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Home My WebLink About2008-P11892 (Addition/Remodel) 1 � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11892 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 3/6/2008 SITE ADDRESS: 2380 Abingdon Way Unit# Long Lake,MN 55356 P�� 03-117-23-23-0016 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residenrial Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): AddnlRemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: remodel MBR,office,ML bath,kitchen,powder room FEE SUMMARY: Permit Fee: $ 944.25 Valuation: $ 84,100.00 Plan Review Fee: $ 613.76 State Surcharge Fee: $ 42.05 TOTAL FEE: $ 1,600.06 APPLICANT: Hansen Hometech Inc. OWNER: John&Carol Busacker 7920 Kerber 2380 Abingdon Way Chanhassen,MN 55317 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. / � APPLICANT PERMITEE SIGNATURE , ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 , � + !7'G�LI V GV � _�g ��8 2 � 3 Total Fee• $ /lo OD . D �v Date Received: �CIN OF Bfl011� Entered By: Permit#: �//�2� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please priht all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �7�� t g��t,,�o t�1 �r�^, 7IP: Will this be a P�rade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes ��No If yes,a special event permit is requfred with Police Department and Cdty Council approval 60 days prior to the event. Shuttle bzrs service will be required unless applicant demo�astrates sufficient on-site parking ds available. Non permitted events will not be allowed NAME OF OWNER• �o�� ' ��-2 U L �U sr�c.�rsft PHONE: (home) . (work) MAILING ADDRESS: 23�'U �3��c,pa�v�.�� CITY: d�.��v ZIP: CONTRACTOR: r� e� w��zcz -� c. PHONE: c!SZ-�3`��£�S y CONTACT PERSON: G-,�rz�, N�,,,4� OBIL AGER: (��Z �3��- I�1 I� MAILINGADDRESS: �q2c� iC��z►3�-c. `l3`�� CITY: Ci{r�,,,��,s��✓ZIP: S53t�- STATE LICENSE: # l Z C� 1 EXPIRATION DATE: �—�l- Z��$ ARCHITECT/ENGINEER: PHONE: A�AILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeUAlteration(ie: Siding,Windows) �/ Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: �c;�a A� v r M�ts��2 `��r��+ . �r r�c�. �ll�ihl �t^UtZ �/tt'�t� Lf�vwoPr2�1 6 �oula�2 �o�m ILi—reff�'AI STORIES: � 5Q.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED ✓z DETACHED ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �� , I D U � 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 permi d work is not to start without a permit;and that the work will be in accordance with the approved plan. ' SIGNATURE: � DATE: 2/27/� � APPLICANT S 31 1 � � � Sec.13.04 RIGHTS OF SUBJEC I'S OF DATA Subd. 1. Type of data. 1'he rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information required to be given individual.An individual asked to supply private or confidenrial data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any lrnown 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 fedecal law to receive the data.This requ'vement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer. 1'he commissioner of revenue may place the notice reauired under this subdivision in the individ�A income tax or prone 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 infomied 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 des'ves,stiall 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 daYa 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 individuai has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject of the data. 1'he 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 SaUudays, Sundays and legal holidays. Subd.4. Procedwe when data is not accivate or complete.An individual may cornest 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 disageemem.The responsible authority shall within 30 days either: (a)correct the daYa 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 determinazion of the responsible authority may be appealed pursuant to the provisions of the adminiskative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.5.13.04,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 confidenrial 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 acrion 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. First Middle Last Address City State Zip Phone I und�r�tand my righ stated above. 's-�'1 J s�oe� IReset Form � 32 . +� • CHECS OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE ZISE ONLY ADDRESS OR LEGAL: 2 3�Q !��yc�p�N l�}AH � PID: DESCRIPTIONOF WORK: ��h.�,o p�� ZONING REVIEW BY.• tl1l W DATEAPPROVED: — BUILDINGREI�IEWBY.• DATEAPPROVED: 3-s-o� - � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMI7' Yes ,/' No P��V�EW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes ✓ No YVATER CONNECTION IIVVESTIGATION FEE Yes No f PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHEC%LIST Zoning District: N� c.W� Fire DepartmeYtt: Post Office: School District: Lot Area: Sq;ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetl na!• Buildirzg Height: Def.Hgt. pe� �_ Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: StaffAppsoval Dcate: �� By; GQ�— Zoning File: # Resolution: # Resolution Date: Shoreland District: CWD Permit: Avg. Setback: B1uffSetback: LotCaverage: Existirzg Proposed Hardcover: D-75' 75-250' Zsasoo� 500-1000' Hardcover Yariance Reguired.• Yes No Date of Council Approval: RE117ARICS(in house): 33 • . . BUILDING REVIEW CHECS LIST UBC: 2•3 CONSTRUCTION TYPE: 'V 1�1 Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Corrstrucxion Value: $ $y�(p C� �o Inspec�ions Required: Work Requiring Separate Permits: Site ✓Plumbing Fire Hardcover Removal �7echanical Water Connection Footing Septac Sewer Connection ✓Framing Fireplace Lawn Irrigation ✓Ir�sulation (Masonry) Other Wadl Board (Mfg.) Well(State Permit) ✓Final Grading/Filding ✓Electrical(Stcrte Permit) Other nEM�xxs�nvHovsE>: REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARSS(TO BE NOTED ONPERMIT�: 34 � �>"'� �1 DATE TIME 1/ V CIN OF ORONO CALLED IN � � INSPECTION TICE SCHEDULED � -'�� PERMIT N0. COMPLETED ^ ADDRESS gU ! OWNER TR. TELEPHONE NO. ' / - D-3/7� � DESCRIPTION h-Q..� . - ��O-� � 01 FOOTIN(3 11 MECHANICAL RI 18 IXCAV/GRADIN ILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS O03 INSULATION 24/25 WOOD BURNER/FIREPLA 34 TREE REMOVAL Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION '� OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SE C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTORTOMEETYOU YES_NO v�i COMMENTS: � a o �''�, 5..� /��-r�� r�1C�G� � � o - � W aC Q � Z W �C W � j �, � �YJ�IIORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ��G�ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDRIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL HETURN O STQP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerfContractor on site: Inspector. W �P White CopyOnspecto�'s File Canary Copy/Sita Notice �� DATE TIME v CITY OF ORONO �-�o w 3- INSPECTION N TI�j �� eDULED �� .�j ,3� PERMIT NO. �` � � COMPLETED ADDRESS ��8� < �Dyl � OWNER CONTR.��'�"n �-e-�- TELEPHONE N0. ��-- ��a" �o �� Z� � DESCRIPTIOId �ra►� i n_c7 . �-� /ueG�y" �� ❑ FOOTING ❑ MECHA AL I ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWEfLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC IIVSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �'N�ec� GP! I R I a--� ��'PI u.-rn�l� � I � � � �� 0 � 0 � W °` ��ta�e_�-�ts" �� C-�J � 1��-- z ,��rl W �c W � � � /�rJ[vwRKSATISFACTORY:PROCEED �PROJECT COMPLEfE W O C`ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF QCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURPI ❑CITATION ISSUED ❑STOP ORDER PdSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� Oamer►Contractor on site: tnspector. White Copyllnspector's Flle Canary CopylSRe Notice � �� — Dy� TIME CITY O ORONO CALLED IN �6 INSPECTION N� ��,�,� SCHEDULED b D /D: PERMIT NO. o e�Ere� ADDRESS U� OWNER C TR. i � TELEPHONE NO. ��— �`4� — �� "' � �� DESCRIPTION �`�� 1�_ ��-�— � p FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVEfLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a o '� � PI/l c� !�� `� -�C�U(S �� ,�s'=�� N �s9 e�. q3� �fG�M �Ir � ° ,A- �-�, `De-��-e� t,c.) �-�Uc� Q - ! o ' c�� QcJ� �t �� 2r��•. � '' ��5 � lo�� F ,�u� ��- � Access��l� W � W � � O ` W ❑WORKSATISFACTORY PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit . Inspector. White Copyllnspecto�s Flle Canary CopylSite Notice �� C�"�' ' ! TIME V CITY O OF' RONO , CALLED IN �` �� O� INSPECTION NOTICE SCHEDULED e� � PERMIT NO. .f l l�Q Z COMPLETED ADDRESS �� OWNER CONT . � nYl sMiMa� TELEPHONE N . � [� — I� ��s � � �vt�o�- � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI 0 EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q � TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION 'Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC I(dSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�n COMMENTS: � a J O �. � O � W � Q � W g W � � � O � �WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PR�EED SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETIJRM ❑STOP ORDER POSTED.CALL IPISPECTOR ❑CITATION ISSUED ❑tNSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor n site• Inspector. / White CopyAnspector's File Canary CopyiSRe Notice