HomeMy WebLinkAbout2006-P10353 - addn/remodel/repair PERMIT
CITY` t�� 'ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o353
Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair
(952) 249-4600 Date Issued:
10/30/2006
SITE ADDRESS: 2715 Silver View Dr Unit#
Long Lake,MN 55356
P��� 33-118-23-42-0011
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial Census Code 434
Permit Class: Building
Permit Type: Addirion/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical
NOTICES/REMARKS:
Kitchen Bump Out,New Windows,Deck&Cabinets
FEE SUMMARY: Pernut Fee: $ 1,217.75 Valuation: $ 140,000.00
Plan Review Fee: $ 791.54
State Surcharge Fee: $ 70.00
TOTAL FEE: $ 2,079.29
APPLICANT: Benchmark Contracting OWNER: Courtney&Barbara Whitney
2331 Driftwood Ln 2715 Silver 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 REQUIREMENTS.
APPLICANT PERMITEE IG ATURE IS ED BY SIGNATURE !��
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
���
. �„\ o �
Total Fee: $ •�G���i'- a`� Date Received:
Entered By: Permit#• �'� �_
,ry���/3/ec�
CITY OF O�t�NCi - 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
JOB SITE ADDRESS: .:'-7 �� ��i L_���� �'� �' �k;zir: ��-, LJ�:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO ]f yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
�Cti�b a��l Gt �
NAME OF OWNER: C�%L%,t� ��/�`� W�� l �I���PHONE: (home)�;��- �t%`�'-��%(�
(work)�;1�-7�=f I�-����C
MAILING ADDRESS: .�`1�5`��i u�Kv���,.: t7� CITY: �7��;�:L� ZIP: `��":3��C.�
CONTRACTOR: �;i����-� c-�,a�,z ��c ru_C�-� ��°�-pxo�: `I`�-�-�l��.-�iy�
CONTACT PERSON: ����-�; ;�:%�--{�:�v MOBILE/PAGER: (�t':�-�{7�-���-3
MAILINGADDRESS:<�3'3� -�� �-',,�„c���i� �-�� CITY: !`'1��'Nh ZIP: ��3[F��-�''
STATE LICENSE: # :�d t C��:;t���'�, EXPIRATION DATE: �V�
ARCHITECT/ENGINEER: �LCiv 1��'` Ut:t'�`�i�t� PHONE: ��:� -��-�i•-�'�'�:�
MAILINGADDRESS: r.v;;i '�M���Ntti,'E 5 CITY: ���-{�F-F.��t� ZIP: -,��23
NAME: C�'N1� w iS�r(>-�--i7►=5'�v►�.� REGISTRATION: # �'
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) ,�
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detain: �.i TG•�-1 i�IV �3�:;V�1-' ���;�: ;v i���
_1,1,'t 1�1�����-- � 'i%c�.K 4- �:,=:i;� ��f--'�j_—`�
!�-Ift 1 N ��c^e���--j j v�
STORIES: `''�'-' SQ.FEET OF EACH FLOOR:��C?�i�l���`G'(-' "J3=�--Ci i C=1�r��-7���
NO. OF BEDROOMS: `-;''L GARAGE STALLS: ATTACHED_� DETACHED_
E-�
ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ %'�?�L% ,�/G't-% `�
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 permit;and that the work will be
in accordance with the approved plan.
, .
APPLICANT'S SIGNATURE: ���- �w--����7/�-G�--� DATE: ����`- �3�
,
31
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Total Fee: $ DateReceived:
Entered By: Permit#:
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
JOB SITE ADDRESS: ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No !f yes, a specia!event permit is required with Police Depnr�n�ent arTd City Counci!a�proval
60 davs pr•ior to the event. Shuu(e ba�s se�•vice wil!be required unless appficant den�onstrates
sa�cient on-site par•ki��g is available. Non per�»itted events tivill not be allowed.
