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HomeMy WebLinkAboutRe: expired permit AL .q. O CITY of ORONO c4 Municipal Offices Street Address: Mailing Address: �$EggOg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 March 23, 2009 Hessburg Homes Attn: Dan Hessburg 3490 Lythrum Way Minnetrista, MN 55364 RE: Expired Building Permit Application for-4731 North Shore Drive,Orono, MN Dear Dan: Enclosed you will find the original building permit application and plans for a Building Permit (for a New Home), that was submitted on 05/16/07. This permit was never picked up and has since expired. Plan reviews expire after 180 days. We are returning this application to you. You may reapply for this permit at anytime. You will want to check with our Building Official to ensure nothing has changed with in our code. A new application would have to be filled out at the time a permit is re-submitted, along with any new documentation or fees that are now required. If you have any questions, please feel free to contact Lyle Oman, our Building Official at 952-249-4600. Permit Department/rd per to Telephone(952)249-4600 - Fax(952)249-4616 www.ci.orono.mn.us -z77 ` Total Fee: $ �Dc r Date Received: J� /(o f G- Entered By: Permit#: 6::1 JQn$ 1W CITY OF 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 OR ONTRACTOR JOB SITE ADDRESS:��-�/;G �//` C�.2�� a ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes XNo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bits service will be required unless applicant demonstrates su�cient on-site arking is avai able. Non permitted events will not be allowed. NAMEOF OWNER: PHONE: (home)X7- (work)ysa- MAILING ADDRESS:'5yRP°/.,' CITY:// -,-;7-Y ZIP: S S3�y CONTRACTOR: �� -� PHONE: CONTACT PERSON`-.'-L MOBILE/PAGER: MAILING ADDRESS: - CITY: ZIP: STATE LICENSE: # -DOW IrcO EXPIRATION DATE: t ARCHITECT/ENGINEER: 0� PHON �7- F49 ' gz- MAILING ADDRESS: CITY: ZIP: s-sNz NAME: REGISTRAT ON: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �- Any earth movement, mayr i MCWD review and p�+rmits! PROPOSED WORK(describe in detail): �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED :0-- DETACHED ESTIMATED 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 appy pan. APPLICANT'S SIGNATURE: ZDATE: /6 y o 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 shall be as set forth in this section. Subd.2. Information required 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 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 ideotity 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 revenuejn4y place the notice re uired under this subdivision in the individual inc me tax or propeM tax 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 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 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 data 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 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 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 oTpublic or private data concerning himself. To exercise this right,an individual shall 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 to 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 of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.$. 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 shared 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 proces is application or permit. ck�S�' First Middle Last Address Citv State Zip Phone I un and my rights a ted abo Signature Reset Form 32 r CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY- ADDRESS OR LEGAL: '17 3 1 © ;A FED: DESCRIPTION OF WORK: _ - -- - ______------ PROVED: D --- GRE W BY: --------- ----`%v DATE AP _ �ON�I VIE DATE -~ APPROVED: B UILDING REVIEW BY: •�.-- _ ------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PER1�TYes ,/ No PLAN REVIEW Yes Yes No SEWER CONNECTION Yes --�� No _ WATERCONNECTION STATE SURCHARGE PSI{ FEE INVESTIGATION FEE Yes No p SAC Yes No SITEINSPECTION �' THER (specify) Number of SAC-Units ----- ---------- ��a,s ------ - - - �cch r l a -� -- t.�rtc,0 �. � ooy . pd 7,ON11NG CHECK LIST Zaruna District: P� 1 Post Office: School District: Fire Department: Width 0 1 Depth Lot Area: Sq.ft. ( � Acres r Survey Submitted, Yes No Date of Survey: , Proposed Setbacks.. / Front(Lake): , Ri�Side. Rear(Street): Ot Side: I� // Adjacent St,„rruIeSI �/ Wetland: Building Height: Def, Hat. Peal`Hgt. Lot Coverage: D T K Council Approval Date: GradLna: Staff Approval Date: 6 •t rB - C�� By-, -L-- Septic: Staff Approval Date. W) By: LJ 7ouina He: � 'J�� Resolution: R______ Resolution Date: Shoreland District: V P5 /f�� Buff Setback: v I Lot Coverage: AvQ. SetbProposed, 1✓ustino Hardcover: 0-75' 75-250' 2-'J-DGS a BUILDING REVIEW CHECK LIST UBC: 1z -3 CONSTRUCTION TYPE: \W Sq Footage $ Per Sq Ftg Basement z _ 1st Floor z _ 2nd Floor x = Garage z z = TOTAL Estimated Construction Value: Inspections Required: York Requiring Separate Permits: Site _j _Plumbing Fire Hardcover Removal _D(( Mechanical ection — x Footing Septic `e Sewer Connection ,K_Framing _�Fireplace _K Lawn Irrigation �C Insulation (Masonry) Other Wall Board _x (Mfg,) y_Well (State Permit) _ Final Gradiog/Filling _ Electrical (State Permit) Other REMARKS (IN HOUSE): — �- ---------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DAZE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERAIM-