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HomeMy WebLinkAbout2004-P07278 - addn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07278 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 3/17/2004 SITE ADDRESS: 425 Tonkawa Rd Long Lake,MN 55356 PID: 06-117-23-41-0088 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Piumbing iviechanicai mecincai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,676.95 Valuation: $ 222,000.00 Plan Review Fee: $ 1,119.23 State Surcharge Fee: $ 115.50 TOTAL FEE: $ 2,911.68 APPLICANT: Friedell Construction Co. OWNER: B &J Knight 2238 Edgewood Ave. S 425 Tonkawa Rd St. Louis Park,MN 55426 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. _'_ _ � C� APPLICANT PERMITEE SIGNATURE ISS ED BY SIGNATURE Cooies: 1-File(Siznitures Required), 1-ADBlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ a g/l• 6f Date Received: 3 -GCJ Entered By: Permit #: 4,,)72 7,? 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 0 CONTRACTO JOB SITE ADDRESS: "-jZ 5 -reAl�eXGvA AM-0 ZIP: S 5 3S NAME OF OWNER: V—N l (,FIT PHONE: (home) (work) MAILING ADDRESS: V Z 5 TvN��1W�1 /��' CITY: lew!5, /f}/ ZIP: CONTRACTOR: 1�lzl 600t- e >�-5 R9t e-TtCrj 60 PHONE: 5SZ- SKe- 76eo CONTACT PERSON: 0?-IC- W(5e-hMt�n+N MOBILE/PAGER: MAILING ADDRESS: 14Na 5 CITY: STATE LICENSE: # 1-7-7Z- ARCHITECT/ENGINEER: -7-7ZARCHITECT/ENGINEER: Ffztc-OCLL- PHONE: �SZ-SY -7aaa MAILING ADDRESS: Z+✓38, vfp&eiAve SCITY:f tti-✓/S 04Cqz- ZIP: s Z� NAME: KQ� �,ONS'TA-D REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration X Land Alteration PR POSED WORK (describe m detail): V-re t4 t!7� , O F1=1 L� , R 0 09-crJ , Fjo Y STORIES: �Z_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. ✓ DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ZZL? O O 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 Citi- 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: 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. 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 indnidual 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 indniduals, and whether it is classified as public, primate 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 sir 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 promide 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. 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 notfi• 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 (a%uilable upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. C'� c LS-5 First Middle Last Z2Z& FEW&rn Ay�8, So Address City State Zip Phone I understand my rights as stated above. Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: yZS Toiwc►woq PID: DESCRIP'T'ION OF WORK: ZONING REVIEW BY: DATE APPROVED: 3-I 1-oma( BUILDING REVIEW BY: DATE APPROVED: -3-►t off 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 v 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: eN G uc Proposed Setbacks: Front(Lake): 306, Right Side: I `86� f Rear(Street): 21,0� t Left Side: 9O Adjacent Structures: n/(/4- — Wetland: N/14 Building Height: Def. Hgt. e), Peak Hgt. Lot Coverage: /l 114 Grading: Staff Approval Date: -J By: Council Approval Date: Septic: Staff Approval Date: AJ I By: — Zoning File: # -- Resolution: # — Resolution Date: Shoreland District: ve-5 Avg. Setback n!/p Bluff Setback: _ Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' No C'" 250-500' 500-1000' Hardcover Variance Required: Yes No_i2e, Date of Council Approval: REMARKS(in house): 7 r BUILDING REVIEW CHECK LIST UBC: - ��3 CONSTRUCTION TYPE: V AJ Sq Footage $Per Sq Ftg Basement x Ist Floor x _ 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 22 2Fo OC�x' Inspections Required: Work Requiring Separate Permits: Site a Plumbing Fire Hardcover Removal X Mechanical Water Connection Footing Septic Sewer Connection _ Framing Fireplace Lawn Irrigation _ Insulation (Masonry) Other Wall Board (Mfg,) Well(State Permit) Final GraditWFilling _�Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 8 WATE TIME V CITY OF ORONO CALLED IN -Z Dy INSPECTION NOJICE (J SCHEDULED PERMIT NO. d�� �O COMPLETED ADDRESS Z� //ankcr�Q AV OWNER CONTR. TELEPHONE NO. �C©� "o-;Z CRIPTION x/[01 SOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 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 JAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTI 'NAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES NO COMMENTS- az cc O a cc O W W cc Q 2 W W d UjWO RK SATISFACTORY:PROCEED LlPROJECTCOMPLETE CC W ❑CORRECT WORK&PROCEED F_ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED L1STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952) 249-4600 OwnedContractor iter' Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN Dy INSPECTION NOTI E SCHEDULED P3 n P,cl PERMIT N0. 722P COMPLETED ADDRESS �2 c, r OWNER // CONTR. TELEPHONE NO._/D DESCRIPTION 44. 01 FOOTING 11 MECHANICAL RI 16 EXCAV/GRADING/FILLING Q 02 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 2 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTrF 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TOMEET YOU: _NO y COMMENTS: W a O u cvt Q r t 14 U op 49/ '' c9 O W W a Q Z W W QC O W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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/Contra n`i : Inspector White Copyllnspectoes File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIsE Q� SCHEDULED Q 27-W ;30 M PERMIT NO. J Q —74 COMPLETED ADDRESS �J �n �Jw 4,:L OWNER CONTR. CdLIS�'. TELEPHONE NO. � 6Y2700C) DESCRIPTION 12&&QC ; W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS LOT Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FIN 14 SEWER HOOK-UP 06 PROGRESS MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUM 36 FOUNDATION/REMOVAL OWN ICONTRACTO O MEET YOU:=YES NO COA�IME S: cc Lw c�O 1�St- cc t� O O cc O W W cc Q Z W Z W cc O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � >.(ORRECT WORK,CALL FOR REINSPECTION TEMPORARY C� B``�EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 1-1 CITATION ISSUED 1-1STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 Owner/Contr site: Inspector. White Copy/Inspector' File Canary Copy/Site Notice - n uMIT 46.53 - 90.58 - - yyt`. Ce.r.t.i.f ic:ate of Survey for & }3yrno Peter of Tract D. R•. L. S . No . 74 - Elenrt�lcn�j.n County, Minnesota / y ORONO COP Y ". Nor 1h S P o `j; 63. 3 - 1p ��1 j O F I a ORONO dN N I % __K SITE PLAN tdl`TAD1NO PLAN � 6XI. ❑ A; !-"OV EZ) WITH REVISIONS -- ❑ 1SAPPR ��E c �, F�c.•fin%�fkA�rQ s .�3Y .. c DATE 3_(t -o%f. �P Z�J �J�1 ,k X� ra, �l� ORONO ' c4 Copy Sp ya si A- • Y 3 357 59 34��s144 _ z CITY OF ORONO --X SI AN GRADIN rn ii APPROVED - o ❑ APPROVED SIONS ❑ DfSAP 'ED 3 SY ATE N co r 7'� • G 50017'E 329.70mea s. 330.00 TLS 746 ... • -- L!MAL DESt^RTP7_MN nr vRrM rSrS SUltt/I.: —-------- Tract n, Rngi.st0rec] Lane? Survey No . 748 , rs of ltrryi. :t.rar of Titles , County of This ;;ur.vev intends to ,how the houndar•.i.os of the above c , , .. location of• an- cxistin )roust, thereon . - , �3 Hereon . I t: does nol: I�urix�t . 1 c� :;ho t ment, or ecull ncrcachmcnts . t 'Alt SITE PLAN GRAMM( �.. T.ron marker. founcl 29 APPROVED Pear..inas ,hrnm 7r(7! ha,ea lil)on an 11 APPROVED 1.'VITI-1 pE-VIS{0t\ S