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HomeMy WebLinkAbout2000-P03148 - porch � * PERMIT �IT� OF ORONO 2750 Keil�y Park�nray - PO Box 66 Permit Number: Po3i4s Crystal Bay, Minnesota 55323 Pel'Clllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: tti2i2oo SITE ADDRESS: 1380 Rest Point Rd MOLTND,MN 55364 PID: 07-117-23-33-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Parch _ �,, DETAILS: Approved per resolution#: Separate permits required: Eiectricai(siaie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83•25 Valuation: $ 3,000.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.50 '1'OTAL FEE: $ 138.83 APPLICANT: �W�LLIAMS CONSTRUCTION INC OWNER: �AVID K BLODGETT 2936 QUAIL AVE NORTH 1380 REST POINT RD GOLDEN VALLEY, MN 55422 MOUND MN 55364 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. ;� � i � �c !�� �- /��1�f.���Lf H � � l�''� �L' �� j APPLI AN P MITEE 1 N TURE IS D BY SIGNATURE , Copies: City,Applicant,Assessor,Finance Page 1 Total Fee: $ ' �'`��� Date Received: �U�"�t"' �� ` Entered ?3y: Permit#: �`-�.;', `"�,' / � CITY OF ORONO - BUILDING 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 OR TRACTOR JOB SITE ADDRESS: ������� �j't�,� l2lJl��� ZIP: NAME OF OWNER: J l' � � Lr�'}'� PHONE: (home) 7/% `l�'l �� c, -�-- (work) MAILING ADDRESS: a� l ��?�'� �if�(,� CITY: (,c� ZIP:� CONTRACTOR: ��v ��„��� Cen,��, C�ti�.. PHONE: /� / /�- p� / ' � � CONTACT PERSON: ����C. MOBILE/PAGE : 7�/- 0 �7 MAILING ADDRESS:�93( (�?,cu,.�,Q j,P�t� 6��_CITY: � . ZIP: �/�-� STATE LICENSE: #�Q 1�S I o�� ARCHITECT/ENGINEER: PHONE: iv1AILI�TG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: ��,� P;�Ci��,�,c., 1�<rZ-e�h �% C� �./ye,F.��-c1 ��(1���`L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. nn 0� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j�,/L��� 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 t 's is not a permit and work is not to start without a permit; and that the work will be in acco ce wit the approved plan. � APPLICANT'S SIGNATURE: � /�t, 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. / � c .1 . .i Sec.13.04 RIGFTTS OF S[JBJECTS OF DaTA Subd. 1. Type of data. The rights of individual on whom[he data is stored or co be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. a,n individual asked to supply private or confidendal data concerning himself s6a11 be infocmed of: (a)the purpose and inunded use of the requesud data within the collecang�tate agency,polidcal subdivision,or sratewide system; (b)whe[het he may refuse oY is legaily required to suppiy the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply privace or confidendal dara;and(d)the idenary of ocher penons or enddes au[horized by sta[e or federnl law to receive the data. This requiremenc shall not apply when an individual is asked to supply invesdgadve data,pursuanc to secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of ro�enue mav place the nodce rewired under this subdivision in the individual income tax or properN taz refund instrucuons instead of on those forms. Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuais,and whether it is classified as public, privace or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara wi[hout any charge to him and,�if he desires, shall be informed of the content and meaning of that dara. After an individual has been shown che privau data and informed of its meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispuu or acdon pursuanc to this secdon 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 authoriry may require che requesung person to pay the actual cosu of making,certifying;and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant co 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 within that rime,he shall so inform the individual,and may have an additional five days within wtuch 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 pubiic or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsibie authority describing[he 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 recipienu of inaccurate or incomplece data, including recipients named by[he individual;or(b)nodfy the individuai thac he believes the dara to be correct. Dara in dispuce shali be disclosed only if rhe individual's statement of disagreement is included with che disclosed data. The determinaaon of the responsible authoriry may be appeated pursuant to the provisions of the administrerive procedure act relating to conrested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri¢hts 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 fumish 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 process this application or permit. First Vfiddle Last Address City State Zip Phone I understand my righ stated a ve. - � /� Signamre Y � CHECK OFF LIST FOR ISSUAi�TCE OF PER�.I�IIT'S _ FOR OFFICE USE ONLY . � . ADI}RESS OR LEGAL: I ��� �?