HomeMy WebLinkAbout2003-P06809 addition ' PERMIT
�ITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06809
Crystal Bay, Minnesota 55323 P2CCTllt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 9�23�2003
SITE ADDRESS: 1940 Country Club Rd
L.ong Lake,MN 55356
PID: 27-118-23-42-0018
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 5013
Separate pernuts required: riumbing iviecnanicai Eiecuicai�sraiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,273.75 Valuation: $ 150,000.00
Plan Review Fee: $ 828.03
State Surcharge Fee: $ 75.50
TOTAL FEE: $ 2,1��,Zg
APPLICANT: Marvin Smith OWNER: Mr. &Mrs. Smith
1940 Country Club Rd 1940 Country Club Rd
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 STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
PP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
.
��s��/F �-� �r_� -� :� � �— � y�s
� Total Fee: $ a�7 � �"� Date Received: j'-}� ��5
Entered By: ,; '�-(.� Permit#: C�
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CITY OF ORONO — BUII.,DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
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THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR
JOB SITE ADDRESS: 19y0 C'o u���� �'/r�� ,��( z�: s s 3 S�
NAME OF OWNER: /�/�/pV�/v S/YI/T�,� PHOiVE: (home) 9SZ- y7�O 'D 7/,�
(work) q�2- 75�5 -d oZ Z
�IAILING ADDRESS: /��6 C'o���`v�C�6 �PJ CITY: oti � �� z�: 5^5 3 S�
CONTRACTOR: /✓I��?v�iv Sr�n'�/ Pxo�: 9�-��� �a 7i�
C0�ITACT PERSON: /►�/9�Q I/�N S�1'//Tl� MOBILE/PAGER: �/Z-�'(�/ - O S �,3
MAILINGADDRESS: /9y� C'vur��'� C�ic6 ,Pc� CITY: �oya)' LsiICP Z�� 5535�
STATE LICENSE: #
ARCHITECT/ENGINEER: PHO\'E:
MAILI�i 1G ADDRESS: CITY: ZIP:
N��; REGIS'I{RATION# �
TYPE OF WORK: New Addition � Accessory Stiucture
Move Remodel/Alteration � Land Alteration
PROPOSED WORK (describe in detai�: �'�2�r�'i/vi ��«o� � va v�t�y��
S-.�t v q c��a.�r�►c—P
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
ESTII�i IATED CONSTRUCTION VALUATION (excluding land): S /S��O�G. ° °
I hereby apply for a buildin� pernut 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: �vYYc, �� DATE: ��Z2�(�
NOTE! Parade of Homes events require separate permit approval by Police Department a�td
City Council 60 days prior to the event. Non permitted events will not be allowed.
.
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Sec.13.0-�RIGHTS OF Si1B.TECTS OF DaTa
Subd. 1. Type of data. The ri¢h�s of individua!on whom[�e data is sto:�or[o be stored shall be as set focth in this secaen.
Subd.?. Information reqirired to be given individual. rin izdividual ask�3 co supPly priva[e or confidenaal data concerning hiiaself shall
be informed of: (a) [he purpose and in�ended use of the requesud data w:�in ehe collecang'statE agency, poliacal subciivision,or statewide sysum;
(b)whechzr he may refuse oi is legally required to supply the requested dan;(c)any fcown consequeace arising from his supplying or rcfusing to suppl,v
privace or conndendal data;and(d)the idendry of o�her persoas or enriaes aa�horized by state or federal taw to receive the data..This requir.menc stiall
no[apply when an individual is asked to supply invesdeadve dara, pursu�^.c[o seccoa 13.82, subdivision 5, co a law enforcemen�office:.
The commissioner of re�enu� mav place the norce reauired erd�r this subdivision in the individual income tax or oroperv ax refund
instcuctions insczzd of on those forms.
Subd.3. access to data bc indi�idual. Upon request to a rescoasible a��oriry,an individual shall be informed whether he is the subject
of scored data on individuals, and whether it is classiFied as public,privac�or confid�r.ria.l. Upon his further request, an individual who is 4he subjecc
of scored private or public data on individuals shall be shown the dara wiu out any ci�rge to him and;if he dzsires, shall be informed o��e concenc
and meaning of chac data. Aftzr an individual has been shown[he priva;�Za�a and i�:ormed of its meaniag,che dara need not be disclos:d to him for
six monchs thereafcer unless a dispuce or acrion pursuanc to this secdon is cending o:addiaonal data on the individual has been collect�d or creaced.
The responsible au�horiry shall provide copies of the private or pubtic da�a c;on reques:by[he individual subjecc of�he data. The responsible au[horiry
may require che requesring person to pay the actual cos[s of making,cerying, and compiling che copies.
The responsible authoriry shall comply immediacety, if possib!=,wich any r=quesc made pursuant to this subdivision,or wichin five days of
the dace of the requesc,excluding Saturdays,Sundays and leeal holidays,ii ir:.mediate compliance is not possible. If he cannot comply wich the requesc
within thac time,he shall so inform the individual,and may have an addi�enal five days wiehin which to comply wich the request,excluding Saturdays,
Sundays and legat holidays.
Subd.4. Procedure when data is not accurate or complete. ?.n indivizuzl may concest the accuracy or completeness of public or pri�•a[e
data concerning himseif. To exercise ehis rieht,an individual shall nodiy ia wrian�c:responsible authoriry dzscribing�he nacure of the disa;reemeac.
The responsib(e auchoriry shall wichin 30 days eieher. (a)correct the da�tcund co be inaccurate or incomplete and attempt to nodfy pas::�cipien�s of
inaccura�e or incomplete data, including recipien�s named by[be individ::1; or(b) eodfy the individual thac he believes the data to be correcc. Data
in dispuce shall be disclosed only if[he individual's statemen[of disagre��_nt is i^_c:nded with the disclosed data.
Ttie de�erminarion of the rasponsible au[horiry may be appza�.�pursuan�to the provisions of the administrarive procedure zct rzladng to
conrested cases.
DAT� PRIV�CY AD�ZSORY
In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects oi data", we would like to inform you that your reauest
for a pernut or license from the City of Orono or any ot its dep�men[s may require you to furnish certain private or
confidential information.
You are notified that:
1, The informa[ion you furnish will be used to de:ermine�'our qualification for the permi[or license requested.
?_ You may refuse to supply data, but refusal nay require that the Ciry deny the pemut or license.
3, The information may be shared with o[her loczl, state or federal agencies to the excent necessary co process
the permit or license.
4, If your requested permi[ or license requires Council action to approve, some information may become
. public.
�, You have cenain rights under M.S. 13.04 (available upon request) to review priva[e data on yourself.
6, Your full name is required to process this aoplica[ion or perm.i�.
�y �rV JG j'D�l�, S i�� T��
Firsc_ �tiddle Las�
�yyo C'ouht�� C/u6 �o��C
?.ddress
�oh ���� /yl�t/ 5535 � 95z-y7 -D �
Ciry Stace Zip Phone
I understand my ri�hts as stated above. .
<-_����'Y L,
Signa e
�
. � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /�iyv (��,.,rn� ('� �,¢.�
PID:
DESCRIPTION OF WORK: ,q.flp,n�,vS
ZOY�1G REVIE`V BY: DATE APPROVED: �–Z 3-03
BUII�DI�i tG REVIE`V DATE APPROVED: ci– Z 3 -0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLA1�1 REVIEW Yes � No SEOVF�COi�tNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District: G/�-/�1
Fire Department: Post Office: School District:
Lot Area: Sq.ft. �S,i c�� Acres l .u'�7 Width zz 5.Y�/ Depth
Survey Submitted: Yes_ c No Date of Survey:
Proposed Setbacks:
Front (Lake): 3�•� Right Side: ��,q�, _
Rear(Street): �4 ' Left Side: 1�l2� 'Z
Adjacent Structures: - �Vetland: —
Building Height: Def. Hgt. u.k Peal:Hgt.
L,ot Covera�e:
Grading: Staff Approval Date: —' By: Council Approval Date:
Sep[ic: Staff Approval Date: — By:
Zoning File: # 3-2°+�2 Resolution: # Sb�3 Resolution Date: '�- ZB-�
Shoreland Distric[: ��
Avg. Setback: Bluff Setback: L.ot Coverage:
Ezistine Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
•
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BUII,DING REV�W CHECK LIST
�C' 2 — 3 CONSTRUCTION TYPE:
_ Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _
2nd F1oor x =
Garage x _
z =
TOTAL
Estimated Construction Value: $ i So �o o `�
Inspections Required: `Vork Requiriag Separate Permits:
Site d Plumbing Fire
Hardcover Removal v� Mechanical Water Connection
_�Footing ` Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
_�[Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
"� F�� Grading/Filling o� Electrical (State Permit)
Other
REMARKS(Pi 1 HOUSE):
-------------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Ezisting New
—__
Access Approval: Date BY:
-----------------------------------------------------------
REMARKS (TO BE NOTED ON PERMI'I�;
8
Ex� ����' D� � � .
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CERTIFICATE OF SURVEY FOR
MARV SMITH
OF LOT 6, BLOCK 2, LONG LAKE COUNTRY CLUB ADDITION
HENNEPIN COUNTY, MINNESOTA
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Lot 6, Block 2,LONG LAKE COUNTRY CLUB ADORION ' � ��k 1
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This survey shows the 6oandories of the above described property, � --r�- -��TE PLAN � ;:rih;,���,�. ; � � �' �� '
rnd Ne location of m oxisting house, porch, lecn-to ond shed thereon. 3 �'a�'�(']��y ! /���� � -� �
R doee not purport to ehow any other improvemente or encroachments. � �• S I 4t��f:;� " �7�t/�/ Tf BNS �
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DATE TIME
CITY OF ORONO CALLED IN ��}-S-C�
INSPECTION NOT SCHEDULED �3 �i �yT S" .�.-l�1
PERMIT NO. ����^ COMPLETED
ADDRESS ���/C� �n�,,�f r�, �/�,Lj �
OWNER !`'��1� Si�{'1 �t'G� CONTR. ����1�
TELEPHONE N0. �� � � 7 CG' G 7��
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� 1 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 0 ING 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI a5K _ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUM��HNAL, _��' �G(? ��c� ���(A.`(� 36 FOUNDATIOWREMOVAL
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOPORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContra o s te:
Inspector. �
White Copyllnspector's F� Canary CopylSite NoUce
<�� �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TJ�E��G � SCHEDULED L '�_3 d'3 D
PERMIT NO. U COMPLETED
ADDRESS /q `�� �'`'�� �'
OWNER CONTR. �-��� �.1� ��'`�1.
TELEPHONE NO. 9S2 5�7!� � 7/3 c�� /��� �/ S�
� DESCRIPTION, L�'Q""'���� � ���
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREC�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlConUac n 'te:
Inspector.
White Copyllnspector's F �� A C�ary�Copy/SC e��tice �n���
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED �O //�do
PERMIT NO. b<o � COMPLETED
ADDRESS I q�D �.E�Z�i�LC.I Cx�.t,� /�
OWNER��'�_���� CONTR.
TELEPHONE NO. g5� �7�0 �7��
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� DESCRIPTION O l �.���� � ����-QCc�a72
� Ot FOOTING 11 MEC ANICAL 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 O6 PROGRESS
� 07 OEMO-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
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� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (g52) 249-4600
OwnerlContrac or it .
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
v � D E TIME �
CITY OF ORONO CALLED IN a"
INSPECTION OTIC SCHEDULED � '� /;D a
PERMIT NO. COMPLETED < ' ''
AD S I�� l�o U��I.t-I ��Q.`(.�5"
OWNER CONTR.
LEPHONENO. ���- �`t'7�� D7� 3
� DESCRIPTION rr(G�� — II�I►'l�-d1,cJS—//151.c.�Q�'G�d
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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 OS FINAI 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
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INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContract o ' e-�
Inspector. '"
White Copylinspector's File Canary CopylSite NoHce
� V
I �� D�T�, -�� TIME
CITY OF ORONO CALLED IN ��
INSPECTION NO CE SCHEDULED �
PERMIT NO. �� �' COMPLETED
ADDRESS ���G� � � ;C 6 �Z- � `f
OWNER f 1�,�1t 1 S/y��NTR.�
TELEPHONE N0. /�� " �7� '� �' ���
� DESCRIPTION ���'6���� —
l� Ot FOOTING 11 MECHANICAL RI ` 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNEHICONTRACTOR TO MEET YOU:�YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next� spection 24 hours in advance. (952� 249-46��
OwnerlContract si e
Inspector. <
White Copylinspector's File Canary Copy/Site Notice