The URL can be used to link to this page

Home My WebLink About2008-P12002 - addn/remodel/repair PERMIT CITY �F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12o02 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/RemodeURepair Date Issued: 5/8/2008 SITE ADDRESS: 2095 Salem Ct Unit# Long Lake, MN 55356 P I D: 2'7_118-23-34-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: p DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Turn closet into 3/4 bath, finish area above garage FEE SUMMARY: Permit Fee: $ 628.00 Valuation: $ 44,640.00 Plan Review Fee: $ 408.20 State Surcharge Fee: $ 22.35 TOTAL FEE: $ 1,058.55 APPLICANT: Honeywood Builders OWNER: Paul Bieganski&Katayoun Mohaminad 6566 Shadow Lane 2095 Salem Ct Chanhassen,MN 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 ORD[NANCES AND STATE OF MINNESOTA BUtLDING CODE REQUIREMENTS. � � `-�.c (' C . �_ � ��t ,�,� �� APPU .ANT ER I NATURE ISSUE BY SIGNATURE �� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � Total Fee: $ /. 05�. SJ� DateReceived: �2 3"'�d 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 OR CONTRACTOR JOB SITE ADDRES5: �D !S� �tL� L��]` �p; S-S 3 j � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ,��TO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demorrstrates su�cient on-site parking is available. Non permitted events will not be aldowed. NAME OF OWNER: ��U L �jL�L�AyUS 7G l PHONE: (home)�S2�a J-�� (work)- MAILING ADDRESS: ��S �L��-j L� CI'TY: �D�vv ZIP: S�/ CONTRACTOR: G!/dr9r� /�i��t�z PHONE: C�o/Z��S=�/O�� CONTACTPERSON: �l��/{-� �c.C�° MOBILE/PAGER: Co1.�-k�S/o��'r MAILING ADDRESS: �,�� ,-��1��i�d�-t,�. Llk�-� CITY: �N�SS�LIP: �� STATE LICENSE: # Zc�o3�7�3 EXPIRATION DATE: 0 3- �7 ARCHITECT/ENGINEER: C!/I LL I/t""� ��"RQ-d l�PHONE: G�Z-g!s/-p 7 70 MAILINGADDRESS: (c�13� �i/r'r4-�l�/�Svi'��✓ SCITY: �/c�.F-�iLlid ZIp; �3 NAME: /�/L(, ,/�jU}rvG6�,kjt,� REGISTRATION: # 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�: Tv�lv vy°57��5 G[,d�i-7° /�vap 3�y ,(y',�7�- t�i.vr�rt A�2C.,4- U13vv� co^-,2�a�� - S rg,2,a.�� 72�55�S STORIES: 3 SQ.FEET OF EACH FLOOR: l2� NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ / ESTIMATED CONSTRUCTION VALUATION(excluding land): $�f�� `��, 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: ✓� DATE: `�+� �� 31 � Sec.13.04 RIGHTS OF SUBJECTS 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 this section. Subd.2.Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of: (a)the purpose and intended use of the 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. 1'his requirement shall not apply when an individual is asked to supply investigative data,pu�suant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may�lace the notice required under this subdivision in the individual income tax or propertktax refund instructions instead of on those forms. 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 created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. 1'he responsible authority shal l comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe 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,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 authority describing the natwe ofthe disagreement.The •responsible authority shall within 30 days either: (a)correct the data found to be inaccwate 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 conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed daa. The detertnination 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 subj ects 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 shazed 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. Firs Middle Last �� `�s��-� c�,2 Address lp s�� SZ��u/ L�n�- J�l�� '3J �7 �/2��C��7a��i � City C y�-Y��-�S L�✓� State Zip Phone I under tand my right s stated above. ✓ Signature 32 � CHECK OFFLIST FOR ISSUANCE OFPERMITS FOR OFFICE I1SE ONLY ADDRESS OR LEGAL: 2�'i5 s►4�Enn Gc�2r PID: DESCRIPTIONOF WORK: F�r.�sH ��,� � � ,� --- rLir4� pf2N0� ZONING REVIEW BY.• �J 1(A DATEAPPROVED: BUILDINGREYIEWBY.•�?/o��_ DATEAPPROVED: y-Zg-o� _ —7�' FEES TO BE CHARGED: Misc. Fees Calcudated By: PERMIT Yes No PLAN REVIEW Yes� No SEWER CONNECTION STATE SURCHARGE Yes_1� No WATER CONNECTION INVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: Fire Department: Post�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Si : Rear(Street): Left Side: Adjacent Structures: tland: Building Height: Def.Hgt. ak Hgt. Lot Coverage: Grading: Sta,ff Approval Date: 4-ZS-�� I?� By: (�J.(�, Council Approval Date: Septic: StaffApproval Date: Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: � Avg. Setback: Bluff Setba : Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover l�ariance Reguired: Yes No Date of Council Approval: REMARKS(in house): 33 • t BUILDING REVIEW CHECS LIST UBC: !� '3 CONSTRIICTION TYPE: �I N Sg Footage $Per Sg Ftg Basement x = Ist Floor x = 2nd Floor z = Garage x = z = TOTAL Estimated Construction Value: $ �-(�I� 6`{C� � Inspections Required: Work Requiring Separate Permits: Site 'X 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 _�Electrical(State Permit) Other REMARKS(INHOIISE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 � DATE IM � (�j� CITY OF ORONO CALLED IN - �-�� u INSPECTION NOT C� �20v2SCHEDULED ��`�D-y-a� _� PERMIT NO. � � COMPLETED ADDRESS Z�� -� �� OWNER T C�...s�-� � CONTR. t� u�� d� TELEPHONE NO. Q I Z a�`I � I.C� � DESCRIPTION- ��`�'`',��1 -�i�� OOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREMIETLANDS y �NSULATION ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J p PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � � (� T� .� S v�,�-�� o � � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CQRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice `� ( e� DA TIME � CITY OF ORONO CALLED IN 6 ' INSPECTION N ICE SCHEDULED -D :Oz7 PERMIT NO. a� � COMPLETED ADDRESS ��9� ��'''� G� OWNER CONTR. �� l�� TELEPHONE NO. � �� l� � DESCRIPTION �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o f�o � �( p1.' I � � � � 0 � 5�� 1 �,e�C�-��A -Frastl.S � C.�'+�;.�,�_ Q VQ�- p��,�, � � z W � W � � O � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor site- Inspector. l.�t/ �r, J White CopyMspecto�'s File Canary CopylSite Notfce