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Home My WebLink About2002-P04907 - addn/remodel/repair �`Y F R N PERMIT cC O O O O 2750 Kelley Parkway - PO Box 66 Permit Number: Poa9o� Crystal Bay, Minnesota 55323 PeCCTIIt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 2�20�2002 SITE ADDRESS: 2108 Sugarwood Dr I.ong Lake,MN 55356 P I D: 34-118-23-21-0024 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Permit Class: g Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: riumoing Bieciricai�siaie� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Owner/Self OWNER: Micheal&7acqelin Ricks � 2108 Sugarwood Dr Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ' � ` �'. 1 ,, ^ i , < l�k � ` /� ' ;�,� - C "`-�--< C.`�'l-", �.<: � "�_ . AP I�ANT PERMIT E SIGNA URE IS UED BY SIGNATURE i / Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 � , . Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: _�1 D 8 �u o a r 0 o c�S �Zg':_ S S 3 S�O NAME OF OWNER: �Jacaue�rhP anc� /�ic,hae� ��k.S PHONE: (home) y,,�-�?S—0009 � (work) MAILING ADDRESS: �.,108 �' Weod��C�� D�o n o ZII'�,55 3 Sb CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: � CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�� Land Alteration PROPOSED WORK(describe in detain: �h �� n�'�^�ra�me �n �ForQ ac rm,� roorn . a roorv� rouaG�e, i n �i cr �� —T STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ IO� 0 0 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 pemut and work is not to start without a permit; and that the work will be in acc ce with the approved plan. f � APPLICANT'S SIGNA � DATE: p 2,— � � — 0 Z NOTE! Parade of Homes ev ts r uire separate permit approval by Police Deparhnent and City Council 60 days prior to t e event. Non permitted events will not be allowed. 5 � - � 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 indiridual. M individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is IegaUy 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 entiries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secuon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mavplace the notice required under this subdivision in the individual income tax or nronertv 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 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 hun 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 need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secrion 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. The responsible authoriry may require the requesting person to pay the actual cosu 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. If he cannot comply with the request within that dme, he shall so inform the individual, and may have an addidonal 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 of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data foural 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 deternunation of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 �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 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 name is required to process this application or permit. �� m e. �� s �ro f� � First � Middle Last Address Ciry State Zip Phone I understand my rights as st ted above. � ' . Signa e " 6 ��, CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 21 m� S�_c�_.a.�t�e.r�o r�S �� PID: DESCRIPTION OF WORK: Ppr�.R-t 9�L t3.r�,.-u,,r.,,,�- �,J _�,a ZONING REVIEW BY: I i'�+- ---------------------DATE APPROVED: ------------------- BUII.DING REVIEW BY: DATE APPROVED: �. z o • d 2 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No C/ SEWER COrfNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �v o G�anrv� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: Wetl Building Height: Def. Hgt. Peak Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMAR��S(in house): 7 �� .: BUII..DING REVIEW CHECK LIST UBC: /Z� 3 CONSTRUCTION TYPE: �/%f Sq Footage $Per Sq Ftg Basement z = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ � (� ,C�c�o �= Inspections Required: Work Requiring Separate Permits: Site J�Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation InsuYation (Masonry) Other _�Wall Boazd (Mfg.) � Well(State Permit) _�Final Grading/Filling �-Electrical(State Permit) Other REMARI�,S(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARI�.S (TO BE NOTED ON PERMIT�: 8 C%��a:�' �!� DATE TIME CITY OF ORONO � CALLED IN �_ INSPECTION NOT Q scHE�u�E� ^ m PERMITNO. �%�� COMPLETED "�� l 3c.) ADDRESS �� U � � i � OWNER CONTR. TELEPHONE NO. �� ' `t �S — �� DESCRIPTION .�� 4� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI Z 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 � 10 PLUMBING FINAL v 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:__�1'ES_NO � CO MENTS: �� I � � � a ��2. �- P-�-i.y��`' ^ � � J O � � G� � 0 � W � Q � 2 W � W � � � �C1�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�`❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon or on site- Inspector.��`�-�'� ��"� .f White Copyllnspector's Ffle Canary Copy/Site Notice MovTDETREATED WHEN' LAYED ON CONCREM i 0 trJe3I, LA 7-12' mew w�-i1S NO COPY CITY OF OPOVIO BUILDING --iiNlIT INSPECTOR DATE -(Z- 13 APPROVED A.S SUSM'TTED J30N, 0— :T TN 'F in-(u'd;ng not6P&0.7��'ly noiAj in ifOs OV. KEEP THIS PLAN SET ON SITE AT ARL TIMES ' A55UME12 SOIL ORO. CAPACITY 2,000 L55. BLOCK RF—INFORCINC CHART: ,ef i C -+AT MAX. BACKFILL PF -PTH REINFORCING 12-14 C 6 FT HOLLOW 2-14 6 7 FT GROUTED 24'OC 2 C a FT FULLY GROUTED . . . . . . 4 0 48' OC � 3 c 8 * FT 63 8 48' X 14C 9 + FT* '5 0 32' X NOTE ; REINFORCING 5TEEL TO M PLACED NO MORE THAN 4' FROM IN51X (TENSION) FACE OF WALL. HALF MA50NRY 5TF;tf55F-5 o5F-O WITH NO 5FY-CIAL IN5PECTION REQUIPEO 13A5EMENT PLAN- 56ALE: 1/4"W-011 PC) DATE. 10-04-99 REVISIONS: 10-18.99 DRAWN BY: ii COMM. NO. 990395 &iUT NO. 3