HomeMy WebLinkAbout2005-P08915 -porch PERMIT
CITY C?F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08915
Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 7/20/2005
SITE ADDRESS: 60 Crystal Creek Rd Unit#
LONG LAKE,MN 55356
PID: 33-118-23-33-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Porch-Residential
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Add screen porch on top of existing deck
FEE SUMMARY: Pernut Fee: $ 293.25 vaivation: $ 18,000.00
Plan Review Fee: $ 190.61
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 492.86
APPLICANT: MARK PERRY OWNER: THOMAS W&LYNDA ISAACS
GENERAL CONTRACTING&REMODF 60 CRYSTAL CREEK RD
15435 GLEASON LAKE DRIVE LONG LAKE MN 55356
PLYMOUTH,MN 55447
THE UNDERS►GNED 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIG\'ATURG t SUED BY SIGNATURE
Copies: I-Filc(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, fSeptic, 1-Septic) Page 1
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Total Fee: $ �q a , ��o Date Received: � �(�-��
Entered By: ,�1_ Permit#: ';� ���{'-�% �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(plec�se print all info�•rnation)
THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: 6ro GY�,s�a 1 Cr�i� � ZIP: ��J�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS � NO If ves, a specict!event permit is reqaiired witli Police Department and Citv Coi�ncil approval
60�lays prior to tl7e event. Shcrttle bers service will be required unless npplica�at demonstrates
sa��cient o�z-site parking is available. Non perrnittecl events will not be allotived.
NAME OF OWNER: 0/✓� � ha�a � a a� PHONE: (home)g7y ��7-'' �1��
�
/ (work)
MAILING ADDRESS: �O� G'r�����ee�C. � CITY: �O�no ZIP: 5 3 �
CONTRACTOR: /�A�/�K �"� ` ��' PHONE: 7G 3 '�i� '�f¢
CONTACTPERSON: t! !t D!N MOBILE/PAGER: b/=- — 32�0
MAILING ADDRESS: /S4 3S �l��S�G7�C � CITY: �/ v ZIP: ��
STATE LICENSE: # 1gG. �?•o/30�-2� EXPIRATION ATE: ?,pp
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration C
PROPOSED WORK(descr�ibe in detai�: C� CPM 4j'Y/� On � 0� �(�/1
l'p.�! %2 �-r � ' . ' co n
aues5� b y �5 � �' s��� �� J�' l�s door.
5'I'ORiES. - - S�.�'EE'I'O�'-E.�.aaCH�0012:
NO. OF BEDROOMS: GARAGE STALL.S: ATTACHED I)ETAC�-IED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l8' �aa • �
I hereby apply for a building permit and I acknowledge that the infornlation above is complete and accurate;
that the work will be in conformance�vith the ordinances and codes of the City and with the State Buildinc
Code; that I understand this is not a permit and work is not to start without a pernlit;and that the work will be
in accordance with the approved plan.
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APPLICANT'S SIGNATURE• DATE:
�,
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 foRh in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply piivate or confidential data concerning himself shall be
infonned of: (a)the pu�ose and intended use of the requested data within the collecting state agency,political 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 law to receive the data. This requirement shall
not apply when an individua(is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer.
The commissioner of revenue mav place the notice required under this subdivision in the individu�l income tar or propertv tax refund
instructions instead of on ffiose fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is the subject of
s[ored data on indivlduals,and whether it is classitied as public,private or confidential. Upon his further request,an individual who is[he subject of
stored private or public data on individuals shall be shown the data withou[any charge to him and,if he desires,shall be infonned of the content and
meaning of that data. Atter an individua(has been shown the private data and infonned of its meaning,the data need not be disclosed to 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
responsibie authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authonty may
require the requestin�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
da[e of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so infonn the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. A�n individual may contest the accuracyor completeness of public or piivate data
concerning himself. To exercise this iight,an individual shall notify in writing the responsible authoiity describing the nature of the disaga�eement. The
responsible authority shall within 30 days eithec (a)con•ect the data found to be inaccurate or incomplete and attempt to notity past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify thc individual that he believes the da[a to be con�ect. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detennination of the responsibte authority may be appealed pursuant to the provisions of the adminish�ative procedure act relating to
contested cases.
' • DATA PRNACY 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 wiil be used to determine your qualification for 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 info�nation 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 information may become
public.
5. You have certain rights under M.S.1�.04(available upon request)to review private data on yourself.
6. Your full name is required to process thi�application or permit. ,
Firsf Middle L,ast
Address
City Statc Zip �hone
I der tand my ' ht s stated above.
�anature
' CHECK OFF LIST FOR ISSUAi�tCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: bC� C2�S7�- Cr�z�ic. ��
PID:
DESCRIPT`ION OF WORK: 5 a..a.Q.,� o au�, �„✓ �_�c ��n,�,� (J�.�
ZO�TG REVIE`V BY: DATE APPROVED: �- �sr -�S
BUII.DPi,TG REVIE`V BY: DATE APPROVED: -�-�� -o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �/ No SEWF.R CO�TNECTION
STATE SURCHARGE Yes �/ No WATF,RCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------------------------------------------------------------
ZOi�1I1(G CH�CK LiST Zoning District:
Fire Departmeat: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes d� No Date of Survey: p,�, i=��,c;�
Proposed Setbacks:
Front (Lake): I Z3� ± Right Side: 122 '
Rear (S[reet): 3�o� � Left Side: 5 3� ±
Adjacent Structures: q.�-r.r�-�-L� �Vetland: ^//I'}�
Building Hei�ht: Def. Hgt. �,1� Peak Hgt. —
Lot Covera�e: �..1 I J�
Grading: Staff Approval Date: � �,/� By: Council Approval Date:
Septic: Staff Approval Date: � � By:
Zoning File: # M� Resolution: # Resolution Da�e:
Shoreland District: rV o
Av�. Setback: Bluff Setback: L.ot Coverage:
Ezistin� Proposed
D
Hardcover: 0-75'
7�-2�0'
2�0-SGO'
500-IOCfl'
Hardcover Variance Required: Yes No Date of Council Approval:
RE�IARKS (in house):
BUILDING REVIE`V CHECK LIST
�C� r2� 3 CONST'RUCTION TYPE: V/J
Sq Footage $ Per Sq Ft;
Basement x _
lst Floor z =
2nd Floor x =
Garage z =
R =
TOTAL
Estimated Construction Value: $ � $,(���
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing ` Septic Sewer Connection
K Framin; Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mpg,) Well (State Permit)
—�F�� Grading/Filling Electrical (State Permit)
Ocher
RE�IARKS (I�i HOUSE): ��
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REVIEW BY OTHERS: DATE:
Access: Existin; New
Access Approval: Date By:
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REI�IARKS (TO BE NOTED ON PERl�II�:
8
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/�y� DA E TIME
CITY OF ORONO CALIED I �i � c� � •
INSPECTION N C SCHEDULE
PERMIT N0. �� COMPLETED 1 - � -oJ� � - 3�An,
ADDRESS ( U C� Q Usfi��.� �-�'�'�� YJ
OWNER , �'��I L p�tC�f CONTR. 47,✓�-%
TELEPHONE NO. ��(1r� [� r� �� � y���v
� DESCRIPTION �� r��'1 9 U rC..�.
� 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
�
Z . 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINFV, 14 SEWER HOOK-UP 06 PROGRESS
� -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:
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W� Cl WORKSATISFACTORY:PROCEED '[�IGpROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C I SUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. j_ pHOTOTAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � � �—/����
White Copyllnspector's File Canary CopylSite Notice
__ _ __ _ _ __ _ _ -- --- _ . _ __ __ � � Cr'ys� C� �;
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