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.
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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�:
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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
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� ORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� �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:
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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:
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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