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HomeMy WebLinkAbout2000-P02756 - addn/remodel/repair � PERMIT C I TY O F O RO N O Permit Number: 2 7 5 0 K e l l e y P a r k w a y- P O B o x 6 6 P 0 2 7 5 6 Crystal Bay, Minnesota 55323 P2Pf111t Typ@: Addition/RemodeURepair (612) 249-46!00 Date Issued: si3i2000 SITE ADDRESS: 2705 Pheasant Rd EXCELSIOR,MN 55331 PID: 21-117-23-23-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 438 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Gazage/Attached DETAILS: Approved per resolution#: Separate permits required: Eiecvicai(siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 461.95 Valuation: $ 32,000.00 Plan Review Fee: $ 300.27 State Surcharge Fee: $ 16.00 "� TOTAL FEE: $ 77g.22 APPLICANT: LAKE COUNTRY BUILDERS OWNER: G&K JOHNSTON 339 SECOND STREET 2705 PHEASANT RD EXCELSIOR,MN 55331 EXCELSIOR MN 55331 THE UNDERSIGNID HEREBY REQUESTS PERMISSION 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. I ISSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 � Total Fee: $ `7 �7�• �a-- Date Received: �- ��J Entered By: cU� Pernut#: _�d al 7�� —,� 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: 2�J0 s �1����►��'C �Ja� ZIP: ��3� NAME OF OWNER: C���� `� ���TK�� �`N*�LT�� PHONE: (home) (work) MAILING ADDRESS: �?�� ���►��"r� �o� CITY: �P�t�io ZIP: S�'351 CONTRACTOR: �A�� �'�v �"TR-Y �vt�� PHONE: `�S2 �7`� - �12I CONTACT PERSON: `�g a+��— MOBILE/PAGER: l2 �o�'2a�1 � MAILING ADDRESS: 3�`� S�('ors� 5���-t CITY: �-x��l-��Q P- ZIP: S��31 STATE LICENSE: # LZ��� ARCHITECT/ENGINEER: �Y�� Ce,�,�`i�-`(' ��U��t�-�PHONE: `�17 y- 71 z:� MAILI`G ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition X Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �nb (1) a���i-T�aN��-- ST�.L j o �-'��T ��? �� L��C�4� `" ��=�c E C�� �R-1�o i�a�;2S s�� L L�:�,`�c '�o W STORIES: I SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �2�°��' 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: ��''"�"� � � " `�') DATE: � r �� � 2��� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non perntitted events will not be allowed. 9 Sec.13.04 RIGHTS OF SCTBJECTS 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 secdon. Subd.2. Information required to be given individual. M individual asked to supply private or confidential data concerning 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 confidendal 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 investigadve data,pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. 'Ihe commissioner of�everme mav place the nouce iequued under this subdivision in the individual income tax or pmpertv tax refund instructions instead of on those forms. S�bd.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 confidendal. Upon his fucther 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 individuai has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months theceafter unless a dispute or acaon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the cequestiag pecson to pay the actual costs of making,ceRifying,and compiling the copies. The tesponsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the cequest,excluding Satuidays,S�ndays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that dme,he shall so inforni 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 co�eming himself. To ezercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsble authoriry shall within 30 days eithee (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplere data,includiag 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 derernw�aaon of the responsible authority may be appealed putsuant ro the provisions of the administradve procedure act relaring 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 fumish 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 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. R����� �pw�� ��� � First Middle Last �� S�co�� ST'2.� a,a ss t ( l`�� `(7`{� `1 f2 f �IS�oC� 1 l+� 5���`� Ciry State Zip Pho I understand my ri hts as stated above. � ����� Signature ' 10 ` � CHECK OFF LIST FOR ISSUANCE OF PER11�I'I'S FOR OFFICE USE ONLY � ADDRESS OR LEGAL: z-t c�s pt-�-�+ s�T �t..�A/� PID: DESCRIPI'ION OF WORK: C�A tZ�A�` A�p� T � c�N , . ZO�'G REV�W BY: p� r DATE APPROVED: 8-r -d� BUII�DI1�iG REY�W BY: DATE APPROVED: g-( -d� FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes f No ;, PLAN REVIEW Yes � No SEWER CONNECTTON STATE SURCHARGE Yes � No WATER CONNEC'TION INVESTIGATION FEE Yes No PARK FEE SAC Yes No � STTEINSPECTION Number of SAC�Units OTHER (specify) ZONL�iG CH�CK LIST Zoning District: LR-�!� Fire Department: �e�,�t�p Post O�ce: G�cec.¢�a R School District: IM p v N� LotArea: Sq.ft. 31�Sa3 Acres •��32- Width 132.65 Depth 23'7•�I`� A�G Survey Submitted: Yes_� No Date of Survey: S -i 7 ``�5 Proposed Setbacks: � Front(Lake): 91.5 � Right Side: I�� '�' Reaz(Street): 121' � I.eft Side: l l�b' + Adjacent Structures: p-�-puc.H E�p Wetland: N((� . Building Height: Def. Hgc. __p.IL Peak Hgt. b.IC. Lot Coverage: D.k.. Grading: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Da[e: — By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: ��p S Avg. Setback: N�_ Bluff Setback: /V pr Lot Coverage: — Eusting Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No_� Date of Council Approval: REbIARKS(in house): 7 BUII.DING REVIEW CHECK LIST UBC: IZ-3� - CONSTRUCTION TYPE: V N Sq Footage $Per Sq Ftg Basement . . . x. _ . lst Floor x = 2nd Floor x = Garage x = Z, = A TOTAL Estimated Construction Value: $__�'Z�pO�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing ` Septic Sewer Connection - � oC Frami.ng . Fircplace Lawa Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) �F� Grading/Filling _�Electrical(State Permit) Other REI�ZARKS(IN HOUSE): . REVIEW BY OTHERS: DATE: Access: Eusting New Access Approval: Date gy; REVIA.RKS (TO BE NOTED O�i PERMI�: 8 DATE TIME CITY OF ORONO CALLED IN g-8� 8'���7 INSPECTION N�TICE SCHEDULED `-� C,��� PERMIT NO. ��7�� COMPLETED �v g'�O� ADDRESS ��7b� �heq��� �c� OWNER CONTR. �,K�Cc�t'�z-/ TELEPHONE NO. ��%3 'b`�3`I� � � DESCRIPTION F����'�.�- � FOOTIN�a..j 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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/REMOVAL J Q OW ONTRACTOR TO MEET YOU:_YES_NO Z � ' ¢C E TS• � /'1 W (/ , � � O � � O � W � Q � Z W � W � � d /�WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE �� L7 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑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. 249-46�� OwnerlContr r on si • Inspector. White Copyllnspector's File Canary CopylSite Notice � DAT�_�� �IM� CITY OF ORONO CALLED IN `�� � INSPECTION NOTICE SCHEDULED � � PERMIT NO. v���� COMPLETED � � �-� 3 ADDRESS �-'7U � ��rt-��S��'�-�' �-� OWNER CONTR. �P.C'CPA'i�i'c./13�ti fc�.� TELEPHONE NO. `��`1 � 7l�-! � DESCRIPTION _ _ �cx-�'c�G� c����/j�(GL"7 Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/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 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d ORK SATISFACTORY:PROCEED ROJECT COMPLETE W - � ❑ CORRECT WORK&PROCEED [ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT 11NSAFE CONDITION WITHIN HOURS. ,— pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C; INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContra t r on site: Inspector�������� White Copyllnspector's File Canary CopylSite Notice i� _ . � � � �� Z�A � :�. �� a��o �oP�� � � � � , � �- � r � I ; � g' " 'y,° - ,o _ti aa - '; � � F 1 �'�1 1 � . / ( ', / 1 � ~ n � I '� ` \' � � ^ \`�1 � � ""C��.. w;i� � � �r ` `,�:7 � ' . I �� y I'fr'�_ 'N Q� � �T•� • �' 1 � / , — ��4re.. T� g + �. " ' j ;' �u. �, � , � �- , �= � g� ��,i :a� ,� �8., ctiT l c`� a , - ���c° -� ti' _ o �i g.. �� � � 4 1 � Q j ' - � 9 >-' , ., � o � � � � � . > � � - N- ' �� �� � ��� Q � . v � 4 Zg \ , J , / � �� � �`��� ' � � � �a ; . � SlTE UN GR�DfNG PUN � ; s K-r.