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Home My WebLink About2003-P05928 - addn/remodel/repair CITY OF ORONO PERMIT 2750 Ke�ley Fvrkway - PO Box 66 Permit Number: Pos92s Crystal Bay, Minnesota 55323 P2CCTllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: l�i4i2oo3 SITE ADDRESS: 1400 Cherry Pl Mound,MN 55364 PID: 08-117-23-33-0012 DESCRIPTION: UBC Occupancy R3 Consh-uction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Yiumoing iviecnanicai Eieciricai�siaie� NOTICES/REMARKS: FEE SU�MARY: PermitFee: $ 923.75 Valuation: $ 90,000.00 Plan Review Fee: $ 600.53 State Surcharge Fee: $ 45.50 TOTAL FEE: $ 1,569.78 APPLICANT: JLF Construction OWNER: Gene&Mary Zulk 10641 Fenner Avenue SE 1400 Cherry Pl Delano,MN 55328 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 REQUIRE NTS. i r <-�---� ' � L lG APP ANTPERMI"I'EE IGNATURE � SSUEDBYSIGNATU E Copies: 1-File(Si�nitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ` i � � Total Fee: $ �r��'�� Date Received: -� � �. � � ! � G��1 _ ,Entered By: �� Permit#: '� / '� �� "� � L,v��:�7 i i f —��C CITY OF ORONO - BUILDING PERNIIT APPLICATION �- All information must be submitted in full before plan review will be started. - (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: l�I D 0 G� �j r� ��J c�C� ZIP: ,S ,S`-3 � �/ NAME OF OWNER: G-e�t e �-/�c�r .,, 2 � t � PHONE: (home)CI.S-� - y �l � ��n, (work) MAILING ADDRESS• ��U� C�t t��'>` � �� c z CITY: �o�,��( ZIP: S:5�3 G�! CONTRACTOR: �L�— Co.�.��r�c.�-.'��-� PHONE: �f� — �9G - !�(S`� CONTACT PERSON: ,�v e �=c/r�e MOBILE/PAGER: MAILING ADDRESS: �d(�o�-1 l ��e(t/1 c r f}-c�t S E CITY: 1�c'�cvi u ZIP: S S�� . �' STATE LICENSE: # ,�D3 3�f�l ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PR(�POSED WORK(describe in detai�: .�d�-� SG�� 2t�D`�" �l�o r�t�> ��-a 3` S�'� '�. / v! n i�r (�,S� G� ,4-'d�i'Z r'n.{� L v;.�- ;�r.t,� ��-(j y.c+.,. f3� F�ff�«� � CC•1.K- i.Lt,.i .t.�� -�t' ��L d � 2�P�r S�'�.C L c� S 1�i�+^ .,.,i� �t. S f;.: c� c' l�t u�'.e STORIES: 3 w�� z SQ. FEET OF EACH FLOOR: �� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.a� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ y �; G'oC), `�`' 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 ardinances 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 p�rmit; and that the work will be in accordance with the a proved plan. A:'PLICANT'S SIGNATUR�: G-� _' DATE: J� - � � — 0 2 NOTE! Parade of Homes events equire 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 secuon. Subd.2. Information required to be given individual. M individual asked ro supply private or confidential data concernin�himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or5tatewide 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 idenUry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not appty when an individual is asked to supply investigative data, pursuant to section 13.82, subdivisio�5, to a (aw enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or oronertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsibfe 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 sha(1 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 da[a need not be disclosed to him for six months thereafrer 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 subjec[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,3undays and legai holidays. Subci.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the narure of the disagreement. The responsible authority shall within 30 days either: (a)conect 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 disagreemen[is included with the disclosed data. The determination of the responsible authoriry 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 �ity 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. J OSc�L �ov:�t ��c � First Middle Last _10�`ll f=�-� �¢„t S� Address / L��i Gi.--c /Ll'1�/ 5 5 ��-a" ��2 ""�-��--/�lT� City State Zip Phone I understand my rights as stated above. / i � y � Signatu 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS - . FOR OFFICE USE ONLY ADDRESS OR LEGAL: I y o0 C N c�R�,� I�cs�.c.� PID: DESCRIPTION OF WORK: (�oR,,�.�,�„ Q�..� o� ; �- ------------------------------------------------------------------------------------------------------------------------ ZONING FEVIEW BY: DATE APPROVED: !-r 3• 03 BUILDING REVIEW BY: DATE APPROVED: � - �3 •d 3 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 SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Nv C�{�� 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: etland: Building Height: Def. Hgt. al:Hgt. �/o c-�-��+�+� Lot Coverage: n� L Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: #� Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set ck: L,ot 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: I� ' 3 CONSTRUCTION TYPE: �//J �- _ Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 9 O,000 �� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation p( Insulation (Masonry) Other � Wall Board (Mfg.) Well (State Permit) p� Final Grading/Filling ot Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (T'O BE NOTED ON PERMI�: 8 �� ' ✓' ; D TE TIME � CITY OF ORONO CALLED IN �p� INSPECTION NOTI SCHEDULED , y(�F��Y'w"�" �.-'/�L� PERMIT N0. � COMPLEfED ADDRESS ��C� �% ��'�-<-� �•� - OWNER CONTR.�,��.L- S ��"��. TELEPHONE NO. �7`�� '�lnl ' �� DESCRIPTION ��Y�'`� � f' ( f l� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU• YES_NO WCOMMENTS: ,I�!r�,� -=' I �P fi�� a f� s�- ,r��'-l"�' r �,�'! j 0 ��r ��/�7 — � ��f�/'�S 'L� 0 � � � � Pi �.�� Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next i�nspection 24 hours in advance. (952� 249-46�� OwnerlContract Inspector. White Copy/lnspector's F e Canary CopylSNe Notice �` �/ DATE TIME � ,, CITY OF ORONO CALLED IN INSPECTION TICE n O SCHEDULED ��L'� •�v v PERMIT NO. �O COMPLETED ADDRESS l7"4O C./�� 1�� OWNER CONTR. �LF C'�7`t./ TELEPHONE NO. �O�Z 2-9 D � ��?_� . � DESCRIPTION �� Ot 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 ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS INAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAI.L. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL / 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:�' YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � w � � a W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next spection 24 hours in advance. (952� 249-4600 OwnerlContrac 't : Inspector. White Copyllnspector's File Canary CopylSite Notice � / CITY OF ORONO �" CALLED IN DATE G, TIME INSPECTION NOT CE SCHEDULED �-'3 "�'""�.) .-�/ _ � � t� PERMIT NO. ��L>.`�:�� COMPLETED ADDRESS j`�,'i�% C,�-�: 1_% ; /��"�. � � . OWNER CONTR. o�(_S �'c:%Lt-� �. TELEPHONENO. /�(G,.�''"f�;"�� -� ! L.% � DESCRIPTION `� ' `' ' -�_-.�=�.=,' h�: �'�� i� �✓ � 01 FOOTING 1 ME HANICAL RI . 18 EXCAV/GRADING/FILLING Q 0��- CHANICAL FINAL 19 LAKESHORE/WETLANDS y�03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL ZWAL 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � � a � J o �� ` � � ` � o � W � .�--1,f . Vl�_ Q � z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CAL TO ARRANGE ACCESS. Call forthe next spection 24 hours in advance. (g52) 249-460� OwnerlContrae�,an it : . Inspector. r - White Copyllnspector's File Canary CopylSite Notice DAT TIME i, CITY OF ORONO CALLED IN a��'o-3 INSPECTION NOT CE SCHEDULED O 3 �03-Q� C7�?-�/h� PERMIT NO. COMPLETED ADDRESS /�� C-K��,�,� %�� .�� OWNER CONTR. _ /L S� ��i'1L.� TELEPHONENO. LP �� go iy�a � � DESCRIPTION � 01 FOOTING_ 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y 2 FR�AIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � d9 P UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES N � COMMENTS: � � D � � �e, � J O �. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIFiED.CALLTO ARRANGE ACCESS. Call forthe xt inspection 24 hours in advance. (g52) 249-46�� OwnerlCon r site: Inspector. White Copyllnspector's Fi e Canary Copy/Site Notice