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Home My WebLink About2007-P10978 - addn/remodel/repair � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10978 Crystal Bay, Minnesota 55323 Pel'mlt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 5/18/2007 SITE ADDRESS: 100 Crystal Creek Rd Unit# Long Lake,MN 55356 P�� 33-118-23-33-0009 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/RemodeURepair Permit Type: p DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Fireplace Electrical(state) NOTICES/REMARKS: Basement Finish FEE SUMMARY: Permit Fee: $ 421.55 valuation: $ 28,000.00 Plan Review Fee: $ 274.01 State Surcharge Fee: $ 14.00 TOTAL FEE: $ 709.56 APPLICANT: Finished Basement Co. OWNER: Mark&Juile Weninger 1380 Duckwood Drive 100 Crystal Creek Dr Eagan,MN 55123 Long Lake 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. ,.. _ :.---� Il �, , , _ � , - � Cu/ - , �� ; ,�-n - APPJ.ICANT ERMITEE SIGNATURE ISSUED BY SIGNATURE i' ( Copies: 1-File(Signatures Reguired), ]-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � �� Total Fee: $ �� Date Received: � (�G/ � Entered By: � n, Permit#: � �� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plecase print all information) ------------------------------------------------------------------------------------------------------------------------ -- �___._---------_ THE APPLICANT IS: (circle one) OWNER OR� ONTRACTO� JOB SITE ADDRESS: - ZIP: �J J� ' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No /f yes, a specia!event permit is r•eqz�zr•ed tivith Police Departr��ent and City Coarncil approval 60 dc�vs pr•ior•to the event. Shi�tlle bzrs ser•vrce ivill be�•equired i�nless applicar�t ctei�aonstr•ates sirfficient on-site parking is nvnilable. Non-pernritted eveizts ivill not be allowed NAME OF OWN�R � PHONE: (home) ;�Z � 773� (work) MAILING ADDRESS: �°jd/�� CITY: ZIP: CONTRACTOR: � � PHONE: �/Z ��d d39/ CONTACT PERSON: MOBILE/PAGER: ,¢>�j�,� �"` MAILING ADDRESS: _ CITY: �'�t ,v� ZIP: 07�/7 � STATE LICENSE: # >f� �cc� �� EXPIRATION D E: ��/��_ I ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Stcucture Move Home Re►nodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detain: STORIES: � SQ.FEET OF EACH FLOOR: /�S � NO. OF BEDROOMS: �� GARAGE STALLS: ATTACHED_Ld DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $1��Z3c7 � � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the�vork 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��ill be in acco�dance ��ith the approved plan. , �..r—� __�� . APPLICANT'S SIGNATURE: �� DATE: � � ..�- — �� 31 Sec.13.0�1 RtG1iTS O�'SUBJECTS OF DATA Subd. I 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 suppiy private or contidential data concerning himselfshall be informed of. (a)the purpose and intended use oFthe requested data�vi[hin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is le�ally required to supply the requested data;(c)any known consequence arising from his supplying or rePusin�to supply pri��ate or confidential da[a;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individuai is asked to supply inv�stigative data,pursuant to section 13.82,subdivision 5,to a la��enforcement ofYicer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or orooertv tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is die subject of stored data on individuals,and��hether it is classitied as public,private or contidential. Upon his ftirther request,an individual�vho is the subject of stored private or public data on individuals shall be shown the data widiout any charge to him and,if he desires,shall be infonned of the content and meanin�of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months[hereafter unless a dispute or action pursuant to this section is pending or additional data on the individual 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible aud�ority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days widtin which to comply witl�the request,e�cluding Saturdays, Sundays and legal holidays. S ubd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic 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 authority shall��ithin 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify 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. Daca in dispute shall be disclosed only if the individual's st�tement of disagreement is included with the disciosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADV[SORY 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 pemlit 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 infonnation may become pubiic. 5. 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. , 2 �Q '� �%S��'!C First Nliddlc LAst � � �`�,��,.�o� L�R . �� `� . Address �c� /�"l� _ -�`.S�Z 3 Cih• St:�te 7.ip Phone I understand mY�ts as stat ovc. ' ' `� �-.--� Si�n• e �� r% Reset Form �� LEC�K pFF �..�IST FOA TSSUANCE OF �ER.��IITS FOR OFFICE USE ONL1' ADDRESS OR LEGAL: 1 0o C (�1 S� r� 1 C �e e i� PID: 7�E5CRIPffI�.ON OF WORK: t3As�nncN; F'�N, �� _ ____------ ---- _____----- ---------- ZO��i G REVIE�FV BY: N (�A DATE APPROVED: BUII�DING REVLEtiV BY: �,� � DA.TE APPROVED: s -i 6•07 FEES TO BE C�IARGED: r Misc. Fees Calculated By: P��y�T Yes �/ No PLAN REVZE`V � Yes _� No SE�VE.R CONNECI'ION STATE SURCHARGE Yes ,/ No tiVAT�RCONNECTION INVESTIGATION FEE Yes No _� PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units OTHER (specify) -------------- ZONIi�IG CH�CK LIST Zoaing District: N � c f�� - Fire Departm.ent: Post Office: Schaol District: � L,ot Area; Sq.ft. Acces Widch Depth Survey Submitted: Yes No Date of Survey: proposed Setbacks: � Froa[(Lake): Ri�ht Sid : Rear(Stree[): Left ide: �Pnr .Crni�h}r . `�J?rlanrj: ��3...,.._ �.__z". Builain� Hei�it: Def, Hgt, Peak Hgt- Lot Covera�e: Councii A roval Date: Grading: Scaff Approval Date: BY� PP - Septic: Scaff Approv�i. Date: S ' � � '�� Y� ""' Zoeing File: �__. Resotut'toa: R___ Resol��tion Da:e: Sho�z,�:�d Dist:icc: I.,otCove2ge. AvQ. Setbac'�:: E!'��: �'tback: � �`S��a P:oposec� H�ecover: G-7�' '1�-2�C' 2�0-�GO' �CO-i�i;�� ,,, �. v,- �;� u�.., o: Co��c� ^.�rc�:., _': a-eco�;er `v'zi2.�ce .-��'u:re�. � � F.��L�'�R�.�S (.in ho�.�el: . SUII�DING� REVIE�V CHEC� LIST UBC: 2'3 ' CONS'i'RUCTTON TYPE: �(� Sq Footaoe $Per Sq Ftg Basement x = ls[ F1oar x � _ 2nd Flaor x _ Garage X = x — TOTAL Estimated Construction Value: $ Z�,oc�c� � Inspections Required: tiYork Requiring Separate Permits: 5'tte �_Plumbing Fire Hardcover Removai oc Mechanica.t Water Coaaectioa Footing ' Septic Sewer Con.aectio❑ � x Framino � Fireplace Lawn Irriga[ion �c Lnsulation (Masonry) Ocher �_tiVal1 Board �c. (Mfg.) Well (Scace Permi�) � F�� Grading/Fillina �_ Eteccrical (State Permit) O che r REMARKS (LN�IOUSE): " -- �- ----------------------------------------------------------------------------------------------------------------- REVIE�V $X OTHERS: �A�; Access: Ezisting New Access Approval: Date �y; REI�IARKS (TO EE NOTED ON PERiI�lI'I�: '- - -- 8 / � I�� `��•�� DATE TIM€ � CITY OF ORONO �� (�� -P C LL�dirv �� '�� INSPECTION N CHEDULED r .� LS.U� ---��I � PERMIT NO. � OMPLETED ADDRESS O C OWNER CONTR. TELEPHONE NO. � �, n m h��n I,, � DESCRIPTION_��(AX. �C.//UU/ �� U��• � 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 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 INSTA�L. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � � O `A§'J � f� ,,.- ": 1...._ ' � ti � Q z `j�' �` W � W � j a W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED '-1 ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe nex inspection 24 hours in advance. (952� 249-46�� OwnerlCont ct n i : Inspector. White Copyllnspector's File Canary CopylSite Notice �� T TIME � � � � �� CITY OF ORONO C"�ALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. COMPLETED ADDRESS � �e�� OWNER CONTR. �11�G� TELEPHONE NO.�V,��,�_��J �f �1�� ~� �v � DESCRIPTION ��,�� ly� 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 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 J 07 DEMO-FINAL 15 SE�TI INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 S TI FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C j ��' s C'LI 1 r�►� ��C'�'C�%�`�'C^� O � � O � W � Q � Z W � W � j d � WORKSATISFACTORY:PROCEED [l PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n, 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. �952� Z49-46QQ OwnerlContractor on sit . Inspector. � �✓�� White Copyllnspector's File Canary CopylSite Notice