HomeMy WebLinkAbout2007-P11254 - addn/remodel/repair � PERMIT
CITY OF ORONO
275C Kelley Parkway- PO Box 66 Permit Number: pi 1254
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remodel/Repair
(952) 249-4600 Date Issued: 8/3/2007
SITE ADDRESS: 755 Hunt Farm Rd Unit#
Long Lake, MN 55356
P��� 31-118-23-11-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code � 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Installation of Wall Anchors/Foundation
FEE SUMMARY: PermitFee: $ 111.25 valuation: $ 4,510.00
Plan Review Fee: $ 72.31
State Surcharge Fee: $ 2.30
Misc.Fee: $ 1.50
TOTAL FEE: $ 187.36
APPLICANT: Jesse Trebil Foundation Systems Inc. OWNER: Timothy&Tracy Admonius
700 Pleasant Ave. W 755 Hunt Farm Rd
Atwater,MN 56209 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 ORON ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PEKMITEE SIGNATURE � ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� PERMIT
CI� OF ORONO
Permit Number:
2750 h�elley Parkway- PO Box 66 P11254
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
8/3/2007
SITE ADDRESS: 755 Hunt Farm Rd Unit#
Long Lake,MN 55356
P��� 31-118-23-11-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Census Code O/S-Building
Permit Class: Building
Pernut Type: Addirion/RemodeURepair Permit Sub-type(s): Building Undefined
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
Installation of Wall Anchors/Foundation
FEE SUMMARY: Pernut Fee: $ 111.25 vaivation: $ 4,510.00
Plan Review Fee: $ 72.31
State Surcharge Fee: $ 230
Misc.Fee: $ 1.50
TOTAL FEE: $ 187.36
APPLICANT: Jesse Trebil Foundation Systems Inc. OWNER: Timothy&Tracy Admonius
700 Pleasant Ave.W 755 Hunt Farm Rd
Atwater,MN 56209 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.
�l�'�t�.0 �-
APPLICANT PERMITEE SIGNATURE ISSLJED BY SIGNATCJRE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Jul 24 07 03: ZOp Trebil Foundation Inc 3Z09748896 p. 2
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Total Fee: $ 1 �s� ' Date Received: �� Z�'� � ��
Entered By: D Permit#: � Z
CITY OF ORON4-BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review wiil be started.
(please print all information)
THE APPLICANT IS: (ci�cle one) OWNER 4 CONTRACTOR
JOB S1TE ADDRESS: rI� t�l-I- �1� OQ ZIP: �S-�5�v
Will this be a Parade of Homes,Remodelers Showcasc Home or ot6er Display Home?
❑Yes �NO Ifyes,a special event permil rs reguired i+�ilh Police Depar[ment and City Co:mcil approi>al
60 days prior to the evenl. Sh:rl!/e bus service»�i/(be required unless applicanl demonstrales
su�cienl on-site parking is avarlable. ��'on permitted evenls wil/nor be alloN�ed.
NAME OF OWNER: ��Q;S Cl� rl(�..(`1�[�I Lt/.�- PHONE: (home),��I� -�a5'- -�`jrf'31
� I ' (work)
MAILING ADDRESS: r]�� l-�(,L►�-�' -tG{,Vj1'1 j��. CITY: wl ,ZIP: ,-�a 3�
corrrx�croR: �sse �Trebi 1 ���n� ' � �U�-�rn� rxorrE: 3�c�-��y-$��9
CONTACT PERSON: -' �31�IOBILE/PAGER:
MAILING ADDRESS: � I,� a � �- CITY: 1�'�l c�e,t� ZIP: (o�D�
STATE LICENSE: # - U� �c�k 9 EXPIRATION DATE: 3-3!�-�0 8
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CTTY: ZIP:
NAME: REGISTRAITON: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeUAlteration(ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK.idesctibe in detai�: 1�S�-�,��,�-j�� (� l.1JC�Q�� (���,. �613
�� U L� V1�(1-�����1
STORIES: SQ.FEET OF EACH FLOOR
NO.OF BEDROOMS: GARAGE STALL5: ATTACHED DETACHED
ESTIIVIATED CONSTR�JCTION VALUATION(ezcluding 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 T understand this is not a permit and work is not to start without a permit;and that zhe work will be
in accordance with the approved pian.
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APPLICANT'S SIGNATURE: 'Y (- , � '' DATE: � ��
31.
Jul 25 07 02: 29p Trebil Foundation Inc 3209748896 p. 2
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Sec.13.04 RIGHTS OF SUBJECI'S OF DATA
5ubd.l. Type of data The rig6b of individunl on whom the deta is scored or t�be sta�ad ahdl bo as 9et forth in tdia soaiw►.
Subd.2.l�'om+ntionrayiradtobogiveniodividual.AnindividualaskedboaupplYprivaLeorcontid�tialdateconcanu�ghim�alfsLollbe
mf'orrtud of (a)the purpote and intended use of the requested data within the coUecdng staoe agauy,polidcal subdivision,or sntewide system;@)
whaThw 6e may refux or i�kB��Y���PP�Y d�c rcquosu:d deta;:(a)anY known conaequawc ariaing from dis aupplyiog or retLsiag to supply
priw�oroonfida�tialdeta;sad(d)lheideMityofotl�erpasonsorentitiesavtdoci�odbystateorfade�allawtocecoivediedala.Thisroquirementshall
not apply whea an individusl is esked to aupply invcxitigative data,Pwsumt to section 13.82,aubdivieion 5,w a law enforxment officer.
'R�a cornmissioner of revm►ue mav pJ�gj�iaticc reouued undu lhis auhdivision in the individuel income�m_�cQpertv tax nefiud
Subd.3.Accesa w data by iodividual. Upon rcquest Lo a raponsible authority,an individuel shall be informad wbather he isthe subjeccof
sW�cd dwa on individuals,m�d w6eth�r it is classifiod as public,pdvate a cootidwitial. Upon 6is fwthar roquast,an iudividval who is the subjoct of
stoced private or public data on individuals shall be ahowo t4e data without a�ry charge to him and,if tit desires,shall be infortned of the content and
meaniog of diat deta. ARor an individunl has been shown tltc private da�o and inforo�od of its mearing,thc deta mod aa be diacloxd m him for six
monthc thereattra unless a dis�te or action pwsuant to this sedion is pending or additaaal dsta on the individnal hac bceo coilected or c�.The
respa�sible authority shaL pmvide copies of the priveto or puWic data upon request by rhe individual subject of the deta T}x respoasible autha�ity
may requirc the requestiag pecson m pay tbe ac.4ual cmts of inekmg,certifyieg,arud compi{ing the copiea.
71ia r�sponsiblo autlw�Th'��mP1Y��Y,�fPaasible,with a�ry request�de pursuantw this subdivision,or within frve days of
chedate of the ra�uest,excludinB SadudaYs.Suodays and legd holidsys,ifimmadiahe wmpliance is notpossible. {fhe cannot comply wilh the request
witfiin that time.ho shalt so infam We imdividual,end may have�additionel five days wiihin w)�ich to comply with d►e raqw�t,oxrduding Saturdaps.
Sundays ead leg,el holidays.
Subd.4.Procedurow6endetaisnatnccws�eorcomplete.Anindividualm*ycon0eattueaccurpcyorcoo�aesofpublicorpriwtedqta
concerning himself.To acercisc this rlght,an individual shali notify in writing the responsiblc authority dcscxibingtho nature of tt�di�gtreroent.The
iesponsibk authority ahell wtt6in 30 dsys either. (a)cotrea dte data found to be inaccuiate or i�omplato and u�emptto nodCy pest recipie�es of
�ccu�oe or mcomp�ae a�.�ca,m�rec�ptenu namea by we�vsau�;or(b)nodry d�e indivklual d�o[he belkvo dx daraw be oortecc Data in
dispute ahall be discloced only if the iodividual's sla�ement of disagteement is included with the diacloeed data
'Itie deoennicretion of the responsible auchorhy may be appaaled pucausnt to the provisfon9 ofthe adminisuativa p�+ooe�ure ac[ttlacing w
conoesoed cages,
DATA PRIVACV ADVISORY
In aceo�dance with M.S.13.04,Sobd.2,"Rights of sabjects of data",wo would like to inform you that your requast
for a pertnit or license from the City of Orono or any of its departments may requirc you to furnish certain privatc or
confidentlal information.
You are notified that:
I, The information you fu�nish will be used to deteRnine your qualification for the pe�nit or lioense
Tequested
Z. You may refuse to supplY data,but refiisal may require that the Gty deay the permit or license.
3. The informacioa may be sheced with other local,state or federal agencies to the extent necessary to
process the pecmit or license.
4. If yoar rcqucstal pwmit or liccnsc roquires Council action to approve,some information may beoame
public.
S. You have certain rights under M,S. 13.04(svailsble upon request)to review pcivi►te data on yourself.
6. Your full name is required to process this application or permi�
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Jul 24 07 03: 20p Trebil Foundation Inc 3209748896 p. l
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Jesse Trebil Foundation Systems Inc.
"Quality We Can Guarantee"
Date: � 1'�`� 'v 1 #of Pages: �
To: �1 ' � � - � I From: .Y 157��
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comments:
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Quality We Caa Guarantee:
. o ;t; 700 Pleasant Ave W � � m
���`��� Atwater MN 56209 ��'j ��e
(320)9745729
WALL ANCH4R SVSTEM i-goo-�3o-ssst oundation Pier Sysfem
Fax:320-97�4-8896
imfo@safebasements.com
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CHECK OFF LIST FOR ISSUANCE OF PERIVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ^�1SS l—tiJ N�" ��4�.A Q'tfl!��
PID:
DESCRIPTIO�ti OF 6VORK: Go•�NDAr�1o� i'?.� �
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ZONING REVIEW BY: I A _ DATEAPPROVED:
BUILDING REVIEW BY: _ DATEAPPROVED: '�•�30-o'�
FEES TO BE CHARGED: / Nlisc. Fees Calcz�lated By:
PERMIT Yes �/ No
PLAN REVIEW Yes /No� SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER COIWECTION
INVESTIGATION FEE Yes No_�� PARK FEE
SAC Yes No t/� SITE INSPECTION
Nz��yabe��of SAC Unils OTHER (specify)
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ZONING CHECK LIST 7_o��ii�g Disrr icr: /vo C I-/ti9s�1ro C
Fire Departnrent: Post Office: School Dish•ict:
Lot Arecr: Sq ft. .4cres GY'idth Depth
Scrrvey Subrnitted: 3'es No Date of Scrrvey:
Proposed Setbacks:
Frazt(Lalce): Rigl�t Srde:
Rear(Sh•eet): Lefl Side:
Adjacent Strarctures: Gf� dand:
Buildi��g Heigl�t: Def. Hgt. P ak Hgt.
Lot Coverc�ge:
Gr•nding: StcrffAppy'oval Date: t�: Cozrncil,�lpp�•oti�al Date:
Septic: Stnff.4pproval Dnte: 1� �
Zoning File: �? Resolution: # Resolution Date:
Shoreland District: �blCGG'D Per•iyrit:
,�1 vg. Setback: B/irff Setback. Lot Cove��age:
Ezrsting i Proposed
Hnrdcover: 0-'�' }
7�-??0' � �
zso-son�
son-�000� �
Ha��dcover ['nria��ce Reqirired: }'�s ��'o� D�ite of Caiu�cil.�l pp��oi�nl:
RE�YI,4RKS(iji lrouse):
33
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�I D TIME ✓
CITY OF ORONO CALLED IN � // '`
INSPECTION ' L SCHEDULED — �
PERMIT N0. �� �`T COMPLETED
ADDRESS �"✓ �
OWNER CONTR.T����
TELEPHONE N0. ��b �%Y' lI/�.S�Z
,
� DESCRIPTION ___ ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q2 F AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �RKSATISFACTORY:PROCEED 1_l PROJECTCOMPLETE
� �O CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContrac��n it :
Inspector. �.) �-
White Copyllnspector's File Canary CopylSite Notice