The URL can be used to link to this page

Home My WebLink About2008-00090 - addn/remodel/repair � CITY OF ORONO PERMIT NO.: 2008-00090 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUEn: 07/29/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2120 FOX ST PIN : 03-117-23-3]-0004 LEGAL DESC : UNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 139,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) FINISH LOWER LEVEL APPLICANT PERMIT FEE SCHEDULE 1,290.75 R G HOME IMPROVEMENT PLAN REVIEW 838.99 7901 E 250TH ST ELKO, MN 55020- STATE SURCHARGE(VALUATION) 69.50 (952)461-6139 TOTAL 2,199.24 Minnesota State License#: 20346024 OWNER MCGRANN, CHRISTOPHER& SHARON 2120 FOX ST LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional 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 herein.This permi[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 requeste confoTm�ce wit e State Building Code.This permit may be revok at any time for au . � •— / �� ... � �� -� / / A ' nt er it�e Sign Date Issued B Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. � ,�j �� ; � Total Fee• $ a�Q� Z DateReceived: ' Entered By: Permit#: � , t ;f;S(� ��`jc�� CITY OF ORONO - BUILDING PERMIT APPLICATION �� All information must be submitted in full before plan review will be started. (please print a[I information) THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: � l ,�C F a�� S i o 2 �n�U z�: 5 �-�� 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 PoJice Department and City Council approva! 60 days prior to the event. Shuttle bus service wil!be required unless app/icant demonstrates su�cient on-site parking is avai/able. Non permitted events will not be a!/owed. NAME OF OWNER: �n lZ I$ �t .5 r//��ON M.C°G'/c'/�NN pHONE: (home) `T 5�-�73-5 ��y (`�> �s ,� -a�o �- �� MAILING ADDRESS: � ��o r- 0 7 s i c��:�2 c�c:% z�r: s-��s—� CONTRACTOR: fZ G (-I ��Jvt L -T �^r�/'� U t M tN i PHONE: �)S� - �� -��3� CONTACT PERSON: ��N � N� � Lk c r� MOBILE/PAGER: � � ,�- :� �n�- � �� MAILING ADDRESS: ^��/C / L }�v i� 5 j CITY: t L� c.� ZIP: S 5_��(� STATE LICENSE: # � v 3 �l� c� ,J.�f EXPIRATION DATE: 3 - i j _ � � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 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 detain: F i1�' � 5 N L C W � � L�(JE l- v`' r�d r S T il� G S i�� cvC %U12 C� f/c�M � T S � Y/'S �L N!0 L�u.ic/'� � c ✓� L W �-��'`t itX�-- l3c�� TN; F 2� � STORIES: SQ.FEET OF EACH FLOOR: d}- NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ �� ESTIMATED CONSTRUCTION VALUATION(excluding land): $_� G"� • �'� '�� 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 1 understand this is not a permit and is not to start witho permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: � ��-G'� 3l CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: z� 7� �O� S? PID: DESCRIPTION OF WORK: + �w ,2 �v`-z, ��,�,� N ZONINGREVIEW'BY.• ►'�1�� ~ DATEAPPROI�ED: �N_��Y�___ BUILDINGREVIEi�'BY.• DATEAPPROf�ED: � -ZS ...pg FEES TO BE CHARGED: Misc. Fees Calculated By: �___�____________ PERMIT Yes ,/' No PLAN REVIEW Yes �/ No SEi�'ER CONNECTION STATE SURCHARGE Y'es_/� No WATER CO?VIVECTION INVESTIGATIOIV FEE Yes No�� PARK FEE SAC Yes No_./ SITEINSPECTIO.'V Number of SAC Units OTHER (specify) ------------------------------------ ZONING CHECK LIST Zoning District: _�p G�y.�qri,� Fire Departnzent: Post Off ce: School District: Lot Area: Sq fL Acres G4'idth Depth Survev Submitted: Yes No Date of Survev: Proposed Setbacks: Front(Lake): Right Side: Rear(Streetj: Left Side: Adjaceni Structures: YVet nd: Building Height� Def Hgt. p�Q� g�, Lot Cove�•age: Gi-ading: StaffApproval Date: By: CouncilApp��oval Date: Septic: Staff,�lpp�-oval Date: � '2`7— ��dB��: Zoning File: " Resolution: # Resolution Date: Sho�-eland District: AICN D Per-mit: .4vg. Setback. Bla ff Setbac�: Lot Coverage: Existing Pr-oposed Hardcover: 0-:'.i' i�-250' >>0-.i 00' �00-1000' Hardcover f"ariance Required: �es �'�'o Date of Coz�ncil.9pproval: REMARKS(i�r house): 33 B UILDING REVIEW CHECK LIST G'BC: (Z•3 CONSTRUCTION TYPE: V(J Sg Footage $Pe��Sq Ftg Basement x = 1 sr Floor x = Znd Floor x = Garage x = x = TOTAL Esti»tated Construction [�alue: $ 13�,d 0� �u Inspections Required: T�G'ork Requiring Separate Permits: Site _�Plumbing Fi�-e Hardcover Remaval _��Llechanical Water Connection Footing _ Septic Setiver Connection _,ZC Framing Fireplace Lawn Ir�-igation _�Insulation (,Llasonry) Othe�� T�'all Board (Mfg.) i�Y'ell(State Permit) �Final Grading/Filling _�Electrical(State Permit) Other REMARKS(INHOUSE): REI�IEW BY OTHERS: DATE: Access: Existing Neia� .�ccess Approval: Date By: REMARIiS (TO BE NOTED ON PERMIT): 34 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righLs 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 supply the requested data;(c)any known consequence arising 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 mayplace the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuais,and whether i[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. Afrer 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 authority shall provide copies of the private or public data upon request by the individual subject ofthe daffi. The responsible authoriry 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 pursuan[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 describingthe nature ofthe disagreement. The responsible authoriry shall withm 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[o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRNACY 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: l. 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(icense. 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(availabie upon request)to review private data on yourself. 6. Your full name is required to process this application qr pennit. '� . �� (�� First Middle Last Address City State Zip Phone I understand m�� a d above. �-::r-''� �._... `Signature `��'��" Reset��r.m � "� 32 � w,,,. �"�� ,�� .. Total Fee: $ Date Received: 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 OR CONTRACTOR JOB SITE ADDRESS: ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia!event permit is r�eguired with Police Department and Ciry Council approval 60 days p�•ior to the event. Shuttle bus service will be requir�ed unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Hame 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: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; tl�at 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 wark will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 31 p' OQ TIME CITY OF ORONO CALLED IN O o�- INSPECTION NOTICE Q SCHEDULED - 'O L�� PERMIT NO.�dd'-�Q 7� COMPLETED ADDRESS �l°zO � OWNER CONTR. � �� ''YF�' TELEPHONENO. 7� a7� 779� � �-oo�s�s � T �/ � DESCRIPTION �`- `` � ��-�p{ � ❑ FOOTING ❑ MECHA CAL RI ❑ EXCAV/GR NG/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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � .' ( 1 l/� �e S dn ��,3:� S 0 a � 0 � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED C i PROJECT COMPLETE W ❑ ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor o site: Inspector. White Copyllnspector's File Canary CopylSite Notice