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Home My WebLink About2008-00370 (bath remodel) CITY OF ORONO PERMIT NO.: 2oos-oo3�0 2750 KELLEY PARKWAY 1 ORONO, MN 55356- DATE ISSUED: 1U14/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2414 CARMAN ST PIN : 20-117-23-12-0064 LEGAL DESC : N/A : LOT 000 BLOCK 001 PERMIT TYPE : ADD[TION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELGCTRICAL(STA"I'H) BATH REMODEL APPLICANT PERMIT FEE SCHEDULE 191.75 PUDIL, MICHEAL&GAIL 2414 CARMAN STREET PLAN REVIEW 124.64 WAYZATA, MN 55391 STATE SURCHARGE(VALUATION) 5.00 TOTAL 321.39 OWNER PUDIL, MICHEAL&GAIL 2414 CARMAN STREET WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be t � revoked at any time for due cause. �--�^^�, �' � ' �__ \ � L, ' �' �(2� //-- �(L_/;� . ! ��.� / / � l. Applicant ermitee Signature Date � � Issued By Signature Date SEPARATE PERM[TS REOUIRED FOR WORK OTHER THAN f)F.SC'RTRF.I� AR(�VF. ��'°$ � . `� �,,� �1 `� ' Total Fee: $ .�2�' 3� Date Received: /(/07/D� Entered By: Permit#: o��Q �'-0037v CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all inforr�zation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one)�OWNER�R CONTRACTOR JOB SITE ADDRESS: c� y/�' �/�,Q/1-�,��( �Ti1P�? ZIp; �=�� `�" !` Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ 1'eS �No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�-vice will be��equired unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wilJ not be allowed. �, t�_. i NAME OF OWNER: r ' � /�'E' ;�'" �-4 �� Ir PHONE: (home)��''��-� u�e� (work) ��./� - �d i�s•y Oµr t� MAILING ADDRESS: o�`�/`� ��t'rh,�v� v T'i�s*�'r-CITY: .'��'��.y��4 r ,�' ZIP• ��"°?�`4 � �' ' CONTRACTOR: U �� '-'�`� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: #___ _�___ EXPIRATION DATE: ARCHITECT/ENGINEER: C�'� �.�'�^��`.'°� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Wi»dows) � Any earth movement may require MCWD review and permits ! PROPOS�j D WORKp (describe in detai�: I'CPFG� G�'<��f'C �.y%/� ✓`f-f r�;, � rt, STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �D, D U CS��J 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 permit and work is not to start without apermit;and that the work will be in accordance with the approved plan. S / ,I APPLICANT'S SIGNATURE: � �z�- ! DATE: /1 '� �'`'� � 31 T Sec13.04 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. lnformation required to be given individual. An individual asked to supply private or confidential data conceming himself shal I 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 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[o 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 tax or property tax refund instructions instead of on those forms. 3ubd.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 fuRher 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. Afrer 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 section 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 authority 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe 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 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)no[ify the individual that he bel ieves 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 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 City 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. —l" •-�/f�'e- � 1 L.(�� 1 First Middle Last �7 �r��y �r'�� I✓�'f ii��.ti.J ..�_�•�.��4'�' �" .4ddress �-�'.�y?�.';-a ,Y,1 j v� .5>f:.,`a� ',��'�M �/��- :�� ' �;, City State Zip Phone 'understand my rights as stated above. �� c �,. �� f� . x...-�,+'i � 't,. Signature Reset Form 32 , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2�I ��I c.4�z��,�, �<-- PID: DESCRIPTION OF WORK: (3 q-r-� (Z,c�„�,,�C� ZONING REVIEW BY.• DATEAPPROTfED: �� B UILDING REVIEW BY.• DATEAPPRO i�ED: ! �-t 3-o� FEES TO BE CHARGED: Misc. Fees Calculated ByNW~_____________________ - PERMIT Yes f No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes �/ No u'ATER COIVNECTION INVESTIGATIOIV FEE Yes No �/' PARK FEE SAC Yes No � � SITEINSPECTION Number of SAC Units OTHER (spec�) ---__---_____----------__---__----------- ZONING CHECK LIST Zoning Disa•ict: �/'v ��,�� Fire Department: Post Off ce: School District: Lot Area: Sq.ft. Acres GVidth Depth Survey Submitted. Yes �'o Date of Suivey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland Building Height: Def. Hgt. Peak H . Lot Coverage: Grading: S1affApproval Date: By: CouncilAppr-oval Date: Septic: Staff�lpproval Date-: By, Zoning File: # Resolution: fr Resol tion Date: Sho��eland District: MCY!' Permit: Avg. Setback: BlzfjSetback: LotCoverage: Existing Proposed Hardcover-: 0-�.i' 75-?�0' '�0-�00' .i 00-1 D00' Hardcover f'ariance Reyz�ired: I"es N'o Date of Cozrncil Approval: REMARKS(ii� Iz o use): 33 BUILDING REVIEW CHECK LIST UBC: � ' 3 CONSTRUCTIOIV TYPE: V� Sq Footage $Per Sg Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: ,S' 10�()00 �0 Inspections Required: Work Requiring Separate Permits: Site D( Plumbing Fire Hardcover Removal Mechanical YY'ater Connection Footing Septic Sewer Connection ! Framing Fireplace Lawn Irrigation IC Insulation (Masomy) Other Wall Boar•d (A1fg.) Y�'ell(State Permit) _�Final Grading/Filling __�Electrical(State Permit) Other REMARKS(INHOUSE): RET�IEW BY OTHERS: DATE: Access: Exisiing New Access Approval: Date B}� REMARKS (TO BE NOTED ON PERMIT): 34 � -- -..w.- =--�- � _ _ --. __ -,. - _..�.._._._ ,� , ��.,r.:..'._._..�. � /�� _ ;� "� �vt � �G�.... i i � � -, � ; jl , I ' i l 'I i �t-LC� r �... �� k� �t-;"�"�f� ��''i't'� � ' ' � . . ' ; ! f , i ' i � 1 � '� ' � � / � �. �f��-�.�r�� ,;, 'i''��`"` � I I ' � � . 3 +� i I � �{"�` � � ! � C.c� ,� �z--?r`i�'`/�k �`1JJ ,'�`�'j � ' � � —� ' � ; ! To�t.G'f' y �3 0. � i i i �� i C�. iZ - 61 �� - � � �� i � f iI f ; , � � � i �; y ! �� ,� r/ i ; ( i I i ; 4 � �lS X 3G ; ` � ; � N'e�- �,�L. � : a �e i � 5N '�`-'e E � ?x�'w�rr� ;J . I �'�'� `� C L��7' � ( � - _ � o I � ,' _ � � I � ;' .' , � i � � ' i �.x�s�r��.. 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