HomeMy WebLinkAbout2005-P09080 - building ° PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09080
Crystal Bay, Minnesota 55323 Permit Type:
Addition/RemodeURepair
(952) 249-4600 Date Issued: 9/8/2005
SITE ADDRESS: 495 Oxford Rd un�t#
Long Lake,MN 55356
P��� OS-117-23-41-0011
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeVRepair Permit Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
Install windows in screen porch-Change flat roof to pitched
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 25431
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 658.06
APPLICANT: Randall Derauf Builder OWNER: Mr.&Mrs.Kilbane
14753 SSth St.NE 495 Oxford Rd
St.Michael,MN 55376 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.
�
APPLICANT PERMITEE SIGNA I SLTED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
08/18/2665 09:13 7634976592 S PAGE 01
� +g5224A4918 T-d90 P.D02/008 F-729
Au�16-ZOG6 OH:64am From-CITY OF ORONO as,D�
$
Total Fae: $ �oy . D�O Daxe Rece�ival: 8- 9-D J`�
Eatexed By: Permit#:
cI� oF oRONo -BUII.D�NG PER,1�T APPLXCATXOl�
A1l�lnformation must be sabmitted ia fuU before plan review�wiU be�tArted.
(Please print al!inforniatlwn)
T�C,p,��S: (cincla one) OWNER O CON�RACTOA
aos srac��,na�,ss: �- . z�oP: �"".� 3S'4
VVi11 thfs be a parade of�Xomes,R�emadeleirs Showcase 8ome oR other Dlsplay Home?
❑ Yes � No C,�cil app�al 60 days,pria o�he event.r N nlpermi�events will not
be allowed,
NAME OFUWNER: ,�ar•�.�r ��r' ��a�•t-e PRONTt (home) �S? 74cS- � 4�5� �
� (work) !�cs'r� G ��� 9�o/
MAII.ING ADDRESS: � 9 .� � �r -F o r C� C."�TTY: ,�J^o n o �p��3��o
C0�1'I'RAC'�OR: l��n cfc� �� ��rs�•c T f/•-�1dr�, P�IO1vE.� ��o �� �Q�`ZQ/�
CONTACT PEYLSON': S,,�..t�Q 1/ �',�-�a.� MO�SII.T/PACx��c/to�/ 7I P. S� 37 lo
M,pil:LING ADDR•ESS: g 7 3 1� �. � C�1'Y: 5�, •
SxATE LxCT1YSE: f! — 2 t'g_Z
ARCHxTECT/ENGINEER: P$ONE:
1ViAILL�IG ADDRESS: -- - G'1'Y'"Y': ZIP:
NAME= YtEGTSTF.AZZON#
TYPE OF W41iK: New Accesaory Structure
Ad,diHon 1Vio�e
RemodcUA�lteradoa� Land Alteratiou _,
PROPOSEA WORK(descr�tb�irR detail): �.�� c�o w s' � " J'c'rr n o r ��•
y� �e� o�7'C r�
STORY�S:�� SQ.FEET OF EACA FLOOR
�TO.OF BTDRQO�VI9: GARAGE STALLS: ATT. DET.
ESTYMAT�D CONSTRUC�'ION VALUAZZON(ezcluding land): $ � � O O
I heroby apply for a btulding p�cr�uix and I aclmowledge that the informaflon ab�ve is completE i�d accu�t�e;that the
wark w�l be in comform�►nce with the ordiflsnees �nd eedes of tl�e Ciry and with the 8tate Buildittg Cod�; tltat I
�aidetsS�nd tP►is i�not a pernut and work is Aot m start without a pezra9,�aad that thc wotk wil�be in accoxdence witY�
the appxnved pl�. �
APPLICANT'S SIGNATU'RT: DA'I'�: ���� 6�
BiJILDING REVIEW CHECK LIST
�C� �Z � 3 CONSTRUCTION TYPE: �(/`1
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $ ZS,n o o `�'�';
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
FO°��g � Septic Sewer Connection
� Framina Fireplace Lawn Irrigation
�Insulation (Masonry) Other
Wall Boazd (Mfg,) Well (State Permit)
�` F�� Grading/Filling �_Electrical (State Permit)
Other
REIVIA1tK.S(IN HOUSE): .
-------------------------------------------------------------
REV�'�V BY OTHERS: DATE:
Access: Existing New
Access Approvat: Date gy;
RENIARKS (TO BE NOTED ON PERMIT�:W-----------------------------------------------------------
8
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �g� p x F-o rZ,p �Zo��
PID:
DESCRIPTION OF WORK: �C2t�N (�o.�c.6. � 3 st.-yasoN W,r-i-� �v e w I�cd-�
ZO,�i G RE'VIEW BY: � W- --�M-------------DATE APPROVED: $- 2�(�o�
BUII,DII`G REVIEW BY: DATE APPROVED: 8•z5 -o s
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW � Yes �/ No SEWF.R CONNECTION
STATE SURCHARGE Yes ✓ No WA'TERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOPTIt�tG CHE.CK LIST Zoning District: T �v c.F+�,•�c�.e
cJ
Fire Department: Post O�ce: School District:
Lot Area: Sc.ft. Acres Width Depth
Survey Submitted: Yes No e of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Reaz (Street): Left Side:
Adjacent Structures: tland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Coveraae:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Set ck: Lot Covera�e:
Ezisting Proposed
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
�
08/18/2005 09:13 7634976592 S PAGE 02
Aur-18-2006 OAsT�� frarClTY OF ORONO +96Z2494618 T-430 P.008/003 F-TZ8
ya,�1,� �i�7g p�SiJBiSC7g OF pATA
Ssbd.l. Typs e[dm. 'l'I+e�M ot hdl�ldrtl oe wrsm�a dm i+�ur�d or to Oe soered sh�0 Oe N�taM lo tbS�lo�
Sab0.11efe� le�ended pst o[ebe�tq�acN Y+��w������uC��a P��r��de ry�N)
MarnMd aR W qM P��
wbe�r m.��.or a le�lb�9+fwa m.aprb�e6e eeq..�oN dm�(�■ar I�ws oo�cv.eea.�ly n�am aM wa����+uv►br
prlwp�r 000QQa.ebl data!�d(�t!�6e Wweiq of a�P�M nr�werwi:ed by mte o�fiddal�r�o[aThe u�e dm.7b4��
aat�ppb wree an hdhrlAr�l I�a�ltd ts soyPb'�'��dve dap�,panaoa�ro s�aqon 1�1,s��S.�s a 4w niwoemeae al�.
8�bd.3.Ae�se d�Ir�qldMdeal.Upne re�m a n�poa�lbk�MUot1q��a 1amvWNN�0 be�aie0 N6�er he a tie�p ot
.o�rad ma.w i�dhrNodl��ad w�It 1�d��p�bAc��e or�Ofldeat�l. fJP�Ob f4Ttler e�q�st.au I+dl.fawl wla�tre�rb of
iented prh�e or p�Mk dotf oa�vidonb absll be tdow�111e dw withat�q eh�to rl�e we,�6�daks�lh.0 6�i0t��med of da�teot�ad
letl�ef Idt A� ARK�II Mdlyldoa11�1160la ihOwp t6c pciv{1t d�ts illd(o�rultd OR ki tpea�ll�tlu d�R otl0 MOe be Aud01M a Ilmf brlii
�d�d�alter talw a dhpr[e or talsn p.rw�nt es�I!e�1�peadl�or adAldo�1 d�t�oe�.iulhW.al Iw baea aWeted or�Tb�
�Ma�qwrl�.edl preddeaopMo ofdie p�ecpblic a.a apw nqaat Iry tA�I.dhidal�o6JeRdlhedaa.1Ue rapomibka�rnyt
�eqmra�.�+a�a�a!v«so�r aa ak.aun�ee�s or w.ldu�„o�yda•�d�e e6•�sp�a.
7'ORife�p�..ibk.ntl�orlfyrJiollco�ap4r�mmedia(�11�.KPo�rob�'de4•q nqoat�ds po�aasetl0 t�d�a0di1�bloMonrlFhio UreCq�of�be
A�ceott�s�aa��dlniSswrd�qrr,B�a�S�adNg�IpoAOq��.Ul�ome4letacoop�a�eolsavtpo�l�k.ltlNreoo[aemply�t6��'�9aatNl�b�
e0n qeae.h��ll�o IeEmm�he lod�da�l�sAd aiq►Iqw�s�dd�d e.a dsyrwlehh whlo6 es e+o�ty wldi s6e reqr�s�,esdwl��9aaQdqr�qn�t
..d�e0d M.li�n.
Sa1�1,4.ProcedW�e++Me.dw fr oot aapn�Or w�opMt�.A�Iadi.NhN mq e0�mt�e�eeirae�vr Oolqplebeosi OfDobMe orprtvatr d�s
a�do�b1�o1L'1b eaa�!��Mt,all ladtddw�h�•aqt�1n wNdog d�e Mdipo.u6h s.qw�Y daa�la6 tfitlft�ee ohla�neme�.'1'hi
�aotloHq►thdl wRWo 30 dsy��1�e (f)oor��tMe dw toand 1s be Ista�rate or�koe and lo aod4'Pare re�lqq Of
m�ee.noe or leoe dt�ladadbt t+eelPlme a�a�ed br tlle Udhldaal;ot(b)aaih'me bdlvldwl f�e be 6eMevr�d�a eo b�ooereo�.A�h m
�pue��11 be��oud ouqr lttra I�iduy���t�lt otdb�rseo�e�I.I�d�d wNh tbe dYdo�ed ditf.
T�dcbernioodos oT qN rapo�ble��horih my'be�ppaled�raao��0 ebe p�W0111 ot tbe�dtIdIllKnadvc p�vicedore set M�g tu
towai wa.
� TA PRNACY A�,Q$�
�o aceo�ee wtch M.g.a,3.04,Sabd.�,"RISht�ot'ubjeca o�data"�w�woald b7ce ro Ln[or�a yoo tlwi yonr roqnai�
!nr s permlt or Acenu 4'om tl��Clty o[oeoao o�a�y of Its depxrement�npq►�eqoire yon bo tbrnub�cabiq privsh or
ap�ld�'u111nRbrmstioo.
Yoa�re AotiLed that:
i. The laformsdon yvu ta:'nlsh wlll be aseci to de�ermine�our qa�li�6p�tio�a!or tbe parmlt or lice�e nqa�d.
2. You a�y tel�u to Ru�ply data.but rr#iasnl may requ�re Wst the Gtih►deay the pee�mdt or I�eeme.
3. Tbe iuformado�ma�►ba�harcd w�t�otha local,s+tste or TederAl sigrucia to ffie aReat n�y uo pr+ocess
tlu permit o�liceu'e.
4. It yonr requanted pera�it or IicRase requirea Coun�1 a�ion to�pprove�ton�e i�rEormodoa n�sy baco�ae
puWla
5. Yon b�^e c�rtain t��hts aader MS 13.04(svaUsble apon roque�to revf�w privpte daq oa yomself.
6. Yonr tWl1 oame 1�reqnired to proeas t64 applicac�oa or e�mtt.
.4 aK �
MWme 6be
l -�7s 3 �`,�-'� .3 ��lV�`
��
s-�, ����at� lY(� 3 3?� 7G3--��'7ZG/�
� � �r�r� ��w Q�� p PAone w
1
i ondenound my ri�hb as�ted above. •
�r�tl1r�
ClTY OF OR�IVO A4
SPECIAL N�T� BUILD4NG P. s1,'fT '.J'�,� h��;;cw
`-' INPPECTQR �
w `� >�� a-���r�c��� ��-��-r DATE e-z�c_-o s _��:��.,,�,�,o.____ .
� ` � �� �,r�i;� � .� 11 , •
Q � �T'.�-z�--- � � ..,-.,,, � �
S 'I
� �
_...
�`'" "` -�n:�,� .�f+ t -r
� g-�'►�'� --�-- � . � i,�_�,�_.v4 .-+ c ; _�.;���..;�,:,::�ti0?cD
r" _ ... �
�
� �.��'.�. ` ❑ �� �� A+ ��i,r�;; �.. _ �.�i x r �l"'��11
C__---___ ... . .. �&ttc�0.�� "���$t.0�- Tre^ , .. , , . , " -7
; �, r�c r �G done f� L
���yi�,��y i� /' � _ti r n n code. r a5�
i t £i1� ��i n. (.�Qu-S� ��: � �
�79 � �i�i �: r iEvd. �"�—
5'�}� -�� (}�;�r� , 1 r � - f-�;'.n -".: v �f7E AT ALL t 1P
OYDry� � ���
� Z
, �
.
1 V� � fS�)Ay
� J
1
,�o-�"��� y �–iG t� S r
Z�� F��T S�cV 1,��`t � l�Z I/ � S'.g
Vcn-f>ny �s' 3 C� � -f� l �
s
tv .� / , � ,
d�'�OT CD f CY � wp
� g�o�''` T L Sh,l/-s
2 -Z,.!o ,s��,�«
f� � z ri
� o �
�� � � 9�„
� � � � �
�, �
�
� � ,
� �
�,
� .
m
� . �
- �'�a -J="...Y.�..
" ;.�.�..".)�:
� �.�'.�'".y�
N � t:
Ct � ��,. ,:u�
N ,� ac�
� �
:9k-`�
�
f '�z'� ". �
m
m
� ��
m <,..,�.
N
� �..s.q2��''.. .
�
m " •
9,�i3�,� :,-;;
� g,8-�
�
08/23/2005 12:42 7634976592 S PAGE 62
��� �
� p r�.�
. _ � ^
n �
f� �
N � �
� �
�p N
� r
r
0
� �
� ;_
�
f
�
Vj
E Q .,� q J �
P� , -0 � W �
c � �'1 :� � �.
p Q � � �
y ` ^Q
T V /y
� .,� N �,\J
� � ` �
� �
FV �V
� �
1 �
• . . ,
�� ����f— D 9TE. TIME
ITY OF ORONO CALLED IN ��( �
INSPECTION N TICE SCHEDULED �` � .�a�
PERMIT NO. . COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE N0. `�CP� ` �� � �D�� ��
� DESCRIPTION �C ����''
� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 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 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
� 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
�
J
O
a ���
�
0
�
W
�
Q
�
2
w
�
W
�
j
d
W WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE
� ❑CORRECT WORK E�PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR U CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. �95Z� Z49-46��
Owner/Contr n te:
Inspector. ���� .
White Copyllnspector's File Canary CopylSite Notice
�+� �T D E � TIME V
CITY OF ORONO CALLED IN
INSPECTION Q�#��/ SCHEDULED ' �
PERMIT NO. 1��-� U� COMPLET
ADDRESS L �
OWNER CONTR. '
TELEPHONE NO. �l�� L`��— �C_� I�
� DESCRIPTION � I 1 G��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
O
W WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION�SSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next'n tion 24 hours in advance. (952� 249-4600
OwnerlContractor'b�it :
Inspector.
White Copylinspector's File Canary Copy/Site Notice