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HomeMy WebLinkAbout2000-P02503 - addn/remodel/repair PERMIT CITY`OF ORONO 275D Kelley Parkway- PO Box 66 Permit Number: P02503 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 6/21/200 SITE ADDRESS: 2145 Watertown Rd LONG LAKE,MN 55356 PID: 03-117-23-21-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: BuildingCensus Code 434 Permit Class: Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: 2575 Separate permits required: Piumbing iviechanicai Eiecu•icai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,049.75 Valuation: $ 110,000.00 Plan Review Fee: $ 682.43 State Surcharge Fee: $ 55.00 TOTAL FEE: $ 1,787.18 APPLICANT: MUONIO CONSTRUCTION CO OWNER: J A CORNELL&J D CORNELL 1835 CO RD 127 2145 WATERTOWN RD DELANO,MN 55328 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. APPLICA?,�YRMITEEAT UED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Pagel Total Fee: $ 787„ / Date Received: DC7 Entered By: WA.. Permit#: A O 3 6763 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 ORCONT TOR JOB SITE ADDRESS: 2I 4 5 Uj or+CR.TowN ZIP: 5r NAME OF OWNER: (L1•NVA CD R-P tL L- PHONE: (home) - (work) MAILING ADDRESS: �I qS WA-j Pa(yu/W ( CITY: LLW Lpb4Q . ZIP: CONTRACTOR: M Q W Q W)54 ,(,o PHONE: qsZ-9 S S- 3a6 d CONTACT PERSON: Rocee_ m wart c o MOBILE/PAGER: 84,7-oe(,o / MAILING ADDRESS: )S 3S• Gb• 2d . t a.7 CITY: p e La N o ZIP: Ss 3 42 STATE LICENSE: # (000 / ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: — CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration 41- Land Alteration PROPOSED WORK(describe in detail): peM o 0 G T" F - -}au add u o STORIES: SQ. FEET OF EACH FLOOR: 8((o NO. OF BEDROOMS: J3 GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1(0 11 000 . 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: 4r DATE: 052-30-00 NOTE! Parade off'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. 5 Sec.13.04 RIGHTS OF SUBJECTS.OF DATA y 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 concerning 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. 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 may place the notice reauired under this subdivision in the individual income tax or property 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 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 stoned 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 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 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,certifying,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 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 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the 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. 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 requiredtoprocess this application or permit. Gam.©&-e First Middle bast t SIS I Ll-7 Address Qe C.&,iu M14J - SS32�-2) City IState Zip Phone I understand my rights as stated above. Signatur 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z 1 H s W tq tZT-U w t'V fz-oA,D PID: DESCRIPTION OF WORK: A rJ o t n o rJ5 ZONING REVIEW BY: DATE APPROVED: 6 - 5- BUILDING REVIEW BY: DATE APPROVED: G •5 -oy FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,i No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: 2 2-16 Fire Department: N tu:: Post Office: (,ur.r�i..L;_ School District: Oreo t&Z Lot Area: Sq.ft. rVi oS t-f Acres (.JC Width 4 3cl Depth l�1 Y, Survey Submitted: Yes_z— No Date of Survey: 3-`A Proposed Setbacks: Front(Lake): 136' Right Side: 6 t;- Rear Rear(Street): Z&.S Left Side: 310 Adjacent Structures: A-7-TA tet Wetland: /V la Building Height: Def. Hgt. 0,K. Peak Hgt. D,k Lot Coverage: — Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # 2 S-7 S Resolution: # Resolution Date: Shoreland District: /W 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 BUILDING REVIEW CHECK LIST UBC: - 3 CONSTRUCTION TYPE: yN Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 0 Inspections Required: Work Requiring Separate Permits: Site p( Plumbing Fire Hardcover Removal oC Mechanical Water Connection yC Footing Septic Sewer Connection - O� Framing Fireplace Lawn Irrigation ---K Insulation (Masonry) Other _,Wall Board (Mfg.) Well(State Permit) Final Grading/Filling cK Electrical(State Permit) Other REINLARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERINUT): 8 DATE TIME CITY OF ORONO CALLED IN -�L_26-Dv INSPECTION NOTICE SCHEDULED - 7-lav //t 30 PERMIT NO. P02-60-3 COMPLETED ADDRESS 2i�/S (.>,e��t'��awn lei'/ OWNER CONTR. /t'I�rcSni ® �1i>1 TELEPHONE NO. 'Srd 7'UD4 1 DESCRIPTION 01 FOOT 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q MING 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWN ERICONTRACTOR TO MEET YOU:_YES_NO Zt y trENTS: 07 4n utc, by juAA aWe O W CC Q 2 W z W CC d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 4j W ❑ ORRECT WORK&PROCEED 1, ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 PHOTO TAKEN INSPECTOR WILL RETURN C'CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contrac or on site: Inspector. >t White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN F�--/A"v D INSPECTION NOTICE SCHEDULED �1-ob PERMIT NO. T 02 SOS COMPLETED ADDRESS OWNER CONTR. Xrni TELEPHONE NO. TION 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR G 13 MECHANICAL FINAL 19 LAKESHOREANETLANDS h 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO S: W a ("t) �t &Vt!� cc VJ O cc O LL W CC Q Z W z W cc j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTOTAKEN INSPECTOR WILL RETURN 171 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contr c r on site: Inspector White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN .23kw INSPECTION NOTICE SCHEDULED 7-:2 o ri 30 PERMIT NO. f�bZsd Z COMPLETED W`Z�Gb ADDRESS OWNER CONTR. kacq:✓r huon,-v TELEPHONE NO. 672` 2S6r7 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO C) VT Wa S 0 4-S cc 0 W Cz Z W z W CC d W ❑WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE QZ ❑ RRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR I-,CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contrac on site: Inspector. White CopylInspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.S-RD 2E503 COMPLETED ADDRESS �S �` :kms OWNER Cine f) CONTR. '_fVOniy Cs6 TELEPHONE NO. & DESCRIPTION \C�`t 1�CC�CtE W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 SIdL,4Tf 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 v 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z 01) COMMENTS: cc W C cc J O Cz O W W cc Q Z W z W CC O �JORK SATISFACTORY:PROCEED ElPROJECT COMPLETE V❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C-) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contra r on site: Inspectors rz5 f White Copylinspector's File Canary Copy/Site Notice / DAT -(�� TIME CITY OF ORONO ��C,,A4�ED IN // f D � '`� INSPECTION NICE �e'"'sc'F "DUL�d� :A) PERMIT NO. V)1 COMPLETED l-Cz) ADDRESS a)4-'2 OWNER CONTR. m UPPI U CC4nZS4 TELEPHONE NO. 5S -_ �0 3 0(o a DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 OWN ERICONTRACT TO MEET YOU: YES_N �- COMMENTS: Uj - a � cc J O O U_ W cc Q Z W W Ec_ O O W El WORK SATISFACTORY:PROCEED n PROJECTCOMPLETE Qc ❑CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY W O )#ORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR F CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contrac or on site: Inspector. White CopylInspector's File Canary Copy/Site Notice Gtr DATE TIME ✓ CITY OF ORONO CALLED IN !2—/ INSPECTION N SCHEDULED U� PERMIT NO. TIC O COMPLETED ADDRESS 02/ 4.5 4d OWNER_J(&L Cft-N� CONTR. TELEPHONE NO.— q62- 473 3q7 I eL �P2. 8 to 5-73 � DESCRIPTION 5 Seea 4CO" POtCA- 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL OWNEWCONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: a; W a j O cc O W W ccQ 2 W Z W W O L1✓�7VORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contras n Inspect White Copylinspector's File Canary CopylSite Notice