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Home My WebLink About2003-P06634 - plumbing ` �` PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06634 Crystal Bay, Minnesota 55323 P@rCYllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: gii2�2oo3 SITE ADDRESS: 679 Minnetonka Hgld La Long Lake,MN 55356 P I D: 06-117-23-44-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: riumoing iviecnanicai ruepiace Eiecuicai�sraiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 321.25 Valuation: $ 20,000.00 Plan Review Fee: $ 208.78 State Surcharge Fee: $ 10.50 TOTAL FEE: $ 540.53 APPLICANT: Owner/Self OWNER: Robert&vicky Nelson � 679 Minnetonka Hgld La 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 CODE REQUIREMENTS. �` �� , � � � APPLICANT PERMITEE SIGNATURE ^c ISSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � y Total Fee: $ ��{�� ' c� � Date Received: �f�l�� Entered By: ;��t�... 7z �� Permit#: ��(�/� �c./� �--ftiL�� 1 Cr�:� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � --------------------------------------------------------, ---- ---------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR � JOB SITE ADDRESS: 1�,,7`1 (�'1'i h vi�:-t-c•,kQ f��; dT�L,,�L�,� �-� .-- ZIP: , =,�� 7 � �� NAI�iE OF OWNER: ��;,�� r{� (� �.��G r��, PHONE: (home)��.:�-�,l��:-�y 1�' . (work) MAILLtiG ADDRESS: C,Q7�f P��a��onk'�,rt�N�/'<��!/',CITY: !'� � r� ZIP: �:t��,/�,� CO��TRA.CTOR: PHONE: COr�'ACT PERSON: NIOBILE/PAGER: M.4ILING ADDRESS: CITY: ZIP: ST�iTE LICENSE: # ARCHITECT/ENGINEER: PH0�1E: NI_�II.ING ADDRESS: CITY: ZIP: N��IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: ( ,�, t�iA 1 U ,�- j��.��,� �Pd�►��r�i+�J � Q�� , , [ ,/ �/` `�'' '��,^✓�, njC_ � I/>t' :{�� i" T' t �ti Ai;� �� /��C �'_st� S��l�l�7-�l{jO��11.1 .5'�'�� 1Q� (�l��S STORIES: � SQ. FEET OF EACH FLOOR: ��!� NO. OF BEDROOVIS: _� � GARAGE STALLS: ATT. DET. ESTLI-IATED CONSTRUCTION VALUATION (exclud.ing 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 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 perm.it; and that the work wilI be in accordance with the approved plan. APPLICANT'S SIGNATURE: ` ,,,,� p�.��.� DATE: %''- ��I�� , NOTE! Parade o Homes events require separate permit approval by Police De�artment and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 � r � r r Sec.13.04 RIGHTS OF S[JB.TECTS 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 forrh in this section. Subd.2. Information required to be given indiridual. An individual azked to supply private or co�dencial data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,pofi[ical subdivision,or statewide rystem;(b)whe�her he may refuse or is IegaUy required to supply the requested data; (c)any lmown consequence arising from his supplying or refusing co supply privace or coofidenrial dara;and(d)the idenary of other persons or entides authorized by srate or federal law to receive the data. This requirement shail not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or nrooertv tax refund instructions!nstead 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 confidenrial. 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 hun and, if he desires, shall be informed of the content and meanin;of that data. Afrer an individual has been shown the private data and informed of its meaning, the data need not be disclosed[o him for six months thereafrer uriless a dispute or acaon pursuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the priva[e or public data upon request by the individual subject of the data. The responsible au�horiry may require the requesring person to pay the actual cosu of making,certifyin�,and compiling the copies. 'Ihe responsible authoriry shall compty immediately,if possible,with any request made pursuant to this subdivision,or within five days of[he date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with [he request wi[hin that time, he shall so inform the individual, and may have an addidonal five days within which to comply with the request, excluding San:rdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accucacy or completeness of public or private dara concerning himself. To exercise this right, an individual shall no6fy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shail within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurate or incompfete data,including recipiznu named by the individual;or(b)notify the individual that he believes the data [o bz 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 authoriry may be appealed pursuant to the provisions of the administradve procedure act relaang ro 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 tha[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 pemut or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. 5. You have certain rights under NI.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. �� b t' v`'f ��V'- � �-e i <"f� r�t First �Stddle Last` --..�� 'rI i i1 i1 �.�"��` ,7 �C7 �'�'__i � �1 /�] '] tY 7 yl cry F Address � C� �-. „E� r�� /y � ��.� +�. �7 � r �'-t 7� -I y S 7 C�ry State Zip Phone ^ I understand my rights as stated above. -�`�-�.p � �,�- < --� � �ignature � 6 , r . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADDRESS OR LEGAL: (�1 q (M��r�t e-t-w� ��r bN-c�4r'v� [h�+�= PID: DESCRIPTION OF WORK: I�1�1�}s�t�t �C;--r��aow.. �?.�=�.9d�z ZO�TING REVIEW BY: N (� DATE APPROVED: BUILDING REV�+W BY: DATE APPROVED: 8 -r 2•o�_ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No pLAN REVIEW Yes � No SEWER CONNEG"ITON STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPEC'TION. Number of SAC Units OTHER (specify) ZOti'ING CHECK LIST Zoning District: iva c,�>v� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Widch Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right S e: Reaz(Street): I.eft S de: � Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: . . Shoreland District: Av�. Setback: Blu Setback: Lot Coverage: Exis a Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: RE`ZARKS(in house): �' 7 . , � .- v BUILDING REVIEW CHECK LIST � � �C� le'3 CONSTRUCTION TYPE: V/v Sq Footage $Per Sq Ftg Basement x _ lst Floor x. _ 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $_ zo,poo "u Inspections Required: Work Requiring Separate Permits: Site r Plumbing Fire Hazdcover Removal a Mechanical Water Connection F��S Septic Sewer Connection ,� Framing .c Fireplace Lawn Irrigation _�Insulation (Masonry) Other _o�Wall Boazd a (Mfg.) WeII(State Permit) � F�� Grading/Filling p� Electrical(State Permit) Other RENIARKS(IN HOUSE): . REVIEW BY OTHERS• DATE:�--------------------------------------------- Access: Existing Ne�✓ Access Approval: Date gy; � ---------------------------------------------------------- REMARKS (TO BE NOTED ON PERNIIZ�: 8 '' r � � �� 1�5� -____ __ ____ _.___ ___- 20' - _._--- --- ---- -----� � �- 6'2-----�-------------7'8---------------�k -------6'2----- ��DF��fJM U�if��t7�W I FlF�� i'Xi7' r�� :�'ro?��=�) _ . - - 20" ��i 3�`�. ; ! �.�� . ;-�.'� --- _ — - - ___ - -------- -- - ,,,�� . �. -- - - - - r . : �. ... :..' ._. .._ . r' �^ / . � r. �—:• �L1��.V. L.#._._._,-�� r��": ,-s _ :�.7 SC2. t=T. ;J�i�. t�, �;�lf�l�i ; %/ 44° P�/IA,�. ��l...� F-{� ICx ' - ' /� �� Furr out walls to 5-1/2",_ � Q � M I�� -- � ,� � � I �`;�, MASTER BDRM � � � 303 sq ft Modify Trusses over MBR Per —�-- Engineering Plan 1x6 Tongue&Groove Cedar Ceiiing MASTER BEDROOM REMODEL � RQbQ(t NQ�$Q(� EtchedGlassWindaw46" See-Through N high x 120'length from 52 in. /Gas Fireplace 679 Minnetonka � toceiling Highland Lane � � _-� .�. Orono, MN 55356 �-- , --�� ;-- �at M�B� , No Door ... . ` unaercanter � �( ?�� . ;' G��isT� ; � / i , � � � Rehigere�r = : ` � f�om � -= (� ' � .--.. i .. l ;--- �. " cnmer � MASTER BATH �,� Existing � � Fuli t.englh Mirror Wal� 198 sq ft gkyNght .