HomeMy WebLinkAbout2004-P07761 - doors � ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po��61
Crystal Bay, Minnesota 55323 Per-mit Type: Minor Alterations
(952) 249-4600 Date Issued: s�a�2ooa
SITE ADDRESS: 45 Luce Line 1Zidge
MAPLE PLAIN,MN 55359
PID: 31-118-23-34-0004
DESCRIPTION:
Proposed Use: Residential
Buildin Census Code O/S-Building
Pernut Class: g
Pernut Sub-type(s): Doors
Pernut Type: Minor Alterations
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 186.75
APPLICANT: Scherer Brothers Lumber OWNER: J R HOLM&J K HOLM
9 Ninth Ave NE 45 LUCE LINE RIDGE
Minneapolis,MN 55413 MAPLE PLAIN MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC TPERMITEESIGNATURE [ SUEDBYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
JUL-28-2004 20�36 JUSTUS LUMBER 9529389441 P.01i02
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CITY OF ORONO�r$UILDIATG P�R�vIIT APgLI� TION
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All info ation muat be sulbmitted ia#fup'before plan revie�v will e started.
(pleast priret aA i�'orma�'on) .
THE APPLICA�N � IS: , (cir�le;;one) OWNER O�t,� ONTRACTO
JOB SlTE ADD 3: �� �L.l�I�C.E C.1� R���6� . � ,j$�35�
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Will thie be a ar e of Homea,Remodelera Showcaie�iome o�otl�er�Dis lay Home?
❑Yes �NO !f yss,a specia/avenf pprmtl is rsqulred wt�/�Palice Deparphrent an City Gouncil appreval
60 days prio►'�o the avenf, Shunle bus aervice�+ull be t'equir�sd unlert pplicant demonslrntas
su,,�'icieRt on-stle Ra►king is available. Nor�-per•mitred events wi�`no h�allowed.
NAMEOFO : Sa�NE� N6ea� ,_, P�ONEt e) �• 7�'3�71
MA1LtNG ADD SS: ��L- LI� ��pb� C�TX: 0�-NI.D � z p; s��3
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� CON7'KACTOR: 5��6�6�C, l�5 CLLW�'Zt/l PHONE: �• 8�Z��I
CONTAC'1'PERS N: S r6t�S �S��C MOBILE/PAGER: •Z`17� (o
MAILING ADD SS: �.I►�u �I Avb . ' CITY: I ZIP: � 13
STA�'E LICEN3E # R� �Z•3 3 69 CXpIRATION DATE:
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ARCHl'fEC�rI�N iN�ER: pHpNE; I
MAiLING ADD SS: CITY: Z��:
N��� R�GISTRATION: f
TYPE OF WORK New Addition � Accesso Structure
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. . . �. .1V�ove Home'''�' `' �odeVAlteration . .
PROPOSED WO (de�cribein detai�: C�PL'1►C6� iS7"1N.� T ,�
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STORIES: SQ.FEET OF EACH FLOOR
NO.Ol+Y SEDROO S: GARAGE STALL3: ATTACHED DETACHED
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ESTIMATED CO STRUCTIOI�t VALUAT�ON(eaclnd�ng I�nd): $ 6 s
I hereby apply for a ilding permit aad I eclmowledge that t6e iaformation above ia co plete and accurate;
that the w�rk will be oonfoimaace wit�t the ordinaacoe and codes of t�he Ci�ly and ari the State Building
Code;t6at I uaderatan ehis is aat a permit and work is ttot W�tart without a pecmit;and hat the work will be
in accorc�ance wit6� approved plaa.
APPLICANT'3 SI N�TURE: DATE: Z� �I
c�x � �s�.� � 8- R��!
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JUL-28-2004 20�36 JUSTUS LUMBER 9529389441 P.02/02
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Stc.13,0� RIGH7'S OF fTl'6 OF DATA •
Subd.l. Typm f de�u. The ri�pd ot individwl on whom du d�!��d or eo be eiwed ehdi be oe ee �nth in thia�cction.
Subd 2. 'on roqulnod to bo pivo�i�divi�l.An iodividual adced m eupplypelvate or�dorrosl eoneerniog himself chell be
lafomxd of (a)thc md intendod usc of d�e requeerod dam wichin the colloain�imto agaky.pol lei�l'suW. . . or etatcwldo ayetan;(b)
whcthcn c�may rofiuo or i k�a11y roquirad o0 ouyplY t6e requofted dna:(e)eoy lu�oam eo�6equanoe eriems[mm hia lying�rnsfi�ing to supply
priva�vr co�ideaad ead(�t6o iaoeity of o�her pcnoa�or enada m,thorised br edta�fadmal4weo rmcivc �This�y„Qe�dWl
nvt npply wheu aa iadivld I le oakod to eupply inveedgsdva dam,pi¢au�t 6o ee�iOq 13.8�,9ubd►vioion S,to a la eafu�ot of�ax.
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inswctiom ieetead of •
5ubd.3.Ae�� oo dem by ladividwl.Upon t�equest m s�seponm'61e mtlboeiry,en individml eho11 be inC vv6e�er4e ia tbc aubjoct of
starod dam an individ�b, d wluxLcr it ie clauificd ae pu6lic,priwu�coqiideed'sl,TJpon his furthee requeat,no 'vidud wLo ie nc�eubjcct of
smrod priverc or public oo fadfvidualo�twp be�hown the dota wiefwue e�elp[�e ro him emd,if 6e de�m.e bc infonrbd oidte cornem aad
menning uf dwc duto. on iodivl�ul hos 600n ohown du prrv�bo d�ta md info�ed of ro meanio�thc dan nat he disclotdd lo hrm for aix
rnonthi eha�fter w►lae a pute ar retion punuaot�dw e�ctioa ia pmding vr ad�tiooal date on tho individuul he bean collecud ar croatcd.77ro
rdponoi6lc authorlcy e6e11 rovidc mpicr of tho privato or public dete upon�oguqt by 16e iadividua(eubjeet of thc . 7'6o rcepone3le aut►ipri�y
may requirc rhe raquaouoy to poy t6e ecp�ol eooq of inekin�,oa�tifyinB��ud du capde�
Thotespodlb n�lryehellcomplylnunadakly,ifpor�ible.wfthmY�madop�aeuanttot6ua iviyion.vrwithmSvcdaysof
�us ilnta of the�ac,uax,cx�l iog suaadaye,sun�.ea�ogat holiaayo,ff i�.oe oo�l�cn w noc po,aibla rr �onoL�with�Lc rcqursc
within thaz rim�,hc aha11 e io�am tbe�ndividuel,aod moy heva an o�titional fivo days within which to comply v;th rcquce;cxciuding Sa�urdays,
Sundays and logal holids , .
Subd.d. Proa whetidoeoisnotqcours►eorwmpl�taMindividuelmaycanustduuccura�yoroony� i�nofpublwur�ivutednm
�ronociaia�himtclf.To 'eo thir right an individual ehall notify iu writie�16e eeepoewiblo emhoeity deactibing the putun of du disegrx.�r�cnt Thc
rapmuiblc authority ehall within 30 daye cilhcr. (a)anrcct the dau found w bc inaocureec or ineomplel�8uJ a�U�p�to nodfy pest rcoipicnta ef
inamirsrc or incompkte includin�rocipien4nomad bythe indiv�ual;c+r(b)eo6fy the individuel thet6o bclicve�shc dsmc�ba corr�e6 Du1u�n
Jiupum shall bc discloscd nly if tho individual's staumcnl of diwgrocment i�im:luded with thc discloacd dan, �
ThC dolartniM' of thC r�ponNiblc wlhafiqr mey bc eppoelad puirumt to thc provieioiia of tho adminia�ive prooedurc oat��atin6 m
e�loa�ed wa�s.
DATA P'BNACY ADVi�ORY
In accordancc th M.S.13.04,Subd.2,"Rights of subjects of daffi",we wauld like eo inf you that your request
for a permit or liccn� from tho City of Orono or eny of its daperhQieats may require you tu rnish czrtaia privatc or
confidential infarma' .
You are noti5 t�at:
l. The in tion you furnish wiU be used to detetolipe yotu qu�lificacian the permit or license
reque .
2. You m rcfuse w eupply deta,but rofusal may roquire tt�at tho City deny the erinit ar license.
3. The i tion may be sharod with othor local, state or federal agenciea t rhe extent n�ssury to
proces ehe permie or licen9e.
4. If yout ueeted permit or Ueense requir�a Council action ro approve,some i forma�lon may bccomc
public. .
5. You e certain rights uader M.S. 13.04(eveilable upon nquest)to�eview p 'vate dete on yoursclt:
6, Your il nemc is 13ifCd ZO pi0CC86 th18 8ppI1C8b��'peiillit.
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Ifint �ume r,.�e
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Addresi
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City 8t�te 7�p Phone
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�� DA+TE� L ^�TIME �
CITY OF ORONO CALLED IN �Z�I7!U—T d`�-OV
INSPECTION NOTICE SCHEDULED �Z -Z3 -C��( :U�PM
PERMIT NO.�O-1 �1 Le 1 COMPLETED
ADDRESS-�� L��c e L�v�.c �clae
OWNER �_�y�e Nv 1 Vv� CONTR.
TELEPHONE NO.�n� —(��� —G �'l �3
� DESCRIPTION 0�5�� �C%�( . C�Cxj%' �Cc:i'�C� ��i�j�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W�LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContract on i
Inspector.
White Copylinspector's File Canary CopylSite Notice