HomeMy WebLinkAbout2001-P03924 - addn/remodel/repair PERMIT
CITY OF ORONO � �
2750 Kelley Parkway- PO Box 66 Permit Number: Po392a
Crystal Bay, Minnesota 55323 P@f1111t Typ@: Addition/RemodeURepair
(952) 249-4600 Date Issued: 6iisi2ooi
SITE ADDRESS: 2275 Longview Cir
Long Lake,MN 55356
P ID: 03-117-23-22-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: tcesidentiai
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 492.25 Valuation• $ 35,000.00
Plan Review Fee: $ 319.98
State Surcharge Fee: $ 17.50
TOTAL FEE: $ 829.73
APPLICANT: Luloff,Inc. OWNER' Steve&Deborah Buchholz
14324 Stewart Lane � 2275 Longview Cir
Minnetonka,MN 55345 Long Lake MN 55356
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMI'ROVFIVIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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ISSLTEDB SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
Jun-08-2001 OB:34am From-CITY OF ORONO +9522494616 T-Z00 P.006/007 F-354
Total Fee: $ �Z 9 � �� Date Received: ry-//-O 1 �
Encered By: � /� permit�: D �9a �f _
- C, - 1� -Dl
CITY OF��ON'� - �'[J�,I�ING PERMIT A��'L�GATIQN
All inPormation must 6e submitt�d in full before plan review will be started.
(please priRt all �nformation) �
T�iE APPLiCA�NT I$: (circle one} QWNER OR ONTR.ACTOR
JOB SITE ADDRESS: Z Z 7S G.o �ew � (� ZIP: SS3S(o
NAME OF OW1V�R: S o Z PHONE: (home) 9SZ-y7S- Zg08
(work) 9sL- 9a/- S(�8G
1VIAILL�i iG.AT)1��ESS: ZZ7_ 5 �v�;��i.� C;�c(c _ CITY: Ga,a la/Ce ZIP: Ss3SL
CClNTRACTOR: L u�D� Z c. PHONE:.9Sz-9og-OS y0
�dN'rACT PERS4N: Wl�, t-uI 0 MO$YLE/�A�ER; lvI Z -�67- lS�o�_
MAII,INC ADDRESS: �N 3 2y S�u�+ L,a�c CITY: N�I�N��e N k�.. . ZIF: S�
STAT� LICENSE: # o/g
�1.RCHITECT/EN'GY1vE�R: P�Q1V�:
iV1AIT,ING AriDRESS: � CITY• ZIP•
� NAM�: ��ISTRATION#
TYP� 4F W�RKS NP,W Addition �ccessory Structure
Move �Remodel/Alteration� Land Alteration _
P�pPOS��f WORK(describe in detai�: �erM I.a�N�„
'1�1'e '�`O�r c.G► � � Vi �� �i .
STI�R�S: SQ.FEET OF EACH FLOOR:
NO. OF �ED�dOMS: GARAGE STALLS: ATT. DET._. ..__
ESTYMATED C�NS'rRrJC'rION VAL�JA.�'�QN (excluding land): $_3s, �o . o v _
I hereby apply for a building pernxit and I acknowledge that the inf'ormation above is complete and
accurate; that the work will be irs confotmance with the ordinances and codes of the City and with
the State Building Code; that I und�rstand this is not a permit and work is noc to start �vithout a
p�rmit; and that the wQrk will be in accordance with the approved p1an.
APPLICANT'S SIGrNATURE: ` DATE: -�-D
N0�'E.' �arade o� events require separate permit approval by Police Aepctrhnent ar�d
City Counci160 days p�ror to the event. Non permitted events will not be aYlowed.
5
CHECIi'. OFF LIST FOR ISSUA.I�ICE OF PER1ti11TS
FOR OFFICE USE ONL.Y , '
_ , ti.
ADDRESS OR LEGAL: 2Z-?S C�oNcv� c�.a c�rt.c.�.c� —
PID:
DESCRIPTION OF�ORK: L�rc��-erv ���''�r r'-��"
.
ZOVLti'G REVIEti'S�BY: �'l/ l r�- DATE APPROVED:
BUII�D1iVTG REVIE�BY: � . DATE APPROYED: �, -i �3 -c�� .
FEES TO BE CH.4RGED: Niisc. Fees Calculated By: �
pEgMIT Yes ✓ No =•
pl,p,N REVIEW Yes c� No SEW�C0�INECTION
STATE SURCHARGE Yes �—'' No �ATF�CONNECITON
�rVESTIGATION FEE Yes No PARK FEE
SAC � Yes No SITEINSPECTION �
Number of SAC•Units OTHER (specify)
ZO\�IG CH�CS LIST zonin�Districc: N v c r-�Y}r�� _ .
Fire Department: Post Office: School District: • ' •
Lot Area: Sq.ft. Acres ' Width Depth
Surve;�Subritted: Yes No Date of Survey:
Propvsed Setb2cks: �
Frone(La.ke): Riobt Side �
Rear(Screet): Lefr Side•
Adjacent Strucmres: � etland: •
Buildin�Hei�ht: Def. H�t. ak Hot.
Lot Covera�e: �
Gradin�: Stafi Approval Date: _ gy: Council Approval Date:
Septir. Staff Approval Dace: By:
Zoaing File: � Resolution: ; Resolutioa Date: •
Shoreland District:
Av�. Setback: Blufi tback: LotCo�•en�e:
E�� , Praposed
Hardcover: 0 75' - .
75-250'
250-500'
500-1000' -
Hardcover Variance Required: Yes No Date of Council Aoproval:
gEI�LA�tb'.S(in house):
7
r � .
BUILDING REVIEW C�IECK LIST
uBc: �•� - CONSTRUCITON TYPE: v�
Sq Footage � Per Sq Ftg .
Sasement x =
lst Floor z . _
2nd Floor z =
Gazage z =
x =
TOTAL
Estimated Construction Value: $� �S c�oo m=
Inspections Required: SVork Requiring Separate Permits:
Site - �_Plumbing ' Fire •
Hardcover Remov�I Mechanical Water Connection
Footin� Septic Sewer Connection
DLFramin� Fireplace Lawn Irrigadon
Insulation (Masonry) Othec
Wall Board (Mfg.) Wetl (State Permit)
�� Final Grading/Filling C Electrical(State Pecmit)
Other
RE1��IARKS(IN HOUSE): �
REVIEW BY OTHERS: ' DATE:
Access: Existing New
Access Approval: Date By:
RE`�IA,RKS (TO BE�TOTED ON PERMII�:
8
Jun-OB-2001 OB:34am From-CITY OF ORONO +8522494616 T-200 P.00T/007 F-354
3ec.13.04 RYSiFITS OF SUBJEC'IS OF DATA
Subd. 1. T�pe of data- 't'hc rights vf individual en whottt die data is srered or to be swred shall be as set forth in this secticn.
Subd.2. Iaformatian requtred to be g�vea iadi•idUa1• M���id�►a!asked to a�pp�y privaea or confidenrial data eonce�ning hitnself
shal!be informed oP: (a)she puryose aud'mtended use oP tht requesctd datR wi�i�thc tolleeattg smte agency,politieal subdivision,or statewida
ryscam:(b1 whethe�he tnay refuse or is legally raquired te supply thc r�q�tsttd data;(c)any Imown consaquencn arisinr from h3s wpplying or
refusing�o suppty privaee or eonfidersdaf data;a�(d)ttie idvndry of o�her paroon4 or cntipcs iwd�etiied by snte or federal 1�w to reeeive d�e data.
't'nis reqviramen[shall not appiy when an individual is asked w supply in�cstigAtive dara,pursuanc co section 13.82,subdivision S, w a iaw
enfo�ctnient offtcar. .
Tha cnmmissioner of re�enoe mav alnce rhe ntuice x�i�ed unerr this stiAdivisi�n in the individual ineome tau or mm�em wx rePund
iascn�ps�ad ef on thoteSCflmt.
Subd.3. Access to data by iadiv(dual. Upon rcyucst W x rCspbosible au[horiry,an individual shall be infarmed wheelter he is ehe
3ubjecc of storod dara on individuals,2nd whe[her it is classifiad ws pubiie,private or co�dcntial. IJpbn his 14tthtr rtqucst,an individu�l who
is the subjrct of stored priva�e or publi:data on individualt shsl!be shown rhe daW withouF any char�e m h;m pnd,if he desire9,sbtll be�nlormed
of�he ronteet�ad maning of�tlst daca. Afrer an individual has been shown the pri�ate dam and informed oP ics meaning,rhe da�a need not bc
diS�lesed co him for siz meneh�rharr.aher unless a dispuce o�accian pursuaru ro�his sec6on is�nding or addirivnal dam on tha individual bas b�cn
collecud or c�utcd. 'll�t responsible auehotiry shall provide eopies of th�privare oe pubiic dam upvn rcques�by ehe indiv�d�al subjcct vf che da��.
The responsiblt au�horiry may requitt the rcquesring person to pay�he acaal costs of making,eerrifying,and compiling�ha copias.
The responsiblc autlwrity Shatl GOmply ifttAted'1�[tly,if possiblo,wirh a�ry roquest nwde puesuanr�o this subdivision,or witihin fi�e days
oP�1►e d�u vf th�rcquesc,excluding Samrdays,Sundays and legal holieays.if immediace camplianca is no�possihle. If he cannoc comply wiet►
the.rcc�-sc wiehin rhat timc,he shall so inform thc individual, aM may have an addidanxt feva days wi�hin whieh�o eo�nply wid��he reqaesc,
o�ctuding SaNrdays,Sundays and legal holidays.
Subd.4. Prucedure�vheo d�ta is oot securate or complete. An iodividurl inay conus�the accuracy or campleteness of jublic or
privae�dac�conecming himseif. 7o axereise�his righi,Sll'IIIdiVldu3l 5t1a11 Retify in writieg�he ttsponsiblc authoriry dcscribing tho nature Of thE
disq�rten:en�. Tl�e�spensble authoriry shall wid�ir►30 days cither: (a)carnct tho dta Yound tv 4c inaccuretc er�complck and atternpt te eotity
�asc reci�icna oP inaccurace ar incompleK dara,iocludit�g recipienu numad by the individual;v�(b)nodPy rhe fndivldual thac he belieres�he dam
��co�rece. Dar�in disput�shall be disclosea enly if the individu�l's sta�emenc of disa�reemen�is included wiih�he disclosed daca.
'[he deuaninarien ef eha resportsible au[honry may be appealM punuane co the provisians vf�hs administrative prvcsdurc act re(acing
w con�:s�ed cxses.
DATA PRiVAC�ADYTSORY
In accordance with M.S. 13.04, �ubd. 2, "T�igh�s of subjeets of data", we would like to inform you chac your
requesc for a permic or licetue f�om the Ciry of 4tono or any of its departments may require yon to furnish certain
privace or confidential information.
You are notified that:
1. The informaiion you furnish will be u5ed t4 determine your qualificacion for the permi� or license
requesced.
?. You may refUse co supply daca, but refusal may rtqui�e that the�iry deny the petmit or liCease.
;. 7he information may be shared wi�h o�her local, sta[�or federal agencies to the extent necess�y to
�tocess ttie permit or license.
4. If your requested permit or lirxnse reqvires Gauncil accion co approve, some information may becorae
public.
5_ You have cenain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is requised to proeess chis apglication or permi�.
Wt�l v� Zulo �'
First M1l'tddle• 1.ASG
(01003 l�dr�c 1�D„r•
�dfCSi
�d"��, r�►,n� Sy39 9sz�9y�-�s�s
C;ry Snce 2ip Phone
i undersiaud my righ�s as sta�ed above.
� .
Sisnsture .
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �r �� � ca�COMPLETED ' � `��
ADDRESS �� � 't L�� ,� s�
OWNER CONTR. -'-�'
TELEPHONE N0. ���2 '- �'"�T a�' ��� (
� DESCRIPTION
� �� 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q B3�FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 SULATION 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLE7E
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnedContractor on site:
Inspector���G�l.���.�-L�1 J
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE CHEDULED � -
PERMIT NO. J�� � ��f� °
COMPLETED
ADDRESS � 7S /��r- /�//p�,�
OWNER CONTR. �/� � ,�� _1s�.-�
—� �- --r*—.
TELEPHONE NO._ �'� , ��a- 3 0.��
� DESCRIPTION �y� -
� Ot FOOTING 11 MECHANICAI RI 18 EXCAY/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 O6 PROGRESS
� 07 DEMO-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ���/yNORK SATISFACTORY:PROCEED �^gROJECT COMPLETE
4� ❑CORRECT WORK 8 PROCEED r IJ SSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac r on site:
Inspector. �
White Copylinspector's File Canary Copy/Site Notice
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CITY OF ORONO t'�t D """
BUILDING PE MIT P�AN REVIEW e ' _ ��•••
INSPEC70R ...
D�,�r� �(,o -I� -�1 PERMIT NO. � v z
�APPROVED AS SUB",�iTTED m
❑ Ai'r"'�OVED��JiTFd CUn��CT!ONS AS NOT�D � Z �
❑ Pi�T!',�P�'OVED--•C'J!'.�EC�&(�r�UB�l;{T � [�l I�
Thcse comments ar�tor your informa:��n.,4;1�vorK shali Ge dona m
(n fLll compliance vrth a!I zp;.ficahte bvil�ing and zoning code. C� ",�
ReG�.:irzments inc:tuding items not specificaily noted in this revpw. �
KEEP TI-iIS PLAN S�T ON SITE AT Al.l.TIMES
rn � � � BUChhOLZ RESIDENCE THE WOODSHO:PI
O � � a N � 2275 LONGVIEW CIRCLE OF AVON INC.
'� " o � LONG LAKE, MN 55356
� m o N a EDINA SHOWROOM
� Z � � 3918 SUNNYSIDE ROAD PHONE: (612)927-8002
Z � rn EDINA,MN 55424-1211 FAX: (612)927-8119
APPR VED Y: DATE: �