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Home My WebLink About2009-00098 - emergency generator on concrete pod � CITY OF ORONO PERMIT NO.: 2009-00098 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 03/10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2345 BLAINE AVE PIN : 17-117-23-34-0011 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 009 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : O/S BUILDING -LTNDEFINED VALUATION : $ 20,000.00 NOTE: OTHER PERMIT REQUIRED IS: ELECTRICAL(STATE PERMIT) , - r ��'i��-�'1C�� '1 �%�-�-��-'r �r C L�T�/��/�f'c��_: �tG�l U APPLICANT PERMIT FEE SCHEDULE 339.25 VERIZON WIRELESS PLAN REVIEW 220.51 9955 59TH AVE N PLYMOUTH, MN 55442 STATE SURCHARGE(VALUATION) 10.00 (763)595-5052 TOTAL 569.76 OWNER (WELL NO. 3 PUMPHOUSE), CITY OF ORONO P.O. BLAINE AVE CRYSTAL BAY, MN 5532� AGREEMENT AND SWORN STATEMENT I�he work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permi[is for only the work described and does not grant permission for additiona)or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hecein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked�t"any time far du�.caus8l x . :;�;�-i�t- . ._��1�,�:.r- 3, i� ,cj 3i/� iD � AppYicant Permitee Sigq�fture Date Issu y Signature Date / SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. DESIGN DES I GN Kevin D. Spencer Designer OF EDINA,LTD. 9973 Valley View Road Direct:(952)903-9281 Eden Prairie,MN 55344 Fax:(952)903-9292 9973 VALLEY VIEW ROAD Phone:(952)903-9299 kspencer�rjddesignl.com EDEN PRAIRIE, MN 55344 (952) 903-9299 FAX 903-9292 To: City of Orono, MN Date/Time: March 10, 2009 2750 Kelley Parkway Orono, MN 55356 Project: MINC Navarre Gen Add [X] Hand delivered Attn: Permit Department [ ] By Mail Phone: (952) 249-4600 [ ] Overnight Service The following items are: [X]Attached [ ] Enclosed [ ] Under separate cover via: Items listed consist of: [] Prints [X] Check [ ] Shop drawings [ ] Samples [ ] Specs [ ] Change orders [ ] Copies [ ] Originals Transmitted as checked: [ ]As requested [X] For your use [] For review [ ] For approval [] Please return after use [ ] For return Item Quantity Description Original 1 Check in the amount of$569.76 Please contact me if you have any questions or comments. Signed: Kevin Spencer Copies: 1 (952)903-9281 � n �� W" C � ��I by Total Fee: $ �� J, /10 Date Received• ' — �`7 Entered By: Permit#: - ad 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 R CONTRACTOR JOB SITE ADDRESS: 23� �irr,L ,�ir�nu�, �rc�o, /`�i�/ ZIP: 5 r39/ Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �1.�"/?�rt- k�ireLeSs PHONE: (home) 9�•g�G•`�T� (work) MAILING ADDRESS: �� CITY: ��/a' � ZIP: ✓�r 38 MN CONTRACTOR: To E� d��"�=1�� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: ��CS�iZ 1 of ��/L PiztJriG PHONE: 9�G✓Z. 9oa.y�99 MAILING ADDRESS: 5`�T3 �/22L(ey �/icw /� CITY: +�it �ai�i� ZIP: �3 � NAME: �of�t v/S REGISTRATION: # /a��7 TYPE OF WORK: New Home N� Addition N�a Accessory Structure "ya Move Home N s4 Remodel/Alteration (ie: Siding, Windows) N�[ Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: /�a��sa�t o�pJf'Lei-9�JLc.°ty 9�R?.nt.f�i' cy2. �o,�j�GtG �zd sui'rou�ed w�-h �lai�c 4nlr f'enee. STORIES: N�A SQ.FEET OF EACH FLOOR: �� NO. OF BEDROOMS: N�A GARAGE STALLS: ATTACHED A/�!, DETACHED N�F ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� 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 ardinances 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: 03. d�, � 1��Si�li1. �tt�/lf"�far' j/�Qi-��cn, �ir�eleSs 31 1 Sec.13.04 RIGH'TS OF StiBJECTS 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 required to be given individual. An individual asked to supply private or confidential data conceming himself shall 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 supply the requested data;(c)any known consequence azising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities 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 enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or propertv ta�c refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be mformed 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 chazge to him and,if he desires,shall be informed of the content and meaning of that data. After 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 additional data on the individual 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 of the request,excluding Saturdays,Sundays and]egal holidays,if immediate compliance is not possible. Ifhe 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 conceming himself To exercise this right,an individua]shall notify in wnting the responsible authority describing che 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 individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions ofthe 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 permit 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. evirl ��1� ��_5��' �'- �er« ��c/rss First �Siddle Last 9973 l��.11ey �/�. ��d Address `� ,��en �w�� /�I�t/ �3�� 95.2. yo3. yz�/ City State Zip Phone I understand my ghts as stated above. /C.- /�-�l^ Signature It$set Form 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 23`i 5 (3��tic ,A�,,� PID: DESCRIPTION OF WORX: ��ycbe ,.,,�,t p� ZONING RET�IEW'BY.• E T_� W' DATEAPPROi�ED.N 3-S—o�f BUILDINGRET�IEWBY.y_��( ---_�w DATEAPPROf�ED.- �-�= o�j —_ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT �'es ,� No PLAN REVIEN' Yes ,/ No SEN'ER CO.N.�VECT'ION STATE SURCH.ARGE Yes � No N'ATER CONNECTION INVESTIGATIOIV FEE Yes No PARK FEE SA C �'es No SITE INSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: _� �� ' �Y �� Fire Depm•tnzent: _ Post Office: School District: Lat Area: Sq.ft. Acres Yd�idth Depth Survey Szrbmitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: N etland: Building Height: Def Hgt. Peak Hgt. Lot Coverage: Grading. S[affApproval Date: By: Council Appr•ova!Date: Septie: StaffApproval Date: By,: Zazing File: !€ Resolutia�: # Resolution Date: Shorelaiad District: MCN D Pernzit: .Avg. Setback: Bla�Setback Lot Co��erage: Faisting Proposed Hardcover: 0-�.i' ?5-?SD' ,so-sno� soo-l000� Har•dcovei� 1�'ariance Regz�ired: I'es N'o Date of Counci]Appr•oval: REMARhS(i�1 house): 33 ti� �(.LIW?I�d�l0 Q3.LO�l.38 O.l) S�INti'LYT?I ;fg a�nQ :�nno.rddy�ssa��y n�a�� ur�st.r3 :ssa��y �3.L b'Q �S?I3H.l O d 8�13I�13?I �(�S110H�I�S�b7�.�X .ra yt0 (�rur.�ad aJn�S)ln�ia��a13 7�— 8ut11?.�/Sutpn.r� Inur��— (lir.uaad aTn�S)11?M ('�.�yl�� P.rooS IInM .�a�zp (rCtuosnyy) uotlnjnsul uot1D�u.rl unw7 a�nlda.rt,� outwn.r� uot��auuo�.rantas �i�das �ur�oo��— uoj��auc�o�.raln,� In�tunr��ayv Innoura�.�ano�p.rnH a.rr� Sutqzunld aats :sTtzuaad a�vavdas�uzrrnba�/:yJo,H :pa.rinba�suo��adsul �p 00�► � $ :anln� uor��n��suo�palvur7�s� 7I�.LO.L — x — x a3n.�D� — x aool.�PuZ — x .rooj��sl — x �uacuasng ��,�bs.�ad,� a�nyoo�bs -6/��/ �3dd_lNOLl.�Il?LLS�1(O,� � f�l - �.�8l1 .LSl7 JIJ�H�.�h3I�13?I�NIQ7Ill8 (�� F / �� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � �� PERMIT NO�-�:�%� ��C�� COMPLETED ADDRESS �� . � : -� I C_ - OWNER CONTR. ' � '�' LL1 � TELEPHONE N0. �� '`�' � � �� "� � �'% �� ,� . � DESCRIPTION ��-`�'�) NC—'J �—C�� • � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FIL G y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLAN� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � a ��- L�Y_w�.yZ�esl i ck�:_'�.t �'�f.��a�-t ��i . � � O � � O � W � Q � Z W � W � j d W�WORK SATISFACTORY:PROCEED f7 PROJECT COMPLETE �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on �te: Inspector. White Copy/lnspector's File Canary Copy/Site Notice 4. ��` C�� AT � TIME CITY OF ORONO CALLED w � �� I ��-�- INSPECTION NOT CE SCHEDULED `•� � �"_ PERMIT N0. "��C�t `��>kCOMPLETED ADDRESS I C�C� �'i'- .�T�� ^ (� _ �j � � �I�'-t/!l� v'� OWNER CONTR. � �S�C �� E� TELEPHONE NO. l � a`7�C � "rJ� � DESCRIPTION �-�l� !�"�l c� � � X�f�� l C'� ��G"lc�_,��<f�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W k Q � Z W � W � � O W� ❑WORK SATISFACTORY:PROCEED L�j PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G�SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours irt advance. �95Z� Z49-4600 OwnedContractor on site: inspector. �� White Copylinspector's File Canary Copy/Site Notice