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Home My WebLink About2007-P10993 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10993 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 5/29/2007 SITE ADDRESS: 3015 Watertown Rd Unit# Long Lake,MN 55356 PID: 04-117-23-22-0030 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Accessory Structures Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Fireplace Electrical(state) NOTICES/REMARKS: Attached Screen Porch/Gazebo w/Fireplace&Re-Dash Exterior Stucco In Back FEE SUMMARY: Permit Fee: $ 993.75 Valuation: $ 100,000.00 Plan Review Fee: $ 645.94 State Surcharge Fee: $ 50.00 TOTAL FEE: $ 1,689.69 APPLICANT: Choice Wood Company OWNER: Jeffrey&Anne Williams 3300 Gorham Ave 3015 Watertown Rd St. Louis Park,MN 55426 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREE DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT B ILDING CODE REQUIREMENTS. �J4 APPLI PE S AY ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 1 Total Fee: $ I Date Received: Entered By: 1 � � _,.f�1 Permit#: 6—/L/-O"z CITY OF ORO O - 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 CONTRALTO JOB SITE ADDRESS: 3o l y i,✓ATEIcroWN PyA p ZIP: `s S'3 T(, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ® No If 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 sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: 7f P1LFY 4 AN N WILL 1 q'N1 SPHONE: (home) (work) MAILING ADDRESS: 3015 toA-TiMrOwN IZD CITY: aRowD ZIP: wiV CONTRACTOR: G!101 GE lArm0 D GOwt PA4+N Y PHONE: ,3 S2 q? o b4 3 CONTACT PERSON: DOu& H k p S p yy MOBILE/PAGER:a Z-2-3 7— 3 MAILING ADDRESS: 14?ioo 6pRH*^ A-VE CITY: ST.LOUIS BWIP' !Mj �',�Z4 STATE LICENSE: # 153'2— EXPIRATION DATE: ARCHITECT/ENGINEER: 61JOIC9 N P PHONE: W rZ 9 z4 b nq-3 MAILING ADDRESS: ',S3 Do 6o ghajt A ANG CITY: ST Law's Pmkzlp: 5-r 6 NAME: (,, e_f-FFn.T ?'16E(.11-A-$L REGISTRATION: # 45'r"l-S TYPE OF WORK: New Home Addition X, Accessory Structure Move Home RemodeVAlteration(ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detail): k _ o W STORIES: _� SQ.FEET OF EACH FLOOR: 4-90 S q• P-r, L'PDK NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $�� tD 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 c des of the City and with the State Building' Code;that I understand this is not a permork is not to st without a permit;and that the work will be in accordance with the approved pla . APPLICANT'S SIGNATU — DATE: 31 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 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 required under this subdivision in the individual income tax or proverty 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 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 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 ofpublic 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 required to process this application or permit. Firs Mi le Last Address Ulv7 K.,I L� I City State Zip Phone 1 and tand y rights as stat d' bove. Si ature 32 CHECK OFF MST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY- ,ADDRESS OR LEGAL: 3 a S _j A h Zf dbCJAJ PID: DESCRIPTION OF WORK: Sc- �`� a ��Ze 60 -------------------------—------�---- ZONING REVIEW BY: ----� DATE APPROVED: DATE APPROVED: 5'-2S - BUILDING REVIEW BY. 0 9 FEES TO BE CHARGED:— -� Misc. Fees Calculated By: PERMIT . Yes ✓ No PLAN REVIEW � Yes ✓ No . -- SEWER CONNECTION _ STATE SURCHARGE Yes r/ No WATER CONNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No —� SITEINSPECTION SAC•Units OTHER (specify) --Number of-- ---------------------------------------------- --------------------------------------------------- ZOINUNG CHECK LIST Zoaing District: Fire Department: t Office: School District: Width Depth Lot Area: Sq.ft . Acres Survey Submitted: Yes No Date of Survey: Proposed Setbacks': Right Side: J" Front(Lake): ) e (Street): I Left Side: � ✓" Adjacent Structures: Wetland: Building Height: OY11- Def. Hgt. , Peal`Hgt. Lot Coverage: _!L " "� �� O AW6 Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: S - IS--CD? By: (JCr Zoning File: #uw_ Resolution: r'?, Resolution Date: Shoreland District: 0— Lot Coverage: Ava. Setback: Bluff Setback: Ecisting Proposed Hardcover: 0-75' _ 75-250' 250-500' — 500-1000' V Date Oi Cou_ci! irr�'"'—• Hardcover Vari2nce Required: +es REL S (in house): BUILDING REVIEW CHECK LIST UBC: - CONSTRUCTION TYPE: \/^J Sq Footage $ Per Sq Ftg Basement z = 1st Floor z _ 2nd Floor z = Garage z = z — TOTAL Estimated Construction Value: $ i p o,Oyo °-Q Inspections Required: Work Requiring Separate Permits: S ice Plumbing Fire Hardcover Removal Mechanical Water Connection X Footing Septic Sewer Connection X Framing pe Fireplace Lawn Irrigation 0_Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _ ,2�,Final GradingfFilling Electrical (State Permit) Other REMARKS (IN HOUSE): - -- -- ---- --------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: --------------------- REMARKS (TO BE NOTED ON PER1MM: 8 DTE ;SME V CITY OF ORONO CALLED IN ��` INSPECTION T�IC6 SCHEDULED PERMIT NO. ` 11�� COMPLETED (� ADDRESS mac) OWNER CONTR. �C �-( TELEPHONE NO. (or 2 - 3Coq- '74 1 F3 Ta d TION OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 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 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: cc W a J O a O U_ W cc Q Z W Z W CC 00,O WWORK SATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952) 249-4600 Owner/Cont r ite: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATETIME CITY OF ORONO CALLED IN 07 I0, INSPECTION N TIC SCHEDULED 3:3z Pm PERMIT NO. I O COMPLETED ADDRESS '306 V 'G�' ✓1 kc( - OWNER CONTRCVQcw Co . TELEPHONE NO. 237 730-7 DESCRIPTION fruffla '1w 01 FOOTING 11 MEC NICJL RI T 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MEC HA AL 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C O a cc O LL W cc Q Z W Z W cc Z) O LU WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor i \�/I j I b Inspector. White Copyllnspector's File Canary Copy/Site Notice 6VDA TIME CITY OF ORONO CALLED IN pp INSPECTION NOTJC SCHEDULED PERMIT NO. COMPLETED ADDRESS �- OWNER CONTR. S TELEPHONE NO. to D 468 e 917 DESCRIPTION 4 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 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ac W C cc J O cc O LL W CC Q Z W W cc zd WWORKSATISFACTORY:PROCEED 1-1PROJECTCOMPLETE Cr. CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th next inspection 24 hours in advance. (952) 249-4600 Owner/Contr n site: Inspector. White Copy/lnspecto's File Canary Copy/Site Notice