HomeMy WebLinkAbout2000-P02288 - building ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2288
Crystal Bay, Minnesota 55323 P@�I'111t Typ@: Addition/RemodeURepair
(612) 249-4600 Date Issued: 4i19�oo
SITE ADDRESS: 495 Oxford Rd
LONG LAKE,MN 55356
P ID: OS-117-23-41-0011
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Single Family
Permit Type: Addition/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 254.28
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 658.03
APPLICANT: �NDALL DERAUT BUILDERS OWNER: J A KILBANE&R A KILBANE
14753 SSTH ST NE 495 OXFORD RD
ROGERS,MN 55374 LONG LAKE MN 55356
THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
4 ���� `�`-'V/
ISSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
' •Y`M,, . �
Total Fee: � b 5 d, Q� Date Received: '��Ur
Entered By: �[�, Permit#: fl . �a; 4�
CITY OF ORONO - BUII.DING 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 O CONTRACTO
JOB SITE ADDRESS: � �I S C�C7'B� � ZIP:
NAME OF OWNER: Ji� Q�� �D,�� /C�'�i�e^<. PHONE: (home)
(work)
MAILING ADDRESS: �9 S 4 z�'� � c� CITY: �ro n o ZIP:
CONTRACTOR: �l,� a � /4°C/' PHONE:_ G�lZ-�9 7 Zv��
CONTACT PERSON: Q MOBILE/PAGER:
MAILING ADDRESS: /�7�' ..S�.f�'�S�{ll/�' CITY: a�� ZIP:,�.�'3 7 g
STATE LICENSE: #Z �Z.
ARCHTTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
1vAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: l)��-n o v { �-<< �f �r'� A rtp��c w,�1i n�w�e �
/1-e C t C fe c�S' a n cC B� Z.t' i n 1E ` �,�.t S �c'�/ -r'Fr ��
f n 1"O 9-{ ct r� !1�c�,✓ i WY`'►'�- .
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 2.� DOO. d 0
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 Ciry 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.
APPLICAI�IT'S SIGNATURE: DA�; ��- D a
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.
5
. ..,,,.•
�
Sec.13.04 RIGHTS OF SUBJECTS 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 dris secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself
shail be info�ned of: (a)the purpose and intended use of the requested data within the collecting stare agency,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplyiug or
refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive die data.
This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement officer.
The comm�ssioner of reverme mav olace the notice reauired under this subdivision in the individual income tax or nronertv taz refund
instructions 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 confidential. Upon his further request,an iiulividual 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 i�ividual 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 acaon pursuant w this section is pending or addidonal data on the individual has been
collected or created. The responsible authoriry shall provide copies of the privare or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any reqaest 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 request witl�in that time,he shall so inform the uidividual,and may have an addidonal five days within which to comply with the request,
exduding 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
privau data wncerning lumself. To exercise this right,an individual shall nodfy in writing the responsible audioriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or i�omplete and attempt to norify
past recipients of inaccurate or i�omplete data,i�luding recipients named by the individual;or(b)nodfy 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 W 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 �iry 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 Ciry deny the permit 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 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.
�a ��(� ���s� ���„ �...�
First Middle Last
l�} 7 S 3 S-S'F k' S� ��
Address
(�A o-� �� /}'1 n � �,3�37� G���7 Z G��
C�ry State Zip Phone
I understand my rights as stated above.
Sig re
b
. (���,'• � ,
BiJII.DING REVIEW CHECK LIST
UBC: �' 3 CONSTRUCTION TYPE: �/N
Sq Footage $Per Sq Ftg
Basement a =
1 st Floor z =
2nd Floor x =
Gazage x = -
R =
TOTAL
Estimated Construction Value: $ 2 5,bo0 �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection -
I( Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (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 PERNII�:
8
� �:�- ..•�<�- HARnCOVER CALCULATION '4�0 ' .
� SETBACS ZOYE: (CIRCLE OYE) 0-75' 75 250' 250-500' S00-1000'
�XiSTING HARDCOYER IN ZONE . .
A. House x � = S.F.
Len�h • Widch .
• � �' x �" �" _ / � � '
S.F.
--".�— x �' �+ = X� 1 CS S.F.
x - S.F.
� . B. �Gara;e . x _ � R �c S.F.
. C. Driveway . � �� . 1 . �. _ � ..a �; .. . . . � : �O �, :4 S.F.
''� � x �,s O . = S.F.
D. Sidewalk � x s G� � = 2� d S.F.
• x = - S.F.
E. Patio/Deck 2 O x `�_ _ �D 4 O S.F.
x = S.F.
F. Laadscape tj x �/ '� a = 7 G O S.F.
Underlain x = S.F.
By Plastic x = � S.F.
Or Fabric . .
G. Ocher x = S.F.
TOTAL�IARDCOYER IN ZONE - �o�' � S.F. A
TOTAL PROPER?Y AREA IN ZONE - S.F. B
. p . � — B ��x100 :_ � %
�ROPOSED AARDCOYER I�i i ZOYE �1 � � b ,� -� �t ,Q �'�,�' /'yc ''��F.
A. House x
Length Width
x = S.F.
� x = S.F.
x = S.F.
B. Gaza�e - a = S.F.
C. Driveway � x = S.F:
, x = S.F.
D. Sidewatk x � = S.F.
. . . x = � .. S.F.
E. Pa[io/Deck x • = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x - S.F.
Or Fabric
. G. Ocher x � = S.F.
TOTAL HARDCOVER IN ZONE - S'F' A
TOTAL PROPERTY AREA PT ZONE � - • S.F. B
p -: B z 100 = q
� � 14
t;err��ifi�a�,n .pi' ;'u�,��� � I '
I
�+. �� . ,t , , , u� r ;t, . , _ _ �� �
N �;_ o'. _ , .. a� , � , r,��, .,. � � � .. _. -- ' � c u ,
� � .
, ,. , ,.
[J. `��:. :� '1 `�'"''.1'�� , . � ?` " ': _ _ 21 - _ — �I
� O .,. - . ' ' — �6 - 1 � �i
�' � l �Z�� z6 Z� E. ,,, -- � ,Ir.�ir�a,�,�� �h��l�f� �
� �
z�� lv ', P.iJsr'rhtnfs r
n 1 / .. � �� ul
-' - � � m; ,
,� i '�
z��pO - � --�--�� u�e�- -- -- � - -- ,- � I
, �g - - � i
� ' _��, � ��
1� �s.o-'
! �' ,
v � 'i
H i
CJ y �'1 .d., o t.a� . - �. I
�' �1� � w 2�• � � i
C Q r�� y� �
Y;� � y �
� � ' S.4 �.i�•� I r
�) �j /1� �` P: .C �^ 8 j II �l
L
. r Q � � � � +` �
� ' h �\cl� `` '
� � `Z µ 55.9' I
� 0 � W m I
� Q v m
�/ � �' � j �
�1
r � i, ,
�e \ � � L sr ss.r�'c....3c. _. _ y ou.l' ... _-- - C
� �Q�� ��� �' � . �� � �I � i
�� � � � ; � i
� a `�/:� � � � �3
� �' �� : `7 � � . �
� i� � ., `� �,'
� (�_ ��l � 1 �. Q, M �-�,
� -J �� � � p �� .
�+.�_ / �
. �� � ., z �
� 1 I
v �
Q^9 �. _ 9700 �_— . _ _ _ _ . ' - _ � I
-�,c �n __ — — _
�,' I � � _ _ " _ _ _ � �'�1
/ v - _ - - - _ _ _ ,-� �
� � � N 89"lZ j7'�i✓ .��.5 j�1 -- � � i ��
� i C/�
� � , _r � �:
�,... ..�
.
� 1 ` �;j C 'I t 1 ,, t..� � ._ i ;i ?f, .'_� r^ ,.. � ;' 1 ' :' 3� '? _` :i:?'Y•�`% rl �+wris �"�
� ^: F l' :�1.,�:.:?�]t . ')f :� .�, � 1 �(�., � , t,l ��' �.� ��_� � � , . . ( �� 1 . i: / ~ �
!''�:"r -' � �1�1.. 1 f , "�� F,iJ�'i'' . � ..:� t:' 7' ,.. ,.. 'i'.; ,�_ .. . !' .."�T"�: :C: ,�/ � �
n , � k� 'i {-. . �` .. . .. , . . .. ' �, ♦, . . . ��
��� Dl'i L . ,� . I� �1. .. ,I 7�. L`'II �(� 'a f�� } �1 . „�' , : i . "1 :.-�c�►,{ '? � � a�
�
+.,.., � �
c�r� o� o�o .
� _ _ _ _ _ _____ ,___ _ ___ , � �
-`� ::�u}-�: �.� = r:�� � � SiTE PUN GR�4�DIfVf.� PUN �.:,t <, r, � � ��:���;. �P� � ,o. c�n6.� �
� � �.,t�� . �_� .. ��,_ ��?�t�OVED — �.eG�c ;,�.�� . _. � ����r� ar���i r�t<�r.r,-,r �
� � - a .
rf �� '�0'�I�D �11iTH REYPSIQ�+i� � ' � • ':�, 1';7n�,�o�
�( o . �r-:r: �-�r':er �J ,-s�, .,�ia;- .�_:, .
� V Fr -.!,�i,� �ir����n �cr.�i����,rl tlrldre� �?.-f3-8�> V! ����� ���
`�� - y% �;>J
��
LlA1T� �!-/K-o�
�e r►�o �1t I s-�r /l��.-�- Q_.�.�.__ o-.�Q.,— ��r��
�
r, . _ Sl� ��
g `I cS� p� �,.d-
6 �.�-�o
�� � � �a��� �
�r0.� �'�;S��^-/
g
� '�,.,�''
� 1 �h�a-�-�
z 1
�9 h' `,�z-..��� C o��t t c� /
�,{ ) �
3 "x `T'�Z. bt...,.�
!'�Z `�7r� G
-�--
d
�
w �
.
..� 3 0 '' ,s`.s-�/ �� 2 ''�,!o'' �
M x 2 fi�.s �.�.^ N�
� gk� /�� �� �R
�. � . 3 � •
� 3 0 �x S S�v2� 4�-�-
S�y ���
3 �i K r Ib" lx.�� �% r
Cnr��
4'
.�d a 6a ��� ,
� � �
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED �'�� �
PERMIT NO. ����g� COMPLETED � �
ADDRESS ��-� �r`�ti'�� �� •
OWNER CONTR. '�'��5� ����L✓-S
TELEPHONENO. ���� S ��(
� DESCRIPTION �,¢C���
L� 1 FOOTING� 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REiv10VAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d ORKSATISFACTORY:PROCEED i PROJECTCOMPLETE
W
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
4 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �. PHOTOTAKEN
�NSPECTOR WILL RETURN � CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCon or on site:
Inspector.C�����(;�G� v �
White Copyllnspector's File Canary CopylSite Notice
• j
' � �;�� � � ���-- ��d�,� �q�- �x �,� �
/�1 ��- 3 5--��` s -� �r�� �
� � � � r � � 37 r �r ��� q � Z
��� �
�o'i o" . �{
.____._._—..
� $p���• y i �7O F �
�.�.
� � '4 /Z.� ��3.i . V, �T
SEE .. • �+^ 5�1�
+ t'a : :=..�5'YL�.Y
R'OR�'.'`.'-�?n�►.,� � ����
`� GODE ���-�IREMElVT:�
� �
� o __._ __..._____-------- --.__ _____�_ _ � , -
Q� v
�
� �
N 7r��'Cti-d Z�2x �
�
,`l.{��' � r +G UA R U F�,�1 �'
2 � � L�
`, '�` ( -�j �9 '� i � �7���l.��� 36" 11AIM. HElCF-iT
� � 4" MAX. OPc�t�;1\{�,
�A �
� Q� ,
�
� _ __ ._ _ r_�__�_ - ---- ---�.,,� �,-__,--�-_. __._..___ ..... _ - -
- - - �_ .� _ _.�:__�_..._- __:� -.---_- ._ _— _..------ --�--�- ,
�� �
c�
Tt «,�� � �M�N 3 -Zxl2 � � re �
�
,� el��i ��a M z -2.x,2
�
.�...___--,___--�_-�=—__ r�-=�__ �-:_�=� - : _- " _��=�=� !____—_-� ��- 1 �, 3 „
----- � . �_ �,
I � � ----_.__._� ---- � :.r
�— C.TY OF ORONO .��'�
; � � � �c�'i� __` - BUILDING P MI7'pLA;V R6VIEW �
INSPECTOR
/ �
; l oAT�___y-��{�t�o ` �
! F�Ah1lT h0.
� � STAI RS �� ,,:���__����r,,���;.;���:��a��� �—�--
� " A SER ; �'�`'�'`;"'J`:%:i i�t•'i7i�
� 8 MAX. R I 9�� M� � ; . �:.;���1��:;:-{')+��5��� •
�_ _` _ TREAD �..i,�,,T „, _ � �Oi._�
'__ �` C7 ,rt'fi �L� ;-� T
6'-8" MlfV. HEAD��OM �. r ":i� u!uF'�S��3Y'�
-`�. - _�� AT LEAST � �Y�T`�V � rri �Ci.P T�I�0 9��Jr�:i!( ( J;t a'at Jli.�1 K£:`p
�` ON . RA L REQUIRED in �_ cor.^r,;i;:r�.;;,� y;,.;. �±: �C�;.. . +n�, a..►_�d�a�
— , GI�.ARDRAIL ONEN SiDES Rey ',70�rts�'�c�ay�;itt�n��inr��'` u u��d i n y qn d r,iny��de.
- " KEEf�-fHlB r r `"�c'�ca'iy nu+Ed n;his t��,�w
tAN S�t JN SITE A7 q(.�.z(M�S
1► I A �'X ) s-t ; ,� g ( oo � % ^ I
L ' ar l,� I� Cac e � J � _
� J'� t, / J /�o X pn�os t
f 0 �`��� � 1-�r� � � L I f i (� !� r '. �_ !C W /
` � Qn.� ja� f�l rr � o) ; f`
J� • /
� � Q �0!/S� 1' r y�� J O i � 2` ,, l�J � l rt,�+
6 i v � W �00 J
� ; w / G�c 6 �o s ���
