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Home My WebLink About2003-P06471 - stairway to lake CITY C)F ORONO PERMIT 2750 K�;ley Parkway - PO Box 66 Permit Number: Po64�1 Cry'stal Bay, Minnesota 55323 P@CCYIIt Type: User Defined Surc Building (952) 249-4600 Date Issued: �i2s�2oo3 SITE ADDRESS: 669 Minnetonka Hgld La Long Lake,MN 55356 P�D: 06-117-23-44-0007 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: User Defined Surc Building Permit Sub-type(s): Stairway to Lake DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: Replace existing steps to lakeshore w/granite steps FEE SUMMARY: PernutFee: � 209.25 Valuation: $ 12,000.00 Plan Review Fee: $ 135.98 State Surcharge Fee: $ 6.50 TOTAL FEE: $ 351.73 APPLICANT: Landscaping Plus(See Comments) OWNER: Mr. &Mrs. Humphrey P.O. Box 508 669 Minnetonka Highland Ln Long Lake,MN 55356 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,-' t..� . , , , �,� �-.�:�: - . --__.... ._.._.... �,�%C-� �� APPLICANTPERMITEESIGNATURE IS EDBYSIGNATURE Copies: 1-File(SiQnitures Reouired), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . ^ Total Fee: � �=�J j � �� `� Date Received: �-� (��{ �� Entered By: / -/� �� Permit#: ��r O�� -- _� �.y-,�, �� 13�, /��,� . CITY OF O�ONO - B PERNIIT APPLICATIOleT � All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR JOB SITE ADDRESS: (�C��C �� ti�� ZIP: S S3�� NAME OF OWNER:_ �c�� 1��`�r�� PHONE: (home) e/S��/�6- /yy� (work) �NiAII�II�'GADDRESS: G�:`l" �r+�. 1--�t�s:-��A,.1 �i'y. L��;.�,� ZIP: � SS�S� � � � � �� 4' CONTRACTOR: s�,�.3�s�sa� .+�� `.�5 PHONE: �5 z- �t'�3--t � Lf`� CONTACT PERSON: M a� ��.v�E MOBILE/PAGER�(j t a '�C�C'2��-1 � MAII.ING ADDRESS �_t�� ;x �G��S CITY: !,7..;�,L�,� ZIP: SS 3 S"c� STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAII,ING ADDRESS: CITY: Zg': NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: ��L►��F �-x��+—►� ��'`� � �' ` 4�� '�-�o�Lc t..� ` Z.a.� z � ��"�� 5 STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �02 , OOC� 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 �vithout a permit; and that the work will be in accord ce with the approved plan. , APPLICANT'S SIGNATURE. DATE: zS`� D NOTE! Parade�Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGIiTS 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 req�red to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the cequested dara within the collecdng state agency,political subdivision,or statewide system; (b)w6ether he may refuse oY is legally required to supply the requested data;(c)any knowa consequence arising from lus supplying or refusing to svpply private or confidential data;and(d)the idenriry of other persons or endties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgaave data,punuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav place the nodce required under this subdivision in the individual income rax or propem Caz refund instructions 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 class�ed as public,private or con6dendal. Upon his further request,an individual who is the subject of stored private or public data on individuais shall be shown che data wirhout any charge to him and;if he desires,shall be informed of the content and meaning of rhat daa. Afrer an individual has been shown the private data and infocmed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addiaonal data on the individual has been collected or creaced. The responsible authority shall provide copies of the private or public data upon request by the individuai 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 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 Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addidonal five days within which W 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 concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing rhe nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurau or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Daha in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The de[erminaaon of the responsible authoriry may be appealed pursuant to the provisions of the administraave procedure act relating to conusud 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 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 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 pe 't. A�C \-�E � . �� AN�� , ►��, �.� gi�� Middle Last . � c� 1 v,� SC��S -- Address ��J �� C� 95��3� �6��-I �a�� C��, State Zip Phone �/z - �v�-9`�� I understand my ri d above. ._ Signa CHECS OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: !�b�i �r yr•4�:{�6M c.A-�►e� C�A�►�= . � PID: - DESCRIPTION OF WORK: L►�wc, r�c�ss s�na��-� ZO�tG REVIEW BY: DATE APPROVED: G -3� -�3 BUII.DI�i TG REV7EW BY: N l vi- DATE APPROVED; � � . FEFS TO BE CHARGED: Misc. Fees Calculated By: PER�1iIIT Yes �/ No PLAN REVIEW Yes r� No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZOVING C�CK LIST Zoning District: No C�L �/L fl•fc . Fire Department: � Post O�ce: School District: • � " Lo[Area: Sq�.ft. Acres ' idth Depth Survey Submitted: Yes � No ate of Survey: Proposed Setbacks: � � � Front(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: Wetland: . Building Hei�t: Def. Hgt. Peak Hgt. Lot Coverage: I Gradina: Staff Approval Date: By: I Council Approval Date: —� Septic: Staff Approval Date: By: I Zoning File: # Resolution: # Res lution Date: � Shoreland District: Avg. Setback: Bluff Setback: Lot Covec�age: � Existmg Proposed Hardcover: 0-75' 75-250' Z50-500' 500-1000' I Hazdcover Variance Required: Yes No I Date of Council Approval: REl�'LARKS(in house): 7 BU1LIlING-R�VIEW CHECK LIST . �C' � 3 � CONSTRUCTION TYpE; �J _ Sq Footage $Per Sq Ftg � Basement � . . x lst Floor � � x . . . ' . . � 2nd Floor x . _ - . . . Gazage x - � � � x TOTAL � Estimated Construction Value; $_ t Z,o00°� Inspections Required: , tiyork Requiring Separate Permits: Site PIumbing Fire Hazdcover Removal Mechanical Footing ' Water Connection � Septic Sewer Connection � " Framing Fireplace Lawn Irri ati . • Insulation 8 on Wall Board ��0�'� Other _,�Final � � �fg•� Well(State Permit) -.._. ___.__..;._ _. Other Grading/Filling Electrical(State Permit) � REl�iARSS(�i T HOUSE): . RE'VIEW BY OTHERS: DATE: _' ------------- -- �� Access: Existing�_ New . � Access Approval; Date � By: . ----------___ RENIAR.KS -------- - -------------------- � (TO BE NOTED ON PEIt11�IIT�; �M� 8 � ' � l� � ROl�O �� S�,dR� S-�� `��E�,�N,� t� -- ---- _ , ��Y OF 0��0 sz ` o� �9 i� PLA�1 ur�+�DfNG PLAAI A,� �..,� ��.,� �r�, I� �,��+��'�U �A��. �,cc�.ss sna�Rs Nt� �� ' "�� 4��:�� T�i RE1lISIONS t,� � 2�s�..�;�> �.. rj �r.= 9"E � ❑ �?!:'':,��r?��c(� r"� ��p.. °- L-`` `�S �� -- � Ow�ER DN�E b -30-�3 "} T �� ! � ' . ` ��+�'��„E 11.. W+�1..15 L� J�_Zy �� -x�aSc'� 1� � �r;,��r� L��! L..��s I�i1� . � ��G�«T E,�� i � K� � �,� ` � ��.:� s � z��S ,� �2� �31� x ��.r�<< �� - ar�- 3I8 - T.wN...,T�� . 5�\.� �.><< Cicstom Design - & Installation .,�-`Sa� .� .- ,,s-/ / ,�"-! f �. 1 c.�, tc.C �,(\c e+�. //�'•�-� .�i ,�/ / i �A�ES4-�o►L� �•.t� `A� ��•4�E �� (952)473-6649 Tel. (952)473-6661 Fax �j��i� A�w-� utt,•_ , �� lyl��-..(�H Rr`( . � SPECIA►L 1'+��TE l��q �"lzka �-1;��.�.ti� �..:� SEE ATTACI-!�� -i�ET Q�� -�-�, �'� _ FOR NAr+�r�i�-- ' 1�/�,f �'' CODE h��►.�I��s�s'�iTS ��x�� R�v.,,� +�..,cs �.,� � �!t i� ��.�.� ��<5�7-� P.O. Box 508 � Long Lake,MN 55356 ��-��'��'�'� Ce c ti r r �� C- �A�4 F{o�� `ct� �E�L.A�� t.'�E+..3i' 1� � J\�E �,J 1 F� ` 4 l) � a.._.�, � � �. t' J �� 1' I�iJ� I ` �o. / G��►� ��,U.��,� � �1 _ ,�. P�.�E2 �,,,►�..�..�c, a ,M..� � . Custom Design & Irastallation ,, ° . �R.�`.►.,'` � �S'�c{�S �� y - � �o �a�t �or�1 pt T — ��v _ 1 s�,.�� '' - �., + ��a t�- ��,� �,�� L1 �S " (952)473-6649 Tel. (952)473-6661 Fax " � cS�Ef� LRYvyi /p/L. �� I.��,,� ,�R�� , �G�1 C'`��c o. �.��.\.�...q �,+� C7c��+a � �� S'S�S� �152.- �l��6- f�1�/�' P.O.Box508 �A�..,��.sa �� 4►% C..'��-t� �v�s� Long Lake,MN 55356 �3 6►2-�oM-�t '��t e��