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HomeMy WebLinkAbout2008-P11864 - porch �' - � PERMIT CITY C��F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p11864 Crystal Bay, Minnesota 55323 Pel'rTlit Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2/15/2008 SITE ADDRESS: 4760 Bayside Rd Unit# Maple Plain,MN 55359 PID: 31-118-23-33-0012 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposcd Usc: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Porch-Residential Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: Open Porch Addition FEE SUMMARY: PermitFee: $ 831J5 Valuation: $ 70,000.00 Plan Review Fee: $ 540.64 State Surcharge Fee: $ 35.00 TOTAL FEE: $ 1,407.39 APPLICANT: Lemmerman Const. Inc. OWNER: Marcia Barnum 9037 Cty. Rd 17 SE 150 McCulley Rd Delano,MN 55328 Maple Plain MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILD[NG CODE REQUIREMENTS. � /.%� , ��. _------___ �_ _ � �--'`—�. (' �C� /�/� ;�6 /G APPL[C TEE SIGNATURE ISSUED BY SIGNATURE � Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1 f' � ��� � ������ Total Fee: $�� . ,3 Date Received:o2.���,� Entered By: Permit#: �-//�(��-- CITY OF ORONO - BUILDING 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: �� �.y S id� �1�. ZIP: ».3.,���� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �� No !f yes, a special event permil is requii•ed tivith Police Department and City Council approval � 60 days prior to the event. Shuttde bus service will be reyuired unless applicant demonstrates suff cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER:��g �.p.�r,� �p�,�;,;;u� PHONE: (home)_ti �+� M�p� (work) �— MAILING ADDRESS: �7�p ��w�;;D� � CITY: �,,fa;�i ZIP: � _ << CONTRACTOR: (�MNtE�a�;�, L�;,r,T .��.• PHONE: 74:3-��7Z-3uc�.3 CONTACT PERSON: �j a� MOBILE/P��: 7�;;�-22�� -23�,0 MAILINGADDRESS: q�;y r•��. hp. � � S�: CITY: Aujtjui> ZIP: 553�-{s STATE LICENSE: # ��<� EXPIRATION DATE: h3�� or; ARCHITECT/ENGINEER: �SKU�N� �-����' PHONE: i;,�2- 'Z�1r, - 7;�5 MAILING ADDRESS: �?c;i�, ;�,i�,�.t:s i�i� 'w . CITY: (Wt rv�,�-r�.w,� ZIP: S5_;�.; NAME: REGISTRATION: # TYPE OF WORK: New Home Addition � Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: ;;;�;,� �;��,�'� STORIES: � SQ.FEET OF EACH FLOOR: f�/ � R�4��t;� NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $��'� `� I hereby apply far 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: DATE: -���a� 31 ' l Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section]3.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or property tax refund instructions mstead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the 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. Afier an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additionai data on the indiv idual 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which 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 public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including 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 individuaPs statement of disagreement is included with the diselosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a pennit or license from the City 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 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. r ;�C1..t� IZ `-�N.1,1'�F-w3.n�� First Middie Last qo�� c.�. ��� �� 5� Address `�CJ �� City State Zip Phone I under�nd my rights as ated/ bove. - J./ � Si natur '�--�_„ .� � � Reset For� 32 5 e� :(asnoy u�)S�IXY'Itl�?I :jnno.�ddy1t�unoJ�'oa�nQ o� sa,� :pa.rtnbaya�unutii1 .tano�p.rn,cl �0001-OOS �OOS-OSZ ,OSZ-SL asodo.r ,SL-p :.rano�panH P d �ut�s:z;� :a�n.rano.7�o7 :��n41aS.�n18 :x�nqaas ��n� :�tur.rad Q�,1.71'li ,�� :��u�srQ pun1aaor�S :aznQuotpnjosa� # :uorinlosa� # :a1r,�ButuoZ �� � :�g �� I I " � :a;�Qlnao.rdd�f�'n;s :�r�da,g :a1nQ 1nnoaddy-jt�uno� :rfg d/N :aznQ Ivno.rdd��'nzs :�utpna� :aSn.�ano,71o7 ���H�°ad ��H �aQ :�yS:aH Su:pl:ng :punllaM :saan;�n.�Is Jua�nl'Py ����i �apts� � DU :(,�.a�''�g)ana� �� � O� :aP?S� Q ps :(��Juo.r� �� i� :s�1�b41aSPasodo.rd ��J 2�21 :�fa��azn� o� ^ sad •patl?auqns r('an.rns ,/ ' yzdaQ �l1P?M �k-��� • sa.r�6' '1 'b :naa f8`,� .� S 6'zo7 :��u�srQ 1oo�l�S :a�zf�'p;sod :auau«.mdaQ a.rr� �4 � J - � :J�1.(pS1Q�I[1ZlOZ ,LSI7 JI��H� rJnIINOZ 'G� (��ads) 2I�H.LO � s�tull �i�S.�o.raqurn� AIOI�L��dS1�II�.LIS '� ot�I Sad �Y'S �,�.��I�d �r o� sa� ����IOI.L Y'JI..LS�f1�Il �IOI�L,��NAIO�?I�.L b'�1 o�I � Sa� ��2I b'H�?Il1S�.L b',LS �IOI�L��t�t�0�?I��1�S ot�I � S��Z ��I�1��Ib'7d °�[ �—Sa� .LIL1�2l�d - --- '�gpalnpn�1n� saa,� •�sry�r �Q�TJ?II�H��SO.I 5��� w n - I Z �Q�10XddY'�.LY'Q �d8�1TI�1��AlIQ7I118 � �1 �Q�TilO?IddY'�.LY'Q �� :d8�1�I�1�Jr�IIr�IOZ �' t '1IN0�1 d0�OI.Ldl?I,�S�Q �QId t� �-� ��� •s � 6'� �LI� �7��a7 aro ss�xQQr� d 7t�I0�S11 �,�I.��O ?IO� ' S.lIW?I�d d0��AIi�'I1SSl XO.�.LSI7�.�0 JI��H� �' - - . • . B UILDING REVIEW CHECK LIST UBC: jZ �,3 CONSTRUCTION TYPE: �/N Sq Footage $Per Sg Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ �v� ��� �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _Z Footing Septic Sewer Connection o� Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) D�Final Grading/Filling �C Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 34 1 i ,' , x� , ��"' / �`�, � ,�~ �'!�r. - ' _k,v,' _ _ , � , _. _. _ __ _ , , • .: , - ` ,i _ -��_ _ �� ' �S�� Q� . _ --- -- _ _ � � ' y � �} , , I -. ,` , ; � _ I �C.� ' � , __- - __.. ,�__-- �� : ( �+-°� y-- `� �� �--- -- -- -- h�SI I d �. ; _.� �' ,� ' ' � � ` ;�en�no '. 4 + ` ,�l 6�17s1X3 --- — — � � �. � _ - - -- `, � . �'Cb!' , , � � �� i � � �,�o � ��� � ., � .�,o� •. i � i� ' `'� ' � , . i �j i� u� h . ` �. .. o!.\'`� ��� � �� � '�,0. 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T C COMPLETED, ADDRESS 7 OWNER CON . ��� -�'• TELEPHONE NO. �� � — ��1�- aC$�-���� � D SCRIPTION `�� � � TING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAI. ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ' �� ❑ FOUNDATION/REMOVAL � OWNER/ NTRACTOR T EET YOUX�YES_NO ( � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlContra ite: Inspector. White Copy/lnspector's F Canary CopylSite Notice " 1� D E TIME � CITY OF ORONO CALLED IN _/�� INSPECTION NO I - scHEou�E� PERMIT NO. coMP�ETE ADDRESS OWNER CONTR. TELEPHONE NO. � G�� — �� ��� ,� �✓4�� � DESCRIPTION �� `— lu 01 FOOTING 11 MECHANICAL RI 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 05 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW .J�WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE �r� \ W ❑CORRECT WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN �NSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (Q52� 249-460� OwnerlContractor oR site: � . Inspector. w '` � rL White Copyllnspector's File Canary CopylSite Notice ✓ � DATE TIMEQ..� �C TY OF ORONO CALLED IN ��5 �� �"I��'+ �' ' INSPECTION NOT�� SCHEDULED � �5�� PERMIT NO. COMPLETED ADDRESS �` I -t-�U��tri� OWNER CONTR. �Y� TELEPHONE NO. ��C� "�' ��`( '� Z.�� � DESCRIPTION �� � ��U � C���V 1 �� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FiNAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o :�c���3�� G � ca � ���� �� � Z,.�' :�f'!r- nl 1[� ` �� � t ( � �'3f?cV�ao.+v�S .�a� �-uS�-- W Q � ��� �(f�r � Z W � W � � � �WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor o site: Inspector.� � i(� � White Copyllnspector's File Canary CopylSite Notice