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Home My WebLink About2008-00007-old PID# - new structure � r . . . CITY OF ORONO PERMIT NO.: 2008-00007 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/16/2008 � 952 249-4600 FAX: 952 249-4616 P� �37 ADDRESS : 460 EAST LONG LAKE RD PIN : 35-118-23-14-0003 LEGAL DESC : LTNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 1,115,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE),FIREPLACE,MECHANICAL,PLUMBING,SEWER CONNECTION, WELL(STATE) SAC RECLAIMED FROM DEMO 10/2007 NOTE:CONTRACTOR TO INITIAL I HAVE READ AND AGREE TO THE FOLLOWING CONDITIONS: 1.A SEPARATE PERMIT REQUIRED DECK 2.ADD BLOCK TO LOWER GRADE ACROSS BACK TO A'I"TAIN 6"GRADE TO SIDING SEPAREITION 3.NO SPORT COURT TO BE BUILT 4.PAY$2,000 ESCROW FOR WETLAND 5.SIGN ESCROW AGREEMENT APPLICANT pERMIT FEE SCHEDULE 6,416.75 STRONG ARM CONSTRUCTION SERVICES,L pLAN REVIEW 4,170.89 233 WALKER AVENUE WAYZATA,MN 55391 STATE SURCHARGE(VALUATION) 546.00 Minnesota State License#:20630205 ESCROW FEE-WETLAND 2,000.00 TOTAL 13,133.64 OWNER RICHMOND,JAKE 233 WALKER AVENUE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvais,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the Sta i � Code.This permit may be revoked y time fo e � �� / � / pZd�r� icant Permitee Signature Date I By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r � �. . . � , Total Fee: $ Date Received: �- / "� Entered By: Permit#: ..f�/�/3 7 �DO��Ud�7 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) OWNER OR CONTRACTOR / �J�` / p JOB SITE ADDRESS: �G.0 •�'�--��N�' i`Ft�E ��LSp - y-.�IP: ,jS.3` � Will this be arade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS P10 If yes, a special evenl permil is requir•ed ivith Police Departmenl and City Council approval 60 days prior to the event. Shuttle bus service will be required unles.r applicant demonstrates sufficient on-sile par•king is available. Non-permitted events will not be allowed. NAME OF OWNER: S ) � _ � �� 4 �(�'�HONE: (home) �3-S�'eZ �� f ,(/ (work) MAILING ADDRESS:�,3� G�.� "� CITY:�'�'G� , c�✓ ZIP: ��/ C0IVTRACTOR: � � �E' ec},tJ' ,fu< /�/'✓ (,� L�� PHONE: -t�cj� ��.� CONTACT PERSON: ` , n;n. MOBILE GER: ��=�)j� MAILING ADDRESS:.,'�. ' Gi� CITY: c- " ZIP: ,�$� S'TATF.:,ICENSE: #_�'p��3Q �� EXPIRATION D TE: ARCHITECT/ENGINEER: �F� � s? P ONE: �-` _ � ��. � MAILING ADDRESS: �. C Y: �s„(��ZIP: 1'�AME: REGISTRATION: # TYPE OF WORK: New Home�� Addition Accessory Structure Move Home Remodel/Alteration (ie: Sidinb, Windows) Any earth movement may require MCWD r view and permits! i'ROPOSED WORK(describe in detai�: � � � �}-� � n J. STOR�ES: `- S .FEET OF EACH FLOOR:��I(� ! �GzS f��( ��w( �� , Q � NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED\�_ DETACHED_ ES'TIMATED CONSTRUCTION VALUATION(exc di g land): $ r I hereby apply for a building permit and I acknowle ge tha the iryformation above is complete an'd accurate; ttlat the work will be in conformance with ord' an e and c,6des of the City and with the State Buiiding Code;that I understand this is not a permit n w rk i to art without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: ��ATE: �`'C!� ` � <. � 31 . ` , • , �� a 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 forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential 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)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.7'his requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individua]income tax orpronerty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriTy,an individual shall be infortned whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of iu 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 addrtional data on the individual has been collected or created. The responsible authority 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 actual costs of making,ceRifying,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 date ofthe 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 infortn the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may wntest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that 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. T'he determination of the responsible authority may be appealed pursuant to the provisions of the adminisVative procedure act 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 your request for a permit or license from the City of Orono or any of its departments may require you to furnish certai:�private or confidential information. You are notified that: L 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 shazed 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 appr , ome information may become public. 5. You have certain rights und . 13. available upon req to rev ew private data on yourself. 