HomeMy WebLinkAbout2008-P11953 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11953
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
4/9/2008
SITE ADDRESS: 2760 Deer Run Tr E Unit#
Long Lake,MN 55356
P��� 04-117-23-13-0009
DESCRIPTION: UBC Occupancy R3
Construction Type V
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 265.50 Valuation: $ 15,000.00
Plan Review Fee: $ 172.58
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 445.58
APPLICANT: Platinum Remodeling&Handyman OWNER: Peter&Joan Fiore
3109 West SOth Street#352 2760 Deer Run Tr E
Minneapolis,MN 55410 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
. .�..f'�—
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1
c�f�:o�
^ ��
Total Fee: $ ��5. S$ Date Received: � �� O�
Entcred By: Permit#: ,L�-//�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al!information)
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THE APPLICANT IS: (circle one) OWNER O��QNTRAC�Ol��
JOB SITE ADDRESS: � 7�v�} �-��'' �`r�'�-��; C , ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YCS �,]v0 If�yes. a.rpecinl ei�efl�perrnit is reytrired l��ith Police Uepar•tment and('ity C�ot�nerl apEn�orul
60 dnys pria�to Ihe erent Shtrll/e ht�s se��•ice lrill be reyuired trn/ess applicn�7tdenton.slrates
st�icien�nrt-srte parking is avarlable. Non-permitted erenis irr//not he a11oi��ecL
NAME OF OWNER: ��`�T rJ-�Ic�R� �"�1�_ PHONE: (home)�S� -�! 7/ " ����
'Z,7�4� � ,'- (work)
MAILING ADDRESS: e�:�Q�:.��� L CITY: C�17a.n.�d ZIP:
��
CONTRACTOR: � �C��;H;;,,,�. ��.,,�.��:� ����,��z�a�i PHONE: C/'-�Z�',�'S`tZ
CONTACT PERSON: �f Gl ,,,f�w;'h.r.s- M BILE/PAGER: Y�Z-�-�9�— 7i S7
MAILINGADDRESS: 3r�►y ��SO�nS� � S�. CITY: -��%� ZIP: Ssy�O
STATE LICENSE: # � �!G� 7 � Z EXPIRATION DATE: 3/'3�jo9 �•�e..� G��'-� ��'�'�
� ARCHITECT/ENGINEER: PHONE:
ti J ,� MAIL[NG ADDRESS: CITY: ZIP:
�v N�MR• RF(:'iCTRATil1N• #
TYPF, OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ��
Any earth movement may require MCWD review and permits !
PROPOSED WORK describe in detni ���c'�, �
( �� �.t, a� r��r rc�a�� l���
-�d G��.�:� ����� ��� �-� r� ,,�. S � �ff�'��.-� �r�.��,.
STORIES: _� SQ.FEET OF EACH FLOOR: � .�' y�E3 lZ� �b`�F�G��
N O. O F B E D R O O M S: 3 G A R A G E S T A L L S: A T T A C H E D 3 D E TA CHED �— Y ^
ESTIMATED CONSTRUCTION VALUAT[ON(excluding land): $ /�4m� '�-
I hereby apply for a building permit and I acknowled�e 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 a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'SSIGNATURE: ��ii �✓� �-�C/ DATE: ��/�4�'�
31
Scc 13.04 RIGHTS OF SI�BJE("I'S OI�DA"I�A
tiubd I. l�ype of data �I�hc rights of individual on�vhom U�e data is storcd or to bc storcd shall bc as sct ti�rth in this scclion.
Subd-2 Information requircd to bc givcn individual. nn individual ask�d ro supph�privatc orcontidcntial dm.i conccmmg himsclfsh��ll bc
informed of: (1)the purpose and intended use of the requcsted data���ithin Uie collecting state aeenc��.political subdivision,or state�a�idc svstun_(b)
�chether he ma��refuse or is legally required to supply thc requcsted data:(c)any kno�cn consequence arisine from his supplYing or refusing to supply�
pri�at�or cont idential data:and(d)the identity ofother persons or entities audiorized by st�te or federal la�c to reccive the data. ��his requiremcnt shal I
not appl��chen an individual is askzd to suppl}�investigative data,pursuant to s�ction 13.82.subdicision 5.to a law entorcement officer.
l�he commissioner of revenuc mav olace the notice required under this subdicision in the individual income tax or proqcrty ta�re�und
instructions instead of on those fonns.
Cnhri 3 Ar�rev fi data hv in�liviriiial I Inrn�rernie�Stt�a r�snnnvihl�anth�rit�� an in�iividnal tihall h��inf�nnP�i whPtherhe iethe¢nhirct�if
stor�d data on indi��iduals_and�ched�er it is classificd as public,pnvate or confidential Upon his tiuthzr r�yuest an individual who is the su�ject of
stored pri��ate or publ ic data on individuals shall be shown the data without any charge to him and_if he d�sires.shall be informed of the content and
meaning of that data. After an individual has been shown the private data and infonned oY its meaning.thc 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 indi��idual has been collected or created 'The
responsible authoriq�shall provide copies of the private or public data upon request by�the indi��idual subject of the data. The respoi�sible authority
ma��require the requesting person to pati�the actual costs of making,certif��ing.and compiling the copies
The responsible authorih�shall comply immediately,if possible.�cith an��request made pursuant to this subdivision,or within live days of
the date ofthe request tzcluding Saturdays.Simdays and legal holidays,if immediate compliance is not possible- If he cannotcomply with the request
�cithin that time_he shall so infonn the individual,and ma��have an additional tivz da��s�cithin�chich to comph��vith the request.e�duding Saturdays,
Sunda��s and legal holida}�s-
Subd -t. Procedure�ti�hcn data is not accur:�te or complete. An indi��idual mac contest the accurac�ur coinpleteness of publ ic or priv�ite data
conceming himself. To��ercise this right,an individual shall notifj�in writing the rzsponsiblz authorih�dcscribing the nature ofthe disagreemenL �Che
responsible authoritc shall�eithin 3U davs either� (a)corroct the data found to bc inaccurate or incomplete and attempt to notily past recipients of
inaccurate or incomplete data.including recipients named by the individuul,or(b)notif��the indicidual that he believes the data to be correcL Data in
dispute shall be disclosed onl��ii th�individual's statem�nt ofdisagrcement is included�cith the disdos�d data.
1'he detennination of the responsible authority may be appealed pursuant ro die�rocisions of the administr�uivr proccduro act rclating to
contested cas�s.
DATA PRIVACY ADVISORY
ln acairdance with M.S. 13.O4.Subd.2."Riehts��f subiects o��data".���c���<iuld like to intiirm�ou lhat v��ur reauesl
tur a permit or license i�rom thc�'ity of Urono or an� of its depurtments ma}� reyuire��ou tu furnish ccrtain privatc ur
confidcntial information.
You are notified that:
l. The information you t�urnish will be used to determine ��our qualitication for thc permit or license
requested.
2. You ma} refuse to supply data,but refusal ma�require that thc Cit}�dcm�the permit or license.
3. The information may be shared with other local. state or federal agencies to the extent neccssary to
process the permit or license.
�4. If vour requcsted permit or license cequires Council action to appro��e. some information may become
public.
5. You ha��e certain righls under M.S. 13.04(available upon requcst)to re��ie���private data on yourself.
6. Your full namc is reyuired to process this application or permit.
�c�SI��-� ..� S'G�c���,�►,�., ;,C�.�--
First Middle I.;�st
�l 4 q G✓ SC� �r h �'•� ; # 7 S `Z
���r�titi
��i s .�,r/ s S y�o 95z�Zq�-���S�
Cih� State 'I,ip Phonc
1 understand my rights as stated above.
�, �..._--._._,�--.°--�- ` _
Sig ature
Reset Form 32
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ;c �(_.,_, �j��� i2� N '� �,
PID:
DESCRIPTIONOFWORK i".L.w..�-�,��Z �,�.�,,����� Y �„nr��_ f �A
� �
ZONING REi�IEW BY.• 1V I�'� DATEAPPROTjED:+�
BUILDING.RET�IEWBY.• �„ , DATEAPPROT�ED: y- � - ��-;
FEES TO BE CHARGED: Misc. Fees Calculated By: �
PERMIT Yes ;� No
PLAN REVIEW Yes ;/ No SEWER CONNECTIDN
STATE SURCHARGE Yes :/� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
S�1C Yes No SITEINSPECTION
Numbe�•of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning Distr-ict: ,ti�; � ��,,,,��� ~ ��
Fire Department: Post Off ce: School District:
Lot Area: Sq.ft. Acres j Widih Depth
Survey Submitted: Yes No i Date of Survey:
i
Proposed Setbacks: �
Front(Lake): Right Side: 1
Rear(Street): Left Side: 1
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peak Hg
Lot Coverage:
Grading.• StaffApp��ova1 Date: By: Council Approval Date:
Septic: Staf�"Approval Date: '3 V� By. �/
Zoning File: # Resolution: # Resolution Date:
Shoreland District.� MCWD Permit:
Avg. Setback: BluffSetback: LotCoverage:
Fxisting Proposed
Hardcover: D-75'
75-250'
250-500'
500-1000'
Hardcover Yariance Required: Yes No I
Date of Council Approval:
REMARKS(in house):
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�/ D E TIME
CITY F ORONO CALLED IN
INSP CTION TICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS � - � '
OWNER CONTR.� ` `!2
TELEPHONE N0. �s4�-�qa- ��5��`d�/ =��
� DESCRIPTION �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�W`�❑�\fORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
WO OORRECT WORK&PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CAL�INSPECTOR
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on ite:
Inspector. � �
White Copyllnspector's File Canary Copy/Site Notice