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HomeMy WebLinkAbout2008 - P11998 - addn/remodel/repair PERMIT CITY-OF ORONO 270 Kelley Parkway- PO Box 66 Permit Number: P11998 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/5/2008 SITE ADDRESS: 1200 Wildhurst Tr Unit# Mound,MN 55364 PID: 07-117-23-31-0037 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 869.25 Valuation: $ 75,000.00 Plan Review Fee: $ 565.01 State Surcharge Fee: $ 37.50 TOTAL FEE: $ 1,471.76 APPLICANT: Rohan Lund Inc. OWNER: Sandra&Micheal Hollenhorst 360 North Arm Ln 1200 Wildhurst Tr 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. 6frAPPLIC T P TEE SIGNATU'.: I ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 • Total Fee: $ / 1L 71.7IO Date Received: 2,4-0 o" Entered By: Permit#: ,9//998 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: / co t)j /0/1)ol_S ZIP: 03 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes VI,No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. /lc, Non permitted events will not be allowed NAME OF OWNER:(1'? /4i7 d Si4�n ih Aoa.c1i HONE: (home) n-02 - -- �l4 7 work) / -6605---r47 - g0 7 MAILING ADDRESS: /,)00 (Jt /chvASt CITY: DAM/ 0 ( ZIP: ,X536 CONTRACTOR: go /,,r Lv,, J Fs PHONE: �/ ?,C7-,„2-006- CONTACT PERSON: --r-6- - b n y' L0,-) MOBILE/PAGER: _5 PHONE: 6 MAILING ADDRESS: _3 4,0 /40 2 At-6 G44-nc(ITY: ©Ao n o ZIP: 4..1"-5134 V STATE LICENSE: # (lO/9a? w EXPIRATION DATE: /en/zc/, a2 00 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding,Windows) X Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detail): AlEfi 9(e 7</i«En/ /9--A/i) Lø'- 8( c 5 -- 0,_.5 i L c - 14-- - oo e .30 E- i/ i ' 'C- Izr o t)t5(-, Lc e ff)-! V p Lc Ail 51 ikl6, , STORIES: / SQ.FEET OF EACH FLOOR: c>2 V60 NO. OF BEDROOMS: _ GARAGE STALLS: ATTACHED ,3 DETACHED_ 66' ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 76-;0 0r) 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: V.:=9.0•1/0e' 31 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 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 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 �k o Middle 4, (.1 61-7\ Last G h CL Address -7 L.) Pc M.9ie f� 4_0-0 City c),(2._0-716). State 44/J4 Zip 5,---5-36 ti Phone 6/07 257-62100�b I unde d my ri is as stated above. Signature Reset Form 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS (�� ��' � � OR OFFICE USE ONLY ADDRESS OR LEGAL: PID: �..J' �.�j•-#- DESCRIPTION OF WORK: k T te.-ev tAry lavn,ane ZONING REVIEW BY: N l ioN DATE APPROVED: BUILDING REVIEW BY: ,4--U ( ,,._ DATE APPROVED: 'f-Z0-o9 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes ,/ No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes No / PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (sped) ZONING CHECK LIST. Zoning District: NO CH Aaveae Fire Department: Post Office: School District: Lot Area: Sgft. • Acres idth Depth Survey Submitted: Yes No 1 ate of Survey: Proposed Setbacks: Front(Lake): Right Side: • Rear(Street): Left Side: Adjacent Structures: Wet nd: Building Height: Def.Hgt. Peak gt. Lot Coverage: Grading: StaffApproval Date: A By: Council Approval Date: Septic: Staff Approval Date: / -/ By: __(.....)(r. _ Zoning File: # Resolution: # Resolution Date: Shoreland District. MCWD Permit: Avg. Setback: Bluff Setback Lot Coverage: Existing Proposed Hardcover: 0-75' p 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: X2.3 CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement x 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ -1S 000 °' Inspections Required: Work Requiring Separate Permits: Site )( Plumbing Fire Hardcover Removal al- Mechanical Water Connection Footing Septic Sewer Connection X Framing Fireplace Lawn Irrigation < Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) r, 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): 34 Galloping Cabinets LLC a . r rKI-r- Lund/Hollenhorst-Kitchen . 1495110th St. SE. Clear Alder Flat Panel Doors with Moulding Wraps and Delano, Mn 56328 L - S t.. ' a ‘-1-) Slab Drawer fronts. Maple Melamine Interiors, backs and 952-955-3626 Fax 952-955-3626 anytime •1 Maple Dovetail Drawer boxes. [0etiO81 Full Overlay Style cabinets , Kitchen Not To Scale \- / • 253/4— 1 `"r-�-- -� $91/8 —133/4 sola 12/n ! i/ "' i 12112 -- 39 h i O t r, r 21 28 ,stn 251!2 �` r i. ii ,j liiL 35 1/8 24 y 79 are 35518-------- - - CUP 4.1 t, Dishwasher � Wine andWarming Drawer 7 Double Oven CITIT ®der �' �,,/� ' DUiLDING ERP'I PL1AC! _I r-,,"J Norco� 6j/�- INcIPECTOP_ erg r - ---- Dl' K Zrb ot -- J0,1:• r"F r'yt i'(0,/. 366 Down Drag lam' -'; ' 1195/8 ' 29114 i ' `291/4 i 291/4 r`- ; il , r � II Table 11 i r I Knee Space q ) I40 42"Kitchen Aid ;=.x"-.1,.'4` q`'---1- ,74 - ' In de Radlu Refri with on Top I;4.'tau3w�i28. 57" Wood Fronts 1618 4r Knee Space? R dvC. Ox i r 0-135 414.L) 24 ' #4 R /t)ove S7v8 0A(.1_ Hell) l�'E� °�.?"�® S 2d 1 s 3 / MlorOwsve �G w / f F ,..,o A s6 / 1I ..18! -84-. /L if'if) /G.,, �G c 3 1 32 _-- 521/2 High .: s , 1 , -t G / 43 4. C Alt--e /Ai rt.000e— 0 6 ^ 07 ' �( SwWIl _OG1Z:GZ?o!"2---•- 351/8 A8 , , --a `S l'c�.f<'w�' 773/4 • XF� 6 N m•n to2a'2 &9 j� la c Ric'112r ha k / N 8: Ia t' --"":2;::,':---., 1~ a' 1-N-s- k R --_=: :f-.2-1-:-. a is = :::171.74:-5',...:!--7:-::".; or' y�� "NS TT r3 r N n 7r- t O o p r-. n oa ab. c , `W 746 �i �` x41;I 4 m p_ \A -6; i iz; ? —^ o a x11 -,.:-,...;-,i, ' 1If 'tA. _ „ "t 0 m 0 n A . .4 m ." a 'It DI" oa . ® rs{, _ "aoc0g fe a la if �d f as ea z '3 m o co a D. 0 E TIME�AJ �D$ CITY OF ORONO CALLED IN I ; (nCJ INSPECTION NOTICE SCHEDULED -111131f.PERMIT NO. F ( 1 q b COMPLETED _y- ADDRESS ) bO . J I (d 1i l,lISSt I R • OWNER CONTR. hO.M Cupid TELEPHONE NO. G2 I - 1' 1 (c' DESCRIPTION 10.2f1 OY) &irk / • D FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS ti ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. 0 WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL 0 SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP LU 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL 0 PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO -I COMMENTS: $r L cxi C U'\ C 1 11 CC cc 0 cc 0 LL W W z W X• IN ORK SATISFACTORY:PROCEED LI PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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/Contractor on site- Inspector. • White Copy/Inspector's File Canary Copy/Site Notice 504 o CITY OF ORONO CALLED INSPECTIONTIC SCHE• • �'�i��!/% PERMIT NO. rll 79 COff LET ED ADDRESS /00y0-0 /� OWNER ' —7CONTR. TELEPHONE NO. c'/)/ —767 /3.4. b • DESCRIPTION /�-,/• if e-L ❑ FOOTING ❑ MECHA j( RI ❑ EXCAV/GRADING/FILLING FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ClINSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO (1) COMM NTS: 0 a CC Q SRI r po (ea � t)f cc W cc z cc RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑COR CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP 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 sit - Inspector. _ White Copy/Inspector's File Canary Copy/Site Notice DAT TIME CITY OF ORONO CALLED IN 7-/0 / INSPECTION N jCE -) p SCHEDULED 7-/S1--'J8 az:,:a PERMIT NO. ` Q 9O G`ajCOOMPLETED -� ADDRESS /9 LU � /--� :' OWNER CONTR. iO/ &—`( ( - r TELEPHONE NO. 6/,,? 75/ .0 -00 DESCRIPTION / maZ ^ a L ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING 0 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP 0 PLUMBING RI 0 SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL DI FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO o COMMENTS: ec W C cc crI A) A 1 At f pcpt,li)--.S cc O W cc f p /Zo Si P(Lm,bilt W z W cc t/❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W CC 0 CORRECT WORK&PROCEED XROJECT ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oc..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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 s'te: Inspector. I / I White Copy/Inspector's File Canary Copy/Site Notice