6. Your full name is required proc ss i pplication or pe �;a�- Fir t �.7�V�� 0��bi�dle > >�/��T^ ��D ��o r��, rr �D�- ddress " , - �' -��1�. C��Y t Zip Phone � I understand my rights as sta above. Signatu � c '+. y �� ' i 32 . . . .0 t -� . CHECK OFF LIST FOR ISSUANCE OF PERMITS OR OFFICE USE ONLY ADDRESS OR LEGAL: _ �-�— (�(� �_� � �'+�� 1/�� Z � �� PID: DESCRIPTIDN OF WORIi: �.tJ �;.1;�� - ZONING REVIEW BY.• l DATEAPPROi�ED:'7� /•Q� BUILDING REVIEW BY.• DATEAPPROTrED: �- � .�c� FEES TO BE CHARGED: Misc. Fees Calculated By: � � PERMIT Yes � No PLAN REl'IELV Yes � No SEWER CONNECTION STATE SURCHARGE Yes r/ No WATER CONNECTION INVESTIGATION FEE �3+--.-� No ✓ PARK FEE SAC Yes No !/' SITEINSPECTION - NumberofSAC Units Q�„�'�' ��c� ,Z_�Y �d� 07'HER (spec�) ZONING CHECK LIST Zoning District: � �— ( � y Fire Depm�tment: Post'S�ce: School District• i � �ot A��ea: Sg.ft. Acres�� ^Width 2d,�� Depth l�C � / • C., Survey Submitted: Yes (/ No Date of Survey: ZU �'-] �.Q.v Coj�vl 0 8 Proposed Setbacks: �F�-ont(Lake): �� Side: �� C� /%-��C,uY C�h J 1��9�'/l-Yyrl�,�/ ' � �U� / Rear(Street): � .beft Side: i Adjacent Structures: {�/�' Wetland: S�J r �.� � Building Height• Def Hgt. �� Peak Hgt. J G�Lot Coverage: Q Grading: StaffApproval Date: � l� � By: �(Uq� Council Approval Date. Septic: StaffApp�•oval Date: �I '(�'C.� g gy, �`r' , �Zoning File: # 0��33�3 Resolution: # Resolution Date: 3 I O�C�� Shoreland District: V MCWD Permit: Avg. Setback.• i�!/�-}� Bluff Setback: Lot Coverage.• ��g ��-il��/ Proposed Hardcover: .LI�ZS- r �� 75-..50 �so�soo, s� � y Z�Z p-��2�.� 500-1000' Hardcover Gariance Required: 3 es No� Date of Council App�•oval: REMARKS(inhouse): Ht4h�s�- �..t��s�� q;r�� i �j 33 / . . „ , a BUILDING REVIEW CHECK LIST UBC: [Z- 3 CONSTRUCTION TYPE: �l� Sg Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ (�J/S, �� ' Inspections Required: Wo �Requiring Separate Permits: Site Plumbing Fire Hardcover Remova! echanical Ll'ater Connection _ ,/�Footing Septic Sewer Connection �Framing �ireplace �awn rrigation _�nsulation �lasonry) er ,�(Mfg) �1(State Permit) �/�'inal Grading/Filling ---�"�lectrical(State Permit) Other XEMARKS(INHOLISE): REVIEW BY OTHERS: DATE: � Access: Fxisting New Access Approval: Date By: REMAR�S (TO BE NOTEDf�N PERMIT): ��Iy'�C.�r.,' � ihi�ia 1 � �4 S gl�, 2/rr�/f- � ui�d�c✓ L -- b(oc% r„� r/-�c ros 6Ack fo _ A�ffqih 6 " s�,,�r�,h�i qnarl� �o s�a�ih� -' ',� 5�� C�} 7v rt a� be b��v' � Z O �O Gv-c-�'�u�C� ��u� s� �s �� n � 34 � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED G PERMIT NO. COMPLETED 6 �2�O`(�zl �' dd ADDRESS 4� �5T v°"�� = �� OWNER CONTR. TELEPHONE NO. 1 � DESCRIPTION � 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 Z04 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 FOILOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a �� iD C�1P-�-� oS 'TZd., � � J O o� v^r'O'4�r^� /l,�r�S �. O � W �� °� L.�.t r-. Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN r/ INSPECTOR W{LL RETURN J�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED % ` ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cai�for the next inspection 24 hours in advance. (952) 249-4600 OwnedContra r on 'te: Inspector. White Copyll�spector's File Canary CopylSite Notice � � � ✓ DATE TIME CITY OF ORONO CALLED IN � r� INSPECTION NOTIrCE SCHEDULED PERMIT NO.��d—��Q� COMPLETED ADDRESS �O ��S'T lo�.� � ArQ �� OWNER CONTR. STrQ✓�,� /q�M TELEPHONE NO��ClO-�Z��L�— l�P� � - � �7(p3- 5�lo -a a� � DESCRIPTION ly ❑ FOOTING ❑ MECHANIC RI ❑ EXCAV/GRADING/FILLING Q ,�FRAMING t�P P�F�ppls❑ MECHANI AL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLA ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a J � �� O �� , � /� O �Q ��^t 1 Q . Q ��11 �P C �eclG �?' �'.� Sv l A��o/1 . � a W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL iNSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit • Inspector. r� _S White Copyllnspector's File Canary Copy/Site Notice i J� � AT TIME V CITY OF ORONO CALLED IN --�� INSPECTION NOTICE SCHEDULED �5�D9 :6O PERMIT NO.�'(1S��DDO � COMPLETED ADDRESS_�D �S'�� L��' �� OWNER CONTR. /��✓ ,�`l�u-��03[� TELEPHONE NO. ��'3 7.5� �5�� DESCRIPTION ` ��1�f2 � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING FI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �(� !`v r2 c�c�� 0 � �� ►s C�� c « t �f 0 � W � Q � Z W � W � � ��OYORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTI N TEMPORARY V BEFORE COVERING PERM T ❑CORREC7 UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner►Contractor on site: Inspector. l�� White Copyllnspector's File Canary CopylSite Notke ��`� DATE TIME � CITY OF ORONO ��CALLED IN INSPECTION NQtiTICE `� SCHEDULED PERMIT NO. �� COMPLETED �� "u� ADDRESS `��u v C=�S � j..��`'-� U4'rt�.C� �t.a�'r"�/f OWNER CONTR. 5� C�v�s7: TELEPHONE NO. I�r9� 7 b 3-- S/ e - �`!Z-Z— � DESCRIPTION �'�i��1 �l�'� ly� � FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � (,�(C- `�—� O v � � J O � � O � W � Q � Z W � W � � �gVVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wu CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContract r si : Inspector. White Copyllnspector's File Canary CopylSite Notice