HomeMy WebLinkAbout2006-P10251 - addn/remodel/repair � PERMIT
CITY OF ORONO
275f1 Kelley Parkway- PO Box 66 Permit Number: p10251
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
9/13/2006
SITE ADDRESS: 2685 Copper View Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-43-0018
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Finish partial basement, screen in porch it will go on existing deck
FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00
Plan Review Fee: $ 319.96
State Surcharge Fee: $ 17.50
TOTAL FEE: $ 829.71
APPLICANT: Owner/Self OWNER: Mr. &Mrs. 7ay Turkbas
n'IN 2685 Copper View Dr
Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPUANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE �/
ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, I-Monthly Reports, l-Assessing,([f Septic, 1-Septic) Page 1
r -
4
Total Fee: $ Date Received: � Z�- n�
Entered By: Permit#: (� �D�-���
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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 R CONTRACTOR
�
JOB SITE ADDRESS: 7�j��j ����2�� �Ii P in�r l�re��`�� Z�: �� �
Will this be a Parade of Homes, Remodele�s Showcase Home or other Display Home?
❑ Yes � NO Ifyes,a special ever:t permit is requir�ed tivith Police Department aru�City Council approval
60 days prior to the event. Shuttle bus service will be r•equired unless applicant demonstrates
suJ�cienl on-site parking is available. �'on permitted events will not be allowed.
NAME OF OWNER: ����,�AS PHONE: (home) �5 Z y�y�q�W�
(�'o�)
MAILING ADDRESS: �1�.� Cc��OQ1ri"✓�(Gv� D� CITY:C� 7 _ZIP:S�i-�l"��
CONTRACTOR: G>�-'/)�� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/Alteration(ie: Siding,Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(deseribe in detai�: �,�n/5 h �2�9 tJC� �25�/�`f7f'
Scn�r� �n CU�'c'h -�'�.�.� �;l l oi� on Px �s�iN� ��r°,�
.,
STORIES:�� SQ.FEET OF EACH FLOOR: I :�����. -��
NO.OF BEDROOMS: J GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � �`-J.``���
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
thai 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. � �,� �� �� � _ n�,��_ �� ��,,
APPLICANT'S SIGNATURE: 1l 1,i2 T(���G4�L DATE: G'
31
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Sec.13.04 RIGHTS OF SUBJEC"CS OF llATA
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 indi��idual asked to supply private or contidential data conceming himself shall be
infortned of: (a)ffie putpose and intended use of the requested data within[he collec[ing state agency,political subdivision,or statewide system;(b)
whether he may reluse or is legall_y required[o supply the requested data;(c)any known consequence arising from his supplying or refusing[o supply
private or confidential data;and(d)the iden[ity of other persons or entities authorized by state or federal law to receive the data.1'his requiremen[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 mayplace the notice required under this subdivision in[he individual income tax or property[ax refund
instrvctions instead of on those fortns.
Subd.3. Access to data by individual. Upon reques[to a responsible authorit}',an individual shall be infoRned whether he is the subject of
stored data on individuals,and whether it is classified as public,priva[e or confidenlial. lJpon his fur[her request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge to hvn and,if he desires,shall be infotmed 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[o 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 reynes[by the individual subject of the data. The responsible authority
may require the requesting person to pay[he actual costs of making,cer[ifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant[o this subdivision,or within five days of
[he date ofthe request,excludin�Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe cannot comply with the request
within that time,he shall so inform the individual,and mav have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Yrocedure when data is not accurate or complete. .1n individual may contest the accuracy or completeness of public or private data
conceming himself. 'I o cxercise this right,an individual sha11 notify in writing the responsible authority describing the nature ofthe disag�eement.The
responsible authority shall within 30 days either: (a)co�rect the data found to 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 s[atement of disagreement is included with the disclosed data.
The dctermination of the responsible authority may be appealed pursuant to the provisions of the adminisVative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subj ects of data",we would like to inform you that yotu request
for a pennit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential infoirnation.
You are notiYied that:
1. The information you fiunish will be used to determine your qualification for the permit or license
requested.
2. You ma_y 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}�our 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 Yull name is required to process this application or pennit.
�(��1 ��h�-�� Gt(�.��ill� IVP iLL� � vtk;�DQ�
First Middle � Last
Z�us� Cv,�o.�r ►�i r c.� �2� �'�
Address
C1�Dl`y�,� /nn� �.5.,� � �S����1"�1 �1 y���
City State Zip Phone
I un tand my rights as stated above.
�� T�i�
Signature
Reset Forru 32
� CHECiK pFF LIST FOR ISSUANCE OF �ERIYIITS
' FOR OFFICE USE ONLY
ADDRE�SORLEGAL: aC� SS Cc�L�e�v►'e� ��<<�'��
PID: SC.v'e�C1 (��1 G�� �i��J�v�c, C�,�:
I7ESCRIP`I'ION OF WORK: �'�N ��-"
_ ------------ -------______—__--
-------------------------
� � DATE APP�.OVED: �( — I
ZO�TG REVIE�4V BY: ____—.—_ —
�UII�DING REVIEtiV BY: � . DATE APPROVED: 9 - �3-0�
F`EES TO BE CHA.RGED: � Misc. Fees Calculated By:
P��T Yes ,/ No
PLAN REVTE`V � Yes —� No SE��ER COiYNECTION
STATE SURCHARGE Yes � Na `VA�CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Uruts OTHER (specify)
-------------------------------- I
ZO�G C�C� LIST Zoning District: I �
Fire Depar[ment:
Post Office: School Dis[rict: �
L,ot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No�_ Date of Survey:
us�c� S,.r.i I cU -- I 1- `t�o
Proposed Setbacks: ��1. �`�` �' � �
Froat(Lake): � 6'� R�t Side: Sr
Rear(Street): �� �- Left Side:
�.i�3�Pnt .Crnt�ttSIZS: j.Vatlanrj:
��
Builclin� Height: Def. Hgt, Peal:Hgt.
Lot Covera�e: +� l'�
B Councii Approval Date: '
Grading: Scaff Approval Date: Y�
Septic: Scaff Approval Dace: _ ' '��"v� By: �'�
Zoaing File: � Resolutioa: n Resolution Date: _
Shoreland Districc: A)�
Avg. Setback: B!uff Setback: L.otCoverzge:
Eusting Proposed
Ha,�dcover: G-7�'
7�-2�0' --
2�0-5d0'
5CQ-1C�C0'
*, • v �'n L���' Oi C0117C1l .�,. �^`'��
Ha��ecover Va-i�ce ��equ!red: ,es :��
�'., Y-"'—
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F.E�L=�.RI�S (in house): (1 O ��✓��1 �=�C� �Q��C�h
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BUII..DING REVIE�y CHECg LIST
UBC: 12- 3 ' CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement . z _
lst Floor x _
2nd Floor � _
Garage z _
x =
TOTAL
Estimated Construction VaIue: $_35�Opp °�'
Inspections Requirec3: `York Requiring Separate Pecruits:
S ite _�Plumbing Fire
Hardcover Removal _�Mechanical Water Coaaection
_� Footing ` Septic 5ewer Coanection
�r C_Framing Fireptace Lawn Irrigation
Insulation (Masonry) Ocher
_�Wal1 Board (Mfg.) We11 (State Perm.it)
� F�� Grading/Fi11inJ _�'Electrical (State Permit)
O�her
R.ENIARK� (IN HOUSE): ' -- �-
-------------------------------------------------------------------------------------
REVIE'�V BY OTHERS: DA'I7E:
Access: Ezisting New
Access Approval: Date gY;
----------------------------------------------------------------------------------------------
REI�IA_RKS (TO EE NOTED ON PERiti1I'I'):
�
��� DATE TIME "
CITY OF ORONO CALLED IN G" '�
INSPECTION N ICE f,s SCHEDULED �
PERMIT NO. ��C)�.7 � COMPLETED
ADDRESS � D j� �U,�%�r'✓r t��.J
OWNER T��"�` CONTR. Q"l.�`.�ZQ�
TELEPHONE NO. �5�� `� �� ! 7 �C�
C; r L.r l Z l�C..e �� �'o�3U
� DES IPTION
l� 1 FOQIt�JG 11 MECHANICAL RI 18 EXCAV/GRADINGlFILLING
� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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� CORRECT WORK&PROCEED ' I ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOfJ REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContraf,#�r i site:
Inspector. - �
White Copyllnspector's Fi Canary CopylSite Notice
� �
DATE TIME
CITY OF ORONO CALLED IN f D -�
INSPECTION TICE SCHEDULED /0-26�06 ; Dp
PERMIT NO. COMPLETED
ADDRESS 'Z�� ����v��cl ��
OWNER���(�,,L'�� CONTR.
TELEPHONE NO. ��� �Y�} l� �9G
� DESCRIPTION .��S�.0�I�YZ�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 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
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMME�VTS:
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� ❑CORRECT WORK&PROCEED �:i ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for t e next inspection 24 hours in advance. (J52� 249-4600
OwnerlCont�t n site:
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice
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