HomeMy WebLinkAbout2001 - P03529 - new structure PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway - PO Box 66 P03529
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 2/27/2001
SITE ADDRESS: 1085 WILLOW VIEW DR
LONG LAKE, MN 55356
PID: 28-118-23-41-0010
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,701.75 Valuation: $ 405,000.00
Plan Review Fee: $ 1,774.43
State Surcharge Fee: $ 205.00
SAC Fee: $ 1,150.00
TOTAL FEE: $ 5,831.18
APPLICANT: RVC HOMES OWNER: WILLOW VIEW DEVELOPERS LLC
15500 WAYZATA Blvd 913 1521 94TH LA NE
WAYZATA,MN 55391 MINNEAPOLIS,MN 55449
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.
L, k)VL C67-Wf._—)1
APP ICAN t v1ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
Total Fee: $ S 7/, /5' Date Received: 2//`//c-
Entered
////cEntered By: /1/ -:.. Permit#: '/1L. 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 I ' CONTRALTO
,'C3
JOB SITE ADDRESS: L_,ca—C— \5 �1 1� ` �si�LC�\J ZIP: �S'3SL
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: 2.\3C., PHONE: 1
CONTACT PERSON:Tz IL MOBILE/PAGER: Co
MAILING ADDRESS: jo w Z E3i iD CITY: '3-9 1
STATE LICENSE: #-A,5u.
ARCHITECT/ENGINEER: 'D�P ply nn,w c'?,,� PHONE: (05 6.895
MAILING ADDRESS: gieri (,,,,,:...1 , CITY: pc-rt.o / (-Cu 5
NAME: am Pf. .+vi..n REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): Gcyn '>t-4* ,/',....J -v .
STORIES: SQ. FEET OF EACH FLOOR: /33(-,,/ O 8 /I3/
NO. OF BEDROOMS: GARAGE STALLS: ATT. 3 DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 4
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 ' accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: 0 - -v C
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.
9
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 nod 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 ar empt 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.
Uc)c)(A l c.s`u`ct
First Middle Last
,A)pt -C fr r v-- eb t_k.)0
Address
p tf c 'S3 ( (-017- I
City State Zip Phone
I understand my rights as stated above.
Signature
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ( S
PID:
DESCRIPTION OF WORK: N E.U.S
ZONING REVIEW BY: P DATE APPROVED: 2- 1 L( - 0 I
BUILDING REVIEW BY: 01§ i DATE APPROVED: 2- \- - 0 I
� - —
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes L.V. No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes i/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes pc, No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: (Z R
Fire Department: (,OW (MCA:: Post Office: L.oNc, k.J4,cC-�, School District: O I'Zp/V
Lot Area: Sq.ft.`{3,193 Acres 1- t Width Z 3 2_71 Av-e Depth 1 0 5.31 A ue
Survey Submitted: Yes c No Date of Survey: a- 'Z--v
Proposed Setbacks:
Front (Lake): 15 Right Side: 125 .
Rear (Street): 35' Left Side: 31.15
Adjacent Structures: n((1/}- Wetland: [1I (A
Building Height: Def. Hgt. Z0 i Peak Hgt. 3`-r• 5'
Lot Coverage: 0*K
Grading: Staff Approval Date: - I'-1 - n ' By: GP 0. Council Approval Date:
Septic: Staff Approval Date: ,if /A By:
Zoning File: # — Resolution: # — Resolution Date:
Shoreland District: /V O
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):
27
BUILDING REVIEW CHECK LIST
UBC: R- 3 CONSTRUCTION TYPE: \//`J
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ t05,L)00 O
Inspections Required: Work Requiring Separate Permits:
Site be Plumbing Fire
Hardcover Removal oc Mechanical o<. Water Connection
)( Footing Septic °C Sewer Connection
oC Framing is Fireplace Lawn Irrigation
p/ Insulation (Masonry) Other
of Wall Board tx. (Mfg.) Well (State Permit) '
v. Final Grading/Filling De Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
28
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Ly�.0 ` /sV DDA,TE�/ U i�1• TIME
CITY OF ORONO R42" CALL IN `� /` /��
INSPECTION NOT/97) �j SCHEDULED (�O O/ // ./3
PERMIT NO. COMPLETED
COMPLETED
ADDRESS /o 1 5 to, ii nw Lu is tci. 002
OWNER CONTR. /�e_...
2. /�"7/i/-7 S
TELEPHONE NO. 1,i? " 3870_ XX(,/
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DESCRIPTION 0 a.
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
st
14 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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4 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�O BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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!Contract�site:
r.
Inspecto
White Copy/Inspector's File Canary Copy/Site Notice
•‘/
DATE TIME
CITY OF ORONO CALLED IN -2 7
/
INSPECTION NOTE SCHEDULED ,7 88-� /J O
PERMIT NO. / 03S 2 9 COMPLETED L.r=l�v/ -3c7
ADDRESS /C0 8-S cGL.✓t Ew
OWNER CONTR. beVC-
TELEPHONE NO. Asa Ci73 6 7�/
=12-30N Fvd J/�UG'
Lu 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
QG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
I, 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:
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❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(i BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract r n site:
�G1.va✓�
Inspector. 4.44,f
White Copyllnspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN 3 v_c/
INSPECTION NO SCHEDULED 3--3/-c/ 7'47,- ---
PERMIT NO. 3 7 COMPLETED
ADDRESS /''g5 C�11 V
OWNER Al/e CONTR.
TELEPHONE NO. ( f 3 St4- 7 kci
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 RAMINNG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h j 03 INSULATION, 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
CI• 4 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. P PHOTO TAKEN
INSPECTOR WILL RETURN
r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra for on sit
Inspector. V(Ce-'e' J
White Copy/Inspector's File Canary Copy/Site Notice
DATE�/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOT,OSCHEDULED 'S S �'3b PM
PERMIT NO. f' .55 -9 COMPLETED � S'o! 9 'o
N ADDRESS I 0P5 12///62Ai 1/1
OWNER 2 CONTR. eve..
TELEPHONE NO. &s/a 3?cp. 760671
ti DESCRIPTION J'KnktWG
tWL. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
" 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
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
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CC
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CCNORKSATISFACTORY:PROCEED 0 PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ou BEFORE COVERING
PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO fi CALLED IN
INSPECTION TICE SCHEDULED �/ 10:
PERMIT NO. �5. r COMPLETED 7`_5 / i '0
ADDRESS /C1 diti,S (A vii )
OWNER /\ V CONTR.
TELEPHONE NO.
DESCRIPTION
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
it 0 -SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
• COMMENTS:
CC
CC
CC
O
U.
W
CC
12
W
CC
• 10 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
(• ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
❑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
OwnerlContr on site/ `'9
Inspector.
White Copyllnspector's File Canary Copy/Site Notice