HomeMy WebLinkAbout2005-P08933 (Addtion/Remodel) � ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po8933
Crystal Bay, Minnesota 55323 Permit Type:
Addition/RemodeURepair
(952) 249-4600 Date Issued: 7/11/2005
SITE ADDRESS: 2180 Abingdon Way Unit#
Long Lake,MN 55356
PID: 03-117-23-24-0007
DESGRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved perresolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Kitchen&Master Bath Remodel
FEE SUMMARY: Pernut Fee: $ 1,273.75
Valuation: $ 150,000.00
Plan Review Fee: $ 827.94
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,176.69
APPLICANT: Lakewood Development,Inc. OWNER: Mike&Mary Kahler
2354 West Wayzata Blvd. 2180 Abingdon Way
Long Lake,MN 55357 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.
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A LIC P RMITEE SIGNATURE ' ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Jun-20 f005 08:35am From-CITY OF ORONO +9522494616 T-167 P.001/002 F-711
Total F�e: S � � �� ���� bate Received: �'��� 3 '
Entered BY: _ Permit#: �
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CITY OF ORONO - BUILDING FERMYT APPI.,YCATION
AIl information must be submitted in fulY before plau review�vill be started.
(please pri�et all�nformation)
THE APPT.TCAN'T IS: {c�rcle one) O'VVNER O ONTRACTOR �yY ^M^y
JOB SITE ADDRESS: OG � �O ����"v ��� ��T ZIp;
Will thrs be a Parade of T�omes, Remadelers S6owcase �Iome or ot�er Display XYome?
[J Yes � No If yes, a special evena permit is reguired with Police Department and City
Council approval 60 days przor to the event. Non permitted events will riot
be aldowed.
NA1V�� OF OVVN'E�2: � I��e �' !�'l,..(�.r'�� �OL��PI� PHONE: (home)
(work)
NIAILING ADDRESS: CYTY: ZYp;
CONTY2ACTOR: ���'���O���V%�e,vf�iuG.
PHONE: SZ" y7 -Z,�
C0�ITACT P�RSON: O,BYLE/PAGER: /Z 7
�AII.YNG AUDRESS:,�3SY W fG& . ��CTTY: L t ZYP: ���
STATE T,YCEN5E: #
AYtCHYTECTIENGINEER: � PHON'E:
MAILING ADDRESS: CITY; ZYP:
N��� REGISTRATION##
TYPE OF WORK: New Accessory Structure
Adt�ition Move
emodeUAIterat2on Land Alteration
PROPOS D WQRK(descri e in deta��: � tG Q� � flr Q N,l�[e
G /' �i�Jr B DO/' N
STO�tT� I�,���G��SQ. �'EET OF EACH k'L,Q0Y2: l DD
NO. OF BEDRO�MS: � GAY2.A.GE STALLS: ATT.� D�T.
ESTIIVIATED CONS'X'R,�JCTION VALUAT�ON' (excluding land): $ � ��, �
I hereby apply for a building pemnt and I aclrnowledge that the information�hove is complete and accurate;that the
work will be in confvm�ance with the ordinances and cod�s of the City and with the State Building Code; thas I
understand this is not a permit and work is not to StaTt wiihout a permit; and that the t-vork will be in accordance with
the approved plan.
APPLICANT'S SICNATY7RE: DATE: � Z� OS
Jun-20-2005 08;35am From-CITY OF ORONO +9522494616 T-16T P.002/002 F-711
� � , .
Sec.13.04 RIGHTS OR SiJBJEC'I'$pF DATA
� 3ubd.1. Type of data. The righ�s of lndividual on whom the daw Is seorcd or w be storal c,qall be es art forth!n this secsion.
SubA.2. Intormaaon requlred to be giren individua4 An Indivldual aalced w�pply privaco or conHdensi$1 daW eoneerning himself shalt be
ioformed ot: (a)the purpose and iatcnded use ot the requested datx withio the oollectin�s�xte agency,political auhdivision,or sta�ewide system;(b)
whe�her he mvy rcfuse or is legally required ro supply the reqnested data;{c)nny lcnown�nsequance arisiny from h1s sappiying or ret�sing to suppty
private or contEdent[al dota;and(d)t4e Ideat[ry a[other pen�ons nr entltles aaihorizcd by atate or federal law w recdvo the data. This requErement shnu
no[appiy whea an iadlviduai Is asksd eo auppiy Invest�gRqve data,purwanc to aect[oa 13.82,eubdivision 5,co a law�n[urcoment otficec.
e eommisstone�of rev nu1 lace the netice ired under this R ision in the dividusl in e tax or rn tax refand
'nstractiana initead nf on a��,
Sabd.3. Access to dntn by individual. Upon requeat ca a rosponslble au[1�oriiy,An[ndlvidual shal!be iaformed w6etLer he is che su6jeet of
ato�ad data on Indlviduals,and wkecher it Is dnssifcd as pyblic,pNvarx or eonGdentisl. Upoa his further r�quest,an individy�l wpo fs t6c subjen of
atored private or public data on individuals shaU be ahown tbe duta withoat Any eharge co kita xnd,if ho deslres,shall bo tntormed ot che rnn�eat and
maaning of that data. Afrer aa lndividuaf has beea showo rhe privpte data and iaformed o[its mcanlog,the ei�t�nesd noc be dlsclosed to him Tor six
months t6ereahor aaless a dispu[e oraction pp�uant w this seceion is pendlog or addition�data an tho indlvidual has been eollecced or created. The
responslbie authoNty s6a11 provide copies of the prtvate or pabltc data upon requcsc by the indi�idual subJect oTihe data.7'he respoosiblr sa[hority may
require�he rrquosqng person�o pay the acWa!rnsts of making,corcifying,and eompilirig iqs eoplex.
The r�sponsiblr autharity shall oomply immedtately,If possiblr,with apy�equest made pursuvnt to thls subdivision,or within fivc days otd�e
date ot�hr requeat,excluding Snturdaya,Sundays and legal holiday�,If Immedla[e eomplEance ts no�possJple.lf he canoot comply with the request within
that time,he shall sa infarm tde indivldual,and may have an addf�ioaal Gvo days wEthln which m comply with the requcat,excludios Suturdays,5undays
IInd ICgul holiday9.
Subd-4. Frocedure w6t�n data is Aot aeeurs[e or complete. An Indivfdual may contesc chc accuracy or mmp�eteness of publlc or privatr dsta
concernlag hiouelt. 'Y'u e:nrcise thla Hght,an indlvidual shail notily in wricinr che responsiblo authorlty dcacrlbin�zhe nacure ot the disagreemenr, T6e
responsible autdority ahall wichin 30 dayy dther: (a)eorreet che data Tound eo be inaccurate or[arnmplete and�ctempt ro aau[y p�t reeipicnts o[
tnaccurate or ineomplece dat�,induding recipienvc named by the Indiv;duul;or(b)aodfy the indi�idual ths:he bellevea sho data to Oe correct. Pata In
diapute sRall be disctosod only!f the lndividuel�s statemsnt of disagreement is Includcd with the discloawf data.
Tdo determina[ioa ot the responsible nushoriq may be appraled punnant w the proviaions of ahe administraclve procedure acc retating to
contested cases.
DATA PRIVACY qD`�'Y$pRY
In accordance wfth M.S.13.04,Subd.2,"Rights of subjects of data",we wouEd like to inform you that your request
for a permit or license from the City of Orono or any of iu departments may require you to farnish certain pr�vate.or
conlidential information.
Yoa are noti�ied that:
1. The info�mution you t�,rnish will be ttsed to deiermine�our qualificatiun for the permit or ltcense requesred.
2. 'You may refuse to supply data,but refusal ts�y require ti►at the Clty deny the permit or license.
3. The information may be shared with other locai,atate or federa!agencfes to the eatent necessary to process
the permit or license,
4. If your requested permit or license requires Council action to approve, some f�nformaaon may become
public.
S. Xuu 6ave certain rights under M.S.13.04(availabte upon request)to review private data on yourself.
6. �lour fult name is required t��cess this applicarion or pe�„;�
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Ad res� `/'ryG� / .._...�.
;�'�' . ��"35� ���-�737s�`
C�Ty State $!p Phone
Y understand any rights as stat above.
Si�an ur�
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�Sa o �4 3�N G O o� w A y
PID:
DESCRIP'I'ION OF WORK: _��,.G2.,� �. C3A-n-� �2c�—w•�c�e�
Z0�1I�TG REV�W BY: „` DATE APPROVED: �• ? -�/-o S
BUII.DING REVIEW BY: DATE APPROVED: '7•�1� d S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW � Yes ✓' No SEV�ER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes • No �� PARK FEE
SAC Yes No _� SITEINSPEC"ITON
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: /V� G !.f AN(�P
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Sid
Rear(Sueet): Left Si :
Adjacent Structures: Wetland:
Building Height: Def. Hgt. eak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Se back: L.otCoverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hudcover Variance Required: Yes No Date of Council Approval:
REMARI�S(in house):
7
. , . -.� • , .
BUILDING itEVIEW CHECK�.IST ' . ,
UBC: _ IZ• � . 'CONSTRUC`TION TYPE: -�s�J
. � Sq Footage $Per Sq Ftg .
Basement x �_
1st Floor x =
2nd Floor x =
Gazage x =
a =
TOTAL
Fstimated Construction Value: $ /S0,o�� ��'
Inspections Required: Work Requiring Separate Permits:
Site _�Plumbing Fire
Hazdcover Removal _�Mechanica� - Water Connection
Footing ' ' Septic � Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�_Wall Board (Mfg.) Well(State Permit)
� F�� Grading/Filling �_Electrical(State Permit)
Other
REMARK.S(IN HOUSE): .
---- ----------------------------------- -----
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
------------------------------------------------- ----
RENIARKS (TO BE NOTED ON PERMII�:
; 8
���L��
" "' � DA�E TIME
CITY OF ORONO CALLED IN r
INSPECTION SCHEDULED � •�
PERMIT NO. �� � COMPLETED
ADDRESS ai8� �b���;�oh �
OW N ER CONTR.d06/�P��✓�-4�
TELEPHONE N0. 7�S� 1v.3�-S-r'j�'-J Z
� DESCRIPTION /�5���1 1�G����� � �Q��'Y���
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVA�
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site:
Inspector. ��f ���..5
White Copyllnspector's File Canary CopylSite Notice
�i� / D TIME �
CITY OF ORONO CALLED IN `�'
INSPECTION NOT�{ SCHEDULED //- D b.S� /�
PERMIT NO. u 33 COMPLETED
ADDRESS a l�D �b�n��.�rn ��
OWNER CONTR. G� �
TELEPHONE NO. a�Jb b �I�� ��`-f I
� DESCRIPTION �(�t�-t
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 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 Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE ✓
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑Ct�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED
G INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for ihe ne 'nspection 24 hours in advance. �95Z� Z49-4600
Owner/Contract n i :
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice