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Home My WebLink About2001-P04386 - addn/remodel/repair ` PERMIT C��rY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po43s6 Crystal Bay, Minnesota 55323 P@CRllt Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: toiai2ooi SITE ADDRESS: 2755 Countryside Dr W L,ong Lake,MN 55356 PID: o4-1i�-23-12-00» DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential 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: riumbing iviecnanicai r irepiace r,iecnicai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00 Plan Review Fee: $ 418.53 State Surcharge Fee: $ 25.00 TOTAL FEE: $ 1,087.28 APPLICANT: Structures Unlimited, Inc. OWNER: Bob& Kathy Tunheim 5425 Clayton Drive 2755 Countryside Dr W Maple Plain, MN 55359 Long Lake MN 55356 THE UNDE IGNED REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGIjr�ES TO D ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNES TA BU ING REQUIREMENTS. �f-=� t: f *�� i_� ,';t-Z !! (`� , P CANTPER 1TEESIGNATURE ISSUEDBYSIGNATURE Copies: l-File(Si�nitures Required), 1-Aoplicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1 � � � � � �: $ / l s� , •'I'otal Fee: �-� � � -� � `-�� / L'�� Date Received: C� Entered By: � Permit#: -��' -�;!� ; , _�; .r_, _ i� �. .� ,,,!;' CITY OF �RONO - BUILDIN�PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � � ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � JOB SITE ADDRESS: �L�� y'�� Y C�� ZIP: ��'.7� � NAME OF OWNER:�i�f- ;�,� �\ �.1, PHONE: (home) ��Z-"'�� -z�� (wor ) MAILING ADDRESS: CITY:��!�L-�-- ZIP: <� ( � , � CONTRACTOR: ---`�C�l� � �` ��- PHONE: ��'��]`�1�� CONTACTPERSON: S�, Lt�NC� S OBILE/PAGER: �p��-- 3� ��;� � MAILING ADDRESS: $�Z�C�1y�ri-� r,V� CITY::�f �� ja�,-� ZIP: S� STATE LICENSE: # �'.�3�.�� ,%� � ARCHITECT/ENGINEER: '��it,�t'. -�,�?�� PHONE: MAILING ADDRESS: CITY: ZIP: NAN�E: __ _ __ - REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration _ , ('e r' �i,lr�-c'�_ ; PROPO D WORK (desc be in detai : - ('{'r, � � � � � :.{� �i' �..Q / �( � . � - !� �� --� � ;�� .�..- � � ;. -, � _ , �. j h STORIES: S�FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. N 'L � 1 G-��=i l>"J . ESTIMATED CONSTRUCTION VALUATION (excluding land): $ , �Z�- I hereby apply for a building permit nd I acknowledge that the information above is complete and accurate; that the work will be in co ormance with the ordinances and codes of the City and with the State Building Code; that I und stand t "s is not a permit and work is not to start without a permit: and that the work witl be in accord�ice with the approved plan. ,� r , :";;� � � APPLICANT'S SIGNATURE:: DATE: NOTE! Parade of Homes events require separate permit approval by Police Department and City Couneil 60 days prior to the event. Non permitted events will not be allowed. 5 � w ' 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 conceming 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 legal(y required to supply the requested data;(c)any known consequence arising from his supptying or refusing to supply private or confidential dara;and(d)the identiry of other persons or en[iries 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 mav nlace the notice reauired under this subdivision in the individual income tax or oropertv 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 infornted 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 stored 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 the 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 section is pending or additional data on the individual has been coilected or created. The responsible authoriry shall provide copies of ihe 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 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 additional 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)correc[the data found to be inaccurate or incomplete and attempt to notify past reci^iencs of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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. The determination of the responsible authoriry may be appealed pursuant to 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 upo request) to re �ew private data on yourself. 6. 3 Your full name is re ired to process this application or permit. i: �! I ,E � � � �; -� i,^ �, Fi t — Middle �� Last �� . �_ % � • ��. � Address � ; �, ° ! �,,�rt �;�� Ciry � � State Zip Phone I under an�ny rights as stated ab - ' , �;i '; Signa e � 6 . . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�ss Gc7�1NTfL�S�✓1.� �Q2 PID: DESCRIPTION OF WORK: Q�S�,�y�.�� t,.,,s,� ------------------------------------------------ ----------------------------------------------------------------------- ZONING REVIEW BY: � ,� DATE APPROVED: 9-L5�v( BUILDING REVIEW BY: DATE APPROVED: q. Z5-� � FEES TO BE CHARGED: Misc. Fees Calculated By: PER'VIIT Yes ✓ No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes _� No WATER CONNECTION IN`��ESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: /VO G/fl�l.�L Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side Rear (Street): Left Side: Adjacent Structures: etland: Building Height: Def. Hgt. eak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ack: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes o Date of Council Approval: REMARK5 (in house): 7 • . BUILDING REVIEW CHECK LIST UBC: R- 3 CONSTRUCTION TYPE: �(►lJ Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ S O,O 0 c�� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal O� Mechanical Water Connection _� Footing Septic Sewer Connection �Framing e�Fireplace Lawn Irrigation o Insulation (Masonry) Other _�Wall Board �/ (Mfg.) Well (State Permit) _�Final Grading/Filling �c Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 � ��DATE��T�� i � ,�,i�`� � � � CITY OF ORONO �� C LLED IN INSPECTION N IC SCHEDULED �� . � " � PERMIT NO. COMPLETED /�''l-r�'—o l L= 3� (��.� ADDRES�' -�" Cc,c< -� �'2. S i` �-�C t' ;' � OWNER CONTR. �t�c�_�{-t t:'Le_�� ;{�� . � TELEPHONE N0. 7�- L�'�-�Jc � � �{�ti�n , ,�a s � . � J �ESCRIPTION ��h'►l � � /(,��_. /l,C/?� � �ly� Ot FOOTING 11 MECHA AL RI 18 E CAV/GRADING/FILLING ` Q 02 FRAMING 13 MECHANICAL FINAL LAKESHORE/WETLANDS� � ��y 03 INSULATION 24/25 WOOD BURNER/FIREPLAC 34 TFiEE REMOVAL ///�� 4 � �Z 0 4 W A L L B D. 1 2 W A T E R H O O K-U P 17 SITE WSPECTIO� 7 � Q OS FINAL 14 SEWER HOOK-UP (�/L O6 PROGRESS ��/� � 07 DEMO-SITE 27 SEPTIC MAINT. �/ 71,�� 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL �Q OWNER/CONTRACTOR TO MEET YOU:_YES�NO �Z COMMENTS: a o � � �: G � � 0 � W � Q � Z W � W � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ��f �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CARRECT WORK,CALL FOR REiNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REDUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector.�(.�,��t-vI� White Copyllnspector's Ffie Canary Copy/Site Notice - - - r ✓ DATE TIME CITY OF ORONO CALIED IN INSPECTION OT CE �` SCHEDULED �- PERMIT N0. �f �U � COMPLETED Z� �'Ul � ADDRESS ��S.Ss ��/tit�c/:f� �� . G��' OWNER CONTR.Sfi��res Un� i�.��fc�P TELEPHONE N0. C��a ��c�Lf 7 �(1%� � � DESCRIPTION ��e_�1��.E-�f �-�-�.-«--�. - .�� Ot FOOTING 11 MECHANICAL RI ' 1 �XCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 PLUMB(NG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION,'REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: �U��bi� O� � �� CreG`� ��p W o�r a � J O >. � O � W � Q � Z W � W � j GW�WORK SATISFACTORY:PROCEED I�''PROJECT COMPLEfE p� — �..� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION 7EMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContract r on site: Inspector. ��`y' .�� White Copyllnspector's File Canary CopylSite NoUce AOP �j -• ,L y L i I f 1 f Yr y ;(" f ;4 -i X x—, I Lk! 4 4013 _yf E EDROO7TRFE N®ows , q � ,� FIRE EXIJI(R I7 20" MIN. R.:,MIDTH 6 24,. MIN. , H�r�NiI�1G` c, MIN . O ' .. 5.7 SQ. FT., 44 MAX. SILL HEIGHT' ' v 17 I e� ' Kms. tr,� �ci ,,_ •' Z � � ti WHEN MATED PLATES PROVII)E!� i.A ON CONCRETE .�' r hor u a A 1 e s 4 x,,V nit { t z - _14— cyst jt� j R � Y Ily f i - 1 ^r e.. >„ Sr +fit j, . 'ase Underside Of Stairs ' n6 Walls! 4 � f+1A �.,pe.� Ar I 7>r . �_ _. qg 3 c` ,j 3— t4'` M,tt- if #' Lr`Cv H g`ifs= i t>V�/, r s fq A"1 V�11y? ± . � eF S ''� T �"` ; i � r•,,,, IV�t'� ` ��r1iR �' g � � i��='r(d4"" � �� f t _� �'' �.i�:i,,'C'ttt>�$� , Nv .. t (P ,ref +� ...."_.,..� ° `» v to M,% .,....> "Bug i � ' �. � r�snr-.w..1.� roar»T+.MM,+a'+:Mr .'+...• t 1h' f, 4.F� � �, p L'� Vil ! fVE 0 4 K !1'�iy='R%t~#i $r • CITY OF ORONO BUILDING P ITN REVIEW INSPECTOR DATE_ 9 - Zs —Of PEF1fv1!T NO. n PROVRD AS S11 ❑ APPROVE -D WITH, CG::RECTtONS AS NOTED ❑ NOT APPROVED --- C0RREzCT & EcSUu'a IT These comments are for your information. All worst shall be dons in full compliance with all applicable building and zoning cede. Requirements including items not specifically.noted in this review. KEEP THIS PLAN SET ON SITE AT ALL TJMES