HomeMy WebLinkAbout2008 - 00215 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2008-00215
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/17/2008
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4760 WEST BRANCH RD
PIN : 06-117-23-33-0002
LEGAL DESC : UNPLATTED 06 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 8,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
INSTALLING SHOWER LINER,VAPOR BARRIER,INSULATIN AND SHEETROCK IN THE BASEMENT. TWO FOOTINGS FOR LANDING
ON PORCH.
APPLICANT PERMIT FEE SCHEDULE 162.25
CLEAR CHOICE CONSTRUCTION, LLC PLAN REVIEW 105.46
8957 TRINITY GARDENS
BROOKLYN PARK,MN 55443- STATE SURCHARGE(VALUATION) 4.00
(763)913-6356 TOTAL 271.71
Minnesota State License#:20630808 PAID WITH CASH 271.71
OWNER
RODEWALD,MICHEAL&CARMAN
4760 WEST BRANCH RD
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time4or due cause.
(y
/ (" „atm
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
SEP. 12'. 2008 11 : 02AM CASHWISE SUPPLY INC NO. 527 P. 2/6
a O?7/• 7/ W ct,� Date Received: ?`/ D
Enterer i i : ')2
:f' ....`yti�=' x1 Permit #• _ 715` 0 aV
:1'11'y ',BF O RONO - BUILDING PERMIT APPLICATION
!.1,1 r:tffo;•n= umaist be submitted in full before plan :review will 1)t: started.
(please print cell information)
THE A]:'2:[..I,C:'_; .`I?' S: (circle one) OWNER OR ONT]RACTOlR:
JOB it?D1.1 rofcll g (1 two ZIy2): g536
It
Will this. lac .+ af Homes, Remodelers Showcase Home or other Di:pray Home?
i 'r'ves, a special evert permit is required with Police Department am!City Council approval
fedi days prior to the event. Shuttle liuc service will be required un1os!L;'plicant demonstrates
r (f:icnt on-site parking-is available. Non permitted events will nr r(u'allowed.
NADAM r:r�' t;��,,,,�::,��: � � PHONE: (Lome) 6'l2 74-3 14109
07;irk)
1'a1 AJtLI[1'}:1 Ai:11r.4 'two lei. ( i1di Rot CITY:Orono ZIP• cc *r
CONT.I:l, s 'I: !IR C_i,— CA.;ce, _coA s frich01 LI-C PHONE 2.f3 9! J56
cor+I'-r,'11 :1 .":;a:41-11X/1 ��rAr1A a MOBILE/PAGER: 26(3_11_2_11.5S1
MAIL 111'1 li,E'd.;:17,RS: F95) 716,, r _aexrde/15 CITY: /dt r�IP: 5 �5
STA,.T'IJH I.';�::EN�1 S E: .4. �_3Q r t� EXPIRATION DATE: 3 1/l; u
f
AltC:n.:►-rr..::.]1‘,./EncLi s ER: IPHONE:
MAIL.1[l'l]'I `1;,;5 e _ _ CITY: ZIP:
E: ..• _ REGISTRATION: ;f
TYFI!: Now Home _ Addition Accesse-y Structure
Move Home Remodel/Alteration (ie: yidiig, 114'indows) X I
A'7v earth movement may require MCWD revs L,; and permits!
in detail)::4111-A11t>19p sfiower �1 �� db or ba'fTie
2/101f7a1 .l.Wgl1(t._ sAPt',-rock ,a hosed+n-i-p Two fRCfrnip-s' i4 0�
per Ili
ST GRIM ; SQ.FEET OF EACH r'LOOR: _
NO. O 1+ :1;1':i,1: .:6.;I GARAGE STALLS: ATTACHED DETACHED ,
ESTI 3•'?:''F14*,77SUCTION VALUATION(easluidingland): S QQa
/ r
hereby -1 I'! +''"+'''.:r1+liilg permit and I acknowledge that the information above ,s cOt:-plete and accurate
thct the ( + II b.-i••c...m aormance with the ordinances and codes of the City and will. the State Building; '
Code; that Li :1: isnot apermitand work isnot tostart without apermit;f+n,:Ithat theworkwillbe
in acs air: ; ;i:i 1.2 proved plan. G
APF ! i'r r;1*. , : :A_TITRE TIE: 5;J /'0 O
31
SEP. 12'. 2008 11 : 02AM CASHWISE SUPPLY INC NO. 527 P. 3/6
Sec13.04 III :11i';,Ia:'u SI ,:•91', :l'coFDATA
1 r '1'yp,oirl,ua 'I he rights of individual on whom the data is stored or to be stored shall be as sot'b' .1 in this section.
: a d It:'i.)nhun.,rreq+nred to be given individual.An individual asked to supply private orconfiidentialdant o-learning himself shall he
inform gl or t r,I,•l!.tt,r..•,ii-Al intended use of the requested data within the collectins state agency,political subdiv 3.n'1,or statewide system;(b)
wheat;tier•a,,re:...sr:nr is lop,Ilts.r 01 ai red to supply the requested data.;(c)any known consequence arising from rite sot,'1 ly ing or refusingto supply
private cc col 1 i',:,1 oil ile(.a,41 nd,ii)the identity of other persons or entities authorized by state or federal law to receive to rt st r..This requirement shall
not 11)0,1'Ali:I,a" PIL I vidw1 1'.r^;Iced to supply investigative data,pursuant to section 13.82,subdivision 5,to a low:elbrcement officer.
J;1...,1 r-:11,sr nla e.9 a-.kgllV jnav place The gptice required=LE this subdivizig the i ual incr. `
u•_ta 4 rntoacrty tax refua
instlysm:.Lr a,l:i L:,:,‘vi ih:cp.:limns
i r it:...,:l.,l0ca,abyindividual.Upon request to a responsible authorityan individual shall be infrom,nit vhether he is the subject Of
stor,:d dt,Gl:•1 i d t ;;:s I!,,an/ ,vile.hcr it is classified as public,private or confidential. Upon his further request,an ii d idual who is the subject,rf
stor,:d Dr IN Ell 1:r.,40,t,ika en lido/ithials shall be shown the data without any charge to him and,if he desires,stir;It I r.Irformed ofthe content and
meaning,o.l I c.;;I;I: .'i i;rr.s: till;vide al has been shovun the private data and Informed of its meaning,the data need vvi a disclosed to him for six
mor thii titan:a a.r u•d,I<.r c •:r,i l...or:.cl:on pursuant to this section is pending or additional data on the individual his J11:111 collected or created, The
respon 3i"lie t+,ho,it y :t;II„io ,rte conies of the private or public data upon request by the individual subjett of rho d Ila, The responsible authority
naay reglad r:it,Ill:,ii i 1:42,pers,ln to nay the actual costs of making,certifying,and compiling the copies.
r t• c'I`tl:,,.Is'u:,i":aly shall comply immediately,if possible,with any requestmade pursuant to this subdivi slim,or within five days of
the dat,of Ii i i Ili w' . ::_l,,a;m,-,;,.,,uul.rys,Sundays and legalholidays,if immediate compliance isnot possible.I'he,air of comply with thc request
wid•in tFal i i-1 h;';h,I • ---In the individual,and may have an additional live days within which tocomply wiah th,•r,i urt,ea:eludingSatiadayt,
Sun dams an: I I i r:,Irl.:y4
I•t - I. •:.:dl:rt'.,..CIIilaiaisnot accurate orcamplete.An individual may contesttheaccuracy orcomplctor iuiofpublicorprivate data
conceriiriti,li1 ,,..:1 •iorcai•;::r,hi;,right,an individual shall notify inwriting the responsibleauthoritycescribinglhen:ouaofthedisagreemenLTile
rcsponsi'hi^a Ire iii sia;iit,.c-,;nn !()days either: (a)correct the data found to be inaccurate or incomplete and kitten p.10 notify past recipients elf
inac•ante n i i.a r.1 . ;'ail, udnu;recipients named by the individual;or(b)notify the individual that he believe,the data to be correct,Data in
dispute F11.1 I 1 d 31 11!v:.'c ii I. •14ht 111dividual's statement of disagreement is included with the disclosed data,
'I'a -i:l.•rn,-, :1J:(1,i''Ite i csponsible authority may be appealed pursuant to the provisions of the admi nista ti is procedure act relating 1p
contested e.•1 t
DATA PRIVACY ADVISORY
lit di: t:t.a 1 CO 'Ni i'r ,'i„i. i 104,Subd.2,"Rights ofsubjects of data",we would like to infcrrn you thatyour•request
for a perm i ii ;icr>gSc-f';~.-r the City of Orono or any of its departments may require you to hiriiish certain private or
' cot,fliicnr I r';,-0i-'tia':'.
Ir-cat ; ii.:l.,i.:c .I,!;,
1, "Iii:. iniir:lls:ion you furnish will be used to cteterrnine your qualification f:•r the permit or license
2, ' i in;, •,:";;a to supply data,but refusal may require that the City deny the h,e •rnit or license.
3. 'Ili. in:r,•+ru:iti+.>n may be shared with other local, state or federal agencies to illi: extent necessary to
I':'rYCC1PZ t( t :Virrnit or license.
' 4. Ii'i'y. ir re;;u,sted permit or license requires Council action to approve,some irfcii'tnation may become
l/I,'II,c.
5, 1;'tali hay:: :(221,irt rights underM,S, 13.04(avaitable upon request)to review pciw,lte data on yourself.