�.I . � Existing FVat-BoHom Trusses � Gypsum 0oard CeiNng c' CV �� ___ __._� � �� - \� � � ) ' � � I � ; � ��' �" Corner Spa ;' I � ; j 64x64 , i� � , � � __.._. i � ' - --------- � _ ___ , � i � I � sHow�rz ; ` 1 I ) � ; 1 M ;, � , ; __ � Ii ,____ ,; �.� � _ __i� L ,.. .-----� — � r N � PRQViDE PUf1J!F' �N�;�R '�� iIi -- � PLBt�. aC;�� i;I i � �� THROUGH TILE UNACCEPTABLE �� i � ' -- EXISTWG BEDROOM ;II _-_-� o ';i I � � � I - . :� .f�rx ��. .�_:•: ciTY oF o oNo BUILDING P MI �Ft �F1,4E4M--- °' � �} IN$PECTOR OATE �• lZ-n3 �,P-;itviiTNO. � -_._. _^_ ❑ �,�'Pf��dt�r°.��.1C�P'.1iT�;�+�D - 4'3- - 7 - '6- --3'8 -- T�,,,��c��,w.;-�s c:�,��_c�-,cr�s a� rioT�D � AL 1��- C �.� i A.��O�i!=D...Cn;;:{�,r.-I P•.�:cS��ai��IT S�E ATTACI-$�D S�EET T:'. '"�4;^�S uf6 iui A(' �If 1Cf1''�c (u'�. n��S!^(k S�cl� b0 f�0110 in . ^ � a :�, ��!i :uh � ��;;;n� and zenir,g code. FQR Sh/�OIC� iQc=TtZ--'T"of: Re`kttr'iH13 PLAN SET ON'91TE AT ALLtTIMES CODE REQ��VIENTS �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDUIED /o�- - _ //;3 D PERMIT N0. 3 COMPLETED �� ADDRESS 6 79 /j'LT�{ 7tTc�Cn-�� L�L� OWNER ��Ne�S D)'lJ CONTR. TELEPHONE NO. 4� T7S �TS� � DESCRIPTION ��I��7� 6 4a� '�i A�� —� - � 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINCa Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4 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 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 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a o C�'(C �"U �"'�''� a � 0 � W � Q � z W � W � � ��K SATISFACTORY:PROCEED ❑PROJECT COMPLETE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac ni�� Inspector. � White Copyllnspector's File Canary CopylSite Notice �+ V DA E TIME CITY OF ORONO CALLED IN -3- INSPECTION N ICE SCHEDULED 3' '� /�:� PERMIT N0. 63 COMPLETED ADDRESS 67q M�—On,�.�C. �rtc.��xu�,c.se. L�'l� OWNER_ �'I1'f NP��dY`� CONTR. TELEPHONE NO. ��Z 7 S� .5?�� DESCRIPTION � ��rKb �` , � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G ING/FILUNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL$D. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a j 0 � � 0 � W o� Q � a W � W � � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ISSUE CEHTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR HEINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Ca11 forthe next i pection 24 hours in advance. (952) 249-4600 Owner/ConVa si : Inspector. White Copyllnspecto�'s File Canary Copy/Site NoNce d�� DATE TIME � CITY OF ORONO CALLED IN .� n�/ INSPECTION NOTI E " SCHEDULED � �� /� PERMIT NO. �PJ� COMPLETED ADDRESS � f� -�� I OWNER ��'��f� CIr�C�1,`ic�,j CONTR. TELEPHONE NO. G/�:��]� �� DESCRIPTION �j�� u- r ��- ti� /(��f��/" � � 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 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 � OWNER/CONTRACTOR TO MEET YOU:�L YES_NO �� COMMENTS: � W a j � O _ � O , /Tl� `� CkL� W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED L PROJECT COMPLETE W ❑ RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�� OwnerlCon �to on e: Inspector. White Copyllnspector's F le Canary Copy/Site Notice �� T�E.�(_ IM CITY OF ORONO CALLED IN �� `� "'v INSPECTIOI�C�L�C� ^2� SCHEDULED ' �- �;j,�.� PERMIT NO.r vy� UlJ COMPLETED �'� ADDRESS � 1 1 11� OWNER CONT Q�:��LJVY�V TELEPHONE NO. q r'J�c"�� ' � ��j� � DESCRIPTION �� Y�O'�.� -��Y�� J � 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 ��85 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. � 22 FOLLOW-UP W09 PLUMBING RI 23 SEPTIC FINAL �� = 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 F UNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ` � COMMENTS: � W a � � J O � � � T ; �` �9v 1 �l �TC� � 1 ��- � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W �CORRECT WORK&PROCEED _ I SUE CERTIFICATE OF OCCUPANCY O �� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT � CORRECT UNSAFE CONDITION WITHIN HOURS. G pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. . / �/ �� White Copyllnspector's File Canary Copy/Site Notice