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Home My WebLink About2008-P11826 - addn/remodel/repair PERMIT CITY ;�F ORONO 27:1'J_Kelley Parkway- PO Box 66 Permit Number: p11826 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2/12/2008 SITE ADDRESS: 3300 Fox St Unit# Long Lake, MN 5535( P�� OS-117-23-44-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposcd Usc: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Change out guest bdrm to office&storage room to wine room. FEE SUMMARY: Permit Fee: $ 265.50 valuation: $ 15,000.00 Plan Review Fee: $ 172.58 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 445.58 APPLICANT: Choice Wood Company OWNER: William&Judith Trubeck 3300 Gorham Ave 3300 Fox St St. Louis Park,MN 55426 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES O ALL WORK N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT UI ING CODE QUIREMENTS. ��2_ �. P �'`y� �� `�,� APP C NT P � I E S � ATURE 1SSUED BY S[GNATURI� Copies: 1-File(Sigriati�resRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,([fSeptic, 1-Septic) Page ] �" � ��'I�� ' � �� ,c:, c-- ��- Total Fee: � -� ; � - -' r DateReceiv : / �L Q Entered By: Permit#: �.,� 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 �2 CONTRACTOR �__ JOB SITE ADDRESS: 33dD j . G ZIP: �j� �� C/� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �'O If yes, a special evenl permit is reguired with Police Depai�tmeni and City Council approval 60 days prior to the event. Shutt/e bus service will be�•equired unless applicant demonstrates sufftcient o�a-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER•� /Z U T'�� PHONE: (home) (work) MAILING ADDRESS: 330b �dx�j-�—• CITY: L ZIP: ��,3��p CONTRACTOR: (GG... • PHONE: 7 • Z �DD � CONTACT PERSON:-�� p MOBILE/PAGER: • Z • MAILINGADDRESS: �3�b �ol.��yv1�/vr CITY: �. � ZIP: � L(p STATE LICENSE: # `j 32 EXPIRATION DATE: � p ARCHITECT/ENGINEER: C�jj� Gc�oU,� � . PHONE: �z � 9z -oa�3 MAILING ADDRESS: � �� .� , CITY:S�, ZIP: ��Z(p NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �_ Any earth movement may require MCWD review and ermits ! PROP SED WORK(describe in detai�: � '� �K G� � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (��QDC� 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 th inances and codes of the City and with the State Building Code;that I understand this is not a permit d w rk is not to st ��without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: — DATE: L D 31 f Sec.13.04 RIGHTS OF SLIBJECTS OF DATA Subd. L 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 dataconcerning himselfshall be informed of. (a)the purpose and intended use ofthe 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 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 imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax orproperry tax refund instructions instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,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 to him 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 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 crea[ed. The responsible authoriry 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 ofmaking_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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is notpossible. Ifhe cannot comply with the request within that[ime,he shall so inform the individual,and may have an additional five days within which to comply with the request,ezduding Saturdays, Sundays and legal holidays. Subd.4. Ptocedure 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 authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eithec (a)correct the data found[o 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 determination of[he responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY ln 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(icense 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 Address City � State Zip Phone \ 1 underst d my right�as sta d v t 2� OB Signature Reset Forn� 32 ££ :(asnoy uz)5�� :jnnoaddtrlr�arno,7 fo alnQ sa,� .pa�rinba�a�unr.rn� .rano.�p.mH �0001-OOS �OOS-OSZ �OSZ-SL pasodo.rd �SL-0 :.rano�p.rnH �uza t� :a3n.rano�ao7 :��nQ7as n1S :�j�nqlas Bnd :;rw.rad Q�,1.71'l� :T�u�stQ pun1a.ro�S :aznQuotznlosa� # :uotlnlosa� # :alt,�BuruoZ /� :�fg -�4�� :a�nQ Ibnoadd��'n�S :�t�das :a1nQ jnnoaddy��r�uno� ,{ � � - :a�nQlbno.rddy��'nps :�utpnarJ :a8n.rano�Io7 1�H�° J� a : �ra �ut rn ' H,�Q 1y H Pl. 8 �PunlT :sa,rnz�n.�Js pua�nl'Pb' :aP?S�a7 :(�aaa�S�ava� :aprs lr�Sr�! :(a�ln7)1uo.r� :s��bq�a,s pasodoad :rfan.�ns�'o azn o�l sa� •pa7lt�uqns rCan.�ns t/1daQ �11P?M sa.�� 6' 't{`bs :naa�1o7 :��r.��stQ loo��s :a��p�sod :1uaw�.rndaQ a.�r� �__ - ��_r-r��r.r1stQ�utuoZ .LSI7 JI��H� rJAIINOZ (��ads) ?I�H�LO s�tu�1 Ji�'S.�o,raqurn� �IOI.L�,�dSM,�.LIS o� sa� ��S ��.��1?I b'd o1�I sad ��.��[OI�L b'JI�LS3111�II �fOI.L.��tVt�IO�2L�.L b'�1 ot�I �-Sa� �,J2I b'H�?Il1S�.L b'.LS 11lOI�L��t�1�I0�?I��I�S o�I �"-sa� �l�Ill.�?I[1�b'7d o�[ ,�'�-Sa� .LILI�X�d - � '`��pa�n�n�pn� saa,� •�sty�r �Q�J�dHJ 3gO.L S�� 8 0- A z - � :Q�10?Iddi��.L 6'Q -----� �dS�1�I�1T�t�AlIQ7IIl8 �"'Q�1O?Idd 6'�.L 6'Q b' I �d S�13If1�JrVlAIOZ /,vp,...,y,� n'�J o d� c�}. .,�o�L GL�C' ��X0�1 dO�Ol.Ldl?I�S�Q �QId f� �-� �7h'��7 XO SS�XQQ� d 7�I0.�S11 ��I�.�O ?IO� S.Llltl?I�ddO��Ii�I2SSl�IO.�.LSI7.�d0)IJ�H,� . BUILDING REVIEW CHECIf LIST UBC: !2 "� CONSTR UCTION TYPE: \!1'� Sg Footage $Per Sq Ftg Basement x = 1 st Floor x = � 2nd Floor x = Garage x = z = TOTAL Estimated Construction Value: $ (S,v o c'� � Inspections Required: Work Requiring Separate Permits: Site aC Plumbing Fire Hardcover Removal ��Mechanical Water Connection Footing Septic Sewer Connection C Framing Fireplace Lawn Irrigation _ o�Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) �_Final Grading/Filling �Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARIiS(TO BE NOTED ONPERMIT): 34 � � � � � D TIME CITY OF ORONO CALLED IN d � INSPECTION N TICE SCHEDULED o�_�4� PERMIT NO. �� COMPLETED ADDRESS C� � /� OWNER CONTR ^ D� LlJ• TELEPHONE NO. J� � — s� � DESCRIPTION �� ❑ 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-S�TE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OW CONTRACTO O MEET YO�'ES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �u 0 ❑ CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL iNSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the nex�'ns tion 24 hours in advance. (952� 249-460� Owner/Contractor �te: � Inspector. White Copy/lnspector's File Canary CopylSite Notice '� �� ATE TIME CITY OF ORONO CALLED IN �� O� INSPECTION N C SCHEDULED ��L PERMIT NO. COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. � ��;�� —��g/ � � DESCRIPTION 1 !�L_ _ , � (iL 1.��l-NL� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED '.- ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor o site: Inspector. �� i �� White Copyllnspector's File Canary CopylSite Notice