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTR.ACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTR.A.TION: #
TYPE OF WOI2K: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in tletc�in:
STORIES: � SQ.FEET OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): �
I hereby appty 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�vork is not to start without a permit;and that the work will be
in accordance�vith the approved plan.
APPLICANT'S SIGNATU1tE: DATE:
3t
� . � . 4�
Scc.13.0�1 RIGHTS OF SUBJECTS OF DATr\
3ubd. 1. Type of data. Tlie rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
5ubd.2. Information required to be given individual. An individual asked to supply private or contidential data conceming himselfshal l be
informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or state�vide system;(b)
��hether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusin�to supply
private or confidential data;and(d)die identity of other persons or entities authorized by state or Yederal law ro receive the data. This requirement shall
noc apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in die individual income ta�or proRerty tax refund
instructions instead of on those forms.
Subd.3. Access fo data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and wliether it is classitied as pubiic,private or confidentiaL Upon his further request,an individual who is the subject of
stored private or public data on individuais shall be shown the data without any charge to him and,if he desires,shafl be informed of the content and
meaning of that data After an individual has been shown the private data and informed of its meaning,the data need no[be disclosed to him for sis
months thereaRer unless a dispute or action pursuan[to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request 6y the individual subject of the data. The responsible aufhority
may require the requesting person to pay the actual costs of makine,certifyine,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,esduding 5aturdays,Sundays and legal holidays,if immediate compliance is not possiUle. [f he cannot comply wid�the request
�vithin that time,he shall so infonn the individual,and may have an additional tive days witliin which to comply with the request,excludino Saturdays,
Sundays and leoal holidays.
Subd.4. Procedure when data is not aceurate or complete. An individual may contest the accuracy or completeness of public or private data
concernin�himself. To e�ercise this ri�h[,an individual shalf notily in wnting the responsibie authority describing die nature ofthe disagreement The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incompiete and attempt to notifr�past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes the data to be correcc. Data in
dispute shall be disclosed only iFthe individual's statement of disagreement is included���i[h the disclosed data.
The deterniination of the responsible aud�ority may be appealed pursuant to the provisions of the administrative 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 tllat 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 furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to suppfy data, but refusal may require that the City deny the pern�it oc license.
3. The information may be shared with other locaf, 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, sorne information may become
pt�b(ic.
5. You have certain ri�hts under��i.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 \Iiddlc L�ist
�L I,� _
r�ddress
Ci1�- Siatc '/_ip f'hore
I underst�nd my ' ts as stated above.
i/
Si},n;iturc/
Reset Form ��
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONL Y ,
ADDRESS OR LEGAL: Z 7 I S 5� I UP�y ll� :��t,J
PID:
DESCRIPTION OF WORK � \� w��d c�s C�(�L I C C �t�r vx� �
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY.• DATEAPPROTjED: Z.5 (�
BUILDING REVIEW BY.• DATEAPPROVED: �e � z -O�,
FEES TO BE CHARGED: Misc. Fees Calczdated By:
PERMIT Yes� No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No v' PARK FEE
SAC Yes No r/ SITEINSPECTION
Nzrmber of SAC Urrits OTHER (specify)
-------------------------------------------------------, - --3-----------------------------------------------
ZONING CHECK LIST Zoning Distr�ict: �
Fire Depm-tir:ent: Post Office: School District:
Lot A��ea: Sq.ft. Acres Yi�idth Depth _
Sauvey Subrnitted: Yes No ✓ Date of Survey: � Z 2 •�
S�vv¢,� I vt � l�
Pr�oposed Setbacks:
Fr•ont(Lake): �( F3 Right Side: ��
r � /^
Rear .(Str:eet,1: � 2 Left Side: �=-}-
Adjacent Str�zrctures: �� Wetlancl: /v�"
Bari(ding Height: Def Hgt. ��� Peak Hgt.
Lot Coverage:_ lY�
Grading: StaffApprova/Date: /Jo C I-Fr�_ By: Cozrr�cil.4ppr•ova!Date:
Septic: StnffAppr�oval Date: (�S(o B}�:
7_onirtg I"ile: # Resolutioi:: � Resolirtia�Date:
Shoreland District /y�} MCbi�D Pe�•miit:
�1vg. Setback: 13/L ff Setbacic: Lot Caverage:
Existrng Pi�oposed
f-Iardcover•: 0-7�'
?�-2�0'
2�0-�00'
soo-�oon�
H�u�cicover �ai•iance Reqzrired: }es ��'o Date of Cauncil:ipp��oval.�
REMARKS(in liouse):
33
BUILDING REVIEW CHECK LIST
UBC: IZ'3 CONSTRUCTION TYPE: �N
Sg Footage $Pe��Sg Ftg
Basement , x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ /�0�(700 ��
Inspections Required: Work Requiring Separate Permits:
Site �_Plumbing Fire
Hardcover Removal � Mechanical Water Connection
_ (L Footing Septrc Sewer Connection
( F►•aming Fireplace Lawn L•rigation
�Irrsulation (Masonry) Other
�Wall Board (Mfg.) Well(State Permit)
o�Final Grading/Filling 0'-Electrical(StatePermit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval.• Date By.•
REMARKS(TO BE NOTED ON PERMIT):
34
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� (�`� DAT TIME
CITY OF ORONO � CALLED w lO-jD -U�o
INSPECTION N T SCHEDULED � � v
PERMIT NO. � �-� COMPLETED
ADDRESS �c 7�S ��l��iY'!�/�l� �//K-¢�
OWNER CONTR. ✓3G�'!c✓//!7�'/� �•�+-.
TELEPHONE NO. ��a 7,7�'r �� 43
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� DESCRIPTION
1 F 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 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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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEH POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAL�TOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContra r site:
Inspector. Y"'1
White Copyllnspector's File Canary Copy/Site Notice
= -3 �n�� �l�� f �.
� " DATE'� TIME ��
CITY OF ORONO CALLED IN
INSPECTION NO I�E SCHEDULED ' '�� �
PERMIT NO. �3S COMPLETED
ADDRESS � 7 S '���vQ r l�/��J �/'
OWNER CONTR. ��h �k c�>�E-.
TELEPHONE NO. C� /a � ��' S�� fc�
� ION
�
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CQRRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. .�"� � �J
White Copyllnspector's File Canary CopylSite Notice
�� �� �
3 D TE � TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. /�`ia 35 3 COMPLETED
ADDRESS �-7/ �� � � � l:e�Y/e �,t 1 ��
OWNER CONTR. i��{��'I"�2(�,�
TELEPHONE NO.
G� /� -� �� - .� �o� "`e""' .
� DESCRIPTION — �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN �{.
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEP C FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: ' YES_NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WIIL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-4600
OwnerlCon ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
D �i TIME �
CITY OF ORONO CALLED IN � �O J�
INSPECTION NO�IC�� ,✓� SCHEDULED " �
PERMIT NO. I � COMPLETED
ADDRESS 7�S � (/er r
OWNER CONTR.
TELEPHONE NO. � �a q �,�s7��3
� DESCRIPTION /��'�Z�N ,
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAI 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
v�, COMMENTS:
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the n t inspection 24 hours in advance. (952) 249-4600
OwnedContr ite:
Inspector. ''
White Copyllnspector's ile Canary Copy/Site Notice
� —� � DATE TIME
CITY OF ORONO CALLED w � '
INSPECTION NOTICE SCHEDULED 6 � //-� �?l
PERMIT NO. �'���� CONFPLETED ._
ADDRESS �-�T`S v//l/`E/�LJLP� �C�
OWNER CONTR.�s/'1G L(!�/t GliS�� _
TELEPHONE NO. - l - S Q�
� DESCRIPTION — ei?20 U'�2.�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL �..�� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU'�YES_NO
c�., COMMENTS:
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❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETt1RN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on
Inspecto�
White Copyllnspector's File Canary CopylSite Notice
� � � `�� r �
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