HomeMy WebLinkAbout2006-P09550 (Addition/Remodel) PERMIT
CITY OF ORONO
2750 Kelley Parl�way- PO Box 66 Permit Number: P0955o
Crystal Bay, Minnesota 55323 PePfTllt Type: Addition/RemodeURepair
(952)249-4600 Date Issued:
1/30/2006
SITE ADDRESS: 2255 Abingdon Way Unit#
Long La1ce,MN 55356
P��� 03-117-23-23-0008
DESCRIPTION: UBC occupancy R3
Consirucrion Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Pernut Type: Addirion/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
5 BR septic system for existing BR's- 1 addtnl proposed
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00
Plan Review Fee: $ 287.14
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 743.89
APPLICANT: Basement Finishers,Inc. OWNER: Fredrick&Cheryl Stinchfield
11975 93rd Ave N 2255 Abingdon Way
Maple Grove,MN 55369 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND A ES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNE T DING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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' Total Fee: $ �.3, DateReceiv�: ,
Entered By: Permit#: T /2S/r�.�
CITY OF ORONO -BUII.DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(jnlease print all information)
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THE APPLICANT IS: (circle one) OWNER O NTRAC
JOB SITE ADDRESS: � a��� ���N��a�� vV��1 ZIP:
Will this be a P ade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes �NO If yes,a special event permid is required wdth Police Department and Cdry Councid approval
60 dcrys prior to the event. Shuttde bus service widl be required unless appdicant demonstrates
su,�"zciend o�r-site parking is avaidabde. Non permitted events widd rwt be aldowed.
NAME OF OWNER: �IAI �'t�,� ' ' c���L-PHONE: (home) Ql,�2P��'�=�J
(work)
MAILINGADDRESS: �M��-�'j S i� CITY• ZIP:
corrrRacTOR: �1�'�' ,�>5�1�.5 lAl�. rxor�: ?�3 3�P��37
CONTACT PERSON: f� OBILE/PAGER: �
MAILING ADDRES5: 7 ' CITY: 1���+ �ZIp; _� (,'�
STATE LICENSE: # �,��� �/ EXPIRATION DATE: D3 P��
ARCHITECT/ENGINEER: f�1�kk PHONE•
MAILING ADDRESS: CITY: ZIP:
N�: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeUAlteration(ie: Siding,Windows)
PROPOSED WORK(describe in detai�: �:���� �I�0 S �1
STORIES: SQ.FEET OF EACH FLOOR I �Z l�
NO.OF BEDROOMS:� GARAGE STALLS: ATTACHED '� DETACHED
ESTIMATED CONSTRUCTION VALUATION(ezcluding 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 cades of the City and with the State Building
Code;that I understand this is not a permit d w rk is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNAI'URE: DATE: �"�"��
31
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• 'Sec.13.04 RIGHTS OF 3UBJECI'S OF DATA
Subd 1. Type of data. The rights of individual on whom the datn is atored or to be atored she11 ba ae set forth in this secrioa
Subd.2.Information required to be given individual.An individual asked w supplyprivate orconfidential data conceining himaelfshall be
informed oE (a)the purpose and intanded use of the requested data within the collecting atate agenc.y.Political subdiviaion,or statewide system:N)
whether he may refuae or is legally:equired to supply the requasted deta;(o)anY]mown consequeace arising fmm his supplying or refusing w supply
private or confideatial data;and(d)the identity ofother peraons or entities authorizedby state orfederal law to r�xiva the data.This requirement shall
not apply when an individual is asked to supply investigative data,putauant to section 13.82,subdivision 5,to a law enforcemeat officer.
The coma►issioner of revenue may nlace the norica re,auired under this subdivision in the iadividual income tax oz pr�y tax refund
inatructicros irtstead of on th�e fotms.
Subd.3.Access to data by individual.Upon requ�tto a responaible authority,an individual ahallbe infocmedwhetherhe is the aubje�t of
stored dam on individuals,and whether it is clasaiSed as public,private or confidential.Upon his further request,an individual who is the snbject of
stored private or pnblic data on individuals shall be ahown the data without azry chatge W him and,if he desires,st�ll be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of ita meaning,the data need not be dieclosed W him for six
months thereafterunless a dispute or action pwsuant to this section is pendiag or additional data on the individual has been collected or creatsd.The
respona➢ble suthority shall provide copies of the private or gublic data upon request by the individual subject of the data. The i+esponaible authority
maY require the requesting Person to pay the actual coats of makin�,c�tifying.a�oomPiling the copies.
T'he iesponaible authority ahall comply immediately,ifpoavible,with any request made p�usaant to this subdivision,or within five days of
the date ofthe request,excluding Sapudays,Sundays aad legal holidays,if immediate compliance is not possible.Ifhe cavnot comply with the requeat
within that time,he shall so inform the individual,and may have an addidonal frve dayswithinwluch W complywith the request,excluding Saturdays,
5undays aad legal holidays.
Subd.4.Procedure when data is not accu�ate or complete.An individual amy conbe.sttheaccivac.y orcompleteness ofpnblic orprivate dala
conceming 6imaelf.To exercise this right,�individual shall notiPy inwriting the tespaasible authority descnbingthe nahue ofthe disagreement The
rwponsible authority ahall within 30 daya either. (a)comct the dam found to be inaccucate or incomplete and euempt to notify�st recipients of
inaccurate ar incomplete data,iacluding reeipients named by the individual;or(b)notifythe individual that he believ�the data to be correct.Data in
dispute shall be disclosed only if the individual's atatement of dieagreement ia included with the disclosed data.
The detemunatioa of the responsible authority may be appealed piusuant W tha provisiona of the adminishative procedure act relating W
coatested casea.
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 fiunish certain private or
confidential information.
You are notified that:
1. The information you fiunish will be used to rietermine your qualification for the �rmit or license
requ�ted.
2. You may refuse to supply data,but refi�sal may require that the City deny the permit or license.
3. The information may be shazed 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 ugon reyuest)to review private data on youtself.
6. Your full name is reyuired to process this application or permit.
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C�y . State Zig Phone
I unde my ts as st�ted above.
sfgnatare
--- -`Reset Form 32
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�' BUII.,DING REVIEW CHECK LIST
�C� _�� � CONSTRUCTION TYPE: V!J
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x =
Garage x _
x =
TOTAL
Estimated Construction Value: $ 3�,Ooo°4
Inspections Required: Work Requiring Separate Permits:
Site _�plumbing Fire
� Hazdcover Removal _�Mechanical Water Connection
Footing ' Septic Sewer Connection �
` _�,Frami.ng Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�Wall Boazd (Mfg.) Well(State Perm.it)
�F� Grading/Filling _�Electrical (State Permit)
Other
REMAItKS(IN HOUSE): .
REVIEW BY OTHERS• DATE: -- ------------�_��� --__
Access: Existing New .
Access Approval: Date gy; �
REVIARKS (TO BE NOTED ON PER.NII1�: ���_�____��-------------------------------��__
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CHECK OFF i.IS3' FOR iSSUANCE OF PERMITS
FOR OFFTCE USE ONLY
ADDRESS OR LEGAL: z,z.ss ,4�3�iv 6 4 on� t,u��i • ,.
PID:
DESCRIPTIOY OF WORK: �ac",v�,�•.�, F,N«�a
ZO�.�TPTi G REVIEW BY: DATE APPROVED: �•2�-o�
BIJII�DING REVIEW BY: DA1'E APPROVED: ( -z��o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW � Yes � No SEWER CONNECITON
STATE SURCHARGE Yes _� No WATERCONNECTION
INVESTIGATION FEE Yes No c� PARK FEE
SAC Yes No _�/ SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHE.CK LIST Zoning District: /v�o G�-��N'c,-e .
.J
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. Acres � Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date: �
Septic: Staff Approval Date: /-2 7--v c. By:� S Qlz• s y s n-� f-6 u 2 c.��s ru�s �-S
� R��ne,.,,a�. P.r��a�e�
Zoning File: # Resolutioa: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Ezisting Proposed
Hardcover: 0-75'
?5-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
R.EMARKS (in house):
7
��' 1 � � DA E TIME �/
CITY OF ORONO CALLED IN .� � ��
INSPECTION NO CE SCHEDULED .' �p '�
PERMIT NO. � COMPLETED
ADDRESS ��5 d.� l,l.��i10 r1 �a�/I
OWNER CONTR.�GtS.�'I/�(.Q Gt-� F�t.s'It�I'�'
TELEPHONE NO. 7[� � .��� �II '� �
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q MING 13 MECHANICAL FINAL 19 LAKESHORFJWETLANDS
y O 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� V�IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR 1MLL REfURN ❑CITATION ISSUED
❑STOP ORDER PdSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next ins ion 24 hours in advance. (952) 249-4600
OwnerlContractor o
Inspector.
Whfte CopyllnspectoPs File Canary CopylSfte Notice