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Home My WebLink About2005-P09146 - addn/remodel/rerpair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09146 Crysta(Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952)249-4600 Date Issued: 9/20/2005 SITE ADDRESS: 280 Tonka Ave Unit# Long Lake,MN 55356 PID: 05-117-23-14-0061 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Mechanical Electrical(state) NOTICES/REMARKS: Addition of 13.5 x 14 Eating Area Off Kitchen FEE SUMMARY: Permit Fee: $ 195.25 Valuation: $ 10,953.70 Plan Review Fee: $ 126.91 State Surcharge Fee: $ 5.50 TOTAL FEE: $ 327.66 APPLICANT: Owner/Self OWNER: Phillip&Karen Skoog MN 280 Tonka Ave 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. APPLICANT PERMr&E SIGNATURE ISSUED BY SIGNATURE Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r Total Fee: $ '11111,0'11111,0 Date Received: Entered Ey: Jn ,i✓'M Permit#: f�{) �(! 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) 4WNE OR CONTRACTOR JOB SITE ADDRESS: Zg� V\� IC0. ZIP: S 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 permitted events ill not be allowed. NAME OF OWNER: ? -k + PHONE: (home) 1 -Vb* (work) { MAILING ADDRESS: CITY: LOl( ZIP: '1 �S'G CONTRACTOR: YEA/\ PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: bW rQ^ PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration c PROPOSED WORK(describe in deta'n: / d Q -,P, S �( 1 GGC7 Vj STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply fora 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: 31 f 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 mayl2lace 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,orwithin 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. L-A �-e o Svc S1coc9s First Middle Last Deo Tv,n �4✓ Address City State Zip Phone I understand my rights as stated above. V--&CC3 Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: Z'66 'ToNV_A AWE PID: DESCRIPTION OF WORK: 010/T-10 nJ ZONING REVIEW BY: DATE APPROVED: o BUILDING REVIEW BY: DATE APPROVED: 2- --_-- -- ______ ------------------ - --------------r-.---_,--------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No_� PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: ( .•I.A Fire Department: Post Office: School District: Lot Area: Sq.ft. -23.05 Acres •5`-t Width 2u o' Depth t bi Survey Submitted: Yes _ No Date of Survey: on F/cg Proposed Setbacks: Front(Lake): 33 Right Side: b• Rear(Street): ML•S Left Side: ?� Adjacent Structures: vJ( A- Wetland: /J I A Building Height: Def. Hgt. D.I<- Peak Hgt. -- Lot Coverage: 1(.'7 Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: /sy•o$' Shoreland District: Vej Avg. Setback: OJ I A Bluff Setback: N / A Lot Coverage: 1 1. 7 Existing Proposed Hardcover: 0-75' 75-250' 250-500' i 1•�_ 500-1000' 33.5 211 Hardcover Variance Required: Yes No A Date of Council Approval: REMARKS (in house): 1 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Uej Sq Footage $Per Sq Ftg Basement x 190.x( = Z ?�.�9 1st Floor Sly 2q x /?O,y = g, 4 S Z.91 2nd Floor x Garage x = x = TOTAL Estimated Construction Value: $ 1 d j g S 3 •70 Inspections Required: Work Requiring Separate Permits: Site ' Plumbing Fire Hardcover Removal .c Mechanical Water Connection _p(Footing Septic Sewer Connection _o<Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _.,L 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 PERIUM: 8 �i ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION N E SCHEDULED PERMIT NO. COMPLETED C ) I-c_ S 9%.,.I J ADDRESS OWNER K , ! r CONTR. TELEPHONE NO. GOi DE5C 1ION- f-Ly, � - 01 FOOTINQ 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q G 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0z w CX. X 'TO i?C}CC t r a 0 U_ UjW - w cc d wQ KWORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice �A QQ DATE TIME CITY OF ORONO CALLED IN 1' D7 %3O A7�" INSPECTION NOTICE�j SCHEDULED �-0 1019 PERMIT NO. C/ COMPLETED ADDRESS 2-D 10nK0X N& OWNER CONTR. i TELEPHONE NO. W-lo q52,- 8L8 ' /475 Q5L- 44q- oot DESCRIPTION YrQ1'hvia jhjj - ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING h ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ElPLUMBING FINAL ElFOUNDATION/REMOVAL Z OWN ERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: QC W CL J `Lj O cc O W W� W CC Q Z W W CC O W� WO RK SATISFACTORY:PROCEED Ll W ❑CORRECTWORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHW HOURS. ❑ PHOTOTAKEN . INSPECTOR WILL RETURN ' E)CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O.INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 Owner/Con r site: Inspector. White Copyllnspector's I lie Canary Copy/Site Notice E j VAITY OF ORONO LLEDIN INSPECTIONOT SCHEDULED PERMIT NO. COO,MPLETED^ ADDRESS t=ZSu -1i)n ,— AirIG OWNER n CONTR.ghi� LS TELEPHONE NO. 462 91-3'^ 4 b DESCRIPTION tj ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc a J O O W LU QC Q 2 W W O d tum ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING.. PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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 Owner/Contra i Inspector. White llnspectoes File Canary Copy/Site Notice