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HomeMy WebLinkAbout2005-P08916 - detached garage PERMIT CITY GF �RONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08916 Crystal Bay, Minnesota 55323 Permit Type: (, Addition/Remodel/Repair � (952) t49-4600 Date Issued: 7/22/2005 SITE ADDRESS: 235 Crestview Ave Unit# Long Lake,MN 55356 PID: OS-117-23-14-0019 DESCRIPTION: Proposed Use: Residential Census Code � 438 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Garage-Detached DETAI LS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 251.25 valuatioa: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.06 APPLICANT: Owner/Self OWNER: Mark Hillstrom � 235 Crestview Ave Long Lake, MN 55356 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 DINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��-��C�- � -� � / . ��L�_ �`1/y�C�.� ;�\ APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE � Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l • - PERMIT CITY OF ORONO �� Permit Number: ����~ 2750 Kelley Parkway- PO Box 66 P08916 � Crystal Bay, Minnesota 55323 Permit T e: � (952) 249-4600 yp Addition/RemodeU�ir � Date Issued: 7/22/2005 SITE ADDRESS: 235 Crestview Ave [lnit# Long Lake, MN 55356 PID: OS-117-23-14-0019 DESCRIPTION: UBC Occupancy U1 Construcrion Type VN Proposed Use: Residential Census Code 4� ��"J� Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Garage-Detached DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 251.25 valuation: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 � �; % �:t�- •�� TOTAL FEE: $ 422.06 \ nn , APPLICANT: Owner/Self OWNER: Mark Hillstrom � � 235 Crestview Ave �,;�� Long Lake,MN 55356 - � THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED ,��-'� r AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF � "'r \ MINNESOTA BUILDING CODE REQUIREMENTS. � ��., ,�� �l A APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , PERMIT CI`�"Y OF ORONO 2750 Kelle;;Parkway - PO Box 66 Permit Number: po8916 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952)249-4600 Date Issued: 7/22/2005 SITE ADDRESS: 235 Crestview Ave Unit# Long Lake, MN 55356 P��� 05-117-23-14-0019 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Garage-Detached DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 251.25 valuation: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.06 APPLICANT: Owner/Self OWNER: Mark Hillstrom � 235 Crestview Ave Long Lake,MN 55356 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. < / ' � /1 � _ �` � /�.� f '.�___-1 L � • '� ( ��. �1 y � l\ `I//� APPLICANT PERMITEE SIGVA"CURG UED BY SIGNATliRE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ ��� • �i � Date Received: '7- I � -U� l. Entered By: �6� Permat#: � 0851 fo ����v✓�c� ��Z-1 CITY OF ORONO - BUILDING PERMIT APPLICATION Al1 inforrnation must be si►bmitted in full before plan review will be started. (please pf•int all infornaatio�z) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci��cle one) OWNER R CONTRACTOR JOB SITE ADDRESS: t� 3� C-�� `� ` �.�1�.,1r� ZIP: �� �`�� Will this be a Parade of Homes, Remodelers Showcase Home or other Displa,y Home? ❑ Yes �l\�O If ves, c�specica!event pe�n:it is reqiaired wit/�Po(ice Department a�id Citt�Coirncil approi�cal � � 60 da��sl�rior to the event. S1larttJe 6us sef�vice will be req��ire�l unless applicant de���oTlstrates scrfJicient az-site parking is available. Nor�-pern�:itted events tivill�aot be allotiti�ed. NAME OF OWNER: (�C��i\��- �'��l�S��U� PHONE: (home)��a. -9�t�- Q�51 _ (wark)�a� c�.�l�� i.o t�t�'� 1�ZAIL�[NGADDRESS: ��5 �-V`�-�`�-�J��.,,�; ���,. CITY: �'(�(���C! ZIP: ��3�� CONTRACTOR: �; � PHONE: CONTACT PERSON: 1��10BILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New �_ Addition Accessory Structure Move Home Remodet/Alteration �_ PROPOSED WORK(descr•ibe in detai�: R�.�o7El� ���S�C. S� �c�,te�. P-�a'�E' /1�i4n�t,� � u.��wS. ��aw�P�LcT 11/ 6,5 ��. E:.x�N� �oor. ��b..5 fs�. nic� n��.� s-��zZ,cT,�R� wi7,�t,� ro� oF tn/ PR�pcaN ���L , STORiES: �Q.FEE'I'OF E�CH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� ES'TTIVIATED CONSTRLIC"TION VALLIA'I'I(31�1(excluding land): $ � j ���l� I hereby apply for a buildinb permit and I acknowledge that the infonnation above is complete and accurate; that the work will be in confornlance �vith 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 pernlit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �i����'l DATE: _ /Z, �j t%1Z. C�S 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 requircd to be given individual. An individual asked to supply private or confidential data concerning himself shali be infonned of: (a)the purpose and intended usc of the requested data�vithin the co!lecting state agency,political suhdivisioo,or statewide system;(b) whether he may refuse or•is legally required to supply the requo�sted ci:ita;(c)any known conseyuence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities autht�rized by s[ate or federal law to receive the data. This requirement shali not apply whert an individua(is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place ihe notice required under this subdivision in the individual income tar or,pronertv tax�efund. instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuais,and whether it is classified as public,private or contidential. Upon his further reyuest,an individual who is the subject of stored private or public data on individuals shall be shown the data without any ch�rge to him and,if he desires,shall be infonned of the content and meaning of that data. ARer an individual has been shown the private data and infornied of its mcaning,the data neect not be disclosed to him fior six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsibie authoriry sha(I provide copies of the private or public data upon reques[by the individual subject of the data. The responsible authority may require the reques[ing person to pay the actual costs of making,cettifying,and compiling the copies. 'ihe responsible authority shall comply immediately,it�Fwssible,with any request made pursuant to this subdivision,or within five days of the dlte of the request,exc(uding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the requc�st within that time,he shall so infonn the individual,and may have an additional tive days within which ro comply with the request,exduding Saturdays, Sundays and legat holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private daG1 concerning himselE To exc.�•cise this�ight,an individual shall notify in writing the responsib(e auUio�ity describing the nature of th�disagreement. The responsible authonty shall within 30 days either: (a)correct the data found to be i�accurate or incomplete and attempt to notiYy past recipients of inacew-ate or incomplete da[a,induding recipients naroed by the individual;or(b)notify the individual that he believes the data to be con•ecL Data in dispute shall be disclosed only if thc individual's statement of disagreement is included with the disclosed data. The detennination of the res}wnsibfe authority may be appealed pursuant to the provisions of the administiative 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 infonn you that your request for a perxnit or ticense 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 pemlit 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 your�elf. 6. Your full name is required to process this appiication or permit. �C�.�( � �7 � l� 1 C�v'v� �� � I ��� l�(-''�'r�"�- First ;�liddle Last ��``� C,�'�.'.. \��J ,� c.,`.: {�11�2 Address _- _. � . � � C3��3 �iv `��� .���C �i�_``�o�t�.� — L)�J ) Cit}• Statc Zip Phon^ I understand my rights as stated above. �����=l/l Signature BUILDING REVIEW CHECK LIST �C� U -� CONST'RUCTION TYPE: �(N Sq Foo[age $ Per Sq Ftg Basement x = lst Flaor z _ 2nd Floor x = Garage z = R = TOTAL Estimated Construction Value: $ 1 S,c�oo °`—' Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection X Footing ` Septic Sewer Connection X Framing Fireplace Lawn Irrigation Insulation (Masonry) Ocher Wall Board (Mfg.) Well (State Permit) —�.F�� Grading/Filling __e�Electrical (State Permit) Ocher RENIARKS(IN HOUSE): ^ — _ _�--- ------------------------------------------------------------------------------------------------- REV�W BY OTHERS: DAT'E: Access: Existing New Access Approval: Date gy: --------------------------------------------------------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERi�ii1�: 8 % . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z3� C�tt��Tv �E� Avc� ' PID: DESCRIPTION OF WORK: (oARh�� Y�od �ro n� �'Ll.=���Gt ZOVIPiG REVIE`V BY: DATE APPROVED: -7-i�-oS BUILDING REVIE`V BY: DATE APPROVED: -�-�g-oS' FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ,/ No SEWER C0�INECTION STATE SURCHARGE Yes �/ No `VATER CONNECTION INVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- Z0��1IVG CH�CK LiST Zoning District: Fire Department: Post O�ce: School District: � Lot Area: Sq.ft. � z,5 ZS'� Acres •Z� Width I 25. 2S Depth i � O Survey Submitted: Yes � No Date of Survey: 3•2y•7� Proposed Setbacks: Front (Lake): °16� Righ[Side: 67 { Rear (Street): 3.1 � Left Side: Z5� � Adjacent Structures: 33� Wetland: /v 1 A Building Heijht: Def. Hgt. ('� ,��- Peal:Hgt. — Lot Covera�e: 1 Z•�-°70 Gradin': Staff Approval Date: /va Gfr�r�yP By: Council Approval Date: Septic: Staff Approval Date: /�i/� By: Zoning File: # �r✓� Resolution: # Resolution Date: Shoreland District: �+e5 Av�. Setback: N/� Bluff Setback: N//� LocCoverage: / Z-Z°Zo Existin� Proposed � Hardcover: 0-75' 7�-2�0' 2�0-�00' 500-14Ca' �'t� Hardcover Variance Required: Yes No_� Dace of Council Approval: RE�L4RKS (in house): � 11/29/05 TUE 09:58 FAX 9529923255 MEDICA IT C�002 ii ' ^ i 'i �WII T1V 1�/3.I18 t�)t� i-.r N���:tu.i_d3� __ ..._ ____ '' e,rk�� C.� �� � , ,. fi.�, i '.a:;N e��.�, � „� .� .,��;�' � � f '� '" _ .�—i-T�.o...r ' � �. �' �i -��_uP. .r � '. .. .. . .. ., . J �� ��' � `C � j I . �-" ..,�:� , . � ' .� � _"'TJ3 � , �, �-�--.---— ._ —'------ i .. � . ._ . ` ..i,;. ., . 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" TELEPHONE NO. �S� ��C� �—' ��O g � DESCRIPTION T c��T//Yt� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAI.L 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a j l O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � � W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (J52� 249-46�� OwnerlContra 't - Inspector. White Copyllnspector's Fiie Canary CopylSite Notice CITY OF ORONO CALLED IN �I 3��� �TIM INSPECTION N TI�E SCHEDULED ��UL�C�Co �/�"• PE I O. � ��� COMPLETED A D�� Z 3 � C��J`l v I-u.� OWNER ���f � <<Sfi'�/�" CONTR.S��� TELEPHONE N0. ���'• ��U - 67 �� � DESCRIPTION � ^�Z--� � qa---� a� ��`^ ) lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � j O � � O � . W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ,❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN � INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (J52� 249-4600 OwnerlContrac 'te: Inspector. White Copyllnspector's File Canary CopylSite Notice , ��� �'�� �,� ( � � T� --,�; TIME � CITY OF ORONO c,n��E��� 7������1,���" INSPECTION NO CE SCHEDULED _��/v�'� �_� PERMIT NO. � C� COMPLETED ADDRESS -. 5-�����s�r��fl�i f t c ; T/l�i/� � _/..� OWNER �%`��1:( T 7Z.1 �/I�S�j� TELEPHONE NO. �c��� '�T U �� � DESCRIPTION � � ' " � l� 01 FOOTING 11 MECHANICAL RI ( 18 EXCAV/GRADING/FILLfNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C o � r .��, .� c. r .� � l��c .��c�� �. � � �r ;<� ��3 i W � Q � Z W � W � j d ,. � ORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED :i ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERiNG PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN INSPECTOR WILL RETURN � ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �/ � ��� White Copyllnspector's File Canary CopylSite Notice �� �i ^ DATE TIME " CITY OF ORONO CALLED IN � INSPECTION NO ICE SCHEDULED o2-"' � �3:.� PERMIT NO. COMPLETED ADDRESS �3<S ��t c`^� �J OWNER ��1�T[.�[ �fYO'y'"' CONTR. TELEPHONE NO. 9�2— _!9Z (�0 Z� � DESCRIPTION �n � 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING Q 02 FRAMiNG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 COMPIAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 MBING FINAL 36 FOUNDATION/REMOVAL � OWNE CONTRACTOR TO MEEf YOU:�YES_NO � OMMENTS: � W a J s O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALI O ARRANGE ACCESS. Ca11 for th xt i spection 24 hours in advance. (952� 249-4600 OwnerlCo ac on it Inspector. White Copyllnspector's File Canary Copy/Site Notice