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HomeMy WebLinkAbout2002-P05165 - addn/remodel/repair CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P05165 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/24/2002 SITE ADDRESS: 1300 Vine Pl Mound,MN 55364 PID: 07-117-23-42-0002 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: Plumbing iviechanicai Eiecmcai(slate) NOTICES/REMARKS: Tl_.____1_! n'VTl1 A �].i____1T/�T ai..vi.v. a�v��av ova vi,v� •auu...v..i.v a wrr.v r vv FEE SUMMARY: Permit Fee: $ 562.95 Valuation: $ 42,000.00 Plan Review Fee: $ 365.97 State Surcharge Fee: $ 21.50 TOTAL FEE: $ 950.42 APPLICANT: Cramer Designer Builders OWNER: Rick&Kristine Sterling 5500 Lincoln Drive-Suite 180 1300 Vine PI Edina,MN 55436 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 M SOTA BUILDING DE QUIREMENTS. i APP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Siznitures Required), 1-ADDlicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 Mar-20-2002 11:51am From-CITY OF ORONO +9522494616 T-894 P.006/007 F-839 f' Total Pee: $ ZJ -� Date Received: ' Entered By: Permit#: V CITY OF ORONO - BUILDING PERNHT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O ONTRACTO JOB SITE ADDRESS: 13C:OVL�2CPIA ZIP;, sL 34, 1 NAME OF OWNER: PHONE: ftme)%; --/�.2-�'J7/ J (work) lot? WJ 06X MAILING ADDRESS: �c3G�V X�£_X �C_ —CITY: 0 CONTRACTOR: oLr jqKrjrN (f cI.&yVHONE:..�j �7,3 -g!FQ CONTACT PERSON: MOBILEXAGER: MAILING ADDRESS: , `&_ CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER:_a__1� PHONE: Cv(,2 7,?/F- &7 7 MAILING ADDRESS: 37 CITY: MA _C _ ---ZIP: E_0 NAME: i r fn .G� �� jLi REGISTRATION# 02 ( <— TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration- and Alteration PROPOSED WORK a cribe in detail): STORIES: .-1 SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARACiE STALLS: ATT. __4_ DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): S :�'�/_ �� - 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; chat I understand this is not a permit and work is not to start without a permit; and that the work will be in acco atic i approved plan. APPLICANT'S SIGNATURE: DATE: , �I-D NOTE! Parade of Hames events require separate permit approval by Police DepWtment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 13 0(3 v 11-4 tr �4p PID: DESCRIPTION OF WORK: &oLZ ZOINLNG REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 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 SI TEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: juo C,-1" U • Fire Department: Post Office: 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: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: 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): 7 BUILDING REVIEW CHECK LIST UBC: /2 - 3 CONSTRUCTION TYPE: YN Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 1fZ,,U Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing Septic Sewer Connection _X Framing Fireplace Lawn Irrigation __4 Insulation (Masonry) Other — 41 Wall Board (Mfg.) Well (State Permit) --Final Grading/Filling x Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): VNTL-y�AoA, "ry�w4L, Q�.rLy 8 Mar-20-2002 11:52am From-CITY OF ORONO +9522494616 T-894 P.007/007 F-839 Sec.13.04 RIGHTS OF SUMCfS OF DATA Subd. 1. Type of data. The rights of individual on whom the dam is stored or to be stored shall be as set forth in this section. Subd.2. Iaformation required to be given individual. An individual asked to supply private or confidential dare concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting stare 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 dare;and(d)the identity of other persons or entities authorized by sate 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. 7 he commissioner of rrvenue may n_iaee the nnriee renuired under this suhdivision in rhe irxiividaai income rax or ereeerry rax refitnd incrmcrinns 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 dam on individuals,and whether it is classified as public,private or confidential. Upon his farther request,an individual who is the subject of scored private or public dais 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 disclosad 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 coitecud 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 ro comply with the request, excluding Santrdays,Sundays and legal holidays. Subd.a. Procedure when data is not accurate or complete_ An individual may contest the accuracy or completeness of public or private dace concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the-nature of the disaerecrrent. The responsible authority shall within 30 clays either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dam.including recipients named by the individual:or(b)notify the individual that he believes the da© to be correct. Dam in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam. 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 deparunents may require you to furnish certain private or confidential information_ You are notified that: 1. The information you furnish will be weed to determine your qualification for the permit or license requested. 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. b. Your full name is required toopp9rocess this application or permit. Zil First r � lvirgdte ListA. Addta City State Zip Phone I understand in is as ted abo Signature 6 CITY NO CA LE N DATE TIME INSPECTION NOTICE sc DULED PERMIT NO. �)� L lQS COMPLETED ADDRESS 1) U20- OWNER 20OWNER COl N"TR. — ' NO(M gP- TELEPHONE NO. LX I a �� " C OUao DESCRIPTION 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 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 FIN35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTORTOMEETYOIJ:_YES NO COMMENTS: cc a Q�l •�� O cc O LL W cc Q 2 W Z W Cc d 44 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 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/C or on site: Inspector. IV W ' Copyllnspector's File Canary CopylSite Notice l �- J DATE TIME CITY OF ORONO VV CALLED IN p INSPECTION WTICE SCHEDULED �•_3� -� PERMIT NO. l !(j C COMPLETED t'/ ADDRESS O� F _ee_� OWNER CONTR. TELEPHONE NO. (�2/ DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a O ---r cc O W cc Q Z W W CC j O Wcc WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/ cto on site: Inspector. (—WWWIC opyllnspector's File angry CopylSlte Notice /Aat DATE TIME CITY OF ORONO / CALLED IN INSPECTIOWOTICE. ��/ SCHEDULED PERMIT NO. COMPLETED ADDRESS 13 V 1�2 OWNER CONTR. �1,�'CiY�.R.t L_ TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATI 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 Zt o COMMENTS- i a — ! J O \ O W Q Z W Z W d WWWO RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK i£PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C1 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr i e: Inspector. AAA White Copy/inspector's File Canary Copy/Site Notice V/ DATE ' TIME V CITY OF ORONO CALLED IN - INSPECTION WTICE SCHEDULED 4-4 r UO PERMIT NO. COMPLETED ADDRESS_- /3K20 L'/l no 1"EDL OWNER CONTR. trrl_f'h-C TELEPHONE NO. '3-a DESCRIPTIO LAj 01 FOOTING 11 1 ANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 03 INSULATION 24/2_5_WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION QljFlNAL14 SEWER HOOK-UP 06 PROGRESS - 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 o COMMENTS: cc W a j O cc O c ectW CC Q 2 W W d LU WORK SATISFACTORY:PROCEED PROJECT COMPLETE rc W ❑C RRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 OwnerlContr o I n site: Inspector.- .1 A��d White Copyllnspectoes File Canary Copy/Site Notice