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Home My WebLink About2005-P08554 (shed) - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Posss4 Crystal Bay, Minnesota 55323 Permit Type: a��essory sm►�tures (952) 249-4600 Date Issued: aiii2oos SITE ADDRESS: 3348 Bayside Rd L.ong Lake,MN 55356 PID: OS-117-23-14-0048 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Buildin Census Code 328 Pernut Class: g Permit Type: Accessory Structures Permit Sub-type(s): Shed DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: T__"_T_____' C'�1._.1 O T__.l�T____!1_'_ i__ T�I_ lll___ FEE SUMMARY: Pernut Fee: $ 38•75 Valuation: $ 1,000.00 Plan Review Fee: $ 25.18 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 64.93 APPLICANT: Ungerman Construction Inc. OWNER: Harriet Hehl 4450 Nicollet Ave S 3348 Bayside Rd Minneapolis,MN 55419 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��—� / ��l �'y�C,c�.Yl /C,� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $��a 7 3 Date Received: �� Z��d� Entered By: ��/vL_ Permit#: A C� �� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�it all informatio�z) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle oize) OWNER OR CONTRACTOR JOB SITE ADDRESS: � . ZIP: � � �� 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 Departsnent and City Council appf�oval 60 days prior to the event. Non permitted events will not be allowed. NAi1�IE OF OWNER: /�tYI"1�C ��'i� PHONE: (home) 95z '�'�3 ' �SD (work MAILING ADDRESS: `lS �G� . CITY �Gt ZIF: ��(O .�,�� , CONTRACTOR: {� V �{�1S � („O, PHONE: �p�Z.-�Z.S-Z,�SOD �� GCONTACT PERSON��'�.s�H�� ,�VIOBILE/PAGER: �L-ZgL-b'1 R � MAILING ADDRESS: SO J�Ji`r��,�,J�,�-�� , L>v. CITY: , ZIP: �� t�� STATE LICENSE: #�u,o/ b cz 2�2.-0��o ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration Land Alteration PROPOSED WORK(describe i�z detai�: �-�"�uV l�Ow✓t 0�GL „ `1� , Wl��(� l�IC (/V �iY1L r h, i`f� D(u c.J� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. o� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� I hereby apply for a building permit and I aclmowledge 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: � � �S 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. lnformation 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 o[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 mav nlace the notice required under this subdivision in the individual income taz or propertv 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 suuj�ct ot 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 privatc 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 crcatcd. 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 rvhich to comply with the request,exduding Saturdays,Sundays and legal holidays. ' Subd.4. Procedure when data is not accurate or complete. An individual may wntesCthe accuracy or completeness of public or private data concerning himself. To exercise this right,an individuul 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. llata in dispute shall be disclosed only if the individual's statement o[disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminish�utive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we wo,uld 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 con�idential 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. �Y".. .. �� Signature CHECK OFF LIST FOk ISSUANC.E OF PEIt�ti.flTS FOR OFFICE USE ONL Y ADDRESS OR LEGAL: 33`-!`� C��`-�s�'� �� PID: DESCRIPTION OF Y�ORK: -� �-� ------------------------------- ------- ----- ---------------------- Z0IYING REVIE tT/B I': ,D.ATE APPROVED: 3- 3�- o s � BLiILDING RET�I�EYY�BY: DATEAPPR06'ED: 3• 3� -�� -------------------------------------- FEES TO BE CHARGED: Nlisc. Fees Cnlculated By: PERNIIT Yes � No PLAN RE UIE GV Yes � No SEYVER GONNECTION STATE SURCH4RGE Yes—�/ tVo tVATER CON�VECT.ION I��IVESTIG,4TIONFEE Yes ��fo � PARKFE'E SA G Y"es No � SITE NSPECTIOIV 1Vi�rnber of SAC Units 07'HER (specify) ---------------------------------------------------------- 2'O�VIIVG CHEC,£i'LIST Zar�irtg Disn•ict: Post O ice: Scli.00(District: _.. Fire Depnrfrnerrt: ff Lot,dr•en: S t. �cres �l��dtlr Deptli 9•f SuJvey Subr�iitted: Yes No _�, Date af Scuvey: ,�.e.� ��n' "� Proposect Setbacks: , � Fi•or�t(Lrrkej: ? �_ Rig/at Sicie: �!� Rear•(St�eet): �� Left Side: �2-� �_ Adjacettt Str��ectures: �O �� G�letland: N �►� BuildingHeight: Def. Ngt. (�•1�- PeakKgt. Got CoverRge: � �9�K- Gl'RC{lltg: SlCiff.4ppr'avc�l Date: � (� By: Cocu2cil�lppi�ova! Dccte: Septic: Stafftlpprava!Date: '' By: Zo�iirig File: # — Resolcctio�t: # Resolictioit Date: Sltoreland Dish-ict: ��3 �vg. Setback: /�i�' Bl�cff5etbac/c: n/ (�i" LatCoverage: �lC Esistin,� Pt•opased Hc�rdcaver: 0-75' �,�� 75-250' 250-500' � 500-1000' Hardcove�• Vnriarice Reqti�ired: Yes No �,_ Date of Coautcil Approval: .RE11�IA_RKS(ift l�ouse): 31 _ . . , . ��- � , �' ,-. ��M_ � . B UILDING RE yXE F�CHECh'LIST UBC: U — � CONSTRUCTIO!Y TYPE: �!� Sq Footaae �Pef•Sr Ft,; Basen�ent s = 1 st Flaor .r = �nd Floa• .� _ Garc�e s = � _ TO TAL Esti�riated Coiistrctctio�c Y'alice: ,� (,00a � Lispectio��s Required: 6f'ork Requlrir�g Separate Per�uits: Site Pfcun6ir�g Fi��e Har•dcover R�movaf tilecharii.cal GYnte�•Co��iection Footing Septic Sewer•Co�utectiat F�-anti�tu Fir•epface Lativ,t. l��rigatio�� lrrsulatio�t ('1�lasanrz;) Ocher 6Y"all Board (Nlfg.) G�el1(State Perntit) _� Final Gradi,ig/Filli�t�; Elech•ical(State Perniit) Otlzer REttiIARt'iS (.(N HO USE): ----------------------------------------------------------------------------------------------------------------------- RE TfIE Yv B Y OTHERS: DATE: .4ccess; Esistin,� New ,4ccess�{pprovc�l: Date 8��: ----------------------------------------------------------------------------------------------------------------------- RE�'�I�IRh'S (TO BE NOTED OtV PE1t1tiIIT): 32 • R.A.UNGERMAN CONSTRUCTION CO.,INC ' � � 44501VICOLLET AVE.SO.•MINNEAPOLIS,MN 55419•OFFICE 612-825-2800 ,��.,;,,�.�� MNLic.ID#1239 � �� Date ' 20 Ordered By 4'�" Job Name Insurance Co. Job Address Mailing Address City or Town Claim No. Phone/Res. Pager/Cell. PhoneBus Vlap Book ESTIMATE SHE UIVIT �('�AL �y. MATERIALS PRICE �Cf �' � : � 5 I � 3 � E ,�.� j� / n' Ci � G7� i lo �fGE 1 � �-i�^c��i � G�" I �, � � ' � 1 �' � � 1 �� ( a � �� ____ ---� . , �. � ,.;-;:'� _ � �'r;R.tai -- — -- �� :i. t _., ' S� _ _ � . �"1 k-i !�a �,i� J �� 7 �Y _ pA7�� ,3� 3o-os • � It.A. UNGEt2MAN CONSTItUCTION CO.,INC � � . � 4450 NICOLLET AVE.SO.•MINNEAPOLIS,MN 55419•OFFICE 612-825-2800 MN Lic.ID#1239 Date � � 20 Ordered By Job Name Insurance Co. Job Address Mailing Address City or Town Claim No. Phone/Res. Pager/Cell. PhoneBus vlap Book ESTIMATE SHEET , �y. MATERIALS �--�-� � � �.-t � �, PR CE �TAL %'''�'`,�°�� )��. �-. � s /t' t r'� ' � /� ' � ��r" r--s__-.-.•_--• _..__._..,�._r. ,�, G � P - Y ' � t i 1 4,*� � � P � ; > > � '� ': 3 ., V 1 r �n � . � � � I � 9 � { i j 9 � j ' � � ��?� �)� ��?�� ` .... . -�..:�. ;,__�d:t• �tu'�ETT:�? � -__: _...- -- _ :,. . , `_�_ . .. .__ .. .,...... ��:.�� .,,, . _. . . � ,��r�r � ! � , �.� � z:� �r, c�do. � �s.., . .. N, ,f. � 'l tr:i reVi�"N. :�:, i� '� � _ �(� DATE TIME ✓ � � CITY OF ORONO CALLED IN �"{��U'� INSPECTION NO E SCHEDULED �'�'�^' -P Z v(�� f 1�-� PERMIT NO. ��S COMPLETED � ADDRESS _�.�� G�CA�.i S , �c� � OWNER CONTR. � , TELEPHONE NO. ( a � ' �-�..5 '� � DESCRIPTION ��--� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLtNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUM8ING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES' NO � COMMENTS: � W C � J O >. � O � W � Q � 2 w � w � � a � WORK SATISFACTORY:PROCEED [ ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � r' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED - ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the�ext inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContr�c#� o�si • Inspector. � ' White Copylinspector's ile Canary Copy/Site Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED PERMIT N0. �S COMPLETED 3•2 S `�5� ADDRESS 3 I OWNER CONTR. TELEPHONE N0. � 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/FIREPIACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � , '/ a �s�a � �Cz�-e� o S 12-N..� � � � J 0 � e Mivc � % /Lu��, �rZc�'� 2. s,�e� � 0 � W � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PAOJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN TOP ORDER POSTED ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contracto site• Inspector. White Copyllnspector's File Canary Copy/Site Notice