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HomeMy WebLinkAbout2002-P04980 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po49so Crystal Bay, Minnesota 55323 Pel'CTllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4ilv2oo2 SITE ADDRESS: 2760 Pheasant Rd " Excelsior,MN 55331 P I D: 21-117-23-23-0015 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Pernut Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: � Separate permits required: �ieciricai�siatej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00 Plan Review Fee: $ 418.53 State Surcharge Fee: $ 25.00 TOTAL FEE: $ 1,087.28 APPLICANT: Greg Dahl Construction Inc. OWNER: Timothy&Kelly Mahoney 300 West Point Road 2760 Pheasant Rd Tonka Bay,MN 55331 Excelsior,MN 55331 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / ' / c.1� ,/ � /�, �; . -- ;%---1 �..� `f 6�'�-c.- ,�� � LICANT PERMITEL SIGNATURE ISSl1�� BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 ' • 4 � / �. :'_2 /c>'Z Tctal Fee: $ j� , ������ �� Date Received: �" � Entered By: _ _ Pernut#: ����� - �';'i' 'r� — , 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) OWNE R CONTRACTOR JOB SITE ADDRESS: Z 7�0 /��,sA�y7� �� ZIP: ��331 NAME OF OWNER: �D�� � /YIl�f�'D�� PHONE: (home) 9✓�'L-`l�7/D.SD Z (work) 763- y79-G 3� MAILING ADDRESS: �760 �f�f�N7� /Zd CITY: �XG£�o�' ZIP: ,�53.3� CONTRACTOR: ����' .�Ji��lL �iiS��2. PHONE: �i/Z�71� � /�� CONTACT PERSON: ���� /�L- MOBILE/PAGER: (�/Z -Z71J /y06 MAILING ADDRESS: 3D0 Gvf,,sf �N k� CITY: To��- �3r1�`j ZIP: �,�,3/ STATE LICENSE: # �� 20 Z 7Zg��"" >. ARCHITECT/ENGINEER: ����� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition x Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ,[��pvi�IS �XiS�iu� ���� �lc� � ��, d�� 3�d u sf� � / N ��� ��y u��fi� �s �►.Jv d�e,�. ,�o� STORIES: I SQ. FEET OF EACH FLOOR: D � NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 DET. N�w) ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,SU, DO U 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 acco dance ith the approved plan. APPLICANT'S SIG VATURE: DATE: ✓�7i OJ� NOTE! Parade of Homes events require separa permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 � . . . Sec.13.04 RIGFITS OF SUBJECTS OF DATA , S�bd. 1. Type of data. The rights 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 iadivklual. An individual asked o�supply private or confidential data concerning himself shall be informed of: (a)the pucpose aod inteaded use of the requested data within the collecting state agency,political subdivision,or statewide sysoem;(b)whether he may refuse or is legally nquired to supply the requested data;(c)any Imown consequence arising from his supplying or refusing oo supply private or confidential dara;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. T6is 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. The commissioner of revenue mav�lace the notice rewired under this subdivision in the individual income taz or nronertv taz refu� inshucdons 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 imiividuals,a�whether it is dass�ed as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara 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 acdon pursuant w this section is pe�ding or addiaonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon requesC by the individual subject of the data. The responsibk authority may require the requesting person to pay the,actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comp�y immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Su�ays and legal holidays,if immediate compliance is not possible. If he cannot comply with d�e request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, ezcluding SaNrdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual a�ay wntest the accuracy or completeness of public or private data co�eming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the�nature of the disagieea�nt: The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to noafy past recipieats of inaccurate or incomplete data,including recipienu named by the individual;or(b)nodfy the individual that he believes the data w 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 authority may be appealed pursuant to die provisions of the administrative procedure act relating to contested cases. �' I?ATA 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 Giry 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 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. First Middle Last Address Ciry Sratc Zip Phone I understand my rights as stated above. Signature 6 , CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z'1�o P H C�s ANT �� PID: DESCRIPTION OF WORK: �q 2/�G� �'�-A(� � �n o� ZONIl�TG REVIEW BY: DATE APPROVED: y-b �z BUII..DING REVIEW BY: DATE APPROVED: y. �. o Z-. FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes t/' No PLAN REVIEW Yes _� No SEWER CONNEC'ITON STATE SURCHARGE Yes � No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZONING CF�CK LIST Zoning District: Fire Department: Post Office: School District: � Lot Area: Sq:ft. 3Z.,Z�iO Acres �7� Width Depth Survey Submitted: Yes_� No Date of Survey: 3-t Z-o Z Proposed Setbacks: F�eat(Lake): l o�` "�' Right Side: 6�� N Rear(Street): �/�� �' I.eft Side: �{1.2 (S� Adjacent Structures: (-1'c'�c.t-�-�� Wetland: N �� Building Height: Def. Hgt. �,.� Peal:Hgt. A.f� Lot Coverage: `� �o Grading: Staff Approval Date: /✓ (� By: Council Approval Date: Septic: Staff Approval Date: �(/� By: Zoning File: # Resolution: # — Resotution Date: Shoreland District: y2S Avg. Setback: o,t� Bluff Setback: ,�l f/f LotCoverage: Existing Proposed Hazdcover: 0-75' � '75-250' Z Y.�� 250-500' D 500-1000' Hardcover Variance Required: Yes No_� Date of Council Approval: REMARKS(in house): 7 � BUII.DING REV�W CHECK LIST UBC: R ' 3 CONSTRUCTION TYPE: �!N Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x _ Garage x _ x = TOTAL Estimated Construction Value: $_S o,Oo o� Inspections Required: Work RequirIng Separate Permits: Site g Fire Hazdcover Removal 'ca1 Water Connection .. _�F���B � Septic Sewer Connection _�Framing Fireplace Lawn Irrigation d (Masonry) Other (Mfg.) Well(State Permit) _�F� Grading/Filling _�Electrical(State Permit) Other REMARI�S(IN HOUSE): . REVIEW BY OTHERS: DATE: N--�_�N------------ ------ Access: Ezisting New Access Approval: Date By; �""_________ ------------------------------------------------- - REMARSS (TO BE NOTED ON PERNIIT�: 8 � . LOT 15 PHEASANT LAWN HENNIPEN COUNTY MN. ����0 � C�p HARDCOVER CALCULATION WORKSHEET Y SETBACK ZONE: (circle one) 0-75' 75-250' 250-500' S00-1000' EX/STING HARDCOVER IN ZONE A: House x = S.F. LENGTH WIDTH x = S.F. x = S.F. x = S.F. HOUSE TOTAL = S.F. Driveway B: Blacktop x = S.F. Concrete x = S.F. C: Sidewalk x = S.F. A/C slab x = S.F. D: Patio x = S.F. Deck & X = S.F. Steps E. Landscape X = S.F. areas X - S.F. underlined by plastic X = S.F. sheeting x = S.F. F: Other X = S.F. TOTAL HARDCOVER IN ZONE = 0 S.F. A TOTAL PROPERTY AREA IN ZONE = 3640 S.F. B A 0 / B 3640 x 100 = 0.00% PROPOSED HARDCOVER IN THE ZONE A: Garage x = S.F. B: Patio/Deck x = S.F. TOTAL HARDCOVER IN ZONE = S.F. A TOTAL PROPERTY AREA IN ZONE = S.F. B A / B x 100 = h • LOT 15 PHEASANT LAWN HENNIPEN COUNTY MN. � ' HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (ci�cle one) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER lN ZONE A: House x = 2565 S.F. LENGTH WIDTH x = S.F. x = S.F. x = S.F. HOUSE TOTAL = S.F. Driveway B: Blacktop x = 940 S.F. Concrete x = 167 S.F. C: Sidewalk x = 750 S.F. (Conc,Wall 8�Steps) A/C slab x = 8 S.F. D: Patio x = 454 S.F. Deck 8� X = 464 S.F. Steps E: Landscape X = 1495 S.F. (Rock on Plastic) areas X = S.F. underlined by plastic X = S.F. sheeting x = S.F. F: Other X = 221 S.F. (Wood Timbers) TOTAL HARDCOVER IN ZONE = 7064 S.F. A TOTAL PROPERTY AREA IN ZONE = 28910 S.F. B A 7064 / B 28,910 x 100 =_24.43% PROPOSED HARDCOVER IN THE ZONE A: Garage x = 0 S.F. (Net Gain) B: Patio/Deck x = 75 S.F. (Steps Net Gain) TOTAL HARDCOVER IN ZONE = 7139 S.F_ A TOTAL PROPERTY AREA IN ZONE = 28910 S.F. B A 7134 / B 28,910 x 100 =_24.69% 4 • LOT 15 PHEASANT LAWN HENNIPEN COUNTY MN. . ' HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (circle one) 0-75' 75-250' 250-500' 500-1000' EX/STING HARDCOVER/N ZONE A: House x = S.F. LENGTH WIDTH x = S.F. x = S.F. x = S.F. HOUSE TOTAL = S.F. Driveway B: Blacktop x = S.F. Concrete x = S.F. C: Sidewalk x = S.F. A/C slab x = S.F. D: Patio x = S.F. Deck 8� x = S.F. Steps E: Landscape x = S.F. areas x = S.F. underlined by plastic x = S_F. sheeting x = S.F. F: Other x = S.F. TOTAL HARDCOVER IN ZONE = 0 S.F. A TOTAL PROPERTY AREA IN ZONE = 240 S.F. B A 0 / B 240 x 100 = 0.00% PROPOSED HARDCOVER IN THE ZONE A: Garage x = S.F. B: Patio/Deck x = S.F. TOTAL HARDCOVER IN ZONE = S.F. A TOTAL PROPERTY AREA IN ZONE = S.F. B A / B x 100 = DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED C- � �l�'� PERMIT N0. � COMPLETED � v � ADDRESS � t�' - OWNER CONTR. D TELEPHONE NO. C�5 � — ��� - �c�C'�� � DESCRIPTION � C�� C�c�� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 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 C O L , � a y � O � W � Q � 2 W � W � � � �DRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W 6 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site- Inspectoc�� � � White Copyllnspector's File Canary CopylSfte Notice G ,/J DATE TIME CITY OF ORONO �( � �s CALLED IN INSPECTION NOT � SCHEDULED S.,L� '�� PERMIT NO. r' � COMPLETED ADDRESS =� OWNER CONTR. TELEPHONE NO. �I1 SI L��� r�a C�� (��. -� � TION ' ' � . 01 FOOTING 11 MECHANI L RI 18 EXCAV/GRADING/FILLING � 02 AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 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 � OWNERICONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notfce DATE TIME , CITY OF ORONO J CAL�ED IN INSPECTION NOTI E SCHEDULED 5 / �3U PERMIT NO. COMPLETED �� ' • � ADDRESS �7�o O / �l(� OWNER CONTR. ��� �.��> TELEPHONE NO. `O,SwI �t � ! ��OV � CRIPTION l� 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING QhMNB''/ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � J (.� � ' ��iY O � � O � W � Q � Z W � W � � � d W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ❑COFRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� Owner/Contra r on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice CERTIFICATE OF SURVEY FOR 6� TIIV� 1V� AHONEY OF LOT 15, PHEASANT LAWN - - . HENNEPIN COUNTY, MINNESOTA � a�....r � � , ., ,. �/ZO v t�Oi�/�i ��S � � :' ! :; �/ S � S Loc�,� c..c vc:.�� �'�t�,4 6 e � /� '" 250' SETBACK LINE ,00�3� 7 �, �0 34„ -/v0 �/L4/Jin�� �,//�i'Lr�e� . o � ^d. � � . � � t� NOT HAROCOVER ?40c p' V '�' 240 88P'���"'u� � � � � "��� � � � �., * (939.6) � n (9J7.0) / 6" WOOD ry ' i TIIBER(TY6.) � rv � rv i �tooa i CONCRETE �Q LEVEI '� / �(910.6) z.0 e 1�.0 (93J.0) .................... ': 3�.� �_ ....�_ ,-EXISTING � r9,o.o, (9 6.8) y (B32.T) 2S d<' 2.0 � (837.8) g CONCRETE � Y � 0 � HOUSE / PATIO �/ �� J - � .� � ;?' i � �833.8) ��// ��'=ti � �� ���rf' m -':TOSBE REMOVED � �� {��,y � �y f q � 75' SETBACK LINE���. ry d` � n �':�....,:��938.9) (9J1.9) /� ^QC� OC � j�! �I ROCN ON ::�';-:�i .J � PLASTIC 18.17'��•, `a/ �� �• ... :: ,�. ,� ,a .;�,::,�:, / a:.::. 0 G�l�N7ER ry ... : .�/ � � � '�. PROPOSED ��p�o ,ryax.z) � � �. �'�. CARACE GARAGE � ; .............sr�mv�r / � Z � D: �19�1z ADDITIONN: / ) � �qy Y3.� ; (93J.1) O p��y�J 1fi.I7 ' O '� �n%� �C�TE APqp�: ;.(9J9.B) (935.2) ��\ (931.0) / � �A R/P C �r /P Y \ / M• 1 A • �-J 1 � �s� � fl"OAK " L 0 �� �'�p : ��{;('��939.2) / I93Y.2) � rv: �������4"ASH / BLACKTOP : � � DRIVEWAY ' ,` (9JJ.0) �/ �� / � (9J7.9) (9JS.B) �=�4�Q��'S ��// :��� 1 � G v��� �� ......:..... : .................... ',. : : 16^r20"ASH i /^���R�JO'oo �/ (9SJ. � �: :: ................... L=20.13 N 87°23' 44" W 129.82��5� � ..... c9�,.,> / �=102°46' 27" . . (937.9) �Z9,5 P„e�s�„r��wN �"" -������929.4 CONTOUR LINE R-, ,.2� cITY Q�' ORONO , P H E A S A x 5��� �'LA� GRADING PLAN� N T R 0 A D $ �.,�,�t���.���-� �,�A�� �o�„�o,�� L ��"��i'��'�.� ���i i e� r'P��,'�'�� •�- _ ��.�I��i ❑ �3!.3�°i'�h� V W \ BY ��------- DATE Y- -�z CI�ON� . COPY LEGAL DESCRIPTION OF PREMISES . Lot 15, "PHEASANT LANM" NOTE : Accuracy of hardcover locotion, and extent of o : denotes iron marker additional hardcover is limited by ice and snow (906.8) : denotes existing spot elevation, mean sea level datum cover . Bearings shown ore based upon an assumed dotum. This survey intends to show the boundaries of the above described property, the location of an existing house, the location of oll visible "hardcover" ond the proposed location of a proposed addition thereon. It does not purport to show an% other improvements or encroc^!Yrants DESIGNED REVISION DATE DESCRIPTION I HEREBY CERTIFY THAT THIS PLAN, SPECIFICATION. OR REPORT SCA�E GRONBERG & ASSOCIATES INC. WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND �"�ZO' DRAWN f THAT I AM A DULY LICENSED PROFESSIONAL ENGWEER AND LAND SUtVEYOR UNDER THE LAM'S OP iHE STAiE OF AQNN SOTA. DATE ECD CONSULTING ENGINEERS, LAND SURVEYORS, SITE PLANNERS 3-12-02 445 N. WILLOW OR, LONG LAKE, MN. 55356 ����� CHECKED JOB N0. MSG 952-473-4141 � DATE ?'/L-oZ MN LICENSE NUMBER �L�JJ' 02-081