HomeMy WebLinkAbout2004-P07477 - enterance monuments �' � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�4��
Crystal Bay, Minnesota 55323 Permit Type: a��esso�-y sr�u�cures
(952) 249-4600 Date Issued: si2ii2oo4
SITE ADDRESS: 4760 Bayside Road
Maple Plain,MN 55359
PID: 31-118-23-33-0012
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Accessory Structures Permit Sub-type(s): Entrance Monuments
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Pernut Fee: $ 111.25 Valuation: $ 4,766.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 186.43
APPLICANT: William Bunn Masonry Inc. OWNER: Marcia Barnum
219 E.Frontage Rd. 150 McCulley Rd
Waconia,MN 55387 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT6E SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
fotal Fee: $ �O , - Date iteceived: s- -U �/
Entered By: � Permit#; ��� �'
C.iTY OF ORONO - BUILD7NG P�RMIT APPLICATIOIY
All in#brmation must be submitted in full before plan review will be st�rted.
(pdease print all rnformatBon)
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_--�---____�..____------`-----_--�_____
THE APPLICANT I5: (circle une) OVVNER OR CONTRACTOR
JOS SITE AUDRES5: 4760 Bayside Rd Zip; 55356
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Mome?
� Yes ❑✓ No If yes, a special event permit is required with Polic�Department and City
Council approvicel 60 days pr�or to the event. Non perrni!!ed events will not
b�uu�w�a.
1VAME OF OWN�R: Barnum Residence PMONE: (home)
(work)
MAILING ADDRESS: 4760 Bayside Rd C1TY; Orono G1P: 55356
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CONTRACTOR: �Nilliam Bunn Masonry Inc. YHO,NE: �952 292-2685
CONTACT PERSON: Mike Bunn N10BILE/I'ACER: (952)292-2685
MAILING ADDRESS: 219 E Frontage Rd CITY: Waconia ZIP: 553$7
STATE LICENSE: # EXP�RATION DATE:
ARCHITEC 1/ENGINEER: PHOIVE:
MAILING ADDRESS: CIT'Y: ZIp:
N�M�= REGISTRATION#
TYPE OF'WORK: New Accessory Structure ✓
Additlon _ Move Home �
RemodellAlteration — !—
PROPOSEI) WORK(describe in detai�; Entrance monument consisting of one post on each side of driveway
STORIES: SQ. FEE'1 OF EACH:FLOOR:
NO. OF B�DROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALt1ATION(excluding land): $ 4,766.0�
1 hereby apply for a building�permil and I acknowlc;dge thAt the iaformauon above is complete and accurate;that tht
work will be in conformance with the ordinances and aodc;s of the Ciry and with the State Building Code; that I
understand this is not a permit and work is i�ot to starc without a permit;and that the work will be in accordanice with
the approv�d plan.
APPLYCANT'S SIGNATURE: � ����I�c.,�:ti„ti DATE: S � �1 'G '�
Sec,13.04 RIGHTS ON SUBJF.CTS Uf DATA
Subd.1. Type u[da[a. Tlio righte of 111dlvidual on wl►om t6o data Iu slurud or to be sturod ahall bc as rot forl'h in thle seelioa
Subd.2.11►Curmytion requlr�lu bn�Iven In�ividual.An(i��viduul a91�lu snpply prlvAtr orcoulldenWal data cuncerniut Limeclf dhalt pe
InPor�tled oL• (aj the pu�'puee und intended 4xe uf thu requesteu dnta wlcAh�thc collectlug stuto ateney,polidcal Subdivixion,or statewlde bystem;(b)
whetllen c�may refuse oC lu legul►y requlred Cu supply the requuakod data;(C)yny knowii Cunsoquence urieing Proql6is euppiylt�g nr re(uelhg to eupply
prlvate or cunfld�ndal datu;i►nd(d)the ideutlty ot'utl�er perbons ur ontitles quthorized by slLtu or feder�l Inw to receive thu data Thi�roqulremaot ehall
mt trply when an iudlVlduul ie a�ked to 9upply iovudtlrativc tluta,pu�suutll lu eoedon 13.62,Bubdivlqlon 5,to s laW enfurcement o(ficor.
Th��commiss�nner of revenue muv nlr�co�he noticr rno�ired ui�n�r fhie aubdlvtxion in d►e individ al ln�v�mi.rxx or rrnn�rrv� trY re�i�nd
ineauctlo�u,n�twd oP on thrnor Yonne.
Subd.3. Aecuse ro dais by individual. Upon requoet to a rebpunsiblo suti�orlly,uu indlvldLul shall be Iqfurmud wl�ethor ho la rhe aubjuct of
akurud data a�111dlviduul�,and w4etlter it ie cluBeitled sit public,p�lvate ar wnGdendaL ppuu hie fnrther requoet,su Individual wllu is tho eubJeCt uf
elored private or publlC dutL uo indlvldud�s ahull bo ehowu the dutu without s►iy�i���o hltn und,if he desitea,shall be ltl[urmad of the cuntnnc spd
nleauing u[that data. Altrr Lo individual 11as b�x:n s6own the privvlu data spd inturccwd o(It�Ihuuoing,[he datu aoud not be dinclosed to him(or el�c
111ollrhe thorealter wlless u Uispute or acdon pureuLnt to thls 9ection i�pending or udditional data un thu indivldudl hYs been coll�;Wd or creoted. The
reepuneible suthorlty Siiall pro�ide rnp�eit of thc private or public eWtn upon reryuesi by the indlvlduul eubject of the�ta.The respunsible autllurily may
requiro the t�equesting persun to pay tl►e ucCurl�rosts oP otakiug,curtifying,eud cumpiling the cupi��e,
TI►e reapunslblo authoriry ahull cumply immediu[ely,if pusaible,wltl►uny roqueet mAde purauant to tlll�eubdivision,Or wlthin Iive dayl�uCthu
datm of the reryue�i[,oxcladin�Saturdays,Sundays and leg�lliolidyys,if immedlatc cumpliance 1911ot pn�eible.If Qe eRnnut romply W�th Iho ruyue9t wiChia
that timq he s11q11 So inform the il►dIv(du�ll,Lnd msy have An ulldiEioual tive days within whlch W�umply with the rerluest,uuludlqg Sotnrdaya,Suncluye
and lo�al Nolidays.
Subd.4. Procodure whe11 da�o is nut accurate oreo�hplutc.An indlviduul may conteyt tlle uccurucy or conlpl�tcnuas oPpublle ur privatedaln
concernitlg hitnselG To aze�cieetlll�righl,un indlvidua1811�111 notl(y in writing tlle ruspnnaible autllorlly dumcribin��he nyturo of the dlBugrcement The
reeponslblr uuthurity dhall wlthln 30 duys eithur; (a)comcl t6r�[a fonnd W Uu inuccurace or Incumploto and atlempt to noci(y�y��rucipiente of
InacCur�lte or incomplete data,lucluding r��cipienty named by thc individuai;or(b)nuti(y the Indlvidunl that he believ��a Ihu data to b�Curruct. Data 111
dl�pute sliru be disclosed nnly IPtl�e[ndividuul's state�nent ul'disa6rooment IB includcd with tpe dlsclused data.
Thc dotaroilnadon oPthe respunsible aud�orl�y muy bu yppealed p4raunnt tu the provlSluns uf the admiqistrativu p�ocedure uct r�+latinQ to
coqteykJ cuecs.
DATA P121'VqCY ADVYSORY
In s�ccordance with M.S.13.04,5ubd.Z,"Rights oCsubJecky of data",we'wuuld like to inform you that�our request
for a petmit ur license from the City of Orono or�tny of its departments may requ7re you to furnish certai�private or
confldentisl infurmation.
You ure notf}�ed that:
1. Ti►e infurmation ynu furhish will be used co docermine your qpa�Sc�l�ion for the permit or licenso requested.
Z. You may refuse to supply duta,but refusal msy toc�uire that tNe Cfty deny the permit ur license,
3. The informaiiou may be shared wfl'h uther loeal,st�tte nr federal agoncie�to the extenl'nece�sary to proce�s
the permit or iiCCns�.
4. If yuur requested permit or license reyuires Cow�cil actiun to approve, 3ume information mr�y become
publlc.
5. You have certain rights undar M.S.13.04(�tvailable upon request)to review private duta on yourself.
6. Your full name is requited to process thie applicxtion or permit.
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1 understand rights us s ed abuve.
51�natare
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. CHECK OFF LIST FOR ISSUANCE OF PERMITS
, • FOR OFFICE USE ONLY
ADDRESS OR LEGAL: `!7�G �/¢y�%OL` �0.9�-�0'
PID:
DESCRIPTION OF WORK: CN T/L6�YC� /Y�^���-�_�'°'T-�
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ZO�tG REVIEW BY: .�� DATEAPPROVED• s-�y- �
BUII�DING REVIEW BY: G ,,C DATE APPROVED; S=r �-���
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERMIT Yes .�'' No
PLA��T REVIEW Yes ✓'.� No SEWER CONNEC"ITON
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zon.ing District:
Fire Department: Post Office: School District:
L.ot Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes_� No Date of Survey: D� F-��f
Proposed Setbacks: s
Front (Lake): S � Right Side: ~
Rear (Street): � ''� Left Side: � +
Adjacent Structures: c�• it �Vetland: � !/�
Building Hei;ht: Def. Hgt. p .�_ Peak Hgt. —
Lot Coverage: -�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # ` Resolution: # Resolution Date:
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Shoreland District: ��
Avg. Setback: Bluff Setback: Lot Coverage:
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 REV�W CHECK LIST
�C� CONSTRUCTION TYPE: �
_ Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd F1oor x =
Garage x _
x =
TOTAL
Estimated Construction Value: $ �� -�(,6 s�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing ` Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling Elecuical (State Permit)
Other
REMAR��.S(IN HOUSE): .
__---_- --------------------------------------------------------
REVIEW BY OTHERS: DAT'E:
Access: Existing New
Access Approval: Date By;
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REMARKS (TO BE NOTED ON PER11�II'I�:
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� Westwood f'ROPOERTY LOCAT/ON.• oEs�cNEo E
M�M�woQ Profess�onal Services, Inc LOt 1, BlOCk 1, BAYS/DE H/LLS
104 Morty Drive Suite 3 ORAWN E
a�traio, MN 55313 Hennepin County, Minnesota.
612 682-2587
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CITY OF ORONO CALLED IN - � �Y�
INSPECTION NO ICE SCHEDULED ' �
PERMIT N0. 0�7�'1 COMPLETED
ADDRESS��7La C7 �Q�a-S;1X.� �
OWNER CONTR. I,()��Iisk�- I���� .�c�+��..�,2-
TELEPHONENO. CrJ �t� � J l� �-�i�� �� C� 1���
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:�ES_NO
� COMMENTS:
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W iNOflKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next . spection 24 hours in advance. (g52) 249-46��
OwnedContrac�to�e� it :
Inspector. � �
White Copy/lnspector's File Canary Copy/Site Notice