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Home My WebLink About2005-P09050 - undefined building PERMIT CITv OF ORONO 2750 Kell�y Parkway- PO Box 66 Permit Number: P09o50 Cryf�tal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 8/11/2005 SITE ADDRESS: 510 Big Island Unit# Exclesior,MN 55331 PID: 22_117-23-14-0002 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Commercial-Business Census Code 328 Permit Class: Building Pennit Type: Accessory Structures Permit Sub-type(s): Building Undefined DETAILS: Approved per resolution#: Separate permits required: Plumbing Electrical(state) Other-(Demo permit for existing toilet bldg) NOTICES/REMARKS: Toilet&Shower Building FEE SUMMARY: Pernut Fee: $ 492.25 Valuation: $ 35,000.00 Plan Review Fee: $ 319.96 State Surcharge Fee: $ 17.50 TOTAL FEE: $ $29.71 APPLICANT: Gabriel Jabbour OWNER: Minnetonka Power Squadron-C/O Bud Broeken 985 Tonkawa Rd 16509 Blenheim Way Long Lake MN 55356 Minnetonka,MN 55345 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 ORDTNANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. -y � i G�� ;� �-.,�..��.-� ��-yw-c�:-, �/'�� APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE f ' Copies: 1-File(Signatures Reguired), l-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . ��5� ��' �� i � Total Fee: � ga9 7 � Date Received: �-B-�D.� �ntered By: Permit#: �(,g�(� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print a11 information) ------------------------------------------------------------------------------------------------------------------------ THE �PPLICANT IS: (circle one) OWN�R OR CONTRACTOR JOB SITC ADDRESS: 5/D ,(31G �S L�}� zlr: Will this be a Parade of Homes, Remodeters Showcase Home or other Display Home? ❑ Yes ❑ �To !f yes, a specinl ei�en!per�mit is re�trired lvith Police Departrnent and Cily Cot�ncil app�•oval 60 days prior to the event. Shz�ttle bus seivice ivill be i•eqrrired trnless applrcant demonstrates sarfficient o��-site parkii�g is avni/ab/e. Non-per�mitted events ivill nvl be nllorved. � � NAME OF OWNER: ;•� � Ii Y1 1 �f �:-�'�KI�� 'rr'�.�� Y�4u.�,ic(.rPHONE: (home) � ( Z -- .j��-Z�� (wock) MAILING ADDR�SS: ��2'�k/� N�/ ' CITY: %r ,��Cr`�,(i�� ZIP: ti�33! CONTRACTOR: PHONE: CONTACT PERSON: ,i� , - �, MOBILE/PAGER: �/ Z - S�r�]_�3� MAILING ADDRESS: - CITY:%„�k�� ,s��Z1P: �� STATr LICENSE: # EXPIRATION DATE: ARCHITECT/ENGIN�ER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Altei•ation PI20POSED W012K(describe i�z detai�: ��oH��s: ��.��r o��Ac��.00u: NO. OF BEDROOMS: C;ARAGE STALLS: AT'I'ACI-��1) DE'I'ACI3ED I+',S'TIIVIA'�'ED CONSTI2LTC'I'IOI�1 VAL,�JA�'IO�t(excluding land): � 3S,60� � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work�vill be in conformance with the ordinances and codes of the City and wiih 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 wi I I be in accordance with the approved plan. �,..�, h_.�� - `.....,, •� APPLICANT'S SIGNATURE: `� \- DATE: _ S''� 0 7 � , 3l Sec.13.04 RIGHTS OF SUI3JtiCTS OF UATA . � Subd. L Type of data. The rights of individual on�vhom the data is stored or to be stored shall bc as set forth in this section. Subd.2. Information required ro be given individuaL An individual asked to supply private or conf idential dataconcerning himselfshall be informed of. (a)lhe purpose and intended use of the reyuested data within the collecting state agency,pol itical subdivision,or statewide system;(b) whethcr he inay refuse or is legally required to supply the reyuested data;(c)any known consequence arising Gom his supplying or refusing to supply private or conf idential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the dala. This rcquirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement oCficer. The commissioner of revenue may place the notice