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HomeMy WebLinkAbout2000-P02925 - accessory structure PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P02925 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (612) 249-4600 Date Issued: 11/3/200 SITE ADDRESS: 645 Tonkawa Rd LONG LAKE,MN 55356 PID: 05-117-23-33-0019 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 328 Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure DETAILS: Approved per resolution#: Separate permits required: riumbing iviechanicai Sewer Connection weii(siaie')Eiectricai(state') NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 993.75 Valuation: $ 100,000.00 State Surcharge Fee: $ 50.00 TOTAL FEE: S 1,689.78 APPLICANT: DIVERSIFIED CONSTRUCTION OWNER: TEMPLE ISRAEL OF MINNEAPOLIS 7010 HIGHWAY 7 645 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. Zak, a2ia�e P I T^PERM[TEE SIGNATURE - 7 ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Pagel j Total Fee: $ �' '`� , Date Received: -_7 D� 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 OR CONTRACTOR JOB SITE ADDRESS: 6 4 5 MW KA M QDAID ZIP: NAME OF OWNER: TEMPLE 1 S IZPtEL PHONE: (home) (work) (012 37N--0305 MAILING ADDRESS: 7,3Zy EMUSW AVE,S.CITY: MI1VA)EAPDI.I S ZIP: yp CONTRACTOR: DIYER S I FlE CDNST LY_,j_M PHONE: &12 CrUl--7233 CONTACT PERSON: D,4V F SCM FFff_ MOBILE/PAGER: (D12 19105 - (01 Z 3 MAILING ADDRESS: -]c711) MNy -7 CITY:ST.LWn PAA ZIP: 5 5 t4 STATE LICENSE: # 31041 ARCHITECT/ENGINEER: WAL5}} glSttDP PHONE: &II 336- 819q MAILING ADDRESS: 92DSG6 DND AVE. S. CITY: MINNEhFDUS ZIP: SS4D2. NAME: M IGH/SEL 514 IEL.DS REGISTRATION# 12 400 TYPE OF WORK: New _ (X Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detail): MEW 5ADV%R/TD1 L t7 FACILITY ME CAMP T&W STORIES: I SQ. FEET OF EACH FLOOR: 1pow NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 100,COD. 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 in7400 dance with t appr ed 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. 9 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 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$hall 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 eopies 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 notify in writing the responsible authority,describing the nature of the disagreement. The responsible authority shall within 30days 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 accordanee•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 famish 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 understand my rights as stated above. Signature 10 CHECK OFF LIST FOR ISSUANCE OF PER1tinTS FOR OFFICE USE ONLY ADDRESS OR LEGAL: (94 S TO N wc-AwA f ZO&6 PID: DESCRIPTION, OF WORK: S I ow t. zo,NL'G REVIEW BY: DATE APPROVED: /o • L')- M BUILDING REVIEW BY: D ATE APPROVED: lo- 147-00 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No :. PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes .i No WATFRCONNECTION_ INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZOIN-r i G CHECK LIST Zoning District: 1-P-- Fire Department: Lb"6 L'mc.0. Post Office: t Dt4G CAtc t. School District: 01ZW-SID Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_X No Date of Survey: ci- 1'5- Proposed S-Proposed Setbacks: Front(Lake): Ste' f Right Side: S Do` '`' Rear(Street): ! f' Left Side: Zoo c fi I Adjacent Structures: ?�` ♦ Wetland: Building Height: Def. Hat. O •ice Peak H-t. �• �� Lot Coverage: N 1 A Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: �J e S ac Bluff Setback: Lot Coverage: Avg. Setback-' N 1 A Bl ft S I A Existing Proposed Hardcover: 0-75' 75-250' _---- 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REINIA.RKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: V N Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = X = TOTAL Estimated Construction Value: $ 100,000 '-- Inspections Required: Work Requiring Separate Permits: Site j( Plumbing Fire Hardcover Removal cK Mechanical C Footing Septic _�Sewer Connection _ y Framing Fireplace Lawn Irrigation V Insulation (Masonry) Other X Wall Board (Mfg.) .t- Well(State Permit) Final Grading/Filling 6 Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REIVL4RKS (TO BE NOTED ON PERMIT): 8 RD 13 ORONO . Wit.- Dining ir,Dining hall P ' r�X �o \' CITY Of � Stone lodg '9�`�x, \ }, 35accessory building setback SITE PLAN GRAD NG -90 k APPROVED ❑ APPROVED WITH VISIQ , DISAP AVE �' NEW SHOWER FACILITY. [I ` ; _sq,BY DATE t 0 2� .. ' Ix aid cab! I ��• \ o F/�MA r Propel 10 "CU) ,,Tp O ti It LAKE MINNETONKA CITY OF ORONO CALLED IN — [(DATEt3Q INSPECTION NOTIC SCHEDULED / PERMIT NO. JCOMPLETED ©� ADDRESS ) l U/ .c<ir'L A?rY - OWNER o CONTR, �G' Vi✓S�{—f�o� TELEPHONE NO. DESCRIPTION7�1+ W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKES HORE/WETLANDS h 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO ac CO ENTS: 4.1 ,_ /1- 4e?? ec Ol)C 7L If A" cc Soils r� o. W Q 3i YD .- yzY/ CC W W oI d W ❑WORK SATISFACTORY:PROCEED ❑I PROJECT COMPLETE 'C CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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. 249-4600 Owner/Contrac or on site: Inspector. White CopylInspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN -0 INSPECTION N IC �� SCHEDULED PERMIT NO. � ���� COMPLETED — ADDRESS 4 S _rr_Ati kiXt,/ X. a, OWNER CONTR. 0 tye_r,i F,,z t cc)ki rt-. , TELEPHONE NO. 05 (& I.- '(1(4 kf I c1 CiW DESCRIPTION Cr' 1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 2 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 03 IN ULATION 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_No o CtENTS- 1 !5. cc d W cc Q f2 2 W z W rrd Ljj ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V rr 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. White Copy/inspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN �� a C) INSPECTION NOT C9 5SCHEDULED °� O PERMIT NO. COMPLETED �r�a ADDRESS � � OWNER CONTR. TELEPHONE NO. DESCRIPTION lu 01 FOOTING 11 ME19ANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O cc O LL W cc Q Z W Z W Cr d W ORK SATISFACTORY:PROCEED F' PROJECTCOMPLETE cc W ElCORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contr ctor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice V/ 6 DATE{ TIME CITY OF ORONO CALLED IN -/���� INSPECTION NOTJ SCHEDULED PERMIT NO. v COMPLETED �Snn Q 'ego ADDRESS �Oq .S T1r1 ICG GcJ�— T� OWNER �/ CONTR. ��/(�'-S I t�ie�( Cri/1St, TELEPHONE NO. 42 �71 ` / 2 !I3 DESCRIPTION U4 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS tfVMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP tu 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO 0 MENTS: �cc % d" a A2 cc CrnLi LU Q - S a W W cc d W ❑WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY QO *RRECT 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 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr r on site: Inspector -794 &,L? c?s' r.„�f White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ��� INSPECTION NOTIC SCHEDULED PERMIT NO. a o25 COMPLETED ` 3 d ADDRESS 426/5 7-0/7k,--1 �- -� OWNER CO,N/TR._ //✓�/'f� %�� TELEPHONE NO. (pl a (-//Y B2 f D DESCRIPTION eyioS: Ar (3 + �►.►5� Lu 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 O 12 WATER HOOK-UP 17 SITE INSPECTION AL 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 �6MMENTS: LIJ cc o L-A, W cc Q Z W W CC ❑WORK SATISFACTORY:PROCEED >PROJECT COMPLETE WRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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 onsite: Inspecto 1, White Copyllnspector's File Canary Copy/Site Notice