HomeMy WebLinkAbout2000-P03203 - plumbing ` Ci�Y OF OR N PERMIT
O O Permit Number:
2750 Kelley Parkway - PO Box 66 P03203
Crystal Bay, Minnesota 55323 P@C�711t Type: Addition/Remodel/Repaix
(612) 249-4600 Date Issued: 11i13i2o
SITE ADDRESS: 649 Minnetonka Hgld La
LONG LAKE, MN 55356
P ID: 06-117-23-44-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: rium�ing r,iecu�icai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 706.75
Valuation: $ 59,000.00
Plan Review Fee: $ 459.48
State Surcharge Fee: $ 29.50
TOTAL FEE: $ 1,195.73
APPLICANT: METRO PRAIRIE CONSTRUCTION OWNER: LIVING TRUST SWANTEK
7705 CARNELIAN LANE 649 MINNETONKA HGLD LA
EDEN PRAIRIE, MN 55346 LONG LAKE,MN 55356
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.
, Cur�L ,
;
APPLICA T P RMITEE I NATURE ISSUED BY SIGNATiJRE
Cop�es: C�ty,Applicant,Assessor,Finance Page 1
Total Fee: $ � ��.� 3 Date Received: ��-/-��
' Entered By: Permit#: 3aa3 ���`:� , --__
�1111dU�
CITY OF ORONO - BUII..DING PERNIIT APPLICATION ��'� �' .� ;���-
All information must be submitted in full before plan review will be startec�17�`� `"'"+��
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �a ���vv���L�.������Q'l� ZIP: aJS�JS�U
�rov�o
NAME OF OWNER: �� �- � Sl�� PHONE: (home) ��'��-�S1�
(work)
MAILING ADDRESS:�� 'M�h��`�nc�l� ���t�ITY: �vo�a ZIP:�'��
"�.�.
CONTRACTOR: ��`{D p`CO�1Yl4 ebr�l�r►o�n PHONE: Q�-Q, -
CONTACT PERSON:2p Gv MOBILE/PAGER: \ ,��1
��IAILING ADDRESS: "11�� CITY: �Z� 4uYu.ZIP: _���,
STATE LICENSE: # -l��
A.RCHITECT/ENGINEER: �Y�'� ��iC�.Y1 1�S�AY1 PHONE:
NIAILING ADDRES5: ITY: ZIP'
N�y�: REGISTRATION#
TYPE OF WORK: New Addition Accessory-Structure
Move Remodel/Alteration �C. Land Alteration
PROPOSED WORK(describe in detai�: ����1.9..`�1 ���; �`M � °'M�J�I
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTINIATED CONSTRUCTION VALUATION (excluding land): $ �� ��
I hereby apply for a building 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 will be in accordance with the approved plan.
APPLIC:��1T'S SIGNATURE: � DATE: �O ��Q �O�
1VOTE! 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.
9
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 given indiridual. An individual asked to supply private or confidentia!data concerning himseif shall
be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency, political subdivision,or statewide system; (b)
whether he may refuse or is legally required to suppiy the requested data; (c)any known consequence arising from his supplying or refusing to supply
private or confidendal data; and(d)the identity of other persons or entides authorized by state or federal law to receive the data. This requiremenc shall
not apply when an individual is asked to suppiy investigaave data,pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer.
The commissione�of revenue ma lace the notice ce ired under this subdivision in the individual income tax or ro e tax refund instcucdons
instead of on those forms.
Subd.3. Access to data by indiridual. Upon request to a responsible authoriry, an individual shall be informed whether he is the subject of
s�to�ed data on inciividuals,azxi 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 of the content and meaning
of that data. 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
rhereafter unless a dispute or acuon pursuant to this section is pending or addiaonal data on the individual has been collecud or created. The responsible
authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the
requesting person to pay the actual cosu of making, cerrifying,and compiling the copies.
The responsible aurhoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the
da�e of d�e request,ezcluding Sapiniays,Sundays a�lega!holidays, if immediate compliance is not possible. If he cannot comply with the request within
that time,he shall so inform the individuat, and may have an additional five days within which to comply with the request, ezcluding Saturdays, Sundays
and legat holidays.
Subd.4. Ptocedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himse(f. To exercise this right, an individua!shall notify in writing the responsible authority describing the nature of the disagreement. The
tesponsible authoriry shall widiin 30 days either: (a)correct the dara found to be inaccu�ate or incomplete and attempt to nodfy past recipients of inaccurate
or incomp(ete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall
be disclosed oniy if the individuai's statement of disagreement is inctuded with the disclosed data.
The detemunadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act reladng 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 your 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 licens�
3• The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested pern�it 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.
b• Your full name is required to process this application or permit.
First 7� � � �����
��V �`���\(1 •j� �Middle Last
Addr�.�.�x 1
ty ' `�-- m� ���� �.5� �t Q�a-3
c` sta�e
Z'P Phone
I understand my rights as stated above.
�
Signa
10
' ' . CHECK OFF LIST FOR ISSUA,��'CE OF PER�.I�II'I'S
.� FOR OFFICE USE ONLY . � .
ADDRESS ORLEGAL: C��l� 1'HTK-q (�1 I bE-1(�4Y��D5 lAe`1 P
PID:
DESCR�'IZON OF WORK: �Zc-Lw���-2-L IL.�T�.�� t C—'A vw� �u�., ��?-oo.�-�
.
,
ZO�G REV��BY: DATE APPROVED: l!-� 'o�
BUII,,DING REYIEtiY BY: D4TE APPROVID; [�- 7-��
FEES TO BE CH.ARGED: � Misc. Fees Calculated By:
pERMIT Yes No :.
pLAN REVIEW Yes _� �o S��YER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC•Units OTHER (specify)
ZOti�IG CHECS LIST zoaing Districc: N� C
Fire Deparcment: Post Office: School District: • � •
Lot Area: Sq.fr. Acres � Width Depth
Surve; Sub�itted: Yes No Date of Survey:
Proposed Setbacks: �
Front(La.ke): Riaht Sid • �
Reaz(Screet): I.efr Side
Adjacent Structures: Vetland: •
Buildin� Hei�ht: Def. H�t. eal:Hgt.
Lot Covera�e:
Gradino: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoaing File: # Resolution: � Resolution Date: .
Shoceland District:
Av�. Setback: Blufi Set ck: LotCoverage:
Existin� Proposed
0
Hardcover. 0-75' ----- .
75-250' .--
250-500'
500-1000'
Hardcover Variance Required: Yes o Date of Couacit Approval:
REvIA,RKS(in house):
• ' `
BUII..DING REVIEW CHECK LIST
UBC: � ' 3 CONSTRUCTION TYPE: VN
Sq Footage $ Per Sq Ftg
Sasement z =
lst Floor x =
2nd Floor x =
Garage z =
z =
TOTAL
Estimated Construction Value: $_�}(�V v �=
Inspections Required: Work Requiring Separate Permits:
Site oC 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 Permic)
Other
REi1�iARKS(IN HOUSE):
REV�W BY OTHERS: � DATE: �
Access: Ezisting New
Access Approval: Date By:
REVIARF�.S (TO BE NOTED ON PERMT1�:
8
" D� � DATE TIME
CITY OF ORONO CALLED IN - T�
INSPECTION NOTI SCHEDULED ����; ���.,,Q.,
PERMIT NO. .�203 COMPLETED � �*�
ADDRESS l�/7 `7 ��,�' �- �`�C�,h//1i'1�� ,L���
OWNER CONTR.�,/�C.Q� �/G2��i
TELEPHONE NO. �
� DESCRIPTION _ ��-�1'���'I
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W�L�ifORK SATISFACTORY:PROCEED ; ' PROJECT COMPLETE
Wf 7 CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C;STOP ORDER POSTED.CALL INSPECTOR ` CITATION�SSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
�
Inspector. ��cz�=�.
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