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HomeMy WebLinkAbout2007-P11213 (Building) PERMIT CiT�Y OF ORONO Permit Number: �750 Kelley Parkway- PO Box 66 P11213 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952)249-4600 Date Issued: 8/24/2007 SITE ADDRESS: 2180 Abingdon Way Unit# Long Lake,MN 55356 P��� 03-117-23-24-0007 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Census Code 434 Permit Class: Building Pernvt T e: Accessory Struchues Pemut Sub-type(s): Pool-Outdoors-In Ground YP DETAILS: Approved per resolution#: Separate permits required: Plumbing Fireplace Water Connection Electrical(state) NOTICES/REMARKS: Pool&Cabana FEE SUMMARY: Pernut Fee: $ 1,329.75 Valuation: $ 160,000.00 Plan Review Fee: $ 864.34 State Surcharge Fee: $ 80.00 TOTAL FEE: $ 2,274.09 APPLICANT: Hoikka/Fortsie OWNER: Rick&Britt Gage P.O.Box 606 2180 Abingdon Way Dassel,MN 55321 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. t�'��"- � C�I�IM CANT I A I 3LTED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � Total Fe�: $�2, ���–�� DateReceived: � � � � '�� � Entered By: �� (�/� ._ �.— �.-_ Permit#: Z CTTX OF ORO,N�O W �UI�.,DING FE�MIT Ap�'LICATI4N All informatton m�ust be submitted i�n full b�fore�lan review wilt be started. (please print all informallon) �� .'������s�������.1^____'_..������r��--�w....r��� «�-��...rr��� �'HE A►PPLICANT IS: (circle ane) OWNER �t Cp�TRAC�'p� �OB S1TE ADD�SS: � 7.!P: 'Will this be a Parade of Homes, Remodeters Showease Home or other Dispiay I�vme? � ❑�'C5 �No If yes, Q specla!event permft is rei�ulred H�lth Pollce Deparbnerr[and C�ty('ozu:cil approvcrl �4 days priv,•In the cyverrt. Shultle br�.r servlce w111 be reqt�ired unle.cs app/icarrl de,nonsrrates su�ct�nt nn-sJte pQrking is pvarlcrble. Non.per•mirted everrts N�ill not be a!luwe�i NAME QF OWN�R: I� I 7 _ PH()IVE: (liome) '� g'"� MA,ILiNGAD�RESS: 2� 0 r��,^rk) !?rZl 6� _ a �V6 1lM.�ITY:0�bN0 ZIp: COIVTRACTOR: ... __PHONE:3zo 2e��ogo corrT�cT r�r��o : � - - ��N_�. —. �"'�o' K�► 11�lOBiLEIP GER: G��Z2�go38 MAYLTNG ADDRESS: . , CiTY: STATE I,ICFNSE; # 2 p� � r0 ZIP::'��.� 1 �.—...,_, EXPI�iA,TIUN DATE: 3 o g ARCHITECT/�NGTNEF.i�: ���iT���� PHON�: 6 �1339 243�}- MAILING ADDRESS:����,��� � a��.Y: NAME: � � ��'� o � � REGISTRAT�ON: # T'YPE OF WORK: New Home A.ddition Accessory Structure �_ Mov� I�iome Remadel/Alteration(ie: Siding, Windows} Any eazth movem�snt may require �CtND review arid PROPQSED WOR,I�(describe in�letai�: �ez��-ts: . STOItIES: I SQ.FEET OF�ACH FL�OR; G�p NO. OF BEDROOMS:�_ �A��F STALLS: ATTACHED� DET.F�CH�D� ESTIMATED CpNSTRUCTiQN VAI,UATION(�xcluding land): $ ._.:j �20��C'�O -- [hereby apply for a bui Iding permit and(acknowtedge th�t the information nbove is complcte and aecurate; that tl�e work wiil be in conformartce with the ordinances and codes of the City and with the State Bu;tding Code;that T understar�d this is nor a permit an work is no to skart withpui a perm�t;and that the wark wilE b� in accordance with the approved plan, ; � � i � APPL�CANT'S SIGNA'�`URF: � � --C , �, , � A'TE: ,,, � y ���- ��- ��+� i00f�] t�'3 Ci�LT LOOZ/OZ%�JO � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.i. Type of data. 7'he 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 individual.An individual asked to supply private or confidential dataconceming himselfshall be informed oE (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 legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity 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 investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or prop�rty tax refund instructions mstead of on those fortns. Subd.3.Access to data by individual. Upon requestto a responsible suthority,an individual shall be informed whether he is the subject of stored data on individuals,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 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 infocmed 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 additional 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 individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. 1'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays 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,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 publ ic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nawre ofthe disagreement.The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,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 determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRNACY 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 fumish 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 shazed 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. fl-;�'�, �Q �,(.lr� �(i(S"�^ �� First Middk Last � l KO �bvr��� 2t�( Address V J �i�� f'�') nJ s�3sCv 95 2 �-/73 .i y77 C�tY State Zip P6one I understand my ri t as stated above. Signa � - � I � 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �� /����I�"1 �� 1;�p�1 V�/��V� PID: DESCRIPTION OF WORK t r c ro n ----------------- 1 y c --------------------------------=---------------------------------------------------------------------- ZONING REVIEW BY.• � l,G/��� I, ��"'(, DATEAPPROVED: BUILDINGREVIEWBY.• DATEAPPROiIED: �.3�r d-1 FEES TO BE CHARGED: Misc. Fees Calcz�lated By: PERMIT Yes �f No PLAN REVIEW Yes� No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No� SITEINSPECTION Nzrmbe��of SAC Units OTHER (spec�) ------------------------------------------------------------------------------------------------------------------------ n ZONING CHECK LIST 7_oning Distr•ict: n L�' ��7 Fire Depar•bnent: Post Offrce: School Disd�ict: Lot Area: Sq.ft. .9cr�es Width Depth _ Survey Stirbmittec�: Yes '1 No Date of Sufvey: � � � 7 �Z ��� � Propose cks: — � � i „ r�,'l,' Front Gake): Rrght Side: �r���1.� , "'� � r �� �U� Rear t � )`� �� Left Side: `j" ` Adjacent St��irctures: YVetland: ! U� Building Height: Def. Hgt. Peak Hgt. Lot Covei�age: I V� Gradrng: StaffAppr•oval Date: Bv: Council Approval Date: _ Septic: Staff�lppr�oval Dale: By: 7_onirrg Fi(e: #�_ Resola�tia�: � Resolzrtia�Date: S/�or•elund Distr•ict: NlC6VD Per•mit: �vg. Setback.• 131erffSetbacic: LotCovei•uge: __ Existing Pr�oposed Hnrdcover: 0-75 75-Z.i 0' ?so-sno� soo-�000� � Hardcover l�aj•iance Requii�ed: }es ���o Date of CouNcil Approval: REMARKS(in hocrse): 33 BUILDING REVIEW CHECKLIST UBC: i2 �3 "" u ' I CONSTRUCTION TYPE��� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor• x = Garage x = � x = TOT,�L d� Estimated Construction Value: $ �bO+�(�d Inspections Rer�uired: Work Requiri�rg Sepnrnte Per�nits: Slte _�Plumbing Fire Hardcover Remova! r�lechanica! �'( YI'ater Co1���ection ( Footing Septic 'Se1ve�•Connection j Fran:ing �Fireplace Lmvn Irrigation _�Insulation �(Masonry) Other � YVall Boa��d (Alfg.) Well(State Per•mit) _ �Fina! Grading/Filling _fLC Electrical(State Pe�•ir�it) Other REMARKS(INHOUSE): ---------------------------------------------------------------------------------------------------------------------- RE vIEW B Y OTHERS: DATE: Access: Existing New Access Approval: Date 13y: ------------------------------------------------------------------------------------------------------------------------ REMARKS(TO BE NOTED ONPERMIT): 3=1 ✓ DATE TIME C OF ORONO CALLED IN =�� "-��-- INSPECTION TICE SCHEDULED PERMIT NO. � � � COMPLETED ADDRESS �I �O � (� %� S ��1 W'A �1 OWNER CONTR. �� 1 I�� n � S'� TELEPHONE NO. �Sf���s I�Q^� (�3 v� � n�a.I�ON �C�FOQT��-� f 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 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W 0. � a` �,�r 0 � 0 � W � Q � Z W � W � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for th next inspection 24 hours in advance. (952) 249-4600 OwnedCon on site: Inspector. White Copyllnspec or's File Canary CopylSite Notice \/�� 1 tDAT ,/'�-7 TI �E��v,../� CITY OF ORONO CALLED IN t 1' '� V( �����l�A�' 1 INSPECTION NOT SCHEDULED �I� l4`Ul Q:� IA'r►2 PERMIT NO. ���� COMPLETED ADDRESS 2�� �� OWNER CON . �1�. TELEPHONE N0. ��Z � '' b�� � � DESCRIPTION �II� � ❑ FOOTING ❑ MEC L RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTAL.L. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J (�� � O � � O � W � Q � Z W � W � � a � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (J52� 249-46�� OwnerlContr n site: Inspector. White Copyllnspe tor's File Canary CopylSite Notice