HomeMy WebLinkAbout2003-P06007 - addn/remodel/repair CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po600�
Crystal Bay, Minnesota 55323 P21"CTllt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2�26�2003
SITE ADDRESS: 3100 Ridgewood Cir
I.ong Lake,MN 55356
PID: 04-117-23-23-0023
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumbing iviecnanicai Eiecuicai�staiej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 562.95 Valuation• $ 42,000.00
Plan Review Fee: $ 365.97
State Surcharge Fee: $ 21.50
TOTAL FEE: $ 950.42
APPLICANT: Metro Prairie Construction OWNER: Timothy&Holly Cashin
7705 Carnelian Lane 3100 Ridgewood Cir
Eden Prairie,MN 55346 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.
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APPLICANT P RMITEE SIGNATURE SSUED BY SIGNATURF,
Copies: 1-File(Signitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ n '� Date Received: � - -Q�
Entered By:� n n � ��`a'1'> Permit#: � U(�D�7
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CITY OF ORONO - B DING PERNIIT APPLICATION
_ �
All information must be submitted in full before plan review will be st�rted.
- (please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTO �
�
JOB SITE ADDRESS: 31 b�� � !Q�-1 G�c�D�D �i/��L� z�:
NAME OF OWNER:��d--�/J�L�/ L' �{5/�/AI PHONE: (home) 9,�,z- y yy_ ( $�/
(work)���� �,�6 /
MAILING ADDRESS: 3�(1 C► �/�Gk���OP ci2f.tk!CITY: (,Ro,�u� ZIP:
CONTRACTOR: �f�,Eo P,�AI��E Gvr��Sl�v��`��rN PHONE:_q5 a-yo 2 - �� ���
CONTACT PERSON: R n�-E/C xv�c�i�E MOBILE/PAGER:�s� -��a�� S�S�
MAILING ADDRESS: `??6T GA�Cnr�t,lpw �N� CITY: �IJ�rv P[,�jQ I'� ZIP: sS�'yd
STATE LICENSE: #�c� /
,
ARCHITECT/ENGINEER:�1qk.,�1 G-l9�GiI,Q►s D��//,n1�5 PHONE: �S�` �0/'z/S,3Z
MAILING ADDRESS: �.3S3S" �i��ow� T+Q��-CITY:S ��✓Uo N ZIP: �'f33'1
NAME: C AlpRr%yA�—� REGISTRATION
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �/JPD�-T� 17?l4 5 9�f/Z f3�q-�=la � NJ'�ST��
��� 2v n m — l�a 1� - Nfui fv.-L L B��N' -m��« Ex rsr��� /3�X �►;..� .� �a-tN
..1!YWi� /U�� L1/ �w0(/i.JS ��rJ (�L'D 'Cis� ' Futc.
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �02 E� D O
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: 9�0 DATE: /-.3 f-(j�
�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF S[JBJECTS 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 forth in Uris secdon.
S�bd.2. Information required to be given individual. An irnlividual asked ro supply private or confidential data concemin himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or�tatewide
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 privatc or confidendal data;and(d)the idendry of other persons or entities 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 to section 13.82, subdivision 5, to a law
enforcement officer.
�e commissioner of revenue mav olace the notice required under this subdivision in the individual income taz or nrooertv tax refund
i�t►�trucrions 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 co�dendal. Upon his further request,an individual who
u 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 ics meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pe�ing or addirional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual cosu 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 days
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 within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,
exctuding Saturdays,Suadays 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 concerning himself. To exercise this right,an i�ttlividual st�all notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or i�omplete data,including recipients named by the individual;or(b)notify the iixiividual that he believes the data
to be conect. 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 Giry of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze 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
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature
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• CHECK OFF LIST FOR ISSUANCE OF PERMITS
� � FOR OFFICE USE ONLY
ADDRESSORLEGAL: 31nO 2tO�ewo�✓� G�2Cr�.,C
PID:
DESCRIPTION OF WORK: �?�ww�e�
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ZONING REVIEW BY: DATE APPROVED: 2- �c-o 3
BUII..DING REVIEW BY: DATE APPROVED: Z� y -0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: NU Clfi9'�6 P
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Righc Si :
Rear(Street): Left Sid
Adjacent Structures: etland:
Building Height: Def. Hgt. eak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Set ck: L.ot Coverage: -
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes Date of Council Approval:
REMARKS(in house):
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, �
BUILDING REVIEW CHECK LIST „
- UBC: �Z-3 CONSTRUCTION TYPE: �(/v r
� _. Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 42, 000 �
Inspections Required: Work Requiring Separate Permits:
Site �_Plumbing Fire
Hardcover Removal �.Mechanical Water Connection
Footing Septic Sewer Connection
�(_Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�_Wall Board (Mfg.) Well(State Permit)
_�Final Grading/Filling oc Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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��
� DATf,r�� TIME
CITY OF ORONO CALLED IN �`�s
INSPECTION NO , E SCHEDULED _ -3-(�� _j�O 13`�,,,_,
PERMIT NO. �� COMPLETED
ADDRESS �I(�� ��c_'�-P_��'r_1a�� �,r�,r��--
OWNER CONTR. ;�� F/l,�.0 ��2�•
TELEPHONE NO. �.S�oS a7D J�7J`—D
� DESCRIPTION
ly 01 OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUTATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL B0. 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU 36 FOUNDATION/REMOVAL
� OWN RICONTRA MEET YOU:1L IIES_NO
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PEHMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952) 249-460�
OwnerlContr site:
Inspector.
White Copyllnspector'a Ffle Canary CopylSite Notice