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Home My WebLink About2007-P10803 - addn/remodel/repair PERMIT CITY C�F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P1o803 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4E00 Addition/RemodeURepair Date Issued: 2/28/2007 SITE ADDRESS: 2920 Somerset La Unit# Long Lake,MN 55356 PID: 04-117-23-21-0012 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Electrical(state) NOTICES/REMARKS: Bath Remodel FEE SUMMARY: Permit Fee: $ 321.25 valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 331.25 APPLICANT: Owner/Self OWNER: Peter&Lori Ginsberg MN 2920 Somerset La � Long Lake,MN 55356 THE UNDERSI�IED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO�DO ALL WORK IN STRICT COMPUANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINN OTA BU�'L,DING CODE REQUIREMENTS. i_.. .-�� _... � -------- ; . . � G"' t ` i APPL ANT PERM[TEE SIGNATURE S ED BY SIGNATURE Copies: 1-File(Signatures Required), � 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1 Total Fee: $ 33(. o�� Date Received: a-o�� Entered By: Permit#: {�/�R'd3 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: .``12U �vher Se,� „�o Z�: .5 5 3�')S � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � NO Ifyes, a special eventpermit is required with Podice 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 everrts will not be allowed NAME OF OWNER: pe�e,� �' � � �; �j-;+�s��- PHONE: (home) Q5�` �IU� -7Z I� (work) MAILING ADDRESS: ��t 20 ��,a,,.5�,+ �-c,�n�CITY: r� _ZIP: M. CONTRACTOR: ��„�,� PHONE: �15 2.- �py- 721 t� CONTACT PERSON: Se. �on�, Sf�" or^,+d MOBILE/PAGER: ��1�- ?o f- l 17�j u MAILINGADDRESS: u7�6 `�'v�,n�� • - � CITY: h�� 7IP: Ss3us STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �_ Any earth movement may require MCWD eview and permits! PROPOSED WORK(describein detai�: iJ� `ab �- 51��„�,r. �r�t}�ce,S-- �w� ;le, �rt,a.�,►w� — Pc�:.nt � F.•�;zh - STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ ��, (94 d I hereby apply for a building permit an acknowled that the information above is complete and accurate; that the work will be in conformance i the ordi ces and codes of the City and with the State Building Code;that I understand this is not a pe ' a k is not to start without a permit;and that the work will be in accordance with the approved p . APPLICANT'S SIGNATURE. DATE: Z- 2't 'o ' 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. M individual asked to supply private or wnfidential data conceming himselfshall be informed of. (a)the purpose and intended use oFthe 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.This 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 place the notice required under this subdivision in the individual income ta�c or property tax refund instructions instead of on those forms. Subd.3.Access to data by individual. Upon request to a responsible authority,an individual shall be infortned 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 nced 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 wllected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subjec[of the data. The responsible authoriry 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.[fhe 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 Iega1 holidays. Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic orprivate data conceming himsel£ 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 inwmplete 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 administrative procedure act relating to contested cases. DATA PRNACY 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. T'he 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 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 nam4e is required to process this application or pernut. . ` First Middle Last Address Ci State 7ap P6one I unders y rig s a tated above. Signature Reset Form 32 , �CHE�� OFF i�TST FOR ISSU.ANCE 4F �ERMITS F�R OFFICE USE ONLY� . . ApDRESS ORLEGAL: ZgZ.v sd�nn��2s� c.r�.N ` PID: I7ESCRIPTIO� OF W4RK: Q A� R�uon�. 12�-�✓� =�_— ------------------- � �� ....��..��..��..�..��1..'�� ZO�TG REVIT�V BY: ---- � tq DATE APPROVED: gUILDI[�IG REVITtiY 8Y: . . DA.TE APPROVED; Z-2f� � -=-- ----- _...__ ---=----------------------------------------------��---- �'EES TO BE CHARGED: Misc, Fees Calculated By: PERMIT Yes _� No PLAN REV�EtiV � Yes No � �VA,�O��ON STATE SURCHARGE Yes � No INVESTIGATION FEE Yes No PARK FEE SAC Yes Na SITEINSFECTION Number of SAC•Units OTHER (specify) ZON.i�i TCr CH�CK LIST Zoning District: N d c H�"16 e- .. Fire Department: Post.Office: School Dis[rict: � ' Lot Area: Sq.ft. Acres ' Widch Depttii Survey Submitted:� Yes No Date oE Survey: Proposed Setbacks; • � Froat(Lake}; Right Side: Rear(Street): Laft Side: Adjaceot Structures: Wettan : Buil�lin;Hei�t: Def. Hgt. Pea.�: gC. _ Lot Covera�e: Gradino: Scaff Approvai Date: B : �Council Approval Date: ' Szptic: S�af� Approval Date: � � ZQain� File: R Resolutioa: n P.esotution Date: Shorelar!d District: �t Coverge: Avg. Setback: Blu;f Setbac ' Eus�ing Proposed F-Izdcover: 0-75' 75-250' 2�0-SCuJ' . �oo-icc�� i��.C.rJt�: ti�:2,C' f:�^yL'!: ; 5 , t'1� _ nf('r�,:inf�� A,n�r�'v,�: ---._� ec: z F.E�L�S (in hou�e): . , . BUILDING �tEVIEW CHECg LIST UBC: IZ'3 ' CONSTRUCTION TYPE: _�(�I Sq Footaoe $ Per Sq Ftg � Basement • . . .. X _ . . 15[Floor ' z . _ . � . 2nd Floor x = � � . Garaoe X = . x = TOTAL Estimated Co�struction Value: $ �,dpo `�s Insgections Required: �York Requiring Separate Permits: Site X Plumbing Fire • Hardcover Removal Mechanical Water Coaaection Footing ' Septic Sewer Connection �• Fr��° � Fireplace Lawn Irrigation _�C Insutation (Masonry) Oc�er x Wall Boazd (Mfg.) Well (State Perm.it) F�� Grading/Fil(ing pc Electrical (State Permit) Other REMARKS (IN HOUSE): � � � � -- ----------------------------------------- REVIE�V BY OTHERS: DAT'E: Access: Existi.ng New . Access Approval: Date gy: REI�IARh'S (T'O SE NC�'I'ED �v PEF.�� - - --------------------------------- S �� DATE TIME V CITY OF ORONO `�c ✓�pirv o�" INSPECTION TICE z 1, EDULED "d� 9.'30 PERMIT NO. !a �`� �r'�MPLETED ADDRESS a9ao � /�� OWNER CONTR. �� TELEPHONE NO.��I�` ��d -sf �aZ 7 � � DESCRIPTION � -' ��" '� � 01 FOOTING �/` 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 RAMING�V... 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 NSULATION�� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 7 S IC MAINT. 21 COMPLAINT Q 07 DEMO-FINAL 6 5 �IC INSTALL. 22 FOLLOW-UP W 9 LUMBING RI Q �I� �3 SEPTIC FINAL 35 HARD COVER REMOVAL J�LUMBING FINAL� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED 'J ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN - ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. � Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContr s te: Inspector. - White Copyllnspector's iie Canary CopylSite Notice �� V DAT TIME CITY OF ORONO /CALLED IN � �'�'G �'1 INSPECTION �j��a3 �/ SCHEDULED �iJ' ZI'U� .�.2� I�I� PERMIT NO. COMPLETED ADDRESS 2_�2 a ��i►�/r�,Q� •{�' r � OWNER l�'� �"Or L��s�� CONTR.�S' e�-S�C2��00�-�1 TELEPHONENO. (�J ( 2- 20S -f �-��} �� DESCRIPTION �� 0.�' L ��FCk�r- �f�..�C�,•.Q 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 v 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMME� W � C� S � � � 0 � ��080 0 � W � Q � z w � W � � d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED '_' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContract�s : Inspector. White Copylinspector's File Canary CopylSite Notice