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Home My WebLink About2002-P05695 - addn/remodel/repair PERMIT C I TY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P05695 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 10/4/2002 SITE ADDRESS: 4757 Tonkaview Lane Mound,MN 55364 PID: 07-117-23-32-0011 DESCRIPTION: UBC occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Fireplace NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 4,000.00 Plan Review Fee: $ 63.18 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 162.93 APPLICANT: T Olson OWNER: T Olson 4757 Tonkaview Ln 4757 Tonkaview Ln Mound MN 55364 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 PERMITEE SIGNATURE ISSUED B&'§IGNATURE Covies: 1-File(Skenitures Required).1-Awlicant, 1-Monthlv Revorts. 1-Assessin2. 1-Finance Page 1 v, • Total Fee: $ Date Received: 2— Entered By: AMC-- Permit#: PQ 5(oq S 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 CONTRACTOR JOB SITE ADDRESS: NAME OF OWNER: PHONE: (home) (work) /'?TQ MAILING ADDRESS: �G'r1�- CITY: L/W ll v CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration X Land Alteration PROPOSED WORK(describe indetail): STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 101,I ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '� ��&)o 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: DATE:61-1 NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 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 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 may place the notice reauired 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 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 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 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 responsible authority 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 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 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 or permit. First Middle Last Address 0/ Yin s by ba a�� City State Zip Phone I understand my rights as stated above. i Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: PID: DESCRIPTION OF WORK: '40.ZfWAto ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: /U 3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CO ON STATE SURCHARGE Yes No WATERC ON INVESTIGATION FEE Yes No 9C PARK E SAC Yes No SIT SPECTION Number of SAC Units _�� O ER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: Sch strict: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front(Lake): Right de: Rear(Street): ft Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approv Date: By: Council Approval Date: Septic: Staff Appr al Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland istrict: vg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 s 0 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $< U Inspections Required: l 0 equiring Separate Permits: Site -- -/ lumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insul (Masonry) Other all Board (Mfg.) Well(State Permit) Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): -------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: -------------- ------------------------------------ ------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 DATE TIME CITY OF ORONO CALLED IN 73 INSPECTION NOTICE SCHEDULED Z/7 .,S PERMIT NO. .-'0��/� COMPLETED ADDRESS 1173-7 �— OWNER j�L_ , CONTR. TELEPHONE NO. �1 s� ��`�" 7 &P,9 DESCRIPTION " 41 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS O SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO Zt o COMMENTS: c aCorre& �( 5 J O4o In othvK r1.&ew- cc O 2 W cc Q 2 W W CC 41 WORK SATISFACTORY:PROCEED ROJ CT COMPLETE WEI RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contrac onoite: Inspector. rlkm White CopylInspector's Le Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION ROTI SCHEDULED �'S22-D3 PERMIT NO. s COMPLETED ADDRESS X75'7 _/7LlE_Q-ClCa40 6/t---'f OWNER T/'/n 01S lrn, ,/ CONTR. TELEPHONE NO. _ 95-2- V8T 7� DESCRIPTION OV 41 . L4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 9"ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q p5 fINAL 14 SEWER HOOK-UP 06 PROGRESS DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAZ 35 HARD COVER REMOVAL v10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES COMMENTS: CC a O Pocc s6 9 ✓ ° Ra 564s W c Q 1 z W Z L4 c O 41 WORK SATISFACTORY*PROCEED ❑ PROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali forthe ext inspection 24 hours in advance. (952) 249-4600 Owner/ site: Inspector. White Copyllnspect is File Canary Copy/Site Notice ,P °� 2 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CF SCHEDULED /'�'�Z- -5., 30 PERMIT NO. o Oq5 COMPLETED ADDRESS `1757 OWNER :Z'/y7 ZS!2� CONTR. 101 TELEPHONE NO. _C~=-2 (Aacl 741 DESCRIPTION �� L401 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL Z 12 WATER HOOK-UP 17 SITE INSPECTION Q 14 SEWER HOOK-UP 06 PROGRESS -SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP tsi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL UMBING FINAL 36 FOUNDATIOWREMOVAL 60WN�ECONTRACTOR TO MEET YOU:✓YES NO ENTS: a cc j 0 0 2 W ccQ 2 W Z W CC Uzi�yVORKSATISFACTORY:PROCEED 13 PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContracto sit?—.j.- Inspector. it .Inspector. White C yllnspector's File Canary CopylSlte Notice i0 CJ � I i Cr I m r I r O'l � F 7/ r 10 HI-0 ----------------- LP ra 4. I i y C ► !rl f~ w q o 1 �,j 7 CIS co tj LIAJ ! ice•.;� +` .ZI _� _� (� O l y� V 1 1 ► . � I 1 :..{ ,C' t" _; ` �' �✓ L� �L i LINCD . CY jo I � Ql