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HomeMy WebLinkAbout2000-P02401 - addn/remodel/repair �� � '� PERMIT ��TY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number. Po24oi Crystal Bay, Minnesota 55323 PeftTllt Typ2: Addition/Remodel/Repair (612) 249-4600 Date Issued: s�23ioo SITE ADDRESS: 40 Stubbs Bay Rd S MAPLE PLAIN,MN 55359 PID: os-ii�-23-i2-0009 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: �,iectricai (siaie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 15,000.00 Plan Review Fee: $ 163.28 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.03 APPLICANT: ALLEN SCHMIDT OWNER: �LDON H DUNN ETAL 1415 CHERRY PL 40 STUBBS BAY RD S MOUND, MN 55364 MAPLE PLAIN MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECTFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. C t�-_ S�--=-o� . � � APPLICANT PERMITEE S[GNA1'URE ISSLTED BY SiGNATUR� Copies: City,Applicant,Assessor,Finance Page 1 1 � Total Fee: $ �a.?.p3 Date Received: �!/,ZB/oo Entered By: ��1, Permit#: � (',� �Q/ CITY OF ORONO - SUILDING 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 O CONTRACTOR � JOB SITE ADDRESS: �f c-' � . ��Jf3.�j i�.��-1 '!�� ZIP: ,S 5 3��f NAME OF OWNER: l.e)����,� p�N:J PHONE: (home) `��1,3 - �3 l dZ (work) MAILING ADDRESS: �fo S • 5•;�,�s g#�`/ CITY:/a'�/�G� p�...F};ti ZIP: �7 3 7� R� CONTRACTOR: RL.�ix a �'- �-m� o'�" PHONE: `f�l—Q y�� :3 CONTACTPERSON: S'�wi'rL MOBILE/PAGER: 3� b•- 5�.s y MAILING ADDRESS: !��5 G�f��f PL- CITY: /�'lo.;�-� ZIP: ����: � STATE LICENSE: # �5'Z � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition 7� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��� R� 5rt-o7' / v 6�-��C_� STORIES: i SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ /,7 t��, ��' 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 approved plan. APPLICANT'S SIGNATURE: �.���.s— �� DATE: `r Z � �v 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. 5 � � 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 reqirired to be gi�en mdividual. An i�ividual asked to supply private or confidential data concerning himself shall be informed of: (a)the puipose and intended use of the requested data within the collecting state agency,political subdivision,or statewide s�stem;(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 dare;and(d)dY identiry of other persons or entiues 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 eniorcement officer. The commissioner of revenue mav olace tfK noace required under this subdivision in the individual income tax or orooertv tax refund insuuctions instead of on those forms. Subd. 3. Access to data by individual. Cpon request to a responsible authoriry, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or conf'idential. Upon his further request,an individual who is che 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 indi�-idual has been shown the private data and informed of its meaning,the data need not be dis:.losed to him for six months rhereafter unless a disp�or acUon pursuant ro this secrion is pending or additional data on the individual has been cotlected or created. The responsible authoriry shall pro��de copies of the private or public data upon request by the individual subject of the data. Tlie responsible authority may require the requestin�person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immzdiately,if possible,with any request made pursuant to this subdivision,or within five days of[he date of the request, excluding Saturdays,Sunda�s and legal holidays, if immediate compliance is not possible. If he cannot comply with thz request within that time,he shall so inform the iniividual, and may have an additional five days within which to comply with the request, ezcluding Saturdays,Sundays and legal holidays. Subd.4. Procedure Rhen data is not acecaate or complete. An individual may contest the accuracy or completeness of public or pri�•ate data conceming himself. To exercise this righ� an individual shall notify in writing the responsible authority describing the nature of the disaereement. The responsible authoriry shall within.i0 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,includi�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. 'I'he determinadon of the respoasible authorin•may be appealed pursuant to the provisions of the adminisnative procedure act relating �o contested cases. D�TA PRIVACY ADVISORY In accordance with Nf.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 Ciri- 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:v1.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required co process this application or permit. First tifiddle Last Address C(�y State Zip Phone I understand my rights as stated above. �. � �� -S��'...=.-�� s;�natu�e 6 , � , � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: y O 5�'u n�(�S �3fl� I�� PID• DESCRIPTION OF WORB: �A-?A to� rA�J� � � a� ZO�G REVIEW BY: DATE APPROVED: .3- • �( —v� BUILDING REVIEW BY: DATE APPROVED; .�- �{--ou FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No PLAN REVIEW Yes c/' No SEWER CONNECTION STATE SURCHARGE Yes / No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZOYING CH�CK LIST zoning District: 2 R.-1� Fire Department: " Post Office: 1 School District: D2c�.�v v Lot Area: Sq.ft. No c H.tiv6 z Acres Width Depth Survey Submitted: Yes_� No Date of Survey: DN /'�� Proposed Setbacks: Front(be�e): l t13� �' Right Side: 17 C7 Reaz(St�eet3: I t3O�'�' Left Side: c! 7 � Adjacent Structures: ATT�,H�h Wetland: N(/� . Building Height: Def. Hgt. �.4L Peak Hgt. ��� Lot Coverage: N �✓�' Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resoludon Date: Shoreland District: �, • Avg. Setback: Bluff Setback: LotCoverage: N Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): _ 7 , � , BUII.DING REVIEW CHECK LIST �C: lQ'- '� CONSTRUCTION TYPE: �//�J Sq Footage $Per Sq Ftg Basement . . x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ I J,Uut� a"— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection - _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) _�C Fina1 Grading/Filling � Electrical(State Permit) Other REI�ZARK.S(IN HOUSE): . REVIEW BY.OTHERS: DATE: Access: Ezisting New Access Approval: Date By: RE1I�IARI�S (TO BE NOTED ON PERMI�: 8 DATE q. TIME CITY OF ORONO CALLED IN S'3 a- /' U� INSPECTION TICE SCHEDULED .5-3, -6 ° ��� *'�� PERMIT NO. 0 � COMPLETED ��'} � 'd� ADDRESS �Q S � - S� � b b 5 ,� �u /� � OWNER ��'�� CONTR. � . �� �a�� TELEPHONE NO. 1 � o � 9 7�-- � DES TION ~ 111-FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � Q 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C M NTS: al �v � J�� � • G o �� ����� � � '' �- �N . � 0 � Q z �', y �� /6 �Qr��e � - � z . �-� D , c,�-� �s �� �s W �. G-f�l.� � �� - � �-S' � � d W [_1 WORKSATISFACTORY:PROCEED :: PROJECTCOMPLETE � �I�CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT C: CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETURN ' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector. �C�z-�/� White Copyllnspector's File Canary CopylSite Notice DATE �IME CITY OF ORONO CALLED IN �U d //R"�' INSPECTION N TICE scHE�u�Eo � � �'� � PERMIT NO. c � � � COMPLETED e� �� �� ADDRESS �C S7`Z C hl�S � %�� ��S OWNER(1�III� � �� CONTR. �'� � TELEPHONE NO. �b�r �—����` � DESCRIPTION ����`�� `— ������ ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q ti Z W � W � � �WORK SATISFACTORY:PROCEED /�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED � _ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr r on site: 4 Inspector� . DW�da-v1-� _ _ __ White Copyllnspector's File , Canary CopylSite Notice v, � ,�] �� � ��T.� C__� � a _ •� � ��o�� ���� r i �- �� � �. : - �� ������ �. ���� s ; :_ ._ _ _ _ : _.: . ORONO COP_Y � _� :_. :_ _.. � . , -, _ - : !N GOV'T. 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NO WA212WM5 E)M55 OR IMMEP INCILVINCA COMrLW,a OF TH15 PLAN WITH APPLICABLE PULPINCA COM MQUMWNI5 AM MAM, FX- CWr TIV5E IN W12ITiN6 51GNft9 PY TIt MAKER, ur- C V A MINN�fONrs^ t9�516N INC. 80 W, 78t4i, 5t., 5 i -be 210 ChariiaI55cn, MN 55,!51'7 TF -1, (612) 9�4-7440 FAX (612) 954-4505 e-mails mtkade5icroaol.com I 7 r_ m5m�� F0R; I-c"r I13 37-7coUN'TY: PEVf_L_0FAeW 5TWF_'r APM55 CfTY, 5rAI'F- A PAT cory"a-tr 02000 MV15er, MIKM'rONKA M5M. INC. %lee'r 5c&r: MIA" NUMIX-V of,