HomeMy WebLinkAbout2002-P05722 - addn/remodel/repair PERMIT
CITY OF ORONO Permit Number:
2750 K�Iley �'arkway - PO Box 66 Pos�22
Crysta�Bay, Minnesota 55323 Pel"1711t Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: 11i26i2oo2
SITE ADDRESS: 4185 Sixth Ave N
I.ong Lake,MN 55356
PID: 31-118-23-11-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 2849
Separate permits required: riumbing iviecnanicai r,iecuicai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 441.75 Valuation: $ 30,000.00
Plan Review Fee: $ 287.13
State Surcharge Fee: $ 15.50
TOTAL FEE: $ 744.38
APPLICANT: Owner/Self OWNER: Steven 7acobson
MN 4185 Sixth Ave N
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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APPItf�ANT PERMITEE SIGNATUR E ISS D BY SIGNATURE
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Copies: 1-File(SiQnitures Required). 1-Apulicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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• Total Fee: $�� 1 � Date Received: �L.; / i C% �O�
Entc;red By: Permit#: f� �� ���7 Z_�
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CITY O�� ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT I,'>: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �-//�"$ (o`�h r'�� IL' I1,��.. ;,, ', ZIP: ,S s ,j� �-
NAME OF OWNER: j`�-e� e n� �_) c�.,r :. �i �� -�:�, PHONE: (home) �l7.3 y /3 c� G
(work)
MAILING ADDRESS:�1/�,S (Q��, ��,:� /�, CITY:,(�<-...�� � ., � ZIP: �"S.3 S G-
CONTRACTOR ��i�, rv e �°' PHONE: `i S1 `� 7 3 � /3 c-� �i.
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: N�w Addition ��� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: �_ SQ. FEET OF EACH FLOOR: J �i t�� c�
NO. OF BEDROOMS: y� GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ :: '' � ` `� `'
I hereby apply for a building pernut 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.
APPLICANT'S SIGNATURE: ;� � .� �.--r.�•— DATE: r�: ,}�
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NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.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 section.
Subd.2. Information required to be given individual. M individual asked to supply private or confidential 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 known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the idendry 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 law
enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or oropertv tax refund
instruciions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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 informed of iu meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant ro this secrion is pending or additional data on the individual has been
collected or created. The responsible authoriry 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.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this 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 contes[the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry 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 recipienu 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 determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA 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 City 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 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.
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First Middle Last
tl/ f?S 4%-F l,, rl—c /�' �
Address
� �� � (-.�.�. � � .5 5.j S(� 5 a � y 7 3 �3� `s
City State Zip Phone
I understand my rights as stated above.
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Signature
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` CHECK OFF LIST FOR ISSUANCE OF PERMITS
- FOR OFFICE USE ONLY
�� ADDRESS OR LEGAL: 4�S�S s�x-r-t-a f�,v� /U
PID:
DESCRIPTION OF WORK: �J�o��n o N
ZONING REVIEW BY: DATE APPROVED: f r• 2,6 -02
BUII.DING REVIEW BY: �,�G DATE APPROVED: �/- 26 •vZ
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �� No SEWER COrfNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_� No Date of Survey: /t9-Y•o Z
Proposed Setbacks:
Front(Lake): �{6.7 Right Side: 12�
Reaz(Street): 9"1' t. Left Side: �S�
Adjacent Structures: /�.7T�9c.trr� Wetland: N!!4
Building Height: Def. Hgt. p,� Peak Hgt. O.�
Lot Coverage: —
Grading: Staff Approval Date: ^ By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: #� Resolution: # Resolution Date: 11-2 S-n 2
Shoreland District: /Va
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARI�S(in house): fLt-3o s�c�e•Q �
7
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BUILDING REVIEW CHECK LIST
UBC: R'3 CONSTRUCTION TYPE: Y/v
Sq Footage $Per Sq Ftg
Basement a =
1 st Floor z =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 3 u,ndo"=
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal _ /C Mechanical Water Connection
Y'�
�_Footing Septic Sewer Connection
o'C Framing Fireplace Lawn Inigation
�Insulation (Masonry) Other
�Wall Board (Mfg.) Well(State Permit)
_�Final Grading/Filling �!'Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMII�:
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P�OVIDE�8��24CRA'�,SPAC� ��UNDATION PLAN
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DATE TIME
CITY OF ORONO CALLED IN S �
INSPECTION TICE SCHEDULED S"�d /G'•�
PERMIT NO. ,J �2L COMPLETED
ADDRESS ��:��J �S �.jC f�r �7'`f 1��
OWNER S�''''�� �������� CONTR.
TELEPHONE NO. ��SZ y7� /-3�=�
S�Lv- �r o �i8 ,/�
� DESCRIPTION �������T��� .�����` � �����`�a y` �
� 01 FOOTING 11 MECHANICAL RI Q 18 EXCAV/GRADING/FILLING
y 02 FRAMING �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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 O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFiCATE OF OCCUPANCY
��CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL FiETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANCaE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contract� i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
J ����� �� ✓
PD E � TIME
CITY OF ORONO CALLED IN I�I
INSPECTION NOT C .-�sCHEDULED a- '-' _�
PERMIT NO. `� � L'f'COMPLETED
ADDRESS
OWNER CONTR. '�����
TELEPHONE NO. "I �� �� � J I � ��
� DESCRIPTION o �� \.l ��_�I
� 01 FOOTING 11 MECHANI L 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�N/ALL 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 D'EMO-FINAL � 15 SEPTIC INSTALL. 22 FOLLOW-UP
i/ua�rLUMBING RI O 23 SEPTIC. INAL 35 HARD COVER REMOVAL
J�PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU: YES_NO
c° COMMENTS: � c�C � �
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next nspection 24 hours in advance. (g52) 249-46��
OwnedConUa r i :
Inspector.
White CopyllnspectoPs File Canary CopylSite NoHce
�
DAT��� TIME
CITY OF ORONO CALLED IN `�
INSPECTION NOT E Z SCHEDULED _?� �
�ERMIT NO. 572 � COMPLETED
ADDRESS---�/�S- ��, �Lr,�
OWNER , (����G r o�Sa� CONTR. lJ����'
TELEPHONE NO.�(,�ZL 73 /.3�
� DESCRIPTION l'�-��2�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FI 14 SEWER HOOK-UP O6 pRpGpESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMpUUNT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNOATIOWREMOVAI
OWNE ONTRACTOR TO MEET YOU: YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next i pection 24 hours in advance. (g52) 249-4600
OwnedContra�r o�i si
Inspector. '"
White Copyllospector's File � Canary Copy/Site Notke
�� �/
DATE TIME
CITY OF ORONO �' CALLED IN
INSPECTION NOT SCHEDULED � �� -���
PERMIT NO. ��r� 7�� COMP��ED '} �
ADDRESS S�'I � ` � /`,�
OWNER � � - ONTR.
TELEPHONE NO. S�,N %��� � �
�--
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� DESCRIPTION f>T/ I�!l�
� 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 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNEHICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR AEINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
D CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIfiED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContract i
Inspector
White Copylinspector's File Canary Copy/Site Notice
�J� �'� I '' r�DATE TIME �
CITY OF ORONO CALLED IN -��
INSPECTION NOTI �G�.,�j SCHEDULED /Q' ��
PERMIT NO. � J COMPLETED
ADDRESS `� U S cr�"�� �ve , �v ��� � �
OWNER ���2 �JF�L� Ii�S `3^�ONTR. `U� `'J /�1 'L�
TELEPHONE NO. `�l� $� � �7 3 - i 3 6 G
� DESCRIPTION x� e�'�� 2 S � c -� c , a.� �-'��
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU YES_NO
� COMMENTS:
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