HomeMy WebLinkAbout2000-P02659 -attached deck ; � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02659
Crystal Bay, Minnesota 55323 Pe�mit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: lii9i2oo
SITE ADDRESS: 8o Leaf St
LONG LAKE, MN 55356
P��: 04-1 17-23-22-0004
DESCRIPTION: UBC Occupancy R3
Construction Type V
Proposed Use: ; �
Permit Class: Building Census Code 434 ����`
(T� �\V
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck '
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00
Plan Review Fee: $ 72.28
State Surch�rge Fee: $ 2.50
TOTAL FEE: $ 186.03
APPLICANT: CLASSIC BUILDERS REMODELERS OWNER: JEROME J HALL
2418 BLACK LAKE Rd 80 LEAF ST
SPRING PARK,MN 55384 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.
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APPLI ANT PE MIT IGNATURE ISSUED BY SIGNATURE
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Copies: City,Applicant,Assessor,Finance Page 1
t Total Fee: $ ������ Date Received: 7- l/- °`'
Entered By: � - Perm.it#: -^ � � �>�'
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CITY OF ORONO - BITII�DLtiTG PERi�IIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OW�tER OR CONTR.ACTOR
JOB SITE ADDRESS: %��% L.C'CJ,�=� �T� .�-���-` i�ZIP: ��G��L)C�,:.
NANIE OF OWNER: �c'_t'�v G•��I j I��(`I Lv � �I I PHO�tE: (home) s�]z -��;;�;�-j
(work)
1tiIAII�Iri'G ADDRESS: ��� L��'��' ��.CY.�.� CTTY: ��C'";1�C. ZIP: �`�� � (�,
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CONI'RACTOR: � c�.SS i C, �i �c����� � �:��r,"'���C�(.:_�PHONE: `��1 ' `�'-/'-�`�
COt�1Z'ACT PERSON:�i�•� h�;✓►�c�i v�� I�iOBILE/PAGER: >n.�� -
�� 1NG���'S.S:��.'-�l� ��C.�". �k, l"�c�.• CI�: �,rir�:A -t���r'{ Z�: 5� 5 �� .
STATE LICENSE: # L�c�i5 0�.,;�
ARCHITECT(ENGINEER:�����.�:,,��.=i p��t�e,'v�.r�ler�PHONE: <r�M e-
I�LAILING ADDRESS: �� r�,,��-� CITY: ; �-�� ZIP: S�f��—
N�y�: ��� ,� REGISTRATIOti'#
TYPE OF `VORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �c�;;4�iC'��-L �'-aC.����� s��-� � ��'-��� '�'`"�
�-'_ k�� � ' � f , ,t�C , ---� i�-�1 � 5��� L` ..
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STORIES: SQ.F'EET OF EACH FLOOR:
NO. OF BEDROOvIS: GARAGE STALLS: ATT. DET.
ESTII�i IAT'ED CONSTRUCTION VALUATION (excludi.ng lan�: $ � � C�` C,`�- _
I hereby apply for a buildin�penmit and I acknowled�e that the information above is complete and
accurate; �hat the work will be in conformance with the ordinances a.nd codes of the Ciry and with
� the State Buildin� 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.
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APPLICANT'S SIGNA�:_�� p �; : ,�t%�< <�i ; DATE: �� -� I�.�-' ��-�
NOTE! P ra ade 4f Homes events require separate permit approval by Police Department and
City Counei160 days prior to the event. Non permitted events will not be allowed.
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Sea13.0-t RIGHTS OF SUB.TECTS OF DAT?.
Subd. 1. Tvpe of da[a. The rigti�s oP i�dividual on whom the data is so:cd or ro be scnred shall be as se�fonh ia�6.is secdan.
Subd.?. Informadon reqirired to be�vm individual. An individual uY:d co suppIy private or confideadal dam concerning himself shalI
be informed of: (a) c;e purpose and inr:nded use of che requessed dam wichin�e collecdng�'ar_agency, poliucal subdivision,or sacewide rystm;
�b)whe:her he may r_�.ue or is le3a[Iy required co suppiy�he rertuesud dan;(c)any l�own cnasrYueace aris�g from tiis supplyi.^.;or refusing co supply
privace or conr.dencaI da[a:and(d)ehe idenriry of o�er persoas or er.naes auchoriz�by ssa�.or fed�ral law to receive the dsn. This requir.meac shall
noc appfy whan an ir.d:�•idual is asked to sspply iacesrigadve daci, Qursuaa�ro secaon 13.82, subdivision 5, rn a taw enforceW�a�o�cer.
The comr,.issioner of rvenue mav ❑la.e che nocce r.auir:d under thu subdivision in [he individua! income tax or orooem taz cefur.d
instrucdons ins:tsd of an�hose forms.
Subd.3. ?,ccess to data br•iadiridual. (ipon rtquest[o a rzsponsiblt auchority,an individual shall be inforraed whecher he is[he subjec�
of scor_d dara an ind:viCuals,and whe:her it is ciassifed as public, privace or con:.�e^¢al. L:Fon his fur,her reques�, an individual who is the rubjecc
of stor:d privace or public daa on ir.dir•iduals shall be shown the daci wichouc any caar3e ta hi�and,�if he desires, shall be informed of the con�enc
ar.d meaning oi chac dac�. After an individua!h�s becn shown che privace dari and iaior;.ied oi ics meaniag,[he dara need not be disclosed oo him for
su mon�hs charafLr�n?ess a dupute or acdon pu:suanc w �his secdon is pendLl3 or addiaoa�l data on che individual has beea collected or creared.
'Ihe responsibia au�or,.y shall providc copies of che private or public dara upon r.quuc by tEe individusl subject of�he daci. T'ne responsible auchoriry
may r:quir the requesang person to pay the aca�l coses of rssaking.cerrifying,u:d compiling t6e,copies.
The responsible auchoriry shall comply ina:ediace(y, if possibte, wich�:.�request s3d�pursuant to this rubdivision,or wi[hin five days oi
the dace of ef:a reques4 ezciuding Sar.�cdays.Sur,days and legal holidays,if immedL::complia�ce is noc possible. If he cannot comply with che requesc
wi4'�in rhac asne,he shaii so irtform che individual,u:d may have an addidooal five days wichin which co comply wic:}[he request,ezcluding Saturdays,
3undays and legsl hotidays.
Subd.4. Procedure whea data u not accurate or complete. P.n ir.dividual may contest the accurdcy or compleceaess of public or pm•a�e '
data cor.cerning hurself. To exorise r�is righc,an individual shall noafy in wrid�g�:e resporsioie auchoriry describing�he na�u:e oi the disagreemenc. .
The responsColz aucl:oriry shsll wichin 30 days ei�`er. (a)corrrct che data found ro t�inaccc3m or incompiece and aaempt to nna:y past recipienrs of
inaccura.e or incomple:e dars, including recipienrs named by [he individual; or(6)�oafy c2:= iadividual thac he believes che daa to be correcc. Dacs
in dispu�e shall be disc'.os:d onty if�he individual's sncemenc of disagreemenc is ir:;uded wi_'�che disclosed dara.
The dece.^•.::adon oF ct:e responsihl�auchoriry may be appealed purs.:�'.co che pr�visions of tha administrarive procedure act reladng ro
concesced cases.
DAT:� PRIVACY :�D`'ISORY
In accordance wich�1.5. 13.04, Subd.2, "RiQhcs of subjeccs oi data", �e•e would like to inform you that your reauest
for a permit or license from che Ciry of Orono or any of ics depz�.L:ents nay require you to fumis� cercain private or
confidencial inforcnation.
You are nocified that:
1. Tne information you fi:rnish will be used to determir.�your qualification for the permit or license requested.
? You may refuse to supply da[a, but refusal may reeuire that the Ciry deny the permic or license.
;, The information may be shared with ocher local, scac�or federal a�encies co the ex[eac necessary to process
the perm.it or license.
.}. Ii your requested permit or license requires Council action to approve, some informacion may become
public.
�. Yeu have certain riQhcs under �i.S. 13.04 (availabl� uoo❑ request) to review private data on yourself.
6. Your full name is required to process chis applica�:oa or pe:mit.
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_____I underst�^d my righcs �s scaced aoove.
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, CHECK OFF LIST FOR ISSUA�.�`CE OF PER11�II'I'S
_ FOR OFFICE USE ONLY . � ,
ADDRESS OR LEGAL: �� ��r g��-
PID:
DESCRIPT'ION OF WORK: -
.
ZO�G REVIEti�BY: DATEAPPROVED: � t - 3 -v�
BUILDI�YG REVIE�BY: . DATE APPROYID; � �_� , o J .
FEES TO BE C�GED: Misc. Fees Calculated By:
pERNIIT Yes ✓' No :.
PLAN REVIEW Yes v No SEWER COVNECTTON
STATE SURCHARGE Yes �/ No WATERCONNECTION
INV�ESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION �
Number of SAC�Units OTHER (specify)
ZO\Zr'G CHECK LIST zoain,Districc: 22-\� .
Fire Department: (�r�G (A�� Post Office: (�n�fo MC.0 School District: t�(Zb�td •
LotArea: Sq.ft. a3b.(�ZS Acres •4�`{ � Widch 1A�-!�'To�(h� Depth
Surve;Sub�itted: Yes_ (� No Date of Survey: g�Z -�
Proposed Setbacks: �
. ,
Front(La.ke): l 23 Ri�ht Side: ��c� `
Rear(Street): 5 Z� Left Side: Iv �+'A
Adjacent Scructures: �4-n-tia c..�+e� Wetland: N!'t- •
Buil�in; Heiaht: Def. H�t. p,t,c Peal:Hgt. 0�ti-
Loc Coverage:
Grading: Staff Approval Date: �' By: Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoain;File: 1# 2-��v Resolucion: � � Resolution Date: _ .
Shoreland District: U.pS
Av�. Setback: �v1� Bluff Setback: ._�,__�(� I.ot Coven�e:
E���, Proposed
0
Hardcover: 0-15' ---- .
75-250' _----
250-500' -----.—
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REI�IARKS(in house):
7
BULLDING REVIEW CHECK LIST
UBC: [Z- 3 CONSTRUCTION TYPE: V �
Sq Footage $ Per Sq Ftg
Sasemen[ z =
lst Floor z =
2nd F1oor z =
Gara�e z =
z =
TOTAL
Estimated Construction Value: $ S,(�c9��-s'Z
Inspections Required: Work Requiring Separate Permits:
Site Plumbing � Fire
Hardcover Removal Mechanical Water Connection
p� Footing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Weli (State Permit)
p`Final Grading/Filling Electrical (State Permit)
Other
REtiiARKS(IN HOUSE):
REV�W BY OTHERS: � DATE: �
Access: Existing New
Access Approval: Date By:
RE`�IARKS (TO BE NOTED ON PERNII'1�:
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DATE � �TI�E�--
CITY OF ORONO CALLED IN �-� J
INSPECTION N TIC SCHEDULED -��'� �v �'�'
PERMIT NO. ��'��I COMPLETED ` a?--2-`C�� ��d�
ADDRESS � �-�'�� - �`t�
OWNER CONTR. C'-L�c:SS(rC, ��%�.I ��
TELEPHONE NO. ��I� ������l
� DESCRIPTION
LL FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBtNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED i.:� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. , PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL WSPECTOR � CITATION ISSUED
C; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site-
Inspector.���/'� �(il�
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
C�TY OF ORONO CALLED IN �� S --nl 8� . 5/
INSPECTION (�TIC SCHEDULED J —�� /�d�2-
PERMITNO. �" �� COMPLETED �� �
ADDRESS S�� � �/���h-Q-e f"
OWNER �`-�� CONTR. ��C-K- C��-
TELEPHONE NO. �a'u� � �����
� DESCRIPTION ��' l ►-'i ►�0.�
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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
i09 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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�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r: CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in tion 24 hours in advance. 249-4600
OwnerlContract
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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LI=GF,I. DES��RI('TIC�N (:�F� PREMIr�E�
1rc�ct A, f«gi�,ter��c� Lond �urvF�y �1��. 7��; , fil�,s ���f Re�i��tr��r �_,f Titl?�, flennNpin C<�unty, Minnesot�.
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l�his :��urvey inirnrl; t�� .�how t11�. f���;�_►►1�1i]� i(�'� �.:�f Ih�-• �bov� de��criL�ed ��rop��rty, f,he locatior� of an exi;ti
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