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Home My WebLink About2003-P06044 - addn/remodel/repair . - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po6o44 Crystal Bay, Minnesota 55323 Pe►'mit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2i2sizoo3 SITE ADDRESS: 755 Dickey Lake Dr L.ong Lake,MN 55356 PID: 34-118-23-22-0009 DESCRIPTION: UBC Occupancy R3 Consh-uction Type VN Proposed Use: Residenrial 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: i'ium�ing iviecnanicai Eieciricai�siaie� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,133.75 Valuation• $ 125,000.00 Plan Review Fee: $ 755.23 State Surcharge Fee: $ 65.50 TOTAL FEE: $ 1,954.48 APPLICANT: Landschute OWNER: Terrance&Mary Esau 500 Lake Street 755 Dickey Lake Dr Excelsior,MN 55331 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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. 7 �" , /�' 1 ��L� �� -� �---- ��'�-- _ AN ANT ERMI"f'EESIGNA"I�URE ISSUEDBYSIGNATURE Cooies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � _ � �-;� Total Fee: $ �J � �� '�= Date Received:�-��J-��3 Entered By: Permit�#: ��(,�(;)C��/ �_ �_,l 1 \`� � ; �`�/=�--. i'C�-. 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 OR CONTRACTOR JOB SITE ADDRESS: �s� �(�V1 �'G. �h�v� ZIP: �j��j (� � NAME OF OWNER: l�P�'r v� a�d M �'� PHONE: (home)`-{7�.Z�3 (work) MAILII�TG ADDRESS: ��L CITY: ZIP: CONTRACTOR: �c�S�-�'-� PHONE:9 yZ�y�D•7�{1 Z� CONTACT PERSON:.�__��So�r, MOBILE/PAGER: ��2„. �yp � .��2� MAILING ADDRESS•.��L�!��-_��-�- CITY:�ccr�(yt,�,.- ZIP:�3?,! STATE LICENSE: #�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure N1ove Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � � � � � rcr�w. ' .• STORIES: SQ. FEET OF EACH FLOOR: 1V'O. OF BEDROOAIS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �2.�'� 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: DATE: 2r�g�0 3 NOTE! Parade of Homes eve ts req ire separate permit approval by Police Deparlment and City Council 60 days prior to th nt. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu 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 indi��dual. An individual asked to supp(y private or confidential data concernin�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 confidential data;and(d)the identiry of other persons or en�ties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income tax or orooertv 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 subjec[of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that da[a. 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 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 die actua(cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant[o this subdivision, or within five days of the date of the request, exc(uding 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 pubiic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority 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 determinaaon 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 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. � �� First Middle Last ,-r�Cb �,��j" �1 t-c� Address • SS33� a52��a ��'1�a Ciry State Zip Phone I understand y ri hts s stated above. _—� Sigaature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �S S ��G�c y c�� v c PID: DESCRIPTION OF WORK: ►a p,l��T i o r•l i ----------------------------------------3---- ZO�Ti 1G $E'VIEW BY: �Qu J� (Qa,,,,Q,,,,_ ----~- DATE APPROVED: Z-z Y-o BUII.,DI1i tG REVIEW BY: .� � _,._ DATE APPROVED; z.ZY_03 FEES TO BE CHARGED: Misc. Fees Calculated By: PER�IiiIT Yes ✓� No PLA��1 REVIEW Yes v' No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No �.. SITEINSPECTION Number of SAC-Units OTHER (specify) ZO�TING CH�CK LIST Zoning District: Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres Width Depch Survey Submitted: Yes_� No Date of Survey: pnr c=�� S-2� • g3 Proposed Setbacks: Front (Lake): I l°t.�`1 Right Side: �f�•�� Rear (Street): �� -�- Left Side: ��' f' Adjacent Structures: /�-rr-r+cF�-=-'� Netland: N/✓3- Building Height: Def. Hgt. c�•l� Peal:Hgt. Lot Covera�e: — Grading: Staff Approval Date: '�" By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: /V`� Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RENiARKS (in house): 7 BLTII,DING REVIE`y CI�CK LIST �� -- �Z' CONSTRUCTION T"YPE: ��J - � Sq Footage $Per Sq Ftg Basement x _ lst Floor x — 2nd F1oor x _ Garage x _ z = TOTAL Fstimated Construction Value: $_ � Z,s, o 0o a' Inspections Required: `Vork Requiring Separate Permits: Site D� Plumbing Fire Hazdcover Removal p�Mechanical Water Connection . o Footing ` Septic Sewer Connection �< Framing Fireplace Lawn Irrigation oC Insulation (Masonry) Other _�Wall Board (Mgg,) Well (State Perm.it) '` F�� Grading/Filling _�Electrical (State Permit) Other RENL4RKS(I1�T HOUSE): _____'_____ ----------------------- ---------- --------------------- KEV�W BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By: — — -------------------------------------------------------- RE1�IA.RKS (TO BE NOTED ON PERivIIT�; 8 �� / �-�S�' DATE TIME1.� CITY OF ORONO cn��o iN INSPECTION�OTICE SCHEDULED �� PERMIT NO. C��.�-f�� COMPLETED ADDRESS `?c S ��r C_`_ 1'�:.a i� C_,r/, ��f� OWNER CONTR. l(1.�-�S`��r �.�� TELEPHONE NO. �� - ��Lf' ��3�3 � DESCRIPTION �U� i/ J�JC� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 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 � � O � � O � W � Q � 2 W � W k � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREOUIRED.CALITOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContr site: Inspector. White Copyllnspector File Canary CopylSite Notice (�� DATE TIM � � �� E CITY OF ORONO CALLED IN `�� INSPECTION N ICE SCHEDULED PERMIT NO. '�� yCOMPLETED ADDRESS � �� -�-K�-�-G��(. D� OWNER CONTR.�I/1(�� C.l.�C' TELEPHONE NO. � � - � - �313 � � DESCRIPTION _ I I�LC�_�'�' G�� _ � 01 FOOT�NG 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 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 COMPIAINT 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 � OWNERICONTRACTOH TO MEET YOU: � YES_NO � COMMENTS: � W a � J O >. � _ � �-- " r � �.s ' �e � - L- `` d � Q � z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑�SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContr o ite: Inspector. � White Copyllnspector's ile Canary CopylSite Notice V � DAT TIME CITY OF ORONO CALLED IN �-3 ' INSPECTION TI E SCHEDULED � -��'�'� PERMIT NO. � � COMPLEfED ADDRESS �)�� 1�/C�.e� �C�--�/1sc.�f ;�J,� _ OWNER CONTR. �/�-�� TELEPHONENO. C�S� �l�f'� �� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING f�1S'i_ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 . 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�'YES_NO � COMMENTS: � W a � C�.A U� �� 0 �. � 0 � W � Q � z W � W � � O � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WOftK,CALL FOF REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (J52� 249-4600 OwnerlContracto Inspector. White Copyllnspector's File Canary Copy/Site Notfce � ��Q DATE TIME � J � CITY OF ORONO CALLED IN _�' � � �� 3 INSPECTIO N ICE SCHEDULED -��/��3 I '. ('��j PERMIT NO� ��4�I COMPLETED ADDRESS— � � � � �C�L�.-R L �- � �� OWNER CONTR. � � Vl�'� ¢�`L� TELEPHONE NO. C��^ �� -�- — � �� DESCRIPTION ��`'��'��I � 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 OS 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 � COM ENT : � — e � � � — �J � — - �c� i �'J ` o , � �� o 0 � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W y�ORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. (95Z� Z49-4600 Owner/Contractor it : Inspector. f White Copyllnspector's File Canary Copy/Site Notice