HomeMy WebLinkAbout2008-00082 - starway to lake � a
CITY OF ORONO PERMIT NO.: 2oos-000s2
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 08/13/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 780 BROWN RD N
PIN : 34-118-23-11-0002
LEGAL DESC : REG. LAND SURVEY NO. 1275
: LOT 000 BLOCK 000
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STAIRWAY TO LAKE
ENTER VALUATION 20000
APPLICANT USER DEFINED PERMIT FEE 339.25
TRUE NORTH LAND
880 DAKOTA AVE USER DEFINED PLAN REVIEW 220.51
LONG LAKE, MN 55356- STATE SURCHARGE USER DEFINED 10.00
(952)404-9942 TOTAL 569.76
OWNER
STAVIG,JOHN&PHOEBE
780 BROWN RD N
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expice and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revok:�-�ny time for ue cause.
�� � � --- �i I 3 i o`� l� � i/�i ��
plicant Permitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE.
1�
r , � ,��� City of Orono FOR CITY USE ONLY � �
P.O.Box 66 Date Received: `� `[. t � "'�Permit# ;,.�,'� L:� `�="' � I
��;,�,,,�, � 2750 Kelley Parktivay r' / �J/,,
� 71J�'�r�. ` Crystal Bay,MN 55323 Amount: $�7 Cp9, /"c.U.P Filed:
`�t����1��'c° (952)249-4600 �,n� b�
�8Ap6 � oI ��Approve d By:����Site Plan:
� 1 I� Recommends: A roval �[ Denial ❑
0^�� FiNA� I N.S�O �'����
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All pemiits must be approved by the Building Official and/or Zoning Department)
Job Site l Owner`I�iforniation:
Site Address: 7�U ��;^�'T 1� �a r��-� r.� JZ �
Owner: ��1n� S��q-l� J,� Mailin�Address: ��� ���-� 13!'0,�^� 2�
City: ��I�v Zip: .�53s'6
Home Phone: Alteinate Phone: ���� ' (�a5� ��
`Contractor/ Applicant Information:
Contractor/App.:�r,� ,� N�c�'�-[� �.,�,,"e,� Contact Person: � 1 r✓i
Address: �J�� 17A��'A- ��� State License#:
City: �.+�-�'�. Zip: ���6 E�piration Date:
Phone: �(a"�6�-- ��-/�� Alternate Phone: '�/��- �CX%� �7'y�
` `TYPES OF USER DEFINED PERMITS
�tairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
* (Per UBC) * (Per UBC) * $30.00
*Estimated Cost: $ ' (� Oc�� *Estimated Cost: $
❑ Docks-42" or Greater ❑ Land Alteration ❑ Zonin�Review
General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial-(Per UBC) ❑ 0-�00 Cubic Yards *ForO-75'Zone-�30.00
*Estimated Cost: � $50.00 (Needs Site Ptan)
General-User Defined ❑ 501+Cubic Yards
❑ Residential- $30.00 $SO.00 (Needs C.U.P.)
❑ Tree Removal
General—User Defined
* Within 0-75' -$30.00
I herby apply for a User Defined Permit and I acl:nowledge 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 perniit and work is not to start without a pemut;and that the work
will be in acc_rdance with the approved plan.
��
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Applicant Date
Rlsa Defined Permit 3/18l041
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.- Req�.w_n:ens inciud!;•,�i:lr.0 r�„��:p;;;;ificaliy�rict;;;in th?s rcvi2�v.
1('EEP THIS PLAN 3t'"7'p►V��TE AT ALL T1MES
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CERTIFICATE OF SURVEY FOR
JOHN D. STAVIG
OF TRACTS E & F, R.L.S. N0. 1275
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LEGAL DESCRIPTION OF PREMISES : ----- �j ' �. ,�-��-!� %��%j � y%�� �
� i;- �� �j � � �i i
Tracts E and F, Registered Land Survey No. 1 files � --��°%;-��- � �-��%'��-1'�-✓"
of Registrar of Titles, Hennepin County, Minne otal-----��" ,��s^°� " ��, - ��� ���a6j�
--'�/;% ��,/�-���1`��'/'�4�i /
o : denotes iron morker % ���� '�y� �� � /61�/ LONG
,�� / �%5=
Bearings shawn are based upon an assumed datum. � ' � ��, � ��' �'
�� �"� � j�` .
/ / � - �"944.3 CONTOUR LNE L A K E
This survey shows the boundaries of the above described ��/ �' � {OHW)
property, the bcation of a gravel driveway, and the loca' n� �"� �p
ot four existing buildings thereon. It does not purport � �%
show any other improvements or encroachments. --'�
�SIGN qEV151 DATE DESCRIPf10F� SGALE
�R O N B E R Ci A N D �hereby cerMy that ihis plaq specMlcatlon,or report was
�ouien xre�a v6.� prepared by me,or u�er m direct supervision,and that i��e'��
eA
onnwn� v+oim rreo imm ma aao wn A S S 0 C I AT E S, �N '(..'. I am a duly licerised protess onal enginner and land
C O N S U LT I N G E N G W E E R S, Surveyor underthe laws of the State of Minnesota onTE
LAND SIJRVEYQRS, b-23—DS
GNEGKEO AND SITE PLANNERS ��No.
445 NORTH WILLOW DR. LONG LAKE,MN.5535 Mark 5.Gronberg MN�ic.No.12755 Date 05-277
952-473-4141
05-277
�-� TE TIME /
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED ,lD: dt�
PERMITNO. ��' �$a'cOMPLETED
ADDRESS , d (/ �. 4'�/Y�— � �
OWNER \ CONTR-��'��i1�/�Y�
TELEPHONE NO. �/f�Y�=��/� - �lv-3 — � `t LJ�
� DESCRIPTION ��Cr� � �����
� ❑ FOOTING / ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ LL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor o te:
\
Inspector.
White Copyllnspector's File Canary Copy/Site Notice