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Home My WebLink About2008-00165 - entrance monuments CITY OF ORONO PERMIT NO.: 2008-00165 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUED: 09/04/2008 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 3215 GRAHAM HILL RD PIN : OS-117-23-14-0066 LEGAL DESC : GRAHAM HILL PRESERVE : 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: 19'FROM RIGHT OF WAY OF GRAHAM H[LL ROAD ADDITIONAL PERMITS REQUIRED:ELECTRICAL(STATE) APPL[CANT 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 Sta[e 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 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 at any time for d e cause. � a`l i s5�! i n � �� ( G'�'�1C�� T `��/- C%� A p 'c a n t P e r mi t ee Signa ture Da te Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' � r� � Total Fee: $ ��✓• �� j� Date Received:� r Entered By: �'' ' / Permit#: �7�/ �, : : 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 � G t`A h r,r.. H�1 t �t.l . .. JOB SITE ADDRESS: ��;�� . � �r�� r--' ZIP: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO If yes, a special event permil is requi��ed with Police Department and City Counci!approval 60 days prior•to lhe event. Shuttle bus service will be reguired unless applicant demonsb-ates sufficient on-site parking is availab[e. Non permitted events will not be allowed NAME OF OWNER: � � � �� L,� t--C_, pHONE: (home) ��-- ��JvZ"�S� (work) '�;Z �'7 6'�(� �J MAILING ADDRESS: ��" 1 � � C� �� S�� CITY: �'�l� �� ZIP: ��"�.�'� ) �,—,� � l CONTRACTOR: �a C��r/',:S'c' PHONE: � �2 � °! cs �1�aJv CONTACT PERSON: � MOBILE/PAGER: � i2 �Y�� -,�� MAILING ADDRESS: CITY: ZIP: � STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: �O��.�✓.� ?�/'� PHONE: �z��s � �/2-�J C�^ �" 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��;,�. �V��v�v�M� � l�-� �`.-� ��,, 1,�n v./�-�_/'�{ -�,/-_ �,i�,- STORIES: � SQ.FEET OF EACH FLOOR: � NO. OF BEllROOMS: GARAGE STALLS: ATTACHED DETACHED �� r� ��.v-�_� — ESTIMATED CONSTRUCTION VALUATION(excluding land): $� ! � - 1 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: �' � 31 Sec.13.04 RIGHTS OF SUBJECTS OF llATA Subd. L Type of data. The righu of individual on whom the data is stored or[o be stored shall be as set forth in this section. Subd.2. Information required to be 2iven individual An individual asked to supply private or confidential dataconceming himselfshall be informed of: (a)the purpose and inCended 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[o receive the data. This requirement shal l 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 or property 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 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 of the data. 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 an}'request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Sa[urdays,Sundays and legal 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 concerning himsel£ To exercise this right,an individual shall notifi�in writing the responsible authority describing the nature of the 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 bel ieves the data to 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 ac[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 license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts 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��J' State Zip Phone I understand my rights as stated above. � L�� Signature Reset Forrn 32 CHECg OFF LIST FOR ISSUANCE OF PERMITS FOR OFFIC USE ONLY • ADDRESS OR LEGAL: � ��1 {-� �y� ��, � ( PID: DESCRIPTIONOF WORK.• ��Gy�,;.;� �y^�,�,,�„�,� � �' >� 6� �/��r�>rc� C• ZONINGREVIEWBY.• ��/Z /C�+ DATEAPPROVED: � ' SUILDINGREi�IEWBY.• _ N//� DATEAPPROTjED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes—� No SEWER CONNECTION STATE SURCHARGE Yes� No u�ATER CONNECTION WTrESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Numbe��of SAC Units OTHER (spec�) ZONING CHECg LIST Zoning District: �� - � Fire Departmertt.� Post Office: School District: Lot Area; Sq.ft. • Acres Width Depth Survey Submitted: Yes No Date of Survey. Proposed Setbacks: r� Front(Lake): Right Side: � � !i1''') Rear Street: i'��'y�� p�Z'U'�'% ( ) Left Side: - �' ` � h �� ^-^� , (' ��Y�Y � /�u.�'� Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hg1. Lot Covercrge: Grading: StaffApproval Dale: By: Council Approval Date: � Septic: StaffApproval Date: ��'� By. � ��,� �« ZoningFile: #' Resolution: # ResolutionDate: Shoreland District.� MCWD Permit: Avg. Setback: BZuffSetback Lot Cwerage: Faisting Proposed Hardcover: p_7j� 75-250' 2.i 0-500' .i 00-1000' Hardcover Variance Required.• Yes No Date of Council.Approval.• REMARFiS(in house): -'v�t^e�f �o S '/'�l�c.k c/� c�t ��-r-r l2'.Yit Gv !'YIL%/'L�G'L`E1 E' �j��F- l�t�iF- ll �� Gti-t� •C -t. ('_ " � Z .�� G "� /cC:S 33 . B UILDING REVIEW CHECg LIST UBC: � CONSTRUCTION TYPE: — Sg Footage �Per Sq Flg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL . dJ Estimated Construction Value: $ lS,JUc� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other W'all Board (Mfg.) i�'ell(State Permit) C Final Grading/Filling �Electrical(State Permit) Oiher nENraxxs��vxovsE�: REVIEW BY OTHERS: DATE: Access: Ezisting New Access.4pproval: Date By: REMAR�S(TO BE NOTED ONPERMIT): 34 � =7� D p��1/� � DAT TIME CITY OF ORONO CALLED IN I 25 D INSPECTION NOTICE SCHEDULED �� PERMIT NO.dGDfj"-�(a S� COMPLETED ADDRESS � /G.5 �a/D ►�..��/S �r�Gra�t�l/ OWNER � CONTR. .��f�� TELEPHONE NO. ��✓�SSI � SS� �s��s � DESCRIPTION ��"1 7� 1��22��c �K-�-sz�% ' �K� � ❑ FOOTING ❑ MECHAN AL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICA�FINAL ❑ LAKESHORE/WETIANDS � ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-S�TE ❑ 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 .��.� � COMMENTS:`]""��d�S�_ �� l VI.S 1�P�71.D�1 `�V I.Q_Q�' a ��P3 'SS/— �� S �l �`lQ,�'(.�S x J O � � O � W � Q � Z W � W � j G . W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. ��'� l.,�'U 1_� White Copyllnspector's File Canary CopylSite Notice i �� ^/�� ' D TE � TIME � CITY Or VRO O CALLED IN �d � � ---�� '� INSPECTI OTI E SCHEDULED 1�0/� � PERMIT N . O COMPLETED I ADDRESS Dd �!� �A��2�f'Y� I� OWNER ��CONTR. � � G � TELEPHONE NO. � ' -5 ��D � � D SCRIPTION C� \ - � �OOTING ❑ 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 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 � CO MENTS:�U 43'L� Li/lL�.� �l( �L��1/[/�'�1'll�d�tf, - � u �� s a - 0 � � 0 � w � Q � z w � w � j d �/ W/�YJ WORK SATISFACTORY:PROCEED i i PROJECT COMPLETE W/T CORRECT WORK 8 PROCEED f- ISSUE CERTIFICATE OF OCCUPANCY � Cl CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN f� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOfl ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. 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