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Home My WebLink About2000-P02903 - addn/remodel/repair � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po29o3 Crystal Bay, Minnesota 55323 P@1'1711t Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: 9i22i2oo SITE ADDRESS: 825 Brown Rd S LONG LAKE, MN 55356 PID: 1 o-i 1�-23-2 i-000g DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai r,iecu�icai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 40135 Valuation: $ 26,000.00 Plan Review Fee: $ 260.85 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 675.20 APPLICANT: Pillar Homes OWNER: STEVEN BOHL 125 Lake Street W 825 BROWN ROAD S Wayzata,MN 55391 ORONO,MN 55391 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. � � � G�.��--, � � APPLI T PERMI I NATURE ISSUED BY SIGNATURE L Copies: City,Applicant,Assessor,Finance Page 1 ( �� Total Fee: $ ' I`�• �?�:' Date Received: �-J��> Entered By: c' Permit#: �3D a f G53 CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------- -------------------------------------------------- �� \ THE APPLICANT IS: (circle one) OWNER�R CONTRACTOR JOB SITE ADDRESS: �`�5 �j r a c.<�n r/�d- S� ZIP: �5 0�`J �' l�'_A1V� OF OWNER: ��f�� l��Gr ��c.>h f PHONE: (home) �� 73--��5� (work)(�r�) �.�c� - ro j v � I�1.�ILING ADDRESS: ��3�" �3�r,��,�r� J�� S4 CITY: �� z�fr� ZIP: -�G 1 ,----� CONTRACTOR: �� /�� 'tft�n-�es PHONE: ��°�a�) '-�7 � - .��S-/ CONTACT PERSON: ��"�� J�;h/ MOBILE/PAGER: �-i� -73c� -��S Z.�S= �fAILING ADDRESS: �.�5� /'-�':o,.�,,� ,��i. �� CITY: �1� ZIP: 53'�i / STATE LICENSE: # �CHITECT GIlVEER: �`�'�`�-- - PHONE: �1.�ILING ADD SS: CITY: ZIP: ti�;'�; REGISTRATION# "CYPE OF WORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration FROPOSED WORK(describe in detai�: Lc��- 1 r--�.� �:�.s � /� � I (�t;: �.�:! -v,av..1 ��-..�� A\S � I �J"C�lI�C3l''W�. �L,��♦ �.��=.ICj�l�_.� �Cl�-'Yy; 1 STORIES: SQ. FEET OF EACH FLOOR: � ��-� w ��'C� �:�� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �-C�� bC 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 permit and work is not to start without a permit; and that the work will be in accorda e with the approved plan. � � , /.�. APPLICANT'S SIGNATURE: .—�.� DATE. �l � t d � NOTE! Parade of Homes events require separate permit approval by Poliee Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � � 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. Information 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 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 arising from his supplying or refusing ro supply private or confidenrial data;and(d)the identiry of other persons or entiries authorized by state or federal law ro 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 olace the notice reauired under this subdivision in the individual income tax or pro�ertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry, 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 further request,an individual who is the subject of srored private 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 thz private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant to this secrion is pending or additional data on the individual has been collected or created. The responsible authoriry 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 cosu of making,certifying,and compiling the copies. The responsible authoriry 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 addidonal 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 completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry 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 ro be correct. Data in dispute shall be disclosed only if the individual's starement of disagreement is included with the disclosed data. The deternunadon of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY 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 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 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. i� ��z T � �� ofJ� First (�'� Middl�., Last i') J,S ��1�C`rG.Y) i-��.I '�O Address / / ��!%(,�> --Gl-�� l �� l 1 V�� :( •%�_�✓� � Ci� State Zip Phone I understand my rights a�st�ted abov\e. �'/ -/1' ��. �: _. � Signature 6 CHECK OFF LIST FOR ISSUAI�TCE OF PERII�IITS _ FOR OFFICE USE ONLY ADDRESS OR LEGAL: g Z� �(�w,�v 1�10 tA� sQ - - PID: DESCRIP7'ION OF WORK• q� rnnti.�- ��.s�s�-� ZO�i'G REVIE`V BY: DATE APPROVED: ! -/�t � � BUII.DPi tG REVIE`� BY: DATE APPROVID: � -��1 -� FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes _� No :. PLAN REVIEW Yes c/� No SERrER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZO�G CH�CK LIST Zoning District: /Vt� C h�.P Fire Department: Post Office: School District: � L.ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Fron[(La.ke): Right Side: Rear (Street): I.eft Side: Adjacen[Structures: Wetl d: . Buildin; Heigh[: Def. H;t. Peak gt. Lot Covera�e: Grading: Scaff Approval Date: B : Council Approval Date: Septic: Staff Approval Dace: By Zonin; File: # Resolution: !# Resolution Date: Shoreland District: Av�. Setback: Bluff Setback: L,ot Covera�e: Existin� Proposed a Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Da[e of Council Approval: RE�iARKS (in house): l t rv tsl�-�ni l� (3 i=lSP� ('"`� �2 ' 6"^'� ��— w ��'t-F o n�-e l�� "�o N - c��•}e Q-e D�IL�o�f3-c. W^' c�i t t cs.z c.-> � t t-F...�v �-�s e� I'�r� s i �r-L. �v�..r `�-v �"'� �+-r/ 7 BUII.DING REVIEW CHECK LIST UBC: �. ' 3 CONSTRUCTION TYPE: �/N Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd F1oor x = Garage x = R = TOTAL Estimated Construction Value: $ Z� , U�� °s'' Inspections Required: Work Requiring Separate Permits: Site �_Plumbing � Fire Hardcover Removal /�Mechanical Water Connection �Z.Footing Septic Sewer Connection �! Framing Fireplace Lawn Irrigation .C, Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) _� Final Grading/Filling _�Electrical (State Permit) Other REMARKS (IN HOUSE): --------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REVIARKS (TO BE NOTED ON PERMI�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE , �� SCHEDULED _T PERMIT NO. �-� `� COMPLETED %Z 7��v 1/,/> ADDRESS ��'� /��(-J /`� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION 7�`SQ6L1Q� � lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL �.I Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d r ORKSATISFACTORY:PROCEED �OJECTCOMPLETE W � 7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � � pHOTO TAKEN INSPECTOR WILL RETURN " CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-46�0 OwnerlContr tor on sit Inspector.,/`'/��-��'�� White Copyllnspector's File Canary CopylSite Notice k � (��L�� r ATE TIME �'��CITY OF OI'SI�NO CALLED IN /��3 � �• � INSPECTION NOTICE SCHEDULED /� - �1'c'�' p��`-��--- PERMIT NO. � `�D � COMPLETED ��:��y f'� / "�, � ADDRESS '.`��`E� � `'.�r Z`a�.�'� .+tc�.'' C OWNER �� CONTR. �i//�i— f-tc�� TELEPHONE NO. �7'� "" �'�'-r-� � � DESCRIPTION �,1��"��=�� -SP � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 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 Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � j GW �IORKSATISFACTORY:PROCEED PROJECTCOMPLETE � �❑ COfiRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT L'CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac o on site: Inspector. ��Cf�� Ltti73 White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� /I�'�� PERMIT NO. a� OJ COMPLETE « n ADDRESS v �-� �"�� r`-' V OWNER �r`1 CONTR. �� l�� TELEPHONE NO. ��3��'� � DESCRIPTION /��'v�� `� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS � O�J�SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q �05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � -- -f—�✓c� �-U � �-s �'J �f��-� � J O � � O � W � Q ti Z W � W -. _ � j --- - d U�WORKSATISFACTORY:PROCEED =_ PROJECTCOMP' -TE � �❑ CORRECT WORK&PROCEED I ISSUE CERTIF Oc :-�CuPANCY � G CORRECT WORK,CALL FOR REINSPECTION Ttis�uRARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next insp 'on 24 hours in advance. 249-460� OwnerlContrac r o ite• Inspector. White Copyllnspector's File Canary CopylSite Notice