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Home My WebLink About2008-00354 - cut and install service door in garage � CITY OF ORONO PERMIT NO.: 2oos-oo354 ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 1UO3/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1435 PARK DR PIN : 07-117-23-42-0020 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O15 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 1,250.00 NOTE: CUT IN AND INSTALL A SERVICE DOOR IN GARAGE. INSTALL A LANDING&STAIRS APPLICANT pERMIT FEE SCHEDULE 51.00 PHEASANT RUN CONSTRUCTION PLAN REVIEW 33.15 1109 141ST LANE NE HAM LAKE,MN 55304 STATE SURCHARGE(VALUATION) 0.63 (763)862-2106 TOTAL 84.78 Minnesota State License#:20193061 OWNER MARTINSON,JAMES 1435 PARK DR MOUND,MN 55364 AGREEMENT AND 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 State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in conf ance with the State Building Code.This permit may be revoked at any e for e cause � � 3 � � � � ant ermitee i ture Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. � t Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: I�'I,�� q,�'K ��.. �p; `�3 < Will this be�P{a''rade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes I /1�iV o If yes, a special event permit is required with Police Department and City Council approval T � 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: ��J� C�cran PHONE: (home�� W 7f �$7(0 (work) MAILING ADDRESS: �y.3 5� �,,r'I� �� CITY: ��v,� ZIP:�i�-L CONTRACTOR: _�Pli�iN.�' �u.+1 l�c�"•w��`� PHONE:�L�'3 �o.? a?/r�(, CONTACTPERSON: L�.,�,„; �/ ,.-o�,ti MOBILE/PAGER: /,�? g�� yG8�3 MAILING ADDRESS: l/v4 /�{�s` Lit! /I C CITY: �,.,,, Lcf kc ZIP: .'�`�iy STATE LICENSE: # ��/q3 p�/ EXPIRATION DATE: �-31- pq 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: ��,�,�- %h d- ,}�s-I��( G 52�iJ�`�@ ��,.- iv� ��'.,�52 �' �S �� Q � ��.� � � S�ir S ^ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTAE�IED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �;��'�7� 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 plan. APPLICANT'S SIGNATU DATE: ��- � 'U � 31 F � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The righu 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 l 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 reauired under this subdivision in the individual income tax or pronerty 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 infornted ofthe content and meaning of that data. After an individual has been shown the private dah and informed of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. 7'he responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority 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 compliar�ce is not possible. If he cannot comply 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 conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible authority sha�l 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 correct. 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 authority may be appealed pursuant to the provisions of the adminisVative 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 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 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. First Middle Last Address C�tY State Zip Phone I understand my rights as stated above. Signature 32 � . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /�/,3 S �O/,i/1�� pR� �� PID: DESCRIPTION OF WORK: �TA i�1. d f= ,gn,q�t ZONING RET�IEW BY.• '�r^ DATEAPPROVED: /�•3- o g BUILDING REVIEW BY.• DATEAPPROVED: /� -3- v� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes_� No PLAN REVIEW Yes No � SEWER CONNECTION STATE SURCHARGE Yes_�.C' No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECIC LIST Zoning District: C �� Fire Department: Post�ce: School District.� Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: N�e and.• � Building Height: Def. Hgt. P ak Hgt. Lot Coverage: Grading.• Staff Approval Date: By: Council Approva!Date: Septic: StaffApprovalDate: y; Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: BluffSetbac • LotCoverage: Existing Proposed Hardcover: 0-75' 75-250' 2.i 0-.i 00' 500-1000' Har•dcover �'ariance Required: Yes No Date of Council Approval: REMARKS(in house): 33 B UILDING REVIEW CHEC%LIST UBC: G��! CONSTRUCTIONTYPE': �f�1 Sq Footage S Per Sg Ftg , Basement x = -- 1 st Floor x = 1nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ /,2Sa on Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanica! Warer Connection �Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _ !�Final Grading/Filling Electrical(State Permit) Other REMARXS(INHOIISE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 !/ �E TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTpICE ,/ SCHEDULED �' -0 � PERMIT NO.�QD6 'Q�3S7" COMPLETED �� ADDRESS ��35 ��L E�[� OWNER CONTR. 0��-��L �� TELEPHONE N0. ��a Q�'�p °'?1D�0 � DESCRIPTION i'UD T�i'1 � � ❑ FOOTING ❑ MECH ICAL RI p EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT `� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspeation 24 hours in advance. (952) 249-4600 Owner/Contractor site: - , > Inspector. � ' ' �` White Copy/lnspecto�'s File Canary CopylSite Notice �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE ��t$CHEDULED 1�7��_�CJ PERMIT N0. �' ��J COMPLETED ADDRESS � _ �/L �-�� OWNER CONTR. ��'��nt TELEPHONE NO. �� ^ � � �� DESCRIPTION ��C;� l �- ��r LI.tG�{�' � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLIN ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLAND �%I. O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL s Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE tNSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnedConUactor n site• � Inspector. White Copyllnspector's File Canary Copy/Site Notice