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Home My WebLink About2004-P07231 - addn/remodel/repair ITY • F PERMIT C a ORONO permit Number: 2750 K�Iley Parkway - PO Box 66 P07231 Crystal Bay, Minnesota 55323 Permit Type: Addition/ItemodeURepair (952) 249-4600 Date Issued: 2ii2i2ooa SITE ADDRESS: 2605 Mapleridge La Fxcelsior,MN55331 PID: 2i-i i�-23-2i-000s DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ._.,_ _,„ - - �;:.,.,:....:.��...:��. FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 128.50 APPLICANT' Radz Wall Systems,Inc. OWNER' Eric Paulson � 4601 Camden Avenue N. � 2605 Mapleridge Lane Minneapolis,MN 55412 Excelsior MN 55331 Tf�LJNDERSIGNID HIItEBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND Sf ATE OF MINNESOTA BUII.DING CODE REQUIREIVIII�TTS. � �� c-�m C%L-/� �'� APPLICANT PERMITEE ATURE ISSUED BY SIGNATURE Copies: 1-File(Siunitures Reauired). 1-Annlicant 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1 Total �'ee: $ Date Received: En�ered By: Permit#: 'y. CITY OF ORONO - BUILDING PERMIT APPLICATION � y ( \� All information must be submitted in full before plan revie"- will be started. �� (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: ��p$� ��1��o �.� ZIP: SS..33 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Non permitted eve�:ts will not be allowed. NAME OF OWNER: PHOi�`E: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: � � ,5 � �rc PHO\"E: _G/o' -S� 9--, �aSl S. CONTACT PERSON: � Q MOBILE/PAGER: __ ,li�9^a�(- �y' G T MAILING ADDRESS: O ,.f �e CITY: y ZIP: S /a STATE LICENSE: # ARCHITECT/ENGINEER: PHO\"E: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration >C Land Alteration PROPOSED WORK(describe in detai�: � �� ,' � Gl��Cl n ��f�� G' � /��.•r�' �.+ � w l rt ' ;� �� u STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,,S'S'�!'" , �ip I hereby apply for a building permit and I aclrnowledge 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 pernut and work is not to start without a permit; and that the w�ork will be in accordance with the approved plan. � APPLICANT'S SIGNATURE: D�TE: G � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA ♦ Subd.1. Type of data. The rights of indlvidual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Ioformation required to be given individual. An individual asked to supply private or contldenttal data concerning himself shall be Informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subd'nivon,or statewide system;(b) whether he may refuse or ls legaliy required to supply t6e requested data;(c)any known consequence arising from 6is snpptying or refusing to supply private or contldential data;and(d)t6e identity of other persons or enrities sut6orized by state or federal Iaw to receive the data.This requtrement shall not apply when an individual is asked to supply investigative data,pursuant w section 13.82,subdlviston 5,to a Iaw enforcement ofticer. The commissioner of revenue mav olace the notice reauired under this subdivision in the indlvidual income tax or orooertv tax retund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a rrsponsible authority,an Individual shall be informed whether he is the subject of stored data on individuals,and whether it is classltied as public,prn-ue or confidential. Upon his further request,an indi�idual who is the subject of stored private or public data on individuals shsli be s6own the data�rithout any c6arge to hlm and,if 6e desires,shall be informed of t6e cootent and meaning of thst data. After an indlvidual has been shown the pri�•ate 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 rnllected or created. The responsible authority shall provide rnpies of the private or public datx apon request by the individual subJect of the data. TLe responsible authority may require the requesting person to pay the actual wsts of making,certif�ing,and compiling t6e copies. The responsible authority shall comply immediately,if poss�le,wit6 aay request made pursuant to t6is subdi�-ision,or within five days of the date of the request,excluding Saturdays,Sundays snd legal holidays,if immediate compliance is not possible.If he cannot eomply with the request within that tlme,6e shall so laform the individual,and may have an additional Gve dacs within which to rnmply with the request,ezcluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete.:+�n indh�dual may contest the accuracy or completeness of public or private data rnncerning himself. To exercise thls right,an indlvidual shall notify in W ritiug the responsible authority describing t6e namre of the dlsagreement The responsible suthority shall within 30 days either: (a)correct the dara[ound w be inaccurate or incomplete and attempt to notify past recipients of inaccurate or Incomplete data,tncluding reclpients named by t6e indi�idual;or(b)notify the individual that he believes the data to be rnrrect. Data in dispute shall be dlsclosed only if the individual's ststement of dlsagreement is included wit6 the disclosed data. The determination of the responsible authority may be sppealed pursuant to the provistons oi the administram-e procedure act relating to contested cases. . DATA PRI�:aCY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subje�ts of data",we would li�Ce to inform�-ou 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 local,state or federal agencies to the eztent 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.13.0�3(available upon request)to review pri�•ate data on yourself. 6. Your full name is required to process this application or permit. First � ' Middle Last Address C�tY State Zip P6one I understand my rights as stated abov . Signature �� ✓ DATE TIME CITY OF ORONO CALLED IN 2�%�' INSPECTION N�ICE SCHEDULEd�-�s �� PERMIT N0. C `�7 Z 3% COMPLETED ADDRESS �- �'C' � %'Ylzr,� l� � � d c� L N OWNER CONTR. �c� c-J 2. �A r>� TELEPHONE N0. _ � C a - Jc� �� t'C��' � DESCRIPTION T � � YYL�-� � 01 FOOTING 11 MECHANICAL RI 18 AV/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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL - 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a j � O � � O � W � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-4600 OwnerlCo ac,t on it : Inspector. White Copy/inspector's File � Canary CopylSite Notice