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Home My WebLink About2002-P05646 (Land alteration) CITY' OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P05646 Crystal �ay, Minnesota 55323 Permit Type: User Defined (952) 24�-4600 Date Issued: 9/23/2002 SITE ADDRESS: 2180 Abingdon Way L.ong Lake,MN 55356 PID: 03-117-23-24-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Land Alteration>500 cubic• Permit Type: User Defined ' DETAILS: Approved per resolution#: 4857 Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 75.00 Valuation: $ 0.00 TOTAL FEE: $ 75.00 APPLICANT: James Robin OWNER' Timothy&Gayle Devires 5935 Glencoe Rd � 2180 Abingdon Way Excelsior,MN 55331 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. � PL T PERM E SIGNATURE IS SIGNATURE Copies: 1-File(Si�nitures Reouired), 1-Aunlicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 � . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z.�ta(� �Q C3��J onf Vu oq� PID• DESCRIPTION OF WORK: 7'tw�,S C�..•� - CMn«r� w�,rr�` G-cd•/� --------------_----------------------- --- ----------------------------------------------------------------- ZONING REVIEW BY: (�_ DATE APPROVED: g-z3 -o z BUILDING REVIEW BY: DATE APPROVED: ----------------�—_--_-------------------------«------------ ----------------y-- ------------------------- • FEES TO BE CHARGED: �v`'�'�" 1VIiscP�ees�Cal ulated B ��f PERMIT Yes � • No PLAN REVIEW Yes No SEWER COTfNECTION STATE SURCHARGE Yes No WATER CONNECTTON INVESTIGATION FEE Yes ` No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ��-------------_-------------------------------------------------------------------------------------- ZONING CHECK LIST Zoning District: R�• �Q Fire Department: Post O�ce: School District: Lot Area: Sq.ft. Acres . `�°� Width Depth Survey Submitted: Yes � No Date of Survey: $• 3•O� Proposed Setbacks: Front(Lake): Right Side: Reaz(Street): Left Side: ��Q,C 'z�oK��v� t't � Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: 9- Z3 � �'t- By: o�G_ Council Approval Date: $'26•"Z Septic: Staff Approval Date: By: Zoning File: # o� •Z�Q� Resolution: # Resolution Date: ${•26 •o Z- Shoreland District: /�//t- Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 , _ ' . BUII.DING REVIEW CHECK LIST UBC: = CONSTRUCTION TYPE: —�- Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor .• z = - Gazage x = R = TOTAL Estimated Construction Value: $ (o , � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection - Footing Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) �Final Grading/Filling �lectrical (State Permit) Other REMARKS(IN HOUSE): ,- ____ -�___�_____--------- ----------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By: REMAR�S (TO BE NOTED ON PERMIT�: 8 . 'Total Fee: $ Date Received: �- -,�-� " v� Entered By: �,v� Permit#: � !>�/3 �7 CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTO l�N�P�'�'��`d�F�� _�--, JOB SITE ADDRESS: 2i�� -�N ��`� ZIP: �✓�� S NAME OF OWNER: �M �(�� PHONE: (home) '��b/�lIUC�.j�/v�C`� (work) MAILING ADDRESS: CITY: 0�41'�D ZIp; 553,�-� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: J��J g�1� PHONE: �SZ '�I'��- '�4E0 MAILING ADDRESS: ��'35(�/�NGt7��DCITY: �CL�F-�1710 ZIP: �5 331 NAME: REGISTRATION# J 2��LO� TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteration Land Alteration x PROPOSED WORK (describe in detai�: ��7�2��V� STORIES: SQ. FEET OF NO. OF BEDR GE STALLS: ATT. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 7� ��fl I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the wark 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: �'�1 U LY� NOTE! Parade of Homes events e ir e • e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 . , ; � � Sea 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 this secdon. Subd.2. Information req�dred to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legaUy required to supply the requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply private or confidential daha;and(d)the identiry of other persons or entiries authorized by state or federal law to receive the data. This requirement shall not apply when an iffiividual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officeF.- ' ' The commissioner of reve►rue mav olace the nodce reauired under this subdivision in the individual income taz or nrocertv tax refund insavctions 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 i�ividuals,and whether it is classified as public,private or confidential. 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 hun 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 action pursuant to this secdo�s pec�iing or addirional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individuai subject of the data. The responsible authoriry may require the roquesting person to pay the actual costs of making,certifying,and compiling the copies. • •�The responsible authoriry shall comply immediately,if possible,with any requesthTade puisuant 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 the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, ezcluding Saturdays,�Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleuness of public or private data conceming himself. To ezercise this right,an itsdividual shall nodfy in writing the responsible authority describing the nature of the disagreetnent. The responsible authority st�all within 30 days either: (a)correct the data fourd w be inaccurate or i�omplete and attempt to�tify past recipients of inaccurate or incomplete dala,i�luding 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 determinauon of the responsible authoriry may be appealed pursuant to the provisions of the administrative prceedure act relating to contested cases. DATA PRIVACY ADVLSORY In accordance witli M:S. 13.Q4, Subd. 2, "Rigtits 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 supp�,y 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 pemut 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 City State Zip Phone I unders my ri t�as-stated above. Signam 6 � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE�l SCHEDULED �,�___�[� PERMIT NO. r "��"y��COMPLETED � ADDRESS � '1. OWNER Tv;n 1� � CONTR. �i �`r TELEPHONE N0.__ � �� - y ��/- ��ll� � � DESCRIPTION :�-�/7."` � 01 FOOTING 11 MECNANICAL RI 18 XCAV/GRADING/FILLING Q 02 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETYOU�YES_NO � COMMENTS: - � � L W a � J O � � O � W � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac ite: Inspector. . White Copyllnspector's Fi Canary CopylSite Nollce