HomeMy WebLinkAbout2002 - P05036 - new structure CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P05036
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 5/23/2002
SITE ADDRESS: 340 Willow Dr N(Fire Station)
Long Lake,MN 55356
PID: 34-118-23-32-0003
DESCRIPTION:
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 325
Permit Type: New Structure Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Water Connection Sewer Connection irrigation Electrical(slate)Other-
(Fire Sprinkler)
NOTICES/REMARKS:
-_ . y c._.__ r r n:.._ Q._.____ n..._a
FEE SUMMARY: Permit Fee: $ 6,553.75 Valuation: $ 1,300,000.00
Plan Review Fee: $ 4,259.78
State Surcharge Fee: $ 620.50
SAC Fee:
TOTAL FEE: $ 11,434.03
APPLICANT: Rochon Corporation OWNER: City of Orono
3650 Annapolis Lane N. 340 Willow Dr N
Plymouth,MN 55447 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.
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JICANT PERMITEE S NATURE ISSUED BY SIGNATURE
Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ / 63 Date Received: 1 / /
Entered By: fri7 Pe #:
CITY OF ORONO - BUILDING PERMI APFL CATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER ORCONTRACTOR
JOB SITE ADDRESS: 1--JV W11! ply PV i </e ZIP:
KONG/ hole, M/1
NAME OF OWNER: C.;-4'V (} ,M7i -),q,4 PHONE: (home)
I (work) by (,/
MAILING ADDRESS:+ 1C/P1 P404 4vt . CITY: ZIP:55
IT 5v Y &.b 0'" tic
avow() Nt/ / PHONE: 76�
CONTRACTOR: QGIt 011 Gvrj0Ov 7-1 i OI�J CI
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CONTACT PERSON: Chap J a Pio, Ky MOBILE/PAGER: �,/�--2 DZ—&�
MAILING ADDRESS:3�5f2 44inr7,,do, i/, 4/, CITY: 7Jy jpittii ZIP:ict/1J7
STATE LICENSE: # tD/
&/643
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ARCHITECT/ENGINEER: p V G u/J PHONE:
MAILING ADDRESS: z NovCITY:y itimie ,d ZIP: v51401
NAME: TQ t7 vi waif / 'dv fry -�y0j REGISTRATION# 3
7
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSE I WORK(d• cribe in detail): A , .ae , ate 11
I/ ir' 11111111101
STORIES: a SltP:FEET OF EACH FLOOR: I rjpe.- /�14 7 znI7 pror�
NO. OF BEDROOMS: (7 GARAGE STALLS: ATT. x DET. /
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �6� 't/ .pr
I herebyapply for a building permit and I acknowledge that the information above is complete and �,
PPY g
that the work will be in conformance with the ordinances and codes of the City and with
accurate;
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: if-If-126w
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 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 reauired 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.
GlgI iciffesKy
FirstMiddle Last
)47/1 e �u 2L ir)
A' ressIA A y 3
.1114/
City State Zip Phone
I understand my rights as stated above.
/f
Signature
6123396212 BKPV & ASSOCIATES 909 P02/02 MAY 13 '02 14:37
A Metropolitan Council
Building communities that work
May 9, 2002
Marvin Wurzer
Building Inspector
City of Long Lake
P.O. Box 606
Long Lake, MN 55356-0606
Dear Mr. Wurzer:
The Metropolitan Council Environmental Services Division has determined SAC for the
Long Lake Fire Station to be located within the City of Long Lake.
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Office
1164 sq. ft. ®2400 sq. ft./SAC Unit 0.49
Training
1360 sq. ft. @ 1650 sq. ft./SAC Unit 0.82
Hose Tower 1.00
Truck Washing 1.00
Lockers
15 lockers @ 14 lockers/SAC Unit 1.07
1 Total Charge: 4.38 or 4
If you have any questions, call me at 602-1113. ���
�Sincerely, a
41 46411 gnu
Jodi L. Edwards
.1
Staff Specialist
Municipal Services Section
JLE: (220)
• 020509S8
Cc: S. Selby, MCES
Michael Krych, BKV Group
:l
www.rnccroaounell.orh
Meiro Info Line 602-1886
• n9n c..•.. vn'.i.ui.., . ci Minnes.ola 55101.1626 - (651)602.1000 • Fax 602-1550 • yl?291-0904
4.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 9 0 W,l ov,3 O R\\,14
PID:
DESCRIPTION OF WORK: Ft lz-C
ZONING REVIEW BY: cf 0 DATE APPROVED: 3 •io
BUILDING REVIEW BY: 1 5z
' , / DATE APPROVED: S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/' No
PLAN REVIEW Yes v' No SEWER CONNECTION
STATE SURCHARGE Yes i No WATER CONNECTION
INVESTIGATION FEE Yes No c„..— PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units �( OTHER (specify)
g
_Au __--
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: 01,4 r-%
Proposed Setbacks:
Front(bake); -12 t Right Side: ►Z 1 .5
Rear(Street): 44C(01 ± Left Side: SO"; N
Adjacent Structures: Al ( Wetland: —
Building Height: Def. Hgt. q.k Peak Hgt.
Lot Coverage: —
Grading: Staff Approval Date: 6--85- . '2. By: C.9- Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: /Uv
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
1
BUILDING REVIEW CHECK LIST
UBC: Q CONSTRUCTION TYPE: 1(11
Sq Footage $Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ (s 306,00 3 4'2
Inspections Required: Work Requiring Separate Permits:
Site A( Plumbing oc Fire sPRwtu:rt.
Hardcover Removal Mechanical _Water Connection
Footing Septic Sewer Connection
of Framing Fireplace cx.. Lawn Irrigation
of Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
o. 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):
•
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N�IIC SCHEDULED �-�=2- /..
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PERMIT NO. (5 0 J, ' COMPLETED . -0 /e 411—
ADDRESS O (/C/ --z-Leek-4-k)
OWNER CONTR. k(}C GI C)/)
TELEPHONE NO. (r,( - 5 ? - 7 75-7
DESCRIPTION
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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
`1 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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❑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 adv nce. (952) 249-4600
OwnerlContr t r on site:
Inspector. ��� !�)
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DATE TIME
CITY OF ORONO I CALLED IN
INSPECTIONnypTICE nSCHEDULED 6--/9 1.30
PERMIT NO. /-'(-256--)C, COMPLETED (` U`
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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
`"I 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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Lij 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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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/Contrac•r• •407:
Inspector.
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i DATE TIME
CITY OFORONO CALLED IN 1_�
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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
v 10 PLUMBING FINAL 366�FOOUNDATION/REMOVAL
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor n site:
Inspector. --A.al
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO I CALLED IN
INSPECTION TIC SCHEDULED w 7-o �. 6 0
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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
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
Owner!Contracto . n e:
Inspector.
White Copy/Inspector's Fil Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO Ca`$.LED IN
INSPECTION NOT SCHEDULED efZ4 /(1',
PERMIT NO. O3(d CQMPLETED
ADDRESS -----'_3yO (.(/7//L! ) , L r/2 C_
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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114 09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContracto si e
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED I-g '1,1 "/WO
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor rite:
Inspector. - )1
White Copyllnspector's File Canary Copy/Site Notice