HomeMy WebLinkAbout2005-P08808 - entrance monuments PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08808
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 6/10/2005
SITE ADDRESS: 205 Tonka Ave Unit#
Long Lake,MN 55356
PID: 05-117-23-13-0053
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Entrance Monuments
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,710.00
Plan Review Fee: $ 99.61
State Surcharge Fee: $ 3.90
TOTAL FEE: $ 256.76
APPLICANT: William Bunn Masonry Inc. OWNER: Timothy&Natalie Vaughan
219 E.Frontage Rd. 205 Tonka Ave
Waconia,MN 55387 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WOWU STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CO REQUIREMENTS.
PLI T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� Q
'2 ILP p
Total Fee: $ 2 S�' -7L Date Received: Aa(2,308
Entered By: Permit#: Ie 1 -7 / (�r,
(0//,0/01—
CITY
o//v/O1CITY 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
JOB SITE ADDRESS: '26-6 f 0 N�,4 AVE ZIP:
Will this be"Pr rade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes Z 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-permitted d.
ermitted events will not be allowed
NAMEOF OWNER: NW' ^ V GlU 6 V� PHONE: (home) SZ 71- �'-f
(work) --�
MAILING ADDRESS: FLIT-114,i A)e- CITY: dmf ZIP: S53
CONTRACTOR: i 1110O n r PHONE: (9523 yZ_ SSG
CONTACT PERSON: Ff4,a m uvllr �l- MO ILE/PAGER: (95Z) LqZ- Zlo$ 3
MAILING ADDRESS: Zl q E Fran+a a St<,kl CITY: V\)oi ton'A_ ZIP: SS3 7
STATE LICENSE: # STP C-1 SS.7 EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: # /
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration rr
PROPlO+SE D WORK(describe in detail):C2,� w A �'1( 1,o
`Ot Sl1oG k r 0[
STORIES: SQ.FEET OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACHED,
-o
ESTIMATED CONSTRUCTION VALUATION(excluding land).
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 wor is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: S DS
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 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.Ifhe 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 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.
&m kber4- 54eLoa r+
First Middle Last
Zrq F RM17664A I Q su;k to
Address
Wart)r) 9SZ) 11YL S4/
City State Zip Phone
I understand my ri is as stated above.
Signature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Zo S T b N" Av c
PID:
DESCRIP'T'ION OF WORK: C KT rz.+iJ cam. ✓4-DM J M P,v t S
ZONLNG REVIEW BY: DATE APPROVED: 6-9- o S
BUILDING REVIEW BY. DATE APPROVED: G-5-o 5-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _� No
PLAN REVIEW Yes No SEWER CONNECTION
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: S • 21-03
Proposed Setbacks:
Front(Lake): Right Side:
Rear (Street): Left Side: �,(� S � ,. (,�T G,,.•�
Adiacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage: /V/A
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # - Resolution: # Resolution Date:
Shoreland District: ixA
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):
BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x
Garage x =
x =
TOTAL
Estimated Construction Value: $ 71—) 10 ov
Inspections Required: `York Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
X Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_4 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 PERINEM:
8
XI
07
ORONO COPY
CITY OF ORONO
-s BUILDING P MIT LAN REVIEW
KWECTOR
DATE!� .o — PERMIT NO.
1.1i"ll."PROVED AS SUSk!17 ED
G Af'Pr-),(YVEDIAWH COPMECTiONJIS AS NOTED
171 '';-*--rl APPPOVED---C Mi ECT&F!E S U E.�jl I T
Ttv—., —,nments are'or your inf-ofmat'cm.Pu work star be dm
.—m - and cocift
in*�.: l &.!I
Rep— nit, in this review.
WEP THIS PLAN SET ON MTE AT AU TIMBS
0qDATETIME
CITY OF ORONO CALLED IN 6iV 05__
INSPECTION NO IC SCHEDULED G-�3-oS1°O
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. 24e,?3 �
DESCRIPTION n"C L'u aU M01704Y&65-,
1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
t7 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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UV—W WORK SATISFACTORY:PROCEED 11 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ10 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WELL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ,
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
Owner/Contr s e
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
'J ORONO COPY
1 �
„ _------------_- C 41CITY of ORONO
SITE E P`t.q;�
GRADING PLAN
'� \ ❑ D-C��7n4vmj
�. iJi�C?V�D WITH ✓w���`'`"e•'"�5
;.1' r
REVISIONS
❑ DISAPPROV
DATE
IAJ3
tel/ 130 i
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:11(962.0 0 `; �., `. �o�
660
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NoLO rtherly eCtension of
West line of'Black 3;- W
.......... "BAYSIDE ADDITION TO
e I LAKE MINNETONKA” `, = 10:
964.:1 � \ (� I I � C;7 \`�v�` � � ♦♦
'2� ) PROPOSED
DRIVE WAY 00 Nor herly
r . O �( eBensi f
.............� East000
line, oloc
c............ .;o "B SIDE ADDITION TO
'
o i LAN E MINNETONKA" : - �6� ` i•i T
(968.2) ; w C - --- O -------�---- -----�.�------�e---------------
35.73
C) N ,, .446 40 O
5:x..0 68.5) \: _,,;� O /' -- -- BR00K STREE N
Lin para)el with �olith •••••• I ,
lin of N 1/4. Sec. 5 N 00 East line of Block 3,
"BAYSIDE ADDITION TO----
U)
� West line of Block 3,
I `n LAKE MINNETONKA', T 0 KA---
-
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i uJ
•............... ................ .............. i BAYSIDE ADDIFIOT�TO
Al�/E U
_
110
LAKE MfNF�TONKA"
LEGAI,-DESCR I PT I ON OF PREM I SES
_I-__
"-"--- '`w--'`-" Lot 5, Auditor' s Subdivision Number 203, EXCEPT that part of said Lot 5, described as follows: Beginning at the Northwest corner of Bayside Addition to Lake
92.54 O (s6e.1) Minnetonka thence Northerly along a line which is the Northerly projection of the Westerly line of Block 3, Bayside Addition to Lake Minnetonka, to a point
which is 40 feet Southwesterly from the Southwesterly line of the Minnesota Western Railroad Company right of way, measured at right angles therefrom; thence
Southeasterly along a line drawn parallel to the Southwesterly line of said Minnesota Western Railroad arpany right of way and 40 feet distant Southwesterly
therefrom, measured at right angles, to the point of intersection of said line with the Northerly projection of the Easterly line of Block 3, Bayside Addition
74 I to Lake Minnetonka; thence Southerly along said Northerly projection of the Easterly line of Block , Bayside Addition to Lake Minnetonka to the intersection Z05 oywa��
I of said line with the Northerly line of Bayside Addition to Lake Minnetonka; thence Westerly along the Northerly line of Bayside Addition to Lake Minnetonka
to the point of beginning. Also, the Northerly 65.25 feet of the following described property: That part of Government Lot 3. Section 5, Township 117 North, p
Range 23 West of the 5th Principal Mer idion, described as follows: Beginning at a point distant 1658.25 feet West of the East line of the Northeast Quarter of v
Section 5, Township 117 North, Range 23 and distant 1056.0 feet North of the South line of the Northeast Quarter of said Section 5; thence East parallel to the
South line of said North- east Quarter a distance of 235.73 feet; thence South and parallel to the East line of said Northeast Quarter a distance of 373.9 feet;
thence West and parallel with the South line of said Northeast Quarter a distance of 117.87 feet; thence South and parallel with the East line of said Northeast
Quarter a distance of. 259.25 feet to the center line of County Road; thence Westerly along center line of said road a distance of 117.9 feet to a point distant
16.1;A 9.1; fPP+ Wo-c+ of the Enc+ I !ne of cn*A Alnr kn 4 n,-4— ike..,-e Ml +k —A n—I lel fn eke Gni+ 1IMP of -1.4 AL 14 1 11... 4. - .4:..a_--_ c > :__.. i_