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Home My WebLink About2003-P06998 - addn/remodel/repair �1TY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po699s Crystal Bay, Minnesota 55323 PeC'CTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: i2�is�2oo3 SITE ADDRESS: 3050 Sixth Ave N L,ong Lake,MN 55356 PID: 28-118-23-32-0015 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: Eiec;iricai�siaiej NOTICES/REMARKS: r--=�- ----- -„_�:-�- � ------- ----�- .�::�.� ::::;::: -........... .. .. .__.. .- ..,.. , .......�..,..w�.,..,.,..Y., FEE SUMMARY: Permit Fee: $ 853.75 Valuation: $ 80,000.00 Plan Review Fee: $ 555.03 State Surcharge Fee: $ 40.50 TOTAL FEE: $ 1,449.28 APPLICANT: Anderson Woodcraft Inc. OWNER: Robert&Ann DeSutter 1438 85th St NW 3050 Sixth Ave N Buffalo,MN 55313 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND A REES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF M O DING CODE REQUIREMENTS. � . �� APPL CANT P IGNAT RE SSUED BY S[GNATURE Conies: 1-File(SiQnitures Reouired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . . . , . ; A_I L�-�' � i'otal Fee: $ � � "� ��`� -�' Date Received: //-/Z�D� � Entered By: / �/�� `� �' � ¢�'-l�' Permit#: ,¢p�98 CITY OF ORONO - BUII..DING 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 C TRACTOR JOB SIfiE ADDRESS: �'��'�J U�� '�-�.J lTJ ��'�'�"LIP: v✓J i NA1�iE OF OWNER: �" PHONE: (home) .(wor viAII.L�1G ADDRESS:��'�C� �O� �p CITY: IJ(� 1..�� ZIP: CO\"TRACTOR: I+`;� PHONE:. �?� � � Z Z� COr�T'ACT PERS N: � NIOBILE/P GER: �LAII,LtiTG ADDRESS: ��Qj �'� . I� � - CITY: ZIP: J�J�J�3 ST�,TE LICENSE: # ARCHITECT/ENGINEER: PHONE: �IAII,L\'G ADDRESS: CITY: ZIP: ti'�1IE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move RemodeUAlterati n Land Alteration_+ PR PO ED WORK(describe in detain: ` �, f'�1� �y�C�M `' I�� , � �P�-�- � - STORIES: SQ.FEET OF EACH FLOOR: I�TO. OF BEDROOMS: � � GAR.AGE STALLS: ATT. DET. 6� EST'Ll�1ATED CONSTRUCTION VALUATION (exclud.ing land): $ I hereby apply for a buildin�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 under �s is not a permit and work is not to start withbut a permit; and that the work wiR be in orda e w' e proved plan. APPLICAl�"T'S SIGNA DATE: l� 2 � NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 ! F � , Sec.13.04 RIGHTS OF SITBJECTS 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 for[h in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,po(idcal subdivision,or sratewide rystem;(b)whether he may refuse or is legally required to suppty the requested dara;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidenaal dara;and(d)the idendry of other persons or entiaes authorized by srate or federal law to receive the dara. This requirement shall not apply when an individual is asked to suppiy invesrigative data, punuant to secrion 13.82, subdivision 5, to a law enforeement o�cer. Th�commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or orooem tax refund instructions 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�dentiai. 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 meanin�of that data. Afrer an individual has been shown the private data and informed of its meaning, the data oeed not be d'uclosed to him for six months thereaher uriless a dispute or acdon pursuant to this secdon is pending or addiaonal 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 auchority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. 'Ihe responsible authoriry 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 addidonal five days within which to comply with the request, excluding Saturdays, Sundays and legai 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 shal]noafy in writing the respoeuible authoriry describing the nature of the disagreemenc The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)norify the individual that he befieves the daCi to be correct. Dara in dispute shall be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administraove procedure act relaang to contested cases. D.�TA PRIVACY ADVISORY In accordance wi[h 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 �ity 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 fumish 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 pemut 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 t process this application or pe � �,� - First iddle Last i �3 8�� \. � `� Address �' I�� l �2 Z�ZZ C�ry State Zip Phone I understand s as state b v . Signature 6 � , . � , . . � " CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �p So Go � (o PID: DESCRIPTION OF WORK: �+Ap�n�� ZO�TING REVIEW BY: DATE APPROVED: //-Z Y-�3 BUII..DING REVIEW BY: DATE APPROVED: t�- Z�f-�3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes �/ No SEWF12 CONNECTION STATE SURCHARGE Yes � No WATER CONNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPEG"TION Number of SAC Units OTHER (specify) ZOti'ING CHECK LIST Zoning Districr. Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes rG No Date of Survey: r�r- �3- �3 Proposed Setbacks: Front Lake ' � ( ): 1�O � Right Side: Y$ Rear(Street): � L.o' '� I,eft Side: 2 G a � � Adjacent Structures: /1�T�,�t.� Wetland: N 1� Building Height: Def. Hgt. o .K Peal:Hgt. Lot Covera�e: /'� ��- Grading: Staff Approval Date: --- By: Council Approval Date: Septic: Staff Approval Date: --- By: Zoning File: # — Resolution: # Resolution Date: . Shoreland District: /�/�(J Av;. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' - 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: RE�ZARKS (in house): 7 - . , . . , ' . . . , �� BUILDING REVIEW CHECK LIST � UBC: �"3 CONSTRUCTION TYPE: �1N Sq Footage $Per Sq Ftg Basement x = lst Floor z = 2nd Floor x = Gazage x = a = TOTAL F.stimated Construction Value: $ �O,��a�- Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection � F��g Septic Sewer Connection v� Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other —�W� BOazd . (Mf8•) Well(State Permit) _�F� Grading/Filling �Electrical(State Permit) Other - RENIARKS(IN HOUSE): ---_--- _ -------------------------- REVIEW BY OTHERS: DATE: Access: Existing NeW Access Approval: Date gy; _______�_ --------- ---------- REMARKS (TO BE NOTED ON PERMIT�: 8 3050 6TH AVENUE NORTH —� LOT 2, BLOCK 1, LESLIE ADDITION t � ��"'�', ': CITY OF ORONO, HENNEPIN COUNTY, MINNE30TA �� -. � ^�-., �` -%` � , "k f .� � � ,r ,rs* ,_..�..� - a,, '�' �.vosas.. � ��,,;;��., �s�.�.,a.�� .M�,m,�.,�..� r• .�' . � � ----� r-------------------------�— --� �sr � \ , I ' I � � � __ �"_ , ,I I I i i• � � j i i � �" d �, i i '�„ i �t ,� � I 1 � � ! I I � , I � 3►i'�� I � ' ----- h14 —� � ' I � _�_ I 1 —:u � � II h�� . I � ' . �— � � I � , , �r� ; _ �-_ . , , � � i ��}� �_, f ,� � �' . �� , �e� , � ,� _ a►�`" � , , .. � � I `t �� I' _J � � �\ \ �— Y \ i � ��\\ � I I ' � I . I _ __ .=`�__ ��` ;V(/, rr ' , ' � ' � i � �I � � � i i .. � i � � � � , � � ir� � �m�u-aao8�ii�o'a ' • � � � li�l�} � � � i i ; � I , � i �t i i � o�'Y QF �� ; � � � °� S1TE �LAid � .. p�� i � -_._ GF�hD1�1G P�qN , � i I�n��'�;�.��'�p -��o,�-,,,,,, � '�.�. � �:- '''.'� �n. ' � ••`� ��iJ��`r�:.s �v(j,`� �� /1S(Q(�!^ ` -- . _ — , t ,. i �yi7��J��'�r�:"� :�� f �;� __---'— ,,,�, _ '� I V i. i � I +�� '_'' � � i DATE O �� — �, , i —'----�-�._'-a ,'� °""`�' ' � I — � ` ' �_�—_�— � ,—'�� '" � �� — �.�''"� � ^_'—_ . �— � , � L— • �' .--�� . � .. NO 61 �'Ls��}i"""' �wa oescawnon w�w,wn o�ooa xn nroen W A�{ w�..,��..M.,.�..� . „�k�a ,��H �,..,..:-��,. � � '',�cp�Y $.�p�t6 I� i � :,,,J �� '', • KEMPER & A OCIATES INC. � ' /� �A. `� � i �� .,m,,,,� ur�o am i a�awm�ws �-�� :a, CERTIFICATE OF SURVEY � "��'�` r.�,,.,. �� _,_,,, __-�. _ � �d 2 � D/�T/�/6�/ TIME CITY OF ORONO CAL ED IN � INSPECTION NOTIC� �. SCHEDULED � �� Q PERMIT NO. � �% "'� , � COMPLETED _� ADDRESS �'� �' �L ��" h OWNER CONTR. d�C�ti`Yl TELEPHONE NO. � � � �J� �s �-� Z Z t�� DESCRIPTION �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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMEN S: � � t a (�1 ' , ►'l ;r" r^ V� � J O �. � O � W � Q � Z W � �u � � d � KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor si e Inspector. - White Copy/lnspector's File Canary CopylSfte Notice ATE n� TIME CITY OF ORONO cA� iN � INSPECTION NO CE SCHEDULED -'-� � PERMIT NO. �� COMPLETED ADDRESS �Q� � � � �''� �� OWNER CONTR. /�"j'Y'�P�!'�C� LC�� TELEPHONE NO. � � � J� �%� a��'a � DESCRIPTION � l !�l(� I � � � � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W 0. � �/ � l[/�K. '�Y v! � � �� 0 W Q - �D -7 l7� �t e c� �; � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next"nspection 24 hours in advance. (95Z� Z49-46�� 1 OwnerlCont o n it` : Inspector. White Copyllnspector's File Canary Copy/Site Notice