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Home My WebLink About2000-P02219 - addn/remodel/repair CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po22i9 Crystal Bay, Minnesota 55323 P@fI111t Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 3i2�i2oo SITE ADDRESS: 2265 Devin La LONG LAKE, MN 55356 PID: 0�-1»-23-22-oois DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: Eiectricai (siaie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 958.75 Vatuation: $ 95,000.00 Plan Review Fee: $ 623.28 State Surcharge Fee: $ 47.50 TOTAL FEE: $ 1,629.53 APPLICANT: c.N. osTROM& sorr OWNER: B�& �c KOKaL P.O. BOX 758 2265 DEVIN LA EXCELSIOR,MN 5533] LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK[N STRICT COMPL[ANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQU[REMENTS. � �� - �.�.- � ��.._ .� APPLICANT PERMITEE SIGNATURE .SIJED BY SIGNATURE L Copies: City,Applicant,Assessor, Finance Page 2 �Total Fee: $ /, ��. :�,3 Date Received: �`�� ' Entered By: �/� Permit#: {��;��-i� CITY OF ORONO - 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 CONT CTOR JOB SITE ADDRESS: �� -D�/1� �-� C- ZIp; �5�35� NAME OF OWNER• .�ZuGE r��.�-fJ� /�aK.� � PHONE: (home) �/"j 3-C� 5� • � (work) ��{� -' �� I� MAILINGADDRESS: o�,��j',5 ..��►-r L+�� CITY:�2o�sU� ZIP:SS 35 CONTRACTOR: (j .�,� ��=11 F 5�� PHONE: `��1U — /�9`� CONTACT PERSON: �/�v'/d�= �7rzoh MOBILE/PAGER: •S��-� S CS �-- MAILING ADDRESS: 6 0, �,X �75� CITY: �X«c.s�c+2 ZIP: .S_S �5 STATE LICENSE: # !qo � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition �( Accessory Structure Move Remodel/Alteration C Land Alteration PROPOSED WORK(describe in detai�:C_��►4E- d ("o�rc-,2� �7-,ey �i�Dr�io�1S, �s� ,�oFt�J�, NEz.� s�o��,� n��z_' r��,a ;<<r- P�-c w��,o��s STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9S��c. ' 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 with the approved plan. APPLICANT'S SIGNATURE:<<�--C� DATE: 3 �o �6oz+ NOTE! Parade of Homes events require separate perinit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 . , 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 concerning 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 legally required to supply the requested data; (c)any known consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the identity of other persons or entities authorized by state or federal law ro 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 o�cer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or oronertv 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 informed 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 ro hun 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 infornted of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acrion 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 authoriry 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 pucsuant 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)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. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The deterntination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure ac[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 �ity 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 upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. 11�� - 2?S�r��l Fir Middle Last f�o, Qax �� 3 Address �c c�-S�� i�,� �Ss 33� ti7v -��9 3 C�ry State Zip Phone I understand my rights as stated above. ✓� C'.� �� Signamre � 6 . * . � CHECK OFF LIST FOR ISSUANCE OF PERMITS • � FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z 2 65 d c v�� ,Ar�� PID: DESCRIPTION OF WORK: G +� �'-� 6 c �-,o r� �-n �n� -------------------------------------- --------- ------------------------------------------------------i----��-- ZONING REVIEW BY: � DATE APPROVED: 3 � BUILDING REVIEW BY: DATE APPROVED: 3- z Y-c�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes c/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: IZ�Z- 1(� Fire Department: �.c�.v� (/4(Ge: Post Office: (.e�.�,�>u-" School District: (��Z�.'�v Lot Area: Sq.ft. /vo L t-h�.�Acres Width Depth Survey Submitted: Yes � No Date of Survey: �!'Z`�� f4`7 �n, F�� Proposed Setbacks: Front (Lake): S�� Right Side: Zb0 � � Rear(Street): /s� � Left Side: �Z � �' Adjacent Structures: j�-�--r-r-�c.t-+ e c� Wedand: ,'✓(�� Building Height: Def. Hgt. D-<< Peak Hgt. — Lot Coverage: 0� � Grading: Staff Approval Date: C��(L By: o�'�. Council Approval Date: Septic: Staff Approval Date: �l� By: Zoning File: # � Resolution: # � Resolution Date: Shoreland District: N� Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 � • , � . BUILDING REVIEW CHECK LIST UBC: � ' 3 CONSTRUCTION TYPE: U� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ 9'S l�uc� �" Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection D� Footing Septic Sewer Connection oc Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) D� Final Grading/Filling o� Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 ,� `-� � ,---� ~ ." _ '` �" _ �_ -_ "_ __-x-3Z.8° � ' S Q `��a�2 ❑ Der � E l/ / /V _ -- - - x/ , ��.� �� ._ . - : - - _ - ' 1 -P Der. _ . . ._ _ ._ �__ v. � .ao,4 - - � x�oo.00 __ .____ - ---�-'--- �_"=-- -=x�2.49 --- --- f�!—. _ 9s.s4 ,�- Der. � X— -- X x wooD sr'zIT .c��Cit F�%��--X G_ /�3 g3 _ IJ l� . - l//. 3� - , 9�.� � 9i.9 � � I ' � � . 7 5,7 � I , I �� ► ' I � �` � i °: ° .� � � �� ' � I � _ 20-Cc�� , . �- - - �17 " .11-C: / • . i I x .� -� � _ _� _� ��ONO C�� ; � _ _ _N � 9Z.s � s8.� 1 , 7/.Z5- --. ; _,� Top l�on ' 9�0-- ------Top2.on / .O �08-0� . /S.O 810.28 ; �2.7¢ N PRoPoSEO RESIDE.t10E° _� I . .. a N �IT� aF QRO�N 0 z�-2 �� SiTE PUN G�tADfNf PUN , ,5.o N �=,o� ,5.0 1 . -- � 92.i �t- - ,�;,;----- ----c ,�APPROVED- Ev4-/La��.• �o,o i rio..� O - 89.i 88.0 85.9 i O � � �Z�s ` ❑ APPROVED WITH REVtSi0�V5 � � � , .\ _ � DISA V,�Q I � � ` -`�- ,. DJ1TE �� 3��L—o� ' 'o N � I �� N � � � � i , ,o I ' �vb r r-� sc� c-c1 i � . ( / I 1 _ . � f � I ; . , . i — U��,�j/ p Q i-q,n¢�c Eo S C��/�f -- � � I � ; �- -- -- --- — I � 9[�.5 . � � � / `— — - -378.01- _ �9.� DATE TIME CITY OF ORONO CALLED IN �/js/ba INSPECTION NO ICE SCHEDULED ��.Z/��d : U 6 PERMIT N0. O��o � % COMPLETE '" r ADDRESS � -5 OWNER CONTR. C S!/f.�� TELEPHONE NO. ��U '��c/ � � DESCRIPTION .��.LG � L� 01 FOOTING 11 fv1ECHANICAL 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 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS � MO-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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d �/ W �.fWORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE �/f�CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O f 1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT f 1 CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContract n si : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CA�LED IN � � INSPECTION OTI�E SCHEDULED �� PERMIT NO. COMPLETED -�- � / • 3d ADDRESS�� 1Y1 L.G�1�_ OWNER CONTR. �N ��d� TELEPHONE NO. � �GI- �S O� � DESCRIPTION � 01 FOOT � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING ) 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS NSULATION 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � C M ENTS: � � �. � � �2e� 0 � � 0 � W � Q � z w � w � � � �7-yIORK SATISFACTORY:PROCEED i PROJECT COMPLETE W � (C7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,— pHOTOTAKEN INSPECTOR WILL RETURN f' CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector.!'/Z�,l�L r�� i/I� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN '�- �� /�� INSPECTION NOTICE SCHEDULED `��-v� /�'•� 8 PERMIT NO. ��,� COMPLETED ADDRESS o� �� v;�/(/ t� OWNER � CONT . �Sf�e.J TELEPHONE NO. ' 2 � O � � D IAI� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ING 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �eLl 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL v Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � d/�1�/ORK SATISFACTORY:PROCEED PROJ ECT COM PLETE W � C�CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cali for the next inspection 24 hours in advance. 249-460� OwnerlContractqry�� / Inspector. C`i� ✓ � White Copyllnspector's File Canary CopylSite Notice r i'7NT Tj /M-0 eF2 1:5;-Jl&5 CAI�IZZ444 -77 ,V VION, N lL-J---- A PO - S" -T PRIM WOOD TO FEARTH SEpARATION T fi H-(0 F 4 SPECIAL NOTE SEE ATTACHED SHEET FOR :;92-444 CooE REQUIREMENTS =0 CRY CITY' OF ORONO BUILDING LAM REVIEW 04PECTOR VATS - 3 - ?M -00 (J PEAMIT NO._.._ El APPROVED AS, SUBMITTED R -APPROVED WITH CORSECT048 AS NOTED 0 NOT AFP ROVED — CORRECT & RESMAT M*%e Comms; is are for your ir.4on,.aJ-:)n.,AJf work sW bg dm in 10 compracite with a# ,ppfi,-iL!s builcring and 20" cod& 01K,Aemms inducting Rams not cpQdp=rly.m%Kll" Ns w4im KE&P TINS PLAN SEt ON SITE N, Tj /M-0 eF2 1:5;-Jl&5 CAI�IZZ444 -77 ,V VION, N lL-J---- A PO - S" -T PRIM WOOD TO FEARTH SEpARATION T fi H-(0 F 4 SPECIAL NOTE SEE ATTACHED SHEET FOR :;92-444 CooE REQUIREMENTS =0 CRY CITY' OF ORONO BUILDING LAM REVIEW 04PECTOR VATS - 3 - ?M -00 (J PEAMIT NO._.._ El APPROVED AS, SUBMITTED R -APPROVED WITH CORSECT048 AS NOTED 0 NOT AFP ROVED — CORRECT & RESMAT M*%e Comms; is are for your ir.4on,.aJ-:)n.,AJf work sW bg dm in 10 compracite with a# ,ppfi,-iL!s builcring and 20" cod& 01K,Aemms inducting Rams not cpQdp=rly.m%Kll" Ns w4im KE&P TINS PLAN SEt ON SITE F � r-1- __Ll C lf_11 iI .I �L ?I i N J Go(D332 I Tile I �_r _ J_ '=�_ Ell* ;�rJ? ENTRY --; �i Cv 2 -Cl - RS D 5 LA Top ap, - O A _.r N Ll Gk 9AK t -a 5 f h> s -4— Lt4 HS bA v Viz -AME � FLOOR P'LAN' VEIS-7 EILEVAT (it-DN't 0