HomeMy WebLinkAbout2005-P08992 - 3 season porch . . -� .
t x PERMIT
CIT�I OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08992
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
8/9/2005
SITE ADDRESS: 2855 Somerset La Unit#
Long Lake,MN 55356
PID: 04-117-23-24-0020
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Addition/Remodel/Re air Permit Sub-type(s): Three Season Porch
Permit Type: p
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
4 Season Porch w/Deck Addition
FEE SUMMARY: Pernut Fee: $ 321.25 valuation: $ 20,000.00
Plan Review Fee: $ 208.81
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 540.06
APPLICANT: Remodel Specialty,Inc. OWNER: Edward&Laureen Kernan
5101 Hwy 55, Suite 5000 2855 Somerset La
Minneapolis,MN 55422 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDWANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PER TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1
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Total Fee: $ �� ' — Date Received: c c
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Entered By: % /'� / Permit#: �7/��/c:�`�
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 ONTRACTOR
JOB SITE ADDRESS: ��S.S �o;Mc„ �c�-�- �.v�, 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 required 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: i��$ (��,n-� ,�,/e r��,,� , PHONE: (home)I S�.y�3�vc���
(work) 6t�.�r��,lyd�
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: w�,��,t�..l S -,�.I�.• �' PHONE: �I�3•Sv(c,Il�b
CONTACT PERSON: c� MOBILE/PAGER (o��.�3�i,I 1��I
MAILINGADDRESS: _,�'Io� Nw,� ;S S�-��=. ��'- CITY: �IS ZIP: <<c
STATE LICENSE: # ���a�(,��t L-- EXPIRATION DATE:
ARCHITECT/ENGINEER: �c�.�.�,4 ,IVb,rel-t �.:p.,, PHONE: � �S.;�G I i S�
MAILING ADDRESS: T—�CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home RemodeUAlteration �_
PROPOSED WORK(describein detain: Co�\�cY P,,.;�a,-, '��. ,e�;�., �,�,•��„ -}o `-I S��s.pr�
wT��.�?,c k ��f�i�ovt �.�.�t v�p-,�F.�c-� D,te�,k��s.��tc t'k:I-�,� d�,c�/_
STORIES: SQ.FEET OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $/ o��� �(���
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pernvt and w is not to start w�out a permit;and that the work will be
in accordance with the approved plan. � ,:-
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APPLICANT'S SIGNATURE: DATE: � 13
31
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type of data. T6e rights of individual on whom the data is stored or to be stored shall be as aet forth in thia sedion.
Subd.2.Infomwd�required to be given individual.An individual asked w suPPtY Pnvate or�nSdential data oonc�niag him4elfshall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,poGtical subdivision,or statewi�aystem;(b)
wF►edvx he may refuae or is legallY recluirad to supply the requested deta;(c)any Irnown con9equeoce arising fromhis supplymg or refusing w supply
private or confidential data;and(d)We identity ofotherpersons or entities authorizadby stste a federal law to�eceive the dara.This requirement s6all
not apply when an individual is asked to supply investigative data,piasuant to section 43.82,subdivision$,W a law enforcement officer.
The commissioner of cevenue roay place the notice r�uired under d►is subdivision in t6e individual income t�a o�e�tY t�►�efund
insu�uctioas inatead of on t6ose fmms.
Subd.3.Access w data by individual.Upon raquest ro a respousible authority,an individual shall be infvn�ad whether he ia tl�e subjecr of
stored data on individuals,a�d whether it is claseified as public,Private�confidential.Upon 6is fiut6er reques;an individual who is the subject of
stored private or public deta on individuals s6a11 be shown the deta widwut any chazge to him m�d,if he desires,shall be informecl of ttre content and
meaning of tliat data. After an individual has been shown the private data and infomied of its meaning,the data need not be discloaed to him for six
mont6s thencafterunless a dispute or action pwsuant w tbis section is pendiug or addidonal date on the individual 6as been collecced or crosted.The
responsible suthority shall provide copies of the private or public data upon request by d�e individual subject of the data The responsible suthority
may require the requesting person to pay the actual costa of malcing,certifying,and compiling die copics.
The responcibk authoriry shall comply immediately,if pasible,with eny req�made pursuent to t6is aubdivision,or within five days of
the date of the request,ezcluding Sapadays,Sundays and legal holidays,if immediate compli�ce ie not possibk.Ifhe c�mot canply with d�e requeat
widiin that ti�,he shall�o inform the individual,and may have an additional five days within which ro compty with @►e request,excluding Sawcdays,
S�mdays and legal 6olidays.
Subd.4.Pro�when data ia not accurate or complete.An indivi�al may conust die accwscy or cort�rktemss ofpubiic�private deta
c�ceraing Irimsel£To exercise tbie right,an individual simll notify in writing the resp�sibk�dwriry deacnbing the nature of tbe disag�cemen�1be
resperosible sudwriry shatl withia 30 deys either: (e)correct the data found to be inaccutate or incompkte and attempt w�tify paet recipi�ts of
in�curate or incfl�lete date,inctud'm�recipiente named by the individual;or(b)notify the individual that he believes the data to be coRect.Data in
dispute shall be diaclosed only if the individual's statement of disag�eement ia included with the disclosed dats.
Tde detem�ination of the responsible auUwcity may be app�pursuant to the proviaions of tbe administiative procedm+e act relating to
coatested ca�es.
�ATA PRIVACY ADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your reyuest
for a pernut or license from the City of Orono or any of its departinents may t�equire you to fumish certain private or
confidential information.
You ane notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
c+equested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or license.
3. 7'he information may be shared with other 1oca1, state or federal agencies to the extent necessary to
process the pernvt or license.
4. If your requested permit or license requires Council action to approve,some inforcnarion may become
pubiic.
5. You have certain rights under M.S. 13.04(availabte upon request)to review private data on yourself.
6. Your full name is required w process this application or permit.
Ffrst Mldd�e I.ast
Addreee
City State ?lp Phane
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I understaQd my.#� s tated
sigaeteioa'
32
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z.gSS ,so,vi�R�r �.4s�-e
PID:
DESCRIPTION OF WORK: ,ll�J�.�p.t�.�l�,pO�na�-'
ZO.�i 1G REVIEW BY: �- -- ----------------DAT'E APPROVED: g .y -o S--
BUII�DING REVIEW B : DATE APPROVED; g -Y-0 5"
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _,� No
PLAN REVIEW � Yes ,/' No SEWER CO�TNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No, �/" PARK FEE
SAC Yes No �/ � SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI�IG C�CK LIST Zoning District:
Fire Department: Post O�ce: School District:
I.ot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes� No Date of Survey: pw �t t�
Proposed Setbacks:
Front(Lake): z.00' -+ Right Side: ��o' t
Rear(Street): 1 y3� t Left Side: 93� �-
Adjacent Structures: � /'V l� Wetland: —
Building Height: Def. Hgt. p.(L Peak Hgt.
Lot Covera�e: /✓/�4
GradinD: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # "—" Resolution: # Resolution Date:
Shoreland District: Nc�
Av;. Setback: Bluff Setback: Lot Coverage:
Existin� Proposed
a
Hazdcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Da[e of Council Approval:
REviARKS (in house):
< �
BUILDING REVIE`V CHECK LIST
�C� R '3 CONSTRUCT'ION TYPE: �//J
� � � Sq Footage $Per Sq Ftg
Basemenc , x _
lst Floor x _
2nd Floor x _
Garage z _ ,
z =
TOTAL
Estimated Construction Value: $ 2�, o0 0 ��
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_,�Footing ` Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�Wall Boazd (Mfg,) Well (State Permit)
a`'F�� Grading/Filling �Electrical (State Permit)
O[her
RE1�24RKS(IN HOUSE): • .
_--__------------------_---���_�_____---------=-------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy; .
RENIARKS (TO BE NOTED ON PERivII'I'):N-----------------------------------------------------------
8
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(/-� DATE TIME
CITY OF ORONO CALLED IN (} ��'��
INSPECTION NnOTIC(�E.� ^ scHEou�Eo �_ %�-UC��M
PERMIT NO. J�G��1 4" COMPLETED 1'S- I,��S ����=��fy�
ADDRESS �=i� :�G'}'I'I F�r��� L-G"t.��
OWNER CONTR. �.IN�U cQe,� S,fLe.-� • �+u.
TELEPHONENO. � �f I � tF\��` I I6 �f
� DESCRIPTION
lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
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O 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-FINA� 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
� COMMENTS:
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W�t ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �,,�� �' ����_ �
White Copyllnspector's File Canary CopylSite Notice
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DAT � TIME
CITY OF ORONO CALLED IN
INSPECTION N TI � SCHEDULED ' �� ��I
PERMIT NO. � COMPLETED
ADDRESS
OWNER CONTR. f� �-
TELEPHONE NO. �,t %� � �'7 ���
� DESCRIPTION
� 01 FO � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 IN LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (952) 249-4600
OwnedContr ' e:
Inspector.
White Copy/lnspector's Ffle Canary CopylSite Notice
�.� � ��i���✓7 DAT TIME
CITY OF ORONO CALLED IN �� �� �_��
INSPECTION NOT E ],�SCHEDULED
PERMIT NO. �!�� � (%OMPLETED
ADDRESS � ' r�'��:.��_-/
OWNER CONTR.
�'� — C� — �i
TELEPHONE N0. � / �� � �
� DESCRIPTION ���-'�"� �`���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe ne in pection 24 hours in advance. (952� 249-46��
OwnerlContract b 'te
Inspector. ` L
White Copyllnspector's File Canary Copy/Site Notice
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