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HomeMy WebLinkAbout2000 - P02053 - addn/remodel/repair ./ • PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number:. Fk5.2o53 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 1/13/00 SITE ADDRESS: 85 WearLaN LONG LAKE,MN 55356 P1D: 33-118-23-34-0005 DESCRIPTION: Proposed Use: Residential UBC Occupancy: R3 P cy Permit Class: Building Construction Type: VN Permit Type: Addition/Remodel/Repair Census Code: 434 Permit Sub-type: Single Family DETAILS: Resolution#: N/A Separate permits required fo Plumbing Mechanical Electrical(state permit) NOTICES: FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00 Plan Review Fee: $ 135.98 State Surcharge Fee: $ 6.00 SAC Fee: $ 0.00 Misc. Fees: $ 0.00 TOTAL FEE: $ 351.23 APPLICANT: Michael Sievert OWNER: MP&G M SIEVERT 85 Wear La N 85 WEAR LA N Long Lake,MN 55356 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. Lia . ��Z�.fAPPL T PERMITEE SIGNATU 46_, UED BY SIGNATURE_1,c. Today's Date: 1/13/00 Page 1 Total Fee: $ 3_1/. ;23 Date Received: Entered By: _z.v, Permit#: Pr Z— 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) OWNERI'R CONTRACTOR JOB SITE ADDRESS: S (J n._ �_,�,�� I \ . ZIP: u j S< > NAME OF OWNER: I l c t .� t. ; ;A y LL?: vL,z,7" PHONE: (home) "7 — 4 4 (work) — MAILING ADDRESS: 41G.�A.,7 L,..1 . _ CITY: lL..<,.= ZIP: 3 , CONTRACTOR: h!( 1-4,A c Si u.2:,L. PHONE: 47 3 -4 4 3 CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: - CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): rJ ,L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. .j-11 i!•:Jc �2 ;$7 os ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �=��,, s„1, ,-,2, c. 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. APPLICANTS SIGNATURE: ,• _- � DATE: / — NOTE! Parade of 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 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 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 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 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 required to process this application or permit. g � First Middle Last cJc.'2An /J Address City State Zip Phone I understand my rights as stated above. Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS F9R OFFICE USE ONLY ADDRESS OR LEGAL: c?v (�� -rte4,4J PID: Rs�+ DESCRIPTION OF WORK: ' 71; // ZONING REVIEW BY: _ 1, DATE APPROVED: 1 Z.• ze-' BUILDING REVIEW BY: 4!MISIP DATE APPROVED: ( z -fig 5'4 4 r FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes c/ No SEWER CONNECTION STATE SURCHARGE Yes J No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /V0 Gtfrai•�„(_ Fire Department: Post Office: D School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No s ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetlan i: Building Height: Def. Hgt. Peak gt. Lot Coverage: Grading: Staff Approval Date: l Z-I i -4 ct By: C •e Council Approval Date: Septic: Staff Approval Date: — j'2 OO By: 616 Zoning File: # Resolution: # Resolution Date: Shoreland District: Al C) 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: f 3 CONSTRUCTION TYPE: \!/' Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ' , OO 0 . CQ) Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other r Wall Board (Mfg.) Well (State Permit) Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 8 CITY OF ORONO CALLED IN 4777___DATE TIME INSPECTION NO E SCHEDULED d PERMIT NO. r pa's COMPLETED �'....-Y / : oa ADDRESS V E5 /&/Pay- L /Vo- OWNER CONTR. MIchoe,I siePr4. TELEPHONE NO. 1-173_ L/`/33 3: DESCRIPTION FTCaiy-N`r W 01 FOOTING 11 MECHAN16AL RI 18 EXCAV/GRADING/FILLING Q ‹....44 FRAMINN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 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 Z 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct 14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR 0 MEET YOU:_YES NO 1 o COM ENTS: / / f )--e -/ ./ 'L a7cr✓ecJ' Z.