The URL can be used to link to this page

Home My WebLink About2002-P05313 - pavilion for camp PERMIT CIT`. OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P05313 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 6/25/2002 SITE ADDRESS: 645 Tonkawa Rd Long Lake,MN 55356 PID: 05-117-23-33-0019 DESCRIPTION: UBC Occupancy U1 Proposed Use: Other Construction Type VN Permit Class: Building Census Code 329 Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: vwaY FEE SUMMARY: Permit Fee: $ 909.75 Valuation: $ 88,000.00 Plan Review Fee: $ 591.43 State Surcharge Fee: $ 44.50 TOTAL FEE: $ 1,545.68 APPLICANT: Diversified Constrcution OWNER: Temple Isreal 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. A LICANT PERMITEE SIGNATURE ISS D BY SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine. 1-Finance Page 1 ,► ,- �1 '.. Total Fee: �� -- Date Received: Z0, o Z Entered By: ' Permit#: CITY OF ORONO - BUIL G PERMIT APPLICATION All information must be submitted in fu beforeP lan review will be started. (please print all in rmation) -----------------------------------------------------------------=,---------------------------------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: to� TaNkAhJ'A BAD ZIP: NAME OF OWNER: PHONE: (home) (work) t MAILING ADDRESS: CITY: ZIP: CONTRACTOR: CwyMR4 c 17oA1 PHONE: yJ�� - 9 7- 7,�3 CONTACT PERSON: Aj,4A/ , Ale,j ,g MOBILE/PAGER: MAILING ADDRESS: --;;-o/o Alert/ 7 CITY: j,jjwS FAkK ZIP: 532.2- STATE LICENSE: # 3&,y ARCHITECT/ENGINEER: NirlP T. FULY PHONE: SZ 92Z-2220 MAILING ADDRESS-9 ASSZIP: 55-52,&.2-rW*FDT. � NAME: REGISTRATION# TYPE OF WORK: New X/ Addition Accessory Structure Move Remodel/Alteration Land Alteration t PROPOSED WORK(describe in detail): /V IC^/ PA V/G.!O A / \ STORIES: SQ. FEET OF EACH FLOOR: \ NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. AL V ESTIMATED CONSTRUCTION V UATION (excluding land): $ 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: 6 O Z 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. 5 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 riquest 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 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)correet 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signa 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: 64% -r0KX0,wv4 t2or4�1 PID: DESCRIPTION OF WORK: IP AN I t_t 1014 ---------------------------------------------------------------------`------Z- ZONING REVIEW BY: DATE APPROVED: _ C1 a BUILDING REVIEW BY: DATE APPROVED: (� •<<i _ o Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/' No PLAN REVIEW Yesy- No SEWER CONNECTION STATE SURCHARGE Yes _� No WATERCONNECITON 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 K No Date of Survey: Proposed Setbacks: Front(Lake): 3!SQ Right Side: Rear(Street): Z20 ' Left Side: 2 50 9 3 Adjacent Structures: 38 Wetland: Building Height: Def. Hgt. 6 t Peak Hgt. Lot Coverage: N )/P Grading: Staff Approval Date: By: � Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: #0t•277 S Resolution: # Resolution Date: Shoreland District: V Cf Avg. Setback: /v Bluff Setback: N 1A Lot Coverage: 3L% )l Existing Proposed Hardcover: 0-75' 75-250' 250-500' O. 500-1000' Hardcover Variance Required: Yes No oC Date of Council Approval: REMARKS(in house): 7 BUILDING REVIEW CHECK LIST UBC: U- CONSTRUCTION TYPE: YN Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL ew Estimated Construction Value: $ Wt,000 '— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _mac Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) --ec_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 PERMIT): 8 CITY OF ORONO CALLED IN DATE TIME INSPECTION�OT SCHEDULED PERMIT NO. O COMPLETED ADDRESS 6 / 6-�)-r OWNER CONTR. TELEPHONE NO. DESCRIPTION Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING yt82'FFL4�v1ING 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 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 o COMMENTS: CJZ I& aOLA 17 CC W cc Q Z: W z W Qc d W ❑WCC OR ISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY QO ❑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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/C a or on site: Inspector. hite Copy/Inspector'�Fll nary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C)- — oZ 3.3 a PERMIT N0. r D S3 (3 COMPLETED ADDRESS S OWNER CONTR. TELEPHONE NO. tt;2t DESCRIPTION A�Ictu�, �,�,.�� Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION Q05 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 i 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: cc W a j O c n�a a cc O W W cc Q 2 W Z W QC d a WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY d0 ❑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/Contract n 1 e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice V' 3t3 i DATE TIME ITY OF ORONO CALLED IN INSPECTION NOT SCHEDULED/2/ PERMIT NO. c MPLETED ADDRESS OWNER CONTR. G TELEPHONE NO. S V U q "' Q ION It 1 FOOTING I 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 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 to COMMENTS: oc W a J O cc O W cc Q W _ Z W ac d 41D WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952) 249-4600 OwnerlContracto s' Inspector. White Copyllnspectoes File Canary Copy/Site Notice