HomeMy WebLinkAbout2006-P09128 - new house PERMIT
�ITY ,OF ORONO
27•SO Kelley Parkway- PO Box 66 Permit Number: p09128
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued:
10/13/2006
SITE ADDRESS: 430 Stubbs Bay Rd N Unit#
Long Lake,MN 55356
P��� 32-118-23-13-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 101
Permit Class: Building
Permit Type:
New Structure Pemut Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Septic Fireplace Irrigation Well(state)Electrical(state)
NOTICES/REMARKS:
Septic Area
FEE SUMMARY: Pernrit Fee: $ 3,471.25 valuatioa: $ 550,000.00
Plan Review Fee: $ 2,256.31
State Surcharge Fee: $ 275.00
TOTAL FEE: $ 6,002.56
APPLICANT: Custom Structures,Ltd OWNER: Custom Structures,Ltd
820B Twelve Oaks Center 820B Twelve Oaks Center
15500 Wayzata Blvd. 15500 Wayzata Blvd.
Wayzata,MN 55391 Wayzata,MN 55391
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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APPLICANT PERMI SIGNATURE SUED BY SIGNATtJRE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO - BU� DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) , OW�TER OR�ONTRACTOR
-- � , t -� t.`
JOB SITE ADDRESS: �J ZIP:
�d 32-t��3 -z.-5- �3 vooS
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ YCS ❑ NO If ves,a specia!event pe»�1it is required i�•itli Police Depm•trner�t and('itt�('otincil apprati�crl
60davs prior to tl�e event. Shrdtle bt�s se�vice ivill be�•e2xir�d unlessapplicantdernonsd-ntes
sr�cier�I ori-site prn•h-iirg is nvailable. �"on�ennitted events u•ill no�fie crlloived.
NAME OF OWNER: �l.(S�pvy� S�{-�'"uC�-l.t�e5, `-�.PHONE: (home) Z) -q0 t{-O
80[ Tux�ve t�a� Ce��r (work)_ f�i�i� �q0►-}�
MAILING ADDRESS: �U'tµe,T S�.Ea g�S CITY: WQ.t.►Zo�-a_ ZIP: 553 R I
CONTRACTOR: Same. G15 0 W vLe��r" PHONE:
CONTACT PERSON: G...[�,�nc, I�l o o v'c. MOBILE/PAGER: ( (��Z Zq(,- (o q�4�-
MAILING ADDRESS: Sq�yre 0.5 r��we(Ir' CTTY: ZIP:
STATE LICENSE: # Zo 3 0''1 S�{9 EXPIItATION DATE: 3 3/ D(o
ARCHITECT/ENGINEER: ��-�-t,c vv„� �.�,( ct 1/� PHONE:(q 5z) �873- y 3 l I
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New � Addition Accessory Structure
Move Home RemodeUAlteration
PROPOSED WORK(describe in detain: Q. Q Wt
/�.�- F!
STORIES: z- SQ.FEET OF EACH FLOOR: aU!g �(Q�'� ��d C.
NO.OF BEDROOMS:� GARAGE STALLS: ATTACHED� DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J�J�'D f �j}
I hereby apply for a building permit 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. G-� _ , �
APPLICANT'S SIGNATURE: DATE: g 3� O�j
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Y30 �7'v Bf�s BAy /��
PID:
DESCRIPTION OF WORK: NCW 2C s
ZO�tI�TG REVIEW BY: ,,,�,.._ DATE APPROVED: 9- �S-o S
BUII�DIitiG REVIEW BY: DATE APPROVED: 9-� s'-+S'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW � Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No J PARK FEE
SAC Yes No -✓ STTEINSPECTTON
Number of SAC�Units �� ,c}�} OTHER (specify)
ZONING CI�CK LIST zoning Districc:
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. I O 1��P2.3�, Acres ?•33 Width 35�.�"1 Depth 29�•�7 Z :
Survey Submitted: Yes_� No Date of Survey: $ •3d-o S
Proposed Setbacks: '
Front(Lake): Zd�i� (w� Right Side: I 3S � C7
Rear (Street): �� � Left Side: .Sb l�
Adjacent Structures: N 1 A Wetland: 9c-j' t
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Building Heigh.t: Def. Hgt. 25 Pea�:Hgt. '��� S
Lot CoveraDe: N ��1-
Grading: Staff Approval Date: q-�5�US By; � Council Approval Date:
Septic: Staff Approval Date: �- y 3 'c5(� By: ��
Zoning File: # �-- Resolution: # Resolution Date:
Shoreland District: /V c)
Avg. Setback: Bluff Setback: Lot Coverage:
Existin� Proposed
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
� �
BUILDING REVIEW CHECK LIST
�C� - 12' 3 CONSTRUCTION TYPE: �U�S
Sq Footage $Per Sq Ftg
Basement � x =
1st FIoor x _
2nd F1oor x _
Garage x _
x —
TOTAL
Estimated Construction Value: $ S 5 0,v ov �
Inspections Required: `Vork Requiring Separate Permits:
Site _�plumbing Fire
Hardcover Removal _�Mechanical Water Connection
oC Footing ' _�Septic Sewer Connection
�c Framing ,� Fireplace _�Lawn Irrigation
�Insulation . (Masonry) Other
d Wall Board _�(Mfg,) oc Well (State Permit)
� F�� Grading/Filling _�Electrical (State Permit)
Other
REMARKS(IN HOUSE): .
REVIEW BY OTHERS• DATE: ------------------------------------------------
Access: Existing � New
Access Approval: Date By;
----------------------------------------------------------
RENIARKS (TO BE NOTED ON PE�I�IIT�:
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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. Informarion required to be given individual. An individual asked to supply private or confidential data concerning himself shall be
informed of. (a)the pucpose 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 supp►y
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 invesligative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer.
The conunissioner of re�znue ma�•place U�e notix requued under this subdi�ision ui the indi�idual income tas or properh�ta�refund
uutructions instead of on ihose fomis.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal l be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher 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 its meaning,ihe 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 wmpiling the copies.
The responsible authority shall comply immediately,ifpossible,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 contest the accuracy or completeness of public or private data
concerning himself. To exercise[his right,an individual shall notify in writing the responsible authority describing the nature of the 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 furnish certain private or
confidentiat information.
You are notified that:
1. The information you furnish will be used to determine your qualitication 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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City State Zip Phooe
I understand my rights as stated above.
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Signature
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� , � MNchecic CD1yp�qNCE REPORT
Mfnnesota Energy tode �
�check software version 3.p #
P�r'►It�t # �
COUNTY: carver - Checked by/�ate
STATE: Minnesota
ZONE; 2
ATE: 3 31 p2 p��' S�n97e F��y
�'STLE: Plan � 2756-2 ��.C7 �
• NOTES: �
with unfinished bonus roo�
COMPLIANCE: PA�SES
ttequi red Un � 76b
Your Home = 742
3.1� Better rhan code
A1'ea or �yjty cont. �lazi
-----__..___---- Perimeter
CEZLIHIGS -______------ R-Value R-V �9/Door
-------------- a7ue u-vaiue
---------_
ALLS: waod Fra�te. 16" 24 -------__---- UA
WALLS: wood F a.c. z6 �_p 4.0 ---------------
esNtr: �� �6" o.c. �� 19.0 2_0 66
Conc_ 3.5' �it/2.8' b9/3.5' insul 39 �0'0 2.0 263
6SMr.
GLAZ��i��'ndo�rs or/Faoorsb9/8.7' �nsul I22 21.0 0.0 43
�ooRs . above Grade gZg
FLOORS: over outside Air 0_350 325
98
FLOORS: Over Unc�ditioned space 83 38-� �.0 �-310 30
c�onsiIANCE STATpyENT: '-----------------gl_--_30_0_----a-�____---- 3
stent with the buildinp�tOS� �'?lding desi9h �scribed here is----
submitted with the pernTt ag � �se specifi cations. and other ca7culations'
designed to meet the �e pA ��tTan_ 7�he prop�sed building h
ireAents of the Mi nesota �ner � been
Bu77�r/peS7� 9Y Code.
Dat .�.3
G� DA TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOT CE SCHEDULED '��'� �
PERMIT NO. Q � COMPLETED
ADDRESS ��� S� N� �-�L
OWNER CONTR.�'�;e;G-�YK n�
TELEPHONE NO. �a n��[� � / �7
� DESCRIPTION ���
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 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
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContr on 'te:
Inspector. � C�'�
White Copyllnspector's File Canary CopylSite Notice
I 1/ � �ru�'� DATE TIME �
`�CITY OF ORONO CALLED IN � '�
INSPECTION OTI �1 SCHEDULED //-3-0� �--
PERMIT NO.� O av COMPLETED ��" � v L :;�•��
ADDRESS �.�0 S-�.6b-r �kM i2./ �•
OWNER CONTR. �.l.c��i,y+.— S�z.cEu.es
TELEPHONE NO. �O/a �o S�S �YS�/s C-�i��
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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 Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
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White Copyllnspector's File Canary CopylSite Notice ��
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CITY OF ORONO CALIED IN
INSPECTION NO IC SCHEDULED - �D
PERMIT NO. � COMPLETED
ADDRESS �5 � C� 6��
OWNER CONTR. �'U4n�-�'-� ��j
TELEPHONE NO. ��/c� - C�g� " �����
� DESCRIPTION � ` '-/ ' � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN G'�
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
J 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR '�CITATION ISSUED
O INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
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Inspector. L, ...)
White Copyllnspector's File Canary CopylSite Notice
D TE TIME �
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CI Y OF ORONO CALLED IN ` (
INSPECTION NOT E SCHEDULED '
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� DESCRIPTION [— � `-�Y�-� '
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
❑STOP OR�ER POSTED.CALL INSPECTOR �'CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnerlContr ite:
Inspector.
White Copyllnspector's F Canary CopylSite Notice
�� /- /-DATE TIME �/
CITY OF ORONO CALLED IN U/�i �� �
INSPECTION N TI E SCHEDULED _� �
PERMIT N0. Z COMPLETED
ADDRESS �� �
OWN ER CONTR. I�CI�'iQ�
TELEPHONE N0.1_�Z^ 2-�� � lSJ`1`t`7-
� DESCRIPTION � �
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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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContra s e
Inspector.
Whiie Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -�—�
PERMIT NO.'�� b � �f/�� COMPLETED �g
ADDRESS U�0 STV�PS �Piyt
OWNER CONTR.
TELEPHONE NO.
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WlLL RETURN
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Cail for the next inspection 24 hours in a nce. (952) 249-4600
OwnedContractor on site:
Inspector.
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