HomeMy WebLinkAbout2001-P04062 - addn/remodel/repair r �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4o62
Crystal Bay, Minnesota 55323 P2ffTllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: �i24i2ooi
SITE ADDRESS: 3059 Farview La
LONG LAKE, MN 55356
P I D: 04-117-23-3 3-000 8
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: tcesidentiai �
Census Code O/S�t� �� �
Permit Class: Building '
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution #:
Separate permits required: uraciingiriiiing
NOTICES/REMARKS:
Flavatnr an� avtan� ctairc
FEE SU MMA RY: Permit Fee: $ 195.25 Valuation: $ ]0,136.00
Plan Review Fee: $ 126.88
State Surcharge Fee: $ 5.10
TOTAL FEE: $ 327.23
APPLICANT: St. Clair Builders OWNER: KAREN HYDE BAKER
1337 St. Clair Ave 3059 FARVIEW LA
St. Paul, MN 55105 LONG LAKE MN 55356
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
,
� / - �� �� ���-�
IC NT PERMITE . GNA URE � [SSUED BY SIGNATURE '"
Copies: ]-File (Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
, , �3
Total Fee: �a 3�7• �3 Date Received: �- /� �'�
Entered By: /�'1 c� Permit#: :�� � �-f �i '�
`'I� , CITY OF ORONO - BITII�DING PERNIIT APPLICATION
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All information must be submitted in full before plan review �vill be started.
� (please print all information)
-------------------------------------------------------- ------�._----- ----- - - --- -=
THE APPLICANT IS: (circle one) OWNER O�/C�ONTRACTOR � Y
"'�.—__--
JOB SITE ADDRESS: 3G� �1}-�P�v��� ��� ZIP: ��3�
NAME OF O�VNER: �„� �',��i�,�:'_ PH0�1E: (home) �f�z�+��-�ZSb
(work)
1�IAILI�i 1G A.DDRESS: Z"t�+nn�. . CITY: ZIP:
CONTRACTOR: � S 1 C�,`r�. �-3u�LD Ct'S PHO�'E: bs�l-���6 � .s r�c'�-
CO�1'I'ACT PERSON: �K� ���� lIOBILE/PAGER: 6iz-3 z���-3�l-711:�
MA.ILI�i'G ADDRESS: l33? S�Y►�si Lu�t�2. ►�L,� CITY: �i ��.. ZTP: SSiDS'
STATE LICENSE: # (�, -Zc�z��1���'
ARCHIT'ECT/ENGI�i'EER ��tAi?�T�'� v�t •u",vw��,1-iw� PHO\rE: '��7_-Sl7G"��k[5�
NIAILL�'G r�,DDRESS: �.7�. (,bA�� S�j'z�'f;,� CITY: �'��'�.�s��x� ZIP: SS-�'�t
N�'1�E: 43th�(a� Sr"tY��"'1 REGISTRATION# �
TYPE OF S�'ORK: Ne�v Addition Accessory Structure
Move Remodel/Alteration ;� Land Alteration
PROPOSED'4VORK (describe in detai�: �{".1:,� t��,�R'�a+% ��!'� ���
E'�C�Cf����l i Xls'�ll�, �'�`'�1'�=t
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B�DROOI�iS:� GARAGE STALLS: ATT�. � DET. - - . -. .,
ESTI�SATED CONSTRUCTION VALUATIO\ (excluding land): S �'E�, !3� ``
I hereby apply for a buildin� pernlit and I acknowled�e that the information above is complete and
accurate; that the work will be in conformance wich the ordinances and codes of the Ciry and with
the State BuildinJ Code; that I understand th.is is not a permit and work is not to start without a
permit; and that the work will be in ccordanc w the approved plan.
APPLIC:��'T'S SIGNATURE: t DATE: -� � o
1�'OTE! Parade of Homes events require separate permit approval by Police Dep�rtment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
.
Sec.13.0-t RIGHTS OF SLBJECTS OF DaT?,
Subd. 1. Type of data. The riehcs of ir:div:":al on whom c:e daca is s�:c3 or ro be stared shall be as sec fonh in this secaoa.
Subd.2. Informaaon req�.red to be given in�iridual. An i:.di�-idual as's�co supply privat_or confid�ndal dara concerning himseif sh�ll
be informed of: (a) rhe purrose and incended use of�:e r_;uesr�dara wi�in the coll=cring'sta�e a;ency,polidcal subdivision,or sratew�idc sys�m;
(b)whe�,er he may r_fuse or is legally requir:d m supply ce r_quested daa:(c)any lcovra eoasequeace arising from his supplying cr refusing to supply
priva�e or connder.e�dan_;a.r.d(d)the idendry of o�her Fe:so;s or end¢es aachorizad by s�ce or federal!aw to rceive the dara..2his requiremenc shall
r,o[apply whan an ir.dividnal is asked to supplv invesd��ve daa,pur�z:r.:co seccoa 13.82, subdivision 5, co a Iaw enforcemenc officer.
The commissiorer of revenut mav olace th� -��ce rauired Lr.e'er this suT�division in the individual ir.come [ax or orooem tax refur.d
inscruccio^s ins.zad of on d:ose forms.
Subd. 3. Access to data by indicidual. UFe:��:esc to a r_soasib(e a�c:oriry,an individual shall be informed whether he is the ssbject
oE scor_d�a�a on individu�is,and whecher ic is classificd�public,priva�or conhder_aal. Upon his furchec requesc, an icdividual who ;s the subjeu
of sror.d priva�e or publ:c daa on individuals shall be s���:.�a ck:e data wi�out any c:.arge to him and;if he desires, shall ba in.`ormed of the concenc
ar.d m�a�.i.�g of[hac daca. AF=r an indi•�idu�l has been s:o•:+a n`�a priva�Zan and icionned of i�s meaning, che daca need not 6e disclosed ro hL�n for
six c.or.::u 4`:ar_after unlas a dispute or acrion puauar.c� t.`�is secdon is�eading o:addidoaal daca on the u:dividual has been collected or aeac�d.
The respo^sible aul:oriry shall provide copies of t,`:e priv_�or public daa c.on ceq��a:by che individual subject of th�daca. Tne responsible au�:oriry
may requi:� �he re�uesdng person to pay the acaal cosu e;r.aking,ce�;ing, ar:d eompiling che copies.
The responsibl:au4'�oriry shalt comply i:rur:e�_:�;y, ii possib!e, wich any r_qua�mada pursuant to this subdivision,or wi�hin Five days oi
th�daco of che reqaesc,ez.!uding Sacurdays,Sur.days a:.d:e_�1 holidays,ii ir..media�e eomptiance is not possibte. Ii h�cannot comply wich the r_quesc
wirhin�:ac ri:ne,he shall so infom the individual,and r.ay have an addi�er31 five da:s wichin w�ich to comply with the request,exciuding San:rdays,
Sundays ar.d legai holidays.
Subd.4. Procedure when data is not accurs:z o:compleee. ?.n individual may cor,test chz accuracy or completeness of public or pri�•ate
daa cor.ceming himself. To zxer:ise chis rieht,an indivi��al shall nod"r�ia wridng�_r_spoasible authoriry describing[he nature of tkte disagr_�men�.
The responsibla aud;oriry 54�11 wi�hin 30 days ei�f:er. (2) co.^ct[he da�icund ro be izuccurdte or incomp(ete and ar,empt to nodfy past recipienes of
insccu�c_or incomplece da•�, including recipiencs nar.,e� by che indivi�=1;or(b) cod"ry 4`�e individual tha�he beli�ves �he dara ro be eorrecc. Dara
in dispuce shill be disclosed only if[he ir.dividual's s�:er..ea:of disag*e:�_nc is ir.c:�_d�d with the disclosed data.
Ti:e decerminarion of che rosponsible auchor.., r..�;be appea:e� pursu�c to �he provisions of the admuuscrdrive procedure act rzl�dng to
con�es._d cases.
D:�T:� PRI�'�CY AD��ISORY
Ln accordance wi�h M.S. 13.04, Subd. 2, "RiQhts of subjects oi da�a", we would like to inform you that your reeuesc
ior a pe:mit or licens� from the Ciry of Oror_o o: any oi is depar.�.encs may require you to furnish cenain priva�e or
confide.�ial information.
You are notified that:
1, "Ihe info�nacion you furnish wi::be used to de:ermine ��our qualification for the perm.it orlicense requesced.
2. You r,�ay refuse to supply data, but refusal azy require tha[ che Ciry deny the perm.it or license.
;, 'Ihe informa�ioa may be shared u�i�ocher locz, scace or federal a;encies �o the ex�ea�necessary to process
the permit or license.
4. If your requested permi� or lic�:se requires Council accion to approve, some information may become
. public. .
�. You ha��e cercain ri�hts under �1.S. 13.04 (z•:ailable upon reques[) [o review private data on yourself.
6, �'our full name is required to precess this ap?lica�ion or permic.
First <<.�''•'...'= Last
?,ddress _
C:ry Sta�e Zip Phone
I Lnderstand my ri�hts as s[ated above.
Si�nacurc
.
CHECK OFF LIST FOR ISSU��tCE OF PER.iVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3oS� 1-=�h��Zv�Lc�J Cj4N(�
PID:
DESCRIPTION OF`VORK: C_z..c:c1�a�-c9/t d- Cw-�-�'
------------ -------- ----�-�.--�------------------------------------------------�-------�- --------
ZO�tING REVIE`V BY: ��— DATE APPROVED• 7 r-z-- �t
BUILDIl�;G REV�`V BY: ( DATE APPROVED: 7-�L-�,
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v� No
pL?,TI REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECI'ION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO�Tvi G CHECK LIST Zoning District: N� G�I,q,,,rc�,Q
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
F:ont (Lake): Ri;ht S de:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building HeiQht: Def. H�t. Peak Hgt.
Lot Covera;e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zonin; File: t� Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Set ack: Lot�overage:
Ezisiing PrOposed
Hardcover: 0-75'
7�-2�0'
250-500'
500-1000'
Hardcover Variance Required: Yes i'o Date of Council Approval:
REVIARKS (in house): '
7
BUILDI�i tG REVIEW CHECK LIST
�C: ��' 3 CONSTRUCTION TYPE: �//J
Sq Footage $ Per Sq Ftg
Basement R =
lst Floor R _
2nd Floor R =
Garage R =
R -
TOTAL
Estimated Construction Value: $ ((� �3!o o=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final �_Grading/Filling Electrical (State Permit)
Other
REv1ARKS (IN HOUSE): — � ~-------�-
- ------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existin; New
Access Approval: Date By:
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REivIARKS (TO BE NOTED ON PERMII�:
8
.
DATE TIME
CITY OF ORONO CALLED IN `�-�—
INSPECTION TICE SCHEDULED � . �.3 a
PERMIT NO. Q ��Pa�— COMPLETED ` ^p �
ADDRESS � .� Q �I t WtitJ�c.e.�->
OWNER CONTR. �` �� ����
TELEPHONENO. 7��-- ��5� ���o
� DESCRIPTION
W ��--��� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q LATION 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 O6 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 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z4J-4600
OwnerlContract r on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice