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HomeMy WebLinkAbout2000 - P02871 - addn/remodel/repair CITY bF RONOPERMIT O Permit Number: 2750 Kelley Parkway- PO Box 66 P02871 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 8/24/200 SITE ADDRESS: 2740 White Oak Cir LONG LAKE,MN 55356 PID: 04-117-23-42-0019 DESCRIPTION: UBC Occupancy R3 Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 223.25 Valuation: $ 13,000.00 Plan Review Fee: $ 145.08 State Surcharge Fee: $ 6.50 • TOTAL FEE: $ 374.83 APPLICANT: STEPHENSON BRIAN CONSTRUCTIO OWNER: R L ZIMMERMAN/S K ZIMMERMAN 2025 PAWNEE Rd 2740 WHITE OAK CIR MEDINA,MN 55340 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. .01111.11.1111. /41r1/1 Gr1�2a�1 APP • `"• E v"i 7 ISUEDBYSIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 Total Fee: $ 37V. '3 Date Received: - 2-I "_O( Entered By: That Permit#: c S 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 O CONTRACTOR JOB SITE ADDRESS: 7VO &Ade oak CR4-) ZIP: 3-3-3 3 6 NAME OF OWNER: ,IrCk Z//Yl%!1 eK Y►1 j ) PHONE: (home) ?Si (work) MAILING ADDRESS: 71.1e, /,J2,7( Gia k Cu,•CITY: �.�� zfite ZIP: CONTRACTOR: 1 ft,..S ' /0 6 PHONE: 76 3- 417 k scl- CONTACTT PERSON: 'SR 1/}-+ ,5. J,rn c,� MOBILE/PAGER: t , �- g g -O;177 MAILING ADDRESS:_g' c 71w 1 X0 CITY: 1'7e" z,'* ZIP: ,37.5-3 9,e STATE LICENSE: # OAP,2 4/...s"? ARCHIL ECT/ENGINEER: 1)7/Weed 4J/)WS PHONE: 4/e MAILING ADDRESS: 3 o C4/4-}t',e,t),4v f 1' CITY: OROi1Jo ZIP: 35-. NAME: 717,4-v ee,✓ Jt-)1 REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration // Land Alteration PROPOSED WORK(describe in detai : pv STORIES: / SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Cy' ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / )©0 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 w.th th- approved plan. APPLICANT'S SIGNATURE: f% / DATE: g /-e).6/ 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 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 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)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 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last *'©/5 A-14/ ieD Address City State Zip Phone I understand m •_ is as . ed ;a 1111.111/ 11 111 Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2,1`( . OAK. C. PID: DESCRIPTION OF WORK: c_ArrilAi 4r Q t .77 cJn 1 ZONING REVIEW BY: .•�� DATE APPROVED: 0 = 2 2-o o BUILDING REVIEW BY: DATE APPROVED: L2 -vim FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes i/ No PLAN REVIEW Yes — 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: (L( • ( (j Fire Department: (,o (a-(cz Post Office: 1.4),..._5(A-1,ce School District: "- Lot Area: Sq.ft. wo C(f-r+wy( Acres Width Depth Survey Submitted: Yes p( No Date of Survey: on' A(1 8 -I(-7 g Proposed Setbacks: Front (Lake): 93 I Right Side: SS Rear (Street): /-20 Left Side: Z1,0 Adjacent Structures: 13-7T74c44-e‘49 Wetland: Al/( Building Height: Def. Hgt. N /A-- Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: "JO Avg. Setback: Bluff Setback: Lot Coverage: 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: A . CONSTRUCTION TYPE: \/.J Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 13, Dno Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Septic Sewer Connection .� Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) p'- 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 • , .. . ).• e ,,, . ' 1NO COP. V V\ 0) ck ,d ,to ci4 4 ,\,7_,/ • _______ -- - --- ____--- - PiFtiv---E- eXrc, Wit•4061A) N QE-1A) HAPVIO vvaiNpuze, /- el46H. SIP Kl& Iscr-Apt..ietv Hut,ints . _ i , 1 La i criip,) -________ FT] I 1r - I 1 ---- " I I t i I 1 - i i 1 I vi- 1 7 1.... 7 1., i .. l-' —11—a----------:- i ,.1 , .to, 1 _ - L-----1 - - 1 I- - -,_4_-_11, :11111W1111 ,11_.._:..1 -- __-_-_ .__: . I 1____F . , , .. . ..... -,I------::T751:1-f'TT:77a7:n li 1 jil l i I ? , i i il 1, il , _i I lui tuiL.7,i _ . ---.71:1- ' ,. 1_ ,i' I 1 l _ 1 _ i i I ill Ili I ! r ---fl 1-"--- . I I 1111I - -------7=4 _ _:_---:=1 -1-71 111 - triL1:1.14--CF')Crkit\,) 16) "1"6 _____ _____________ __ _ ._ Z Uen F? 1-----r; ( sritAij _ CITY OF ORONO INSPECTOR P ll 4 P il CLAN REVIEW e '. IF•,..., VI trO a-- P--4: 40-Eir-2.-:, , • - i DATE ti -2.--z. -(51 PERMIT NO. (--0•-) -•,-xp 4-n 0,-_ ar2f,f4-N je APPROVED AS SLEMiTT:17) 0 APERova--;_-)WE C_;CRECTIONS !V::: NOTED l -r-tA...1 -0 - c NOT APFTOVED-- COFFE=CT&17-q:--Ka.!•T Tonts ...Vh.350 e c--ro-IC in t 1 com21.:. .:e kv,t) r,ii a:,[;:i:ah.o i3J,:di, ,,.; 3iid zor:•i• ie. R(t:i'_ ,•-:-onts .'-a...,/•-•o!p,,i .7.1,..:-, 'Ow. KE.P THS PLAN SET ON SITE AT ALL TliviES Maureen Steele Bellows ARCHITECTURE ZIMMERMAN KESIDENCE PORCH FRONT . ELEVATION 3400 Watertown Road Orono MN 55356 9210 2740 White Oak Circle . 952.404.2035 Long Lake, MN 55356 _ _______ 952.475.1054 FAX — . . DATE: 15.04.00 . i . _ , .. - \ / ! , H ‘ I -1---1- ----N // --------------- '?"E-K9VE -,,M, OPT i S) II ' 1 ‘ - --e . Q -"\-- t, ... c) . Call-Ai Q -I , ICY 1 \i• \ ' . . __ _ _ :., 1 '; 4,--__f_____ 1 ENT:EE.DYS _-' V . -..f: . 41/1/ 4 / / 2,Lcoh )1.-cli , q l'-("11 /,' I/z•I' --,,/ l2ii2.,"1- -t --7 ----/ 't _ _________ \IS— 71 — Hz - j— ii \ Is : A) ) , :,.-- ,.4.,,, ,,,-.'------> —r• 7/ , ,•,:`,,,,,-'. (V /72 I \I\ \ .J Maureen Steele Bellows PORCH FLAN ARCHITECTURE ZIMMERMAN RESIDENCE ' 3400 Watertown Road SIDE ELEVATION 2740 White Oak Circle Orono MN 55356 9210 952.404.2035 Long Lake, MN 55356 952.475.1054 FAX .................— DATE: 15.04.00 1/4" = 1'-0"