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Home My WebLink About2006-P09905 - accessory structures � °� PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9905 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: l0/2/2006 SITE ADDRESS: 2760 Countryside Dr W Unit# Long Lake,MN 55356 P�� 04-117-23-12-0011 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Census Code 328 Permit Class: Building Permit Type: Accessory Structures Permit Sub-type(s): Accessory Shucture DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Backyard Playhouse 10'x 13'&Must be 20'from Mound System FEE SUMMARY: Permit Fee: $ 153.25 valuation: $ 8,000.00 Plan Review Fee: $ 99.61 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 256.86 APPLICANT: Lighthouse Construction OWNER: Jon&Molly Stern 2127 Forest Lane 2760 Countryside Dr W Mound,MN 55364 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 MINNESO BUILDING CODE REQUIREMENTS. � � �`J� APPLIC TEE [GNATURE 1 ED BY SIGNATURE j� - Copies: 1-File(Signatures Required), I-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � Total Fee: $ ��'� � �� DateReceived: `.� ��_°�� i;`� Entered By: r 1,;� ( ;.ti-��.7/��. Permit#: /��." :-,;'!"%�; 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 O ONTRACTUR�� _ _ . ___ � 1 , ,_ I JOB SITE ADDRESS: O `��C� �� • w ZIP: Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applican[demonstrates su�cient on-site parking is available. Non pern�itted events will not be allowed NAME OF O WNER: ,�O�� 5'�� PHONE: (home)°i 5� � Z`f� ��J30 (work) MAILING ADDRESS: ��o ��;�r��r��p CITY: 0:�,-�y ZIP: CONTRACTOR: L�(�1-1 T 0 L1S� ��,�.i�j� ��•�a``1�� PHONE: 6�Z- �Z 3- Z��t Z CONTACT PERSON: �- ��c',�.��a MOBILE/PAGER: MAILINGADDRESS: Z��.�- ro�e�,-l- �N� CITY: (��,,nc� ZIP: 5�3�� STATE LICENSE: # Z�-� � 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(describe in detai�: �.c.;K��r� ��a,v�h ovt`�e. 10"X I 3� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , Q(�� I l�ereby 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 w k is not to start without a permit;and that the work will be in accordance with the approved plan: � APPLICANT'S SIGNATURE: — DATE: J� I� �'-5 , �v�� "'1 . Sec.13.04 RIGHTS 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 conceming himself shall be informed o£ (a)the purpose and intended use of the requested data��ithin the collecting state agency,pol itical subdivision,or statewide system;(b) whether he may refuse or is legally 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 entities authorized by state or federal la�v to receive the data. This requirement shal l not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or prooerty 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 the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subjec[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. Afrer 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 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 pub(ic data upon request by the individual subject of the data. The responsible audiority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible Ifhe cannotcomply 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 private data conceming himself To exercise this right,an individual shall notify in writing the responsible authority describing the nahue oftl�e disagreement. The responsible authority shall within 30 days either (a)correct 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 shal I be disclosed only if the individual's statement of disa2reement is included with the disclosed data. The determination of the responsible authorit�may be appealed pursuant to the provisions ofthe 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 far 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 inforniation 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. — 'I�l`(�C�C., ,�J- `.�%V�C , vwl� First Middle Last Z 1 Z� r�(es-� �� Address �10�� 'c`l1 �1 � ��3�� b1 Z �Z3 Zo`�Z City State Zip Phonc I understa m rights as ate above. �----- Signaturc !' Reset Form 32 _...__� CHECK OFF i�IST FOR ISSUANCE OF �ERIVIITS FOR OFFICE USE ONLY , A.DDRESS OR LEGAL: Z�� - C:�v��}`� S I((.�::. •� �`- PID: DESCRIP'TTON OF WORK: I�` k I� �I�. �, ; �`" --------------------------------------------------------- ZO.�i G REVIE�V BY: r---------------- DATE APPROVED: � Z7 O SUII�DING REVIE`V BY: DATE APPROVED: 6 Z� -o� FEES TO BE CHARGED: Misc, Fees Caiculated By: PERMIT Yes l� No PLAN REVIE`V Yes —� No SEtiVER CO�INECTTON STATE SURCHARGE Yes _� No WATERCONNECTION INVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No � STTEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------.�---------�--------- ZOiYJi�IG CHE.CK LIST Zoning Discricc: (��"�__"_l� �, Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres �� Width ��..' Depth ��v�r,la� �;kE��h�� r,� �� Survey Submi[ted: Yes No �/ Date of Survey: �=,�,�� ,� ��w, h�-�'L– . t"(HS Proposed Setbacks: ��c.� Froat(Lake): �'�r�:�� Righ[Side: Gv Rear (Street): �I Left Side: _��GZCJ�,— / � Adjacent Structures: G(� � Wetland: i Buildin� Heioht: Def, Hgt. �i ��Z� Peal:Hgt. � � Lot Coverage: �J l�' Grading: Staff Approval Date: �tJ/�- By: Council Approval Date: Septic: Staff Approval Date: �//a- gy: rn`':>r �.,`_' �r-�' �Y` , �� "„`��.1',,`;� Zonin� File: # � Resolutioa: � Resolution Date: Shoreland Districc: /V� Av�. Setback: Bluff Setback: I.ot Covera�e: Ecisting Proposed Hardcover: 0-7�' 75-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Counci! Approvzl: RE`�L4RKS (in house): . ��,� �1r2 � _ s�th = ,�, � �- '�,�-( - � �c;., :�.�s� � � lu , _ ., - . ; �, < . . _ /�, -----_ .� � S S i:U`-�v�. w� � U� IY;t C'C�iT_�' u � �- � �c.l.C� �t�-�-��sr��- -� � ��1t� _ �o E� � � p� � BUII�DING REVIEti� CHECK LIST UBC: V- ( CONSTRUCTION TYPE: �/� Sq Footage $ Per Sq Ftg Basement z = lst Floor z = 2nd Floor x = Garage X = z — TOTAL Estimated Construction Value: $_ grQQ a� Inspections Required: `York Requiring Separate Permits: S ite Plumbing Fire Hazdcover Removal Mechanical Wacer Connection _�Footing ` Septic Sewer Conneccion � _�Framing Fireplace Lawn Irrigation Insuiation (Masonry) Ocher Wall Board (Mfg.) Weil (State Permit) _�F�� Grading/Filling �Eleccrical (State Permit) Other REMARKS (TN HOUSE): � ----------------------------------------------------------------------------------------------------------------- RE'VIE�V BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; -------------------- REi�IARKS (TO SE NOTED ON PERiVIIT�: 8 �� /�AT,,�� TIME CITY OF ORONO CALLED IN ✓ INSPECTION N IC /� SCHEDULED 0 � /D.�OO PERMIT NO._��C/� COMPLETED �_ ADDRESS � OWNER CONTR. u TELEPHONE N0. a -� aC� a�-� � DESCRIPTION �� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 VVATER HOOK-UP 17 SITE INSPECTION Q OS 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ RRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ; pHOTO TAKEN INSPECTOR WILL RETURN ��7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor o site: Inspector. / �� White Copylinspector's File Canary CopylSite Notice � !��✓A . \\� `\ �. ' /-1 , � � �j � e��F`�_. �•� / '/" .`�� r,,,�' ; � - � :� Pr�p�sed L��s� Fl�o�- � ' �' -,^ ; I �l ..�.��" - �;�'. '� �" f - . . - 1 _'`1 , ;, ,a:., , ' , ' �•� ".. �4 ' ' J i t ; , -s- ti� `�� 1� ,n;� ' ' �:x� . �., � ti � `� `�,3 �,. /` \„� �s?^�.'�--' C ! � .I .�'.,, � :.40�' // ` � � 1 � , � ..�. ,� /w�:/J R::'"r�i, ,/� '� ,k �� G . . 1' . . .,.. v��' -.,.o f 1 'O 1� __--1,_ -.. I � rr % � � i .., ... � i ,;,;: �.►1 i ;,�'9' . , `l\ / �-`� ��- �' r,J".�;' rJ" � j� . . .. . . I` � . rr � � ( , � � • i ',. '' � \`\ ,\ i /1✓, /��' �-' • � i �� \ � a;'•`�. .. `�3� !. � <sy \ ` � , `j.� '`' ' '�' `s } � � r ��ts�� t�?? � , -'�So as � ',,.�,� F' � �•, 0 0� 4 1 '� • � � L; '..� R7 �,�,3� i �' ; �. ."�� \ �qq� 1 �'l �-. 1 r "' ,�� t-, ,�., c� I-- �� , �' � ,�„�-- -;;;�i � l �„ � � � � � , . . � � \ �� s� � � �o '��-�.�, ,�a�:: � .�.� .. � �° . ._ y `�' � :�a,�'� � �:- �3. `!� _., \ . t. _ .. . � ..., � . . � �� , .� ` � �''`� � s �' ��' Q . ,, +� .�.-fl' � ^�pt "y t 'S d,`' � � ; ;�.-��' " o .� • � � , � f -, ` � `�. � 1 ��"=�`�q�""� '�-:X�� ' i`� ,- . ''' ,` �;, • ��:,� ,� N i7 �'n � `'� I r , � ' �i � � — — — } �t,t `� � .k'��•'a�r � . � �.�� ..�. � � : _ �. � l - � � �j�� w�/ U �.,� 1 �`'`p / �U v t',M-- {� '� _ ' h 2 � cjS7��*.-� � �.� �^- t�a �i� �: � I �, ` �� 1 4� �'"y � �. ':�` �..�+ ; �,�� ..�� ` �i �,�� '; � oF oR��o . � � , ClTY �`j I ' j . � �. SITE PLAN .2�. GRADING PLAN ; 1 .:, � �'APPROVED - P��Ay {-��sa � 3`� � ❑ APPROVED WITH REVISIONS � � .� ;o � ,�, ❑ DISAPPROV � � i►� ' BY ` DATE -�le� 6-z� ��-� � � � � , . , � ; i � � .. �.._ : � � , � _ . ,,c� f � `�� ' ��12� � � � �; � �� ,° '� ��,�,�I2 1 � � � --' _ ; �1� < < r; � i � : 1�� . . � � � } � . _ — --�-__.._..... _�_r..�_ ..---_, _ _ _ _--_._-- — ---— --_. _�__. . - s . � �.. _____ � ' .-._._.__ _.._...- - -- _ �__ _ ,. _� - ------._ --- _ ._. . _._.i � , �c7� : " . . � �. ., � � l,(1 �i io�1 . ----^ -1- ,. c,1�G. ;; r , 'Jl� { • �x ---- ^ J > — �, ,��, �'. `y'""'..�'� \., r ..�.. _...._ _ ' _.. � � a � �g� 7 _ _ ��, _ — _. �, � �S � _ _ . 4 Lot 3, 67ock 2, OLfl CRYSTAL $AY ROAD ADDITION 27E� C'oG� , ,Q-L_� : ,. . r � . _ ,. . .; : . . _ � . ._._.._._...____ _.__.... ._ . _._.. __ __ ,_ _