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Home My WebLink About2007-P11237 - addn/remodel/repair � PERMIT C'�l`Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11237 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8/9/2007 SITE ADDRESS: 3090 Farview La Unit# Long Lake,MN 55356 PID: 04-117-23-34-0011 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved perresolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Bathroom build-out and ext. stairs FEE SUMMARY: PerniitFee: $ 441J5 Valuation: $ 30,000.00 Plan Review Fee: $ 287.14 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 743.89 APPLICANT: Schwarz Builders Inc. OWNER: Robert&Sarah Schmidt 307 Manitoba Avenue S. 3090 Farview La Wayzata,MN 55391 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 CO REQUIREMENTS. , � APPLICANT PERMITE:E SIGNATURE I ED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 a . �y�, ?-�-o� Total Fee: $ 7''�'3.�� i' 2 •d0 -�oY' S�� Date Received: ,• Z� •�� Entered By: Qf� Permit#: /�} (�J.3� 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 Ol�CONTRACTOR� �. �, � � � -....__._.._..__--.___-�---- � JOB SITE ADDRESS: 3 � � �� "�` v t� ��' �-.�^�� ZIP: > > 3�� Will this be/�rade of Homes, Remodelers Showcase Home or other Display Home? ❑ yes NO Ifyes, a speclal event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted evenls will not be allowed. NAME OF OWNER: �j� � '� ��f �1� SC.Z,t�,�- a� PHONE: (home) � �� LI�`� � �� (work) MAILING ADDRESS: �j`� �1'� ��f c �% CITY: �< �� ZIP: J�3�b CONTRACTOR: - �C ��•-,t Z �•.�� - ;y =�y�C PHONE: `i %� 1-I�J C,' 6�7�� CONTACT PERSON: �,,�� Sc �-,�•�� 2 MOBILE/PAGER: f, � � 3�^� -�'��-}� MAILING ADDRESS: j�'� �'��,��' �;,��. p,v�� CITY: �\��, �"�.� ,��., ZIP: �c`�1 STATE LICENSE: #_?c,-Z--Z EXPIRATION DATE: � • �,.r-•, �- ,� ARCHITECT/ENGINEER: � I-�L �� < 11..�CC c'�5 PHONE: ��'� `--� =�� - I�'�S MAILING ADDRESS: �3 J 7 S"�c-.-:t,��. � :� CITY: ��y Z•-_��t� ZIP: S S��`�1 NAME: j-�,-��, � � REGI5TRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) —� Any earth movement may require MCWD review and permits'! PROPOSED WORK(describe in detai�: �� 1 - ��r� ��n 4 s��, ` �- <z c'• lV �� , -• ) ,... � �' <: STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � � � ��' ' -� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confarmance with the ordinances and coc�es of the City and with the State Building Code;that I understand this is not a permit and work is not�to st�t'tvithout a permit;and that the work will be in accordance with the approved plan. i� � '' .afr�, _. p APPLICANT'S SIGNATURE: �� +�� l � �'I� �� DATE: J I ;� ! Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. Type of'data. The righu of individua]on whom the daW 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 conceming himself shall be informed of (a)the purpose and intended use of the reques[ed data within the collecting state agency,political subdivision,or statewide system;(b) whether he may retLse 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 identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned 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 to him and,if he desires,shall be informed of the content and meaning ofthat data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed 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 collectcd or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority 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 pursuant to this subdivision,or within five davs 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 �vithin that[ime,he shall so inform the individual,and may have an additional five days within��hich 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 conceming himself To exercise this right,an individual shall notify in writing the responsible authorih�describing the nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaceurate 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 determination of the responsible authority 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. �� „ ; � � � c 1�-,,_ ,,r- �7 First Middle Last �J? �� t'� � � l�`�. �'1 v � Address ��-.-� 2 ��.� �_. �``�1� � � �1 � 7 �� '�7� -��7� City ; State Zip Phone /E ./ � I understand my rights as stated a� . � ��; �� Signature Reset Form 32 y �� $�c� o�r Svv�e� f . �CT�EC]K pF`F LIST FOR xSSUANCE O�' �'E��TS FOR OFFICE USE ONLY� , � �� J� �� }D�tESS OR LEGAL: `� e �� PID� � , , ^ 77ESCRIP'I`S�N OF W�RK.. �� r-�� C„ wat 5� �r�� __------------ ----------__--_------------------�-------------------------------------------- ZOYI�tG REVIE�V BY: DA.TE APP�OVED: 4' Z $U7ZDING REVIE�V BY: ' . . DATE APPROVED; �. zs- d�'1 kEES TO BE CHARGED: �/ Misc. Fees Calculated By: PER.IvLT.T Yes ✓ No PLAN REVIEtiV Yes � No SE�VE.R CO�E�ON No tiVATER CONNECTION STATE SURCHAR.GE �-'eS � pAg�{ FEE INVESTIGATION FEE �'eS No�- SITEINSPECTION SAC Yes � Nurnber of SAC�Uruts OTHER (specify) -------------------------------- -� ---------------------------------� ___ �,py-T�1tG CH�CK LIST Zooing District: �I` " � � Fite Department: Post Office: Schaol District: � � Widch 2S � Depth S`� �J L,oc Area; Sq.ft. Acres ��` Date f Sucvey: �� Survey Submitted: Yes „� ��`�, ��—�-�c� `�� l� , �roposed Setbacks': �c�W` • : Front{�e�: t`1Far I�it Side: �i.:�-+ v��*e- ��0i'N�"�"'�� . ��,.