6. Yc 2ur s iu.l:u!ne is required to process this application or permit.
IA 1 e A e;,' ti-ren4 e _ ,
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F ire: Middle Last
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Crepr State Zip Phone ,
It to mi eir;4[1. ..1:n;f r ih I ,,s mated above.
ignaitu•ce !? .........._ ...........___,...—....pP--
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y 7 6 p w&sr 4/44A.cif 40/4-V
j
PID:
DESCRIPTION OF WORK: (,owi¢n (,vim ! t I is/i r sr",Ai
ZONING REVIEW BY.: %, " CQ•t4.-- DATEAPPROVED: S •12-oi3
BUILDING REVIEW BY.: a�l0CQ,e., ,_ DATEAPPROVED: i-i 2-o e
FEES TO BE CHARGED: Misc. Fees Calculated By: MN ~r
PERMIT Yes /' No
PLAN REVIEW Yes f No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No .7 SITE INSPECTION
Number of SAC Units OTHER (spec)
ZONING CHECK LIST Zoning District: No
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: Wet and:
Building Height: Def. Hgt. Pea Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: Q ge By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: 1V D Permit:
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):
33
BUILDING REVIEW CHECK LIST
UBC: 3 CONSTRUCTION TYPE: VP-)
• • Sq Footage $Per Sq Ftg
Basement x • =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 6.000 CS
Inspections Required: Work Requiring Separate Permits:
Site x Plumbing Fire
Hardcover Removal x Mechanical Water Connection
7- Footing Septic Sewer Connection
)( Framing Fireplace Lawn Irrigation
X Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
y Final Grading/Filling x Electrical(State Permit)
Other
REMARKS(IN HOUSE): (3 A St:t4UUr i 1V%St4 PAA. 014.'4 lean 1- MASS
Jiro Xe z +cuC is11-74 ,s-r74-/A S
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
34
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—/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 9/36/e?'
PERMIT N04,e21-22aaLf //CO PL& J1qoy
��
ADDRESS 7(00 GU -�/rtt U`c
OWNER CONTR.(/" IL 611) c
TELEPHONE NO. nbae £ à4 0 -736-0g,5
DESCRIPTION 127'0121 /�
• LrT-OUTING ❑ MECHANICAL RI 0 EXCAV/GRADING/ ILLING
Q 0 FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS
QNSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL
0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION
Q ❑ FINAL 0 SEWER HOOK-UP 0 PROGRESS
0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT
`I 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP
i ❑ PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL
0 PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
c.,• COMMENTS:
CC
W
CC
O
O
U-
W
W
W
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner►Contra ore: rye
Inspector. I1J��
White Copy/Inspector's File Canary Copy/Site Notice
4-, /��{{ .ATE TIME
CITY OF ORONO CALLED IN C1/ 1 - I
INSPECTION NOTICE SCHEDULED 0 .20 M' ,- '
PERMIT NO.GpDR-60o COMPLETED //)) �
ADDRESS Y-7(0 (,,c2/4.� &ur11.l /d.
OWNERCONTR. ell/Lt..) • .-'
TELEPHONE NO. �Lb. all 1`�- 73b- k g9
5.
E DESCRIPTION �L11j � __
4, ❑ FOOTING ❑ MECHANICAL RI LI EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
h ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
JAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
iElPLUMBING RI C) SEPTIC FINAL ❑ HARD COVER REMOVAL
J ElPLUMBING FINAL El FOUNDATION/REMOVAL
ct OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
Ct
W
CC
O
O
11.W
CC C,•C) • De.-1-ec iv r ( .e 49„).-- e
Q
? S 4 A . rS 3Q ---LJeR.,J
W
60 cA Foo. S
rt
IQ• 0 WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O,CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ EFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
71 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. Lt jo. 7 gc
White Copy/Inspector's File Canary Copy/Site Notice
O� D�ATTE TIME
CITY OF ORONO CALLED IN `'�
INSPECTION NOTICE SCHEDULED /-z/-07
PERMIT NO...wee- I Q/5 COMPLETED
ADDRESS 11760 Cafeiat
OWNER CONTR. CA-OT CC--
TELEPHONE NO. r!O/QQa 7 3 O 8 8".F
E DESCRIPTION UC,c.c.L / � _ Eee 10ec
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y
❑ FRAMING 0 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION
Q 0 FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
i ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT
0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP
Lu 0 PLUMBING RI 0 SEPTIC FINAL ❑ HARD COVER REMOVAL
0 PLUMBING FINAL 0 FOUNDATION/REMOVAL
ct OWNER/CONTRACTOR TO MEET YOU:_YES_NO
CD COMMENTS:
cc
W
cc
O
cc
O
W
cc
ti
W
W
cc
d
LU ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
0 CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY
OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 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 n t inspec;o n 24 hours in advance. (952) 249-4600
Owner/Contractor o sit-• / ' a ;'►
Ai
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice