HomeMy WebLinkAbout2002-P05489 - new structure ` PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P05489
Crystal Bay, Minnesota 55323 Permit Type: New structure
(952) 249-4600 Date Issued: 8/232002
SITE ADDRESS: 225 Tonka Ave
Long Lake,MN 55356
PID: 05-117-23-13-0051
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate permits required: riumhing Mechanical Eiecmcai(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: Marlys McCarty OWNER: Marlys McCarty
225 Tonka Ave 225 Tonka Ave
Long Lake MN 55356 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.
'A�&' e�'d'rz
AP LICANT PERMITEPWS16NATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
R
Total Fee: $ 3o, 23 Date Received:( off - o'?
Entered By: Permit #: (�
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, R CONTRACTOR
JOB SITE ADDRESS: -�20j ZIP:
NAME OF OWNER: &,4 gLVS AC PHONE: (home) sc- -, u -osa O
(work) 2(v_3-!2,7j-:?Q-7
MAILING ADDRESS: o?aS 711nina CITY: ZIP: 5S3,51,
CONTRACTOR: )(CtZ Sj ok mess 2nl C PHONE: f-t�oo-Sy7-V-9 9 o
CONTACT PERSON: ,,, ,4,j un e// MOBILE/PAGER: 300-5-87- yCfy O
MAILING ADDRESS: /.3„75- f�wN 7 W� CITY: {zh;��„ ZIP: 5535b
STATE LICENSE: # M
ARCHITECT/ENGINEER: AIZ4 PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail):
STORIES: / SQ.FEET OF EACH FLOOR: ISLI J AOuse 241 A�rag e
NO. OF BEDROOMS: -3 GARAGE STALLS: ATT.c;?%S_ DET. f�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �j, QQ 0
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:
FK
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SUBJECTS OF DA TA
Subdivision 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 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 arisingfrom his supplying or
refusing to supplyprivate 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 S, 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,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 ofpublic 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 datafound to be inaccurate or incomplete and attempt to notes
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notes 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 PRIVACYADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of subjects ofdata",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.
S. You have certain rights under M.S. 13.04(see following page)to review private data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
First Middle Last
.?as- TonkR Ave
Address
ot'un o A/V 5S,36-1-
City
S3St►City State zip Phone
I understand my rights as stated above.
)JC-
Signature
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: o ti A%g
PID:
DESCRIPTION OF WORK
ZONING REVIEW BY.• DATE APPROVED: g• g• Z
BUILDING REVIEW BY.• DATE APPROVED: g-�5• a z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLANREVIEW Yes v No SEWER CONNECTION
STATE SURCHARGE Yes_� No WATER CONNECTION
INVESTIGATION FEE Yes No c,— PARK FEE-
SA C
EESAC Yes c/ No SITE INSPECTION
Number of SAC Units 1- OTHER (specify)
ZONING CHECKLIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq;ft. "736 Acres _T Width Depth
Survey Submitted: Yes C No Date of Survey: 7. 31- o2
Proposed Setbacks:
Front (Lake): 140-5 Right Side: (o4-%
Rear (Street): 4Z.( Left Side: 41.3
Adjacent Structures: MIN Wetland. ,y 1.4
Building Height: Def. Hgt. b• Peak Hgt. C), k
Lot Coverage: Ct
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoning File: # o 2-Zg o o Resolution: # Resolution Date: 7• ZZ-o-Z
Shoreland District: N-CS
Avg.Setback: NI a Bluff Setback: m /4- Lot Coverage.
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000' ZO.Cl
Hardcover Variance Required. Yes No Date of Council Approval:
REMARKS(in house):
32
BUILDING REVIEW CHECKLIST
UBC: g• 3 CONSTRUCTION TYPE. V N
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �'j J, 0 0 0
Inspections Required: Work Requiring Separate Permits:
Site (Plumbing Fire
Hardcover Removal —pC Mechanical Water Connection
3 Footing Septic Sewer Connection
at FYWNeg Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
C Final Grading/Filling JZc Electrical (State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
33
08/14/2002 10:57 FAX 6124791872 STEVENS DRILLING f7j01
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L.of Minnesota
'bepartment of Commerce
- Telephone: (65ilp".311ior(BOO)657-3978
85-7th.Flac*East,Suite 600 E-mail address: licensing.commerceQatate.mn.us
-'."Legal Name: EXCELSIOR HOMES W INC Business Structure:
CORPORATION
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CITY OF ORONO J CALLED IN DATE TIME
INSPECTION N TICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS 1 15' 7j� .
OWNER �A+; ('-I- CONTR.
TELEPHONE NO. 3—� _7 — –3 A
DE IPTION /
W FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W ORKSATISFACTORY*PROCEED ❑ PROJECTCOMPLETE
❑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 ❑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
Owned n site:
Inspector.
ite Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO C7\CALLED IN
INSPECTION NOTICE (��� SCHEDULED
PERMIT NO. COMPLETED �_0
ADDRESS -2257 —tv"lk 4
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING.FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTO MEET YOU:_YES_NO
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OCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O PERMANENT
❑CORRE UNSAFE CONDITION WITHIN - HOURS.
❑ PHOTO TAKEN
INSPECTOR WILL RETURN �J
❑STOP OflDER FOSLTED.CALL INSPECTOR 11 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaRforthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac n
Inspector. , L_
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED S' I -7`o&
PERMIT NO. I-b S''-AS 9 COMPLETED A
ADDRESS ./2 / i-_,4 '` 0 e
OWNER ' /l/�C�f�<>�{ CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZN0 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
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CJ BEFORE COVERING - ERMANENT 61-11-11-
11
1-11-D1❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 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/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
f
CATHEDRAL [xdx6-U
34-5
,1 — 18-11 8-4 _
MOVE RAFTER AT
8'-0" TO MISS VENT
5-0. Eft" 3'-8 3fz" Oft"
43-934 38-3N 34_331 15'-2Y`" 10'-2" 6ft"
N 36x604 18-9
3D'-4Yi 2D'-D�'4"
36x60 9.-1. 2'-P4"
A 36x60 �17LP-1884(E) WP°1 24x36 � 24x36 �NSTALL IN FLOOR
B y.2 44" SH/ROO - -
60- 1-PC TUB J M (•3) U tn
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VD15 V4s -t4-a = MODULAR PREFERRED PKC
BDRM. 2 S N _ I RIDCE VENT
'`° 4 _ a 35-8 a_ i r WIND WRAP
BDRM. I A 14-4 I DBL DORMER
r 334'4 N
49-8 ' 16 4 STAIRWELL
5 -f r4�i 8' SIDEWALLS
3 TRIPLE RIM JOISTS AT
n (2) 44" S/R o
� .k--3t 4�— 32' s/R 2[ L 26_8 48 � ,�°�� � E � J`2 v � q MATING LINE
o o� Qo° W -1 5/12 ROOF PITCH
isf4 � � ��� ( 3-a RAFTERS ® 24° 0.C.
16 -2541 2041 544 as 32 `V
26 v "' �' 8" SH 2-
/��
42-8 34 531-# 4
r 116 a 1 7
+� ; IN FLOOR FOR BASEMENT °O
1O1fi" SH/ROO 3 3 ccN, 37-0358'/4 15
------- 4 3 M M I °'
101VWALLS R-21
i SH/ROD r
32 ---- -4 (:9) - E co ROOF R-45
al
N WP
0 Cc) +x--54 a
co 1 2541 2OY4- 2541 16X11-41/4 a:
101 f4 3+� � ICROWAVE
33-8 4' I �-
49-4co
°f FAN PREP I 9 o please examine this
5-8 o Of - Order and notify
BDRM. 3 LIVING ROOM _ __ I � ,�� ify us of any
I N 2 -8 �
i'n-ncdiately. o
>i WALL W/ LAMINATE CA _ a KITCHEN SIGNED:
.r
� v
C-169 E SHELF BAY N 3 on a, cn
(2) 36x60 45'-8" I'm co
:0x60 30x60 30x60 30'-4' L CITY OF OROS O rn
42-63'4 Gn 36x3 (Z) 40x60 2._8. SMOING VIEW
" EXT. FAUCET INSPECTOR
�• 12'-74'4" 16'-5" 25-9f4 21-134 15'-4Y4 I tt-74'4 DAT {�'1q. 0
3fi" 4" PERMIT NO.
4fi" 3fi" -6" ---11'-1�i— ?PROVED AS SUB^41TTED
D APPROVED WiTI;CORRECTIONS AS NOTED o
D NOT APPROVED••.CORRECT&RESUB%flT
T+esa comments are for your information.Ail work shall be d^-.n9
l` 23-7 DOOR In full compliance with'all acp!cab!e builang and zo;iirg rude.
ll-SZ DBL DORMERynts u 'n n t spec ' in 1t;Is re•;ieHt
AN3A ED DRAWING M fIRDER TRUNK #* ALLIED DRAWING TALaLE -!111111 � TIMES
PB-500018 iB 1 2 :,H PB-5 2C 2A 3 4 3'DR.MOD DVBAp( _ ■ CROSS AVER DUCT LOCATIGNS * w1 -SIDEWALL BACR CENTER DIMENSION.APB-SeN tC to 3 4 3 OR MOD DVV KITC}$N _ SCHCL T HOMES_ _ _ 3'OR MOD DVV-1/2 BA7 MOD FOR TYPICAL PANE SIZ S_ 3'OR MOD DVV-3/4 BA _ .A. L N H A' L N H H4'S4x40 MIRR R AND HOLLYWOOD GHT ABOVE VANITY.
ULL A'M
Pg- 5 28 1 2 3'OR MOD DVV-2nd FULL B - - - - - - 4 W 1x4 MIRROR AND HOI I5O
NEAT U
O 1 HT A REV DESCRIPTION
DATE 9Y I LE+ 6 X 28 3FBR-UR-2BA-RB
DCT i_cNr.Tu a ue,c - - `5- a 5'/e MR SHE S.
.6= a dFV, eoc can„cc 8 ISWITCHED HALLUNEN & GC 12 31 99 1 SSM SERI S+ MULIULAR