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Home My WebLink About2007-P10990 - addn/remodel/repair PERMIT � CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10990 Crystal Ba�, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 5/17/2007 SITE ADDRESS: 744 Brown Rd N Unit# Long Lake,MN 55356 PID: 34-118-23-12-0005 DESCRIPTION: UBC Occupancy R3 , Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair YP DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Finish Basement FEE SUMMARY: Pernut Fee: � 441.75 valuation: $ 30,000.00 Plan Review Fee: $ 287.14 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 743.89 APPLICANT: Terry Stodola OWNER: T Schultze&M Steil 6330 Forest Cir 744 Brown Rd N Excelsior,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. �� ,� � �l �. � �-- -< t `�-� c � � �� AP CANT PERM[TEE SIG URE ISSUED BY SIGNATURE Copies: 1-File(SignaturesReguired), I-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 , Total Fee: $ {�� . Q / Date Received: ,��5��°� Entered By: Permit#: /� �� R% � �,y�,�/)ry � �(� CITY O OROl�O - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all informr�tion) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: 7�� 0� �U I�d � ZIP: SS�3S G Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a specia/event permit is r•eq�Fir•ed�virh Police Department arzd City Coairrcrl approval 60 davs prior to the event. Shuttle bars ser•vrce�vil!be��equired unless applicant demonstrales sa±�cient on-site parkrng is a>>nilable. Non-permitted eveiats�vil1 not be albtived. NAME OF OWNER: �►i� S c-� w� 1 2!E- PHONE: (home) (work) MAILING ADDRESS: � y y 13�0�--� (� n1 CITY: �I�AND9 ZIP: � CONTRACTOR:�E i2�e � S7�/Jb�i9 PHONE: �15Z - y7 y Z�`f o CONTACT PERSON: 1�'�2o'z MOBILE/PAGER: �I 2 • �6-S' 2 55�3 MAILING ADDRESS:�3 3 o e1=5 r e r•�- CITY: �_Xc�/S�o� ZIP: 55'33 r STATE LICENSE: # 3 5 $ Z EXPIRATION DATE: ARCHITECT/ENGINEER: KC.� �e�vt(� E�eE S I 4 � PHONE: `-�� I S�Z MAILING ADDRESS: �S/� 7 7Th S T . CITY: ��S�A ZIP: 5�31$ NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Stcucture Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(rlesc��ibe in rletain: Ti ti-/Sl� 3J45E 1M►��% STORIES: O SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: _Q_ GARAGE STALLS: ATTACHEll DETACHED_ .�o ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ 3� OC� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work��ill be in conformance�vith the ordinances and codes of the City and.with the State Building Code; that I understand this is not a permit and��ork is not to start without a pern�it;and that the work will be in accordance with the approved plar�� APPLICANT'S SIGNATURE: � DATE: 5^' ��_ � 7 31 , Scc13A4 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The rights of individual on�vhom d1e data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. Aii individual asked ro supply private or confidential dataconceming himselfshall be informed of: (a)the purpose and intended use of the requested data witliin the col lecting 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 refusin�to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I 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 ta�or orooertv tax refund instructions insread 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�vhether it is classitied as public,private or contidentiaL Upon his further request,an individual�vho is the subject of stored private or public data on individuals shall be shown[he data�vithout any charge to him and,if he desires,shall be infonned of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him tior 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 tive days oP the date ofthe request,exduding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. lfhe cannot comply with the request within that time,he shall so inform the individual,and ma��have an additional tive days within which to comply with d�e request,e�cluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or canpleteness of public or private data conceming himself. 'To exercise fhis ri�ht,an individual shall notity in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall�vithin 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notif'y 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. Daca in dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data. The detennination ot the responsible authority may be appealed pursuan[to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. I 3.04,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 extenc 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 NI.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 �`liddlc Last ��/2 ai v� S Tv,l�v �9 Address �o,3,�� a�c.,/�-S i G' /Z l�F� City �x��-�s lb!�- State �/lJ Z'p !✓' .�,�?3 / Phone �'�"Z ' y�y 2 7�� I understand my rights as stated above. Si�n:iture Reset Form �� ► CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE OVLY ADDRESS OR LEGAL: �I`iK �3fbc,.�nr (�.OA/� /'U PID: DESCRIPTIONOF�T�ORK: (3�4SC�t��+'�' F�N�s n ----------------------------------------------------------------------------------------------------------------------- ZO��rING REVIEW BY: J� DATEAPPROVED: BUILDING RETrIEW BY.• ,� DATEAPPROVED: S—�S-o—i FEES TO BE CHARGED: Nlisc. Fees Calculated By: PERMIT Yes +� No PLAN REVIEW Yes_// No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes No �' PARK FEE SAC Y`es No ✓ SITE INSPECTION � Nun�bel�of SAC U�its OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST 7_o��i��g District: N'v c H•�►.Yc,.Q Fire Department: Post Offrce: School District: Lot.4recr: Sq ft. .4 cres YY'idth Depth � Stu•vey Strbmitted: 3'es No Date of Sur•vey: Proposed Setbacks: Fr�a�t (Lalce): Right Side� Reni•(Sh•eet): Lefi Side: Adjace��t Strirctirres: 'etlar�d: 13aiilding F/eight: Def. H�t. eak Hgl. Lo1 Coverage: Grading: Staff Appr•ova!Date: y: Cotrncil,<Ippr•aval Date: Septic: Stnf�f,-lpproval Dnte: v: 7_a�ing File: :� Resolutio�r: # Resohrtion Dnte: Slra•eland District AICG6�D Permit: �l vg. Setbncic: B/uff Setbac Lot Coverage: E.risti��g Proposeci . Hnrdcover: 0_7�, �i �i�, ----- zsn-snn� ;on-�ono� Kcrrdcove� F'nrinnce Requirecf: )'es :�`o D�rte o{Coiu�cil.9pprovnl: RElY14RKS(i�i house): 33 B UILDING REVIEW CHECK LIST UBC: IZ'3 CONSTRUCTION TYPE: v^� Sq Footnge �'Per Sq Ftg Bcrsernent r — 1 st Floor r — 2r1d Floor 1 = Garage Y = x = TOTriL 00 Esti�rieated Co�istri�ction Vnlue: � 3(�,��O Inspectio�ts Requi��e�l: 66'ork Requiring Separate Permits: Site oe Pli�nr6ing Fir•e l�ardcover Renroval y tllechanicnl YVater Ca�neclion Footing Septic Se�ver Connection � Framing Fireplace Lmvn Irrigatio�� _�! Insulation (�1lasaniy) Other _�GT�crll Board (�1'If,�•) Well(State Per�niit) R Final Gi adit7o'Filling _�Electrrcn!(State Per�mit) Other RENIARKS(IN HO USE): ---------------------------------------------------------------------------------------------------------------------- RE vIEW B Y OTHERS: DATE: Access: Existirag Nerv Access Approval: Dale By� ------------------------------------------------------------------------------------------------------------------------ RENI4RKS (TO BE NOTED ON PERMIT): 3=1 i � �' � ��,�"� � DATE TIME �ITY OF ORONO � CALLED IN `' '�' G� INSPECTION NOT C�� L� SCHEDULED (� � � PERMIT NO. � �� / �) COMPLETED ADDRESS �I`7"� �l� L,�"f� � �� OWNER CONTR. S/��„�t L(IC� TELEPHONEN0. �(' � � �� . � � DESCRIPTION `f � �� C"��` `��'"� f � ❑ FOOTING ❑ MECHANICAL RI ❑ 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 INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W C � c�✓��►.n � lZQ �--C C �o� �C��.Y�� 0 � ��1 A L ( (�� d.�vt �S 0 � � S�'� � � /ZC��'r� /h.� �-c d �c� `� Q � Z T� S�t-.4f i G �C� � . �,�s W � f � ) ��--G�✓ �1 l(5 � U� �C f �(? �f'G�.'Lt S � .__. �_� � d � ❑WORKSATlSFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ( ��~f�� White Copyllnspector's File Canary CopylSite Notice � DATE TImME_ q�� CITY OF ORONO CALLED IN C G"J�Lrj 7S.�Ui/1�"l INSPECTION N TI � SCHEDULED lo�ZZ-G`'1 ��•UO /�/i PERMIT N0. I � COMPLETED ADDRESS '��'Y� �`�� OWNER CONTR. " 1 c_ c- C TELEPHONE N0. � �� DESCRIPTION f r `� � lu 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS � Q 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � , �r A�..,� � i t� C 1 a�c� o�� 0 � �:��(A�� 0 � w � Q � z w � w � � a�. W �WORKSATISFACTORY:PROCEED [-1 PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on s�t� - Inspector. f White Copyllnspector's File Canary CopylSite Notice �/ � A �, �`� � I �;-� �- ✓ i, //�G' \ ,"V�`' � �/ DATE TIME v ` CITY OF ORONOv CALLED IN !/Z�/`L�� INSPECTION N TICE SCHEDULED � � � �� PERMIT NO. COMPLETED ADDRESS � � � �� • OWNER CONTR. StC�(':,� I c�3. TELEPHONE NO. � � � —��o�'� c.��=�r� � � DESCRIPTION ��L"� � �� ` t��C..�'�'t1�lll1�- � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � OWNERICONTRACTOR TO MEET YOU` YES_NO � COMMENTS: � W � o t�� I�oCK � � 0 � W � Q � z W � W � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4lL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on ite: Inspector. o,�� N� White Copyllnspector's File Canary CopylSite Notice � — � � 1 � DATE TIME CITY OF ORONO CALLED IN `� �3 �� INSPECTION T C �} SCHEDULED � B %� PERMIT NO. v COMPLETED 4 � "U` � `U� ADDRESS OWNER CONT �U`2 TELEPHONE NO. `' � � ��S � DESCRIPTION <i��_K�(' � � ' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 INSTA�L. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �' � ��+cc 4�''S � G�. �� d rr�� 0 a � � �C, t�r� u j� l�'!�� i 1-D � � �� ,n� : f r� 4��c�{9� �`�e�u:�Q� Q -� Z ti,�.l � �� w � W � j � �WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConVactor on site: ' inspector. � � White Copyll�spector's File Canary CopylSite Notice