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Home My WebLink About2008-00202 - addn/remodel/repair f ' CITY OF ORONO PERMIT NO.: 2008-00202 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 09/17/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 180 BIG ISLAND PIN : 23-117-23-23-0036 LEGAL DESC : MORSE ISLAND PARK : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 12,000.00 NOTE: SEPARATE PERMIT IS REQUIRED FOR THE ELECTRICAL-ELECTRICAL PERMITS ARE ISSUED BY THE STATE. SCREEN PORCH OVER EXISITNG DECK. APPLICANT PERMIT FEE SCHEDULE 221.25 STRUCTURES UNLIMITED, INC. PLAN REVIEW 143.81 5425 CLAYTON DRIVE MAPLE PLAIN, MN 55359 STATE SURCHARGE(VALUATION) 6.00 Q TOTAL 371.06 Minnesota State License#: 20173396 OWNER MEYERS, MARK& SUZANNE 25 LACOSTA DRIVE DELLWOOD, MN 55110- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed 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 laws and ordinances goveming this type of work shall be compied with ether or not specified herein.This permit will expire a ecome nul nd void if construction authorized is not comme ce within 18 days of the date of issuance,or if construction is suspen ed or a peri of 180 days at any time after work has commenced. The appl ant is re o ible for assuring all required inspections are reque�t in conf rma e with the State Building Code.T�I is permit may be revok' at any 'me f use--"�"-- i i ' �ll7i � Appl ant Permitee Signature Date s u By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � I � ��l Total Fee: $37�. ��O Date Received: �d Entered By: �Yj� Permit#: � (� �---- 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 CON`TRACTOR F 5:J JOB SITE ADDRESS: (�' J --��(� `� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Y0S ❑ NO If yes, a special event permit is required with Police Department and City Council approval 60 days prio��to the event. Shuttle bus ser�vice will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: +I G��2 ZGZ C� , � (� PHONE: (home � �I"��'�j`j� �tj L-��c.�o�� f�v� (wo k) MAILING ADDRESS: i� CITY: ��,�' � ,q��IP: ,��I�i�' � � �l�-��, � � , �� CONTRACTOR: '�S I r►1� c:- PHONE: �Q�Z-�J��`�� j CONTACT PERSON: ` � OBILE/PAGER: 1�/Z•-'�g�-{-y(�e.�� MAILING ADDRESS: � '� ✓ CITY: �^l�lc��f��'fr�,�,.� ZIP: �� 35 g STATE LICENSE: #�L �� EXPIRATION DATE: .�1�� y ARCHITECT/ENGINEER: � PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may requir �MC,,WD� � review and permits! PROPOSED WORK(describe in detai�:��r�-��,-� +��1 Q-U'�'(� _�-��!� �� STORIES: SQ.FEET OF EACH FLOOR:��r � NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � Z-� �d � I hereby apply for a building permit d I acknowledge at the information above is complete and accurate; that the work will be in confor� nce wit e ordina es and codes of the City and with the State Building Code;that I understand this is no a permit a wor not to start without a permit;and that the work will be in accordance with the approved an. APPLICANT'S SIGNATURE: DATE: �� `' /� 31 . � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu 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 An individual asked to supply private or confidential data conceming himself shall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,politica]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 shal I . 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 tax or propeRy 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 publ ic,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 ofthe 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 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 authoriry 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. If he 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 himsel£ To exercise this right,an individual shal l notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomple[e and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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 ofthe adminisvative procedure act relating to contested cases. DA"I'A 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: l. 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. S�gnature Resct Form 32 . - CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: l �� 3 l b S��N/, PID: DESCRIPTION OF WORK: � �,,_ po ZONING REi�IEW BY.• N� DATEAPPROVED.W 4'-iZ--�� _ BUILDING REi�IEW BY.• DATEAPPRO[�ED: _�-�Z-O� FEES TO BE CHARGED: Misc. Fees Calculated By: � w�_______________ PERMIT Yes ,� No PLAN REVIEW Yes �/ No SEWER CO.NNECTION STATE SURCHARGE �'es �� No WATER COIVNECTION INVESTIGATION FEE �es No �/' PARK FEE SAC Yes No_r� SITEINSPECTION Number of SAC Units OTHER (spec�) -------______�_____-----------__�_____------- ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq ft. Acres W idth Depth Survey Sz�bmitted: Yes e( No Date ofSurvey: ON F�1�:.. P��oposed Setbacks: Front(Lake): q$� �' Right Side: _'j")� -!� � t Rear(Street): $b '�' Left Side: l 0� Adjacent Structures: N//4 � Wetland: �//v� Building Height: Def Hgt. U' .� Peak Hgt. Lot Coverage: Q.k. G�-ading: StaffApp��ova!Date: nl �� By: Council Appr•oval Date: Septic: Staff Approval Date: _ — By: Zoning File: # �' Resolution: # Resolution Date: Sha•eland Distt•ict: ./.eS A1CYl'D Permit: Avg. Setback-: 'u •IL BluffSetback — LotCoverage: — Fxisting Proposed Hardcover-: 0-i.i' 75-2�0' ?.i 0-.i DO' D.1< �00-1000' Har•dcover ('a�-iance Reqz�ired: I'es N'o oL Date of Cozuzcil Approval: REMARKS(i�r house): 33 � 4 BUILDING REVIEW CHECIC LIST UBC: R•3 CONSTR UCTION T YPE: V� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = z = TOTAL Estimated Construction Value: $ t 2,�Q Op `�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical YG'ater Connection Footing Septic Sewer Connection �_Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (A1fg.) YY'ell(State Permit) X Final Grading/Filling t Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: � Access: Eristing New Access Approval: Date By: � REMARKS (TO BE NOTED ON PERMIT): 34 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. a�DB-ODd,G� COMPLETED ��'2D -/ � ADDRESS � �v �� L Sl�T�+✓� OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION SC�2r► llh t�i��►G � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � j GW �WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContr r n ' e Inspector. Whit Copyllnspector's File Canary CopylSite Notice