HomeMy WebLinkAbout2008-00164 - entrance monuments CITY OF ORONO PERMIT NO.: 2oos-oo�64
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 09/04/2008
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
PIN : OS-117-23-I1-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 000 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ENTRANCE MONUMENTS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 15,000.00
NOTE: REQUIRGD TO HAVF,SETBACK OF AN ENTRANCE MONUMENT BUT NOT LIMITED TO SIZE BECAUSE LESS THAN 42"
HIGH.
19'FROM RIGH'I'OF WAY OF GRAHAM HILL ROAD.
APPLICANT PERMIT FEE SCHEDULE 265.50
BPS Properties, LLC PLAN REVIEW 172.58
LLC, BPS PROPERTIES,
201 LAKE ST E STATE SURCHARGE(VALUATION) 7.50
WAYZATA, MN 55391 TOTAL 445.58
OWNER
BPS Properties, LLC
LLC, BPS PROPERTIES,
201 LAKE ST E
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,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
sha►(be compied with whether or not specified herein.This permit will
expire and become null and void if construc[ion 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 at4er 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 at any time for due cause. � r/
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
, � . Total Fee: $ ��j`-,�� Date Received: r G�
Entered By: �-7/LC_.�- Permit#• � - � , �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print alt information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
� "L� 0 G��h� N�It � , �
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JOB SITE ADDRESS: �f��;,.��. J�� O�-�� �r-' ZIP: ��5�
Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ �10 If yes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: � / s � L.- L-C ���"2-~'�
PHONE: (home) ��
MAILING ADDRESS: �' I � � (work) 9�2 y�76'�G�y
(s c� 5��, CITY: �nJ�
� ZIP: ��`3� J
/ J
CONTRACTOR: �a C��`�S'G� J G �pHONE: �E2. .�°I � �'l�°Jv
CONTACT PERSON: ct MOBILE/PAGER: � � �c,��-��a G�
MAILING ADDRESS: CITY: ZIP: �
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: D �(1✓�.� ` J'� PHONE: ��s � (/�l 2~J C�� �'J
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 detai�: �h�ixv«. �Vt�uVrtnM�,
�N � �, u�..ti✓4-,P.�� ---P.�'- a,�-
STORIES: SQ.FEET OF EACH FLOOR:
' NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
� .i,�, —
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � a ��� ,+
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 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: l-� DATE: "' 0
31
Sec.13.04 RIGHT5 OF SUBJECTS OF DATA '
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shal]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 ofother 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 mav place the notice required under this subdivision in the individual income tax orproaertv tax refund
instructions instead 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 ofthe 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 authority shall provide copies ofthe private or public data upon request by the individual subject ofthe 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,ifimmediate 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
concerning himsel£ 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 correc[. Data in
dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRTVACY 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 fumish 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.
First Middle Last
Address
C�ty State Zip Phone
I understand my rights as stated above.
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Signatu
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S.lII�X3d d0 3��Ib'I1SSI �IO�.LSI7.��0 B,��H�
B UILDING RE i'IEW CHEC%LIST
UBC: � CONSTRUCTION TYPE: —
Sg Footage ,�Per Sq Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL .
Estimated Construction Value: $ )j�0�0 `��
Inspections Required: Work Requiring Separate Per►niLs:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Foofing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) YYell(State Permit)
_�Final Graa'ing/Filling DC Electrical(State Permit)
Other
REIIIARKS(INHDUSE):
REItIEW BY OTHERS: DATE:
Access: Existing New
Access flpproval: Date By:
REMARIi.S(TO BE NOTED ONPERMIT):
34
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CITY OF ORO O CALLED IN �d �
INSPECTI OTI E SCHEDULED 1�f./��frZ`�L �`-'�
PERMIT N . � COMPLETED
ADDRESS Dd /��-��'-�'Y� I�
OWNER ��l TR. �
TELEPHONE NO. � ' -5 �� o ��
� D SCRIPTION d \ -
� �FAOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINA� ❑ 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
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ';' ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. .�1 �
White Copyllnspector's File Canary Copy/Site Notice
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DAT TIME
CITY OF ORONO CALL I 2"-D
INSPECTION NOTICE SCHEDULED D� �
PERMIT NO.dODf�-�(�S� MPLETED
ADDRESS � /10.5 �a�/� �.� / �ra��.�il/
OWNER ��. CO �
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TELEPHONE NO. ���✓?=SSJ- S� - `a��Qv�
� DESCRIPTION �n � `_�22�u-�-�-�/J � ��"�
� ❑ FOOTING � MECHAN AL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WAI.L 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
� OWNERICONTRACTOR TO MEET YOU:_YES�NO �1-1��
� COM M ENTS:�5,� �� l Y�.S L�2�T 1.Dyt. �.�1�IQ_Q,Y
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ��T l� l��'U.�
White Copyllnspector's File Canary CopylSite Notice
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1 ite Plan Review Date: 2 O8 �'r,�- �,.1/yanc�.,
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❑APPRO!�FD WITH REVISIONS(see notesj
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