��,� P.e ar(�ee�� + s.e�c-S ide: Y1 /'� ��3C?�� S'trtlf'i_ijrCi; �►"` tivPrl2*1�: � �1 Euil�lin� Hei�t: Def, Hgt, ti� /� __ ____ Peal:Hot. Lot Covera�e: l� /�" �f:� By: Counc� Approval Date: ' GradLn�: Scaff Approval Date: � �-{ � � Szp[ic; Staff Aporova! D2te: ' � ✓- �� y: 7o�n� F��lz. �___ Resolut:oo: rt__ Resotutioa Da:e: Shorz:and District: I�fC� ��Coveca�?� Av�. Setbac'a:: g!uff Setback: �" � Proposed �,�!stit� Ei�eco��ec: G-7�' 7�-2�0' 21V-�'-1`J �'�0-i C�G'�� n, _,�. -�; '�c --_ c': C�'.=_. :".c_�� ,. F--?a-c.`o�;z- ��'.�:.e _ _��._`_. _ � t'T�,L•'�.;-�ti (Ln]10'��): ,..1_ . SUILDING REVIEtiV CHECg LIST UBC: �Z • 3 � CONSTRUCTION�'YPE: V^� Sq Footage $ Per Sq Ftg Basemen[ . ,. X = . ls[Floar z • _ . , 2nd Floor x = � Garage x = x = TOTAL Estimated Co�struction Value: $_ 30,Q 40 �' T_nspections Required: �York Requiring Separate Pe�rnits: 5ite �Plumbing Fire Hardcover Removal _�Mechaaical Water Coanectio❑ �Footing ` Septic 5ewer Coanection � __�Framing Fireplace Lawn Irriga[ion pC i�uiatiou (tvlasoary) Ocher �_bVall Board (MFg.) Well (State Permit) __,�F�� GradinglFillinQ _��Electrica( (State Pe�ruit) C the r RENI�II�KS (IN HOUSE): ---------------------------------------------------------------------------------------------------------------- REVIE'4V SY OT�IERS: �A'�: Access: Exis[ing New Access Approval: Latz gy; RE`�IARKS (TO EE NOTED ON PFR�TT'i'�� - - -----.- � DATE TIME �/ CITY OF ORONO CALIED IN INSPECTION N�I� 3� SCHEDULED /�� `� � PERMIT NO. COMPLETED ADDRESSs3�� `l� C�? OWNER CONTR. TELEPHONE NO. � DESCRIPTION O '— 'r(��U� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTiC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe ext inspection 24 hours in advance. (J52� 249-4600 OwnerlContra site: Inspector. White Copy/lnspector' File Canary CopylSite Notice i (_ ^ e / �� -�` � DATE TIME CITY OF ORONO �LED IN �� ; INSPECTION TICE SCHEDULED � PERMIT N0. ��J�� COMPLET ADDRESS .�C' �a �r L'I �`v L-/U OWNER CONTR. ��'-b�,��I'"�.,7 _� TELEPHONENO. ,lX��"" � C a � b'�S(�0 � ��-I � � � DESCRIPTION < < ��l C�— l�` ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O �„ _ �" � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN .��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 Owner/Contr site: Inspector. White Copyllnspector's le Canary CopylSite Notice E� X �1 D TIME / CITY OF ORONO c�LED IN rY� � INSPECTION N �J SCHEDULED ' Z�D D•'� PERMIT NO. K�� COMPLETED ADDRESS 30gd �U��, �� OWNER CONTR. s�� '�4 TELEPHONE NO. ��°� 3�� T3 � DESCRIPTION ��I�l'!//�ICI � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � COMMEN S• a �" u��vt'� �=f.��" � � J 0 a � 0 � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G, ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, 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� 24Q-46QQ OwnerlContrac�n ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice �� f�D E TIME CITY OF ORONO CALLED IN v� ��,,� INSPECTION N T E SCHEDULED - _��I�L PERMIT NO. � COMPLETED ADDRESS ��I� ��"v/�� OWNER CONTR. ��-z ��"'��-� TELEPHONE N0. �� a `3�� 3 � DESCRIPTION �� l� 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL INAL 19 LAKESHORE/WETLANDS � O 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �11�f O a � O � W � Q � Z w � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �:�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-46�0 OwnerlCo ite: Inspector. White Copyllnspector's Fil Canary CopylSite Notice 5 ��- I��c� � / D�E � TIME � CITY OF ORONO CALLED IN � !V� INSPECTION NOTICE -7 SCHEDULED Z�7 3 : PERMIT NO. /� � / COMPLETED ADDRESS�� FQ.r Vl �(,c� (�c �,�e� OWNER CONTR.� TELEPHONE NO. � — �g� _g� � DESCRIPTION �-J`- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECNANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � o � (�b{ C �� S a � 0 � w � Q � z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � "O CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (J52� 24J-46O0 OwnerlCon te: Inspector. White Copy/lnspector's Fil Canary CopylSite Notice .Y � ��I`� DATE TIME (/ CITY OF ORONO �3ALLED IN � � INSPECTION NO CE '`� SCHEDULED ��r��7 � D PERMIT NO. �� / COMPLETED ADDRESS �� C��l// Q i-L� OWNER CONTR. :��L'�,,�� TELEPHONE N0. �,� 6 "' ,'�r�lf�,�� DESCRIPTION _ C l'�� ' ��f�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � i `� � � Cf)ti� Yr�� a � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W `�RRECT WORK R PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY � ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � FORE COVERING V PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 24J-4600 OwnerlContra �ite: Inspector. � White Copyllnspector's 'le Canary CopylSite Notice