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Home My WebLink About2001-P03446 - addn/remodel/repair � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3446 Crystal Bay, Minnesota 55323 P@f1111t Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 3�26�2001 SITE ADDRESS: 165 Luce Line Ridge MAPLE PLAIN,MN 55359 PID: 31-118-23-34-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: F'iumoing iviecnanic:ai niecuicai�siatej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 79��5 Valuation: $ 72,000.00 Plan Review Fee: $ 518.63 State Surcharge Fee: $ 36.00 TOTAL FEE: $ 1,352.38 APPLICANT: HONEYWOOD BUILDERS OWNER: � C CHURCH& S D CHURCH 6566 SHADOW LANE 165 LUCE LINE RIDGE CHANHASSEN, MN MAPLE PLAIN MN 55359 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. J � �: �� '7 ; ' � ��n;� �� ,r��- �� .�., APPLICANT PER E IGNA'I'URE ISS ED BY SIGNATURE Copies: City, Applica ,Assessor, Finance Page 1 • ' - �` , ,� �-. , Total Fee: $ /�� • � � Date Received: � " L� `l�� Entered By: ��?=;� Permit#: ,�T �i�r<; �,�"'\, �� ; CITY OF ORONO - BUILDING PERMIT APPLICATION C� �� Y�; '� � �\�a��},; � / I All information must be submitted in full before plan review will be started. �� . �' (please pnnt all information) � �� ' --------------------------- � ------------------------------------------------------------------ h �. ---------------- � THE APPLICANT IS: (circle one) OWNER OF�CONTRACTOR JOB SITE ADDRESS: .��-�S � v�-c L��v� ZIP: .5��l NAI�iE OF OWNER: S��1��7'�i'�� -_��?t ��°�=�-� PHONE: (home) ��-�� (work) MAILING ADDRESS: �C�� L C�G� C,�.� CITY: Iv?�; 1�� ZIP: F;�'�S'`� , - << ` ' CO\�'TRACTOR: � o� � �,;. � PHONE:. ��S-/U�� COr�TACT PERSON: �? MOBILE/PAGER: c',�,� NLAII.I�i 1G ADDRESS: Q,SZPI,� Sl-�A�3w �_�,� CITY: C��#v�r�A��- ZIP: �>,�,� ST?�TE LICENSE: # �Oo 3��3 ARCHITECT/ENGINEER�7/C.'-� ��(��'C�� PHO�IE: (p I Z-S�y CvC� 35 MAII,�'G ADDRESS: CITY: Z�: N��; REGISTRATION# TYPE OF `VORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK describe in detai : � � � ��1`�tA� � r��,',.." ._ /c,'�:-�' C!4�'��/f �� '�c _ STORIES: � SQ. FEET OF EACH FLOOR: �� 1�T0. OF BEDROOI�IS: � � GARAGE STALLS: ATT. -- DET.--- ESTZ�IATED CONSTRUCTION VALUATION (exclud.ing land): $ �,Z �GG / I hereby apply for a buildin�perm.it 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 permit; and that the work wilI be in accordance with the approved plan. .-� APPLICANT'S SIGNATURE: ;,r`'��/' � �ATE= �� -� � % NOTE! Parade of Homes events require separate rmit approval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � , � Sec.13.04 RIGI3TS OF S[JB,TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom rhe data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked m supply private or co�denaal data conceming himself shall be informed of: (a)the purpose and inteaded use of the requested data within the collecting state agency,political subdivision,or statewide rysum;(b)whether he may refuse or is IegaUy required to suppty the requesud data;(c)any lrnown consequence arising from his suppiying or refusing m supply private or confidenrial daa;ac�(d)the idenary of other persons or enades authorized by srare or federal law m receive the dara. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision S, ro a law enforcement officer. The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income taz or orocerN tax refund instrucdons►nstead of on those fortns. 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 classified as public,private or co�dendal. 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 ro him and,if he desires,shall be informed of the contenc and meaning of that data. ARer an individual has been shown the private dara and informed of iu meaning,the data need not be disclosed to him for six mond�s thereaher unless a dispute or acdon pursuant W this secaon is pec�ding or addiaonal data on the individual has been collected or created. The responsible authority shali provide copies of the priva[e or public dard upon request by the individual subject of the data. The responsible auchoriry may require the requesring person to pay the actual cosu of making,certifying,and compiling[he copies. Tha responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the dace of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy with [he request wichin that ume,he shall so inform the individual,and may have an additional five days within which to comply wi�the request, excluding Samrdays,Sundays and Legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest ihe accuracy or completeness of public or private data concerning himself. To exercise diis right,an individual shall aotify in wridng the nsponsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found oo be inaccurate or uuomplete and aaempt to noafy pazt recipients of inaccurate or incomple[e dara,including recipirntc named by the individual;or(b)noafy the individual that he believes the daa to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the adminisQative procedure act reladng to contesud 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 �iry of Orono or any of its departments may require you to fumish certai.n private or confidential information. You are notified that: 1. The information you furnish will„�e 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 eztent 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. J- — F�rsc Middle Last �o S� � S I-�✓44e�r,v ��4n.� Address C�t��s�5�- �h- �3n �S-/o�� Y State Zip Phone I understand my rights as stated above. ��/� Signature � 6 � � • CHECK OFF LIST FOR ISSUAi�10E OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � l�;`� �:.�� .L.. L�r�;�-' �`.� k�<, �' PID: DESCRIPT'ION OF WORK: ;�}-��;� , -c-� ��;'� ----------- ----------------- ------ � ---------------------------------------------------------------- ZONING REVIEW BY: �.--� -- �- DATE APPROVED: Z-z�, �=� BUILDING REVIEW BY: DATE APPROVED: � •B�, �� ------------- -----------------------� -------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _�� No pL�,N REVIEW Yes �./ No SEWER CONNECITON STATE SURCHARGE Yes c/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOr�1G CHECK LIST Zoning Districr. �'.('�-� � 1 � i Fire Department: �,h�t.ir��N Post Office: w�,.,q ni� V�L��ti.' School District: ��%G��J L.ot Area: Sq.ft. iv� ��.rv�,��;.0 Acres Width Depth Survey Submitted: Yes � No Date of Survey: �;P� i=I 1.,� Proposed Setbacks: _ Front (Lake): Sli Right Side: `�'�� Rear (Street): 7.cv�� i` Left Side: r� ;' _ Adjacent Structures: ti "e�' We[land: _ ' Buildin� Height: Def. Hg[. � , {�- Peal:Hgt. �;. (` Lot Covera�e: ,�v 1✓� Grading: Staff Approval Date: — By: '— Council Approval Date: Septic: Staff Approval Date: '— By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: /l.`�� Av�. Setback: Bluff Setback: LotCoverage: Existin� Proposed a Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�iARKS (in house): 7 - � t BUILDING REVIEW CHECK LIST �C� I: • � CONSTRUCTION TYPE: '�/,►'l; Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor R = Garage x = R - TOTAL Estimated Construction Value: $ 7?�,�;�;�. `'� � �� . �� . i � �., Inspections Required: ' �Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal ; UC Mechanical Water Connection �_Footing ' Septic Sewer Connection �Framin� I Fireplace Lawn Irrigation �Insulation I, (Masonry) Other �_Wall Board (Mfg.) Well(State Permit) `'�- F�� Gradin�/Filling �^Electrical(State Perm.it) Other Il � 1 ----------- RE�IARKS(IN HOUSE): ----------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; --------------------------------------------------------------------------------------------------------------------- REl�1ARKS (TO BE NOTED ON PERMIT�: 8 DATE TIME CITY OF ORONO 3� L�o/ °� _��-�1 INSPECTION NR TICE,` / � � 3�Z-7/o� 3 � 3� PERMIT NO. �" �-� 3'f� �L/ COMPLETED �Z '� � 3 z �� ADDRESS I(1; � L L�c_�__ � ; ��c 1� � ` �� OWNER CONTR.� I'�on��y��r.c�o �6/�� TELEPHONENO. �'�� " �� - � �� DESCRIPTION � � � �/ l� 1 FOOTIN� 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � of �.��-- ` �C�1il'Y a � 0 � w � Q � a W � W � � d �] NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � �O CORRECT VnRK&PROCEED W ❑ ISSUECERTIFICATEOFOCCUPANCY Q ❑CORRECT WOk� CALI FOR REINSPECTION TEMPORARY 0 BEFORE COVERIN. PERMANENT ❑COR NS ECTOR W{LL R�TION WITHIN HOURS. � pH0T0 TAKEN ❑STOP ORDER POSTED.CALL� ,�ECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTG zANGE ACCESS. Cali for the next inspectio. ,hours in advance. (g52) 249-4600 pwnerlContractor on site:�— inspector. y�hite Copy��nspector's Fite •CopylSite NoUce DA/TE TIME CITY OF ORONO CALLED IN � l( `v� INSPECTION N ICE SCHEDULED 7-.�-%��-��) �1'- -3<-' PERMIT NO. � COMPLETED �� ' I�� ADDRESS ,�Q S �i ��__, � �'''� ��`�— OWNER�� C��`-�-�-� CONTR. TELEPHONE N0. � f'�� '�o -`� /� �� DESCRIPTION lL Ol FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � � 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 J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � � / j " � � , �<< "✓`�C O , ' �. .j, � O - � W � Q � Z W � W � j d �ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W � �r Li CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. i. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR �- CITATION ISSUED ❑ INSPECTION FIEQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr ctor on site: Inspector.� �� White Copyllnspector's File Canary Copy/Site Notice D/A /T CITY OF ORONO CALLED IN `�` �U / ' v INSPECTION N ICE.�j SCHEDULED "��"� ��3� PERMIT NO. �� J � COMPLETED �1 �� ADDRESS � �" �'-� �Q� � OWNER `�'�'��'v CONTR. �}�"+G�/ TELEPHONE NO. � �� DESCRIPTION l� 01 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 I ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOH TO MEET YOU:_YES_NO Z � COMMENTS: � � - ��2�3�� SOFF�'1'S j � �//l�-� �brJ/�. �� o ` /�.�,r� f1�cFSS a � 0 � W � Q � Z W � W � � d ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W � ❑CORRECT WORK&PROCEED f, ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR Cl INSPECTIO�I REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � �a� �--��5- �- r i � ��c?f� M /� �` �l-� . .-3/_ j/y� . �� /-C�-�'C-��,� o°0p �°��° - . m � 3 � o ,e„ ) � � MAPLE � � t�oao.8� � , — 1030. , � /' '� �.,...''t' 1031.5 �pI'`�II��,`�:� ��i Z ��I'�j ��i� ��' � � ,�11��,��"��dly�,��t��1�� p 30.21 1 � i ' ,� �032.'.S ( � ��PJ�If� ��i�l�li�V�� li�ilil� �� ' i I li ii 1��'i I�i�iiilu�.� i�'I'��li ��i ��i�ii�� i �. i i � liiii ii��l' � ii � � ��".±:'I � � �10356' , I�iI�I�l��i�i ��i�ii'��'�"�I i I'�II I1 � � �TOP OF IRON � �,'��il�` � r �i. ., �� =1033.69 i� t�,a �"�-,s.. ''��"'l,'�„�i��,�i�, ��1`�� .. i � , � � i lii ,li �II�11�1i . I��u�� i1 I�'ll� li i i � , � i � i �9�: . �_ 1�� 8 Q�,.,i li I� II i�l��il Iiii11 41( id I ,y�� I'1'1�'' . �6 Q �i; ��1�'�y '.� ��.w?�i�i��'i�'�� 9 � � _ I�I ' �o'i�t�1�,.�.�,�� i �0j5•51 �� .11� i i i r i� , �� . . � 110'�T. �� O �n,1.4lt�i��1;��11��'�'i'��'�i��i,, ;'iar_..��`� I TOP OF IRON n �•, � p k � ��F A�`S• / � � � � =1036.91 _ �''�► ' ` � --- �?A�l��lG PLAN ` 'R.r:� � � �`=.`�� !:?`�t_.' /�p(Ji r ONS ��°0 _�_ ' ❑ 1`��i��:`..;`�`rY�'..i ';�:`i i'i i il"�Sl� �U�IIIVS • __� _ ,��/N '� ❑ �{a��►::b�:•..1��;��: —' SY �' � � DATE 2- Z. . o� �� ,°'•• ..,•..,,,• a�. o DRAINAGE 8i UTILITY ,`�:::��r�`i'`i.`'• � p ' � ' EASEMENT ;:•; :;: ��` % .�86 :.';. '>:`,:.; � � �' �o . ! •A• "r i i ' \ �. \O j p3(7\ . . i ti r�,'.'�..,..` � � � �\ / , 6 I O ;; ;«..:,?::..: �6^� � \ / �� ° �=75°49'03 3p� �u R� "�. I ,�b p= �6� �� 6 4��,�� R=50.00 \ ��; " N � 1 _ 1 / o A�° � _ L-66. 16 N � J \�'�T Z I � / �a� ' � ° 1 � � �� 0=46°34`03 . %� R= 30.00 .-(� � L= 24.38 , ; ;. 30 p 1—' � SCALE ' ,. , I , 109;-87 242/12 MBB .