HomeMy WebLinkAbout2007-P11122 - porch � - PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11122
Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair
(952)249-4600 Date Issued:
6/28/2007
SITE ADDRESS: 1160 North Arm Dr Unit#
Mound,MN 55364
P��� 07-117-23-14-0062
DESCRIPTION:
Construcrion Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Addirion/RemodeURe au Pernut Sub-type(s): Porch-Residenrial
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
New Deck With Roof
FEE SUMMARY: Permit Fee: $ 181.25 valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Top Notch Exteriors Inc. OWNER: Paul&Kelly Lewis
218 Lyndale Ave. 1160 North Arm Dr
Maple Plain,MN 55359 Mound,MN 55364
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.
� �
APPLICANT PERMI SIGNATURE ISS ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ �- 't� �� Date Received: �,y" � � ��
Entered By: ��t> Permit#: �}I I ]ZZ
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforination)
------------------------------------------------------------------------------------------------------------------------
-- �—
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: � �tyV ��V� J"�1 I(Y� �`�. ZIP: � �
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Y0S � NO If yes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: I_�( ��(,(� �S PHONE� Iome�Z���2''
� (work)
MAILING ADDRESS: '.l�� QV,d Y1(l ��CITY: ZIP•
CONTRACTOR: I O ((NS PHONE��J'`t'l�'
CONTACT PERSON: MOBILE/PAGE • Z–
MAILING ADDRESS: ,�_CITY: ZIP: C���
STATE LICENSE: # 2Q — EXPIRATION D TE: �31n�
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 requ e MCWD review and permits !
PROPOSED WORK(describe in detain: ��Q�f(,�,Q� 1,()L�j�QQ� ' ,j� �T,�b�-�
STORIES: I SQ.FEET OF EACH FLOOR: �� b
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHEDN DETACHE
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 Q,vdQ+�O
�
I hereby apply for abuilding 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: DATE: "� /I3f D
31
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 himselfshall 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 azising 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 shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenue may place the notice reouired 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 chazge to him and,if he desires,shall be informed of the content and
meaning ofthat data. After an individual has been shown the private dataa�td informed ofiCs meaning,the data need not be disclosed to him for six
months thereaf�e`P uhless a dispute or action pursuant to this seetiort is pendi{�g or additipnal data on the indivjdual has been collected or created. 1'he
responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,arid 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot c.vmply 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
concemiqg himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The
responsible autiiority shall within 30 days either. (a)correct the data found to,be inaccurate or inoomplete 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 correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is includdd with the disclosed data.
Ttre'determination of the responsible.authority may ba appealedpursuant to Lhe provisions af theadminisVative procedure act relating to
contested cases.
. �
� � � � � ' DATA P�tIVACY ADVISOR7t' ' ' ~ '
In accordance�yith IuT.S. 13 A4,�Subd.2,"Rights of subjects of data",w�would like to inform you that your request
for a pern�it or license from t�he City of Orono or any of its departments ma�+reguire,you to furnish certain private or
confidential,information. • '
You are notified that:
1. The information you furnish will be used to determine your yualification 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
publia� � . � �
5. You ha�e certain rights under 1Nf.S. 13.04(availab'te upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
. �.�.1/�
First Mi le Last `
Address
��CJ l i Gf
' �-�-�0
C��Y State Zip Phone
I understa ts as stat a ve.
Signa e•
32
.�, , ,
�-
�C�LECg C�FF i,IST FOl.2 xSSUANCE 4�' �E��TS
F NLY�
�S OR LEixAL: �� � ��
�,..DDRE�
PID: � -�c� l�yc�S� �• x �{ � _ 4�
7�ESC��N OF WORK: �A�d G� �
-------------
--------------------- �_ / U 7
-----�--_ -----__��------- AATE APP�'•OYED: L�
ZO:`�i G REVIE'4V �Y: DA.TE APPROVED; 6•2� -0-7 . �
�UII,DING REVIEtiV BY: � . .
� ---=-------------------------------------------------------
� �` Misc. Fees Calculated By:
FEES TO BE C�-TARGEA: � No
P��.�T Yes
PLAN REVIE`V � � Yes r/ No SE�VE�R COi�INECTION
� �o tiVATERCONNECTION
STATE SURCHAR.GE YeS -� p�gl{ FEE
INVESTIGATION FEE Yes Na ����
SAC Yes No SITETNSPECTION
OTHER (specify)
Number of SAC�Units _ ------------------------
-------------------------------------
-----------�-----
�0���� ���K LX��' Zoaing District: �.� �
Fire Deparcment:
Post Office: Schaol District: �
L,oc p,rea: Sq.fc.
t Acres � Widch Depth
Survey Submit[ed: Yes �
No Date of Sur�ey: � ns " �v' � �
Proposed Secbacks: 3 S � ��Side: ��'1 � C��Q' � .
Froat{�g�,:
-� � 5���� ,s �
Re ar��
3(� �e.ft Side: �
rPn� Strtlf'iij,T�.Ct � ri �verl?�'1� r, r�
rhlja...,..-
Building Hei�t: DeE. Hgt. h/a' Peal:Hgt.
Lot Covera�e:
B CouncL Approval Date: '
GradLng: Staff Appro��te: y� �
�
Szptic: S�afE Aporov� D�te: ' �y� �''
7oain� F'�lz: �___ Resolutioa: R _ R?solu�ioa Da[e:
Shorzland Distric�: ��Cover��e:
AvQ. Setb2c��,. B!uf:SetbacY.:
� Proposed
ELst�eQ
H�ecover: G-7�' —
7�-2�Q' _____—
2�u-����'
����-:�fi��, ndF- o� 3S �d
r> >-� �� ';� �=-.. o: C��.=_� .'.�_-� =—':
1—ia�C'.".0`;2' Y�'.�.:.� _ _�;li'.:..;i: :2� •
�.y�L`,g�-;� r.Ln h�'�.;�):
, ,�►
BUII�DING REVLEtiy CI�ECK LIST
UBC: 2-'3 � CONSTRUCTION TYPE: �N
Sq Faotage $ Per Sq F[g
Baseraeat . , X =
ls[ Floor � . x • _ . .
2nd Flaor x _ � .
Garage x _
z =
TOTAL
Fstimated Constructioa VaIue: $ �p���p ov
InspectiQns Required: FYork Requiring Separate Permits:
5 ite Plumbing Fire
Hardcover Removal Mechanical Water Coaaectioa
__�S__Faoting � Sep[ic Sewer Coanectio❑ �
� oC Framing Fireplace Lawn Inigation
I.�uuiati�u �iviasoary) Ocher
1�Va11 Board (Mfg.) Well (S[ace Permit)
_�F�� _ Grad�g/Fi11inQ Elec[rical (S[ate Perrait)
C the r
RENIARKS (LN HOUSE): ' -- --
-------------------------------------------------------------------------------------
REVIE'4V $Y �TFIERS: DA'T�:
Access: Exis[ing New �
Access Approval: L'ate gy;
__---------------------------------------------------------------------------------------
i2El�IAR�KS �'I'O EE NOTED ON PFRtitT'I�:
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