HomeMy WebLinkAbout2006-P09924 - addn/remodel/repair ` ' PERMIT
CITY OF ORONO Permit ►vumber:
2750 Keiley Parkway- PO Box 66 P09924
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
6/5/2006
SITE ADDRESS: 800 Brown Rd N Unit#
Long Lake,MN 55356
PID: 34-118-23-11-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Add Structural Beam To Support Smzctrual Needs
FEE SUMMARY: Pernut Fee: $ 44.85 valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 45.45
APPLICANT: Owner/Self OWNER: Meg&7on Pendleton
� 800 Brown Rd N
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS S CIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDIN C S AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Sigi:atures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: po9924
Crystal Bay, Minnesota 55323 , ` ��/? Permit Type: Addition/RemodeURe air
(952) 249-4600 ��\�� Date ��sUed'� p
6/5/2006
SITE ADDRESS: 800 own d S � �. �,� �'' Unit#
, yzata,MN 55391 �
P��� 03-117-23-43-0005 = ��
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DESCRIPTION: UBC Occupancy R3
Consh-uction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Re� '---- ir
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DETAILS: -����1`.\ �_... _ �C��� �J' �w�.`��
Approved per resolution#: "��
Separate permits required: `�
.,,�..�—
NOTICES/REMARKS:
Add structural beam to support structural neec
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FEE SUMMARY: Permit Fee: , �
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State Surcharge Fee: �� ,
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TOTAL FEE: ` ��_ � (�
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1
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APPLICANT: Owner/Self
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THE UNDERSIGNED HEREBY REQUESTS PER /�
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AND AGREES TO DO ALL WORK IN STRICT C ` -- ,. - - p
MINNESOTA BUI ING CODE REQUIREMEN' � -�� �
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AP t T PERMITEE SIGNATURE SUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
..
Total Fee: $ ' Date Received: .S 3/—O b
Entered By: ,; / Permit#: �699a
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infornzation)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle o�ze) OWNER R CONTRACTOR
JOB SITE ADDRESS: ��� , � �� �(�� I� � ZIP: ��j_�jJ�C7
Will this be a arade of Homes, Remodelers Showcase Home or other Display Home?
❑ Y0S �o If yes, a special event perraiit is req�uired tivith Police Departnzent and City Coi�ncil appr•oval
60 clays pria-to tl�e evenl. ShiFttle ba�s service will be requir-ed arnless applicant denzonstr�ates
si�cient on-site pnrlcing is avarlable. Nor�-permitted events will not be allowed
NAME OF OWNER. �e ; � PHONE: (home)q5� /�1-7�5(og S
Cp92-- (we�l�) (�Ia (o�i(o I Z57
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ' PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
i
ARCHITEC NGINEER: I' -� ' i f�� PHONE: ��O�j Z7 � �Z3S
MAILING ' I . �O o CITY: __�—ZIP: SS�-�
NAME: IVeI ruOv� REGISTRATI N: # �-47"7�
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in cletain: GL.
� 1 �1 c- �
�
STORIE��� SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ��
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �Q ' �ti'�`� ' �� d ��L/,j�
I hereby apply for a building permit and I acknowledge that the information abov is(cQ plete and accurate; ( �
that the work will be in conformance with the ordinances and codes of the Ci}�� and witil the State Buiidina �
`J b
Code;that I understand this is not a permit a work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: � DATE: �1 Cu O(o
3t
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.
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. L Type of data The rights of individual on whom the data is stored or to be stored shall be as set tiorth in this section.
Subd.2. Infonnatio��required to be given individual. An individual asked to supply private orconfidential data concerning himselfshall 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 arisin�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 ma�place the notice required under this subdivision in the individual income ta�or prooertv ta�c refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon requestto 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 contidential. Upon his further request,an individual who is the subject of
stored private or publ ic data on individua(s shall be shown the data without any charge to him and,if he desires,shail be informed of the content and
meaning of that data. After an individual has been sho�vn the private data and infonned 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 authoriry
may require the requesting person to pay the actual costs of making,certitying,and compiling the copies.
The responsible authoriry shall compiy immediately,if possible,with any request made pursuant ro this subdivision,or within tive days of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply�vith the request
within that[ime,he shall so inform the individual,and may have an additional tive days within which to comply with the request,eacluding Sahirdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data
concerning hirnself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofdie disagreement. The
responsible authority shall within 30 days eid�ec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(U)notity the individual that he believes the data to be correcc Data in
dispute shall be disclesed only if tiie individual's statement of disagreement is induded with the disclosed data.
The determination of the responsible authority may be appealed pursuant to d�e provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORI'
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a pernlit 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. Tlie 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 a�encies to the extent necessary to
process the permit or license.
4. If your rec�uested 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 yoursel�.
6. Your fu(1 name is required to process this application or permit.
. ( �'l_/
First Nliddle Last
.4ddress
Cih� State Zip Phane
I understand my r' h as stat ab e.
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5ignaturc
Reset Form 33
' � CHEC]K OFF i,IST FOR ISSUANCE OF PE�'VfITS
FOR OFFICE USE O LY
ADDRE�S OR LEGAL: OO ��
PID:
DESCRIPI�TON OF WORK: dv�al
--- ---------____--_---_-------------
ZOV�G ���'V BY: DAT'E APPROVED: �o
BUII�DING REVIEtiV BY: DATE APPROVED: 6 - I —b b
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes / No
PLAN REVIEti� � Yes No � SEtiVER CONNECTION
STATE SURCHARGE Yes _� No tiVATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
------------------------------------------------------
ZO�II�IG CHE.CK LIST Zoning District: � �Gv��vi� �SS�2S.
Fire Department: Post Office: School District:
I,ot Area: Sq.ft. Acres Widch Dep[h
5urvey Submitted: Yes No Date of Survey:
Proposed Setbacks: . .
Froa[(Lake); Right Side:
Rear(Stree[): Left Side:
?.����P�r .Crn�cb�re�: �Vetland:
Buil�ling Hei�t: Def. Hgt. Peak Hgt.
Lot Covera�e:
Gradino: Staff Approval Date: By: Council Approval Date: �
Septic: Staff Approval Date: �� " � � ��e-A �Y� ___�.�i..��
Zoaing File: � Resolutioa: # Resolution Da[e:
Shoreland Districc
Av�. Setback: Bluff Setback: L.ot Covera�e:
E�isting Proposed
Hardcover: G-75'
7�-250'
2�0-500'
500-1Q00'
Hardcover Va�iance Rzquired: Yes No Dace of Council Approvzl:
l�E�L4RKS (inhouse):
BUILDING REVIEtiV CFiECK LIST
UBC: � • 3 � CONSTRUCTION TYPE: � VN
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage z _
z =
TOTAL
Estimated Construction Value: $ 1�'Z po o`'
Inspections Required: `vork Requiring Separate Permits:
S ite Plumbing Fire
� Hardcover Removal Mechanical Water Coanection
Footing ` Septic Sewer Coanection
Fr��a Fireplace Lawn Inigation
Insulation (Masonry) Ocher
Wal1 Board (Mfg.) Well (State Permit)
� FL°al Grading/FIlling Eleccrical (State Permit)
O cher
REMA.R��S (IN IIOUSE): " -- --
---------------------------------------------___---------------------------------------------------------
REVIE�V BY OTHERS: DATE:
Access: Existing New
Access Approvai: Date gy;
- ---------------------------------
REI�IARKS (TO BE NOTED ON PERiI�'I�:
8
MAY-11-2606 15=48 ULTEIG MPLS 7635711168 P.02
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�STaUCTURAL REVIE1af QF TH� RC10F A1�D GEILdNG FRAh4IlYG F't]�t TNE REMOVAL OF AN
INTERIDR WAL.L, COPVSTRUGTI�N IS T� �E D�NE IM ACCOl2DANCE WITH tHESE DRAWING�
AND STAND�RD INDUSTRY PR�CTIC�,
�I�
1. THIS D�CUMEP�T Ai'PLIES TO STRUCTl1RA�. ONLY. REFER T� A�CFdITEGTURAL
DRAVINGS F�I@ Ml�RE INFORPTATYON,
2. A SIT� VISIT VAS PERF�R�f�D BY NEIL GRpON, P.E., Q� ULTEIG ENGIPJEERS �N
5/8/06. TF9E aNSPECYYdN l�/AS CON�UCT�D WITH�UT THE 12£M�VAL QF �INISHED
MATERIALS,
3, THE CONTRACTOR IS T❑ VERIFY ALL CdNDITY�NS AND DIMENSY�NS SH�WN PRI�R TQ
STARTING WpRK�
4, TEMP�RARY SUPPORT �� THE R��F FRAMING IS THE RESPONSI�YLITY ❑F THE
GENERAL GOPt�RAGT�R�
weT�azat c
GLU-LAht - ARCNITECTURAL GRADE 24�-V5 SP/S� BA��4NCED O!2 BETTE�t�
DIMENSIDNAL �IJiMB�R — SPF�2 CtR B�T7�R
C�NCRETE FOOTIPIGS — 2500 PSI @ 2� DAYS T' <. .=.- ;` -
R�iMFaRCING — �4 BARS ASTM A615 GRAAE 40 ✓ �
,C� � , ._ ,
2003 MINNESBTA STATE BUILDYNG COD�
w/ AMEBdDED 2000 IRC
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LIVE L�AD: 35 PSF SN�W ¢ 20 PSf DRI�T - �
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PARTIA� �PPER �LOOR F"RAMI�lG PLAN
SCA�E� 1/8' = 1'--0°
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Pendelton Resid�nse John Pendelton
B0�Nonh Brown�icad 350 Nort�Arm Lone
Long Lake,MN 55358 Orano,MN 55364
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�,' 1{r� DATE ��
CITY OF ORONO CALLED IN / ' �����
INSPECTION NOTIC �j SCHEDULED -���9t,?�L� �
PERMIT N0. U 1���COMPLETED
ADDRESS u-�
OWNER�(_���,.ia/� CONTR.�W�r
TELEPHONE NO. �� �� �a l-�' [�'� �����
� DESCRIPTION �P_YY�-��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O IN�O�SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
� 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:
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GW WORK SATISFACTORY:PROCEED fl PROJECT COMPLETE
� ❑ RRECT WORK&PROCEED !-1 ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL AETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �'✓r 1^� ��
White Copyllnspector's File Canary CopylSite Notice
� � L�`� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION SCHEDULED �• �
PERMIT NO. connP�E ED
ADDRESS � V v �
OWNER;�L_(> � CONTR. ������`r���l��_
TELEPHONE NO. a ' �
� DESCRIPTION T� � I� f
l� 01 FOOTING 11 MEC ANIC L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 M HANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
= 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:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
O,�'tOP ORDER POSTED.CALL INSPECTOR
qiNSPECTIOtJ REQUtRED.CALLTO ARRANGE ACCESS.
` Call for ihe n xt ins ection 24 hours in advance.
p (952) 249-4600
OwnedContra n site:
Inspector.
White Copyllnspector's e Canary CopylSite Notice
DATE TIN��
CITY OF ORONO CALLED IN -�'7 ' b �
INSPECTION NOTI / SCHEDULED
PERMIT NO. ��'I��/ COMPLETED
ADDRESS ��� �/c�.��� ��7 �
OWNER CONTR.
TELEPHONENO. �` G�fi t� �� �� � C ���
� D ION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
"� 07 DEMO-FINAL 15 SEPTtC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice