLY • .
ADDRESS OR LEGAL: �i 4 � o x�02�,0 ���
PID:
DESCRIPTION OF WORK: (Z;c—w�c,o��
ZO��G REY�tiv BY: DATE APPROVED: N���
�. BLZLDl�iG REVIE�V BY: � DATE APPROYED; 2-�.3-oti
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
pI,AN REV�W Yes ,/ No SERTF..R COY�TFCIZON
STATE SURCHARGE Yes_� No tiVATERCONNECTTON
INVESTIGATION FEE Yes No p��E
SAC Yes No SIT��i tSPEG"TION
Number of SAC•Units OTHER(specify)
_ _ --------
ZO�Zti'G CH�CS LIST Zoning District: No cil��4=��
Fire Department: Post Office: School Dstrict: • �
Lot Area: Sq.fr. Acres ' idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side: � - � .
Reaz(Street): Left Side:
Adjacent Suuctures: Wetl .
Building Height: Def. Hgt. Peal: gt.
Lot Covera�e: '
Gradin;: Staff Approval Date: By Council Appro��1 Date:
Septic: Staff Agproval Date: By:
Zonin�File: # Resolution: # Resoludon Date:
Shoreland District:
Av�. Setback: Bluff Setback: Lot Co��ra�e:
� Existmg Progosed
Hazdcover: 0-?5' .
. 75-250' --
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of CouncL Approval: _
REVLA.RKS('in house): �
7
BUII,DING REVIEti� CAECK LIST
UBC: �'3 . � CONSTRUCTION TYPE: VN .
Sq Footage �Per Sq Ftg -
� Basemeat . . . x . . _ �� .
•. lst Floor , x . _ _ . .
2nd floor x _ . .
Garage x _
x =
TOTAL
Estimated Construction Value: $_ $'�� g(�� `�
Inspectioas Required: �York Requiring Separate Permits:
Site � _�Plumbing Fire
Hardcover Removal biechanic,�l Water Connection
�FO°�o Septic Sewer Cor.necdoa �
�� _�e ,Frazning . Fireplace Lawn Irrigation
•C Insulation (1�Iuonry) Other
�Wall Boazd (Iyt fg,� Well(State Permit)
"� F�� Grading/Filling _�Electrical(State Permit)
Other
REI�IARKS(1N HOUSE): � �
REVIEtiV BY OTHERS: DAT'E: --- --- --- -
Access: Existing New .
Access Approval: Date gy; '
REVIARbS (TO BE NOTED ON PERitiIIZ�: ` �~ ~
8
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CfTY OF taRUh�4
!� �` � 8UILDIN P R IT PlAN REVIEW !lA u��-
�/ /' ,p.``��� 1 INSPECTOR ik��3TY G�.A�ING
So l..�t.,r DATE Z '23'Cv p�,�:;`:4;-�:��._ Fo2 w�..r�owS i•--+
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These Comtnents arc�or y3ur`�fu;r�a':on. �;i:�rar1,�i�-;i,b�dc�E+e �
SP�Ct�4L �+���� in fv11 compiiar�ce witii ati a�Yl:ca:�`e bu�lc.ing and conin� ccde.
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CITY OF ORONO CALLED IN �� D l� �d
INSPECTION N TICE SCHEDULED --`3�� .'., .3 z
�--:.:,_�`''�,7 . ��
P E R M I T N O. G � COMPLETED �
ADDRESS� GI� UX�O��
OWNER��.�' I b�rn � CONTR. �P c� 0 U ����on SX.�'�i�
TELEPHONE NO.� �� .� ��� 3 ��-�
� DESCRIPTION
ty� 01 FO �� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� CQ E TS:
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d ❑WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
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� �ORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN i CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContract r on site:
Inspector. �'���� G��� �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �ICE , SCHEDULED �%� ��
PERMIT NO. Q� 1' CQMPLETED• 'r �
ADDRESS ��'� �X���� �-!
OWNER - CONTR. �Y��-z'����'�� �/S�h��S
TELEPHONE NO. � � !� 3��� <�-���3�.�`>Cc-Lt
� DESCRIPTION �"Z-�---� n S��C't"
Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�. 2 FRAMI—N� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 I ULATION 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
J 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� CO ENTS:
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� ❑ CORRECT WORK&PROCEED i' ISSUE CERTIFICATE OF OCCUPANCY
W
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
C
Inspector. G9/l�� ���f
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN -� �- d a
INSPECTION NO ICE ,^ SCHEDULED C'
PERMIT N0.����`�"� COMPLETED �-�v ,w�
ADDRESS � � c�
OWNER CONTR. v� "
TELEPHONE NO. �� � `3 J C�
� DESCRIPTION .�'Q,� � -�� - _12��a.�J
l� 01 FOOTING 11 M HANICAL RI 18 EXCAV/GRADING/FILLING
QMIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 3 SULATION 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
� 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: ���-�r�r�
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� �ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
Cl CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.�r.t <�- ��-��
White Copyllnspector's File Canary CopylSite Notice