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Home My WebLink About2003-P06220 - shed GITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po622o Crystal Bay, Minnesota 55323 Permit Type: a��essory sm��ures (952) 249-4600 Date Issued: 8�29�2003 SITE ADDRESS: 2700 Kelly Avenue Excelsiar,MN55331 PID: 21-117-23-23-0033 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 328 Pernut Type: Accessory Structures Pernut Sub-type(s): Shed DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.95 Valuation: $ 1,400.00 State Surcharge Fee: $ 1.20 TOTAL FEE: $ 52.15 APPLICANT: Owner/Self OWNER: Richard&Deborah Rice � 2700 Kelly Ave Excelsior MN 55331 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 BUIL.�G CODE REQUIREMENTS. ,,' � __. -� �� A PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � � "vTotal Fee: $ �Z . IS Date Received: � -a`fo� `� 3 Entered By: � Permit#: O I�ZZ(� Q.� �i �l ZS/o3 CITY OF ORONO - BUII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � --- ------------------------------------------_-------------------- ----_—_—_---_----- THE APPLICANT IS: (circle one) WNER' R CONTRACTOR JOB SITE ADDRESS: �� K e l l y �4- �Q ZIP:_ �7`J�.� I _ NAl�� OF OWNER: C � � � �L PHONE: ome) ��7 y .. '/ (work) ��2_ s 7� MAILING ADDRESS: Z�v !�L'_l�,�(�`2 CITY: (�R.�/✓� ZIP: :5�.� CO\'TRACTOR: ��?�� PHONE:_ COr�T'ACT PERSON: MOEILE/PAGER: l�-��- � 1VLAII.ING ADDRESS: CITY: ZIP: ST�TE LICENSE: # / / I- �� ARCHITECT/ENGIN�ER: �/,�' —�r2 r�b �G� P�O�TE: iVIAII.I�i TG ADDRESS: CITY: ZIP: N��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure �� Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �� l � ` ,�7Z6�A-dQ ��r. �J�� T v h B loc - STORIES: �_ SQ.FEET OF EACH FLOOR: �� D NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. ESTL�IATED CONSTRUCTION VALUATION (excluding land): $� ��bU I hereby apply for a buildin�pemut 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 Buildin� Code; that I understand this is not a permit and work is not to start without a perm.it; and that the work wiR be in a corda with the plan. APPLICANT'S SIGNATURE: DATE: o�oZ � NOTE! Parade o�'Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 y. M � 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 secdon. Subd.2. Information required to be givea indiridual. An individual azked to supply private or confidential data conceming himself shall be informed of: (a)the piupose and inte�ed use of the requested data within the collecting state agency,political subdivision,or statewide rystem;(b)whether he may refuse or is legally required to suppty the requested dara;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential daa;ac�(d)the identiry of other persons or entides 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 secaon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice rcauired under this�+ibdivici n in the individual income raz or oro rtr tax refund in��ceons mstead of on those forms. Subd.3. Access to data by individual. Upon request W a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is ctass�ed as pub6c,private or co�dendat. 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 W him and,if he desires,shall be informed of the content and meanin�of that data. Aher an individual has been shown the private data and informed of iu meaniag,the data need aot be disclosed w him for six months thereafter unless a dispute or acaon pursuant to this secaon is pending or additional data on the individual has been collected or creared. The respor�ible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsibie au[horiry may require the requesdng person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wi[hin five days of the date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with [he request within that ame,he shall so inform the individual,and may have an addidonal 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 conceming himself. To exer�cise this right,an individual shall notify in wriring the responsible authoriry describing the�ature of the disagreement The responsible authoriry shall within 30 days either: (a)correct the data found to be umccurace or incomplete and attempt w nodfy past recipients of inaccurare or incomplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminis�ative procedure act relating [o contesmd cases. DATA PRIVACY ADVI ORY 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 �iry 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 Ciry 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 pernut 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 ( �C� � n � �� iddle v� Last a.[. Address � c � cv�a � 9'Sz ?�-�29'f` Ciry State Zip Phone derstan tate . SignaNr 6 � � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADDRESSORLEGAL: Z�n� Keil� A�2. PID: DESCRIPTION OF WORK: s�-t-c�S-'.� ZO�TING REVIEW BY: DATE APPROVED: s• 2�s-03 BUII�DING REV�W BY: DATE APPROVED: s-- z$-d3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes �_ No � SEWER COrfNECTTON STATE SURCHARGE Yes c/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) Z4NING CHECK LIST Zoning Districc: Fire Department: Post Office: School District: Lot Area: Sq.fr. Acres Widch Depth Survey Submitted: Yes � No Date of Survey: l a •6•8� Proposed Setbacks: � � Front(Lake): (37 Right Side: 7� z Rear(Street): I�� Left Side: loo� = Adjacent Structures: �o Wetland: i✓/� Building Height: Def. Hgt. D•(� Peak Hgt. — Lot Covera�e: 'C��k- Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: . . . Shoreland Disuict: y�es Av�. Setback: n�//� Bluff Setback: �v//t LotCoverage: — Existing Proposed Hazdcover: 0-75' 75-250' 250-500' /6-9% �>.�/�!o 500-1000' Hardcover Vaziance Required: Yes No '-- Date of Council Approval: REviARKS (in house): _ 7 � ' � � . BUILDING REVIEW CHECK LIST � � �C� � "� CONSTRUCTTON TYPE: �l N Sq Footage $Per Sq Ftg Basement R _ lst Floor x = 2nd Floor x = Gazage x = a = TOTAL Fstimated Construction Value: $ 1`i o v °O— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical � Water Connection Footing Sepdc Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) —1LL F� Grading/Filling Electrical(State Permit) Other REI�IARKS(IN HOUSE): . � � ---------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By; � ----------------------------------------------------- REiV1ARKS (TO BE NOT'ED ON PERMII�: 8 ✓ DATE TIME CITY OF ORONO CALLED IN (U' C INSPECTION NOTI E SCHEDULED O— / '�� —S� PERMIT N0. �Z� COMPLETED ADDRESS :a��U �Ck�.�,=�z-� �� OWNER��C �c..¢-- CONTR. �Gvl�l.Q�'' TELEPHONENO. �� -7 7l G�� y / /�� , /� � � DESCRIPTION ��-z� �t-� �J�-S �G`Z'�� 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/FIREPIACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � O-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 J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � � G , W� WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. (952� 249-46�0 OwnerlContr o o 't : Inspector. ! White Copyllnspector's File \ Canary Copy/Site Notice CERTtFICATE QF . � . � . SURVEY fior KEN�. WU�ERTZ � � �/z'� I�oN P�PE � � (Fo u n�D, - .�_ ��2,� =u�tS P�P E � 149.3to�M� IUo.00 �R� 58��S�o'22"E �FcUN�� . � � . � � --�� ° �o-r s � �� . , ,z�` ,s �c2 � . St�t�'n . . �� Z � � .. . y� tu Ill � . �`8' ' '�d� ' 8 33SF , . �OP°� �y , Z �- —- 30 ' --- �� 3 _ . W - — . N � , . in ' 1 ,4�. � ,: � � 6�.o N . / W e 25 2.'��sT� N � m 109.i� �p• p ��S�Y loSx� N 0 . �' • E ?- g . in v�,`'�+c � Q GONG. 108. ' ..�.. Sg.o �'alt,q Q O . p ' S7'EPS C?E �, O ' N A . � IoS.4 lol � � � Z 1 o4.Z , 102x Z � � � .. . I O 5.2 c�c. � �04.4 w,,�� oi,5 � �"' N A � • " • o ,n, � d ,o,.� , .}' = . 3 �°��6 ` � J �' � � . � . , . � . � a ,o,.� �0 � , �oi.'i -�--+- • 100 � i I S��J' �► ,11 �,,�,��,,/� • W H o�_.._7 ��W"�,.� , � � ,�-a��3.�— � �, �. . z ,00.s ,�� v� . 00 ,••N v , g�b�o� . ' • / b�/y„v��'_ ,�,r . . h , � ' �p ' - �°�' ' �..� �. qq,� 9,8 R.�1 � i� �� - d:q�oS9' 17'� — oj°�.9 . N N � qq,s S . . . . 8�.r�.i M tnto� I � � SGALE % I�� a Zo� K E C.. LY �`v � CITY OF O�O�E� O DENoTES =eon� N►oN. (sET� � SlTE PLAN GRADINQ PI.AI� � • pEtvOTES SR.oN MON. �Fw�� .t�}APPROV�D� SN�•�. p !�F'P�OV,�D WIYH REVISIONS � . � C] DISAPP b'� }-F R'2'D GOJ E� � Ac1�Z�Pr 3 3 18 5� � . �I 4.9 �� XIST. , 8Y o --------_ . . . . DATE 5"2�" 3 • , �d�` o QEA = 22 324 S,F. . A��T�Ov�A� �'AR�L.P�E/L �4j S�^ � C� �D rq a�p J EX I.ST.' �' ��OPO�' NoTE % LO"f 1 s. . LC�GA"fED 'g�"rV�IE�IJ . . ZSO � 500 FE�� 1Z.OM � 33I� LEGAL DESCRIPTION L a �E M I N N E T OI� (C./� . ��.Q Lo t � RN - R MANOR 1 a'D = S�� Hennepin County� Minnesota � 3 g 8 G ,-�Y�� H-� Goveti . = ``�, � f . . . Oate W�h�nby artliy th�t thi�It�trw snd comct npr�xnt�tbn ol�wrwy of .. , MERILA & ASSOCIATES, INC. ' it�y�uth�r�� d�ei�i rliibh t ro«�.w°it��rr°i�`�o��;�w i�� ENGINEERS,SURVEYORS,SITE PLANNERS Book-Paqa � ' � - 11�wrwy�d th� 6 T� }d�y oF�EPT. ,t0 g�. 8401-T3�d Ave.N. • E 63 • erooklyn Park� Mlnnesofc 55428 �'� ) / • Telephone� (612) 533-7595 File No. � �� M�+• RM'N°. y� uMryor Job No.-8S "��o '�.J' �.�►p