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Home My WebLink About2001-P04498 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P04498 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 10/29/2001 SITE ADDRESS: 420 Tonkawa Rd Long Lake,MN 55356 PID: 05-117-23-32-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: ttesidentiai 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: Eiecu-icai(slate) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 633.65 Valuation: $ 49,000.00 Plan Review Fee: $ 411.96 State Surcharge Fee: $ 24.50 TOTAL FEE: $ 1,070.11 APPLICANT: Lundgren Bros OWNER: Scott,Gina,Edwin&Barbara Gage 935 East Wayzata Blvd. 420 Tonkawa Rd 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. ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports,1-Assessing, 1-Finance Pagel Oct`16-2001 U1 :3TPm From-CITY OF ORONO +9522494616 T-006 P.002/003 F-525 Total Fee: $ �' f Date Received: 10-17- d Entered By: IC Permit#. ,-,;e; ,c,- f 1 -( , CITY OF ORONO - BUILDING PPRAHT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------- THE APPLICANT IS: (circle one) OWNER NTRACTO JOB SITE ADDRESS: — ZIP: NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: _`:°^_'67 Lj& ZIP: 15-S;2 CONTRACTOR: "Ok, Azo SZos PHONE: Ajs2.- 1479 - I Z3 1 CONTACTPERSON: LL- C.w►J�& MOBILE/PAGER: CoI Z=419 05-71 vt��a MAILING ADDRESS: s- ;310.6;310.6CITY: 7- ZIP: 5 5-313'�Vif STATE LICENSE: # PG- I y 13 ARCHITECT/ENGINEER: PHONE- MAILING ADDRESS: CITY: ZIP: Nom: REGISTRATION# TYPE OF WORK: New Addition_y__ Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): A&y--7u*1 v � STORIES: _j _ SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. ^� DET. ESTIMATED CONSTRUCTION VALUAVON (excluding land): $ 4 �- 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: /G D r events re uire se awe permit approval by Police Department and NOTE. S .r City Council 60 days prior to the event. Non permitted events will not be allowed. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 442,o ToN1,�.�w✓-� PID: DESCRIPTION OF WORK: 11-io p 1 o nl ZO.,NL G REVIEW BY: DATE APPROVED: i v BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _�� No PLAN REVIEW Yesy' 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_cA,_ No Date of Survey: Proposed Setbacks: FqOm(Lake): Right Side: 15-Z Rew(Street): L1314 Left Side: 2 ea t Adjacent Structures: Wetland: N fA Building Height: Def. Hgt. d-(C Peak Hgt. Lot Coverage: Grading: Staff Approval Date: _ By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: y415 Avg. Setback: p ,(L Bluff Setback: Lot Coverage: /U (A 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: CZ 3 CONSTRUCTION TYPE: V/J Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x — TOTAL Estimated Construction Value: $ 4 9 A 000 QL. Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection X Footing Septic Sewer Connection X Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) Final Grading/Filling _Cw- Electrical(State Permit) Other REMARKS(IN HOUSE): --------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMTI): 8 uct-I6-2001 01:37pm From-CITY OF ORONO +9522494616 T-006 P.003/003 F-525 Ste.13.04 ItYOH'I'S OF SUBJECTS OF DATA Subd. i. Type of data. The rights of individual oa whom he data is stored or to be stored shall be as set forth in this section.. Subd.2. Information required to be given individual. An mdividuai asked to supply private or confidential darn concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting stare agency,political subdivision,or statewide system; (b)whether he may refuse of is legally required to supply the requested d4m;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)rhe identity of other persons or entiti.:s authorized by state or federal law to receive the dam. This requirement shall not apply when an individual is asked to supply investigative data,pur.uant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue m_av place the notice requires under is subdivision in the individual income tax or orooerty rax refund instnrctionc instead_of on those firms. . 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,pri%are or confidandal. Upon his further request,an individual who is the subject of stored private or public dare 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 dare. After an individual has been shown the private data and informed of its meaning,the dam need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of rhe private or public dram upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of malting,certifying,and compiling the copies. The responsible authority shall comply immediately,if poss.ble,with any request made pursuant to this subdivision,or within five days of the data of the request,excluding Saturdays,Sundays and legal holiday:;,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 adoidonal 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 dam 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 dam found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete;data, including recipients named by the indh idual;or(b)notify the individual that he believes the dam to be correct_ Data in dispute shall be disclosed only if the individual's statement of disat reement 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 PRWACY 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 refu;.al may require that the City deny the permit or Iicense. 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 (available upon request) to review private data on yourself. 6. Your full name is required toprocessthis application or permit_ F1rJE Mid Last Add s ,�/ �..?_' I/ q.S'Z- y73 /Z3L City State Zip Phone I understand my rights as stated above. e DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICEr� SCHEDULED -0( PERMIT N0. ��Pel" COMPLETED 1� J ADDRESS 440 0 2 n ICCU� OWNER / CONTR. Zn9/� TELEPHONENO. lWa DESCRIPTION FUSS G 01 FOOTING 11 MECHANICA RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a Pow cc 0 U_ W cc Q 2 W Z W cc Z) WjXWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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. �Gc.�C White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE, SCHEDULED � //:30%/: O PERMIT NO. �d COMPLETED '0 1 Z,30ADDRESS__ �� /�� OWNERCONTR. � TELEPHONE NO. /Y /2 �/qq/ 9 DESCRIPTION 6�t (z/4' -lam 1 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 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a 0 a Cr 0 W cc Q z W Z W CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Con a for on sit Inspector. SAG V i White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE, SCHEDULED PERMIT NO. �yglp COMPLETED ,` 3� ADDRESS �D K OWNER CONTR. TELEPHONE NO. 3Z DESCRIPTION 1 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICA FINAL 19 LAKESHORE/WETLANDS y 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO CC /v Pro ej� ai CO1MENTS: 4 tijJ J cc O O U_ , W2 OC J Q ' W W cc J d W ❑WORK SATISFACTORY:PROCEED 1:1PROJECT COMPLETE W'C )CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oi 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/Contrafor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice /��CITY OF ORONO CALLED IN DATE TIME INSPECTION NO 1W SCHEDULED PERMIT NO. /f` CVS COMPLETED ADDRESS 4ao )nl ou ya OWNER CONTR. (- ,, 1 Ind cel of/ fl TELEPHONE NO. Ws �y L- DESCRIPTION (aCW 1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: cc W Q. cc J O cc O W cc Q f2 Z W Z W cc J WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contract sit . Inspector. White CopylInspector's File Canary Copy/Site Notice �� DATE TIME CITY OF ORONO CALLED IN � W 2 INSPECTION IC SCHEDULE�IdLDL3(� PERMIT NO. Q COMPLETED y2 fl>=3c ADDRESS 4LO TbnLo_t,,z, �. OWNER CONTR. 1� 4�f2r� k3fc . TELEPHONE NO. (,::,[2- G [q, - L f 33 DESCRIPTION �t n" C sQ'f 1 01 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 WBD. 12 WATER HOOK-UP 17 SITE INSPECTION AL 14 SEWER HOOK-UP 06 PROGRESS MO-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 OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: W cc a 0 - C� fes' cc 0 W CCQ z W z W CC Z) URK SATISFACTORY:PROCEED OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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 next inspection 24 hours in advance. (952) 249-4600 Owner/Contr or on site: Inspecto White Copy/Inspector's File Canary Copy/Site Notice