HomeMy WebLinkAbout2003-P06977 - addn/remodel/repair CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P06977
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 12/4/2003
SITE ADDRESS: 1180 Willow Dr N
Long Lake,MN 55356
PID: 27-118-23-32-0003
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing iviechanicai Eiectricai(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 748.75
Valuation: $ 65,000.00
Plan Review Fee: $ 486.78
State Surcharge Fee: $ 33.00
TOTAL FEE: $ 1,268.53
APPLICANT: Joseph&Valerie Thies OWNER: Joseph&Valerie Thies
1180 Willow Dr N 1180 Willow Dr 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.
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APP ICA T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siznitures Required), 1-AnDlicant, 1-Monthlv Reports, 1-Assessine, I-Finance Page 1
Total Fee: $ Date Received:
Entered By: f~ ✓!'� Permit#: 0(pl 27
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------=7--------------------------------------------------------
THE APPLICANT IS: (circle one) OWNE R CONTRACTOR
JOB SITE ADDRESS: �� -v 1 \,�,`.� �^�� ZIP: -S535�
NAME OF OWNER:�-&S��h C,`\\��45 PHONE: (home)9S7\LV1S 1 09,
t (work) (,a &So 2�N-llc
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: sca MOBILE/PAGER:
MAILING ADDRESS: Z� M� `k� , 5a CITY:
STATE LICENSE: #
ARCHITECT/ENGINEER: ScA PHONE: 9sZ-z°j o L�{3t(
MAILING ADDRESS: CITY: ZIP:
NANIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detail) �•� �x:s�.�� cA+ ac4_`� �"t' Acc�c. ��,�
AtiMMM, -Kate,
STORIES: . SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: 1_ GARAGE STALLS: ATT. �� DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (pp-S
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 DATE: 3
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,.�rA-S ) i/y IQ3
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 11,80 W,11 o w O 2
PID:
DESCRIPTION OF WORK: A 0 p i r i o tJ r Lt WW t)F L
ZONING REVIEW BY: DATE APPROVED: /1- / 3 -03
BUILDING REVIEW BY: DATE APPROVED: i 3 0�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLATIN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATERCONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: RR- I f�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. .43 3� -- Acres 3 f.,SS Z Width Depth
Survey Submitted: Yes_ tz No Date of Survey: 01
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): 22•S Left Side:
Adjacent Structures: fit//,4- Wetland: l//,
Building Height: Def. Hgt. z. Peak Hgt. Z to
Lot Coverage: 0- 14,
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # o3-2c,57 Resolution: # Resolution Date: I D -Z'1 03
Shoreland District: N O
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: 2 3 CONSTRUCTION TYPE: v nI
Basement
Sq Footage $Per Sq Ftg
x _
1st Floor x _
2nd Floor x _
Garage x
x
TOTAL
Estimated Construction Value: $ 0 0 y 00
Inspections Required: `York Requiring Separate Permits:
Site LY Plumbing Fire
Hardcover Removal Mechanical Water Connection
_mac Footing Septic
_ C,�Framing P Sewer Connection
Fireplace Lawn Irrigation
g_Insulation (Masonry) Other
Wall Board (Mfg.)FinWell (State Permit)
Other
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 PERIUM:
8
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SSSDAT TIME
CITY OF ORONO CALLED IN
INSPECTION TI� SCHEDULED /2-/2—D-3 /!OZ)
PERMIT NO. D COMPLETED
ADDRESS 1150
OWNER ' L CONTR. r� Z44,4 S
7
TELEPHONE NO. -7(a3 �ZU 7 7 S_�-
DESCRIPTION 1�90f-IrL�
01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CO03 INSULATION 24/25 WOOD BURNERIFIREPLACE 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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4j WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the;site_
inspection 24 hours in advance. "", 249-4600
Owner/Contra
Inspector.
White Copylinspectoes File Canary Copy/Site Notice
J
DAT TIME
CITY OF ORONO CALLED IN d
INSPECTIONCE SCHEDULED ! &-0 %
PERMIT NO. NOT 7COMP ETED
ADDRESS 11
OWNER CONTR. A—_ alAt {-
TELEPHONE NO. �� a�� _3?CJ
DESCRIPTION
I 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
t-LQ 02 FRAMING, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
O
Z 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
MBING FINAL 36 FOUNDATION/REMOVAL
CONTRACTOR TO MEET YOU:ZYES—NO
COMM
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952) 249-4600
Owner►C a site:
Inspector.
White CopylInspector's Is Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED
PERMIT NO. 9 7-7 COMPLETED
ADDRESS m • w//ID U.) )0k,
OWNER
0k-
OWNER ab-Ni CONTR.
TELEPHONE NO.
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 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
Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES—NO
COMMENTS:
W
CL
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W
Q.
f2
Z
W
Z
W
CC
d
X
KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952) 249-4600
OwnerlContr it
Inspector.
White Copylinspector's File Canary Copy/Site Notice