HomeMy WebLinkAbout2003-P06967 - addn/remodel/repair � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po696�
Crystal Bay, Minnesota 55323 P21'1711t Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: ivi2izoo3
SITE ADDRESS: 2555 Countryside Dr
Long Lake,MN 55356
PID: 04-117-23-14-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Eiecincai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 3��•25 Valuation: $ 24,000.00
Plan Review Fee: $ 245.18
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 634.93
APPLICANT: Sussel Coiporation OWNER: Mr. &Mrs. Schnebly
654 Transfer Road 2555 Countryside Dr
16B Long Lake MN 55356
St. Paul,MN 55114
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.
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APPL . PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1
Oct–Z3-20�3 10:1�am From–CITY OF ORONO ����' ����O�D� +95Z2494616 T-331 P.006/0�9 F-616
' ' 3� 93 Dace Received: I D ��/G ,
Total Fee: $ �o
En[ered By: � Permit#: l'��'r,c �
�IT'Y �F OROi�iO - BUII�DYNG� PERMTT APPY.YCATION
All information must be submitted in fu1l before plan review wili be started.
(please�rinr all informution)
'I'�iE APPY.iCANT IS: (circle one) OWNER O CONTRACTOR
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�OB SITE ADDRESS: _ 2.5..55 �w�� d� I�r. ZIP:. �3'3S
NAME OF OyVNER: S'�'ev� S c,l.�eb I H PHONE: (home) QS�`�f 7�o�`��
,. � (work) 6�2- ��� �'9 `lc�_
NIA11.IlVG AnDRESs: �S � ••�••,r�,�1� d�'. CYTY: �,.,�2v�� zIP: s.3��6
CO\�T'RACTOR: S ,� ���-f t PHONE:_ 6 S�'�6 5F S -o.3 3/
COr�'T'ACT'PERSON: �y.v ,��•�6�.�, OBILE AGER: 6S!- � � �S�S
1VL4I�.ING ADD1tESS:�S�I T�•�sFe�<< !' . : S T: P�.�.•�.r ZIP:�/�f
ST�iI'E X.ICENSE: #��f �s�,+� e 6✓,�J
ARC�ITECTIENG�INEER: � �1 PT30NE:
MA.�II.INC AD171tESS: CITY� ZIP:
N���: REGISTR.A.TION#
TYP� OF W4lZK: New Additian � Accessory Sm�cture
Move RemodellAltera�ion Land A2teratian
FROPOSED'4VORK{desctzbe in detai�: o?a�Xi2 ' •Q uc.�«� i9 �/�� �D �-�"'—^
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ST4�IES: ___a�___ SQ. �EET 4�'EACH�'L00�2: `t�d'� s F�',, c/c�,-���v
NO. O� SEDROOMS: � • GARAGE STALT.S: ATT. ?� D T.
W
ES'T�IA`i'En CONSTRUCTIO�I VALUATIO�I (e7ccluding land): � "—
I hereby apply for a buildin� pem�it and I acknawledge that the informatian above is complete and
accurate; that the work will be in canfoz�nance with the ordinances and codes of the City and with
the STate Building Code; that I understand this is not a germit and wark is not to start without a
permit; and that the work wiR be in accordance with the approved plan.
APPLTCAN'Y''S SIGNATY3YtE: .�. � AATE: �� 3
NOT�'! Pr�rad� o�Flotr� events require separate pernzit approval by Potice De�artmerai und
Ci�y Council 60 days prior ta the event. 1Van permitted events wilI not be atlowed.
5
' ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z sss �iv✓NT/L��T��� Q2.
PID:
DESCRIPTIO�T OF WORK: G arz.aG� ,�}��, T-, a�1
ZOr7i�IG REVIEW BY: DATE A.PPROVED: //- !� -a 3
BUII..D�1G REVIE`V BY: DATE APPROVED; �/- 6 �o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PL?,��t REVIE`'V Yes � No SEWER CONNECTTON
STATE SURCHARGE Yes � No WATE�CONNECI'ION
INVESTIGATION FEE Yes No s� PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning Districr.
Fire Department: Post Office: School District:
I.ot Area: Sq.ft. Acres Width Depch
Survey Submitted: Yes_� No Date of Survey: J 1- Z-g Z
Proposed Setbacks:
Front(I.ake): I o c� � '� Right Side: 6 S't
Rear (Street): 2to *� Left Side: �53' +
Adjacent Structures: A TTt�c N� �Vetland: ti�/�
Building Height: Def. Hgt. V.�� Peal:Hgt. --
Lot CoveraJe: i.r I/�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: � — Resolution: # Resolution Date:
Shoreland District: hl U
Avg. Setback: Bluff Setback: L.ot Coverage:
Eusting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): _
7
BUII.,DING REVIEW C�Cg LIST
UBC: 2•3 CONSTRUCTTON T^YPE: �1/�j
_ Sq Footage $ Per Sq Ftg
Basement x _
lst Floor z _
2nd Floor x _
Garage x _
z =
TOTAL
Estimated Construction Value: $_2 Y,n�)� o v
,
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing " Septic Sewer Connection
_,�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Filling _�Electrical (State Permit)
Other
REMARK�(IN HOUSE):
_______
- ---- -- -- ------------------------_--_
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By.
_' ----- ---____-----_------------ -----
REMARKS (TO BE NOTED ON PERiVIIT�;
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DATE TIME
CITY OF ORONO CALLED IN Z-�=�'`( �--��
INSPECTION NOTICE , SCHEDULED 2��-u� %�'�1
PERMIT NO. ` � ' COMPLETED
ADDRESS '��t S.S_�� �.2''?C i��fi�^�-� S; c�� '//�,
OWNER CONTR. �S�S t'��
TELEPHONE NO. 1r S� (�"?�t�j (% ->'�3 /
� DESCRIPTION l_.(?`G�L,r',�'���, � �.(' '( i� ��`-fi
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G DING/FILLING
Q � 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
BING FINAL 36 FOUNDATION/REMOVAL
OWNE ONTRACTOHTOMEEiYOU: YES—N�
�, OMMENTS: ` -%
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❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL I PECTOR
❑ INSPECTION RE�UIRED.CALI ARRANGE ACCESS.
Call for ex in ction 24 hours in advance. (952� 249-4600
OwnerlContr on si :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
TE TIME
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CITY OF ORONO CALLED IN � �7 �'�'
INSPECTION N TICE SCHEDULED i �' �
PERMIT N0. �� " 7 COMPLETED
ADDRESS �J S` � . G. �.� --�-, l��-.
OWNER CONTR. S�%� G-i-��v��'
TELEPHONE NO. LF �<� ->(� �� C=�Z�—
� DE _�� a-+'�`�`ve--
� 1 FOOTIN � 11T MECH NICAL RI 18 EXCAV/GRADING/FILLING
Q AMING 13 MECHANICAL FINAI 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 PLU � / 36 FOUNDATION/REMOVAL
� OW RICONTRACTO TO MEET YOU:1L YES_NO
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i � ection 24 hours in advance. (952� 249-4600
OwnerlContrac ' e
Inspector.
White Copylinspector's File Canary Copy/Site Notice
V
DATE TIME
CITY OF ORONO CALLED IN � `�I,2, '���`,t(-
INSPECTION OTICE SCHEDULED J�- ►?�"l.�"t �' '�
PERMIT NO. U �' � " � COMPLETED ���
AD D R ESS ,��� � C,c�l,�;t--�/i,T-�-,c�-� '�/I •
OWNER CONTR. �-���^ c �U2-� •
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TELEPHONE N0._ ���- CP�IS� ��J� �
� DESCRIPTION _ �� �L��`� `���`��'�`` '
� 01 F G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y �2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUM 36 FOUNDATION/REMOVAL
� OW RICONTRACTOR 0 MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALI FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (95Z� Z49-46��
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OwnedContract r�si e:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice