HomeMy WebLinkAbout2006-P10174 - accessory structure CIrtY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P10174
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
8/21/2006
SITE ADDRESS: 2575 Thoroughbred La Unit#
Long Lake,MN 55356
PID: 04-117-23-11-0021
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 328
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure
DETAILS:
Approved per resolution#: 5491
Separate permits required: Plumbing Electrical(state)
NOTICES/REMARKS:
Pool house over concrete slab-structure only
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Homestead Enterprises, Inc. OWNER: Steven&Stacy Sapletal
7082 Crover Ave. SW 2575 Thoroughbred La
Waverly,MN 55390 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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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ -.3D 17 Date Received:
Entered By: Permit#: 14/p/-7
CITY OF 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 IS: (circle one) OWNER O ONT CTOR
JOB SITE ADDRESS: ?S�S ) p ,•c� r ej ��„A, ZIP: SS 3,S a
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
sufficient on-site parking is available.. Non/pd.
Non-permitted events will not be allowed
NAME OF OWNER: Ve0e�.149X 5A. CAA` PHONE: (home) �04?- dr-&QXS•(.
(work)
MAILINGADDRESS: _ g�4nc� . CITY: ZIP:
CONTRACTOR: r ,..0 PHONE: 61oZ" Z41?
CONTACT PERSON: 5'iCe MOBILE/PAGER: J
MAILING ADDRESS: 90 Gk GrogO&r Aur XW CITY: &*If urt6 ZIP: Ss3 FO
STATE LICENSE: # 2014 EXPIRATION DATE: Akr ROO
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition cessory ttructur
Move Home Remodel/Alteration (ie: Siding, indows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detail): wm4d Awl- hwsr "e...- Cd?�IG/'>�rs�il+b•
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ QQ Q a
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: O 07
31
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 asset forth in this section.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning 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 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 mayplace 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 ofthe 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 ofthe private or public data upon request by the individual subject ofthe 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 ofthe 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 ofthe disagreement.The
responsible authority shall within 30 days either: (a)correct the data found 4o 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 ofihe 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 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. /
A,u Plf&C, sr.-ICA
First Middle Last
20�o� J-0 a
Address
,Awe 2t-- to
City State Zip Phone
I understand my rights as sta ed above.
Signature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DES CRIPrrT,''IOI�QFGVORK: S-- --
ZONING RE WE TV B Y: e� DA TE APPR O VED
BUILDING RE VIE W B Y: o ' DA TE APPR O DIED: 'MN OL
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FEES TO BE CHARGED: Alfisc. Fees Calculated By
PERMIT Yes ✓ No
PLAN REVIEW Yes r/ No SEWER CONNECTION
STATE SURCHARGE Yes No WATER COtViNECTION
INVESTIGATION FEE Yes iVo ✓ PARK FEE
SAC Yes No t�-' SITE NSPECTION
NUMber of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Office., School District:
Lot Area: Sq.ft. Acres 6Vidth Depth
Survey Submitted: Yes ✓ No Date of Survey:
Proposed Setbacks: W5 CA,,�c-«--t
Front(&tkc}: Right Side:
Rear(Street): Left Side:
Adjacent Structures: 6f/etland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: BY: Council Approval Date:
Septic: Staff Approval Date: -I -o y
GV\ Zoning File: # O�-3Z 13 Resolution: # �4j_ Resolution Date: (o
Shoreland District:
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(int house):
�1
BUILDING REVIEW CHECKLIST
UBC: U CONSTRUCTION TYPE: \JAL
Sq Footage S Per•Sq Ftg
Basement s =
Ist Floor s =
2nd Floor s =
Garage x =
x =
TOTAL
Estimated Corzstr•uctiorn Value: s 1 O, `V 00 sw
Inspections Required: Work Requiring Separate Permits:
Site _Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
X_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board mwfg.) Well(State Permit)
o4-Final Grading/Filling oe-Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY:
REMARKS (TO BE NOTED ON PE&WIT):
;2
J /DAJ TIME
C TY OF ORONO CALLED IN / `
INSPECTION NOTICE SCHEDULED
PERMIT NO. GV COMPLETED / J
ADDRESS <615
OWNER CONTR.
I> 9t�i7JYl
TELEPHONE NO. � a 7C1`7/�
DESCRIPTION I" I/ 0b
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
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 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 OWNERICONTRACTOR TO MEET YOU:_YES YNO
COMMENTS:
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OW WORK SATISFACTORY:PROCEED PROJECT COMPLETEoc
✓
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
Owner/Con*Vr site:
Inspector.
White CopylInspector File Canary Copy/Site Notice