HomeMy WebLinkAbout2008-P11945 - addn/remodel/repair , . _ -
PERMIT
CIT'Y OF ORONO
Permit Number:
2750 Ke��ey Parkway- PO Box 66 P11945 �� � '
Crystal Bay, Minnesota 55323 Permit Type: Minor Altera ' ns �
(952) 249-4600 /�`'- _
Date Issued: 3/31/200
SITE ADDRESS: 3225 Sixth Ave N Unit#
Long Lake, MN 55356
PID: 29-118-23-44-0001
DESCRIPTION:
Pro osed Use:
p Residential Census Code 4
Permit Class: Building
Permit Type:
Minor Alterations Permit Sub-type( . Addn/Remodel/Repair
DETAILS:
Approved per resolution#: �
Separate permits required: /f
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NOTICES/REMARKS: �
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FEE SUMMARY: Permit Fee: $ 103.25 valuation: $ 3,220.00
State Surcharge�ee: $ 1.65
TOTAL FEE: $ 104.90
APPLICANT: Jesse Trebi�l Foundation Sys Inc. OWNER: Neil&Denise Heupel
700 Plea�ant Ave W 3225 Sixth Ave N
Atwate�; MN 56209 Long Lake MN 55356
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THE UNDERSIGNE HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO D�ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. . . . ��,��'�.e D � �
Tota!Fee: $ • � Dabe Received• � �- d
Entered By: Perinit#�•
CITY OF ORONO - BUILDING PERMiT APPLICATION
All informatton must be submitt�ed in full before plan review wi1l be started.
(p/ease prinl all ftiformadoe)
THE APPLICANT IS: (ctrcle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��'� /��,��� �p; ������
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Will this be a Parade of Homes,Remodelers Showcase Home or oWer Display Home?
❑Ye3 4 1�0 If yes,a speceal event,permit is requered wi[h Police Departmera and City CouncEl approva!
60 days prior to tha event. Shuttde bus sen+ice wrlt be reguired undess applicantdemonstrates
su�cient�-site parking is maifabla, Non permitted evenls will not be allowed.
NAME OF OWNER: ' � v � PHONE: (home) ��'"�����j�/�
MAILING ADDRESS: � � �� � �W��k�
CITY: �'Cf Pt c: ZIP: ��l0
CONTRACTOR: ,e rtGfa�� PHONE: ��'�'71I��a?9
CONTACT PER40N: L..�;yf Z OBILE/P G �R:
MAILING ADDRESS: o0 1,J, ✓ CITY: r� ✓ ZIp: . ;. .�
STATE LICENSE: # �- D !� EXPIRATION DATE: �3/ �
AiRCHITECT/ENGITTEER: PHONE•
MAILING ADDRESS• �T^y; �p:
NAME• REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding,Windows)
Any earth movement may require MCWD review �n permits!
PROP SED WORK(descrlGein detail): ..� .z,_�7��,�� 7 �'����f;j�� � �L�
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STORIES: SQ.FEET OF EACA FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACFIED DETACHED
ESTIMATED CONSTRUCTION VALUATION(eacluding land): � ��d • nO
I hereby apply for a building permit and I aclatowledge that the information above is completie 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 tlus is not a pernut and work is not ro- 'thout a permit;and that the work will be
in accordance with the approved plan.
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APPLICANT'S SIGNATIJR`E: , - D,��: � �?��
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Scc13.04 KIC.fITS OF SUHJECi'S OF DATA
SuMt_1. Type of da W_ Tdc righ�a of individual oa wlam�hc Anla ie aW red or lo ba slored slull be m sd foM in 16is scaion.
Subd.2.In&nmaliontaquiiedwbegivrn'a�dlvfidual.Anindividuslaakodtowpplyprivateorconfid�tialJalaconce�ningLimeulfelwliba
informed oF:(a)the purpo�e and inlmded uac of Ihe coqumled dala wilhin 1l�e colleeling aL�ta aganey,PoGtiml au6divirion,or a�aluwida xyelum;(b1
whethv Lu may rcfwc or ie legally requirod to supply the reqeo�led dota;(e)any lmown ooroequence arhiag fmm his sopplying or refiuing ta supply
private or confidemiai dau;and(�IAe idrnthy ofelher pusanr or entili�s auUwt'sad by aWe orfadmal Iaw W raoaivo Iho da1a.Thi+�oquu�tinant�hall
not apply when an individual ie aakad to supply itrvcdtigative da�i,punuaet to�ocliw�13.82,eabdivieian 5,to a 4�w cnfarcement ofrcer,
'[1�c eommiaaiogcr of nsvenue mav olaae Wc notiee raaaircd nnda Uus subdivtaion in 1he indirvidual inoomc!ax ar pmocrtv tax%u�d
inalntUiona inalcad ofon Ihosc fonro_
Snbd.3.Acecia w dau by individuaL Upoo requast b a n.wpons ble aulh�ity,an individusl ehail6n infom�ad wt�eU�ar hv i�tho Aubject of
nla�ed dita on mdividuale,and whahcr it is clasRified aa publie,privrle or cortRdentiaL Up�n Iria funt�a eequal,an individual wIw is thc subjcet oC
xlnral privalc nr puhlic dal�oe indiviJu�b cL�tl bc�huato IMe daLt wilheut aey durge w h'rn and,ifl�edcainr,sl�all bo informed ofUw codonl aad
mr�ning nC thal dau. AQa an individua{h�boen edoan�l�e privatc dau and infort�pl of ils mcaniog,tha dala neaet not be diaclmed lo bim for six
mon�hs Il�e�esllerunieee a d+epum or action punvant w this eection is pe�diag or addilional dals on Ihe indi�riduel h�s baan collneteJ or crwted. '[1�0
naponeible a�Mo�ity alwll provide eopiw oCthc privatc or public dala upan roqueat by{hc indivulual aubject of U�c dala. 'tl�e rapa�4ibk autLorily
may roquirs Wa roquasting po�son b pay!ho actual eoels ofmaking,oe�tifyiag,and compiling Ilw copies.
'fhe ranpoar�lo au�orilysfiall enmply ima6d'aloly,if peseible.wilh m�y raqnmt o�s�to pmwanl lo Wis aubdivisioa,orwithin t"ne days of
Iho Jale oClho roqaol.excludiag SaWrdays,Sundaya and legal hdidnys,if immad'rrlc oamplisnen ie not poeu�b.If ho cannot compfy wil1�lha rcyucst
wiU�in U�n�time,lK:ahallw in[mmlhc irtdividml,and may have an nddit�onal frvedays wilhi�whicli W comply wilh 1dc csyw.,��tcludingSalunLiyx,
Sumlays and legal holidays.
Subd.4, Proodlurewlxn�labieaotaacurtLeorcamplefe.AnindividmlmayeoalmltlioaecuraeyoroompkbnonofpubGeorprivaleJatn
rnnxrning himaelf.7b cxctcieo U►�rigl�An in�i�idual ehall nolify in writu�gthcrmponaibleaulho�ity dacribing thc naWn:oCU�c dixagta,titwnL'('he
rc�sponxibk awhori�y shaU within 30 days eiUicr. (a)coircet Uw data fowx!w bc inawurxa or ineomplo/a and a14�apt to aotify pmt racipianL�ol"
inaocuraleorineanpleledaL�,includingrecipientsnamedbylLemdividual;or(b)notit�eheindividmlUuthebeliavmlhad�lato6eaonocl.Dalain
dispwc shall be diseloud only if d�e i�ulividual'a da�ama�l bf disagtewnaU is ineluded with If�e dmclaeod da�a.
71�e dc�rnn6mlion of thc naponsble au1lwrit�r twy be appoled pwsuanl tn the proviaions oCtbe admininttalive pQoixJu�atA nlaling la
conLLwlul caaCu, �
DA'E'A PItIVACY ADVI50RY
In ucconlance with M.S. 13.04,Subd.2,"Rights of subjects of dala",we would like to inform you lhot your rcqucst
lix a�x:nnit nr licensc from!he Cily of Orono or any of ils dc�mrlmenls may requim you la Curnish c:crWin privlite or
ccmlidcntial infotmution.
Yc>u arc noti�txl U�aL'
t. The infonnaticm you fumish will be used to deternune yoia c�ualificulion for 1hc pern►il or licensc
requcsted.
2. You may refuse la supply clala,but refusnl may require that the City deny the permit or license.
3. "fhe information may be shsrod with othet local,sfnte nr fnderal agencies to the cx�nt necessE►ry to
proccss the permii or licenso.
A_ If your requesled permit or license requues Council action to approve,some information may become
public,
5. You have cedain rights vnder M.S. 13,04(avai{able upon rcqucsl)to review private data on yourselt:
6. Your fiill name is requirrd W process this application or pennit.
l P��c.Q �rr�';� ,�n,r ,nc�a_�4'd�.��.s-�e�'rtS 4���
Nirni Middle L.�st
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AJdreay / �
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Cily State 'Lip Phonc
I understand rny right�as stated above.
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Jesse Trebil Foundation Systems Inc.
"Quality We Can Guarantee"
Date: --� a� D� #of Pages: �
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Commerits:
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QuBUty We Can Goarsntee!
700 Pleasant Ave W
Ciri p�fe{� A'twater NII�1 58209 G�I — I te
(320)9748729
�NALL ANCHOR SYST�M i-soo-43asssi ounda�ion Pi�r Sys�em
Fax:320-9748896
info@safebasements.com
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2750 Kelley Parkway
P.O. Boz 66
Crystal Bay, MN 55323
(952) 249-4600
Fax: (952) 249-4616
FAX TRANSMISSION COVER SHEET
Date: � � � "`
. . ��To: � � � Z�12 QI/�
Fax: �J�� — � 7`--1�—����o
Re: a 5 /�G�` �
Sender: - 07/G!C
YOUSHOULD RECEIVE � PAGE(S), INCLUDING THIS COVER SHEET.
IF YO U DO NOT RECEIVE ALL THE PAGES,
PLEASE CALL (952) 249-4600.
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CITY OF ORONO CALLED IN -
INSPECTION NO IC SCHEDULED — �Dd %
PERMIT NO. � � COMPLETED
ADDRESS 3aa'� ��`� 1�� �- .
OWNER CONTR. �� ����
TELEPHONE NO. 3� ��7" do��O-�
� DESCRIPTION ��'�����'�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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O��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. 1� � �
Whfte Copyllnspeclor's File Canary Copy/Site Notice