HomeMy WebLinkAbout2002-P05198 - addn/remodel/repair � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05198
Crystal Bay, Minnesota 55323 Pel"CTllt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: si3oi2oo2
SITE ADDRESS: 2o Crystal Creek Rd
Long Lake,MN 55356
PID: 33-118-23-33-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Permit Class: g
Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing niecmcai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Pernvt Fee: $ 349.25 Valuation: $ 21,500.00
Plan Review Fee: $ 226.98
State Surcharge Fee: $ 11.25
TOTAL FEE: $ 587.48
APPLICANT: Cities Construction LLC OWNER: Tim&Martha Stevenson
20010 Dassel Lane 20 Crystal Creek Rd
Corcoran,MN 55374 Long Lake,MN 55356
THE LJNDERSIGNED 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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' A ANTP RMITEESIGNATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Applicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ '� � Date Received: Jry� /- D ��-
Entered By: ���,;,. k'� Permit#: �=; ��/�-j,�
ti���� �i.�73 �c� -�-
CITY OF O�ONO - BUILDING 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 O ONTRACTOR
JOB SITE ADDRESS: ZD C¢YSTAC. ��t'�1� ZIP: �S� -�j(o,
�R,o..ic , f-�1.�+
NAME OF OWNER: T�..� CjT�J E1•tSO� PHONE: (home)9'y2 • 2�S • O 1�0 2
(work)
MAILING ADDRESS: Z� C e't$TkC. C�iC. CITY: (�,q.� ZIP: �3�e
CONTRACTOR: C�-Tc ES (.��+STR.cx.T t a-► + LL C PHONE: '7(�3. ¢LB • �Co 0
CONTACTPERSON: Jot µe,���+oT MOBILE/PAGER: b�Z • g�1 • �g$a �
MAILING ADDRESS: Ztao�o r]aSSt1 L�.+ CITY: �e�cArt�a•� ZIP: �537•�-
STATE LICENSE: # pyG Zv2qJ°1322,
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �.p�,a� L�E-�, �,e,-� � gt�cc�
N r �t � S-T����o�--( -
STORIES: 2 SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET.
ra
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z I � S�� �
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�accordance w th the approved plan.
APPLICANT'S SIGNATURE: DATE: p$ � ! 7 •D 2
NOTE! Parade of Homes even require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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5ec.13.(kl RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom d�e data is stored or to be stored shall be as set forth in d�is section.
Sutd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shali 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 reyuired to supply the requested data;(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 authorized by state or federal law ro rzceive[he data.
This requirement shall not apply when an individual is asked to suppiy 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 vropertv tax refund
instructions instead of on those forms.
Subc1. 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 dassified as public, private or confidential. Upon his further reyuest,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
uf the content and meanine 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 thereafter unless a dispute or action p�rsuant to this section is pending or additional data on the individua(has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual coscs of making,certifying,and compiling the copies.
The responsible au[hority shall comply immediately,if possible,with any request made pursuant to this subclivision, or within five days
of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he caruiot 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,
e!ccluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not aecurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry 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 natify
past recipients 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 orily if the individual's statement of disagreement is included with the disdosed data.
The detertnination 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 [he 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.
�. 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.
J d��"QW �41'yT�of-+`1 u�.��., oT
First Middle ast
�ZDO �D t��'��, 1a..+
Address
Co��or�.a� �ti ,ss3Z4- 1�3 -41�38�00
City State Zip Phone
I understand my rights as stated above.
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z(� C fZYsTAL CfZ�.�K
PID:
DESCRIPTION OF WORK: (�cAsc:vl�'�!� ��� i S�+
-------------------------------------- --------------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: 5• z�- a 2
BUILDING REVIEW BY: DATE APPROVED: ,S'.z 3•o z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �- No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZO1�IING CHECK LIST Zoning District: /l/v C�-fArr6�
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: W land:
Building Height: Def. Hgt. Pe � Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: 2� 3 CONSTRUCTION TYPE: �(/�
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 2 I f S oo °o
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal Mechanical Water Connection
�g Septic Sewer Connection
�_ Framing Fireplace Lawn Irrigation
� Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
< Final Grading/Filling � Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMI'1�:
8
5040
, _ _ __ _ _ _ _ _ _ _
I� Wood Cap Wall Future Wet Bar RI
I ,.1 Knockdown Ceilings
Bel.1 r0�m Princeton Trim to Match Existing
' Carpet 6 Panel Hemlock Doors
� Insulate Ceiling for Sound
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4" BASEMENT PLAN
11'
1/4" = 1'-0"
Insulate
Wall for Exisitng Walls
Sound
New Walls
5068
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N _ _ _ _
wire shelving Arch Opg '
- _ 2668 3068 2668
Hall
� 4„Steam Room Carpet �,
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_ _ 7'5 _ _ _ _ 7'7
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� 2468
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c� - - _ _ _
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_ �' I N Bath Cultured marble
� . �.- - vani to w/42„
Ceramic Tile ' ry p
N high mirror
EXHAUJT �=At�
-self contained steam unit- NT DIR��TLX OUTS{D
ceramic tile floor
-self sealing steam door
-Tylo 6 VB steam unit �
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SPECIAL NOTE
SEE ATTACI-�EQ SHEET Ceramic Tile Surround CITY OF ORQNO
FQR S'�o�u= ►��=��-�2 w/fiberglass base BU�Li�?i�G F `;h�l PLAN REVIEW
CODE REQUi`�E�E[�IYS I INS�Ei:-�c;r�____��___
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Bedroom
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level and in each bedroom -
- interconnect with existing when
possible
SD' /
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DATE TIME
CITY OF ORONO CALLED IN ,, �-
INSPECTION NOT ` , SCHEDULED �t -�Z �.�drl
PERMIT N0. JIG! COMPLETED
ADDRESS ' --��
OWNER CONTR.�(�� C�•
TELEPHONENO. �O/� �G� � ��i", d " ��
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
�y 03 NF�tATtO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46��
Owner/Contra o site:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
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✓ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N C�^E� C� CHEDULED _��� /C GP�7
PERMIT NO. �l J � � `�OMPLETED
ADDRESS r-�-(-'7`C,XZ�C "� Vr��IC�.
OWNER CONTR.C_ i�/ �� C �S� •
TELEPHONE N0. ( �" �� — � � �
� DESCRIPTION ��7 f�lrl-c.t'�' tSL,�L'I
��TING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
_�3'fNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
1�s-
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 FINAI. 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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GW WORKSATISFA TORY�PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WOR &PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contr on site:
c
Inspector.
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Whit opyllnspector's File ary CopylSite Notfce
�G� �-
l� DATE /5 TIME
CITY OF ORONO CALLED IN �' "V
INSPECTION NOT E r SCHEDULED -�—7�L>> ��,��
PERMIT NO. T� COMPLETED
ADDRESS : '�-�
C�/<..,-/:?;��__��� r�� ..--P �C�`/
OWNER CONTR. .r r��_;,S �tLL�-> LC.0
TELEPHONE N0. f�% ��. _�C��c � �� �>
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� DESCRIPTION �G('/��Yt��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 0 P � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
0.�L �Idl�F� ' 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance. (g52) 249-460�
OwnerlContractor te:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice