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Home My WebLink About2008-00107 - addn/remodel/repair * � CITY OF ORONO PERMIT NO.: 2oos-oo�o� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2280 SHADOWOOD DR PIN : 27-118-23-32-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 65,000.00 NOTE: FINISH LOWER LEVEL FAMILY ROOM,3/4 BATH,(1)BEDROOM,LAUNDRY ROOM AND WET BAR AREA. OTHER PERMITS REQUIRED:PLUMBING,MECHANICAL AND ELECTRICAL(STATE PERMIT) APPLICANT pERMIT FEE SCHEDULE 794.25 ANDERSON FAMILY HOMES PLAN REVIEW 516.26 19621 ERIN AVE PRIOR LAKE,MN 55372- STATE SURCHARGE(VALUATION) 32.50 (952)440-4505 TOTAL 1,343.01 Minnesota State License#:20043042 � OWNER COLEMAN, SHARON 2280 SHADOWOOD DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 ys at any time after work has commenced. The app' is resp sib f asswing all required inspections are reques d i confo an wi the State Building Code.This permit may be revo ed y ti f du cause. ' � ' �G 8'� /�� D�' A ant Permite Signature Date sued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. . a � � �� .o Total Fee: $ �3� , D/ Date Received: �� D$ Entered By: Permit#: DO - p0/O 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 ADDRESS: _Z Z-�� Sfl�ac.�� ZIP; Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: (3�� ' Tcdp(c� ��5�- PHONE: (home) MAILING ADDRESS: Z�� '�'O��O�L"�'3�5953 5��.� CTTY: C�r�+1p ZIP: CONTRACTOR: ��ls�rs�n ,,,�.(�, ,,,,� PHONE: ��Z-��tU 'Y�� CONTACT PERSON: ��.� /�(�,-s.� MOBILE/PAGER: 4s't- yyu- �1S'dr MAILING ADDRESS: t`k•�� r�,� ✓�,c. CITY: r�a�(4..lc� ZIP: S'S37 Z STATE LICENSE: # zc�0 �_go�t 'i_ EXPIRATION DATE:T��Lo�9 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 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 permits! PROPOSED WORK(describe in detai�: '��,.�s�. 4�� (,�..rc,l � /1�,u+•.�, 3/ti B�.� .� � d�c.-.a�-,. , (�.y.-,.�. /t�,o r..., � c,��.Q b..�. ¢.-crs STORIES: SQ.FEET OF EACI�FLOOR: ��d S� �iK�s�,..� NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED �,_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �o�ODU , 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 permi work is no to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: ��y ' U J 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 statc 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.T'his 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. The commissioner of revenue mav olace the notice required under�his subdivision in the individual income tax or property tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infoaned 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 ofthe 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 thereatter 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. 1'he responsible authority may require the requesting person to pay the actual costs 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. Ifhe 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 ofpublic 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 either: (a)correct the data found to 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 the responsible authority may be appealed pursuant to the provisions of the adminisVative 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 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 license requires Council action to approve,some 'inforrr►ation 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 � �- �� I 9� Z( �.�:, ��.c, � ,�4'S 37� 9s'Z- Glyo- yso s- City �� / /_ , State �� Zip Phone lLv�lc_ I understand r' hts as ted a ve. Signature ! 32 . . ti CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z2�p S�o�,d o c� PID: DESCRIPTION OF WORK (3 rtsG�.�+i , ZONING REVIEW BY: ►'�1 I(�1 DATEAPPROVED: BUILDING REI�IEW BY.• DATEAPPROVED: �-Lz -vg FEES TO BE CHARGED: Misc. Fees Calculated By.• PERMIT Yes�r�. No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes_/ No WATER CONNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: r Fire Department: Post�ce: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetlan : Building Height: Def. Hgt. Peak H t. Lot Coverage: Grading: StaffApproval Date: By: CouncilApproval Date: Septic: StaffApproval Date: � � � By.� •L Z -dS Zoning File: t# Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: Bluff Setback: Lot Coverage: Ezisting Proposed Hardcover: 0-7.i' 75-2.i 0' 250-.i 00' .i00-1000' Hardcover variance Required: Yes No Date of Council Approval: REMARKS(in house): 33 b£ �(.LIWX�d t�10 Q�.LOAt�8 O.L)SXXT�IIt� :�fg axnQ :lnno.�dd�ssa��d n1aN Sur�stx� :ssa��y ��.LY'Q �52T�7H.L0dS�1�I�l�l �(3SlIOHAII)SXaI�� .�ayJp (Irw.�ad a�n1S)In�ul�al3 ?� �u:ll?.�/Su:pp�� lnut�� (1tur.�ad a;n1S)11aM ('$.�yY) p.rnog 11nM� .�ayip (rL�uosnyy) uot�n1nsuJ�- uot�n8ua1 unw7 a�nldaat� �utwna,�� uorl�auuo�aantas �iJdas Sut;oo,� uotJ�auuo�aa1nM �n��unr��ay�t� �nnoura�.�ano�p.rnH a.rl� �u:quinld�— aJrS :s�nu�ad a�nmdas�u»rnba��.ro,}� :paainbag suo�adsuf A� 000 S9 S :an�nn uot�nflsuo�pa�nun�s� 7i�.LO.L – x – x a8n.rn� = x aool�puZ = x .�oot,��sl – x �uacuasng ��,�bs aad g aSnloo,�bs �v/� �3dd.l�VOLLJ4N.LSlvO.� - 21 �JSI] .LSI7 JI��HJ�1�I�l�i JAlIQ7IIl S . . � � � � D T TIME / CITY OF ORONO CALLED IN �-�� INSPECTION NOTICE SCHEDULED 'a O D=80 PERMIT NOc?�,F-G�/D7 COMPLETED �� ADDRESS ��'L � OWNER CONTR. �lyl� �� TELEPHONE NO. �.�Z 5�� -�L�S^ � DESCRIPTION -' � ❑ FOOTING ❑ MECHANICAL RI ❑ EX /GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContra r on site:' Inspector. � ��+ � � - �z White Copyllnspector's File Canary CopylSite Notice � I C`s`,� AT TIME " CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED �D D � %� PERMIT NO�Gb�G��7 COMPLETED ADDRESS�.�i�a �/l a G� �1/ OWNER CONTR.,/_��(j/p�1Yj ��►�s� TELEPHONE NO. 95� �O L�S � DESCRIPTION /��a'� ��. � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � - 0��-s d�U 0 � (� B�� l�,�S 0 � W � Q � z W � W � j -- — d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFO'RECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WFLL RETt1RN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cau tor the.next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspecto� White Copyllnspector's File Canary Copy/Site Notice �� DATE TIME � CITY OF ORONO CALLED IN � �— � `J INSPEC I OTICE SCHEDULED � � PERMI�� MPLETED ADDRESS c�� rl�C`�C'�l-1.�("X^�`� �� OWNER CONTR. �l�F'/'1C(�Yl�p"�� TELEPHONE NO. `S� ` `7 �� `�� C ' � DESCRIPTION �� n��--� v Rc'��2p'}�f�f- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J ❑ PLUMBING FINAL � ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU: YES_NO � COMMENTS: a�c� -�lCv I - �IY�U�� YVKZ� �/1 � W a � J � � �Ae�� c.1/Vt-��,��q �vCJ� � � � �`:i�� W l�L nrs �j.��,eT � Q Z --- _�/1.�G ikl t�rl�C�� . c� �- C� . �^�-C�4 0� � �l��i�� "'_ '�I��CC Aa /l��S S�41�/ W � � � d W ❑WORK SATISFACTORY:PROCEED C_l PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � I�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V � �EFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on sit : Inspector. 1� �L) -� White Copyllnspector's File Canary CopylSite Notice