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Home My WebLink About2002-P05103 - adn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley r'arkway - PO Box 66 posio3 Crystal Bay, Minnesota 55323 Pel"1711t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: s�i�2oo2 SITE ADDRESS: 140 Golden View Dr L.ong Lake,MN 55356 P�D: 33-118-23-43-0023 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: i'iumbing iviecnanicai Eiectricai�siaie� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 692.75 Valuation: $ 57,000.00 Plan Review Fee: $ 450.38 State Surcharge Fee: $ 29.00 TOTAL FEE: $ 1,172.13 APPLICANT: 7ohn Schulr OWNER: Chris&Elizabeth Hickok 3192 Westedge Blvd 140 Golden View Dr 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 MINNESOTA BUILDING CODE RE UIREMENTS. _ � / � ,� � �,.f �,; .�x�,�L.. ,, �"�� PPLICANT PE TEE S[GNATURE ISSUE� BY SIGNATURE� �� Copies: 1-File(Signitures Required), 1-Apolicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 Total Fee: $ � , �� J ; Date Received: �/��,' � Entered By: � �'}_'> Pertnit#: ��; C:;�' L � � ; � �� -�, /( � � �� , CITY OF ORONO - BUILDING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTORf% � l JOB SITE ADDRESS: ,l�� - �;� �; i , ,� , �,/ ) �c,�J - �i ��IP: NAME OF OWNER: � ��s 1�-� i� �t � � �� PHONE: (home) �� 3 °� S '�/ �. (work) MAILING ADDRESS: � �(� �U(.i�E��-'t�=r,L CITY: c��c��-' 2' ZIP: CONTRACTOR: ��`U ��.� S �, ��C't PHONE: �%j J� �l �•� ��S"'S CONTACT PER50N: ;�e� �f�/ MOBILE/PAGER E�-� � C�y/ �5 2 �, D MAILING ADDRESS: � E �t� (.�-'c�s� r c� �:. i,�e D;3�.t,��ITY: �u,,�1 r� ZIP: ;S-:S�-'� �' Y STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/ lteration Land Alteration PROPOSED WORK(describe in detai�: � �'�t S �ul d�� S� ��l +� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _-- d�_ ESTIMATED CONSTRUCTION VALUATION (excluding 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 pernut; and that the work will be in accordance with the,japproved plan. APPLICANT'S SIGNATURE: DATE: �.�� L NOTE! Parade of Homes events require separate pernzit approval by Police Department and City Couneil 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGA'TS OF SLJB.TECTS OF D�1TA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaal data conceming himseif shall be informed of: (a)the purpose and intended use of the requested dara within the collecting'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply privace or confidenrial data;and(d)the idenriry of other perso�s or enrities authorized by state or federal law to receive the data. This requiremenc shall not apply when an individuai is asked to supply invesrigaave dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individua] income tax or propertv tax refund instructions inscead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classiFed as public, priva[e or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data wirhout any charge to hun and, if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the privace data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to [his secdon is pending or addidonal data on the individuai has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the acrual cos�s of making, certifying,and compiling the copies. The responsible au[horiry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Sarurdays, 3undays 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 rieht,an individual shall nodfy in wriang the responsible authoriry describing�he narure of the disagreement. The responsibte authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data, including recipiencs named by[he individual; or(b)notify the individual[hat he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administnrive procedure act relaring to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we wouid 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 fumish will be used to determine your qualification for the pemut 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 pernut 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. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. ��v��t,v �� ` �(JL Z First / Middle Last � t ��' `� l �� 'E� S i P �LL� 'P ` �. U r� k Address � � � �� / �J�� ] /�� /1,� G� �� n ��'V, � 7 - Ciry Stare Zip Phone I understand m rights stated above. j � � � Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY � ADDRESS OR LEGAL: I�{0 Gvc.r�vv�/r L c,v �2 PID: DESCRIPTION OF WORK: C3A s C n��T r—r r�s r� —_-- - -- _ _--_____---------------------- --------------------------- - ZOr`Pi 1G REVIEW BY: � DATE APPROVED: c{• }v-0 2 BUILDING REVIEW BY: DATE APPROVED: �..�. �o--a2 , FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �/' No PLAi�1 REVIEW Yes �' No SEWER CONNECITON STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZO�TIl�'G CH�CK LIST Zoning District: a Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetlan : Building Height: Def. Hgt. Peal:H t. L,ot Coverage: Grading: Staff Approval Date: By: � Council Approval Date: Septic: Staff Approval Date: By: I� �- Zoning File: # Resolution: # �esolution Date: � Shoreland District: I Avg. Setback: Bluff Setback: Lot Coverage: Existing I Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No ' Date of Council Approval: REMARKS (in house): - � 7 BUILDING REVIEW CHECK LIST �C� _ �' 3 CONSTRUCTION TYPE: �!N Sq Footage $Per Sq Ftg Basement x _ lst Floor x = 2nd Floor R = Garage x = R - TOTAL Fstimated Construction Value: $ S7,Q 00 "�- � Inspections Required: `Vork Requiring Separate Permits: Site ��Plumbing Fire Hardcover Removal �C Mechanical Water Connection � � Septic Sewer Connection , � Framing Fireplace Lawn Irrigation _�o Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling _�Electrical (State Permit) i Other REMARK.S(IN HOUSE): --------------------------- REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; --------------- RENIARKS (TO BE NOTED ON PER1vIIT�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED /_-_-� � j PERMIT NO. b �l a 3 COMPLETED '7 ��' ADDRESS �� C ��/ ct.C� � �/�.� ,� OWNER CONTR. �T,�'I/,� �-��7� TELEPHONE N0. �l� " ��7�"�`�-r�==/'� � DESCRIPTION �jLl��.—. � 01 FOOTING 11 MEC CAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 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 � OWNER/CONTRACTOR TO MEET YOU:_ S_NO � COMMENTS: � W 0. � J O >. � O � W � Q � 2 W � W � � ��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN �NSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector.��r�, � ��'L'�� White Copyllnspector's Fiie Canary Copy/Site NoNce Fii LEI - � p le 00 VL wet, & C' j -5 r Lv t4 ev Y-1 61 t7 / Id -`d W lei 0 P- UAY C; SEN E:�c,j5T1,VC-- - LAI I N 00 CAJ CITY OF. ORONO FOR ev\4�\L"` BUILDING R RMIX PLAN REVIEW CODE REQUIREW.' tTS INSPECTOR -,—tk (SI" DATE q- 30 -62- 0 PERMIT NO. D APPROVED AS SUEMFrTED COF-IR.50TIONS AS NOTED E' N'11-APPiROVED--- C 0 r, R E 0 T & 113 E C, U EB IM I T ato fdr y,..Lr in!-noT,.ation' All work shall be done building and zoning code. Re ifi,,�iiy.noW in this rovieW. Kr: N SET ON 81 AT AL TIMES EP THIS PLAi