HomeMy WebLinkAbout2006-P09466 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9466
Cry�tal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
1/4/2006
SITE ADDRESS: 3424 Eastlake St Unit#
Long Lake,MN 55356
P��� OS-117-23-13-0044
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Usc: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Pcrmit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
REPLACEMENT OF WINDOWS AND FRONT DOOR- �
FEE SUMMARY: Permit Fee: $ 421.55 valuation: $ 28,000.00
Plan Review Fee:
State Surcharge Fee: $ 14.00
TOTAL FEE: $ 435.55
APPLICANT: Owner/Self OWNER: Thomas&Margaret Radke
MN 3424 Eastlake St
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 REQUIREMENTS.
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-f1PPLICANT PLRMITEE StGNATURE SULD BY S[GNATURE
Copies: 1-File(Sigi�atures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CHECK OFF LiST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3�(Z� C.'�15T C�4r� s r
� PID:
DESCRIPTION OF WORK: �,,�,,,,Do,�,,S p,�y� �—.�t,o►�.c�r- �o 0 2
ZO.�I�ti G REVIE`V BY: v� /iGl DAT'E APPROVED:
BUII..DING REVIE`V BY: DATE APPROVED: /- y-o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �' No
PLAN REVIEW Yes No c� SEWFIR CO�INEC'ITON
STATE SURCHARGE Yes v No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------_-----------------------------------------------------------------------------
ZOVI�tG CH�CK LIST Zoning Districr. No G 1����
Fire Department: Post Office: School District:
L.o[ Area: Sq.fr. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Froa[(Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetlan :
Buildin, Height: Def. Hgt. Peal: gt.
Lot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolutioa Date:
Shoreland District:
Av�. Setback: Bluff etback: I.ot Coverage:
Ezistin Proposed
Hardcover: 0-75'
75-250'
2�0-500'
50a-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
�EVL4RKS (in house):
7
BUII.DING REY�W CHECK LIST �
�C� �" 3 CONSTRUCTION TYPE: �!�
Sq Footage $ Per Sq F[g
Basement x _
lst Floor x =
2nd Floor x =
Garage x =
x —
TOTAL
Estimated Construction Value: $ 2'��pp�°°
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing � Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Perm.it)
—�F�� Grading/Filling Elecuical (State Permit)
O[her
RENIA.RKS (IN HOUSE): ��
_--_---------------------------------------------------------------------------------------------------------------
REVIEW BY OT�IIERS: DATE:
Access: Eusting New
Access Approval: Date gy;
- - ---------------------------------
REVIARKS (TO BE NOTED ON PERi�II'I�:
8
� Total Fee: $ Date Received: /a-/�-l��
Entered By: Permit#: ��9��(0
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 3424 East Lake Street,Orono,MN Z�: 55356
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes Q No lf yes, a specia/event permit is required with Police Department and Ciry Counci/approval
60 days prior to the event. Shuttle bus service wi!(be required unless applicant demonstrates
suffrcient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: Thomas and Margaret Radke PHONE: �I]OIt10� �952)476-2243
(work) (952)928-3939
MAILING ADDRESS: 3424 East Lake Street CITY: Long Lake ZIp; 55356
CONTRACTOR: owner PHONE:
CONTACT PERSON: Tom Radke MOBILE/PAGER: (612)802-6459
MAILING ADDRESS: 3424 East Lake Street CITY: Long Lake Zjp; 55356
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ✓
PROPOSED WORK(describe in detai�: replacement of windows and front door,w�rise,ic
STORIES: 2 SQ.FEET OF EACH FLOOR: no change
NO. OF BEDROOMS: 4 GARAGE STALLS: ATTACHED ✓ DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z�; ��:% n�.,� �,v,,,,, ;.,a��+�t; � "'�.
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 d wo is not to starkvvithout a permit;and that the work will be
in accordance with the approved plan.;��,
APPLICANT'S SIGNATURE• / —� �� DATE: � �( ��
31
� Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. 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. 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,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 supptying or refusing to suppty
private or confidential data;and(d)the identiry 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 to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,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 of the 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding 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
concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authoriry 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 believes 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 authoriry may be appealed pursuant to 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 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.
First Middle Last
Address
City State Zip Phone
I unde and ri,�hts as stated above. �
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CITY OF ORONO CALLED IN �'�� ��,
INSPECTION N E� SCHEDULED - �`''�L"�-
PERMIT NO. �� cq LETED
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ADDRESS � � • � "'-�`'�—
OWNER �?7't ��-'� CONTR.
TELEPHON E NO. �`�� T�� ��� �/� �" ��"� ���
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� DESCRIPTION ��� �Y� �' l�/rIS � -f 1 Y/JC-L-�Cl��L{,
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tV 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � DATE TIME •
CITY OF ORONO L - ALLED IN �'�
INSPECTION NO C !/ / SCHEDULED 3-d-O� c�:.�0
PERMIT NO.� �T �O COMPLETED
ADDRESS ��a T �G�7� L�. s�
OWNER �I3Y1�1 l�-���-�' CONTR.
TELEPHONE NO. QSZ '�''7Co Z Z�3
� DESCRIPTION �wC�YYI I 1�1 Ci
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTHACT TOMEETYOU: YES NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (952� 249-460�
OwnerlContr to it �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� �J� DATE TIME ✓
CI Y OF ORONO CALLED IN a-�O
INSPECTION NO C (� SCHEDULED �'�3�b�v 3•�°a
PERMIT NO. D I COMPLETED
ADDRESS �7'a� �aS7� L��p �
OWNER��a� CONTR.
TELEPHONE NO. �� Z 7 Z� �7 3 /
� DESCRIPTION ������ '�1 ^ ������� �---
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI ILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 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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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on sit -
Inspector.
White Copyllnspector's File Canary CopylSite Notice