HomeMy WebLinkAbout2004-P08084 - re-side CITY F R N PERMIT
� � � � Permit Number:
?750 Kelley Parkway- PO Box 66 P08084
�rystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: io�is�2ooa
SITE ADDRESS: 85 Luce Line Ridge
Maple Plain,MN 55359
P I D: 31-118-23-34-0005
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: Building Census Code O/S-Building
Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Side
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
�:�:---
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FEE SUMMARY: Pernut Fee: $ 293.25 Valuation• $ 17,800.00
State Surcharge Fee: $ 9.40
TOTAL FEE: $ 302.65
APPLICANT' Exterior Innovations,Inc. OWNER: Mr.&Mrs.7ohnson
� 9635 Humbolt Ave. 85 Luce Line Ridge
Bloomington,MN 55431 Maple Plain MN 55359
THE U1�IDERSIGNED HEREBY REQUESI'S 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.
� � ���
CANT PERMITEE SIGNATURE SUED BY SIGNATURE
Cot�ies: 1-File(SiQnitures Required), 1-Avplicant 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
Oct-18-2004 10:08am Fros-CITY OF ORONO +9522494616 T-023 P.001/002 F-48T
T9t�J Fee: $ Date Re�eived:
� Entered By: PerYpit#•
CY'x'Y O�' ORON4- BUYLDING PERMIT APPLICATIOI�
Ail information must be subrnitted in full before plan review will be started.
{ptease print all infor�atian)
THE APpLICANT IS: (circle one) O�VNER CONTRACT
JOB SITE ADDYtESS: �� l�C-� �w d _ ZIP:�S�
Will this be a Pa de of�omes,Remodelers Showcase�ome or other Display Howe?
� y� No If yes, a special event permit is required with Pnlice Depanment and City
Council approval b0 days prior to the event. Non permitted events will not
be allowed.
� ,/ P�ONE: (home) ��2 '�O 8`� �
NAME OF OWNEx: l/��(/ � /1� (work
M.AII.Yl�
G ADDRESS: 5 �.� ' ����� ZIP: 4?��
. ��e.r,� r f titi o.�an�-✓ts p�or�:��5t� �$�l-Od I�/
CONTRACTOYt.
CONTACT PERSON: MO�ILE/PAGER:
MAYLING ADDRESS: � b�1 C�TY:��M i zYp: 55 3
STA'rE LICENSE: # ��
ARCHITEC'T/ENGYNEER: px��' ,
MAIY.ING ADDRESS: CI'TY: �= �
N��: REGISTItATiON#
'Y"YPE OF WOI2K• New Accessory Structure
• Addition Move
RemodeUAlteration Land Alteration
PROPUSED`WORK(describe in detail}:
S'Y'ORIES: SQ. �'EET OF EACH FLOOR:
N4. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONST�tUCTION VALUATION(excluding land): S
I hereby apply for a building pecmit and I acknowledge that the inforniacion above is compleu and accurate;that the
work will be in conformance wich the ordinanees and codes of the Ciry and with the State Building Code; that I
understand this is not a perrrut and work is not to scan without a penruc;and that[he work will bc in accordancc with
the approved p1a:►•
�
, DATE: �C� -f8 �- �
APPLICAN'T'S SIGNATLJ ��'
Oct-18-2004 10:08am From-CITY OF ORONO +9522484616 T-023 P 002/002 F-48T
See.i3.04 ItIGHTS OF 8UB.1EC'iS OF DA7A � ' .
Subd.1• 'lype ot dst�- '�ee rfghu o[fndi•idnal oa wkom the datx�s��or to be stored shsll ba�s Kt forth fn this satioe.
Subd.Z. Iatorn+�tion tcvlu�rtd to be gtve�indMdu��-Aa indivldu�l�sked to�aPA�Y P�te or eonfidealfa{dat��onarnlnr himftlt s6a11 be
leformed of: (a)tbe pyrP�s�lotended uae o[tfie requested data w�khia tUe toUcrtlng stste agrncy,poucieal�ubdivielon.os su�ewlde system:(b)
whether bc may re(aa or is fegsffy*�q�l��supply the requated di[a;(c)s°r 1�o�"n eoeseqaeAee�rt�lnC irom hh supptying or re[usieg to snpP�Y
pAvste or eoaGdentt�l dab;aad(�tAs Idendty Inveeeigatl�e d�u,P�uant to uetloa 13.S2t�sub4ivision 5.to R l+�wreniorceme t offlccr-unnent sbatl
��opphr when aa iadlvldual is ayleed�o�app y
min slnnrr nven ma ce tht etice r airod der th �rhdivitl in the f dua!in e ta:or n rtv t **�fund
• atrn nns ias[t oT On se for �.
Subd.3. A�ws m d•n Sy�pdidduxl. Upon�q���a a raponsibk autho�b.��1p�vidutl shsll ba iatormed wbctAer he i�che subJe�o�
atored dit;on oN+dvfd�dats oe fadlvidaals shau be sAo■A dau withou�.ay cbsii�c�to hlm and,lt Ae dedres.sEallibe iw[rened of 1u eonteat�ind
atored prl P
�ach�nt atur�•u puu or'aetion■pYrsoant�to enu�eet�is D d oL or�dd�nal dsc�a o�e che ladl�aual h�been coUected or errated. 'f►��
me
raponNbk aatAodty shall proride ooples of che prlv.te or prblie daa upoe s a����n�`i'���?ubJeM o[the dst�.TAe responsiDk auttton a+xY
reqrlro t6e reqae■d■g Per�°°m psy the actaal cofts of m�ldag�e�1O'1�C+ P g P
Tht respomsible sathoriq sha11 ooe1P�Y in'°�tdlz�dy��P�ble,w�itA any requeat made persa�nt to tA{s cubd�vision,ot withia ftve days of the
d�te o(tb hc�fiall a toctn�tb indlvfdv 1�a a�y bavice an�addltbnrf tive d�Y�tw h apw`ht h t co pl�y wlth the rcquest,xCIY'd�n�S1U1��+S011d�ys
t�ut I�RIl,
aed k�al holidays.
Sub4 t. Proodurer►hen dsta k aet sceerate or rnmplete. An Indtvldu■1 maasible wthoriti perlbinc he aature ot�6e d,(sagrrc��at�
rnsarnin�himrNt.To rserei�e tbb ri��an ladi•�asf sh�ll nod(y m.vrldn=the nspo ,st recf �rnta of
re�ponsibk aat�rlt�'se�11 wltbio 30 4sys either: (a)corn�t the dttt:tound to be inacn+nee or larnmp��e rnd saempt to aotliy p P
{�ceurste or IoeomPl��ds�+'nel�dfn���dM����d hy�he Individosl;or(6)notify the Indi�ldusl that 6e bolievea the dst■to�e conect.Daa ln
dy�u s}uA pe dbclo�ed oalr ff the mdlvlda��'�statc�ept of dt.�Breemcnt Is tacluded wNh tbe d�adwed d�t*.
TAe deteneio+ubn ot the�pon:lble auchorlty maY be�ppeoled pursnant to thc provlsionc ei the adminia�r�ifve proecdure act sela[ing to
�ntcmd cssas-
pATA YRIVACY AD'VISQRY
Ia accordaace with N�.S-13.04,Subd.Z,"Ytight y f subjects of dat'",we wT ulu"ie yon�to furn sh certayn private or
[or,permit or license from the City of Orono or an of its dap�trtments may eq
confidential information-
You are notitied tt�st:
1. The information you furnis6 will be used to determinc your quali5tation for the�t°oc i�censer.�u�ted.
m
Zy ouu may retuse to supp�y dat�,but retbsal may require th9t thc Ctty deny tht pe
3_ '1'he information may be shared witl�other local,stste or federal agencies to tbe eztent necessary to proces�
the permit or license. ,
q, If your requPsted p��t or license requires Council action to approve, sorne iaformation mry become
public.
g, You have certain rights under M.S.13.04(avail�ble npon requcst)to review privxie data on yourset .
6. Your full naine is nquired to process th[s appiication or permit.
First
Mlddlc ��t
Addms
� st.« Z�n p��
i
Y understa my rights as stated above. ,
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S�nttnre
�� C p_� DATE TIME v
CITY OF ORONO CALLED I�� �-/�-��
INSPECTION NOTI C�� Q SCHEDULED -1�=1J�-�`� -1=��
PERMIT NO. � ��v COMPLETED
ADDRESS � �'��� �� �� /`�'
OWNER CONTR.�-TY-f�Y%�!' ��;.
TELEPHONE NO. ( � g�`y" C,,�� �
�: ��-f-fev� �e�� (��a�
� DESCRIPTION ��" l'�"r�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� �IWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor o�site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice