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HomeMy WebLinkAbout1999-011805 - 2nd story addition PERMIT CITY OF ORONO PERMIT TYPE: - - � - 2750 Kelley Parkway- P.O. Box 66 � ' '-'—=k-`''"`= � Permit Number: t�i i �;,i�s� , �rystal Bay, Minnesota 55323 Date Issued: �;;_;;�:=;; /��s�a (612)473-7357 SITE ADDRESS: �.:�,,f 4 i=°;=;�°�::: �!� _��j , _ , 4'y , , t_!,i'--7 I i^-,:;.,�:-••::f.f —t'tf_'t-„� DESCRIPTION: .�.. _. � . �:�,°'v �;,_�=�,�;?�_���� i;�i�f� �`�'=1�:� f`'�.�'s`ffi.s•�'. i �='� =-_'i��t�..�t;i��i'{? :t�'�� t-,t1g ir�;l�:`= i��s_3,'�:; i;r�s_� ¢',;:�,i: t tt_;f.j (j(.1�_ �i�E_{1[L�:i i�}f_� t'i'_.vi {:iw,i Y{�i.S�t�}'',Z'.''} j 1'���C .�±�9 �}��;Z t S!��� ..�. .W d�� I:r��l:-_:t:w _.�_iF;�� :.t���. !^i�. ! . .`+.�.���i����ti��:-1{ REMARKS: _..._'":�t!-s`i-} i r . `�'.�'��Y . ..._ _,_ �.i`.i'.:! ; _. . _______ . . ..i.�_.i�-1?.._ . _ . �'� f�! . FEE SUMMARY: ���:;(_t;;::i�'i!_�[�.� :�.#=�_,; t.�i_i:: C:•-.,-.-. {�,_,.�, = i� L���r t ,�i�a?._ . � ���C3,:i :7,1�'''4(� I-H JJ S,r't t. �. , 1��'_3 '-'{':�.+�;�-�.��~�.-t� ...._.....� $ �:.z3m_.�e."—at [ ;_3�C.±.L .��?:.' w r'� _+? .�..j� CONTRACTOR: � ��°��i �==��?��� — OWNER: ::�:_ +.�.� _._.._ _. - - ._ ; �. _ �L.fr�i _:i_i``•{ ' " ;`� : _."{-' __.,._= j=�.�_ I�*1.'.. ..-,-- �a - �'�:.(-i s i'f'7 - - - t=.i-;`��3 i_t-�F:,;-, �.f $l��s:`[_i;;t-� �:- , _ h'i-S:t'!::_ 11�' 'a��;'t•�t-�1 �`3 r�jty �..�,:=,'�!j. =_i;�',�iiyi: ;+jl�l ��'�;.��::� t,i=�1 '_ . _'��:`�—_ __._ ;j r',"._.j=,� e:;': i N� �.�i�€►.��, .��# __:a ,._.� €���;��Y �,'.c�:����:��:=: w�`�f I�=�.���t�� f}.. �E�=�.�= ����:._ ;'.3:Y .'._ r����=��#;a��'#t��`�T°�: _ _, �. ; �=�'E�.��t-I E � : , .��':���E= T�rt �ar`_� �ti # '�.;.= i, T� �:�'� z i;M � �3�rr- ��r f �- w r-� , �� � ;. ;3'; �:,�t= ���`�=1���t �.lt�:��C��t�:_==_t ��� '==��C� �x! . .�.�r��._.`�E���i ��:�I€�..ult��; s_�_�sa� �`_:'��;_ �{�.�.�`��;�t�`y . ` L � _...� APPLICANT%PE I E SIGNATURE ISSUED BY:SIGNATURE , r r� C' ��c Total Fee: $ : ; ���J��� Date Received: ��j i l� , � Entered By: ,�''�'� Permit#: j/'�Q� 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 O "R`CON_TRACTOR ` JOB SITE ADDRESS: � �j �'� 1�` P�dZIG l> �Ll J� ZI�': `j�776�02-- NAME OF OWNER: �J�"� �`�,(,�(� �� PHONE: (home) Z _��D (work) MAILING ADDRESS: ���� �i� ��� CITY: (j�Af v ZIP:y� y CONTRACTOR: ���j p� I� ,�;-►'�C(l�-T 1ti�� PHONE:_(�1 L - 7�(- ( � 2aj. CONTACT PERSON:�;������'�(,�����jOBILE/PAGER: la l 2 - jv�°tl 'ZZZ� MAILING ADDRESS: foc3 �, i�-�(.cG S'i ,4�,�c{' Z�ITY: �,�12�R•r ZIP:�� ��-� STATE LICENSE: #��',y�� 3�.� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition� Accessory Structure Move Remodel/Alteration Land Alteration � /+ 'r�t PROPOSED WORK(describe in detai�: � `� (� �� �� � ����t �-ti'� l��'< < ��fL 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 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 'th the approved plan. . APPLICANT'S SIGNATURE: ' DATE: NOTE! Parade o�Homes events require separate perntit approval by Police Deparlment and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA � Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to 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 coufidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invescigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orovertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenaal. 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 thereafter unless a dispute or action pursuant to this section is pending or addirional data on the individual has been collected or crea[ed. The responsible 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 requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request 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 within that rime,he shall so inform the individual, and may have an additional five 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 concerning himself. To exercise this right,an individua]shall no[ify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of inaccurate or incomplete dara,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 deterntination of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 �ity of Orono or any of its departments may require you to furnish certain private or confidential information. You are 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 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. ��iJ�J �� �� u,�� ��� Lc�1�-1�1� First Middle Last � t�(�C� � ,�.���,� � , Address ���.:,�n( �l(�� ��(?�� (�f Z- 7�Z(--I��� C�n, State Zip Phone I understand my rights as state .above. Signature 6 ., � CHECK OFF LIST FOR ISSUANCE OF PERMITS - ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: t 31 S �A 2 rc (�R�v c:. - PID: DESCRIPTION OF WORK: Z tioQ 5-�tu.� ���o� r"c�a - ZONING REV�W BY: DATE APPROVED: � • Z� �4� BUII�DING REVIEW BY: DATE APPROVED: � •Z� �at�' --------------------------------------�— ------------------------------------------------------------------------- ' FEES TO BE CHARGED: Misc. Fees Calculated By: I PERMIT Yes �' No PLAN REVIEW Yes v- No SEVVER CONNECTION ' STATE SURCHARGE Yes �— No WATER CONNECTTON � �I INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: LR-\� Fire Department: ��i„�� Post Office: �,o v r./J� School District: w e sr o N 1 v} � � � � Lot Area: Sq.ft. ivo c r��Acres — Width --- Depth — � Survey Submitted: Yes�_ No Date of Survey: or- i=i c.c� � Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: �I I Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. II' Lot Coverage: I Grading: Staff Approval Date: By: Council Approval Date: /110 GN� � Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: 4�� Avg. Setback:`— c9,K Bluff Setback: N�� L.ot Coverage: , Existing Proposed � Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � � � , . BUII.DIN�G REVIEW CHECK LIST � UBC: R ' 3 , CONSTRUCTION TYPE: V/`J - Sq Footage $Per Sq Ftg Basement x = lst Floor a = 2nd Floor x = Gazage x = x = TOTAL Estimated Construction Value: $ (oS"j(�p0 �''g' Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing Septic Sewer Connection ��Framing Fireplace , Lawn Irrigation �_Insulation (Masonry) Other �_Wall Boazd (Mfg.) Well(State Permit) /� Final Grading/Filling oC Electrical(State Permit) Other REMARKS(IN AOUSE): . � REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMII�: 8 ' � / DAT� TIME CITY OF ORONO CALLED IN INSPECTION NOr CE scHE�u�E� �0' � ' 4�8 !n:3 c� PERMIT NO. � COMPLETED ADDRESS �.�75 P�R�C QIL OWNER KATifu�N �u��_CONTR. TELEPHONE NO. �2' `�� � DESCRIPTION �mo� �T l'--d�n.��,—w� oN F�7 1'�T" � 01 FOOTING /�'p�J(1T11q�G"NJ�NIC{�� /4 SQL�"�k�AV/C��ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WET NDS y 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � COMMENTS: a t� 4 S � J O '' P,t�Lv lS P� l'd � 0 � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W � ❑ CORRECT WORK 8 PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContrac � . Inspector. �` White Copylinspector's Fil Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE . � SCHEDULED 1 �� PERMIT NO. I (��-J COMPLETED � �.� �C. ADDRESS I��7� ��rK �� � OWNER G�11.?`<(�SJ� CONTR.V���I G� C�`I�T.}"�Q'���'1 TELEPHONE NO. ��� —' � �3 � DESCRIPTION ��'Z�I � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDAT�ON/REMOVAL � OWNER/CONTRACT R MEETYOU: YES_NO , ' �4% /�0. � COMMENT/�: ' l� �'� 0. / ��� C�'/ T�`" � a �L���7Ct.��7 iCu � G.�� 1 �1 o � �c.� �2 �h 55-�'S � 5 E�i �G � � �: dr, � �G�- d �►e W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �.- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContra tor on site: Inspector.�G�,-� � C%�-c-�-� White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �-'�'�—� � � 3� PERMIT NO. �..� ��� COMPLETED �� =�'�O� �- �f� ADDRESS��� � ��'� K'�� OWNER CONTR. ����1�a-h TELEPHONE NO. �'��— ��=�3 � DESCRIPTION �d�`��CYI Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMIf�._` 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 v 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/REMOVAL J Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � J ` , L� � � O , � (� � c{,. ' , C� 5 � O � Q Z�/�'/�D1/1 �r� j"C /`� �C� I 5 �-PC �v1i z �� s /� 1�. �'s� W � W � � d�ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W � �ORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W � Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector.�����-� �',�i�L l White Copyllnspector's File Canary CopylSite Notice ��(� � ,�- � " ^ ; pN " � N�2 � ;� � �. .�l F�_\fz, ����, ��Yy� o � .-- � - , � � � 78 w C�PY � . . . �N4 y . �R . '� � � ,� •;' N78 � 7S! � � ` � � / .. � � � ;y� ~6 p� � �6 �"w , � 12 � � -� �� �c� ' / `� / ' � C������Q � � 0 0 � � , � 222 2 �3 �� E��1 1 ��' .�;•�J4� �� AN � � � / � �`� � 1 ,, 5 2•s4 I c x ���� :-��� __ �..� � � � . " 2"' sr� `( � Q � �Jr�1� AQ�1 r7(�� r����i�C�'U � z -3 % + � y� �IF� ,�( � � J. � � . . -;; ,�."Tf� RFVi:!�y� � .� �. - �� """ � `�Et � i� `�i;irl`�tcV•r t�;- / O � ��� ��� , ��10. �� F� H � W/Yi' �'li'�. " � A 4�� � -__ ---_ B,f � g.ZJ� � / t � ��� � �!`UJI►�"" ��� ��r q, . ' �, � � x �,��' � �51 ,�7� �o� � ' �' �' ` _ / p��r�j �o - ' �`, ,/ �.tiM+� rj t b lti w � /y '`, A, ���� / , ,V� / ��� ..'►d� ���M /� ,�6+• /�` �� ,�QN C��/. �-V 1 - ��. 4 2 4 J J� � / °�,�/ / ��3� ����Z�T � - ��` "� ��. � � / �/ `� �� � �O p 4 . . � ` ` `` � ' y Y I \ � `� / ; � �� , ' � � � � . _ _I , ' `4 4� 3� ' �I / ISI�i 83� ,,/ ;Y f,Z(j �..���� ' ''. o � O � ;� S�3 . �� �'� � � , ,�� ` 36 3�� '�� �} '`� �� �7��jDl.ol �' / ,;� ;�' F 19° �'� / i �' . , � . �' � . 2 �. �ST� ���� , Eo ���i ?S o � �' ��t � , o / , , . � � � , � SURYEY FOR: DENNIS MUEFFELMAN F° ,�° �o E� �R�N d' I � --- �� � /o �� - �� Q PROPERTY ADDRESS: 1375 Park Drive, Orono, Minnesota. „�;,.-- '� � � � ;� /� /o DESCRIPTION: �0 5 �C� ST2�8� .� 2 �� , �� p),,£ �N /�� -�.�Us���l.t� ,,, �m 4, � �► Lot 1 , Block 1, SIDWELL ADDIT10N, according to the recorded �0 �'�(�" �SS. >> z /� plat thereof on �le or of record in the of�ce of the Registrar [��� ,,,' /� '�, of Titles� County of Hennepin. -- --____ � CER TI • . � Eo \�oN � F1CAT10N. 4�I� � � � I hereby certify that this is a true and correct re resentation of a �G� �a survey of the boundaries of the land above described and of the �_�� ��P�� �g ��1`' g y • � ��-2yo f9���7��� 38t�t•S 19�b� location of all buildin s, if an thereon, and all visible enGroachments, 8���� Z��g y� � if any, from or on said land. - 72�0 t1���a �1`� 3 ______--. -------- � To� + � �.g�i� � U��.� ` �1'�/" _ r' _ -_ -h�� � �th da�� of Auaust, 1995 i � . - .�P1� � � R0� . 0 w ' — — ------------ —� ---- � ._ CITY OF ORONO 1 � BUILDING �RMI PLAfv REVIEV'J � ` ;NSPECTOIR�- � DA.TE �'�-�� PcRPI!TNO. � � APPROVED AS S�.;��11T�Ld � -- �� �'A.PFi'(OV�D l�'lITH CQRRc�,TICNS AS P1GTtD '� �; '��T AQ��C'Jc�---CCfiRECT&R�SUBP�IT � TI ccmr�,,�ts are j�r your inf.,rrratiun A'I wor�c shs,l te done � � �/ 'R ' �� CCril��pla'iC L4� � G�i c1�?0{I 'll�E aUI�G�ind af�d zoninfJ COf�C. � �� n�. . n �,3; ? .;�r,s �.,.,�eci' a��r,otE:t ir t�,;�.t�:�w. �' \ ' KI:EP TH;S F�I.AN �L�Uid �iT�N"i Ai.L TifJtS ��.r�>_,=��_���_.._. � � Gl.1ARDRf1E`� � i I �� �1 ; 36" Ml6N. 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