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Home My WebLink About2007-P11547 - addn/remodel/repair PERMIT GIT1r�OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11547 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date issued: 10/11/2007 SITE ADDRESS: 135 Cygnet Pl Unit# Long Lake, MN 55356 PID: 04-117-23-22-0011 DESCRIPTION: Proposed Use: Residential Census Code 434 Permit Class: Building Addition/RemodeURe air Permit Sub-type(s): Addn/Remodel/Repair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Kitchen remodel, remove non bearing wall,new stair rail etc. FEE SUMMARY: Permit Fee: $ 23�.25 Valuation: $ 13,500.00 Plan Review Fee: $ 154.21 State Surcharge Fee: $ 6.75 TOTAL FEE: $ 398.21 APPLICANT: Sawdust Memories Inc. OWNER: Anderson&Moriarty 106 France Ave. S. 135 Cygnet Pl Golden Valley,MN 55416 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 REQ IREMENTS. -= __—- � APPLICANT PERM EE SIGNATU UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 . � c�D� �o.,o Total Fee: $ `�� '�'� � Date Received: �� -g-�� Entered By: Pertnit#: �9�►5 y� CITY OF ORONO - BUILDING PERMIT APPLICATION All information raust be submitted in full before plan review will be started. (please print all informadon) THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR `� JOB SITE ADDRESS: 135 Cygnet Place ZIP� 55356 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes Q✓ NO If yes,a special event permit is reguired with Police 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 events will not be allowed. NAME OF OWNER: �'zabeth Moriarty PHONE: (home) �952)473-8562 ��,ypljt� (952)470-3887 MAILING ADDRESS: 135 Cygnet P(ace CI.I.Y� orono �p. 55356 CONTRACTOR: Sawdust Memories Inc PHONE: (612)723-7532 CONTACT PERSON: Scott hagg MOBILE/PAGER: (612)723-7532 MAILING ADDRE5S: 106 South France Ave CITY: Gotden Valley 71P; 55416 STATE LICENSE: # 2oz22zo5 EXPIRATION DATE: 03/31/08 ARCHITECT/ENGINEER: N�A PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeVAlteration(ie: Siding,Windows) ✓ Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detain: Kitchen remodel: cabinets,appliances,add maple flooring, remove non bearing wall,new stair rail,puck lighting,re-spray ceiling STORIES: i SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: 2 GARAGE STALLS: ATTACHED ✓ DETACHED ESTIMATED CON5TRUCTION VALUATION(excluding land): � �3,soo.00 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 he City and with the State Building Code;that I understand this is not a permit and wark is not to start wi ut a permit;and that the work will be in accordance with the approved plan. � APPLICANT'S SIGNATURE: ` DATE: loi°gi°� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. 'fhe rights of individual on whom the data is stored or to be stored shall be as set forth in this secfion. Subd.2. Information required W be given individual.M individual asked to supply private or confidential data conceming himself shal!be inforn�ed 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 shail not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The co�,missioner of revenue mayDlace the notice reauired under thu subdivision in the individual income tax��certv tax refund instructions instead of on those formc. Subd.3. Access to data by individual.Upon cequest to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individua(s,and whether it is classified as public,private or confidential. Upon his fitrther request,an individual who is the subject of stored private or public data on individuals shatl be shown the data without any chazge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual hes 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. 'fhe responsible authority shall comply immediately,ifpossible,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 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 accueate or complete.An individual may cpntest the accuracy or compteteness of public or private data concerning himsel£To exeroise this right,an individual shall notify in writing the responsble auihority describing the nature of the 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)notify the individual that he belioves the data to be correct.Data in dispute shall be disclosed only if the individual's statement of disagreement is included with tfie disclosed data 'fhe 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 inforrn you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you fumish 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 perniit or license reyuires Council action to appmve,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 pmcess this application or permit. Scott T Hagg First Middle Last 106 South France Av Address Goiden Valley MN 55416 (612)723-7532 City State 7dp Phone I understand my rights s st ed above. � ., Signeture Reset Form 32 CHECK OFF LIST FOR ISSL'ANCE OF PERMITS FOR OFFICE USE ONL Y ADDRESS OR LEGAL: ��5 G�(�y�rL� P�1 tx PID: DESCRIPTIOIV OF WORK: 1<.-rc,d�o..> ,'�,vv��,p�L ZONING REVIEW BY.• N I✓� DATEAPPROVED:�� ^ B UILD�NG RE[�IEW B Y: `,Q (Q�. DA TE APPRO[jED: , o-t u-o� FEES TO BE CHARGED: Misc. Fees Calculated By: �~~ ~�� __ PERMIT �es ✓ No PLAN REVIEW Yes � .�Io SEWER CONNECTION STATE SURCHARGE Yes �/ No Y�ATER CONNECTION INVESTIGATION FEE Yes No ,� PARK FEE SAC Yes No �/ SITEINSPECTION Number of SAC Units OTHER (spec�J _-----------------__----------- ZONING CHECK LIST Zoning District: NU C'(t�� Fire Departmerzt: Post O�ce: School District: Lot Area: Sq ft. Acres GG'idth Depth Survey Submitted: }es No_ Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear(Sti•eet): Left Side: Adjacent Structures: W tland: Building Height: Def Hgt. eak Hgt. Lot Coverage: Grading: StaffApprovalDate: Br: CouncilApprovalDate: Septic: StaffApprovaJDate: � gy: �� Zoning File: � Resolution: # Resolution Date: Shoreland District: MCYT'D Permit: Avg. Setback: Blzrff Setbac-: Lot Coverage: Ezisting Proposed Hardcover: 0-%�' 7.i-'.i D' ��0-.i 00' .i 00-1000' Hardcover G"ariance Regirired: }'es No Date of Council.4pproval: REM.4RIiS(in house): 33 BUILDING REVIE�'CHECK LIST C%BC: �Z- 3 CONSTRUCTIOIV TYPE: �(ti Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction ►�alue: $ 13,Sp�°� Inspections Required: Work Requiring Separate Permits: Site �c Plumbing Fire Hardcover Removal .4 Mechanical G�"ater Connection Footing Septic Setivei•Connection /C Framing Fireplace Lmvn Irrigation Insulation (�fasonry) Other T�Y'all Boa��d (Mfg.) u'el!(State Permiij __�Final Grading�Fi[ling _�Electrical('State Permit) _Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: F�isting New ,4ccessAppr•oval: Date B}: REMARI�S (TO BE NOTED ON PERMIT): 34 �� DATE TIME � CITY OF ORONO CALIED IN �a/7 INSPECTION NOTI E SCHEDULED /o2a/�7 :OD PERMIT NO. ��sy 7 COMPLETED ADDRESS �� OWNER CONTR. �C��f,��I�`��JZCO:d TELEPHONE NO. �� a �a 3 �� 3 Z' � DESCRIPTION /—��[LC-C — /'��'�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBtNG FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑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 ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContr��r ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice