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Home My WebLink About2003-P06177 - pool - outdoors CIiY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po61�� Crystal Bay, Minnesota 55323 Permit Type: a��essory smz�cures (952) 249-4600 Date Issued: 6is�2oo3 SITE ADDRESS: 2605 Mapleridge La Excelsior,MN 55331 PID: 2i-i i�-23-2i-000s DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code 329 Pernut Sub-type(s): Pool-Outdoors-In Ground Pernut Type: Accessory Structures DETAILS: Approved per resolution#: 2891 Separate pernuts required: Eiecmcai(siaiej NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 818•75 Valuation: $ 75,000.00 Plan Review Fee: $ 532.28 State Surcharge Fee: $ 38.00 TOTAL FEE: $ 1,389.03 APPLICANT: Streeter&Associates OWNER: Eric Paulson 18304 Minnetonka Blvd 2605 Mapleridge Lane Wayzata,MN 55391 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 REQUIREMkTiTS. � i APPLICANT PE EE SIGNATU ISSUED SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1 � �Total Fee: $ 1 ,� J � � � � Date Received: - ��'G-`' �n � Entered By: �; <--- Pernut#: -+�, CL� L�vyJ�j �r�`�/2%'1� CITY OF ORONO - BUII.,DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ------------------------------------------------------ --------------------_�----�-------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR �_________ JOB SI'I'E ADDRESS: ��. �C��- � �-� ��, �,� ZIP: NAI�iE OF OWNER: ��^, ('� �C� t, l S Q� PHONE: (home) n I (work) MAILING ADDRESS:-��d s' ��p(� K� dy,� cTCITY: �rd n� ZIP: CO\'TRACTOR: S S�0 C�c�.�E'( PHON�� -�`{�-S ?y� �'� �� COr'TACT PERSON: S cv G ; 1VIOBILE/PAGER�� IZ - - � � M.AILING ADDRESS: � �3(� 1'''1 �n•�,e.-�-��t �( �l..0 d CITY:�.P��4 cJev� ZIP: �5 S 3 �� ST�iT'E LICENSE: # ( � n ARCHITECTlENGINEER:C:�c/� �,e S`t'i � TO•-� PHONE:��S-�, �I 7�� S � 3 MAII..ING ADDRESS: �b 3�� M-�-�e l� �Z,,c�CITY: �.e �c�..� ZIP: s r 3 q� N��; REGISTRAT ON# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: , c.�� nn .��.; �• � �1 - ��'� + STORIES: SQ. FEET OF EACH FLOOR: I�TO. OF BEDR00�1S: � GARAGE STALLS: ATT. DET. ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ 7�C�cl'�. ��' I hereby apply for a buildin� 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 I understand this is not a permit and work is not to start without a permit; and that the work wi1I be in accordance with the approved plan. APPLICANT'S SIGNATURE: - ,r►.s-- DATE: � � � � NOTE! Parade of 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 � . � Sec.13.04 RIGHTS OF SiJB.TECTS OF DATA Subd. 1. Type of data. The righu 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 indiridual. An individual asked to supply private or co�dential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or stacewide rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidendal dara;and(d)the idendry of other persons or entides authorized by srate or federal law to receive the dara. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. 'Ihe commissioner of revenue mav Iace the nocice re ired under this subdivision in the individual income taz or ro em tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,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�denrial. 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 of the content and meanin�of that data. Aher an individua!has been shown the private data and informed of iu meaning, the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant to this secrion is pending or addidonal 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 aurhority may require the requesring person to pay the actual costs of making,certifyin„ and compiling the copies. The resporuible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi[hin 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 complete. An individual may contest the accuracy or completeness of public or private dara concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the namre of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienrs of inaccurate or incomplete dara,including recipienu named by the individual;or(b)nocify the individual that he believes the data to be correct. Data in dispute shall be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. The determination of the respo�uible authority may be appealed pursuant to the provisions of the adminis�aave procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance wi[h 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 �ity of Orono or any of its departments may require you to fumish certain private or confidential information. You aze 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 shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pemut 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 emut. �eo +1�1`� Firsc �/�� Middle (�,I � �� o� 1 ''l �n�1 2 '� f�� YL.U � , Last A dress 1'>'1�. 5.�3�t �l z �f �t- S 1�f� �x� I I 6 Ciry State Zip Phone I understand my rights as stated above. C( �+� l.J�-� � ((' A �,[ .. I�1 1 L.�� C�J" $tg NtC 6 • CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�O5 in,4Q� /2�06{ � PID: DESCRIPTION OF WORK: �o�` � ZO.�tI�i tG REVIEW BY: � --�-N--- DATE APPROVED: B'�—0 3 BUII..DING REVIEW BY: DATE APPROVID; v - 3 -s3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes _�/' No PLAN REVIEW Yes � No SEWER COriNECTTON STATE SURCHARGE Yes �/ No WATERCONNECITON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning Districr. . Fire Depaztment: Post Office: School District: • Lot Area: Sq�.ft. B 2,0 E�' Acres 7•4�$ � Width �/U1,c.'�u u.� Depth Survey Submitted: Yes x No Date of Survey: z�-I-n z Proposed Setbacks: � Frest(Lake): �i I ' � Right Side: bv� f Rear(Street): � $0� ± Left Side: 9�� + Adjacent Structures: ;o` Wetlaad: iv I� Building Height: Def. Hgt. Peak Hgt. — Lot Coverage: � Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # b�3-?J�q� Resolution: # Resolution Date: Shoreland Disuict: �e,P� Avg. Setback: v,4�c�„a,�,c.� Bluff Setback: /(� _ LAt Coverage: N//� E��g Proposed Hazdcover: 0-75' 75-250' 250-500' Z y•5�. 500-1000' Hudcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 . BUII,DING REVIEW CgECg LIST ' �C' — CONSTRUCTION TYPE: — _ Sq Footage $Per Sq Ftg � Basement . . . x _ lst Floor x . _ . . 2nd Floor x _ .. Gazage x _ . x — TOTAL Estimated Construction Value: $_ �S_ �,�,�, � Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removai Mechanical Water Connection •. —�FO°�'ng Se tic P Sewer Connection � � Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd • (Mfg.) _ Well(State Permit) —�F�� Grading/Filling �_Electrical(State Permit) . Other REMARK3(IN HOUSE): . REV�W BY OTHERS• DATE: � - __ Access: Ezisting New . Access Approval: Date gy. � -------------_ REMARKS (TO BE NOTED ON PERil�II1�: �� _��----�-��-�____ - 8 ✓ �� D TIME C� CITY OF ORONO CALLED IN INSPECTION C SCHEDULED � o�!� PERMIT NO. COMPIETED ADDRESS a�OS �"1G2�hC ae-� Gr�� OWNER CONTR. 0 �? /"�� TELEPHONENO. �� 90�� So� , � RIPTION ��Qi � I ��/ � ty 1 OTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAI 36 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:�YES_NO y COMMENTS: � a j �- 0 � � 0 � W � Q � z W � W � J d � VYORKSATISFACTORY:PROCEED ❑PFiOJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUHN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (g52) 249-4600 Owner/ConUa ite: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice