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Home My WebLink About2004-P07249 - addn/remodel/repair CITY OF OR N PERMIT O O Permit Number: 2750 Kelley Parkway - PO Box 66 P07249 Crystal Ray, N�innesota 55323 PefRllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: si24i2oo4 SITE ADDRESS: 2850 Somerset Lane I.ong Lake,MN 55356 P I D: 04-117-23-21-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 � Permit Type: Addition/Remodel/Repair Permit Sub-rype(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai Eiecincai�siate� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,167.35 Valuation: $ 131,000.00 Plan Review Fee: $ 791.63 State Surcharge Fee: $ 70.50 TOTAL FEE: $ 2,029.48 APPLICANT: Rightway General Contractor,Inc. OWNER: Mr. &Mrs. Trangsrud 42383 250th Street 2850 Somerset Lane Arlington,MN 55307 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICi COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � I ��l(:�f'� ��`" APPL[CANT PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 :�� ,� __ �, Total Fee: $ �-- � �-'� f � y DateReceived: 2-Z3-O� E�tered$y: �� Permit#: �1�72�f g r'J�v1 ,_, -- ��`��L�� CITY O�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: 2-F��' ��'�� G��/• ZIP: ��3�%/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is reqi�ired with Police Department ancl City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: T��'=� �°��'��r�� PHONE: (home) �/�—'�7 �`��'v�' �� 7"�'�'.n.✓G��s_v,� (work) l��a � lr1�r—s��;� MAILING ADDRESS: CITY: �— ZIP: CONTRACTOR: ��Tt�f.�-�/ ��CC�',�-.�c� G'vy�r. i�G- PHONE• �(C��-7 �-� -t�c;�i'� CONTACT PERSON: �T�'tiy ��v�� MOBILE/PAGER: C�''�� ,3��'-' '�'�� MAILING ADDRESS: `�i�3�'3 '?�' �' ar: CITY: .�i�-:.-�.Y�'�zdy ZIP: �'S'��--� STATE LICENSE: # ��L 7� �3 ARCHITECT/ENGINEER: 2�-�'��c:.�� 3��,�f.qr%�� PHONE• ��'�7 ��—9c'�"5'' MAILING ADDRESS: �� .�ra-�;�-.tx�-- �r_ CITY: .�,n�-�. ZIP: r�� NAME: .�i� �- � REGISTRATION# TYPE OF WORK: New Accessory Structure Addition � Move RemodeUAlteration Land Alter��tion PROPOSED WORK(describe in detai�: ��►/i�f� u`��"'�-- ��'t�`t�- STORIES: � SQ. FEET OF EACH FLOOR: �`�� NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. ESTIi�IATED CONSTRUCTION VALUATION (excluding land): g� ��'� �'E'`° I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the work �vill be in conformance with the ordinances and codes of the City and w�ith the State Building Code; that I understand this is not a pemut and work is not to start without a pernut; and that the work will be in accordance with the approved plan. � d� APPLICANT'S SIGNATURE: DATE: z " �� `` Sec.13.04 RIGHTS OF SUBJECTS OF DATA '' _ Subd.1. Type o[data. The rights of individual on whom the data is swred or w be stored shail be as set forth ln thts seMion. Subd.2. InformaHon requtred to be given Indtvidual. .�n ind(vidual uled to supply prlvate or contidenHal data coacerning himself s6s11 be informed of: (a)the purpose and intended use of t6e requested dara wtthin the colJectineg state agency,political subdivtsion,or statewtde system;(b) whether he may retuse or(s legaily required to suppiy the requested data;(c)an�•laowa consequence aNsing from dis supphing or retusing to supply prtvate or conRdential data;and(d)the tdentlty of other persons or entitles authoraed b�state or federal law to receive the data.This requirement shall not apply when an Individual(s asked to supply investigative data,pursuant to sation Li.82,subdiv[ston 5,to a law en[orcement officer. The rnmmissioner of revenue mav olace the notice reaafred under this subdisision in the individual income ta�or nronertv tax refund instructions instead o[on those forms. Subd.3. Access to data by individual. Upon request to a responsible aathorics-,an individusl shali be informed w•6ether he is the subject of stored data on individuals,and whether it is classified as public,prn•ate or con[identlaL i'pon his further requat,an Indi�idual who(s t6e subject of stored private or publtc data on individuals shall be sAown the data wtthout an}charge m hlm and,lf he destres,shall be informed of the coateat and meaning of that data ARer an individusl has been showo the prfrate data and[n(ormed of its meaning,the data need not be disclosed to him forsix months thereafter unless a dispute or action pursuant to this section is pending or add(aonai data on t6e indiv(dual has been rnllected or created. The responsible authority shall provide coptes otthe private or public data upon requeu by the indtvidual subject of the data.The responsible aut6oriry may require the requesting person to pay the actual costs of maWng,certitying,and compili�the coptes. The responsible authorlty shall rnmply immedlately,if pussible,with anc requtst made pursuant to thls subdlvisioo,or withln five days of the date of the request,excluding Saturdays,Sundays and legal holida�•s if immediate compliznce is oot possible.If he cannot compiy rvith the request wtthln that time,he shall so tnform the individual,and may have an addiHooal tive days w-itLln which to comply wit6 the request,excluding Saturdays,Sundays and legal6olldays. Subd.4. Procedure when data is oot accurate or complete_An lndivlduil ma�contest the accuracy or completeness of pubBc or prtvate data concern[ng himselL To exercise this righy an individual shall notih in w�iting the respoustble suthority describing the nature of the dlsagreemea�The responsible authority ahall withln 30 days either: (a)correct the data found to be inasnrste or incomplete and attempt to notity past recipients oC inaccurate or incomplete data,including recipients named by the(ndividual;or(b)notlf`tLe indlvidua(that he believes the data to be rnrrect Data i� dispute shall be disclosed only if the individual'a statement of disagreement is tndoded.rith the dlsclosed data. The determination ot the responsible suthority may be appealed punuant to t6e provisions o[the administraHce 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 y-ou that your request for a permit or license from the City of Orono or anc of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The inforraation you furnish will be used to determine your quali5cation for the pernut or licease requested. 2. You may refuse to supply data,but refusal may reqnire that the City deny the permit or license. 3. The information may be shared with other local,state or federal agencies to the estent 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.13.0-�(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. Fj�t Middle Last Addreu City State Zip Phone I derstand my rights as stated above. . Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADI�RESS OR LEGAL: Z53 S O s o►+�Ezs��r- L,a�.,t_ PID: ' DESCRIPTION OF WORK F,,,,,5,.� ��,,�z �,.�,� -------------------------------------------------------------------------•----------------------------------------------- ZONING REVIEW BY: � DATE A.PPROVED: BUILDING REVIEW BY.• „".__= DATE APPROVED: z-Z,.Y- o�{ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLANREVIEW Yes ,�- No SEWER CONNECTION STATE SURCHARGE Yes ./ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: N� C/-f�4niJc.� Fire Depanment: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted.• Yes No Date of Sccrvey: Proposed Setbacks: Front (Lake): Right Si e: Rear (Street): Left Side: Adjacent Structures: Wetl . Building Height: Def. Hgt. Peak Hg Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: / Avg.Set6ack: Bluff Setbac : Lot Coverage: EXIStilig Proposed Hardcover: 0-75' 75-250' 250-500' . 500-1000' Hardcover Variance Required.• Yes o Date of Council Approval: REMARKS(in house): 32 BUILDING REVIEW CHECK LIST , ' UBC.• 2•3 CONSTRUCTION TYPE: �N Sq Footage $Per Sq Ftg Basement X = 1 st Floor x _ 2nd Floor x _ Garage X _ x = TOTAL Estimated Construction Value: $ I 31� D oo °�—' bzspections 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 _�Electrical (State Permit) Other -------------_------------------_—____---------- -----------_----- REMARKS(INHOUSE): -------------------------------------------------------- REVIEW BY OTHERS: DATE: � Access: Existing New Access Approval.• Date By. -------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT): � � 33 �(/ �t,,,r� �IME �, CITY OF ORONO �- � � INSPECTin�� "'^—"- T�ME � DATE — CAILED IN �— � C��(OF ORONO SCHEDULED _� /� INSPECTION N Po�2y COMP� PERMIT ND• � ADDRESS CONTR. = ING pWP1ER os TELEPHONE NO• �g EXGAV/GRA��N�F�LLING �g �p,KESHORFJ��T�'NDS i. DESCRIPT�ON �� MECHANICAL R� �TREE REMOVAL ~ 01 FOOT�NG 13 MECHANIGAL FINAI-F'REPU+CE � Rp,MING 24/25 WOOD BURNEW �� SITE INSPECTION TION pg pROGRESS N 3 INSUU� 12 WATER HOOK-UP 2� COMPIA�NT O 14 SEVdER HOOK-UP Z 04 WALL 80. 22 FO�LOW-�P Q 05 F�NAL 27 SEP7�C MA�NT• 35 HARD COVER REMOVAL = p7 DEMO-S�TE 15 SEPT�C�NSTALL. J p7 DEMO-F�NAL 23 SEP7�C FINA�- 36 FOUNDAt�ON/REMOVA� W 09 PLUMBING R� yES�N� � � �p PLUMBING FINAL YOU:� Q OWNEp�CON7RACTOR70MEE� Z � COMMENTS: � w � � � 0 � � 0 � W � Q � Z W W �pROJEC?COMPLETE �CCUPANCY � CERT�F►CATE OF � ❑ISSUE d —_TEMPORARY „ �RKSATISFACTORY:PROGEE W —pERMANENT �p GORRECT WO�K CA�OR REINSPEGTION p �CpRRECT W�RK, O gEFORECOVERING W1TN�N�H�URS. p PHOT�TAKEN �CpRRECT l)NSAFE CONDITIO►J �C�TqT10N ISSUED INSPECTOR W1LL R�URN ❑STOPORDERPOS7ED.CAILINSPECTOR ance. 952) 249��v00 ❑INSPECTION REaViRED.CA�L70 ARRANGE ACGESS. � Call for the n ext inspeCt1On 24 hours in adv pWnerlCon�a e: Inspector CanarY CoPY�Site Notice White CoPY Ilnspe�tor's File