�-S,' P o�.ti � l�o� PID• DESCRIPTION OF WORK: o a c t�- ,V-z-u 3 Sre•+s er•l a . � ZO�G REVIE�BY: DATE APPROVED: ��-S o -c� BUILDP�G REYIE�BY: . DATE APPROYID; r U • 3 � � r�� FEES TO BE CHARGED: Misc. Fees Calculated By: pERMrI' Yes � No :. pI,AN REVIEW Yes _� No SEWER CO�INECTION STATE SURCHARGE Yes � No WATERCONNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPEG"TION Number of SAC�Units OTHER (specify) ZO��IG CH�CK LIST zoning Dis�icc: N c� C�-l�V� _ . Fire Deparcment: Post Office: School District: • � � Lot Area: Sq.ft. Acres � Width D�P� Surve;Sub�itted: Yes No Date of Survey: Proposed Setbacks: Front(La.ke): Right Side � Rear(Street): Left Side• Adjacent Structures: etland: • Buildin�Heiaht: Def. H�t. ea.�:Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: � Resolutioa Dace: . Shoceland District: Av�. Setback: Blufi cback: _ L,otCovera�e• E�� Proposed Hardcover: 0-75' 75-250' __----- ?SO-500' _------ 500-1000' _----- Hazdcover Variance Required: Yes No Date of Couacil Approval: ItEI�IARK,S (in house): 7 r f BUII.DING REVIEW CHECK LIST . UBC: ��3 CONSTRUCTION TYPE: V/V Sq Footage $ Per Sq Ftg Sasement x = lst Floor z = 2nd Floor z = Garage z = x = TOTAL Fstimated Construction Value: $ 3,�c�o`�= Inspections Required: Work Requiring Separate Permits: Site Plumbing ' Fire Hardcover Removal Mechanical Water Connection *,JE-rFeeehlg Septic Sewer Connection pC Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _�Wall Board (Mfg.) WeII(State Permit) o�Final Grading/Filling �Electrical(State Permic) Other REi1�IARKS(IN HOUSE): � REVIEW BY OTHERS: ' DATE: Access: Existing New Access Approval: Date By: REVIARF�S (TO BE NOTED ON PERMI'1�: 8 —�L__�- - � -' �- ' -,�-�!_ �_ � � - � - i —f-- � ; - -1 �,--*—�- i � � I � �� � � � �'� �' �� ���� � � ��� � I � � � i �' � � � -rt--}---- ; - — - -;-- --,- --- ---�----f--+-- , , , ; � i i ' � � , I �, i� � T , � � I � � i _-"b� --- - , _. . _ - ---__ - -- - ----�-- , i , ! - � - � ! 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'. .��._ I —__ _ 4— — ' � i"_ ' __�--_-j---f_ __ . �--1-� i � � � -� � � i � , i � i � � i r-� � /�b � I� + I•Ze,/y�� DATE T� CITY OF ORON � //�AL�ED IN �D u�J��- G'�' fJ. � INSPECTIOPI N TICE � % sCHEDULED ��-Z `� �� �'�' PERMITNO. � � �v COMPLETED D�' ''C� �' � ADDRESS ' �� r 0 ��� �'( �� OWNER CONTR. � TELEPHONENO. �-5 ��� f" , � DESCRIPTION - ---- l� 01 FOOTING 11 MECHANICAL R�� 18 EXCAV/GRADING/FILLING � 02 FRAMING ` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO v, O MENT a �� -f.'�" //� 'b O�C, /• � �- 5 !�. �- .S CC.!'? '' f � �t� � S � p 1� � s 3, i �c� 1 Q �, �✓dvj " $' lj o,.� z ►-� ��� W � ti � � d W Cl WORK SATISFACTORY:PROCEED = PROJECT COMPLETE � ORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv . 249-4 OwnerlConiractor on site: Inspector.�G��-�����5 White Copyllnspector's File Canary CopylSite Notice /DAT T�/IME CITY OF ORONO CALLED IN !�� O�rO INSPECTION NOTICE SCHEDULED — PERMIT NO. /����� COMPLETED � ����, '�j ADDRESS ��g� ���� r � � �� OWNER �—� �.Cc.I�56Y� CONTR. � �,(1 LU� // � a��S TELEPHONE NO. ��`�^ � c�r 6�9� � DESCRIPTION C >��'� � � � � L� 01 FOOTING 11 MECHANICAL Rl 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 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 J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d � �'ONORK SATISFACTORY:PROCEED f PROJECT COMPLETE �.. W ❑ CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT fl CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN INSPECTOR WILL RETURN - CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr on site: Inspector. ����� S White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO �G"�'QS� CALLED IN INSPECTION NO ICE CHEDULED � ' �G PERMIT NO. � COMPLETED '� �. ADDRESS I .� a v ��PST �/� f�-' �� OWNER CONTR. S•(,J• 7�I�`�S TELEPHONE N0. L�?I� — � l � C� ,� 0 �p � DESCRIPTION ���� ���I1-a�'� lL Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q� INIS'FrA� > 14 SEWER HOOK-UP O6 PROGRESS � �Q7 UEFi10-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 a � J ~ � ''U ,e >. � O - ^ W � Q � Z W � W � � � ��ORK SATISFACTOflY:PROCEED �ROJECT COMPLETE ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �� O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContracto on site: Inspector. �liU,� White Copyllnspector's Ffle Canary CopylSite Notice IN Z7