required under this subdivision ilt the individual income tax or property tax refund instnictions instead of on those forms. '- Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed�vhether he is the subject of stored data on individuals,and whether it is classitied as public,privatc or confidential. Upon his further request,an individi�al who is[he 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 infonned of the content and meaning of that data After an individual has been shown Ihe private data and infonned of its meaning,the data iieed not be disclosed to him for sia months[hereatter wiless 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 ihe individual subject of the data. The responsible authority may require the requesting person to pay the actual cosis of making,certifying,and compiling the copies. Thc responsible authority shal I comply immediatcly,if possible,with any requcst made pursuant to this subdivision,or widiin five days of the datc oflhc request,excluding Saturdays,Sundays and Icgal holidays,if immediate compliance is not possible. [fhe cannotcomply wi[h the rci�ucst �vithin lhal time,he shall so intbrm the individual,and may havc an additional 1'ive days within which to comply with the request,eacluding Saturdays, Sundays and Icgal holidays. Subd.4. Procedurc when data is not accuratc or complcte. An individual may contcst the accuracy or completencss of public or private data conccrning himself To e�ercisc lhis righl,an individual shall notify in��riting the responsible authority describing the nalure ofthe disagrecmcnt. 'I'hc responsible authority shall��ilhin 30 days either. (a)wrrect the data found to be inaccurate or incomplete and attempt to notify past recipients of � inaccurate.or incomplete data,including recipients named by thc individual;or(b)notify die individual that he belicves the data to be correct. Data in dispu[e shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of thc responsible authority may be appealed pursuant lo the provisions oCthe administrative procedure act rclating to contested cases. DATA PRNACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn 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: l. The inforniation you furnish wiil be used to detennine your qualification for the pennit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The infonnation may be shared with other local, state or federal agencies to the extent necessary to process the pennit or license. 4. lf your cequested permit or licensc requires Cow�cil 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. l�irst �9iddlc Last Address Cit}• Statc "Lip Phone Y understand my rights as st d ab ve. �� \ � ,. Signaturc i2 ' CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY • ADDRESS OR LEGAL: S�O ��t 6 �s��AN� PID: DES CRIPTION OF WORK: ^�o�1�-�- ,q,�,,o �.H-c�e� Bu�1 c��+5 ZO.�tI�1i G REV�W BY: DATE APPROVED: ��i--o S BUILDTi`G REVIE`V BY: DATE APPROVED: � �-os FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes _� No SEWF.R COIVi�tECTION STATE SURCHARGE Yes r/ No WATERCONNECTION INVESTIGATION FEE Yes No c/' PARK FEE SAC Yes No �_ SITEINSPECTION Number of SAC Units �T�. OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZONI�G CH�CK LIST Zoning Districr. RS Fire Department: Post Office: School District: Lot Area: Sc.ft. y0 S,,b7(� Acres �•3 Widch Dep[h Survey Submitted: Yes _�_ No Date of Survey: Z—I � fl�{ Proposed Setbacks: F�e�t (Lake): /Yd�� Right Side: (0 �v � } (,.A K.d Rear (�ee�): /7 j Left Side: N! � Adjacent Structures: ;301 � Wetland: Zov� f' Buildin; Hei�ht: Def. Hgt. O•� Peal:Hgt. Lot Covera�e: /V//a- Grading: Staff Approval Date: n/ /� By: Council Approval Date: Septic: Staff Approval Date: �'�—�S By: (/U•(s• Zoning File: # oj'31 i b Resolution: # Resolution Da[e: Shoreland District: -� Av�. Setbac : /vi/� Bluff Setback: �t///� Lot Covera�e: �►///� Ezistin� Proposed Hardcover: 0-75 7�-250' 2�0-500' 0.� 500-1000' Hardcover Variance Required: Yes No a- Date of Council Approval: REI�IARKS (in house): � BUILDING REV�W CHECK LIST �� _ U -1 COYSTRUCTION TYPE: �/� Sq Foo[age $ Per Sq Ft; Basement x _ lst Floor x _ 2nd Floor z _ Garage x _ R - TOTAL Estimated Construction VaIue: $ ��07/ Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal Mechan.ical Water Connection D� Footing ` Septic Sewer Connection Framing Fireplace Lawn Irrigation I�� p Insulation (IViasonry) �Other Q�¢ww r'eRa,v,�r 4-�+t.- �.�sT�nr� Wall Board (Mfg.) Well (State Permit) �,�� —�F�� Grading/Filling �Elecuical (State Permit) O[her RENIARKS (1N HOUSE): � --------------------------------------------------------------------------------------------------------------------- REVIE`V BY OTHERS: DAT'E: Access: Existing New Access Approval: Date gy; -------------------------------------------------------------------------------------------------------------------- RE�LARKS (TO BE NOTED ON PERIVII�: 8 . �� R�� ,�-�- � SCALE NJINNETONKA POWER SQUADRON �'� / ,. � ��,,, �� _ � � � BIG ISLAND; CITY OF ORONO � �' , �' v _ ----_��.�;-�7 40 -, � �� , � %i ,�; "�'��``\`�:\ �\ I � %� y1�''"�� / J' j / �\ / / i� � �/ j. � /j/ � � �� / / / / % / �' ,� % �`` Q / .'� � /� % /�/ / / / ��\' ` / / -�, � / / / � � / � �� ,�`` /%�/ �/� i�/ i�// '/ j / ``�. �/�% �� % ,/� � �� ~'-- � g�� r�'� ��/ � / �� i �� /� % r� / i '• �-g-�' ��' � //% � / / �~-- / / I / / � I� ''// // _,,.�`%j/ %/ // I % / � i!� //�/ i/j/ � , % � �� / // i / �� i� i l �-_�--� �i� i� �,/ 1 � � ��i� Q � � / /� i�� %� �� I� 1 / � % . ��/ � / � - �j yt� / � / /� t !7f � / � � � ; PR POSE DRAIN � � � � j / ' FI �LD t i i � / i % ; � . I I ; ,� ; / � � � 1'� m I i � , �� ;�% HED � �' B , ,. i � � i o�%: � � � i �o ', �,\\' �`` � Ksatl � i j i /��^�°` .� � c � \� � � 1 i �/ �� . � : $1 � � � � / , ,!' �� S Bc�� i l acKU�e �__ ;� �\ �� . i ► j- Se � ��SB3 ��SB� � F� � ��`` ` �`` � \ f�SQ't2 O c '�/ j / / i� ♦ ' /• . � � R❑P❑SED `�` ��k:'`�`. �� ,,� /�, �� ALT ATE DRAIN '= O` ��, �'�� ,,, ��' ; ��EL D �. `Z8 �`. 'r;�,;, �� ;. � . g � �. � i i �� , �� i � � 0 � 53 �`�___ ,,,,- � � _ '��`=i,`__ � ��' ,, �� ,�� ,,�3000 � � . _ ,�� SN ,yo�000 -----> 93 4 ' �� POWER '��'S 6 �_ / _, j�---� W E LL ,/" rmowER P� SHED � "� �r POLE .-' w` .�' 0�� : �' � / '' V ,, '' � � �. : `� � � �� •� : / : .� � � . � � �: -'� ;;'�� 9�° �,P / FIGURE 1 i� JOB NO. 5032 ��;'� ��y�� ' y^ � DATE TIME CITY OF ORONO CALLED IN T INSPECTION NOTICE �SCHEDULED a PERMIT NO.�D 9OJ� COMPL TED ADDRESS � � .�- OWNER CONTR. TELEPHONE N0. � DESCRIPTION �_ �I � ` lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�INAL 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � ` S �� O a � � PD 90�16 �e,�� Q P6 9�a � ��,��.�-, ✓ � z W � W � � GW ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING _�pERMANENT �./�/ ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN � 0 6 INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (95Z� Z49-460� OwnerlContract n e: Inspector. � White Copyllnspector's Fi e Canary CopylSite Notice % DATE TIME CITY OF ORONO ��CALLED IN INSPECTION N IC SCHEDULED PERMIT NO. COMPLETED �_ ��,'� ADDRESS3�0 �,� �'`-��/�.�. � OWNER '�/7i.��G` �?�-��c1�-��ONTR. F'�" TELEPHONE NO. � DESCRIPTION � �OTING 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 Z04 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 � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � o � �l i c��fy�. �.� b�� -r� '' ��.;.�' � 0 � W � Q � Z W � W � J �ORKSATISFACTORY:PROCEED C� PROJECT COMPLETE W W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: � � Inspector. /'�� f�� White Copyllnspector's File Canary CopylSite Notice