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HomeMy WebLinkAbout2001-P04295 - attached deck ' � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04295 Crystal Bay, Minnesota 55323 Pel'tlllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 9�ia�2ooi SITE ADDRESS: 776 Brown Rd N Long Lake,MN 55356 PID: 34-118-23-11-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: tcesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00 Plan Review Fee: $ 117.78 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 304.03 APPLICANT: Richard Benson& A Luikens OWNER: Richard Benson& A Luikens 776 Brown Rd N 776 Brown Rd N Long Lake MN 55356 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. '�L .,t�L C�i � ��,��� ( % �� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATLJRE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 i , ` Total Fee: $ - Date Received: �-�a(�/ Entered By: �„N� Permit#: �G�/v�Q�S` 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) WNE OR CONTRACTOR JOB SITE ADDRESS: -� � O�J 13�'u/n1 2�.�-p ZIP: �y31� � g�'��l NAME OF OWNER: ��l��l� ✓���i� PHONE: (home) C��?-)�fiy� L'M� (work) ( ��'�) �f Z• ���r '� MAILING ADDRESS: �� � �7►��� C�D CITY: L��V4 L�t l�c= ZIP:1���� 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 Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detai�: VZr`7�[�t-cE 11CT�(c; STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /d ��� 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: G� DATE: ��1��°( 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. 5 i � i , v Sea 13.04 RIGIITS 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 legatly 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 entides 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 mav place the notice reauired under this subdivision in the individual income tax or oropertv 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[he subject of s[ored data on individua(s,and whether it is classified as public,private or conf'idential. 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 thereafrer unless a dispute or action pursuant[o this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 cosu of making,certifying,and compiling the copies. The responsible authoriry 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 priva[e data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro 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 determinaUon of the responsible authoriry 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. lZ,�t�n9 t�ov G�9 S l�--�v s-or� First Middle Last � � g�� �w Address �� �-r�' �t� �i5�s�'�3�1 Cq�z) ��,-z�� City State Zip Phone I und stand my rights as stated above. � tgnature 6 Y � � 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �"7(, lVo,2T'I� C3�,o�,sn� �-0,4�1 PID: DESCRIPTION OF WORK: ��.C.KS ---------------------------------------------------- ------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: �-r g, o� BUILDING REVIEW BY: DATE APPROVED: 9-i 5-�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes r/' No PLAN REVIEW Yes �- No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: GR-l/'} Fire Department: (�oMlJ (h(GtY Post Office: �,6-,v� C�'tQ.a� School District: p�,o r�o LotArea: Sq.ft. �'-1,°16C� Acres /•72, Width /�2�ZC`�bu�'✓� Depth Survey Submitted: Yes ,X No Date of Survey: S� �2.3'�� Proposed Setbacks: �rerrt (Lake): I SO' Right Side: �'O Rear (Street): / Z5' Left Side: 3 a Adjacent Structures: �1-�t� Wetland: �J l� Building Height: Def. Hgt. — Peal:Hgt. — Lot Coverage: (r•� Grading: Staff Approval Date: /�//yq By: Council Approval Date: Septic: Staff Approval Date: /V 1/} By: Zoning File: # c��-2b�b 3 Resolution: # �-1(o!c b Resolution Date: 7-3- n I Shoreland District: y�e S Avg. Setback U,q,2,��.rr C,t. Bluff Setback: � //F- L.ot Coverage: lo.� Existing Proposed Hardcover: 0-75' 75-250' Z�t.b Z`-(.� 250-500' 500-1000' Hardcover Variance Required: Yes No� Date of Council Approval: REMARKS (in house): 7 . . , � BUILDING REVIEW CHECK LIST UBC: R- �j CONSTRUCTION TYPE: >r� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ �p,p�p� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�( Footing Septic Sewer Connection pc Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wali Board (Mfg.) Well (State Permit) ,�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): 8 � • „ , . � � � , � . . . ��oNo caP� �-� y _ w t �� SPECIAL NO�"E y '�,, SEE ATTACHED SHEET -- � �. � FO R li�rw�R.4�L '� � � CODE R�'�U4F��h/�,�t�f�'� � E � - �_�_,_..___.___.____ �a I^ �_ y,_ � =� � ,` �' ' �U�R�F?� ' !�.S � � � � � j� �� ; 36" MtN. i—�iEir'�—!T - _ _ `�'" �aX. v�Li�t;�,:-,.. , � —__ .�_� __- - _, . --- „- �`T.�!F?S j i i' .- - 8" MAX. RA;Sc,: 9° r,�(N. 1 R.���[� I � b'-S" h^,i�J. HG�D�:i:-i:'.�1 � AT L[AST ONi_ H,'�N[>F�r��i_ F�r(`Uli'�':� GUARDKAIL OPt:N �iD'-� _ _ _. , _^� _�- r , i�___ � - �i ;s � � � � �� . `�` - � __ --- � _ _--_ - �i . ___._ _, i �.�__��_.�._.�.�__._.��._._.__. _ + -_ - _�--�.__._-- . _ � I, — , ,.rr�.+i , � , � � � i i ' , CITY OF ORONO � ��; BU!LDING P MIT LARi R�VIEW SDUT� �LG��";i"l/_:'/tl INSPECTOR _ DAT�= �1' �q' FLEiIvi1T PdO. f. Ec�- ,r,;,,i� �i AFrr JV�D h�;Sl:u�l�ii 1"E7 �r�CV��.J��ti���t C�:t��r�T!O�S AS!'vOT�D � ❑ NOT AFi'i'r;'Ji_�---C0;�R�Cf� i����:�':',;�iT Tf1PS8 COi(1!Yif;:ii„ �ft3 i6!��'�i!�1';.,. ':.-1ft0i�. �t!. WClik..:2�1 k`?(j,iPiB IR lU!1 COffID�l3ii�v^ Y�IIh ui� dJr�i�:;.�_.9 �Ui;��:� 3^J z:::.'r�: r��z. ABq+.(�r .�'.ts,� t.:;!;riy c�,.. �,�t , er. '�.;;i�r �. r .c:;�t. 1 KEEP�fH15 PLAIV S�T-UN :,i i�E Ai AlL7��vi�S L I . . _ . . . . . . . . . . . . . I � 'e___ .�___.-'�_.____.-,....__ ��_..._.�.._�.. _ .) r - �.._-__ ' / _'_. .__ _.-__ ___ I ! �;� I . , ., .... ____. . .__ :.-j . � � � { � ¢ ���i � i ! P �: _ �1 . 'h �°�y ��� ' � \ j _ \\\ �.v i �� � �, � �—,—I , _...�.c;l _ _ _ — . , _. ,� __ _-- � L..L_ 1 1 � , - , , M ,- � ���` .+�. �. ..� . � ! f ^ • �. � � �� \ � � R1 � N A � � R� � �. y � b i � .�_. __ � I ' I � �� / I � t I I � i � � i � j ' � � � � I 1� � � � . � _ � ^I // � � --�- _ - - - � - i - - - - - - -� { -� { - �`� - � �1,_��'�� = ' a ` 4 � � �� , ��� . a _ ;, ____.?�� _n_;- - - � � _ T i��`_ < < , � i i � �, � " �� ' �C� � ~� �� �'I � �� � � � � ' � ����� �� � �� �� . . � � �������J� ---�� �� __--- __ _ , ,� ,_ . ; , _, __ , - � �. � � , ,_ .. - -r � � � / '� � � z�,g , ,— ---� , � �--- i �KC� , �S� Z� � - _ __�._.._._ �ci' L X � SPECIAL NOTE SEE ATTACHED SHEET FOR �'-ooT' A�'�-K.. �+/��-��. CODE REQUIREMENTS — ..--� � �, d ` ' � � � . � .;�.r.-.,. ;� _ � t � � � .. .��.�� � � � , i .- �:..:�-- � E - _._. � �C(��1 1l Ct1F.�.:. ��� _ - .-..._. f t .,_ � _. __,.__� � � � � � { � -" r i I 1 / j� i � � � , � � � � . , _ _� --a� – 8�� � —- -- __ — . ---- _ _- -- - - - _ � G�, -�--_ - i I ���a�,,� �,�..� �i ✓.�. �ASHIN4 �'�! _ -- � � E � , ! I , ,� I � � ; �� �i ,.. � , ,, . _ _. - -�', �� -_ _ _ 6_ �Uc�1'e. Z°� � Q(.s�r✓h (2.Cz�(v l/�,tfl4 � DATE TIME CITY OF ORONO CALLED IN INSPECTION NQTICE � 1 SCHEDULED �-L�C - PERMIT N0. '�� ��� �S COMPLETED ����S ADDRESS?�7� /���- .1:� .ti��-t,v� 6Cn�-�i OWNER �� S��h�� CONTR. TELEPHONE NO. �5,� � 7� ��7 UT � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING O���dI�IG __� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YE _NO� � �11�MENTS: �. �� �- � - ,� � �� ���..L�iG� � ._C�� <-� �� � , .'�r� (��G� � � � �( � � t i E �z��._�� o - r � 0 � W � Q � Z W � W � � � � �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ��O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOF REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContract,or on site: , . � Inspector. � _� 4� '� `i ��% � �� . o-• � White Copyflnspector's File Canary CopylSfte Notice DATE TIME CITY OF ORONO �ED IN INSPECTION OTICE SCHEDULED ( 1-�� __��� PERMIT NO.� �� COMPLETED ADDRESS � ✓I��f, I�►� . ' 1� `l�E�l� OWNER�� � '_-Y�c��"1 CONTR. TELEPHONE NO. �C�a � �� � � � L � DESCRIPTION �, � ( � � � � �.�� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W C � � 0 � `_ -/, �-^ � l�(q �v 4— �^� .�. �;� O � W � Q � Z W � W � � O � �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � -�� ���-�-G-�- White Copy/inspector's File Canary Copy/Site Notice ��� DATE TIME CITY OF ORONO CALLED IN ^/� INSPECTION TIC SCHEDULED PERMIT NO.� ��y-S COMPLETED � ��d �-"�-� ADDRESS /� v ��'��� OWNER - CONTR. � TELEPHONE NO._ �S � �7S ��7 � � � DESCRIPTION _ C��-� � 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 Z 04 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS = EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � Y� �� � -���� � � � C� j � � � E'�' G.<r 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ��GORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIFED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContract r on site: Inspector. ��l L-�v1� White Copyflnspector's File Canary CopylSite Notice