HomeMy WebLinkAbout2007-P10875 - addn/remodel/repair � PERMIT
CITY OF ORONO
2750 Keiley Parkway- PO Box 66 . Permit Number: p1o875
Crystal Bay, Minnesota 55323 P21'r711t Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued:
4/16/2007
SITE ADDRESS: 4785 Creekwood Tr Unit#
Maple Plain,MN 55359
PID: 30-118-23-33-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Pcrmit T e: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Remodel lower level
FEE SUMMARY: PermitFee: $ 713.75 valuation: $ 60,000.00
Plan Review Fee: $ 463.94
State Surcharge Fee: $ 30.00
TOTAL FEE: $ 1,207.69
APPLICANT: Richter Construction OWNER: Lonnie w/Marsha Underhill
18217 Woolman Drive 4785 Creekwood Tr
Minnetonka,MN 55345 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A LI 'T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
, ��7
, � �f-��
Total Fee: $ iao� . 6 9 Date Received: '1�'9`��
Entered By: Permit#: f� /Og7,5
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all i�zformation)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: L����� L����.i���� �#?ut L. ZIP: „j����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, n special eve��t pern�it is r•e�uired lvith Polrce Departme��t and Ciry CoiFncil appr•oval
60 days pria��to the ever7t. Shi�ttle bus se�vice rvi!/be requirecf unless capplicai�t devnonsh•ates
szrfficient oia-site parking is available. No��-per•n�itted events will not be crllowed.
NAME OF OWNER: L��.I�.(�� (���,>>���lL� PHONE: (home��;z) G{�{� -Uc�c��3
(work) � - -�3�}7
MAILING ADDRESS: �']8� C'���.w,��� �y�ITY: ���p� -+',�,�IP: �-
CONTRACTOR: �i�• �T��- ��i,ST PHONE: ��? �� �'���
CONTACT PERSON: ��,�, �,L,�T�� MOBILE/PAGER: �1 z. q�.5 -9/`»
MAILING ADDRESS: �y��z�� ,(��.��.��� �� . CITY: /YfT,�� ZIP: ���,'
STATE LICENSE: #�;�(Z EXPIRATION DATE:�v(�.�� U 8
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: Ne�v Hame Addition Accessory Str��cture
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(descrihe in detuin: � ,���.lyeuis i� 1����� , 1.�Jk-�( .51��rOY-r��-
�aGra���.s /�-�lu �i,l L�i,l� ,�l��2�cr�oD���z. ��i��s N �u�e�— /� c��
STOI2IES: SQ.FEET OF EACH FLOOR: � �Lv�,�- /���J r 1 ���-1_
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� �XO
I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate;
tl�at the�vork�vill be in conformance ���itL the ordinances and codes of the City and«�ith the State B�:i!din�
Code;that I understand this is not a permit and��ork is not to start without a permit;and that tlie work will be
in accordance�vith t11e approved plan. ,
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AYPLICANT'S SIGNATURE: � / ,�� DATE:
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Sec.13.0� RIGHTS OF SUBJECTS OF D 1TA
Subd. 1. Type of data. The ri�hts of individual on�vhom the data is stored or to be stored shall be as se[forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be
infonned 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 contidential data;and(d)the identiry ofother 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 olace the notice required tuider this subdivision in the individual income tax or proper[v tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon requestto a responsible audiority,an individual shall be infonned whether he is the subject of
stored data on individuals,and whether it is classitied as public,private or contidentiaL 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 ofthe content and
meaning of that data. After an individual has been show�n the private data and infonned of its meaning the data need not be disclosed to him for six
months tliereafter unless a dispute or action pursuant to diis secfion is pending or additional data on HZe 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 costs of making,certih�ing,and compiling the copies.
The responsible authority shall comply iinmediately,if possible.with any request made pursuant to this subdivision,or�vithin tive daYs of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
�vithin d�at time,he shall so inform the individual,and may have an additioiial tive days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
S ubd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
concerning himselP. To exercise this righ[,an individual shail notify in writing the responsible authori[y describing the nature of the disagreement The
responsible authority shall�vithin 30 days eithcr (a)correct the data found to be inaccurate or incomplete and attempt to notity past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he Uelieves the data to be correc[. Data in
dispute shall be disclosed only if the individual's statement of disagreement is induded with U�e�isclosed data.
The determination of the responsible authonty may be appealed pursuant ro the provisions of the adminisvative 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 inforn�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 fumish will be used to detern�ine 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 fedcral agencies to the extent necessary to
-• process the pern�it or license.
4. If your requested permit or license requires Council action to approve, some in�farmation may become
public. "
5. You have certain rights under M.S. 13.04(availab(e upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
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Citv StAtc Zip Phonc
( un�r tand my rig s as stated above.
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, �CHE�� pFF i�IST FOR ISSU.ANCE 4F �E��ITS
' FOR OFFICE USE ONLY
AbDRESS OR 1'�EGA.L; Y 7�5 C2.�.wo�✓� -c'(2/a�� --
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ZOV�TG REVLE�4V BX: `--------------- D�.Z'E APPROVED: ,n11 h
T�ULLDLNG REVIEtiV BY: . DATE APPROVED: c-�-�t, -o-t
FEES TO BE C�-LARGED: Misc. Fees Calculated By:
PEg�T Yes � No
PLAN REVIEtiV Yes _� No SEti�R CO�N'ECTION
STATE SU"RCHARGE Yes � No �VATERCONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No _� SITEINSPECTION
Numbzr of SAC•Uruts OTHER (specify)
Zp�IGrCHE.CK LIST Zaning District: _Nc) Ci-��9/�►�-Q �.
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Fire Depar'�aent: Post Office: Schoel District: �
I.,oc Area: Sq.ft.
Acres Width Dep[h
5urvey Submitted: Yes I�o ate of Survey:
Proposed 5e!backs:
Froa[(Lake): Ri�[Side: .
Rear(�treetj; Left Side:
FidjaCeC� S�Cu�CLra�: �V I137d'
Buil�lin� Hei�.t: Det. Hgt, ea�Hgc.
Lot Covzra�e:
Grading: S�afE r'.pprov� Date: B;: Council Approval DaCe:
Szptic: S�af� Appro•��1 Date: �`.':
Zo��n� F�le: R Resolu:ioe: r P.esolut:�n Da!e: ._
S;lOCe�?S'_d �lStLiC�:
A.vQ. Seiback: Blu�i Se�ba k: i_acCover�,e:
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BUII�DING TtEY1Eti� CKECK LIST
UBC: 2-3 CONSTRUC'�z'TON TY�E: �!N
Sq Footage $ Per Sq Fto
Basement' � x _
lst Floor x _
2nd Floor � _ .
Garage X =
z =
TOTAL
Estimated Constructioo Value: $ (�(��npp o0
J.nspections Required: �york equiring Separate Permits:
S i[e �umbin� Fi.re
Hardcover Removal Mechanical Wacer Coaaectioa
y Footing ' Septic 5ewer Coanectioa
_� Fz��d F'ireplace Lawn Irrigation
�/Insutacioa (Masoary) Otner
�t/Va11 Board (Mfg.) Well (State Permi;)
�� Grading/Filling
Other t�'�ectrical (State Permit)
REMA.R.K� (LR'HOUSE): - -- �-
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REV��V BY OTHERS: DATE:
AccesS: Existi.ng New
Access Approvzl: Date gy:
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REI�TARb'S f,'C013F NC�'I'En nv pEF���� :
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CITY OF ORONO c ��
INSPECTION N C SCHEDULED ' -� %
PERMIT NO. 7 COMPLETED
ADDRESS �'
OWNER CONTR.
TELEPHONE NO. (��l�- /�S ���
� DESCRIPTION ��� �'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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�NSTALL. 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
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor si e
Inspector.
White Copyllnspector's File Canary CopylSite Notice
/ ' / �
i�/[ r. TE TIME
'��ITY OF ORONO ¢�P CALLED IN !G�
� ���07�
INSPECTION NOTI E SCHEDULED �� �
PERMIT N0. ' COMPLETED
ADDRESS '��7�5 �.fh_�� ,������'� �l�
OWNER CONTR. � / C f�� �G��.
TELEPHONE NO. l� � ��i�`7=- ��/ v
� DESCRIPTION �� � -
l� 01 FOOTING 11 MECHANICAL RI �` 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL r 19 LAKESHORE/WETLANDS
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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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
r09 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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. U pHOTOTAKEN
INSPECTOR WILL RETItRN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the ne inspection 24 hours in advance. (952) 249-4600
Owner/Contract i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice