HomeMy WebLinkAbout2006-P10231 - addn/remodel/repair PERMIT
C�T� �F ORONO Permit Number:
�750 Kelley Parkway- PO Box 66 P10231
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Addirion/RemodeURepair
Date Issued: 8/22/2006
SITE ADDRESS: 1342 Rest Point Cir Unit#
Mound,MN 55364
PID: 07-117-23-31-0022
DESCRIPTION: UBC Occupancy U1
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate pernuts required: �
NOTICES/REMARKS:
No expansion of building or deck-deck must be reduced to 16'wide max
FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Owner/Self OWNER: Mark Altenhofen
� 1342 Rest Pt Cir
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE�VITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUtREMENTS.
T P E SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
(�Y(, p'o�o1--O�
. ` �
Total Fee: $ 3 D�{ 0 Date Received: t�'-/7-+��o
Entered By: Permit#: ,q�/p Z3 !
CITY OF ORONO - BUILDING PERMIT APPLICATION
/ All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNE R CONTRACTOR
�
JOB SITE ADDRESS: _13`-1 a �e sf ��n-I- Ge ��.�.e., z�: � CD
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 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: �l�t.1r� E �C�.vt,yte ���ti h�v�PHONE: (home)q S a-��{12-=7 aS` 7
(work)
MAILING ADDRESS: 13y a Rest- �.�'��[�Q CITY: OI�Y1 O ZIP: �5 3j�t.�.-�
CONTRACTOR: -�"�.c_�-� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: Nev�Home Addition Accessory Structure
Mo�e Home Remodel/Alteration(ie: Siding,Windows) ,�_
Any earth movement may require MCWD review and permits! _
PROPO ED WORK(describe�n detai�: � a.�! ov Ye �C'L� L�GIM.,� 1,�1,�:�Gid�
e Y�,
STORIES: I SQ.FEET OF EACH FLOOR: �'ZU -"
NO. OF BEDROOMS: ' GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $��DDZ��I I�,�'
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confo}mance 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 appro ed an.
APPLICANT'S SIGNATURE: DATE: c°�
31
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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 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 shall
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 ma�place the notice required under this subdivision in the individual income tax orprooerty 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 charge to him and,if he desires,shall be infonned of the content and
meaning of that data. After an individual has been shown the private 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 collected or created. The
responsible authority shal]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,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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance 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 authoriry describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be�naccurate 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.
T'he determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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
public.
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 ar permit.
First 1��������.Q, Middle �� Last Q��, ���lYf.�,[�
�WY�C ���
Address
t�z 1�-��t `�{-_ (,��,�,e,
City O� State 1AA� Zip��n� Phone a�� y 7�7a•J 7
�VY �r �
I understand my rights as jtated above.
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B UILDI�VG REVIEYT�CHECh'LIST
UBC: _ U —1 CONSTRUCTIO�V TYPE: �l N
Sq Foota,�e ,S Pe�•Sq Ft�
Basenierct s =
!st Floo,• ,r =
3nd Floo�• s =
Gar��J e ,r =
� _
TO T.�iL
pJ
Estirrtated Cottstr�uctiou G'alue: ,� � �f(�C'C�
Ir,spectio�:s Required: GYoi•k Reqc�il•i�t;Sepal�ate Perircits:
Si te Plcun b i,zg Fire
Narr(caver Re»ioval Nlechanr,ca! GYater Canrection
Footirig Septic Se�.vei• Coariectio�i
'f Framing Firepface Lawn l��i�igation
_,�l�zsulatioii (A�Iasoit�}�) Ot/ier
FY"al!Board (Nlfg.) 6�e11 (State Permit)
_�L Final Gradi��g/Fillin„ L Electrical(State Per-niit)
Other
RE1bfARli S( HO USE): l4 F�� T l�cr1 i=r'�P�T (�Jo 2 lfc � t.� �� p n�p c Q w�v(�n
f'1�� �(/�7'J �(//�iCl� — C�� ��`{—a 7�3 5 ft0� (�� ��J t1�J ��
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RE T�IE t�B Y OTHERS: DATE:
.4ccess: Existin,� New
,�Iccess�(pproL��c!: Dace Bt�:
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�REtYIAR.KS (TO BE tVOTED ON PERrtiIIT): O - S r ot� ��.� 0 2
D ec.l� -��c�� nws r � rt�r�s c� � -�-� � 6` w�✓J cr �
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CHECK OFF LIST FOR ISSUANCE OF PERc11ITS
FOR OFFICE USE ONLY
ADDRESSORLEGAL: 13`i2- i2ESri' Po�n�r C��tc.�
PID:
DESCRIPTION OF YVO.RK: o r �s� tLe r4-�2.
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ZONING REVIEYV B X: iGt/( ��L�, GEO DATEAPPROVED: rd •ZI-�to
BUILDItYG REVIEW BY: GY� vwlA� DATEAPPROVED: �2r-o�
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FE£S TO BE CHARGED: Nlisc. Fees Cc�lcaclatecf By:
PERII�IIT Yes_� No
PLAN RET�IEyV Yes � tVo SEYYER GON[VECTION
STATE SURCH.4RGE Yes � 1Vo ' tiVATER CO[WECTION
INVEST.£GATIONFEE Yes 1Vo PARKFEE
SAC Yes tVo SITE NSPECTION
Naci�iber of SAC Uraits OTHER (specify)
ZO�YING CHECh'LIST Zor�in;Disn•icr.• /V O
Fire Deparhnent: Post D�ce: Schoof Dish•ict: _.,
Lot,�lrea: Sq.f't. .�lcres GVidth Depth
Sicrvey Subntittecl.• Yes No Date of Scuveti�:
Proposed Setbacl,s:
Fror:t(Lalce): Right Sid
Rear(Street): ' Left Si�( : � �
Adjacent Struct�u•es: Wetland:
Building Height.• Def. Ngt. Peak Hgt.
Lot CoverRge:
Gracfing: Staff Approval Date: By: CoT�ncil Approval Date:
Septic: Staff;�Pprova!Date: , ' V `� ��` d� . BY; W " ' '
Zoning File: # Resolutior:: # Resolci�ion Date:
Shoreland Distr•ict:
Avg.Setback: Blu etback: Lot Coverage:
E.risting Proposed
Harctcover: 0-7�'
75-250'
250-500'
500-1000'
Hardcover Vc�riance Reqccired: Yes No Date of Cocuzcil�tpproval:
REIVIARKS(in hotcse):
31
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DATE TIME �
ITY OF ORONO �o iN �� �� ` �
�/ � � �,.� ' r�t
v INSPECTIO OTIC SCHEDULED Zcr
PERMIT NO� �� COMPLETED
ADDRESS.,�J �� �e-st t`�/��' e i�-�I�
OWNER,��i�n� /7�r,�I�IPIICONTR.
TELEPHONE NO.�5�_�7� � Iv�J� 7
� DESCRIPTION ���h2.��<�
lV 01 FOOTING 11 MECHANICA� I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP C 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 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for th next in pection 24 hours in advance. (J52� 249-46��
Owner/Contfac site
inspector. �
White Copyllnspector's File Canary CopylSite Notice