HomeMy WebLinkAbout2007-P10935 - building PERMIT
CI�Y UF ORONO
2750 Kelley Parkway- PO Box 66 Permit Numb r: p10935
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued:
5/22/2007
SITE ADDRESS: 4440 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 31-118-23-34-0012
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Pernut Type: Minor Alterations ermit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83•25 vaivation: $ 2,541.00
State Surcharge Fee: $ 130
TOTAL FEE: $ $4.55
APPLICANT: Renewal By Anderson OWNER David&Nicole Montecalvo
1920 County Rd C.West 4440 Bayside Rd
Roseville,MN 55113 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CIT OF ORONO ORDINANCES AND STATE OF
MINNESOTA UILDING CODE REQUIREMENTS.
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� P ICA15 PERMIT E SIGN ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, Tf Septic, 1-Septic) Page]
, Total Fee: $ C� ' S� Date Received: �-���710�
Entered By: n -� Permit#: �'r- I � 35
CITY OF ORONO - BUILDING ERMIT APPLICATION
All information must be submitted in full efore plan review will be started.
(please print all in rmation)
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THE APPLICANT IS: (circle one) OWNE O CONT
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JOB SITE ADDItESS: 1 '� , Zip;
Will tbis be a Parade of Homea,Remodelers Show ase Home or other Diaplay Home?
❑ Yes ❑ No Ifyes, a special everrt permit is require with Police Department and City Council approval
60 days prior to the event. Shuttle bus s rvice will be required unless appliccmt demonstrates
su�cient on-site parking is available. on-permitted events will not be allowetl
NAME OF OWNER: .� 1�- 1 � �� CGI.'U�IONE: (horne) �' ���J(
(wark) .
1VIAILING ADDRESS: CITY: ZIP:
Renew^al By Ander n
CONTRACTOR: 1920 County Road "C" West _pHONE:
CONTACT PERSON: Roseville, MN 551 3 � AGER:
MAILING ADDRESS- License #2a13098 : ZIP:
STATE LICENSE: # • 651-264-4777 JN DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Additio Accessory Structure
Move Home Remod Altera.tion(ie: Siding, Windows) �
Any earth move nt may equire MCWD review and permits !
PROPOSED WORK(describe i�t detai�: ��
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STORIES: SQ.FEET OF EACH F OOR:
NO. OF BEDROOMS: GARAGE STALL : ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(e luding land): $ �i ��'''
I hereby apply for a building perrnit and I acknowledge that e information above is complete and accurate;
that the work will be in conformance with the ordinances codes of the City and with the State Building
Code;that I understand this is not a pe i, d work is not without a permit;and that the work will be
in accordance with the approved plan. '
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APPLICANT'S SIGIVATURE: E;
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`Sec.13.04 R[GH75 OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the date is st red or to be stored sheU be as set forth in this section.
Subd,2. Information required to be givan individual. An individual ask W supplyprivatearconfidential data conceming himselfshall be
informed of. (a)the purpase sad intended usc of the tequested data within the coll ting state agency,political subdivision;or statewide system;(b)
whether he mny refuse or ia legally required to supply the requested dete;(c)any kn wn consequence arising from his supply�ing or refusing to supply
private or confidential data;and(d)the identiry of otl�a petsons or entities authorue by state or federal law to roceive the dala This requitec�nt shell
not npply when an indi�idual is a9ked to supply invesdgative deta,pursuant to sec ion 13.82,subdivision 5,ro a law rnfarcement o�cer.
The e ' i er o e ti und i i n in i '
j�gtructions instead of on those fortns,
Subd.3.Access to data by individual.Upon request to e respo nsible au ority,an individual shall be iafarimed whether he is the subject of
storad data on individuals,and whether it is classified as public;private or conf'id 'al. Upon his further requost,an indlvidual who is Ihe subjectof
stored privat�or pubtic data on individuels shall be shown tha data without ariy ge to him and,if he desires,shall be infomied ofthe content and
meaning ofthat data. After an individusl hes been shnwn tfie private data and info d of its meaning,the data need nnt be disolosed to hlm for six
months thereafter unless a dispute or aetion pursuant tn this section is pending or ad itional data on the individual hns beca co(lxded or created. "Iha
rosponsible authoriry shall provide copies of the privete or public data upon reques by the individual subject of the data. The responsible authority
may require the reques[ing person to pay the actual costs ofmak ing,ceRifying compiling the copies.
The responsible authority shall comply i�nediately,if poasible,with request made pursuantto this aubdivision,orwithin frve dnys of
the date af the ra�uest,exclud�ng Saiurdays,Sundays and legal holidays,if inunedia compliance is uot possible. Ifhe cannot comply witli tfie request
within that time,he shall so inform the individual,and may have an additiona!five d ys within whicH to compty with the request,excluding Setiudays,
Sundays and legal holidays.
Subd.4. Procedune when data is not accurala or complete.An individual mey oontest the accuraCy or oompletcness of public or privaLe datn
conceming himself. To exercise this right,an individual shall notify in writing the re nsible authority dcscribing tlie nanue ofthe disagreement. i'he
responsible authority shel]within 30 days either. (a)coaect the data found to be naccurate or inoomplete end attempt to eotify past rocipients of
inaccurate orincomplete data,including recipienls named by the individual;ar(b) tify tha individusl tf�at he believes the dala t�be correct. Data in
dispute shall bc discloscd only iPthe iodividual's statement of disagroement is incl od with the disclosed data,
The detemvnation of the responsible euthnrity may be appealed pursua t to tfie provisions ofthe adminiatrative procedure ect reladng to
contested cases.
PRIV Y D SORY
In accordance with M,S. 13.04,Subd.2,"Rights of subjecis dara",we would like to inform you tfiat your request
for a permit or license from the City of Orono or any of its de ents may require you to furnish certain private or
confdential information.
You ue notified that:
1. The information you fumish will be used to det ' e your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may re ire that the City deny the permit or license,
3. The informatian may be shared with other local, tate or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license reyuires Counc 1 action to approve, some information may became
public.
5. You have certain rights under M.S. 13.04(availabl upon request)to review private data on yourself.
6. Your full name is required rocess this applicati n or 't.
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�� i DATE I TI �E
CITY OF ORONO CALLED IN ��''��� I
INSPECTION OTI E SCHEDULED �,�_ ' %
PERMIT NO. � ���� COMPLETED
ADDRESS G `
OWNER �'IOrt� Cc�/Vo CONTR. ��+�-
TELEPHONE N0. s/ - �� � ` 4��5 3
� DESCRIPTION �d �`D'�— �i
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/Gf�ADIN /FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHQ�RE/W TLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA
Z 04 12 WATER HOOK-UP 17 SITE INSI�ECTI N
� OS FINAL 14 SEWER HOOK-UP 06 PROGRE�S �
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLFyINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD CbVER EMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION EMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� O CORRECT WORK&PROCEED ^ ISSUE CERTIFIjCATE F OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEti/IPOR RY
V BEFORECOVERING PE�?MAN NT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEtU
INSPECTOR WlLL RETURN �CITATION ISS�JED '
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (�52 249-4600
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OwnerlContr o ite:
inspector.
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White Copyllnspector's File Canary Cop�ISite otice