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Home My WebLink About2005-P08895 - new structure PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08895 Cry`stal Bay, Minnesota 55323 Permit Type: lvew structure (952)249-4600 Date Issued: 8/3/2005 SITE ADDRESS: 2550 Sixth Ave N Unit# Long Lake,MN 55356 P�� 28-118-23-41-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 101 Pemvt Class: Building Pernut Type: New Structure Permit Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: Separate permits requircd: Plumbing Mechanical Septic Fireplace Irrigation Well(state)Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 2,813.75 Valuatiou: $ 425,000.00 Plan Review Fee: $ 1,828.94 State Surcharge Fee: $ 215.00 TOTAL FEE: $ 4,857.69 APPLICANT: Pinewski Builders OWNER: Ed&Tess Rice 13750 Crosstown Dr-Suite 203 2550 Sixth Ave N Andover,MN 55304 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 REQUIREMENT�- .<�,,.%�' ' ,, . «�C�� --t ��e_../� � APPLIC T PERMITEE SIGNATURE ISSUED BY SIGNATURE s: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I � �`'�`�'� �� `� _ �- �� 7 � . ✓'�� n '�� ...�1� qsJ" , t,;� � � . �� r� c � Total Fee: $ ��j 7y (i� -/ `1� te Received ��> �'�� Entered By: `,�-�,� � I Permi #: �, � ��G� � CITY OF ORONO — BUILDING PERMIT APPLICATION � � ;, ,�� All information must be submitted in full before plan review will be started. � 9�1 �� (please print all infor�nzation) • � �� --------------------------------------------------------------------------- ----=-======---------- -----��----------- �b �.. THE APPLICANT IS: (cif•c[e one) OWNER O B,ACTOR ��' - __.___.__._ _� JOB SITE ADDRESS: �(�� C�C.K � C.�.��I��l� �G��ZIP: ;�-v=�� ( � � �,� (�� ./`� �,i��1�- Will this be a Parade of Homes, Remodelers Sltowc�se Home`br othe� Displ�y Home? ❑ 1'eS �O If>>es, a special eventpermit is requirecl with PoliceDepart�rient and Citv Council approvta! 60 da��s prior•to the event. Slruttle bcrs sefvice tivil!be regirired tr�zless applica�zt demonsh-ates suffcient on-site parking is available. Non pe�•nzitted events tivij!not be allowecl. NAME OF OWNER: __ _ _ � PHONE: (home) �1� � T-ess f1�C-� (work) 7�03-75 -��5 MAILING ADDRESS: %`)/� CITY: ZIP: -'��-k ?i;3 �?�7 -�I vZ CONTRACTOR: �h.�,(',j�� ,��,LC.�C�Q�(ii PHONE: 7l�3�75;3- Sv�is CONTACT PERSON: L�=�[� /��!-�2c.v s�c' 1V�O�,�,E/PAGER: _�i/Z -?�cJ�1r4�� MAILINGADDRESS: /3'75D Cs�1?SSfv4.c�.� lJj2��-� 1�Y: .�-,r�c,xe-c z�r: .`3c�4- STATE LICENSE: # ��5�� EXPIRATION DATE: 3�.3%�Zca�(�, ARCHITECT/ENGINEER: �S��y� �,(�'L�� PHONE: (�lZ � r�3I� c5�Z�o MAILINGADDRESS: ��(�� (.�SI �js�"S+�. S-i�lal CITY: �`L��IS ZIP: �SU37 NAME: Q C.��v� t�'1 P7_?�Yr:�. REGISTRATION: # �� TYPE OF WORK: New �� Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detai�: �._�/j��r� j�/�,� �p�j�((,z, �'/'�C�� S'I'ORIES: _ .�Z SQ.FEET OF EACH FLOOR: f��S��lXJi2 , /(p�`T SS�1`' 2��r NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ ��c,�Cco'inf r�� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��J.L C�C� . Ov (4l/7s�� I hereby apply for a building pennit 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. ` �lzo l�s APPLICANT'S SIGNATURE. DATE: ;i , Sec.13.04 R[CHTS OF SUBJECTS OF DATA f 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 section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be infortned 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 legally required to supply the requested data;(c)any imown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities autho�ized by state or federal law to receive the data. This requirement shap not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice reauired under this subdivision in the individual income tax or pro�erty tax refund insductions instead of on those fonns. 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 individuals,and whether it is classified as public,private or confidential. Upon his fiuther 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 infoimed 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 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 ffie 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. The responsible authority shall comply immediately,if possible,wi[h any request made pursuant to 8ris subdivision,or within five days of the date of the 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 public or private data conceming himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry 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 co�rect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. 'i'he detennination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADYISORY 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 &om the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The informarion you fiunish 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 pernut or license. 4. If your requested permit or license requires Council action to approve,some infomiarion 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. _��--L� First Middle Last Address City Statc Zip Phone I understand my rights as sta ed above. Gc- �l�c �t Signa �� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: ZSS c7 Go cz.o.�.,o (� PID: DESCRIPTION OF WORK: I�1 Ct� C�S zo�rlivG 1�v�w sY: DATE APPROVED: �-L-o� BLTII.DING REVIEW BY: DATE APPROVED: �g•2,-v y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes .� No PLAN REVIEW � Yes No SEWER CONNECTTON STATE SURCHARGE Yes � No WATF�t CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes . No ,%� • SITEINSPECTION Number of SAC Units rrc_ �¢-/�,��t OTHER (specify) ZOYI�iG CH�CK LIST Zoning District: Fire Departmenr. Post O�ce: School District: Lot Area: Sq.ft. 1 f.1�s�t o Acres 3.�bS Width z7'�( Depth lo(Y•$2 Survey Submitted: Yes�_ No Date of Survey: !e•Za•o S Proposed Setbacks: � Front(Lake): �/IS ^ Right Side: (,�•'�{ Rear (Street): 13d� �' Left Side: 1�-`S Adjacent Structures: �v/A Wetland: /v /�9 Building Height: Def. Hgt. Z�.b Peak Hgt. 3S � Lot Covera�e: � 1/� Grading: Staff Approval Date: $• 2.- o� By: ,�'1'I P 6 Council Approval Date: '— Septic: Staff Approval Date: $ - �-D S By: W•�'. Zoning File: # '"' Resolution: # Resolution Date: Shoreland District: �i Avg. Setback: Bluff Setback: Lot Coverage: Ezistin� Proposed a Hardcover: 0-75' 75-2�0' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REviARKS (in house): BUILDING REVIEW CHECK LIST �C� - —Q.` 3 CONSTRUCTTON TYPE: �lrU �Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd F1oor x = Gazage z _ z — TOTAL Estimated Construction Value: $_�-12S,U� °� Inspections Required: `York Requiring Separate Pe�nits: Site �_Plumbing Fire Hardcover Removal _�t Mechanical Water Connection x Footing ` K Septic Sewer Connection _�c Framing �C Fireplace �Lawn Irrigation _ cL Insulation (Masonry) Other oC Wall Board c< (Nifg.) oc Well (State Permit) , . —�F�� Grading/Filling pc Electrical (State Permit) Other 1tEMA,RKS(IN HOUSE): . � REVIEW BY OTHERS: --------------DATE: ------------------------------------------------ Access: Existing New Access Approval: Date gy; ------------------------------------------------------------ RENLARKS (TO BE NOT'ED ON PERi�: ' 8 '` �� „ MN�heck �OMPL�AN�B i�I�PORT Minnesota sri�z�gy CC7de P�n►tit # MNcheck So£twa�e version �.0 Minn�snta D�partm�nt o� Publalc Servic� . 1-612--255--5175 1--800-657-3714 ChaCked byfn��e i COUNTY: Wash�.ngton � � STATE: MinnesoCa � ZONE: 2 CONSTRUCT�ON TYP�: Single Family DATE: 3-13-2QA2 �A'T£ OF PLANS : 3 TITL�: COMJ?LxANC�: PASSfiS Required UA = 475 Your Home = 457 Area or Ineul Sheath Glazing/Daqr PerYm�ter R-Value R-Va1ue � U-Value UA CEILINGS: Ra�.sedyTru�s '^ - ----- 1536 � 38 .0 d.0 39 WALLS: Wood Frams, 15" O.C. 2341 19.0 0.4 128 WALL$; Stres�-Skitl Psnelg h40 10.0 4� GLAZING: wiz�dow� or po4r� 40S 0.350 142 DOORS 76 0.350 2? �LQORS: Qver OutgiBe Air Z7 32 .0 1 HSMT: 8.Q' ht/7 .5' bg/6 .0' inaul. 1392 �.0.4 76 COMPLIANCE STAT�MBNT: 'r'he propa�ed bua.lding design represented in these documents ie conais�ent with the building plans, �p�cifications, and other caiculatic�ns eubmitred with the perm�,t app].icatian. �'h� propased building has been deaigned to meet the requiremente oY the M�.nn�sota Bnergy Cvds. Builder/Designer �a�� i � E 'd OZE8'�N W��Oj N91S30 Wd00�E �OOZ '£l ' 1eNl ��5� s�� v , � GRONBERG & ASSOCIATES,INC. SURVEYING, ENGINEERING AND LAND PL4NNING � ��'.r�c'�� r�` Y 'r A y. � 445N.WILLOWDRNE � ��y��i ��f�� • LONG LAKE, MINNESOTA 55356 �{ 952-473-4141 Fqx: 952-473-4435 PINEWSKI BUILDERS LOT 4, BLOCK 1, WILLOW RUN PROPOSED HOUSE FILL CALCULATIONS July 19, 2005 DEPTH OF FILL AREA S.F. INCR. VOLUME C.F. 0' S,600 > 8,000 2' 2,400 > 2,600 4' 200 10,600 C.F. = 393 C.Y. � _, J a�'JL' 4�"' t 2�4.�� _. , � � — , , ----- ; �- - - - - - - - � �. , � - - - - - - - - - - - - � i ' � - - - - - - - - - - - � , , , 'i �=' is �. OR P�N EA EMEN�S I I I ,.-'"�Uj11,�� I I I I I I I I i (�032.3) i � io2a.$) I (io�a.z) / � (1033.8) � � ,r� � 1 I � � (io32_s) � � � � i I � ao ( � (�osi.z) I N I (1025.3) � � � `(103 . � N � (t030.6) � � � � I ' I / \ � � � 1030_0) � � 1C= � �� - � �O � � � � � � I � � 102�� (1033.4) � �' I 1027.5)\ (1030_9) ADDRESS � _ d UNASSIGNED ) -----66.4---------�- i O 024.4) � ' \ 36�� (1 332) I i � . -fi--------------�-------i2s.o---------�--- -- - - OPOSED � � � (io2�.i) D �VEWAY � (io2s.o) � � � �PROPOSED�� ; ,�HOUSE i � `�.,.... c,a3 a, c,o .8, i � � 1 (see detail) ' � � � 24.6): � � � 1 (1031.3 (1033.3 � � ' � i � (1027.�) (l OS50.3) ll I / I / � / ! i / I � (�ozs.$) / � '��// � I / // � � I izs_o� I � / � � I � / / / � � / / � / � � (i ozs.$) / (i o�o.z) � 1033.7) I �(i o2s.$) ( I I � 4 ' i r----__ i i i 7 i i i � i i i � i � r Q — S�C� o T. F. � � � � � S'a�/U r•_ F', � PROPOSED i � � Z ' 2 �1� � f. F � PRIMARY � � � _ � 2 6aa <". f" � SEPTIC � � I 4/ —� .Z � �, -� �_ � SITE � I I W i /D, 60� (', ��, i � I � I I I � tio3,.$) � •— I -- �� ;�; C . `'. D� li�C--- � � � I i�/�� O I � �� I ° � O I `i �� ,o3i.2) � � I �( �/ i � � � l.� �� AT TIME � CI O�ORO� D� CALLED IN INSPECTION NOTICE �/' SCHEDULED z � N� PERMIT NO. " v�COMPLETED ��'�a� /� ADDRESS �� t-;5� 7`G1 �_/�.� OWNER CONTR.��l'1.c_�t11�!:� TELEPHONE NO. C-�/�� ' -3Cfl g � �� DESCRIPTION ��T//1/(�-� " /V��.� 7�'� � 01 FOOTING 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � Crra�� Q,� � —. o c� � ; � '�v,.✓�' � � 0 � W � Q � Z W � W � � d W� �(VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: / Inspector. ��.� /"��(�� White Copyllnspector's File Canary CopylSite Notice /� of ,/ �/`�- ' � � � D T TIME V CITY OF ORONO CALLED IN l� �d� INSPECTION N TIC �/' SCHEDULED �� -�/-4-� ` L� PERMIT NO. J COMPLETED ADDRESS �550 �t'1�" � "'-" OWNER CONTR. �l�lc.P.11��f. ��svY TELEPHONE NO. ?�O 3 �S3 ��QS� � DESCRIPTION ��v'`-� � �c ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS � 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME TS: � a �✓3 l (_.,1,A 1 I � J o `'1 Q L "r+(? � � /� c� tf 'p"/K}N ° L Iq /�-� c��C ,� ;N � - Ccl S A i �'e ��- Q z �-�Cti /� �e � - r� �e c,�'S� � o�' � �-i��.e �3� �v�e l 5;�,�� a � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��,�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V �FORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on ite- Inspector. �l>-- �i3�� White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED l6t- i1��fl.� /c9rac� PERMIT NO.��%��S COMPLETED ADDRESS ,�SSO S��'��"' OWNER CONTR. ��^�G t.�S 4C.' B�O. TELEPHONE NO. � DESCRIPTION �� f`�^f'`� � �e =�S�rC-f-• � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �,1 F��d t S A GC�SS 1f$t� �"G�,('v a ��4 �•'�v�r f�-a.d B�I s� d��1' F' S , o �� `' a Q � . . o �, W � Q � ��f,�/� t l�f�Ac�� D�Q �3 � � � � 1 �' ^ r W � u t ( Q C c�, A�C �l v W ❑WORKSATISFACTORY:PROCEED ❑ PROJF OMP EfE O �CORRECT WORK 8 PROCEED UE C ICATE OF OCCUPANCY . � 0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY /2� 0� V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on si : Inspector. 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