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Home My WebLink About2001-P03603 - addn/remodel/repair • PERMIT � � C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po36o3 Crystal Bay, Minnesota 55323 P@fC111t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 3�t�i2ooi SITE ADDRESS: 2760 Countryside Dr W LONG LAKE, MN 55356 P I D: 04-117-23-12-0011 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: tcesidentiai 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: riumoing iviecnanic:ai rirepiace r,iecu�icai �statej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00 Plan Review Fee: $ 287.13 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 743.88 APPLICANT: STRUCTURES UNLIMITED, INC OWNER: R S& L A STODDART 5425 CLAYTON DRIVE 2760 COUNTRYSIDE DR W MAPLE PLAIN, MN 55359 LONG LAKE MN 55356 THE UNDERSIGNED I�REBY 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 MINN SOTA BUILDING CODE REQUIREMENTS. ��i�� C- ,:� l t (_`'�'{'f t�� l� /�_.r= �� AP ICANT RMITEE SI NATURE IS F,D QY SIGNATURF, Copies: City,Applicant, Assessor, Finance Page 1 Total Fee: $ f; `-/� `�� Date Received: `�> 1 � �� Entered By: � Permit#: f� � =; 4^ �'� ?�%,,.'`' `' —�/ � '-i ! _ , � CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan re�-iew will be started. � (please print all information) TI3E APPLICANT IS: (circle one) OWNER OR N C �,� � ,� l, a JOB SITE ADDRESS: Z�(�C'�� V Z�: �j'S ��j j� � � ^ NAME OF OWNER: � C. '� �-�.,�.,� PHO\TE: (home) ��, � (work) 1�IAILI�i 1G ADDRESS: i-'l%�L'1��=�. . CTTY: ZIP: � CONTR.ACTOR: �1 r , r ,� ` ' . �-- PHO�tE: '� (a3��7`��/�� C0�1'TACT PERSON: <<�s 'I..�v� o�.v�g 1-iOBILE/PAGER: (s�iz-3�'r�- �fG�� _ MAILING ADDRESS: 5 Zy � g,., c�� CTTY: .�►�e �' ��,,,;, ZIP: S�3�1 STATE LICENSE: # �i 7 3 3 1 �, ARCHITECT/ENGINEEl�: ��,'4� ,,,L�- `�^N�d PHO\'E: MAILING ADDRESS: C�.,�.n.�S� CITY: Z�� N�y�: REGISTRATION# � TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PR OSED-LWORK(descnbe in detai�: C�UI� " , In�- '�\ fi �'_�� ' . ; STORIES: SQ. FEET OF EACH FLOOR:`�/�DC1�� I��O. OF BEDROO�IS: GARAGE STALLS: ATT. � DET. �� EST iMATED CONSTRUCTION VALUATIO` (excluding land): � � � I hereby apply for a buildin�pernzit and I acknowledge that the information above is complete and accurate; that the work will be ' confo ance with the ordinances and codes of the City and with the State Buildin� Code; that I k�nders d this ' ot a permit and work is not to start without a permit; and that the work will e ' accordan with the approved plan. APPLICANT'S SIGNAT DATE: �/O �� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � ` Sec.13.0-3 RIGHTS OF SUBJECTS OF DaT?i Subd. 1. Type of data. The ri¢h�s of individual on whom[�e data is sto:`3 or ro be stored s:all be as se:fo�th in this secdon. Subd.2. Information reqirired to be given individual. An iLdividual askc3 to supply privaw or confid.--'1 data concerning himself shall be informed of: (a) the purpose and incended use of the requesud dara w:�in the collecang 3tate a,eacy,Foliacal�adivision,or sratewide system; (b)whecher he may refuse or is legally required�o suppty che requesced dan:(c)any 3�owa coasequence arsi:g from::s supplying or refusing to supply priva�e or conndenrial data;and(d)the idendry of o[her persoas or enaees aLchorized by state or federal law r�rcei•:e�data..'Ihis requiremeac shall noc apply when an individua!is asked to supply invesrigadve dara, purs��c to seceoa 13.82,subdivision�,to a la•::�nforcemenc o�cer. The commissioner of revenua r-iav place the noece reauir-d erd�r this ssbdivision in che ir:dividual i.co�e tax or propem tax teFund instructions inscead of on those forms. Subd. 3. Access to data b�indi�idual. Upon request to a r:s�:onsible a�v^.oriry,an individual shall be i��ed whe[her he is the subject of scored data on individu�ls,and whe[her ic is classified as public, priva�,o�con@d_r.aal. Upon his fur�e:reques:. an individual who is the subjecc of scored private or public data on individuals shall be shown[he dara w•iu out any c:ar3e to him and,-if F.c dzsires, s�all be informed of the concenc and meaning of�ha�dara. Afrer an individual has beer.shown the privaw�aca and i�:or�ed of ics mea-.�=.'We da��eed not be disclosed ro him for six mon�hs �hereaner unless a dispute or acrion pursuant to [his secdon is�ending or addidonal data on�e indivi�•-=1 has been collected or creaced. The responsible aur.horiry shall provide copies of the private or pubiic da�a n�on reques:by the individuJ s.:`;:c�of�=�aa. The responsible authoriry may requir� che requesring person to pay the acnial coscs of makinc,ce^:;ing, and compiling the copiu. The responsible authoriry shall comply immedia�aly,if possie!:.wich any r=quesc made punuznc to this s��ivision,or wichin five days of thz date of the request,exeiuding Sacurdays,Sundays and legal holidays,ir ir..media�e compliance is noc Fossible. L�.o cannot comply with the reques� wichin that dme,he shall so inform[he individual,and may have an addicenal five da;s wi�hin which to cor..ply wisr�request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. �n individual may concest tha zcwracy o.canpleteness of public or pm•ate data conceming himself. To exercise chis Rehi,�an individual shali noriE�ia wridng c.�responsibie autho�cy descrio�a Lhe nacure of the disagreemenc. The responsible au�horiry shall wichin 30 days either. (a)correcc the dac:icund to be inaccurate or incomci:re and�mpc to nodfy past recipien[s of inaccurace or incomplete data, including r�ipienes named by che individ�J;or(b) �orify the individual�:he be'.��es the dara to be correct. Dac3 in dispuce shall be disclosed only if the individual's sta[ement of disagre��ant is i:c:nded with the disc!e_`!dara. Ttie de�erminarion of the rzsponsible auchoriry may be appea�=�pursuan,to [he provisions oi 'r.=adm�—azve procedure act relaang to contested cases. DATA PR1V�CY AD�`ISORY In accordance with M.S. 13.04, Subd.2, "RiQ,hts of subjects or daca", we would l�ke to i�orm you tha[your reauest for a permit or license from the Ciry of Orono or any oi ia deparu..ents may requir� you to iurnish certain priva�e or confidential information. You are no[ified that: 1, The information you furnish will be used to de:ermine �'our qualification for the p�rm.it or license requested. 2. You may refuse to supply da�a, but refusal may require that the Ciry deny t;� perm.it or license. 3. The informa[ion may be shared with other loc�1, state or federal agencies to th� �.:tent necessary to process the permit or license. 4. If your requested perm.i[ or license requires Council action to appro�:�, so�� information may become . public. �, You have cer[ain ri;hts under M.S. 13.04 (available upon request) to rev'ew• p:ivate data on yourself. 6, Your fuli name is required to process this applicacion or p rm.ic. , ,�� I�� , ►'� Firsc ' � �z Lasc �5 - � r� '� Addr s,� , 1 /�_ /V '. �I � �' � Ciry - State Zip Yhone I under tan ri;hts as stated above. Signanire � , CHECI� OFF LIST FOR ISSUA+�'CE OF PERtinTS _ � y FOR OFFICE USE ONLY � . ADDRESS ORLEG.4L: Z.`� � �� C.:.��. ti � �� O•� - PID: DESCRIPTION OF�'YORK: �'��'vy��1` /��'��i . Z01iZ\'G REVIEti�BY: � �¢ DATE APPROV�D: �3 - ' -�-�% l BUILDI�TG REVIE�BY: �' � �� DATE APPROY�D: 3 -� � �-� FEES TO BE C�L4RGED: �iisc. Fees Calculated By: pEgMiT Yes �/ No • PLAN REVIE�V Yes ✓ No SE��R CONNECTION STATE SURCHARGE Yes �'' No ti�IATII2CONNECTION IIvTVESTIGATION FEE Yes No PARK F�E SAC Yes No SITEINSPECITON Number of SAC�Unics OTHER (specify) Z0�1�G C�CK LIST zoain�Districc: N:� �-��'�%�� Fire Depar[ment: Post Ofuce: School District: � ' � Lot Area: Sq.fr. Acres idch Depth Surve;� Sub.