The URL can be used to link to this page

Home My WebLink About2001-P04031 - addn/remodel/repair CITY F R N PERMIT O O O O 27SG Keliey Parkway - PO Box 66 Permit Number: Po4o31 Crystal Bay, Minnesota 55323 P21'CYllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: vi3i2oo1 SITE ADDRESS: 255 Brown Rd S Long Lake,MN 55356 P I D: 03-117-23-24-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai 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: F'iumbing iviecnanicai Eiec�-icai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.00 TOTAL FEE: $ 915.58 APPLICANT: 1'earilan Construction Co. (See Comments pWNER: Margaret Cost 27741 University Ave NE 255 Brown Rd S Isanti, MN 55040 Long Lake MN 55356 THE LJNDERSIGNED 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. i � �� E-' 2 �� 'c' �7�/G� PPLICANT RMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports,1-Assessing, 1-Finance Page 1 � Total Fee: $ �/5, � � Date Received: ��J� �%� Ent�red By: � Permit#: �r;N(�� 1 �I � � .� ,i�-: � ( C I T Y O F O R O N O - B U II.,D IN G P E R M I T A P P L I C A T I O N All information must be submitted in full before plan review will be started. (please print all information) THE APPLICAI�IT IS: (circle one) OWi�tER O ONTRACTOR JOB SIT'E ADDRESS: 25 S ��,�-�-� C�z��•.:-�s �.��-c� ZIP: �53�(. NA.'�IE OF OWNER: �c�v y LUs; PHONE: (home) �2. A-7.3 -5`�57 . (work) MAILING ADDRESS: �55 So. '��:_..,-�; �+Z� CITY: �j�,�:.�,;,� ZIP: ��3 5�- CO\�'RACTOR: ��I r_Q��,w Lo�;,�,�zu�-7-rv-:, (,v PH01�'E: �3 1��-�3b � CO\�'ACTPERSON.��„_;,,;;,s;j'A��,�. NIOBILE/PAGER: ��Z �3�t, -�1 t4 MAII.INGADDRESS: >77�t1 c.��;�u�=-es��*�l Ilu�: .��CITY: �"sa-v�i ZIP: �-�'b'c54o ST�iTE LICENSE: # 34t�A.-. ARCHIT'ECT/ENGINEER: PHOti'E: MAII.ING ADDRESS: CITY: ZIP: N�1LE: REGISTRATION� TYPE OF WORK: New :�ddition Accessory Structure Move Remodel,'Alteration� Land Alteration PROPOSED WORK(describe in detai�: �=-�,,.��s,,� � �a��.�n �.�v ��a�'<c' sc7 5�:��-�s' �"v 4 cs�- � �. F t:�_ �TJ :�— i= n�f7: LJ G /:d l.] f` l N/� � STORIES: SQ. FEET OF EACH FLOOR: l�O. OF BEDROOMS: GAR�GE STALLS: ATT. DET. EST�IATED CONSTRtiCTION VALI;:�TI0�1 (excluding land): $, q� �.:�� I hereby apply for a buildin' permit and I acknowled�e 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 Buildin� Code; that I understand this is not a permit and work is not to start without a perm.it; and that the work wiII be in a ance with the ap roved plan. APPLICAlVT'S SIGNAT . �/J� . DATE: 7'��ar _ NOTE! Parade of Homes events require separate permit approval by Police Department and . City Counci160 days prior to the event. Non permitted events will not be allowed. 5 1 Szc.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forrh in this section. Subd.2. Informatioa required to be given indiridual. An individual asked ro supply private or confidencial data conceming himseif shall be informed of: (a)the purpose and intended use of the requested data within the colleccing state agency,polidcal subdivision,or statewide system;(b)whecher he may refuse or is legally required to supply the requested data; (c)any lmown consequence arising from his supplying or refusing rD supply private or confidenaal dara;and(d)the idenury of other persons or enddes authorized by sate or federal law to receive the data. "I�is requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement oFficer. The commissioner of revenue mav olace the norice reouired under this subdivision in the individual income taz or nrooem tax refund inscrucrions mstead 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 furrher request,an individual who is the subject of s[ored private or public dara 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. Aher an individual has been shown the private data and informed of its meaning,the data need not be disclosed co him for six months thereafrer unless a dispute or acdon pursuant to this secaon is pending or addirional data on the individual has been collzcted or created. The responsible authoriry shai(provide copies of the private or public data upon request by the individual subject of the data. Th:responsible au[horiry may require the requesdng person to pay the actual costs of making,certifyin„and compiling the copies. The responsibie authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wi�hin five days of[he date of the request,excluding Sacurdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wirh ::e request wichin that dme, he shall so inform the individual, and may have an addirional 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 comp(eteness of public or privare dara conceming himse(f. To exercise this right,an individual shail noufy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found co be inaccurate or incomplete and attempt to nodfy past recipienrs of inaccurate or incomp(ete data,inctuding recipients named by the individual;or(b)nodfy 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. "Ihe determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrauve procedure act relaan, to conresced cases. DATA PRIVACY ADVISORY In accordance wi[h M.S. 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 departmen[s 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. �. 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. C Ji�cu.0 ib � � Fi�v h�c �rst bfiddle Last 3�-�b�5 i�� . �u <-�,�. Address _lj?"��vGf-/�!(�C.0 �+itJ �G`1C�C, /7�i�G-`G�`�'�v�`� C�� S�ate Zip one I und d my ri ts as sta d above - �.J � � Signature � 6 r ' CHECK OFF LIST FOR ISSUAIVCE OF PERl�IITS ' FOR OFFICE USE ONLY ` ADDRESS OR LEGAL: ZS� S v (��t,�,� �� PID: DESCRIPTION OF WORK: �„� ,� � ,.� �v-e� ZO�'G REVIE`V BY: DAT'E APPROVED: � -� Z-v� BUILDING REVIEW BY: DATE APPROVED: --� -�Z,-�� FEES TO BE CHARGED: Misc. Fees Calculated By: PER�VIIT Yes c/� No pLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER COIVNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZO��iG CHECK LIST Zoning District: /ZIV C (�i"" O Fire Department: Post Office: School District: Lot Area: Sq.fr. Acres Width Depth Survey Submitted: Yes i�o Date of Survey: Proposed Setbacks: Front (Lake): Ri�ht Side: Rear (Street): Left Side: Adjacent Structures: W tland: Buildin� Heioht: Def. Hgt. Pe � Hgt. Lot Covera�e: Gradin;: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: y: Zonin; File: # Resolution: n Resolution Date: Shoreland District: Av�. Setback: Bluff Setb k: Lot Coverage: E�isting Proposed Hardcover: 0-75' 75-2�0' 250-SQO' 500-1000' Hardcover Variance Required: Yes Date of Council Approval: RE�IARKS (in house): 7 �. BUILDING REVIEW CHECK LIST �C� t� '3 CONSTRUCTTON TYPE: �l/� Sq Footage $ Per Sq Ftg Basement R = ls[ Floor R = 2nd Floor x = Garage x = R - TOTAL Estimated Coastruction Value: $_`-t(�,(�C�oG Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal '� Mechanical Water Connection _�Feetin� Septic Sewer Connection x Framin� Fireplace Lawn Irrigation �Insulation (Masonry) Other �W�ll Board (Mfg.) Well (State Permit) �c Final Gradin�/Filling _�Electrical (State Permit) Ocher --------- REi�IAR�S (IN HOUSE): -------------------------------------------------------------------------------------------------------------------- REV�EW BY OTHERS: DATE: Access: Existins New Access Approval: Date By; REVIARKS (TO BE NOTED ON PER�vII�: 8 . 1 .,� • ��-; - � �o,; Z�5 so �a z�,.� -� �c,,�� , ; �� z � 2� �-�� .� , r, , � r� :; - - ; , �h 1�1��!DaiJ�1�= . �� . , � ,:��=-��G�C.�g� � ,� . . �;� �.�� ,��.�, � 3,� � �-` h-�E� f X{'� F'":�..,��!i�-Y t_t� � Bl)tLl.�lf�l\1 t- '�4ti�i{E C\,,� Fl�. ., � �#' ..> � �.;�s��8. ui_�.'.i? .tf`,t;:_' i '�—� INSPECiGR I�/�� .. '��7 7 q; �� Y .� -.� � - �/.dGL�_�. . _. - ,,:* , �� r J , .'.�.'r r:._6i'� . i _.� .�'�EJ-1 t A�.�-��. I��f ! 1� Q� 1T�! "� {� /'� D<.Tt 7 r �-.,-, 'p. J. i ��..?\+Z. Y� � . 1'��. l i ��_i�tlr��U t� 1 �1 �.� ._y --� -- _. a ❑ A�;� , � .. . � ., Y` ; ��7�� A= 44" 90lf.��C. SILL HE��t-;T �A-'�'rs�.!'��:�;'� f ;��^ ��:?�S AS �':;� -- -- �� r�., , �� °t�..'_ . ,,�r 3 7/2' i e�a�rr _� s•o• � (V:71 AFFP,i:VED - �'Li�'�_:i ta R�SU •'�` � �7'ESO GOfll.^l?�' FfP,{Q!�� C � !�}�. ;^:!YJOf{(Sf18i� � j� �-�o i �a�rr �•r �.i • r� �•,o� • in ful! cornplian„r, v�{h ,.� ..,; ��;.b'. bu;ic„g 2nd zorin!, ., tt a irz s�n Roqeiremonts�� -��.t;i�ig i�P.s r;ot s�ecthc,,liy n^�'�d in this r6� v�� KEEP TNIS PL�1N$ET ON SITE AT AlL Tlh" -�= � — — � � , ' _.._. ..._.......--- __... �Z T t �, i5-, "_�'O_ � 1 1K � `� �'4 tl4 , ;� �--�c �,�`� • f_..._�..� i � i'�' � � . ' __� ��m'�`�' _ t ti�: ' �, �P ! � ,�a5' _ r ��. r--- . °i 1 �F ,,.s�"�,` � - 1 c i � :f N� 1' 1/' 3-0 7/e' 7 n. �'"�`�,� ��*¢ `�m �irz• �ve y.�. - r-o. ;. �� 7 �i �; IU � ' � ��.;�.' .,.i i i CFDR3088 ! ! XLHI �� ' .� �,, ` � 2'8' z-6' �_.._.__._--._.__ �. �...._ �,,,�; i. M1882 --- � � `�, r � �t� !AL NOTE 3' N. ❑ m ` L ��' �E A TA�H, D SHEET "' Z F " :� c�i � '��' `�s k r - v § �.�,. �: ' ;� CO E I EQUt EMENTS � �"�� = � ( � �� t=<<-��s+f -�-�«s �y,�a� b '`�, � Mns.rra. ,s�•z,rr �� -i�!F � �j--ot= �6,� a,n T (5 AG, rdO�f 3 ; � � �� ,1`+�t�?a�-�,>I dt� tizt_.r< � �, H� � �! . nv� (� t.../� s cx'>.,.. n ! , a. � � �H�'''�/'�JC,' ;; � �� c, �� .. � c�: m •�ii 'i�rt U° �I � �•. Y. . '__._."____._'_—_ �____�_ _�._ O _ . e c �:._...'__ .._..._ '__." ."""__—__"____'' ._._--_.'— ._...._ . r CCM2856-2W W 2 4 'N,�yp», . . . . M�'y, � 1k� L'� f .. � _ ,� V 0 ��i.t �'„p��l,�4 �� , '� �� 3J' S'•2 1/2' 9'-S 1l2' 4'-E' 7-0' 5-21/2' 17E' .�t/2 1'•4 �� ,�M�'1':�� . � Y` t � � �, v•',� M.O. M.O. M.O. M.O. ��i .L�.�. ,�,4:�� 22'-e' BLOCK BIOCK ,� �, � .k �, 2r�m ,^,` �,g -4��' ��:� ^� �-�«� �'`� y . �6'd �� ,�:'��QT` �� ,, s,�,y ; �t�0"�CiiL�%, '' k�,^�.; > � ` ��.r� � 1, � x,A.f, . �: f.. , . ., DATE TIME CITY OF ORONO CALLED IN INSPECTION TI SCHEDULED b- Y�o PERMIT NO. 0 �� COMPLETED � %��% ADDRESS .5 C� OWNER C.c�� CONTR. �2 � � o S�- TELEPHONE N0. (� ( �-- .� � � � t � � � DESCRIPTION � 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION FINAL 14 SEWER HOOK-UP O6 PROGRESS � O-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 Y�NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � �'}�1NORK SATISFACTORY:PROCEED /�C7�PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Own�erlContr� or on site: Inspector. � � White CopyllnspecloPs File Canary CopylSite Notice V TIM E CITY OF ORONO CALLED IN � INSPECTION �ICE � i SCHEDULED �____^,�� __� PERMIT N0. coMP�ET 7 -oo ADDRESS �� S �� 1 OWNER CONTR.�C� �Lh�S7'I U1/./T TELEPHONE NO. ��(�/� --��/7` � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS y 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMEfVTS:_ � W a � Q �- � 0 � � 0 � � � Q � z W � W � J � [��'ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETUAN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContrac on site: Inspector. ��1�1.� � White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E scHE�u�� i PERMIT NO. � COMPLETED '�� Z�B� ADDRESS � � �-�- <<-�� OWNER CONTR. °L �� TELEPHONE NO. Cl�l� �l�i� �� DESCRIPTION G�� . � 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/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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � j � �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W(O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnedContrac r on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice