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Home My WebLink About2003 - P06372 - addn/remodel/repair • PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06372 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6/26/2003 SITE ADDRESS: 900 Willow Dr N Long Lake,MN 55356 PID: 27-118-23-33-0020 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential 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 Mechanical Fireplace irrigation Electrical(stale) NOTICES/REMARKS: r_____'-_n___ ♦ _7_'' r______ o_ n__ ..n______ FEE SUMMARY: Permit Fee: $ 713.75 Valuation: $ 60,000.00 Plan Review Fee: $ 464.03 State Surcharge Fee: $ 30.50 TOTAL FEE: $ 1,208.28 APPLICANT: Micheal Hayes Homes Inc. OWNER: Erick Myhran 6998 Kenmar 900 Willow Drive N. Bloomington,MN 55438 Long Lake,MN 55356 cp,o' i,09611- THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN ST' . COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUI'1 ENTS. c-77K--/ - 0)14 494/11-) APPLICANT PERMIT'SIGNATURE ' ISSUED BY SIGNATURE Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine. 1-Finance Page 1 . • . A ' -)) -1 ' Total Fee: $ 1 f;D(b Date Received: / / Entered By: �, '�✓ Permit #: 6'i - ' rk CITY OF ORONO - 1UILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNE R CONTRACTOR JOB SITE ADDRESS: 700 Li2'i i O, 7) . N. ZIP: ��..fC NAME OF OWNER: S.-6:7:-/e._ V V I y 4 ,r a vl PHONE: (home) X64 y 77_ 3J,�' q (work) 6i,4 3Jo.- 3714 MAILING ADDRESS: 6.)aa ? a ,n 4 o c ? .4 CITY:1�r�Q�,e ,��'P,�r F ZIP: s-s;t,�'? ( ` -1(.21) caz tt 7- i r-0_3 . A t"¢4 r �]'l.f--0,3 ' ,c.,0 c J` ,`1 r 0....7.) .A� V, r � r CONTRACTOR: / "'1'414 e I /-/a y es 74-o 64/..el PHONE: '7.14 9 7S= 3 9 L CONTACT PERSON: (. .e 44 c y �_s MOBILE/PAGER: 'S '' ' ' MAILING ADDRESS: h.e 9 8 /L�N pu rci,e h e _ CITY: i31r,,,wt; 'f c,LA ZIP: s-.r' ti 3- STATE LICENSE: # / 403 ARCHITECT/ENGINEER: Z't L `5f p,r f,'-e A PHONE: La gip - 76,..: MAILING ADDRESS: /a 13 S- 97 r h A'- j1/41. CITY: 7f ......c r t ZIP: S--.1-y y� NAME: REGISTRATION# TYPE OF WORK: New Addition x Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): fa 0(.11 ,r n c w Q A d i'41.‘-)4,1 . 4"4 .rQe a�el,'.1'r'001 . �:oat✓er'f' 'la ,--,,r,r c4v-r�,.t 11 ce.x� 44'�� ii -e . - « . t'n 1"c bo L, Jc c.i - , y( wru� e � v-o , r, SaTORIE .t FS: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ‘ d7; c, ea 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 ape ' r.t and work is not to start without a permit; and that the work will be in accordance with the % r. •roved plan. APPLICANT'S SIGNATURE: V DATE: .3*-- -,? t7 -- 02 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. 9 Sec.13.04 RIGHTS OF SUBJECTS OF DATA • Subdivision 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,certing,and compiling the copies. The responsible authority shall comply immediately,ifpossible,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 datafound to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)note the individual that he believes the data to be correct. Data in dispute shall be disclosed only tf 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 ofsubjects ofdata';we would like to inform you that your requestfor apermit 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(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRINT First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature 10 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 9 Oct (.v ,I .b�,, Ca. N PID: DESCRIPTION OF WORK: AO p T7 0„LS ZONING REVIEW BY: cze - DATE APPROVED: (- ZS -°3 BUILDING REVIEW BY: DATE APPROVED: 4 .z$ _ 03 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes ,/ No SEWER CONNECTION STALL SURCHARGE Yes t/ No WATER CONNECTION INVESTIGATION FEE Yes No v PARK FEE SAC Yes No V SILL INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes( No Date of Survey: (0- to.o 3 Proposed Setbacks: 4aAA narri Front (Lake): S i►iDo Right Side: 90 Rear (Street): 3(0 Left Side: 1(0 1'2D Adjacent Structures: o•is Wetland: N )11- Building A-Building Height: Def. Hgt. (D 'l'- Peak Hgt. b .I� Lot Coverage: /J1.4-- Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: — . By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: NO 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): 32 BUILDING REVIEW CHECK LIST UBC: R 3 CONSTRUCTION TYPE: '\(N Sq Footage $Per Sq Ftg Basement x = 1st Floor x 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 4,0,0 0 a°^' Inspections Required: Work Requiring Separate Permits: Site DC Plumbing Fire Hardcover Removal pC Mechanical Water Connection cc Footing Septic Sewer Connection o. Framing Fireplace 14. Lawn Irrigation Insulation (Masonry) Other Wall Board ,r--(Mfg.) Well (State Permit) r- Final Grading/Filling iC Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 33 I DATE TI , / �t %t/ CITY OF ORONO -zzl�cALL� INSPECTION NOTICEIPO NP/ SCHEDULED ��1 ' ' v ✓ ��`� � PERMIT NO. COMPLETED , ADDRESS RO° (kJ/. // 0 &Li 1)4 OWNER CONTR. /114 t //j2 f--/ L es TELEPHONE NO. (0 ( - a 7 , 1 V3 -5:: DESCRIPTION I-00�/A)C W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 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 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO CC 0 COMMENTS:14.J 64 6°L° c cc CC 411La- s C or" Z o cc Ot b hd W z W cc d WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE IZ W CICORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oi BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract te: Inspector. t White Copy/Inspector's File Canary Copy/Site Notice G / rL D/TE TIME CITY OF ORONO CALLED IN ` < INSPECTION NOTJ�E SCHEDULED /a- 64 q= 5° PERMIT NO. O (_0.3 72_ COMPLETED ADDRESS 900 6._ t o 414. OWNER /, CONTR. /�'� 6-yA-,2 - TELEPHONE NO. L` /a d-7 a - 07413 E DESCRIPTION 1/7.6t/Y1--L/7.6t/Y1--L-,29WfL- - 6 f Li. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 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 Z OWNER/CONTRACTOR TO MEET YOU: ES_NO toM COMNTS: k c IQ _ ` acct e,.. ,(- -,:) \et1 e. s ,c cccc e--I t/l,1)ea- ck \vt.5 cl)a . 0 W CC Q W Z W CC 0 L •RK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W P ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT 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 ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra .1:n te- apui Inspector. IP White Copy/Inspector's File Canary Copy/Site Notice TE TIME CITY OF ORONO LLED IN / =Jl. INSPECTION NOJ�IICE SCHEDULED / D C.f(ZTh - L O r"`� PERMIT NO. ' -'(,'3 7 COMPLETED ADDRESS (7&c, (-V /1 ck_O Die__ 4)�• OWNER CONTR. /t t((/& ct`l t- 2 TELEPHONE NO. P`o) 0 / V 3 E. DESCRIPTION 7 G/CU rit 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 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 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT • 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPT C FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU. YES_NO ccl COMMENTS: CC Q.CC 04 4F, t k 6C C W CC CC d WWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 2 W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY WO BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952) 249-4600 Owner/Contra n s e Inspector. r- White Copyllnspector's File Canary CopylSite Notice 0 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTE SCHEDULED 4----03 O3 c -L PERMIT NO. KQ(o37c9 COMPLETED ADDRESS ADDRESS 9 x Ct��.//a/LiL2A J� / OWNER ��"" CONTR. �-1'(. K —( 4lay,6S TELEPHONE NO. c_.(& DESCRIPTION t 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • LL 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 IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLU = : • 36 FOUNDATION/REMOVAL Z OW RICONTRACTOR 0 MEET YOUYES O • COMME S: cc W a CC O CC LisW WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor oat Inspector. White Copy/Inspector's File Canary Copy/Site Notice DAT TIME � CITY OF ORONO CALLED IN r �--)-3 i INSPECTION NOT)CESCHEDULED , -t.,)7_O/ ':3o /7.4 PERMIT NO. rot,'372.---• COMPLETED ADDRESS (-J iiii ik,L Di ,ti OWNER CONTR. /t'1/ '-:-4 i lc-/ u TELEPHONE NO. tei/-Q •- .7,__ 9 7�/ 3 ..5::• DESCRIPTION c_ - c: -/.._ , IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL., 14 SEWER HOOK-UP 06 PROGRESS -SITE 27 SEPTIC MAINT. 21 COMPLAINT ✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP sE 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v• 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTORTO MEET YOU:.KYES_NO CI• COMMENTS: - cc ,s..,L 444.1 g 1'eA--- Q. -r'-i'. 'kg,1 Ct t( fe,,,,,,,„ v._,J 0 >. Po6372 ?lam ° Pa7o06 ate W Q Po 6635 Pl ta,m.b—/ po(097(0 Mem, •✓ • po lvlo7q Mt-al._, W ct 2 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ID CITATION ISSUED IDSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contr o ite: Inspector. = C White Copy/Inspector's file Canary Copy/Site Notice