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Home My WebLink About2004-P07607 - addn/remodel/repair 61-0( PERMITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07607 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 7/23/2004 SITE ADDRESS: 2430 Thoroughbred La LONG LAKE,MN 55356 PID: 04-117-23-11-0013 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Piumbing iviechanicai Eieciricai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 958.75 Valuation: $ 95,000.00 Plan Review Fee: $ 623.28 State Surcharge Fee: $ 48.00 TOTAL FEE: $ 1,630.03 APPLICANT: Thomas Bren Homes OWNER: J C SKOGLUND JR&S SKOGLUND 150 W. Lake St.#204 2430 THOROUGHBRED LA Wayzata,MN 55391 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. APPLIC�Af PERMITEE SIGNATURE tsm BY SIGNATURE Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 c Total Fee: $ I X03 b.b3 `a� Date Received: G Entered By: Permit#: , O7(,,O2 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 O CONTRACTOR y JOB SITE ADDRESS: 2.430 L.AkIK- ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 9,No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: -To NP[ 7 S*AQMe-t SICodiLUM Q PHONE: (home)1grL-Z4q- 1 I11 (work) MAILING ADDRESS: SAryKrt, CITY: ZIP: CONTRACTOR: 1'IymA.( g&F-J "MerS PHONE: `)fZ- 47S - 40777 CONTACT PERSON. ?Dn!! j3?_gq MOBILE/PAGER: 41-L 751 57610 ' 1 MAILING ADDRESS: /SU a t4gf sr. #j04 CITY: MI YZAM ZIP: $5 7 STATE LICENSE: #_2yl2I/*11f ARCHITECT/ENGINEER: DCC164 PHONE: 19CZ. V70 97 6 MAILING ADDRESS: i1&J/-2Sr' /jyj CITY: E c"r-1IGK ZIP: 5'S33 NAME: _tJ/" Skj[Aer REGISTRATION# i TYPE OF WORK: New Accessory Structure Addition _ Move M IKOA. Remodel/Alteration_ Land Alteration i PROPOSED WORK(describe in detail): K/rc.,A&Ar MkA �d mea 'ICC . STORIES: -- SQ. FEET OF EACH FLOOR: 3ZD 4l A" mOK,� SN!Lc NO. OF BEDROOMS: 00-- GARAGE STALLS: ATT. --- DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9SOdd 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. APPLICANT'S SIGNATURE: DATE: i 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. An 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 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 law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property 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 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 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 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 authority 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. ?�fl�� JOfz7l- Xe4E4t FirstMiddle Last ir`?, o -rKeY5AC AOAF-d Address /Y"I'4 A"It ,/ /V/t/ .50-5'7 763. 1179.6041/ City State Zip Phone I understand my rights as state above. Signature i CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z430 77-H6�ZQ A6 Hr3/L<70 LAVE PID: DESCRIPTION OF WORK: ZONII IG REVIEW BY: DATE APPROVED: 6 -Ze BUILDING REVIEW BY: DATE APPROVED: 6. 2*-�y FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAIN REVIEW Yes t/ No SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No t/ 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 oc No Date of Survey: S 2-71 Proposed Setbacks: Front(?=sake): Right Side: /7(dl t Rear(Street): (70 ` fi Left Side: yg Adjacent Structures: Wetland: — Building Height: Def. Hgt. Peak Hgt. Lot Coverage: 6.)L- Grading: ) –Grading: Staff Approval Date: _ By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: n1 d Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUILDING REVIEW CHECK LIST UBC: R' 3 CONSTRUCTION TYPE: V'I'J Sq Footage $Per Sq Ftg Basement x = 1st Floor x 2nd Floor x — Garage x = x — TOTAL Estimated Construction Value: $_ "��,00C� Inspections Required: `York Requiring Separate Permits: Site _ Plumbing Fire Hardcover Removal .c Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board —� (Mfg.) Well(State Permit) Final Grading/Filling _�Electrical(State Permit) Other RENLARKS(IN HOUSE): -- -- -------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------- RENLARKS (TO BE NOTED ON PERNIM: 8 7 DAZE CITY OF ORONO CALLED IN �� TIME INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS JU a,-Q v OWNER CONTR. ll hC�J /rt_f TELEPHONE NO. 6-0 S Ze Q AZINGON ' 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS (4 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO u) COMMENTS: cc W a J O cc O W W cc Q f2 Z W Z W _W O Wj WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 1:1 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contras Inspector. — White Copyllnspector's Fit Canary CopylSite Notice DAT TIME CITY OF ORONOf CALLED IN 9-- INSPECTION NCTI ((jjyf��`"�"VV 7,�s7CHEDULED - - PERMIT NO. COMPLETED ADDRESS q3 In `Thaooq4,brtI,e_a!-k_- OWNER CONTR._7 I,t�OW� & xtL1 TELEPHONE NO. Z "' 2,711 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W W O a O W W CC Q Z W z W CC d W� WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Con o o ite: Inspector. White Copy/Inspector's Ie Canary Copy/Site Notice / q %T_ DATE, TIME +r CITY OFNO CALLEDIN INSPECCTIONION N CE SCHEDULED PERMIT NO. COMPLETED ADDRESS a 30 OWNER CO R. TELEPHONE NO. 9SZ 517S- 67-7 7 DESCRIPTION //1 J U /k2llz� 11 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 Z04 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W a O O cc O LL W cc Q f2 2 W Z W O qua` `WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 OwnedContr n i Inspector. White Copy/inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /0-5--oY INSPECTION NO ICSCHEDULED /D- 7-0V PERMIT NO. r �I(00COMPLETED ADDRESS ori OWNER CONTR. lt�-.c TELEPHONE NO. 'f 6G K CdJ 54 0 4a C� DESCRIPTION A'� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACIQR_T0 MEET YOU:_YES_NO COMMENTS: cc W a J O a cc O U_ W Cr Q Z W Z W O Cl Uj FORK SATISFACTORY&PROCEED ElPROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContr1t e: Inspector. White CopylInspector's File Canary Copy/Site Notice P OWN COPY Established in 1962 INVOICE NO. 4M69 LOT SURVEYS COMPANY, 114C. F.9.No 769-18 LAND SURVEYORS SCALE: 1" = 4o' ; REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA o Denotes Iron Mon nmt 7601 73rd Avenue North 012--NO-SM 0 Denotes Wood Hb Set Tex No. 560-3522 for excavation only Minneapolis. Minnesota 56438 X000.0 Denotes Existing Elevation Ourvrgurs Zrr#ifirate E Donates Plroposed Elevation EIDEN CONSTRUCTION "— Denotes Surface Drainage 1'7L4-1 Proposed Top of Dock Proposed grades are subject 1014.1, Proposed Caroge Floor Property located in •Section to results of soil test. 1016.17 Propoesd lowest Floor 4, Township 117, Range 23, Hennepin County, Minnesota Type of ekrrlk�rx� 'r"vur '�FK7r1/lE►�r i W! -Ve 1LT0WtA FOAL Lamm v—, 1p�,Qow S GQ ley 1:1711 OF �t'fdtlt►1Gl.t�! °�n� rye, I SIT0 DI ` BY - — - \ DATEI o / � N• � � N 1C I Q N . NO b� 'x.13 1 spy 1_ �_ - L- - — U� 3� NdAp °o 'N �2 � I m•' r_ ��4_�_ �— — — _ J� I dd \a� P3�o Z 43� L ANt Lot 1, Block 1, OLD CRYSTAL BAY ROAD SECOND::ADDITION Proposed grades are subject to results of soil tests. Proposed building information must be checked with approved building plan before excavation and construction. The only easements shown are from plots of record or information provided by client. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of of buildings and visible encroachments, if any,from or on tu�-� said lord. Signed Surveyed by us this 2nd day of Kay 1997. Charin F. Anderson, hfrn Req. No.21753