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Home My WebLink About2006-P09666 - waterproof/back fill PERMIT CITY OF ORONO 2750 Kelley ^arkway - PO Box 66 Permit Number: P09666 Crysta!�3ay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4/11/2006 SITE ADDRESS: 1973 Fagerness Pt Rd Unit# Wayzata,MN 5539] PID: 18-117-23-14-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Dig out right side of house,waterproof and back fill FEE SUMMARY: Permit Fee: $ ll 1.25 valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Owner/Self OWNER: Kevin&Janet Manley MN 1973 Fagerness Pt Rd Wayzata MN 55391 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. , �...../ � � �� / � �' ��.� ��'Y� [�_�'1 r/l�!� � � �.�.- APP/L A PERMITEG SIGNATURE ISSUED BY SIGNATURE / Copies: 1-File(Sigiiatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1 ` _._ Total Fee: $ f�� Date Received: .�/S-o� Entered By: �G� l 1 Y�� x;� `� �� Permit#: �d 9l�io 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 CONTRACTOR JOB SITE ADDRESS: 1973 Fagerness ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS ❑✓ NO lf yes, a special event permit is required wiLh Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demortstrates sufficient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: xe�'°�Mantey PHONE: (home) (61z�2�s-s�zz �WOr]t� (651)454-4933 MAILING ADDRESS: 9479 Aladin Trail CI.I.Y: Inver Grove HeightsZIp. 55077 CONTRACTOR: Homeowner poing work PHONE• CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: r'°t Needed PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) ✓ A:�y earth movement may require MC[�7D review and permi�s ! PR�POSED W�RK(deSCYlbe ii1[tet(li�: W�11 need to dig out right side of house and water proof than fill back in.The basement is leaking. STORIES: ' SQ.FEET OF EACH FLOOR: Upper 750 Middle 1300 Basement 1000 NO. OF BEDROOMS: 4 GARAGE STALLS: ATTACHED ✓ DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ s,000.00 I hereby apply for a bui(ding 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 1 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. � APPLICAI�T'S SIGN�ITURE: � DATE: o3naio6 ,` � '� 3t �� ,4 ��L� ,�, � CHECK OFF i.IST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: ( �7 3 r=A�C:�N�sS �o,ivr P�: DESCRIPT70N OF WORK: GaGf v'A-�� w��=�/��b r o�v7°^f v ✓N�'�°� ZO.�I�ti G REVIE`V BY: Y---^ /��—r-- DATE APPROVED: BUILDING REVIE`V BY• � DATE APPROVED: 3•Z-��o 6 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes • No � SEtiVER CONNECITON STATE SURCHARGE Yes _� No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------_—_----------------------------------------------------------------------------- ZONI�tG CHE.CK LIST Zoning District: yU'v Gl� Fire DepartmenC Post Office: School District: L.ot Area: Sq.ft. Acres Width Depch Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacen[ Structures: Wetland: Buildin� Height: Def. Hgt. Peal:Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoai.ng File: # Resolution: # Resolucion Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Covera;e: EzistinQ Proposed 0 Hardcover: 0-75' 75-250' 2�0-500' 500-1d00' Hardcover Variance Required: Yes No Date of Council Approval: REI�LARKS (in house): � . ` BUILDING RE'VIE`y CHECK LIST �C� I� � 3 CONSTRUCTION TYPE: �/ti Sq Footage $ Per Sq Ftg Basement x _ lst FIoor z = 2nd Floor x = Garage z = z — TOTAL Estimated Construction Value: $ S�0�v �v Inspections Required: `York Requiring Separate Permits: S ite Plumbing Fire Hardcover Removal Mechanzcal Water Connection Footing ` Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) F�� 1 Grading/Filling Electrical (State Permit) _�c Ocher P�I.E (��Ac.E< 'F�� ,� , REMARKS (ni 1 HOUSE): �� ---------------------------------------------------------------------------------------------------------------- REVIEW BY OT�iERS: DAT'E: Access: Existing New Access Approval: Date gy; - --------------------------------- REI�IARKS (TO BE NOTED ON PERivII'I�: _T2k-C (LEc,u ��.S� o,.� � �l.� ,rs�Ifo� ��•�— ,��—v�s.,s �,o l� �d.-�,.�.t , � , - 8 t � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. 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 concerning himself shall be informed of: (a)the purpose and intended use ofthe 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 shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or prooerty 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 dassified as public,private or contidential. Upon his tLrther 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 infonned 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 authoriry 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 pe:son to nay the actual costs of making,certitying and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exduding Saturdays,Sundays and legal hol idays,if immediate compl iance 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,exduding Saturdays, Sundays and legal holidays. Subd 4. Proeedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe 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 believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The 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 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. Kevin D Manley First Middle Last 9479 Aladin Trail Address Inver Grove Heights MN 55077 (6l2)275-8722 City State Zip Phone I understand my rights as stated above. � m Signature Reset Form 32 .