�.itted: Yes No Da[e of Survey: Proposed Se!backs: Fron[ (L��Ce): Ri�h[S�de: Rear (Street): Left Side: Adjacen[Structures: �Vetl d: • guildin� Hei�`�t: Def. H�t. Pea'_; �t. Loc Covera�e: Gradin�: Stafi Approval Date: By Council Approval Date: Sepcic: Staff Approval Dace: By Zoain�File: � Resolution: � Resolution Da�e: � Shoreland District: Av�. Setback: Blufi Secback: Lot Co�'era�e: Ezistin� Proposed Hardcover: 0-7�' - 75-2�0' -- ti0-500' 500-1000' I Hardcover Varia.nce Required: Yes No� Date of Council Aoproval: REtiLA.R�iS (in house): II� 7 z— , BUII.,DING REVIEW CHECK LIST UBC: I C = - CONSTRUCTION TYPE: �/�'"' Sq Footage � Per Sq Ftg Sasemen[ x = lst F1oor z — 2ad F1oor z = Gara�e z = x = TOTAL Estimated Construction Value: $ ��; L Cc; "� InspectiorLs Required: �Vork Requiring Separate Permits: Site �( Plumbing ' Fire Hardcover Removal _,�Mechanical Water Connection Footin� Septic Sewer Co�ection �C Framin� _�Fireplace Lawn Irri�ation ;x Insulation (Masonry) O[her �( Wall Board p� (Mfg.) Well (State Permit) �x Final Grading/Filling _�Electrical (State Perm.it) Ocher RE`�IARKS (I�i I HOUSE): � REV�W BY OTHERS: � DATE: Access: Ezisting New Access Approval: Date By; RE�IA.]EZKS (TO BE NOTED ON PERII�II'I�: 8 ��y -�� , � � DATE TIME CITY OF ORONO �U��p I CALLED w --S ��'U I ('• I,� INSPECTION NOTICE SCHEDUL � < < _ /C? .��t�l PERMIT NO. Y�O �7 L(%C` COMPLETED ADDRESS ��7�nD C?�>r�n77 c.� S�� K GCJ • OWNER ;�G�cf��'. r"� CONTR.Sl/�G��T�res U/�lr��v, � r�.� TELEPHONE N0. C� I o� •_� 0 Y yCOC�� DESCRIPTION�T I��.! , ��vr`. 1�.�, (j�S ��,� f� �P� F�,vt i,v�-. 4i O7 FOOTING �MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING� ` � ^ Q 13 MECHANICAL FINAL 19 tAKESHORE/WETLANDS �y 03 SU�LATION 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 O6 PROGRESS � 07 OEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �-OS�PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10-PLl1M8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COII(IMENTS: a � � G, rP G,� � p r r� 1 � ��L Lt/cc >' .� � � 2 ° J� � � n u ` . W � Q z � � L�� ;c.. (� 5 GLP C � - � l � � � a W� ❑WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � �ORRECT 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.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. "� Call for the next inspection 24 hours in advan e. � �952) 249-4600 OwnerlContractor on site: �- __._....___ Inspector.�i��LiT �-�-Z�� White Copyllnspector's File Canary CopylSite Notice DA E TIME CITY OF ORONO -3�-3--�/ 3�� INSPECTIO,,�OTICrE_ SCHEDULED d� ��;.�� PERMIT Nll7 � � 1P a� COMPLETED '�� ADDRESS ��° � � OWNER G��".et.c�� GONTR. .��rvb�"�c� ��p�,�►wL TELEPHONE N0. (p ��- � ��-' ��3 � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y SULATION > 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q Z . 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 FINA� 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � l 0 , � � a � W � Q ti 2 w � W � � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContract n site: Inspector./�<(� ,��,c,G/f 1 White Copyllnspector's File Canary CopylSite Notice DATE � zIME CITY OF ORONO CALLED IN /%' �` 3 � --r-�-- INSPECTION NOTIC � ��3 SCHEDULED , ` l°�` :' c�c> PERMIT N0. v COMPLETED �� ADDRESS o2 -7 CC'O C c^ ��'��"1-JS/��- /.��'Z L-CJ OWNER CONTR. JIL�'"u�'74-��`rS L�;� TELEPHONE NO. �r� ��`� �� DESCRIPTION �r� Lu��-�-'� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 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 O6 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-46�� Owner/Contr or on s : � Inspector. �' G�� '��S , White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN S 3�'� INSPECTIO OT)C� SCHEDULED � o.� PERMIT N�� `' `��3 '� COMPLETED z�� - ADDRESS � 7�' �� C•��'L�'u�� /l�c�v'-�- l,'�' OW N ER t��.C'z�c�� CE)NT R. �^�-G�L�;2,,.� 2'�� TELEPHONE NO. `-� �:� � �`� �4 S°� � DESCRIPTION lu 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 WA D. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � ` — d �ORKSATISFACTORY:PROCEED J� 9ROJECTCOMPLETE W � ; �] CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. i PHOTO TAKEN INSPECTOR WILL RETURN ! CITATION tSSUED �, STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr on site: Inspector. � �� White Copyllnspector's Fite Canary CopylSite Notice