HomeMy WebLinkAbout2002-P05686 - addn/remodel/repair � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos6s6
Crystal Bay, Minnesota 55323 Pefllllt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: loii6�2oo2
SITE ADDRESS: 112o Cox Farm Rd
Long Lake,MN 55356
PID: 27-118-23-31-0021
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Yiumoing iviecnanicai Eiectricai�siatej
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 254.28
State Surcharge Fee: $ 13.00
TOTAL FEE: $ 658.53
APPLICANT: Maintenance Team Inc. OWNER: Nicole Sela
5599 West 78th Street 1120 Cox Farm Rd
Edina,MN 55439 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING COD REQUIREMENTS.
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APPLICAN PERMITE � TURE � ISSUED BY SIGNATURE
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Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
10/O1/2002 TUE 13;46 FAX 952 942 5791 THE �AINTENANCE TEAM INC 1�00Z/004
. SaA-30-2002 01�49pm From-CITY OF ORONO +952Zd94616 T-148 p.005/006 F-859
.
Tata1 Fee; $ , `J ` l�ate Receivcd: j� /- �"`� ,
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En[exed By: �c', � Pemlit#: _ , -�'c: ��, �'�
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CITY O� ORONO - BLTA,DII�TC� PE�1�IIT APPx.ICATION'
.A11 information must be submitted in full before plan revievv will be started.
(please print ccil info�tion) • �
T�E AFPLICANT YS: , (carcle one) OWNER OR CONTRACTO
J08 SITE ADARESS: _/ l 2 U G Cy}r 1�7�r� /�1�ZIP:. 5`5 � g 6
NAl�'II:" OF OWN�+R: N�C C��� �� L /9 PI�ONE: (home) �S:Z- �7�' 7`I�iZ�
(woz�
MAILYNG ADDRE,SSs CUA' �/�/�/"� I'I'�Y': DI� r�J�� ZII'. 5-�3 S 6
cON'r�t.acZ'oR: r/y� �'"��ro�T�ti��-c�` ���orrE: �5-x- ��� - s���
. CONTACT PERSON: rr� l� �'O MOI3II,E/PAG�+7t; �9 5 z - 2 9 z - 4 z� q
MAILING�ADI,IYtESS: 9'G>s' i���"��c r�/v RD C�TY: �`/J/N /'1�A/u"E ZIP: 53 3'S��
STATE LYCE1�iS�: �# 2 c���S b S 8'G
AgC�iITEC�'/ENGI�IEER: PHONE:
1viAII�ING AnD�tESS: C�TY: ZIP:
NAlV�: REGISTRA.T�ON#
Z`ypE pF vVORY�: New Addirion Accesso�cy S�ucture
Move Remodel/Altera�i,on_� Land A�tetation
FROPOSED'VVORK(describe in desat�: F/tAM.�•�� 5���"fTltv c�C /-`�tC�/�cAc �u.tid,r,.G
� F�.�,,��� il��.�, of Exss�l.�.c �.�s�-r�l,�.r �'S��ti�s�� ��sff+�ti� �v�s�r.J
STORYES- ! SQ.FEET.OF EACTX FLUO�: � 1 � / - v c�
I1t0. OF BEDROOiVIS: _Q GA1�1GE STAY.Lg: A,T'r. DET.
ESTYM.�iTED CO�S'I'ktUCTTiON VALYJATION(ex�l�ding Iand): $ 2 �� �vU - ��
I hezeby apgly for a build�ng permit and 1 acka�wledg�that Lhe information above is complete and
accuraLc; chat [Yie work will be in confortuence with rl�e oxdinaz�ccs and codes of the City and with
the State Bu,Udi�ng Code; [ha�I understand this is not a permit and work is not to stan�viLhout a
pern�xt; and chac the work will be in accozdance wi e approved plan..
APP'LICAN'�''S SICNA.T'(J�tE: ���� DA'T.�: /� � / - CJ 7
NOTE! �ar��v,f�tF�events require sepa)'ate permit approval by PoticP Dep�tment and
G`�ity Counc3d 60 days privr to the event_ Non permitted events will ltnt be allawed.
5
BUILDING REV�W CHECK LIST
UBC: 2-3 CONSTRUCTION TYPE: V IJ
_ Sq Footage $Per Sq Ftg
Basement x _ ��
lst Floor z _
2nd Floor x =
Garage x _
R =
TOTAL
Estimated Construction Value: $ 25,000 �-
Inspections Required: �Vork Requiring Separate Permits:
Site _�Plumbing Fire
Hardcover Removal �_Mechanical Water Connection
Footing ' Septic Sewer Connection
X Framing Fireplace Lawn Inigation
_�c Insulation (Masonry) Other
X Wall Board (Mfg.) Well (State Permit)
_,�Final Grading/Filling X Electrical (State Permit)
Other
REMARKS(Ti�1 HOUSE): .
--_--- -------------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gY;
------------------------------------------------------------
REMARKS (TO BE NOTED ON PER1vII'I�:
8
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1 l Z O G o x r—P.Rrn 2aA�
PID:
DESCRIPTION OF WORK: Q,AS�.M�NT �'� ,v�sc-�
ZOr11i iG REVIEW BY: N I DATE APPROVED:
BUII..DTivG REV�`V BY: DATE APPROVED: �o - �- u z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLA��1 REVIEW Yes ,/ No SEWER CONNEC"ITON
STATE SURCHARGE Yes ✓ No WATERCONNECTTON
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO1VTi 1G CH�CK LIST Zoning District: /VU �-�f�v 6�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Wi th Depth
Survey Submitted: Yes No te of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: �Vetland:
Building Hei?ht: Def. Hgt. Pealc Hgt.
Lot Covera;e: I
Gradina: Staff Approval Date: By: I Council Approval Date:
�
Septic: Staff Approval Date: By: �
i
Zoning File: # Resolution: # Re�olution Date:
Shoreland District:
Avg. Setback: Bluff Setback: � L.ot Coverage:
Existing � Proposed
Hardcover: 0-75' i
75-250' '
250-500' �
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house): �
7
10/O1/E002 TUE 13;46 FAg 952 942 5791 TgE �IAINTENANCE TEA� INC - , . . �j 003/004
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KE�P 7'HIS PLAN SET ON 61T�E AT ALL�TiMES f
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE, SCHEDULED � ��. . �,I
PERMIT NO. COMPLETED
ADDRESS��ZO C (�L �� � ,
OWNER CONTR._�f/J��� f�/ .�n�lY)
TELEPHONE NO. ���- - ���� � c�OC�O
� DESCRIPTION ��/�/��,
� 01 FOOTING 11 MECHANICAL RI 18 CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
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 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PlUM81NG FINAL 36 FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEEf YOU:�YES_NO � C'} f�YC�C,��i��
� COMMENTS: T l.l���a�'��� ��%G JG(�(�ZL
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W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ IfJSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe n t inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContr to o 'te:
Inspector.
White Copyllnspector's File Canary Copy/Site NoUce
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /`/'U� '��
PERMIT NO. !`�U S��'�P COMPLETED
ADDRESS �/t�U �-UX F��"/� �� .
OWNER CONTR. .�,��'�G����'����--��._���c��G��1
TELEPHONE NO. ���,� a�(� S dU O
`
� DESCRIPTION
� 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
O-_..--- .. ._,
� 04 WALL BD 12 WATER HOOK-UP 17 SITE INSPECTION
��� L 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTORTOMEETYOU:_YES�NO ����k nGX- �N' ��+-
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑iSSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITH�N HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac n i e:
Inspector.
White Copyllnspector's Fil Canary Copy/Site NoHce