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Home My WebLink About2008-00204 - entrance monuments R CITY OF ORONO PERMIT NO.: 2008-00204 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUED: 09/16/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3240 GRAHAM HILL RD PIN : OS-117-23-11-0010 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ENTRANCE MONUMENTS ACTIVITY : O/S BU[LDING -UNDEFINED VALUATION : $ 5,000.00 NO'1'E: AN ELECTRICAL PERMIT IS REQUIRED BY THE STATE OF MN. CONSTRUCTION OF ENTRANCE MONUMENTS. APPLICANT PERMIT FEE SCHEDULE 1 18.00 LECY BROS CONSTRUCTION PLAN REVIEW 76.70 15012 HWY 7 MINNETONKA, MN 55345 STATE SURCHARGE(VALUATION) 2.50 (952)746-3783 TOTAL 197.20 Minnesota State License#: 20325555 OWNER BPS Properties, LLC LLC, BPS PROPERTIES, 201 LAKE ST E WAYZATA, MN 55391 AGREEMENT AiND 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 S[ate 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 iY 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 aYter work has commenced. The applica is responsible for assuring all required inspections are requested conformance with the State Building Code.This permit may be any ti e foridu, cause. v � �� Appl' an itee Si nat Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � � !� ° Total Fee: $ 7. � � Date Received: �'�0�'D� Entered By: Permit#: oZ00 P'-- Q�oZo � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (pleuse print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR> JOB SITE ADDRESS: ��-j U ��,��I��„� �--�t (( � ZIP: �S�5�., Will this be a Parade of Homes,Remodelers Showcase Home or other Display �Iome? ❑ Yes �NO I.fyes, 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: T� �� ir��-��S PHONE: (home)9 S�._y��_ s��3 (work) -t b3--s t� --13 01 MAILINGADDRESS: ��,�-, puj„� �� CITY: t"1fl�,c'�s1c� ZIP� SS�f�k CONTRACTOR: 1„��s l,-�vns (-�,��r►eC PHONE: �-��-3Zp,3 CONTACT PERSON�� (��„��,�r(� MOBILE/PAGER: MAILING ADDRESS: _�S�� , �-�-�Y 1 CITY: F-(,itc�e�-�C,��Q ZIP: 55�45 STATE LICENSE: # ��,�� EXPIRATION DATE: ��-zL, �, ar��t 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: __C,p�1�-.,��--,-uc k,�i.. c�-� �v��'�v-t�v�e� L'1�L c�c��vt-�e c -� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Sr�.,,c�� 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 pla -� � APPLICANT'S SIGNATURE � DATE: C� -��O� �� 31 r Sec.13.04 RIGHTS OF SUBJECTS 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 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 shal I 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 olace the notice required under this subdivision in the individual income tax or prooerty tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon requestto 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. After an individual has been shown the private data and informed of iu 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 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 pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shalf 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 accwate or complete. An individual may contest the accuracy or completeness ofpublic or private data concerning himsel£ To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of[he 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 corzect. 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 authoriry may be appealed pursuant to the provisions of the 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 focal, 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. 1 J�b1 ill l S � ��VYi a w�C First Middle Last ( �U S 3 �—E-u;u —j Address M, ►�� -��'k�. M�n ss 3�s ��a -r�� City State Zip Phone I u stand my rights �t d,above. • .. �C�k�S' ature � �`�� '�'' Reset Porm � �; 32 T r _ ,� , � , } CHEC.g OFF LIS7'FOR ISSUANCE OF PERMITS FO FICE US ONL ADDRESS OR LEGAL: � �� Pm: �I DESCRIPTION OF K'ORK: Cyv-�� ,,�,,�v n^�S ZONING REijIEW BY.• !'�' ��C� DATEAPPROVED: BUILDING I2Ei�IEW BY.• DATEAPPROTfED: �-iz -�g FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes�� No SEWER CONNECTION STATE SURCHARGE Yes�� No NTATER CONNECTION INirESTIGATlON FEE Yes No c�' PARK FEE -- SAC Yes No �� SITEWSPECTION Number of SAC Units OTHER s eci - (P .fY) ZONING CHECK LIST Zoning District: �/� y~ Fire Department: Post Offce: School District: Lot Area: Sq.fT. ��"C:'�Y Acres �y�� Gl�idth .-�L� C � ) Depth Survey Submitted: yeS �j No � /� G �� Date of Survey: ;j� Propose �; /-�� Fron (Lake): �U Right Side: � ��j� G��t`��-�-- Rear(Street): Le,ft Side: Adjacent Structures: Wetland: ��`�I��Iight.• De.f H � �j � "�' �jLC� � / / � ��JY �� gT• Peak Hgt. G�/� �� `j��,�' Lot Cover¢ge: �V� � �L��` � � � �� Grading: Slaf.J',4pp�•oval Date: By: Counci/Approval Date: �/� Septic: Sta,f�j'Approval Date: � � �' ��By. � Zoning Filer # Resolution: # Resolution Date: Shoreland District.• ��' ��k MCWD Permit: tivg. Setback: �,j/� BluffSetback: .�� Lot Cwerage: _ �,;`_�____ Existing Pro osed Hardcover: 0-75' p 75-250' 250-500' 500-1000' Hardcover Variance Reguired: Yes No� Date of Council.4pproval: RE1I�LARKS(in house): 33 B UILDING REVIEW CHECB LIST UBC: "— CONSTRUCTIONTYPE: � Sq Footage �Per Sg F[g Basement x = Ist Floor x = Znd Floor x = Garage x = x = TOTAL 00 Estimated Construction Vatue: $ 5�� Inspedions Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connectio» �Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) �-Final Grading/Filling �Electrical(State Permit) Other REMAR�S(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access flpproval: Date By: REMARIiS'(TO BE NOTED ON PERMIT): 34 . . � ' ;i'; !' � ° �IRO�' �� , �� . ;1: � � • . �� tt.� of Orono ." lanrting&Zoning Plan Review ��: Site Plan_Review Date: ��/� D� - - ;`' � '`,��c PRov�D _ _ __ _ __-- ,, ; _ _ - � ❑APPROVED WITH REVISIONS(see notes) ' ` ❑DENIED -�� ,� . _ __ _-- __ �� Staff: � , �� _ _. ��5 � , . ; ��'��f�� 'w�'�'�-� rc.o f- � L l� . g, � �,�„�, _ � ' � _ ,:� � 5 � _ � � - �. � � ; ---� J s � 7ure S � I � � .0�; �-� �--� �. , , � ' ,' '3 � � _ � � y� ' . , :1 ' i �'.� U�� V � ��- t � � c�K d v.a'-- r � . . . ;.j . . . . . _ . .. V ✓ . /'I . . ,"� .. _ .. _... .'.+ . . �. � �� e ` '� , _ , _ . � , , � O 3� � �{ � � � I . � _ _ . � � �a-� � ,� !S C �l�r.�� , L � � �. .' I a � 5�oi � a � � _ _ ;:; .� ' ,S�7 r.�a-�--- - - ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �°�� SCHEDULED PERMIT NO.�d�'��'COMPLETED ��_ ADDRESS LI_, ��tA/'1il �l�� OWNER CONTR. LC��1 Qr� TELEPHONE NO. / � DESCRIPTION � ❑ FOOTING ❑ 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. ❑ FO�LOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HAFD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOA TO MEET YOU:_YES_NO � COMMENTS: � � �� fin.4 �,r �i'� �A<S � � O a � O � W � Q � Z W � W � � O W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ^� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor on site: � Inspector. � �� White Copyllnspector's File Canary Copy/Site Notice