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HomeMy WebLinkAbout2005 - P08456 - new structure C:I7 ' OF ORONO PERMIT 2750 elley Parkway - PO Box 66 Permit Number: P08456 Crystal Bay, Minnesota 55323 Permit Type: New Structure (952) 249-4600 Date Issued: 2/28/2005 SITE ADDRESS: 945 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0009 DESCRIPTION: UBC Occupancy S1 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 101 Permit Type: New Structure Permit Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection irrigation Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 3,689.75 Valuation: $ 595,216.00 Plan Review Fee: $ 2,410.73 State Surcharge Fee: $ 300.50 SAC Fee: $ 1,450.00 TOTAL FEE: $ 7,850.98 APPLICANT: Brenshell Homes OWNER: Timothy&Brenda Wicks 4052 Oakland St E 945 Willow View Dr St.Bonifacius,MN 55375 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 B ILDING CODE REQUIREMENTS. dat) /46) (/ i div (1-1.4)) 7CAN'ERMITEESIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-ADDlicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 u c'9 Total Fee: $ Date Received: e4 b Entered By: IOPermit#: '2..// ¶'C 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 CONTRA j�,j JOB SITE ADDRESS: 9 1 1,✓t LLo W ; Z ty t2 ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes Wio If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will he required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER:..r:Ai i Q rambilk. L,.,,{'OVA; PHONE: (home)I 52, 73. O it _ 4., ‘t_ tC�vork) MAILING ADDRESS:/57 Z� TA/1)1 FQ LA CITY: ZIP: .5 53 CONTRACTOR: 3 ize.,,,,5i{CL L \4 Mt PHONE:9 S?, 'i f(o , / ?ail CONTACT PERSON: r MOBILE/PAGER: 'S 2, ado ,96'64_ MAILING ADDRESS:614;)s'"Z witi_4743 sr CITY:& eo...i c+et'riv9ZIP: ,S 5 3-5-- STATE LICENSE: # (.-Z in 3'(i S 2 EXPIRATION DATE: - ARCHITECT/ENGINEER: 0 F P, PHONE: 3. 1-V. S-00 q MAILING ADDRESS:' /or 6iv..1-1 M.op CITY: 3 c i1/4.7.- ZIP: SS''y f J NAME: C, REGISTRATION: # j Oi 09 TYPE OF WORK: Newer-- Addition Accessory Structure Move 1-1 Remodel/Alteration • PROPOSED WORK(describe in detail): f f aJ 40 M'l.7 y,,. L. 0" ) -i 5 / / STORIES: 2 SQ.FEET OF EACH FLOOR: 2_22t( / /coo ' NO. OF BEDROOMS: V GARAGE STALLS: ATTACHED 3 ETACHED_ Q ESTIMATED CONSTRUCTION VALUATION(excluding land): S 5 '5i, 2/6 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 • start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATUREle ----- r DATE: 44//r/".1..- TAtal Fee: $ Date Received: 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: ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (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: ii • ASP 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 Address City State Zip Phone I u I ; • 11 • ight/.s sta •i•bove. / �- r�nre CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 9415 Wt LL--C)“.1 vic=es OZ. PID: DESCRIPTION OF WORK: p �W � ZONING REVIEW BY: / ` DATE APPROVED: Z- BUILDING RE VIE W BY: , I DATE APPR O VED: Z.7-7—-05- . FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t/ No PLAN REVIEW Yes lam- No SEWER CONNECTION STATE SURCHARGE Yes i/ NoWATER CONNECTION INVESTIGATION FEE Yes -No ✓/ PARK FEE SAC Yes Na SITE INSPECTION Number of SAC Units a-- OTHER (specify) 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: y- 3 Proposed Setbacks: Front(L-ke): `VI Right Side: Z( Rear(Street): Z4 Left Side: I YJ Adjacent Structures: i1/4114 Wetland: Building Height: Def Hgt. Peak Hgt. Lot Coverage: (✓� Grading: Staff Approval Date: Z LS–°S By: A).). Council Approval Date: Septic: StaffApprovalDate: ,(A By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: /VCS 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): 31 BUILDING REVIEW CHECKLIST UBC: g-3 - CONSTRUCTION TYPE: \W Sq Footage S Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x =-- Garage Garage x = x = TOTAL Estimated Construction Value: S .SSS, 2-I L. 9- Inspections Required: Work Requiring Separate Permits: Site Plumbing • Fire Hardcover Removal Mechanical p( Water Connection X Footing Septic p( Sewer Connection v Framing ..„Fireplace ok Lawn-Irrigation Insulation • Other Wall Board (Mfg.) Well(State Permit) Final Grading/Filling pC Electrical(State Permit) Other REMARKS(INHOUSE): • REG7EW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 32 ., tic.-- ( 1 / DAT �7 a� TIME CITY OF ORONO CALLED IN v �a` '�,� INSPECTION TICE SCHEDULED 4.00 PERMIT NO.T 005 0O COMPLETED ao-I b T IS :So ADDRESS 9'5 «/ //c.(&) Oj:t.t3 44 OWNER Tl� '7‘0.34/9/- /`_ CONTR. r7-16d1 TELEPHONE NO. Lc� cf/- (93/3 7--/(9"".12-4--, DESCRIPTION Cgi7,4_,f (_ ( I k. W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 LLJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 1 - • .\'ATION/REMOVAL Z OWNER/CONTRA' OR TO MEET YOU: YES_NO o COMMENT'• ., Ai A. r F-VeA 4-1 A .—' -•I• • 4iet c 14,Q. 1 , ? A,'rS 5e tl-j U I I/ A + ' � 0 • e nd. uQ. CV S' Ac 4- ,A --- cc / St i c AC P(D-i--ee-efir A.5' W ROW •• cc Q _ Z - r- S i A "VdG — S7eG tc A A A 12e,remeci W p /- P4 For ( sTA �'ts' m Rr eK-icr10r LL, el pis ,O,11 1/4/ —N (y— .a-.. ec.. O N.s30",-#.5 Wcc ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE a.op ii„ W ❑CORRECT WORK&PROCEED EISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LI 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. (1 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 5�►�`/c: PERMIT NO. O1q5-(.0 COMPLETED ADDRESS 9(4,5 Aji /Au) (/a OWNER CONTR. t•>_r .// 6t AAS TELEPHONE NO. �S Uhl® /,lam 7 DESCRIPTION lU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING h F�RA�G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W CC O CC U..O W CC W w CC 0 W� 0 RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED 71ISSUE CERTIFICATE OF OCCUPANCY OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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 ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contracto t e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice Fl ,2-R.2. DATE TIME / CITY OF ORONO CALLED IN -In //r--• INSPECTION NOTICE SCHEDULED ST/ 706 j1 1c PERMIT NO. ()CS'4-5(r- COMPLETED I A i.--C; //U u (/i -a1-,C3 �5 OWNER sik iCONTR_ /� pi TELEPHONE NO. /�i� �cS/c� -ccj•R•Ouo DESCRIPTION 1:50 W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING C• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:OYES NO tol COMMENTS: LL//e ED 00 crW a cc O cc O W cc Q ti W Z W cc O W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR Cl CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract• • -.- of Inspector. / White Copy/Inspector's File Canary Copy/Site Notice D$( "�/ <> DATE TIME / CITY OF ORON O CALLED IN SI/V' f o-) INSPECTION NOTICE SCHEDULED :S/1 /o /I. Ori PERMIT NO. o COMPLETED '/ ADDRESS 611-7/5 LA---'i // o c_&2 0-4-�. 1 OWNER CONTR. / ri /l '17 5/yr , TELEPHONE NO. Lo / 3a -- /(.'Q?.2- • DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 14- 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS ti 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP st IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: <YES_NO yo COMMENTS: cc o —t hl� -i CrSrVCL#'1C,Y) (i I w i W- - Sv C-h CC (.1--01-1\n n 01 n : O �Y` >. °` it o ‘.._Ls [Q AL-Cke_ wPct Pr' L ^ t i v IQu z T h G <<, oK of\e„s. aid Kdae ? 4-Le.s l Lu CC Op elt& Ltp a4 aos-uteci- 14e_Vd,te, Froe.,eekti- , a Lu El : WORK SATISFACTORPROCEED ❑ PROJECT COMPLETE W 17CORRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY OQ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c `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/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED /a-17 9 oo PERMIT NO. f-'06 /�A COMPLETED • ADDRESS 1 4 (v C I1d l.otl E F.W `I, OWNER CONTR. ,� C1.L( TELEPHONE NO. DESCRIPTION tU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING cc cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS cr) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ct OWNER/CONTRACTOR TO MEET YOU:_YES_NO to• COMMENTS: II a X t. C.- 1c — a cc es S 1� O cc O c„ W W z W cc -sd WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ElCORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT I%?las El CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN l 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/Contractor o ite: Inspector. White Copy/Inspector's Fie Canary Copy/Site Notice D TIME / CITY OF ORONO CALLED IN /b INSPECTION N9I SCHEDULED /O--If-Or 91019 PERMIT NO. a(&' COMPLETED /� ADDRESS ! Y r All/'rk> Vi e o�"(-- OWNERCONTR. qq TELEPHONE NO. lJ5—(:" > o9/0 g 6, 7 DESCRIPTION r — Welt) #644e W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 cK ILI 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU: YES NO COMM!, S: Ct - Qt o. Ct/V ed (AlE JA•euv ‘rect81 cc0 cc CA LOQ vvcc c OA vVICCt c✓1 W ‘...6:c. Q k.(-S k. W z W cc d LU ❑WORK SATISFACTORY:PROCEED C7PROJECT COMPLETE W CIC RECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ti BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED CISTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 Owner/Contrit : Inspector. aPte - White Copy/Inspector's File Canary Copy/Site Notice PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P08456 Crystal Bay, Minnesota 55323 Permit Type: New Structure (952) 249-4600 Date Issued: 2/28/2005 SITE ADDRESS: 945 Willow View Dr Unit# Long Lake,MN 55356 PID: 28-118-23-44-0009 DESCRIPTION: UBC Occupancy S1 Construction Type VN Proposed Use: Residential Census Code 101 Permit Class: Building Permit Type: New Structure Permit Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection Irrigation Electrical (state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 3,689.75 Valuation: $ 595,216.00 Plan Review Fee: $ 2,410.73 State Surcharge Fee: $ 300.50 SAC Fee: $ 1,450.00 TOTAL FEE: $ 7,850.98 APPLICANT: Brenshell Homes OWNER: Timothy&Brenda Wicks 4052 Oakland St E 945 Willow View Dr St.Bonifacius,MN 55375 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1