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Home My WebLink About2007-P11386 - Portico/shed NOT APPROVED � ' PERMIT CI�Y G� ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11386 Crystal Bay, Minnesota 55323 Permit Type: (952) 24�-4600 Addition/RemodeURepair { Date Issued: l0/8/2007 SITE ADDRESS: 1995 Fox Ridge Rd Unit# Long Lake,MN 55356 PID: 03-117-23-13-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Portico/Shed Roof NOT APPROVED&Requires Variance �a�� ( FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00 Plan Review Fee: $ 208.81 State Surcharge Fee: $ 10.00 ( /� C ��/�t_� P��v TOTAL FEE: $ 540.06 APPLICANT: Owner/Self OWNER: Thomas 7 Kieley � 1995 Fox Ridge Rd 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 MINNESOTA BUILDING CODE REQUIREMENTS. ��h.- - ��'t/ ��/�'l'(.�/j�_ APPLICANT PER TEE S GNATURE I ED BY S]GNATURE Copies: 1-File(Signa[uresReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page 1 . 5�� . ��, Total Fee: $ Date Received: �"��'D 7 Entered By: •L' ' Permit#: f�j//�j�L 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) �$��OR CONTRAC'I'OR JOB SITE ADDRESS: 1�1`�'i L' 4� 1�, �s� c r�� z�: �5 3 5 C Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �,No If yes, a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shutt/e bus service will be required unless applicant denronstrates suf,�'icient on-site parking is available. Non permitted events wi/l not be a/lowecL NAME OF OWNER: ��o,� ,�S 7. K;�l c-� PHONE: (home)�lZ- �tF' -,3 d..�"Z (W�) `' `' MAILING ADDRESS: �`�c15� �"x 12��-(�� CITY; ��`��' 7.IP: -3 SG CONTRACTOR �-�� L ��',' PHONE• Sf1� CONTACT PERSON: ��S�•-� ) MOBILE/PAGER: •� I Z - ��9- 3��, z MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ��IENGINEER: T��:-' N t'f;�r-- !��r.7.-� PHONE• '7 L"7 7 I �- 1�j o�7 MAILING ADDRESS: `1 1�v ,� �t ^�'�. �� M'� CITY: 31.� N�' ZIP: "� y�i"� N�+: �-� N c'1 ;�r � I• �GISTRATION: # TYPE OF WORK: New Home Addition _�_ Accessory Structure X Move Home RemodeVAlteration(ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detain: �d c� 'j�.� �� :1 -a �� (� ,��,�� -+ Q��.< } � ��r c� k...: C i � �-.,, r � �= h., � ; e STORIES: � SQ.FEET OF EACH FLOOR: �3 � � NO.OF BEDROOMS: `� GARAGE STALLS: ATTACHED � DETACHED ESTIMATED CONSTRUG"TION VALUATION(ezclnding land): $ ��` ��°� I hereby 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 work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: ��2�, - , -�� DATE: %�- ��' ` � � - 3l Sec.13.04 RIGA7'S OF SUBIECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stoied or to be stored shall be as set forth in this section. Subd.2 Information required to be given individual.An irdividual asked to supply private or confidenlial data conceming himself shall be informed of: (a)the purpose 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)atry known co�sequence arising from his supplying or refusing to supply private or confideMial data;and(d)the iderrtity of ott�er persons or eMities authorizad by state or federal law to receive the data This requirement shall not apply when an individual is asked to suppiy investigative data,pusuant to section 13.82,subdivision 5,to a law enforce�otTicer. The cortmussioner of reven�mav olace the notice reguired w�der t6is subdivision in the ird�h�l mcome tmc or prop�rty ta�c refund instructions inslead of on those forn�s. Subd.3. Access to data by individual. Upon request to a responsible authorily,an individual shal I be infom�ed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fiuther request,an individual who is the subject of stored private or public data on individuals st�all be shown the data without any charge to him and,if he desires,shall be infonned of the corrtent and meaning of that data. After an individual has been shown the private dafa and infom�ed of its meaning,the data need not be disclosed to him for six months thereafter wiless a dispute or action p�ssu�N to this section is pendi�or additional d�a on the individual has been cdlected or aeated. The responsible authoriry shall provide copies of the privale or public d�a►q�on request by the individual subject of the d� The msponsible authority �Y re9��R4��8 Perso�to pay the achml costs of maki�g,certifying,and compilmg U�e copies. The respo�ible authority shall cor�►ly inenediately,if possible,with a�ry request nrede piasuant to this subdivision,or within five days of the date of the request,e�ccluding Sahudays,Sundays and legal holidays,if i�iate compliance is not possible.If he qnrat ca�ly with the request within that time,he st�all so inform the iudividual,and may have an additional five days widtit�which W comply with the reqtest,excludi�Saturdays, Sundays and le�l holidays. Subd.4. Procediue when data is not ace�te or complete.An udividual umy cmtest the aoc�racy or canplete�c�ofpuMic or private data conceming himselE To e�cercise this rigtrt,an individual shall ndify in wriling the resportsible aWhai(y de.scn'bingU�e r�e of'the d��nent T}�e responsible authority shall within 30 days either. (a)correct the dala found to be iaacauate or incomplete and attempt 10 notify pest recipients of inaccurate or incomplete dat�includi�recipients�med by ihe individual;ar(b)notify t6e mdividuel t6et he believes the�a to be correct. Data in dispute shall be disclosed only if the individual's stafemem of disagreement is included with the disclosed data The detecmination of the responsible autt�ority may be appealed piusuant to tlie provisions of the admioistrative procedure xt 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 yow 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 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 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 pennit 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 full name is required to process this application or petmit. �� n-.�1 � J.. ��..� � r �Y'., First Middk Lut � l��`] l�`� I�- , c�`1/Q �2 �� Addreac ' �; � � �.; r.:� S h 3 s � C l2 - �',�'�. ��,> � c��y snu z� �� I understand my rights as stated above. ` ��?�,,— '� i �ZC��„-7 Signature Reset Form 32 , • CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE USE ONL Y � ADDRESS OR LEGAL: � �� }�'�X ��, � S� �� PID: ' DESCRIPTIDNOFWO/R.,�K: � �-� ��c:�✓ �'�'�f��cz"�`�Iiv'�' C�%h' r� /.� �iCa �_ :.. �.!'f(��I�,G.(�/�C7C;�_'L��_�1�11XlL��'1�C��.L�t�LL��"IsC_��_��_��_ ZOliTING REi�IEW BY.• DATEAPPROTIED: � -�j BUILDING REVIEW BY: DATEAPPROijED: ��Q - S -0 7 FEES TO BE CHARGED: Misc. Fees Calculated By�W ��____�_�M__ PERMIT Yes ✓ No PLAN REVIEW Yes� No SEWER CONNECTION STATE SURCHARGE Yes ,/ No WATER CONNECTION INVESTIGATION FEE Yes No_� PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC Units OTHER (specify) -----------------------------------------------------� ---------------------------------___---------------- ZONING CHECK LIST Zoning District: /� �� Fire Department: Post Office: School District: i Lot Area: Sq.ft. Acres Width ��.�� Depth ��Q ,, Survey Submitled: Yes ,,� No Date of Survey: 3 - �� — 7�C��eju��J Proposed Setbacks: ��h Front fb�elr�: �b Side: �� /U� Rear S� �, � , (�� ,� C'��-/�r �'Side: �.��9'<� �C�r�'�'/Y//l'l�"P!/Y�OS.t'S' Adjacen!Structures: �� Wetland: �-� 1�r(�F�7 lC G/� Building Neight: Def. Hgt. �� Peak Hgt. Lot Coverage: Gruding: Staf{,4pproval Date: _ By: Council Approval Date: Septic: StaffApproval Dale: By: �i'� Zoning File: # Resolution. # Resolution Date: /� � /S Er��l�� 1� �cr;' �rer� C�.�� C_K. C/�. Shoreland Disti-ict.� � MCWD Permit: � Avg. Setback: BluffSetback: LotCoverage: F�isting Proposed Hardcover: 0-75' 75-250' 250-.i 00' 500-1000' Ha��dcover Variance Required: Yes No Date of Council Approval. REMARKS(in house): 33 B UILDING REVIEW CHECK LIST UBC: �- � CONSTR UCTION TYPE: U�'`� Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Gar•age x = x = TOTAL Estimated Construction Value: $ 7�',��0�"s` Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal __,�i Alechanical FG'ater Connection �-- Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation ,, Insulation (Masonry) Other _� Wall Loard (Mfg.) Well(State Permit) Final Grading/Filling oC Electrica((State Permit) Othe�� REMARKS(INHOUSE): REi�7EW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ---------------------------------------------------------- - ---/--��_��---------------------------- REMARKS(TO BE NOTED ONPERMIT): -✓rICU /1C� ,�r�/"c%��'C� fK ct>;f,� l'��vi t�� if�i�v"i��i'i '�-�'_� 34 1 . . ' 1 � . ' . � . ., • . ' � � � ��' �� . � . � � '. . . � ' � certirs'+c�tr:'or su�r+Aeai � ,� ,-, , . �. . . . for C. Pnal ��ek y1c�(rL!� F'h i n, 5¢.��e,k • � of Lo t 1� Hlocie '1'i P'o�c �idp . . Heru�opta Couo'�Y; M3m�Ata � vl.c:v 1'1� �i�r�l� 1 i�� . � �� ,� : , �s. �'30 . . . � � . . . . , . �.� � �- � . � . N • - — — ---='�-_��r�e!�..�^i � ; _.� . _ ; , '�, • • � . , •: . ' ' — �•+, ' • ' . . • ' .: � , � � . , . , . �. . : ; � , Q E' ' " , , ' C� � � � . ..�• ; • ..... ... ... .._ . •10l.2 ._.. . µ�. w � �. m , � , . Q � - + Lwil;nq '� ' �� t �' , aS�' "-1. w H�•� ........... . . .....�jl'w ..... ...... ... • ��• � � ' � . IC . . x ' ? i� ' . • r•' � ' � . . ' . . .. i. . , • . . � . ; � ; � ��{ � . ' � � . � . � . • ' . . �'�. � i • ..�'1•40: 215t�' R'700' - � � ro : p' , �q� � �•.U•70 2`2 . zZo' t9 4S. _ ; ' �L [r�._„i, . . . . , . . + � � , ' . � . �. Road ' . � . , . . �• R�q4 . . � Fox . _._. __...... .. • ' . � f .. � i 'r'-'.. —� ! • ��a.....�-�..---,".'_.-��r-' ' • � • � . ► . , . '. � • • , . . . . ' ' i .. , . • • � . \ � ' � I hdrab�r certi#y that thia is w true apd corr�ct rspreaentation of � ` sur�►ey of the bounderies of Lot 1� Block 1, Fox Ric�$e, •nd Lhe loca- tion of all existing buildinga therson. IL doee ao� parFoi't to shov � � �, ather ir�pro�^emertta or encroachm�enta. • � . � . ' • . , . City of.Or+�no � . , . � � . � Planning&Zoning Plan Review • : . � 'Site Plan R�view Date: �,��-c-�1�1,Hi� : . . . � � c�_'��.07 � 0 APPROVF�le: 1" = 50' l"" � . ❑APPROVEp�A{iTF{REyl�l�j(see notes) Gordoo A. Coffin R�eg . �4 p DENIED o : Iron m�rkar � sl�tn R.' �iNtdor�• Reg. lio.13295 Staft: '" - � Sp°t alevation I.� Surrey�orv�suc1 Plannera . . ��Q"y'8 Loag Lak�, Mira�esot� � � � DATE TIME ✓ CITY OF ORONO CALLED IN �I INSPECTION NO CE SCHEDULED '-07 � PERMIT NO. �� COMPLETED ADDRESS �995 l�� d Q�. OWNER CONT . O TELEPHONE NO. _��,3 7�P7 Z � DESCRIPTION ��C�JI(vI G � �L�C.-Q�'i,P �� ❑ FOOTING ❑ ECHANICAL RI ❑ E AV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � O >. � O � W � Q � Z W � W � � a �. WORK SATISFACTORY:PROCEED C,� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the ne in pection 24 hours in advance. (J52� 249-4600 .----� OwnerlContr�o n s te Inspector. �'�'i ' White Copy/inspector's File Canary Copy/Site Notice D T TIME � CITY OF ORONO �� CALLED IN ZS' '� 3'�0 l� INSPECTION NOT E . SCHEDULED �� I(J�0 PERMIT N0. COMPLET � ADDRESS � ( OWNER CONTR. � I�L TELEPHONE N0. �pL Z �� [ , � DESCRIPTION I � ❑ FOOTING ❑ MECHANIC L RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J 0 �✓�l. ��QGl/!.Pi�1.� � �I S t� � cI G — 0 � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED L i PROJECT CCMPLETE W ❑ CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CA�L FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. l�� White Copyllnspector's File Canary CopylSite Notice