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Home My WebLink About2003-P06807 - addn/remodel/repair CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P06807 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 10/14/2003 SITE ADDRESS: 425 TurnhamRd Maple Plain,MN 55359 PID: 31-118-23-24-0003 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: Piumbing iviechanicai mecmcai(siate) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 888.75 Valuation: $ 85,000.00 Plan Review Fee: $ 577.78 State Surcharge Fee: $ 43.00 TOTAL FEE: $ 1,509.53 APPLICANT: Owner/Self OWNER: Timothy&Anna Otten MN 425 Turnham Rd Maple Plain MN 55359 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. (0 TcJ APPLICANT PERMITEE SIGNATURE ISSUED BYSTGNATURE Conies: 1-File(Siznitures Required), 1-Annlicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ 150 Date Received: Entered By: Jo Permit #: 707a 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 R CONTRACTOR c JOB SITE ADDRESS: -T-ZZA f o ZIP: NAME OF OWNER: l Vh ��T�� PHONE: (home)��5,�- ! (work)(o( .j- q ) ,7- -73? MAILING ADDRESS:^i-o�j (u ryh � CITY: O QC;, t,� ZIP:5�53s CONTRACTOR li w, (�T'T /d hvryc b00 e-C) 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 V11" Accessory Structure Move Remodel/Alteration Land Alteration PROPOSEDpp WORK(describe in detail):,�- J8'�o STORIES: S SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 3 ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �J�"�01)U 0 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 accor ce wit he roved plan. q APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes eve is require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 Sec.13.04 RIGHTS OF SUBJECTS OFDATA , Subdivision 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 supplyprivate or confidential data;and(d)the identity of other persons or entities authorized by state orfederal 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 required 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 casts of making,certifying,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,of 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 ofpublic or private data concerning himself. To exercise this right, an individual shall notes in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to notes 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 PRIVACYADVISORY In accordance with M.S.13.04,Subd.2,'Rights ofsubjects ofdata"we would like to inform you thatyourrequestforapermit or license from the City of Orono or any of its departments may require you to fiirnish 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(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRiNT 1 i L L C)-r-rtrg First Mudd e Last Address p�t�k)a Itil 5� � o City State Zip Phone I understan y rights to d S' iature 10 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: <f Z� TV A"hti4n-, 2D AIJ PID: DESCRIPTION OF WORK: ------------------------------------ ------ ----------------------------------------------------------------------- ZONINGREVIEWBY: _ DATEAPPROVED: BUILDING REVIEW BE. DATE APPROVED 9.2 5 -o} --------------------------------------- ------------------------------------------ ------------------------------ FEES TO BE CHARGED. Misc. Fees Calculated PERMIT Yes No PLANREVIEW Yes_,,,� No SEWER CONNEC77ON STATE SURCHARGE Yes__Ae--` No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units 0771ER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes ./ No Date of Survey: S-6-Ct w Proposed Setbacks: Front (Lake): 7-V) i' Right Side: 4 2 Rear (Street): S-)y' t Left Side: I /V Adjacent Structures: N 1 o4- Wetland: Building Height: Def. Hgt. O Peak Hgt. O.K Lot Coverage: /*///4 Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: Ny Avg.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): s lwc9 /3 y 12u. — /yl��ff CO�t/�71�9�2 7`,� �,�g f44 y C'*c c5' 32 r BUILDING REVIEW CHECKLIST UBC: 3 CONSTRUCTION TYPE. ',4,-J Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x — Garage x = x = TOTAL Estimated Construction Value: $ �DOC Inspections Required: Work Requiring Separate Permits: Site __44 Plumbing Fire Hardcover Removal _<Mechanical Water Connection _ y Footing Septic Sewer Connection _OS Framing Fireplace Lawn Irrigation Insulation (Masonry) Other __Wall Board (Mfg.) Well (State Permit) Final Grading/Filling �c _Electrical (State Permit) Other REMARKS(INHOUSE): ------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 33 Csem-) ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED �(J- C--o O PERMIT NO. COMPLETED ADDRESS -M101 1t7{'I,,�� OWNER CONTR. �i'SdY� C/ TELEPHONE NO. �P�01 3 OF — a 72�9- l�/ D ION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q C03 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 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a 0 O cc W O W W Q 2 W Z W cc O LUWORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 then t inspection 24 hours in advance. (952) 249-4600 Owner/Contra site: Inspector. White CopyMspectoe. Ile Canary Copy/Site Notice �31 DATE TIME CITY OF ORONO CALLED IN /0- (0-INSPECTION NOAC SCHEDULED ( _ 3�r�P1Lt PERMIT NO. COMPLETED ,,, ADDRESS �2 (/T� �lGu_n /�nn OWNER �_ 1Yy � e CONTR. 02/h JU TELEPHONE NO. �3 7 DESCRIPTION TI 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: C W a CC O cc O W QC Q Z W z W cc O WI WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W EICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR Ll CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra c s te: Inspector. jili White Copy/inspector's 41e Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN -Z'O INSPECTION N ICE SCHEDULED - Uo PERMIT NO. �pOol COMPLETED / ADDRESS ` 0)--s a1/b, OWNER EX �}�Gf� CONTR. 6JyLZiS Y' TELEPHONE NO. Z /1_a yZ!2 Eioz DESCRIPTION__�' P �. W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING L'. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 f" 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PL MBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 FINA 36 FOUNDATION/REMOVAL OWNER/CONT O MEET YOU:_YES NO COMMEN 4 11 44l/l a 6 LLW ccQ e ck LIJz 4,L -reps d � A�.1(VORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN FLI CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor_ on it � S Inspector. V J ) White CopylInspector's File Canary Copy/Site Notice .5&- "" `e TIME V MCITY OF ORONO CALLED IN OO INSPECTION N TI E SCHEDULED - - PERMIT NO. g�-1 COMPLETED ADDRESS GG1'/7 OWNER CONTR. TELEPHONE NO. k a Yl g 973 -7 DESCRIPTION //7sez�a'-Ar ei'L' 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 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 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 vOi COMMENTS: w Pe ds Plulm611t4 O _rC, o / G' :Z7') Q z' L 1 s S 12 z W Z W cc Uj tOFK SATISFACTORY:PROCEED 11PROJECT COMPLETE cc RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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/Contractor on site: Inspector. I ►-. White CopylInspector's File Canary Copy/Site Notice