HomeMy WebLinkAbout2002-P05112 - addn/remodel/repair .
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05112
Crystal Bay, Minnesota 55323 Permit Type: aaa�c�o�Remoaevxepa�r
(952) 249-4600 Date Issued: siisi2oo2
SITE ADDRESS: 4080 Dahl Rd
Mound,MN 55364
PID: o�-ii�-23-ii-oois
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
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: Eieciricai(siaiej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 167.25 Valuation: $ 9,000.00
Plan Review Fee: $ 108.68
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 280.93
APPLICANT: Greg Vetsch Construction OWNER: Mandeep&Leisa Sodhi
11731 SOth Street 4080 Dahl Rd
Albertville,MN 55301 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUI NTS.
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y��APPLICANT P _E SIGNATURG � ISSUED BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-AssessinE. 1-Finance Page 1
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Total Fee: $ '���� , f�j Date Received: ��G� � �"j�
Entered By: ` _-�; Pernut#: �-5// ,��>�---
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) �W�OR CONTRACTOR
JOB SITE ADDRESS: �C� �c� >�LJ� .�� r%�'U'yJ ZIP: � S �'��/
NAME OF OWNER: 0�'%�il';�Ect,� !� .C�iS� PHONE: (home) »�� j�S- / a,J
� `�r��i7i � (work) c�il �;'3�� - 7n��c� ,����/
MAILING ADDRESS: C��U ����y� i�V CITY: �.e�.��;.� ZIP: �5 S'� " �i%,�K
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CONTRACTOR: �,�C� l%:Ts��r �����s T PHONE:_ ��6 3) � ��-.3��y�
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CONTACT PERSON: �;<'�'� j-�7S Cff MOBILE/PAGER:
MAILING ADDRESS: //73/ ..S C% f� S% CITY:�G�3E�Z�l�'/��:cl ZIP% S-S �L%�
STATE LICENSE: # ��p�S-���'
ARCHITECT/ENGINEER: ��O�j F �9/v�v/�" /�.sl�c PHONE: ��� � ��'� - �n� `J'
MAILING ADDRESS: //Lj 7G ��•9i�T/�V .��% CITY: ����i� �il�j�s ZIP: `��s"� 3�
NAME: ��j� C i�. REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: /it�`� �ir;�'y �i�`Ci('/��c cE�
��%i�i%/i/� /C' %�/� /-��-��� �=��-.-��
STORIES: 5Q. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��c� �� � i'F�� G-
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 accQrda.�ce with the approved plan.
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APPLICANT'S SIGNATURE:;� � -� ---DATE:
NOTE! Parade of Homes events require separate pernzit 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 section.
Subd.2. Information required to be given individual. .M individual asked to supply private or confidential data conceming himself
shall be infortned 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 legaUy required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidendal dara;and(d)the idendty 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 mav olace the notice reauired under this subdivision in the individual income tax or nrooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible au[hority,an individual sha11 be infortned 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 hirn 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 thereafrer uriless 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 cosu 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
[he request within that time,he shall so inform the individual, and may have an additionai 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 authoriry describing the nature of the
disagreement. The responsib(e authoriry 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 recipienu 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 deternunation of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relating
to contested cases.
DATA PRNACY 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.
First Middle Last
Address
Ciry State Zip Phone
I underst rights as stated above.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �Q�j C� �/�/-f C (Loq-�J
PID:
DESCRIPTION OF WORK: /�-p(�� n oN ��Oc.SZ
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ZONING REVIEW BY: DATE APPROVED: � - S - � Z
BUILDING REVIEW BY: DATE APPROVED: s - 9 - o Z.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes r�- No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTTON
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No ,�- SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
LotArea: Sq.ft. y3,So"1 Acres - °1`�°4`� Width i/U�G��. Depth
Survey Submitted: Yes _� No Date of Survey: piv F'�� 7- 1 1- 7�-Q�
Proposed Setbacks:
Front (Lake): � Sn� �= Right Side: I b�
Rear (Street): �$� � t Left Side: �1 S�
Adjacent Structures: �q�a�,a-e�9 Wetland: �1 I P
Building Height: Def. Hgt. 0� )< Peal:Hgt. (9, j.�
Lot Coverage: C�, K
Grading: Staff Approval Date: — By: Councii Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # � Resolution: # Resolution Date:
Shoreland District: ��iS
Avg. Setback: d.IL Bluff Setback: /v �/�- L.ot Coverage: �,(�
Existing Proposed
Hardcover: 0-75'
75-250'
250-500' j 6�'"jv l �°� �
500-1000' -
Hardcover Variance Required: Yes No c_ Date of Council Approval:
REMARKS (in house):
7
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BUILDING REVIEW CHECK LIST
UBC: �' � CONSTRUCTION TYPE: Vi� "�
Sq Footage $ Per Sq Ftg
Basement x =
ist Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Y
Estimated Construction Value: $ �j�p p p o�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
�c Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling ►�Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMII�:
8
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED �—� '`-�4'�'
PERMIT N0. � � ��� COMP ED 5��3�'oZ :�' /O
ADDRESS �O11 C� � h / ��-�/ �
OWNER CONTR.j�r� �/�.`�
TELEPHONE N0. _ ..aa��
� D ION �c;f� ;2�
� 01 F�0�1MG 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
Q 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUM8ING FINAL ��-S�C�jV� ��36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES.�NO /�I,S I C��. �(�/`
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContra tor on site:
Inspector. / , C�c�°� �-t.�l.�
White Copyllnspector's File Canary Copy/Site Notice
�� DATE TIME
CITY OF ORONO CALLED IN _
INSPECTION NOTICE SCHEDULED � �
PERMIT NO�� t � � COMPLETED
ADDRESS ���� ��� �-�
OWNER CONTR.�jr�-��'�-�`�
TELEPHONE N0. � � a � 1 t-4� " 3�'1—I
� DESCRIPTION --�-►�5�� -�' 1RC�C���,�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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
J 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� ZQ9-lj6QQ
" rl n r tor on site:
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Whit opyllnspector's File Canary CopylSite Notice
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OATE TIME
CITY OF ORONO ALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0.P�ST��..�. COMPLETED —'
ADDRESS�:l'���_�Z�L_��
OWNER — CONTR.����i"c �Tc�._ .rL
TELEPHON�O. � r�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
�RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
Owne Contr on site:
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �T1I �f SCHEDULED 7'��'DZ _d�'�
PERMIT NO. V���o� COMPLETED
ADDRESS ���� r �.1� �
OWNER CONTR. �r.e� �7���
TELEPHONENO. L��� ��-�„� �Cfi�'7
� DESCRIPTION
W ECHANICAL RI 18 EXCA�//GRADING/FILLING
02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEF 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-FINAI 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
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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. �95Z� 24Q-46�0
Ownerl ctor on si •
Inspector. �
W e Copylinspector's File anary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED � t`s�
PERMIT N0. L� COMPLETED
ADDRESS y�� ,/�r� /� •
OWNER CONTR.
TELEPHONE NO. .��a y �d , �f J? �
� DESCRIPTION_���1 �G 21�5�� ` �fi�C C-a�!
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Catl for the next inspectio 4 our n adva e. 9-46Q�
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