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