-vic S 40, , a. - cc 2 L `/e -)?.moi K--e/64K3 6e c edio /? Aa/4./47 Lu cc z3, A t� 6.32-- ees /-ia / 40 114:6 Li 0/L ) /ts ccs S 6,%rig 4Z©cie o C 6-e eel ,..4.- Lu ❑WORK SATISFACTORY:PROCEED _1 PROJECT COMPLETE CCW ,CCORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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. 249-4600 Owner/Contractor on site: Inspector>%r2_vc Da-- White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN g/00 INSPECTION N CE] 4-2 SCHEDULED d o / ' o 0 PERMIT NO. �✓1� COMPLETED t t 1 ADDRESS1:—..d..e.-.4...4...f'-c.f. /" OWNER67st,_-e– CONTR. TELEPHONE NO. Al 7 3 - `f'/ 3 3 DESCRIPTION --/G'(r�G2-� k. to 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING sT sT 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS SULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z ALL 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 14.1 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 o COMMENTS: cc W C cc 0 a cc 0 W cc Q COW Z W CC d W K SATISFACTORY:PROCEED [I PROJECT COMPLETE ❑CORRECT WORK 8 PROCEEDF ISSUE CERTIFICATE OF OCCUPANCY ▪ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contract•r•n site. ; Inspector. / III White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE Jam" SCHEDULED ?-15-Ce 70 30 PERMIT NO. 1 COMPLETED 1"/5-'O /c2 3° ADDRESS 4-A2a - Z- i OWNER CONTR. TELEPHONE NO. /, DESCRIPTION C S 1/�?e t '/ F,- -),? ,--.5 k. W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING CC Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 I„.',•I/ 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL C�L�ri7lrt�:1• 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 1.14 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc a � /J cc ).. __” (y --go 7/ (Aide., L O t�, 6 / o 1 ys /1 tt/ec ((s , U. Lu cc , C-- ec k c.,-74 '/')44. / � / / !7 W z W Cc j d WCr *3ORK SATISFACTORY:PROCEED P PROJECT COMPLETE O2ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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. 249-4600 Owner/Contractor on site: Inspector. 44 f-GlL4/ White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONOCALLED IN 5=73—o a ( :3 INSPECTION N ICE iG 2 SCHEDULED2 -�'y� 0 � , PERMIT NO. COMPLETED `Z /e C9C) ADDRESS S5 OWNER_ rer=' CONTR. TELEPHONE O. `f73_ £L .3 3 DESCRIPTIONQ /12/-1111)1vIECHANIC CJ� � L01 FOOTING RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 I 12 WATER HOOK-UP 17 SITE INSPECTION 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: W Q. CC O CC O W CC W W CC O WCC ORK SATISFACTORY:PROCEED PROJECT COMPLETE ❑CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contr c r on site: Inspector. G4--e2 69 ---1-4yr White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO rd.,bc� CALLED IN INSPECTION N C- .� SCHEDULED Lia Cl d15 PERMIT NO. tO C COMPLETED — S. `r , -6 ADDRESS g (} r2Y Lcuruz. LCL A) OWNER 1:l)e-,V"f" CONTR. C3-1A' 'V TELEPHONE NO. Li 7 3— LI 433 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ct 14 SEWER HOOK-UP 06 PROGRESS 7 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 Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO o C1 M TS: Lu Q. ` 1�q7 ���C` ��c o_ divez.-7. c )3 )A-C. Ir- 0-c-ce5 --/e ,-/---c.c 6 -7*--,5..zp ccO W cc L,.., z W cc d W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CC ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W W ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CD BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contr•ctor on site: Inspector/. 4 White Copy/Inspector's File Canary Copy/Site Notice 0 C PoEbRooml WINDOWS I -- RI-:valED - --- 24" MIN. `<..*I...'aAR I-!I=_Iis�-w`I" — ------ -- .7 SQ. i T.,f�,iIW OFI~I'tiill` (S 44" MAX. SILL HEIGHT i CITY OF ORONO SUrL ING PDMAT PLAN REVIEW lNSPECTOP_ ❑ APPROVEDAS SU 'l'l?r€:-D i` t iE. L' A, 7V01-1 ti AS NGTED _ .Y-i:..SlRt]tdtIT T Gn.14e "Y 5�1ct{i be, done IC `_ori cor 1k—c - !'? c'1 a "Gaofe buliciing aid Zo!?ing Godo. nn; spe iicaaiy noted in }his ret+ia%v. KEEP THIS PLAN :SET ON SITE AT ALL TiUlES �3 Rs �=xn �'r�'t' i� L_ A►�1 85 tocnvz. LAJ N. rEVF-