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Home My WebLink About2008-00094 - gazebo r , . CITY OF ORONO PERMIT NO.: 2008-00094 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/3U2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 395 SUSSEX LA PIN : 04-117-23-24-0007 LEGAL DESC : FOX BEND : LOT 006 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAZEBO ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 81,000.00 NOTE: FOUNDATION ONLY FOR 17 X 21 GAZEBO APPLICANT PERMIT FEE SCHEDULE 914.25 MANTIS DESIGN&BUILD PLAN REVIEW 594.26 465 NEWTON AVE S MINNEAPOLIS, MN 55405- STATE SURCHARGE(VALUATION) 40.50 (612)377-0123 TOTAL 1,549.01 Minnesota State License#:20470400 OWNER CAMPBELL,JON&SUSAN 395 SUSSEX LA LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �J s .� ; �, X �, ;�.''�J _ l l /�"- G_;,--� � ., .. ,�J 7/ 3/ l �� Applicant Permitee Signature Date I�By�Stgnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �r��D,og � Total Fee: $ �S��•�� Date Received:�l��/�U Entered By: Permit#: '% �' �� 7 �� ?/:��Qv CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �9s suSseX�an� ZIp: 55356 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑✓ NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffcient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: JO°&s°sa°ca`"peeii PHONE: (home) (9sa�a�6-o9a� (wark) (612)316-1985 MAILING ADDRESS: 395 Sussex Lane CITY: Orono ZIp. 55356 CONTRACTOR: Mant�s�es�gn+BU��a PHONE: (612>s77-o123 CONTACT PERSON: Paul Linnebach MOBILE/PAGER (612)�o2-�6g� MAILING ADDRESS: a6s Ne.�con a�e s CITY: Minn�apo>;S ZIp; ssaos STATE LICENSE: # 2oa�oaoo EXPIRATION DATE: 03/31/09 ARCHITECT/ENGINEER: scott E.lvtaxweu pHONE: �34-337-3329 MAILING ADDRESS: 13ao Tencon xd CITy; Adrian Zip; 49221 NAME: ScottE.Maxwel► REGISTR�ITION: # 620t043822 TYPE OF WORK: New Home Addition Accessory Structure ✓ Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PR�P�SE�w�RK�(ZBSC/'l/le lit llBtlll�: All foundation&masonry work according to attached plans for thc construction of a ga�ebo. STORIES: � SQ.FEET OF EACH FLOOR: 396 NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ g i,000.00 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. 07/24/08 APPLICANT'S SIGNATURE: DATE: 31 Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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 conceming himselfshall be informed of: (a)the purpose and intended use ofthe 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 ofother 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 imestigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer. The commissioner of revenue may nlace the notice reauired under this subdivision in the individual income tau or prone tax refund instructions instead of on those forms. 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 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 wntent 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 i�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. The responsible authority shall wmply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if imrt►ediate 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 this 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 suthority 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 confidential information. You are notified that: 1. T'he 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. T'he information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If yoar 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. Paul M Linnebach First Middle Last 465 Newton Ave S Address Minneapolis N1N 55405 (612)702-7681 City State Zip Phone I understand my rights as stated above. �� Si ature Reset Form 32 . . , CHECS OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � � � S..� s S,e X ,q�e PID: � DESCRIPTION OF WORg: X I C7 0��y o,�, Dni c. ,+r �.�,, .r.�,,,,p1 ,J ZONING RETVIEW BY.• DATEAPPROYED: � Q'$ BUILDING REi�lEW BY.• DATEAPPROVED: 7•3 v-c� FEES TO BE CHARGED: Misc. Fees CalcuCated By: PERMIT Yes__� No PLAN REVIELV Yes � No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No_�/ PARK FEE S`4C Yes No , � SITEWSPECTION 1Jumber of SAC Units OTHER (spec�) : ZONING CHECB LIST Zoning District: � Fire Department: Post O�ce: School District: - Lot Area: Sq.ft. • Acres Width Depth Survey Submitted.• Yes ✓ No Date o Su 2�� , .f �'�'�'•. Proposed Setbacks: �,,�(� f � � Front�e : 1�1(.fllY�i YlW�ide: Z,(�j� `S�vL�.+''�� /hr+2-a � 57� � Rear(yStr�at,1' � Left Side: � � • Adjacent Structures: Wetland.• Building Height: Def.Hgt. �, Peak Hgt. -`� �� _ Lot Coverage: , Grading.• Staff'Approval Date: By: CouncilApproval Date: Septic: StafJApproval Date: � �" �By;�.s.�� Zoning File: # Resolution: # Resolution Date: Shoreland 13istrict: dT MCWD Permit: .4vg. Setback: BluffSetback: LotCoverage: Fxisting Proposed Hardcover: 0-75' 75-250' 250-500' , 500-1000' Hardcover Yariance Reguired.• Yes No Date o Council A .f pproval: �M4RKS(in house): a� �'�/ � Gc��ir.rG� !� C C��^ o �d - 33 ---__•_ '' BUILDING REVIEW CHECg LIST UBC: _�9 —( CONSTRUCTION TYPE: v'� Sg Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL - o� Estimated Construction Value: $ (�11 �(� Inspections Required: Work Requiring Separate Per►nits: Site Plumbing Fire Hardcover Removal Mecnanical Water Connection �Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other _ Wall Board (Mfg.) Well(State Permit) _�[Final Grading/Filling Elect;ical(Siate Permit) Other_ REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access flpproval: Date By.• REMARKS(TO BE NOTED ONPERMIT): s �h.�� ,� k �i�z r �r1 �rcv�S n��a- � c�r� S � (.� r�/�m h��S� b� ��5.6 ra-4- �i�rr2 0 ��h � i`t sve c�C v� 34 � Dq TIME � CITY OF ORONO CALLED IN '/ INSPECTION N E , SCHEDULED D � PERMIT NO. �� COMPLETED ADDRESS �I.S �L��c2d.�� CJV . OWNER CONTR.,��l�l G��/11,•sti, TELEPHONE NO. �O�c� ��a ��O ,� � DESCRIPTION d�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FI AL ❑ LAKESHORFJWETLANDS y ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � l� �'U 0 � 0 � W � Q � z W � W � � O W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑ ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4 hours in advance. (g52) 249-4600 OwnedContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice � — � �� DATE TIME � CITY OF ORONO CALLED IN � � INSPECTION OTI E /� SCHEDULED � PERMIT N O -�(.(�(J COMPLEfED /� ADDRESS � �G4S - OWNER CONTR. � TELEPHONE NO. � l��!"� .3��S� � � DESCRIPTION � ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP Q SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI p SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ W a � � O �. � O � W � Q � 2 W � W � � �� Q� �'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ��0 CARRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�� Owner/Contracto s' e• Inspector. White Copyflnspector's File Canary Copy/Site Notice