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Home My WebLink About2002-P05288 - adn/remodel/repair "� ! PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Pos2ss Crystal Bay, Minnesota 55323 P@I'Pl'llt Typ2: Addirion/RemodeURepair (952) 249-4600 Date Issued: 6i19i2oo2 SITE ADDRESS: 1315 Rest Point La MOUND,MN 55364 P I D: 07-117-23-3 2-0052 DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Residenrial \ Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair ' DETAILS: Approved per resolution#: Separate pernuts required: NOTICES�REMARKS: FEE SUMMARY: Permit Fee: $ 411.45 Valuation: $ 26,015.00 Plan Review Fee: $ 267.42 State Surcharge Fee: $ 13.55 TOTAL FEE: $ 692.42 APPLICANT: Don Ahlstrom OWNER: K J GROVER&S K GROVER 5915 Pagenkopf Road 1315 REST POINT LA 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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � C�- �/�-- APPLICANT PERMITEE SIGNA ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required). 1-Arn�licant, 1-Monthlv Reports. 1-Assessin¢, 1-Finance Page 1 � �� Total Fee: $ � �� `/� � '�' �'� Date Received: �p- Entered By: ,� ��J _ � Pernut#: v � � � !%/1,. 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) WNE OR CONTRACTOR JOB SITE ADDRESS: ( 3 � � Pj(��-� P� �,� ZIP: ,��p� G NAME OF OWNER: ��V �,t'1 IS(,(.� �(��1�P�PHONE: (home) �� -�J�� (work) �i J� - � -�1�o� MAILING ADDRESS: � .� � �J �f�.�� `�- ]�ITY: �j� )(�� ZIP: �-,_�J�(�� CONTRACTOR ��l r-�'Y 1 I S�O�Yl PHONE: '�I fo�� v J� -o��(� CONTACT PERSON: �j� � (�-��ryVIOBILE/PAGER: MAILING ADDRESS: rj9 I 5 �zQP,e'�IY.X?�'P�CITY:�I�pla i p ZIP: ��3 J -�'-r STATE LICENSE: # ARCHITECT/ENGINEER: '�� `��C7 YrLPHONE: "��,��.- �--� '�j� -�� MAILING ADDRESS: ��j,�'� � p,�t�l CITY: �,_ � - ZIP: s �� NAN�: �� P�-� ��-��.�v�_ REGISTRAT ON# TYPE OF WORK: New Addition�_ Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: l (p i X v�� One ��C�r- �C�.�'�'� t (U rc�n-1. -- ��:��f��I c.rc� �t >J �� .r�c-�� r nP�. -�-� STORIES: ( SQ. FEET OF EACH FLOOR: �� NO. OF BEDROOMS: �� GARAGE STALLS: ATT. - --- DET. — ESTIMATED CONSTRUCTION VALUATION (excluding land): $ •��G � �� , �� 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 SIGNATURE: <��C��I��DATE: �� - NOTE! Parade of Homes events require separate permit approval by Police Department and Cily Counci160 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. l. 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 concerning 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 confidendal data;and(d)the identiry of other pecsons 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 mav alace the notice reauired under this subdivision in the individual income tax or nrooertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is dassified 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 informed 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 sha(I 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 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 concerning himself. To exercise this right,an individual shall notify in writing the responsibie authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt ro notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data [o 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 authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRNACY 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 or permit. �� >�� ; �_,�, ��.� First dle Last i � ( �� `�-� �- 1 ��: Addre s � �, � �� `��3�� -� � -� City State Zip Phone � �� / I understand my rights as stated above�, , ,�1.�%��.��5-6�-i�-- Signature 6 . , : CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ►315 �s�' �o��v r l,�t�C:, PID: DESCRIPTION OF WORK: �4D0�1"ivN ZONING REVIEW BY: ....... DATE APPROVED: 6 -/�- 0 2 BUILDING REVIEW BY: DATE APPROVED: b -�7-o z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Z�,,��.K Acres . 6 ( Width �RR.�;��t.vc Depth Survey Submitted: Yes�,_ No Date of Survey: 3•5 �O Z. Praposed S�_tbacks: Front(beice): y2� Right Side: /Zo' '�' Rear(9treet�: SZ Left Side: !.$� Adjacent Structures: �¢r�c�,��j Wetland: /V/A Building Height: Def. Hgt. (�.k Peak Hgt. Lot Coverage: �.�( '70 Grading: Staff Approval Date: -�- By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # "- Reso�ution:# . Resolution Date: Shoreland District: y�p S Avg. Setback: � �J�/� Bluff Setback: .- L.otCoverage: — Existing Proposed Hazdcover: 0-75' 75-250' ' 250-500' 15•�3�o 500-1000' ' Hardcover Vaziance Required: Yes No •�- Date of Council Approval: REMARKS(in house): 7 r , . ♦ BUILDING REVIEW CHECK �IST � � � ` UBC: �? • 3 CONSTRUCTION TYPE: •V/J , .Sq Footage $ Per Sq Ftg = Basement. x = lst Floor x = 2nd Floor z = Gazage z = R = TOTAL Estimated Construction Value: $ 2`, O�5 °= Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection _g Framing Fireplace Lawn Inigation _�Insulation (Masonry) Other 1 Wall Board (Mfg.) Well(State Permit) _�Final 'Grading/Filling _�Electrical(State Permit) Other . REMARI�.S(IN HOUSE): � • REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI'1�: 8 DATE ' TIME CITY OF ORONO CALLED iN �� -7�0� !(�=�A� INSPECTION NOTICE SCHEDULED _��-i/-v� /�•'��'r¢�t/� PERMIT NO. -�.�� COMPLETED ADDRESS,/��,�F%S� f�/ ��j�[�_ , OWNER�(,�/�"? CONTR. /�J'�'l �I; ��r`c.-oY� TELEPHONENO. ��.� c� ��5 J �� r� � DESCRIPTION `�61 FOOT+)IG '� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING IttVG''r 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 `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next nspection 24 hours in advance. (g52) 249-46�� OwnerlContr , on i : Inspector. _"t White Copyllnspector's FiIJ Canary CopylSite Notice DAT O TIME ,� CITY OF ORONO CALLED IN - J INSPECTION NQ�ICE SCHEDUIED � •' �' ��r PERMIT NO. 1` (��'�Z-�5 n COMPLETED ADDRESS I '=� � �� `� �{ ( ��_ OWNER CONTR. ��Yl (�1 1�'� TELEPHONE N0. �1 (�;i C J�� --� � � DESCRIPTION � ��-�'�-�� /0�j oOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG ��` �f�rRAMING 13 MECHANICALFINAL 19 LAKESHORE/WETLANDS vf�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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SE TI INAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W C � ` O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTiFiCATE OF OCCUPANCY � ❑CORRECT WORK,CALI.FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-4600 OwnerlContr s te• Inspector. White Copyllnspector's le Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN "'- � ' INSPECTION NOT�CE_ _ scHE�u�Eo �-� ��'°.�.��rJy PERMIT N0. `�� } COMPLETED ,��VI ADDRESS ,/s/ �� /;k S t ��:�,.'i t (_1=�i'�..�.. OWNER CONTR. 1��/"J ��S �YC�12.�. TELEPHONENO. �J �.� ��r -�(� 'S('�r� � � DESCRIPTION � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 0�'��,�� 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z � 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES L NO � COMMENTS: � W a � �'1 *- � �; ti�� 0 � 0 � W � Q � z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfUFN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next ir�pection 24 hours in advance. (g52) 249-4600 OwnedContractorrgn��ite � Inspector. �� White Copyllnspector's File Canary CopylSite Nolice � �� TIME CITY OF ORONO CALLED IN /J /9 D3 . � INSPECTION TICE SCHEDULED PERMIT NO. COMPLETED ADDRESS I 3I� �f �' �-/ OWNER CONTR., ��/ TELEPHONE NO. 95L ,39 5507 � DESCRIPTION ��G�� '` � ��'''�� 01 FOOTING 11 MECHANI I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECMANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WAT�R HOOK-UP 17 SITE INSPECTION ? OS FINAL 14 SEW�R HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: a j 0 a c� 0 W � Q - � W .� W � � d � W ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE CAVERING PERMANENT ', ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARFiANGEACCESS. Call for the ne inspec�tion 24 hours in advance. (g52) 249-46�0 OwnedContr n i e: � Inspector. � Whiie Copyll�apector's Filp Canary CopylSite Notice ✓ DAT TIME CITY OF ORONO CALLED IN Z' -O3 INSPECTION NOTICE p� SCHEDULED /�_f 9-03 �D� PERMIT N0. �d ha�0 COMPLETED ADDRESS � � � ��''� OWNER CONTR.__ d�) �r�`aM TELEPHONE NO. �� 9.3� ��(Q d� T � DESCRIPTION _/�-c � '� � � Ot FOOTING 11 ME�vHANICAL RI 18 EXCAV/GRADING/FILLING y 02 FRAMING 13 MEC}HANICAL FINAI 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 V'I�OOD BURNER/FIREPLACE 34 TREE REMOVAL Z � 12 WA7ER HOOK-UP 17 SITE INSPECTION 05 F�NAL 14 SEWER HOOK-UP O6 PROGRESS '{� -SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-PINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL ,v � 36 FOUNDATIOWREMOVAL 2 OWNER/CONT,J CTAii rn�EET YOU:_YES_NO � COMMENTS: W a� j � � O � � O � W � Q � 2 W � W � � d W� RK SATISFACTORY:PROCEED ROJECT COMPLETE � W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V � BEFORE C�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED b INSPECTION REQUIRED.CALL TO ARRANdE ACCESS. Call for the next inspectionl24 hours in advance. (g52) 249-46�� OwnerlContr e: , Inspector. White Copyllnspector's Fil Canary CopylSHe Notice