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Home My WebLink About2007-P11364 - addn/remodel/repair PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P11364 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: l0/22/2007 SITE ADDRESS: 2701 Kelly Ave unit# Excelsior,MN 55331 PID: 21-117-23-23-0040 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Pernvt Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Sunroom FEE SUMMARY: Permit Fee: $ 237.25 Valuation: $ 13,736.00 Plan Review Fee: $ 154.21 State Surcharge Fee: $ 6.90 Misc.Fee: $ 1.50 TOTAL FEE: $ 399.86 APPLICANT: Patio Enclosures,Inc. OWNER: Ted&Wendy Storlie 2123 Old Highway 8 2701 Kelly Ave New Brighton,MN 55112 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 BUILDING CODE REQUIREMENTS. � APP CANT PERMITEE SIGNA SSLJED BY SIGNATURE � -�.J Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 C�D� � �.� Total Fee: $ 39 . ��a Date Received: 8- a�`U� Entered By: Permit#: �/l3(n � CITY O� 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 O CONTRACTO JOB SITE ADDRESS: �� I K-�,��{ ;�J � ` ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ YCS ❑ NO lf yes,a special everrt pennit is reguired with Police Department and City Council approval 60 days prior to the event. S/auttle bus service will be required unless applicant demonstrates sufficient on-site par ing is available. Non pern:itted everrts will not be allowed. . � �� NAME OF OWNER: �I' �� - PHONE: (home) v�`��7�� /-�� . (work) �/ - �� -J�'��i� MAILING ADDRESS: I � CITY: � 5��ZIP: S 3 CONTRACTOR: �Q,�'� �j f . PHONE: �j'��- �`��(� � CONTACT PERSON: ^� MOBILE/PAGER: MAILING ADDRESS: � ` � CITY: � ' ,,; ZIP: � STATE LICENSE: # � - #, EXPIRATION DATE. '� �-� (7 ARCffiTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # , TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeUAl eration(i.e.: Siding,Windows) *�flny eur^th �uni�enrE:rit rliul�recyztire MCWD Rei�re�a- crrtd Pernut' PROPOSED WORK(describe in detai�:� �-� / � . STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 '� t� <<�� I hereby apply for a building permit and I acknowledge that the information above is complete and aecurate; 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'S SIGNATURE: DATE: I�r1 O 31 • 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 sha11 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 shal I 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 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 law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individ�A income tax or property tax refund in�tructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible suthority,an individual shall be infornted 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 ofthe content and meaning of that daffi. 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 daha 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 compty immediately,if possible,wiih any request made putsuant to this subdivision,or within five days of the date ofthe request,excluding 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 completc.An individual may contest the accuracy or completeness of public or private data conceming himself.To exercise this right,an individual shal I notify in writing the responsible authority describing the nature of the 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 ta 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 authority may be appealed pursuant to the provisions o£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 yow 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 shazed 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 certa.in rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your ful!name is required to process this application or permit. First Middle Last Address C�ty State Zip Phone I understand my rights as stated above. G'� �O' Zz-v � S gnatu e 32 . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��'7�1 ( (C�i(�/ �� PID: DESCRIPTION OF WORK: ( Su ZONING REVIEW BY: DATEAPPROT�ED��fZ,Z � BUILDINGREi�IEWBY.• DATEAPPROVED: �-z3- �� FEES TO BE CHARGED: Misc. Fees Calculated By: ~ � Ms� M ~ PERMIT Yes ,il No PLAN REVIEW Yes No� SEWER CONNECTION STATE SURCHARGE Yes �� No WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No �—� SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------- ZONING CHECK LIST Zoning District: Fire Department: Post Off ce: School District: Lot A��ea: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: �� d� By: �_V" Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: BluffSetback: LotCoverage: F.xisting Proposed Hardcover.• 0-75' 75-250' 250-500' 500-1000' Nardcover Variance Required: Yes No Date of Council Approval.• REMARKS(inhouse): �IS 1 � � �- � q ' " roc.w� x�s n o r �� u► . 33 BUILDING REVIEW CHECg LIST UBC: �' 3 CONSTRUCTION TYPE: vN , Sq Footage $Per Sq F1g Basemeni z = Ist Floor x = 2nd Floor x = Garage z = x = TOTAL Estimated Construction Value: $ l 3�`?3�, °� 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 Wadl Board (Mfg.) Well(State Permit) �Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ONPERMIT): 34 �� ✓// D!{T� TIME CITY OF ORONO �D IN � d�� INSPECTION N TIC c,� SCHEDULED �� O PERMIT NO. � ��` COMPLETED ADDRESS a7�� `� ��`�' OWNER f�� CONTR TELEPHONE NO. �5� .�� D � c�� ^ l�da � DESCRIPTION �1��- — � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FIL�ING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � 2 W � W � � d � _ WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (J52) 249-4600 OwnerlContrac n i e: Inspector. '" � White Copyllnspector's File Canary CopylSite Notice