HomeMy WebLinkAbout2002-P05527 - addn/remodel/repair PERMIT
C I TY �F O RO N O Permit Number:
275b Kelley Parkway - PO Box 66 P05527
Crystal Bay, Minnesota 55323 P2t'llllt Typ2: Addition/RemodellRepair
(952) 249-4600 Date Issued: si2si2oo2
SITE ADDRESS: 830 Hunt Farm Rd
Long Lake,MN 55356
P I D: 30-118-23-44-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 9,500.00
Plan Review Fee: $ 117J8
State Surcharge Fee: $ 5.25
TOTAL FEE: $ 304.28
APPLICANT: A1 Hirsch&Sons OWNER: Paul&Nancy Fraser
PO Box 633 830 Hunt Farm Rd
Dealano,MN 55328 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 CODE REQUIREMENTS.
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APPLICANT PER ITGE SIGNATURE ISSUED 13Y SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
Total Fee: $ ��'� - �'y' Date Received: �`��
� Entered By: '�L7 Pemut#: �O ���a
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CITY OF ORONO - BUII.DING PERMIT APPLICATION�:� f ��,� �:.=���,�:,�
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------___---------------------- -�-----------------------
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOIZ
JOB SITE ADDRESS: c�v 0 � „ t � r,,,_ J „� ZIP:.
NAME OF OWNER: � ,���r c�+S �i� PHONE: (home)
(work)
MAII.ING ADDRESS: �_�o �v�.�-s�,��,��j CITY: d �� n � ZIP:
CONTRACTOR: �� �;r^s c �i � S�ia s /N t� PHONE: '7l�� � �� -0?7/�
CONTACT PERSON: �/ �;rs � �, MOBILE/PAGER:
MAILING ADDRESS: � o x L. 3 � CITY: �� /G ,, � ZIP: ..��,3
STATE LICENSE: # J�. ��;
ARCHITECT/ENGINEER: (j �,� � cy ✓ PHONE:
MAILING ADDRESS: CITY: ZIg:
NAME: REGISTRATION#
��r��u��c��=�'�',
TYPE OF WORK: New cC=C� y Addition Accessory Structure
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Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9,5 GD � d
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the wark 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 approved plan.
APPLICANT'S SIGNATLTRE: '���, ��,�� DATE: � �� ��� °�-
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGFITS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rightt of individual on whom the daa is stored or to be stoced shall be as set focth in this secdon.
Subd.2. Information req�ared to be given individual. An individual asked W supply private or confidential data concecning himself shall
be informed of: (a)the purpose and intended use of the requesoed data wid�in the collecting 3�tate agency.political�bdivision,or statewide system;
(b)whether he may nfuse oY is legally required to supply[he requesud data;{c)any lmown consequence arising from his suPP�Y�B or refusing W supply
privau or wnfidential data;and(d)the identiry of othec persons or entities authorized by stau or federal law to'receive du dala. This requirement shall
not app(y when an individual is asked to supply investigaave data,pursvant to section 13.82,subdivision 5,to a law enforcement officer..-
The commissioner of revemie mav alace the nodce reauired under this subdivision in the individual income taz or urooectv haz refuad
instructions inscead of on those forms.
Subd.3. Access to data by individual. Upon rcquest to a responsible authoriry,an individual shall be informed w6ether he is the subject
of stored data on individuals,and whether it is ctassified as public,private or confiden6al. Upon his further request,an i�ividual who is the subject
of stored private or public data on individuals shall be shown the data without any c6arge co him and;if he desires,shall be infocmed of the contenf
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months theroafur unless a dispute or acaon pursuant to this secrion is pending or addiaonal data on the iadividual has been collecud or created.
The responsibie authority shall provide copies of the private or pub(ic data upon request by the individual subject of the data. The respoasible suthority
may req�ire the requesting person to pay the actual costs of making,certifying.and compiling the copies.
The responsible authoriry shall comply immediately,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 addiaonal five days within which W comply with the request,excludicig Saturdays,
Sundays and legat holidays.
Subd.4. Prceedure when data is not accurate or complete. M individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise this right,an individuai shall nodfy in writing the responsible authority describing dte nature of the disagreement
The responsible authoriry shall within 30 days either. (a)correct the data found m be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete daa, including recipients named by the individual;or(b)notify the individual that he believes the data to be correcG Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disciosed data.
The determination of the responsible authoriry may be appealed pursuant w the provisions of the adminis�adve procedure act relating w
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 fiunish certain private or
confidential infortnation.
' 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 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.
6. Your full name is required to process this application or permit.
First Middle Last
Address .
City
State Zip Phone
I understand my rights as stated above.
Q��,c� � �w�---��
Signaare
, CHECK OFF LIST FOR ISSUANCE �F PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 8 3� H v rv-r F A R� r2.d �
PID:
DESCRIPTION OF WORK: (�c�k
ZO�TPi tG REVIEW BY: DA1'E APPROVED: 8 �.1 - o�
BUII.DING REVIEW BY: DATE APPROVID: �•Z7•o z.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,� No
PLA1�1 REVIEW Yes v- No SEWER CONNECITON
STATE SURCHARGE Yes � No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTTON
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: .
Fire Department: Post Office: School District: � �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_� No Date of Survey: (o- �t-�b?
Proposed Setbacks:
Front(Lake): 1�{0'�' Right Side: ZOp' t
Rear(Sueet): �$Z.� � Left Side: (na � ;
Adjacent Structures: �►7TX)c�lG� Wetland: K//�
Building Height: Def. Hgt. N//� Peal:Hgt. —
Lot Coverage: — N//�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: f� — Resolution: # Resolution Date:
Shoreland District: — /va
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUII.DING REVIEW CHECK LIST . , .
UBC: IZ'3 CONSTRUCTION TYPE:� VN
, Sq Footage $Per Sq Ftg
Basement . x =
lst Floor x _
2nd Floor x =
Garage x = �
x =
TOTAL
Fstimated Construction Value: $ �l�S o o °—°
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�Footing ' Septic Sewer Connection
_�,Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
_L� F�� Grading/Filling Electrical(State Permit)
Other
REMARI�.S(IN HOUSE): • .
-------------------------__
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date � gy; �
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REMARI�,S (TO BE NOTED ON PERMII�:
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. Certificate of Survey
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for Wirtjes Co�structio�
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He��epi� Cou�nty, Mi��nesota
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�36e �� ❑ APP�OVED WITH R�VISIOfdS 5"1 I`
\ ���-� � �'� ❑ QlSAPP� 0�1 D � �M
BY � '
3s$�� D�17`-------�"Z "0 Z — -- -- - �.I�
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o�� `✓�E,��,9�' NB9°07 j2';E "—�" — — — 385.00'
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I hereby certify that this is a true a�d correct represe�tatio� of a s��r•vAy of
the boundaries of Lot l , Block 8, Hu�ti�gto� Farms, a�nd the proposed location
of a proposed house. It does �ot purport to show a�y other improveme�ts or en-
croachments. .
COFFIN & GRONBERG, INC.
Date : 6-9_87 ��������``�,_,
Sca1e: 1" - 100' ar ro�T�.—Cic.'fiTo.—i�755
o : I ron marker � , -. , Eng ineers, La�nd Surveyors, P 1 a���ers
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,,•,r� � Lo�ng Lake, Mi��esota
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c�TY oF oRONo
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These commsn!s are 10f�OUt!riOfiT:_:iQii. r'•,!I'A`Ofi(��idii��i�p�s
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E C, SCHEDULED ��� � ?
PERMIT NO. ✓�� COMPLETED �����J
ADDRESS ��� ��-F ��'d1� ���
OWNER CONTR. I�G/L.�-k� C�'�%��
TELEPHONE N0. ��0.�J ��''oZ ��7�C�
� DESCRIPTION /-O � /"Dc��/� Or ���?�'
� 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 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTIONREQUfRED.CALLTOARRANGEACCESS.
Call forthe next in ection 24 hours in advance. (g52) 249-4600
OwnedContrac site
Inspector.
White Copy/lnspector's Fiie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE _ scHe�u�Eo � _ U �
�d-�J ��
PERMIT NO. COMPLETED
ADDRESS ,"J� �-�U�.�T �/�/'✓2 �� �
OWNER CONTR. �L �1/!�.5� C�'�•Sf':
TELEPHONE NO.__ _/ C.Q ,� ��� � �� �
� DESCRIPTION /�1�'�� ��� �� C--
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BUFiNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL ��i� 14 SEWER HOOK-UP 06 PROGRESS
� �T"DE f�SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED �"PROJECT COMPLETE
W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n�xt inspection 24 hours in advance. (952) 249-4600
OwnerlCon�tey �ite:
/
Inspector. �
Whiie Copyllnspector's Fil� Canary CopylSite Notice