�n;�a�s ���,��wnY ' �APPROV GA� �Aop �noa , o = o � ��� � � Q APPROV�� WITH REVlSlONS �' �-p'� p �,� �� � ❑ DtSAPPROY D j � z � OY , ,o � .. � � ., � Q �- ,' � �,�°� � � ; ' UATE �d-1-ov N��Go' ' ' i .a � � � ���� �P _ i[' O � , � 1�J 1 ��.o_ �� �i O # � !,;) �� j�' �. �I�IQ�: 5����"`� / � N ' Lot 9 8� the Ivorth 32.00 feet of Lot 10 i � � � ' �'V°�/y /is� i i � ; �� �.�t�V� �� ^� � of�' •� � � � � �pin Cc�mty, hlirmesota � , a� ' . —_ � `ly' `� N ,,, `8 j ARFA 31,503 Sq. Ft. - "'I n% , : ' . � 0.7732 Acres , ; � � , . . � .� �Du'� �/I!Of:�Ij� �/ � �� �� /�' ' _ tiI � • O� 3z���r.�rJf /G' � �.- yi , I \ � _ , r, —::. i... � � ..i � Z35.48.._ , �az .� . � �� i� r i �s,, ' ' � � �i �,� � '� - �� 327 �� . fOUlDCOOLA G1LG7[J1TSOw f4�4U7tT , �'� � �. 1. C. �. !. 1. � (� � `/ Y ,, ,�J ', U � aci�cis� 1Su1 t.-- `� Lakrshor• L:1�tinQ Lrdae��r h'e�e��d ardeo��! ula�a ' i�cbaek Loc •z�a tardcenz f�zept�q� lardow�z l�rc�atar �zdca�r � fonr In son� Is fon� tf/�Iz100 Zs fe�� (D/ililOC T�ro�+�tap� �4�80 3,dZ�J 23. > 90 23.� °Jo �o �e z7o-i0o' , •t d •t _ ° / Z °/ '/ :oo=i000� -'lv,9Z3 .r ',�92 .s io " �e Z�9 .t � _o �s .� • i n�rebvi cert�fy t►ut th�s �s i true �nC corr�ct r�prex�tat�on o� a survey of F�le No rne boun,lar�es o} tf+�above O�scr�bed�u+d +nd of cne�ocac�on o� ai� bu�ld�nqs. �oZ�� • DEMARS -c�s�a. 'f e^y, thereon, •nd .�� �,s,a� e�, chme�ti, �f .�Y ,,am a, o� S�,d �,�a P R E PA R E D FO R : LA.'YD SLTBVEYORB. I.'�C. , �7 t � �,I�,� t9 e,� a�ok - vd� As w�v.y��bv �t�� dsY o Z `- �c GREG JOHNSTON �Q�p MUbp�LM�NO �—�, • ►IrmOutH MH 564�1 � , k�le M�On�: IE�T>SSY�0o0a ' ,� 1. � M�nn A No ���'�G� �_ � = /'J , _% 'A w COPYRIGHT LAKE COUNTRY BUILDERS 2000 If another contractor will be using the plans for construction, it will first be necessary x For the home owivr to (i)pay all design fees due to Lake Country Builders, and (ii) sign Lake Country Builders standard copyright license agreement, a copy of which will be made available. When thoseiconditions are satisfied, the designs may be used v without infringement on Lake Country Builders` copyright. , �ti r I G A C) I 1 N .II .L . t' 1�j a 4 1 N G ra w fin c i Com' c I `' • o 1 rnZ X � � � z - r I 37 T– i Lk , Ip_ Coil1• I Mp � 3 � �� ' -c "Tj I to ! -- - i _����(� -�•1 C: ��n it - -T� --- y nI' N o "- C I i c" � I , 4 M �, f qp 0 in i — - w --- +� i n LoY: • v =' 01 o 1 ot?f D 3Na�N I I -z- , M0 r ) o w L } 1 Sw . L -1 s Y_r _% 'A w COPYRIGHT LAKE COUNTRY BUILDERS 2000 If another contractor will be using the plans for construction, it will first be necessary x For the home owivr to (i)pay all design fees due to Lake Country Builders, and (ii) sign Lake Country Builders standard copyright license agreement, a copy of which will be made available. When thoseiconditions are satisfied, the designs may be used v without infringement on Lake Country Builders` copyright. , _% 'A w garage stall addition drawings for the residence of GREG & KATHYJOHNSTON 2705 PHEASANT ROAD, EXCELSIOR, MN 55331 f r i. I I v �ti r I G A C) I 1 N .L . t' 1�j a / V. I Q I garage stall addition drawings for the residence of GREG & KATHYJOHNSTON 2705 PHEASANT ROAD, EXCELSIOR, MN 55331 � I I �ti r I I I C) I 1 I 1 t' 1�j a / V. I Q I 1 N G ra w fin c i c o n o 1 rnZ X � � z - r garage stall addition drawings for the residence of GREG & KATHYJOHNSTON 2705 PHEASANT ROAD, EXCELSIOR, MN 55331 C) ►-+ . L� N � c c o n