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HomeMy WebLinkAbout2008-P12015 - addn/remodel/repair •0 % % PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P12015 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Rep it (952) 249-4600 Date Issued: 5/5/2008 SITE ADDRESS: 550 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 05-117-23-32-0004 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: Electrical(state) NOTICES/REMARKS: Remove closets,create large room FEE SUMMARY: Permit Fee: $ 88.50 valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 89.75 APPLICANT: Lake Country Builders,LTD OWNER: AM Carlson ET AL Trustees 339 2nd Street 550 Tonkawa Rd Excelsior,MN 55331 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 PE TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 � 1 1 Total Fee: $ D 1.-15 Date Received: lag Entered By: )'j,{ Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------1-- THE APPLICANT IS: (circle one) OWNER OIL t JOB SITE ADDRESS: SYO /Q CL)ct Gal 614W6 ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes X No If yes, a special event permit is required with Police Department and City Council approv�l 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: Cayis6w' C - is�+^[til PHONE: (home) 1 (work) i MAILING ADDRESS: `/d�` � CITY• ✓Ow J ZIP: CONTRACTOR: e Y l�tL' vS PHONE: a' t ? �a•I CONTACT PERSON: t MOBILE/PAGER: l a-- •- .3�y MAILING ADDRESS: 331 Se CITY: EXc.tiSie✓ ZIP: S�;-3 y STATE LICENSE: # 2-03—LOG-70k EXPIRATION DATE: l g t / Lo Q ARCHITECT/ENGINEER: &6U e✓ PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �"• PROPOSED WORK(describe in detail):- a move_ G loSdS TO e_cJt, I Yr oo C y\oA C_ *_ v.00w., STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED-1 ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0 C) 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 i 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: ` LG/.� DATE: sl/w 31 r . 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 hall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide syst ;(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 s pply 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. 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 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: I. 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. First Middle Last Address City State Zip Phone I under 'ghts a bove. Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 5 -T0 n t PID: DESCRIPTION OF WORK: ZONING REVIEW BY.• I DATEAPPROVED. BUILDING REVIEWBY.• DATEAPPROVED. FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes__Z- No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (sped) ZONING CHECKLIST Zoning District: N 0 Fire Department: Post Office: School District. Lot Area: Sgft. Acres Width Depth Survey Submitted: Yes No Date o Sury .f ey: Proposed Setbacks.- Front etbacks:Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: etland Building Height: Def.Hgt. eak Hgt. Lot Coverage: Grading. StaffApproval Date: BY• Council Approval Date: i Septic: Staff Approval Date: 0% By, � Zoning File; # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg.Setback Bluff Setback. Lot Coverage: Hardcover: 0-75' Existing Proposed 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of CouncilApproval.- PProval: REMARKS(in house): 33 I B UILDING REVIEW CHECK LIST UBC: R-3 CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement x 1st Floor x — 2nd Floor x _ Garage x = x = TOTAL Estimated Construction Value. $ Z, 0 0 Q° Inspections Required. Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _ X Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling _9 Electrical(State Permit) Other REXARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMI7): 34 ORONO cups ,rr — -- -- - - - - -- - - - - - - - - - - - - - -FINISH KEYNOTES- AND-SYMBOLS- - --- --- ------- OPATCH OR ADD WOOD WALL BASE TO MATCH EXISTING. PAINT WALL 845E TO MATCH EXISTING. OPATCH AND REPAINT CEILING OGENERAL PAINT, EGGSHELL FINISH. MANUFACTURER AND COLOR TO BE DETERMINED. PI B O PT-I BROADLOOM CARPET: MFGR: FUSION COMMERCIAL CAPET PATTERN: TERRAIN OCOLOR: YM-M-25/SILVER BIRCH DD JBD WIDTN, 12' O O Option I scale: Y811=I1-011 CITY OF ORONO \ BUILDING PE •MfT FRAN REVIEW INSPECTOF �'� ✓ �r� et' "n DATE_ S t-off ,Pr_rf 4!T NO. �y 1LA UC� 0 APPI_O ELJ i''i i!r 1 C G9, -?E-'i ilNtir_!AS r,QTED Q firJT nrf t�: rv� •� '`'�. ,�t�`i*' �i�i.�t'T G V- . p kw I A Le rlane In f 'I 6 r'1� :i.'1'l II Re":a:«:?ciL stucfi;:g ir.:r�eot::fc;i Ca!, .r.o'.ed in t 1i.;rwieyu WEP THIS PLAN SET CN SITE A7"ALL TIiME8 SPECIAL NOTE SEE ATTACHE© SHEET FOR L o t6ml keA O&TtESM 0" • CODE REQUIREMENTS I a-o coo o �2—5 'Sc TE TIME CITY OF ORONO CALLED IN O INSPECTION NQTICED/ r SCHEDULED PERMIT NO. �S(OV 5 COMPLETED ADDRESS OWNER CONT . TELEPHONE NO. �—��� DESCRIPTIONi�%lGt� t4 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O El TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION QlFINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a cc SnA o K De C 4-or -.?-•t ° c&, fS.e c�/cook► A Q W qz d � W ❑ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W'CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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 CopylInspector's File Canary Copy/Site Notice T TIME V 'C D JTY OF ORONO CALLED IN v INSPECTION NDTICE SCHEDULED PERMIT NO. 0/., COMPLETED ADDRESS_,5-50 -e'vts&-,,f- W>c- OWNER CONT TELEPHONE NO. DESCRIPTIONi ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 / ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL / OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a _4:7 IX3 J O Q; O LL W cc Q 2 W Z W CAC WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE cc 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/Contractor on ite: r Inspector. a�/ A, - --- - White Copylinspectoes File Canary Copy/Site Notice