HomeMy WebLinkAbout2006-P09806 - addn/remodel/repair � ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po9806
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remodel/Repair
(952) 249-4600 Date Issued: 5/23/2006
SITE ADDRESS: 355 Stubbs Bay Rd N Unit#
Long Lake,MN 55356
���� 32-118-23-31-0003
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential
Census Code 328
Permit Class: Building
Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolurion#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,2�3•�5 valuation: $ 150,000.00
Plan Review Fee: $ 827.94
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,176.69
APPLICANT: Stonewood Design Build OWNER: Fredrick&Julie Krieger �
7407 Wayzata Blvd 355 Stubbs Bay Rd N
Minneapolis,MN 55426 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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���APPLICA T EE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ �/7(�-CP q Date Received: =�! ��7��.��p
Entered By:��4� Permit#: ��'� � ���';�k''�:>{� y
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(plec�se print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: ' �� J ,b� �2� c�t ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No If yes, a special event permit is reqa�ired lvrth Police Depar•tment and City Council approva(
60 days prioi�to the event. Shzrttle birs seivice tivill be re���ired u��less applrcant demonstr•ates
sa fficient on-site parking is available. Non-permitted events will not be allowed.
/
NAME OF OWNER: � V� �. �E � PHONE: (home) _
(work)
MAILING ADDRESS: CITY: ZIP:
�
CONTRACTOR: - vvt - Gf" � FS I i,� i�� ( �l PHONE: �"/�a� v�7�-D����
CONTACT PERSON: ;� MOBILE/PAGER � ,�1�- D o2�
MAILING ADDRESS: L • CITY: , , �i�; "gv ZIP: .�S�{ Co
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition _�� Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement m�y�,' r quire CWD review an per its!
PROPOSED WORK(describe in cletain: ,A��(G"1` ��v� ��, �G���r z-��✓L
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACAED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): ���(�,. CC>��
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confonnance with the ordinances and codes of the City and with the State Building
Code;that I understand tt�is is not a pecmit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATU DATE: -7 �� �
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Scc.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. l. 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 identiry of other persons or entities authorized by state or federal law to receive the data.This 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 olace the notice req,ujred under this subdivision in the individual income tax or proRer4Y 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 informed whether he is d�e 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 ofthe content and
meaning of that data. After an individual has been shown the private daha and informed of its 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 additional data on che 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,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or widiin five days of
the date of the request,excluding Saturdays,Sundays and legal hol idays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform 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 contest the accuracy or completeness of public or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible suthority describing the nature ofthe disagreement.The
responsible suthoriry 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.
The determination of the responsible authority 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 that 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 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
Citv State Zip Phone
I understand my " hts as s ted above.
Signatu
Reset Form �2
. • '
CHECjK OFF i�IST FOR ISSUANCE 4F �'ERMITS
FOR OFFICE USE ONLY
AADRESS OR LEGAL: �5S S-�'li 6�l'�� �7l���, I"�G'�-
PLD: 2� �23 � 1' ��
DESCRIP'I'TON OF W�RK: 9� N� 1�
-- ------- -------------------------------------------
ZOVTi IG REVIEtiV BY: � DATE APPROVED:
SUILDING REVIEW BY: DATE.APPROVED: ,5�-2�--0�6
FEES TO BE CHA�2GED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIE`V � Yes —� No SEtiVF�R CO�TNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTTON
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC�Units OTHER (specif.y)
---------------------------------- -------------------------------------
ZOYIl�IG CH�CK LIST Zoning District: ���A" .
Fire Department: Post Office: �� �lit-School District: � �
L,ot Area: Sq.ft. ��i 73� �95� Width 5� �� � DePth �7 �
Acres
� 2 z-- o G �'°ST
Survey Submitted: Yes� No Date of Survey: p��I1 f t o�
Pro osed cks`. � ' . .
P � ,�v,'l'�
/�ron Lake): � � � Right Side: � �U
�.-� ���
, �v� ,
,'�Reaz1(Sueet): ��� L"�'ft�ide:
..�` � N//`�
Adjacent Structures: � Wetland:
� � CLow� -I�� Idav�� � O�.J
Buildin� Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: /�(� � By: Council Approval Date: �� �
Septic: Staff Approval Date: �. �p By� C�•C�
Zonin� File: !#� Resolution: � �� Resolution Date: /V
Shoreland District:
Avg. Setback: Bluff Setback: LotCovera?e:
EzistinQ Proposed
0
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No� Datz of Council Approval:
REti�L4RKS (inhouse): /¢uOWt� Dl�� '" 3.08�0 s�. ���;-� = 2�7°1 � � �
�� : 1� D 14-� COI/�'T�N�N'T� 2�1 l.�l�'�'i'tt� GJ W PLRls. GQV!�N/4r�T
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BUII�DING RE'�tii� CI3ECK LIST
UBC: _ _ l�'1 ' CONSTRUCTION TYPE: ��
Sq Footage $Per Sq Ftg
Basemeat � . . . x = •
lst Floor � x � _ � �
2nd Floor x _ .
Garage x =
x —
TOTAL
Estimated Construction Value: $ s S�i oot� �O
Inspections Requirea: tiYork Requiring Separate Permits:
Site �_ Fire
� Hazdcover Removal Mechanical Water Connection
�Footing � Septic Sewer Connection •
� Frami.ng Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
F�� Grading/Filling _�Eleccricai (State Permit)
Ocher
REMA1tKS(]N HOUSE): .
-------------------
REVIE'4V BY OTHERS: DATE:
Access: Existing New �
Access Approval: Date By; �
-- -----------------------------
REI�IARKS (TO BE NOTED ON PERNII'I'):
8
/� DP�TE / �/� TIME� �
C C�OF ORONO CALLED IN � ! �`'"
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INSPECTION NOT CE SCHEDULED � . �
PERMIT NO. COMPLETED
ADDRESS ��� S'�C_� I�S �i-t.c� ��
OWNER � CONTR. �S`�73Yti1.� 'k'��.�
TELEPHONE NO. ����� �� Q. �-����
� DESCRIPTION --��C..` ��tiCYZ j��/1 Jy���,J
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� :.��� D TE �� TIME
C�E�OF ORONO CALLED IN I /�,
INSPECTION NOTIC SCHEDULED `�lJ �
PERMIT NO. � � COMPLETED n �_,
ADDRESS .� s St `'�b�-� �iPr�1 1�'
OWNER CONTR. ��L�-1�30�
TELEPHONE NO. ��� �a'�� "�'3`��
� 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 BURNER6FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
i09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlCon te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �`�����2sLJL
INSPECTION NO � SCHEDULED � 3'�'�
PERMIT NO. ` G C� U��� COMPLETED
ADDRESS�_�2�� �fl���S �l-2� �:.�%.
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OWNER CONTR. �77��.C�/Cx.YS2
TELEPHONE N0._G/�`J-� `/7/ U..S� L�
� DESCRIPTION
� FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q AMING 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W4LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (g52) 249-46��
OwnerlContracto 'te
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE�y TIME �
� F ALLED IN �d " ��v�
C O ORONO c
INSPECTION NOJTIC SCHEDULED f� �:vC7
PERMIT NO. ° 1 C� COMPLETED �
ADDRESS ,--� __��._ / � Z�
OWNER CONTR. �`� �Ua
TELEPHONE NO. �5 c�� 0.����
� DESCRIPTION �) t �l �/� ��1r_�C��'f �
� 01 - 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q LATION 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 FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor o site: -
Inspector. �
White Copyllnspector's File Canary CopylSite Notice